• 대한한의학회지
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• 제34권4호
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• pp.56-62
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• 2013

Objectives: Hepatocellular carcinoma patients have a poor prognosis and survival beyond 5 years is very rare in spite of western treatment. We report a case of long-term survival of a hepatocellular carcinoma patient treated by Korean medicine combined with western therapy. Methods: The treatment was provided from November 2004 to July 2012. Herbal medicine, acupuncture and moxibustion treatment were used as main treatment methods. We prescribed herbal medicines three times a day and performed acupuncture and moxibustion an average of 2-3 times a week. Clinical laboratory tests were performed each month and a CT scan was carried out 13 times during the treatment period. In order to evaluate the disease status, we checked the patient's abdominal circumference, weight change and subjective symptoms regularly. Results: During treatment, subjective symptoms of the patient and state of ascites due to hepatocellular carcinoma were relatively stable. The progress of hepatocellular carcinoma was gradual without worsening rapidly. Since the initial diagnosis with hepatocellular carcinoma, the patient survived for a further 7 years and 9 months treated by Korean medicine combined with western treatment. Conclusions: According to the above results, this case indicates that Korean medical treatment combined with western therapy for hepatocellular carcinoma patients has synergistic effects of prolonged survival, relief of symptoms and management of complications.

• 펄프종이기술
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• 제47권5호
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• pp.80-84
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• 2015

Softness is considered one of the most important attributes of hygiene paper such as tissue and towel. Being subjective in nature, however, softness attribute has been generally believed to be impossible to evaluate using objective methods. Hallmark in his pioneering work proposed that tissue subjective softness should be mainly consisted of the bulk softness component and surface softness component. The bulk softness component can be determined by tensile stiffness; the surface softness component by surface tester. The surface friction turns out far more important than the surface roughness in determining the surface softness component. It cannot be too much emphasized that both results of the tensile stiffness and the surface friction should depend on measuring conditions such as an instrument used, sample sizes (e.g., basis weight, length, and width) and operating conditions of the instrument (e.g., gauge length, cross-head speed, size of stylus, and its scanning speed). This indicates that a direct comparison of the test results would be impossible or misleading unless they have been tested under the identical conditions. This may explain why the standard objective test method for tissue softness has not been available at present.

• 보건행정학회지
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• 제26권3호
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• pp.207-218
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• 2016

Background: This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-do, Korea. Methods: The study subjects were 2,310 diabetes patients participated in 2014 community health survey in Jeollanam-do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test, and HbA1c test. The used statistical analysis methods were chi-square test and hierarchical regression analysis with weight in consideration of complex sample design. Results: The utilization rates of fundus examination, microalbuminuria test, and HbA1c test were 25.8%, 27.4%, and 12.3%, respectively. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors. Conclusion: The results of this study were shown that perception of their disease seriousness, education about diabetes management, and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.

• 한국학교ㆍ지역보건교육학회지
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• 제11권2호
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• pp.57-69
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• 2010

Objectives: The purpose of this study was to evaluate the effect of nutrition and health-related behavior on quality of life in some adolescents. Methods: The subjects of this study were total 243 middle school students in Deagu, Korea. A self-administrated questionnaires were used to obtain general characteristic, health-related behaviors, nutrition status, and quality of life. The height and weight of participants were measured, then calculated body mass index(BMI). To assess an association between nutrition and health-related behavior and quality of life, an univariate and multivariate analysis were applied using PASW Statistics 18(SPSS Inc, Chicago, USA). Results: As the perceived general health and subjective happiness were better, there were a higher score for all subscales of quality of life. The adolescents, the highest of total intake of energy and overweight, were more likely to have lower quality of life score but there were no statistically significant. Factors related to the adolescents's quality of life were found to be gender, perceived general health, subjective happiness and physical activity. Conclusions: Various factors were related to quality of life in adolescents. To improved the quality of life in adolescent, it is need to develope a physical activity program and counseling of mental condition as well as adequate diet programs.

• 한국의류학회지
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• 제37권1호
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• pp.64-75
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• 2013

This study suggests basic data on optimum thermal insulation for spring wear through an investigation of subjective thermal sensation, self-health image and actual wearing conditions. A survey of university students using a self-administered questionnaire was conducted to collect data on subjective thermal sensation, self-health image, wearing conditions, demographics and physical characteristics. The variable of wearing conditions was measured as the response to the clothing they were wearing. Garment items (26 types for males and 41 types for females) were suggested and the items worn by the students were converted into the thermal insulation values for clothing. The main results are as follows. As for the body type perception, males perceived themselves as not fat while females perceived themselves as not thin. As for the health perception, males perceived themselves healthier than females. As for the climate adaptability perception, females were more sensitive to cold than males. The average thermal insulation of clothing was 0.97clo (0.34-1.95clo) with higher insulation for males than females. Students were more sensitive to the cold when their BMI was lower, their body surface area per body weight was larger, and the more they perceived themselves as not healthy. There was a significant correlation between the self-health image of sensitiveness to cold and the thermal insulation of clothing. The results were synthetically discussed in terms of environmental physiology.

• 한국의류학회지
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• 제28권5호
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• pp.713-722
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• 2004

This study examined the effects of two kinds of functional sun hats through a head-manikin test and a climatic chamber trial for farm workers in summer. Experiment was composed of four conditions. The first condition was the condition without any hat (Control). The second was the condition with a sun hat on the market (Hat A). The third was the condition with a functional sun hat made of reflective fabric (Hat B). The last was the condition with a functional sun hat having a ventilating structure as well as reflective fabric (Hat C). For the subjects in the climatic chamber trials, 12 healthy males volunteered. Air temperature, relative humidity and globe temperature in the chamber was maintained at $33{\pm}0.5^{\circ}C,\;65{\pm}5%RH\;and\;39{\pm}1^{\circ}C\;(WBGT\;33^{\circ}C)$. Subjects did a simulated red pepper-work (50-min work and 10-min rest, twice repetