• 대한지역사회영양학회지
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• 제10권5호
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• pp.645-653
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• 2005

The prevalence of undernutrition in hospital populations is known to be high. The presence of malnutrition is associated with depression, infections, sarcopaenia, falls, fractures, reduced autonomy and increased mortality. This study specifically examined the prevalence of malnutrition in patients aged 65 or older at the time of admission as determined by the Mini Nutritional Assessment (MNA) which has been a frequently used nutritional risk screening tools in detecting undernutrition in old people. This study was done for one hundred eight hospitalized geriatric patients in Seoul National University Bundang Hospital, Seoul, Korea. On admission baseline history, anthropometrics measurements, laboratory data and nutritional status by MNA were assessed. Length of hospital stay was obtained by reviewing medical charts. We used one-way analysis of variance to compare the differences in variables. Spearman's rank correlation coefficients were calculated for associations between MNA and variables. On admission, $22.3\%$ of patients were malnourished and $40.7\%$ were at risk of malnutrition according to the MNA. Percent of ideal body weight, anthropometrics data, albumin, and hemoglobin were lower in the malnourished patients (p<0.05). The malnourished patients stayed in the hospital 7.3 days longer, as compared with well nourished patients (p<0.05). Percent of ideal body weight, albumin, hemoglobin and total cholesterol were correlated inversely with nutritional status according to MNA (p<0.05). MNA can be used for nutritional assessment in Korean old people, because MNA significantly correlated with other nutritional assessment parameters, such as, anthropometric and laboratory data in hospitalized geriatric patients. The high prevalence of malnutrition in the elderly was observed and the presence of malnutrition on admission predicted a significant increase in the length of hospital stay in this study. Therefore further studies are needed to determine whether nutritional interventions in old people with low MNA scores can improve clinical outcomes during the hospital course.

• 한국간호교육학회지
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• 제24권4호
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• pp.433-442
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• 2018

Purpose: This study was performed to investigate the factors affecting postoperative pain and length of hospital stay of liver transplantation donors. Methods: This is a retrospective study using the Electronic Medical Records (EMR) of 91 patients operated on at a tertiary hospital in Seoul, Korea in 2016. The collected data were analyzed using descriptive statistics, t-test, Mann-Whitney U test and Kruskal-Wallis test, Spearman's rank correlation, and multiple regression analysis. Results: The average age of the donors was $35.7{\pm}12.2$ years, and all donors were family members. PCA was applied for control pain in all patients, and 40.7% of PCA-related side effects were observed. The average length of hospital stay was $9.24{\pm}2.52$ days. The factors influencing the length of hospital stay were operative methods, pain control methods, and postoperative complications. The length of hospital stay was 1.29 days shorter if donors had no complication, 1.43 days shorter when only PCA was used, and 1.19 days shorter when laparoscopic resection was performed (Adjusted $R^2=0.17$, F=4.67, p<.05). Conclusion: The results of this study can be used as basic data for practical and effective postoperative nursing education and intervention of living liver donors.

• 한국치위생학회지
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• 제23권2호
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• pp.105-113
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• 2023

Objectives: The purpose of this study is to verify the usefulness and practicality of the program in the daily life of the elderly by performing a three-dimensional tongue muscle exercise for the elderly to identify the dysphagia, swallowing ability, and tongue pressure. Methods: The subjects of the study were 29 elderly people aged 65 or older living in Busan, divided into a oral exercises group and tongue strength training program combined with oral exercises group, and operated 16 times for 8 weeks twice a week, and the pre and post-program evaluation was conducted in the 1st and 8th weeks. For variable selection, 7 general characteristics, 5 oral health-related characteristics, 5 Likert scale for swallowing disorder, repetitive swallowing ability test for swallowing power measurement, and tongue pressure measurement was used. Data analysis was conducted using SPSS window program 25.0 version (IBM), general characteristics and homogeneity tests, oral health-related characteristics and homogeneity tests were chi-square test, swallowing disorder, swallowing ability, and change in tongue pressure were paired t-test, Wilcoxon signed rank test, t-test, Mann-Whitney U test for swallowing disorder and changes in swallowing ability and tongue pressure, and Spearman's correlation for the relationship between swallowing disorder and swallowing ability and tongue pressure. Results: As a result of tongue strength training program combined with oral exercise, both relieve swallowing disorder and improve low eating and tongue pressure than oral exercise, and the difference in improvement effects of both relieve swallowing disorder, swallowing ability, and tongue pressure is higher. Conclusions: Based on the results of this study, it is believed that simple and practical oral muscle function reinforcement products and practical use are needed, and institutional devices to seek oral health promotion programs for the elderly are needed.

• Journal of Periodontal and Implant Science
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• 제33권4호
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• pp.615-624
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• 2003

The most accurate method to assess bone level is the histometric measurement. However it causes discomfort in patients and damage to the regenerated tissues. in the present study, we used 4 type regenerative therapies, The present study evaluated the clinical reliability and accuracy of bone probing measurements and radiographic bone level in the assessment of bone level by comparing those results with histometric confirmed bone level. Twentyfour(24) intrabony defects(4${\times}$4mm 1-wall intrabony defects) were surgically created in the mandibular second and fourth premolars of 6 beagle dogs. The control group underwent a conventional flap operation. Experimental group I was treated with calcium phosphate glass only, and while experimental group 2 was treated with GTR and experimental group 3 was treated with calcium phosphate glass and GTR. The subjects were sacrificed 8 weeks after the operation and a bone probing measurements, radiographic measurement and histometric measurement was performed. The correlation between bone probing measurements(BP) and histometric measurement(HL), and radiographic measurement(RL) and histometric measurement(HL) were analyzed with Spearman's rank correlation analysis and the statistical significance with respect to the type of regenerative therapies was analyzed with the Kruskal Wallis test. The coefficient of correlation to HL was 0.73 for RL and 0.90 for BP. The type of regenerative therapies had no significant effect on the difference between HL and other measurements. The results of this study suggests that bone probing measurements most closely represents actual bone level. So bone probing measurements may be a good clinical method for assessing the hone level following any type of periodontal regenerative therapies.

• 생태와환경
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• 제48권4호
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• pp.212-218
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• 2015

최근 들어 다양한 어종이 이용할 수 있는 자연형 어도가 한국에 다수 건설되고 있지만 건설된 어도에 대한 어류 이용 현황에 대한 모니터링은 제한적으로 이루어지고 있다. 본 연구는 백제보에 건설된 자연형어도에 대해서 어류 이용 현황 및 특징을 파악하기 위해서 2013년 4월부터 10월까지 월 1회 이상 어도 출구부에 일각망을 설치하여 어도를 이용하는 어류를 채집하였다. 또한 어도를 이용할 수 있는 잠재적인 어류를 확인하기 위해서 백제보 하류 (금강 본류)의 어류상을 조사하였다. 조사결과 어도를 이용한 어류는 총 2과 10종으로 본류에서 채집된 어종의 64%가 어도를 이용하는 것으로 나타났다. 어도 주요 이용어종은 됭경모치였으며, 눈불개와 끄리 역시 어도를 다수 이용하였다. 가장 많은 개체가 이용한 시기는 8월로 나타났으며, 이는 수온과의 양의 상관성을 보였다 (Spearman rank correlation, $r_s$=0.743, P=0.035). 어도 이용개체의 전장 범위는 39 mm~550 mm로 다양한 크기의 어류가 어도를 이용하였으며, 시간대별 어도 이용 특성을 분석 한 결과 해가 없는 야간, 일출 시간대 (20:00~08:00)에 어도를 주로 이용하는 것을 확인하였다. 백제보 자연형 어도는 금강에 설치된 다른 어도와 비교하여 이용어종의 다양성 및 개체수가 빈약하게 나타났다. 이는 어도의 구조적인 문제로 인한 유인효과가 부족하기 때문에 나타난 결과로 판단되며, 따라서 유인효과를 증가시킬 수 있는 방안 마련이 필요하다. 이러한 결과는 백제보 자연형 어도의 운영 및 관리에 도움이 될 뿐만 아니라 국내 실정에 적합한 자연형 어도를 개발 및 건설하는 데 있어서 기초자료로 사용 될 수 있을 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제10권1호
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• pp.76-90
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• 1999

자폐적인 아동은 사회적 발달의 기초인 모-아 애착에서부터 왜곡되어 있고 특히 일치적 애착 행동들이 저하되어 있음을 볼 수 있다. 이를 개선하기 위해서는 일치적 행동들의 정상적 발달양상과 관련 요소를 파악하는 것이 선행되어야 하겠기에 자폐군과 정상군 총 20쌍의 모-아 놀이를 비교분석하였다. 그 결과 자폐군의 일치적 행동들은 정상군에 비해 저하되어 있고 발달 경과도 느렸으며 특히 16개월 이상부터는 현저한 차이를 보였다. 일치성과 상관이 있는 어머니의 양육행위는 애정적 표현을 하고 적절한 행동 멈춤을 보이며 아동의 행동을 기다려주는 것이었다. 모-아 상호집중의 저해요소는 지시적이고 간섭하고 학습중심적인 어머니의 놀이 행위와 아동의 무관심, 무반응, 과제수행의 실패 등이었다. 그러나 아동의 수준을 고려해 적당히 자극적인 접근을 하였을 때 상호집중이 유발되고 지속되는 것을 볼 수 있었다.

• Asian-Australasian Journal of Animal Sciences
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• 제26권3호
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• pp.366-377
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• 2013

We examined the nutritive value of common grass species in the semi-arid rangelands of Borana in southern Ethiopia using local experience based herbage preference (LEBHP) perception and laboratory techniques. Local pastoralists in the study area were asked to identify common grass species and rank them according to the species' preferences and palatability to cattle. The pastoralists listed a total of 15 common grass species which were then sampled during the main rain and cold dry seasons and analyzed for crude protein (CP), Neutral Detergent Fiber (NDF), Acid Detergent Fiber (ADF) and ash content to verify pastoralists' claim regarding the quality of individual species. The relative feed value (RFV) and dry matter digestibility (DMD) were also calculated using NDF and ADF contents. Spearman's rank correlation was used to examine possible relationships between laboratory results and pastoralists' experience on grass quality. Cenchrus ciliaris, Chrysopogon aucheri, Digitaria milanjiana, Eragrostis papposa and Panicum maximum were the top five species based on LEBHP perception. There were indications of inconsistency in terms of LEBHP perception among the different pastoral communities. The chemical composition of all grass species showed significant (p<0.05) variation between sites, seasons and species. The results showed that the CP values for the Borana rangelands were in the range of 8.7% in the main rain season to 5.1% for the cold dry season. The fiber constituents were relatively low in the main rain season compared to the cold dry season. Overall, Digitaria milanjiana had the highest CP (16.5%) content, while the least was recorded with Heteropogon contortus (10.8) and Aristida adoensis (9.8%) during the main rain season. It seems that the spatial variability of landscapes within the wider geographical regions, soil properties and texture, and land-use patterns probably contributed to site differences in species quality. Generally, the RFV of individual grass species was significantly (p<0.05) varied between and within sites. The ranking of species by pastoralists according to their preferences by cattle was highly correlated with the chemical composition of laboratory results of individual grass species with 'r' values for CP (0.94), ash (0.95), NDF (-0.98), ADF (-0.93) and ADL (-0.93). We suggest the complimentary use of LEBHP and laboratory techniques in evaluating the nutritive quality of rangeland forage species for sustainable animal production.

• 한국수자원학회논문집
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• 제46권10호
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• pp.977-987
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• 2013

본 연구에서는 다기준 의사결정기법을 적용한 홍수취약성 평가에 내재되는 불확실성을 고려한 평가기법을 제시하였다. 홍수취약성평가과정은 3단계로 구성되며 1단계에서는 홍수와 연관되는 사회적, 경제적, 환경적 영향요인들 중에서 지역의 특성을 반영할 수 있는 평가인자를 선정하고 각 인자의 가중치를 책정한다. 이때 델파이 설문조사기법을 적용하여 의사결정자들의 의견을 수렴한다. 2단계는 평가자료를 수집하고 평가에 사용할 수 있도록 가공하는 단계이며 불확실성 문제를 해소하기 위하여 퍼지수를 적용하였다. 마지막단계에서 홍수취약성을 정량적으로 산정하여 취약지역의 우선순위를 도출한다. 본 연구에서는 퍼지수의 연산과정에서 발생하는 퍼지수의 과장 및 왜곡문제를 해소하기 위한 ${\alpha}$-cut fuzzy TOPSIS 방법을 적용하였다. 또한 수립한 평가기법으로 산정한 결과에 대하여 퍼지자료(fuzzy data)를 적용한 fuzzy TOPSIS, 크리스프(crisp) 자료를 사용한 TOPSIS, WSM등의 다양한 방법으로 평가한 결과들과의 상관관계분석을 수행하였다. 분석결과, ${\alpha}$-cut fuzzy TOPSIS 방법은 대체로 모든 방법과 높은 상관성을 나타내었다. 즉, 크리스프 자료와 퍼지자료를 사용하는 평가방법 사이에서 발생하는 결과의 차이가 ${\alpha}$-cut fuzzy TOPSIS를 이용하면 줄어드는 효과가 있다. 따라서본 연구에서 수립한 홍수취약성 평가방법은 불확실성 문제를 일정 부분 해소한 평가결과를 제시함으로서 치수정책 수립의 유용한 근거자료를 제공할 수 있다.

• 한국자원식물학회:학술대회논문집
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• 한국자원식물학회 2019년도 추계학술대회
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• pp.84-84
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• 2019

본 연구는 전국 임의의 산양삼 재배지를 선정하여 재배지 내의 토양 특성 및 토양세균군집을 분석하고, 토양 특성, 세균군집 및 산양삼 생육특성 간의 상관관계를 구명하기 위하여 수행되었다. 토양 이화학성 분석은 농촌진흥청의 종합분석실 매뉴얼에 따라 분석하였고, 토양세균군집 분석은 pyrosequencing analysis (Illumina platform)를 이용하였다. 토양세균군집과 생육특성 간의 상관관계는 Spearman's rank correlation을 이용하여 분석하였다. 전국 8개 산양삼 재배지로부터 분리한 토양세균군집은 2개의 cluster로 군집화를 이루는 것을 확인하였다. 모든 토양 샘플에서 Proteobacteria와 Alphaproteobacteria가 각각 평균 상대적 빈도수가 35.4%, 24.4%로 우점종으로 나타났다. 나타났다. 두 개의 cluster 간 토양세균군집의 상대적 빈도수를 비교 분석한 결과, 먼저 Proteobacteria (p = 0.03), Actinobacteria (p = 0.02), Ahlpaproteobacteria (p = 0.029), Betaproteobacteria (p = 0.021)는 cluster 1에서 cluster 2에 비해 상대적 빈도수가 유의적으로 높았고, Fimicutes (p = 0.004), Cyanobacteria (p = 0.004), Acidobacteriia (p = 0.041), Ktedonobacteria (p = 0.019), Gammaproteobacteria (p = 0.034), Bacilli (p = 0.009)은 cluster 2에서 유의적으로 상대적 빈도수가 높은 것으로 나타났다. 토양세균군집 cluster 간 산양삼의 생육특성을 비교 분석한 결과, cluster 2 재배지에서 수집한 산양삼 시료의 지하부 생중량은 cluster 1 재배지에서 수집한 산양삼 시료에 비해 cluster 2에서 유의적 (p = 0.04)으로 높았다. 산양삼 생육특성과 토양세균군집 간의 상관관계를 분석한 결과, 산양삼의 생육은 토양 pH가 낮고 Acidobacteria의 상대적 빈도수가 높은 토양에서 증가하였으며, Acidobacteriia와 Koribacteraceae의 상대적 빈도수는 산양삼의 생육과 유의적인 정의 상관관계를 보이는 것으로 나타났다. 본 연구 결과는 토양미생물군집과 산양삼 생육 간의 상관관계를 구명하는 중요한 자료가 될 것으로 생각되고, 나아가 산양삼 재배적지를 선정하는데 있어 보다 명확한 정보를 제공할 수 있을 것으로 사료된다.

• 임상간호연구
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• 제18권2호
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• pp.284-295
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• 2012

Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration, compared to MOAA/S (Modified Observer's Assessment of Alertness and Sedation), on conscious sedation, physiological stability and recovery time for patients undergoing endoscopic submucosal dissection. Methods: Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching, memory, pain, discomfort, physiological stability (MBP, PR, $SpO_2$), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters. Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching, memory, pain, or discomfort), physiological stability and recovery time. Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.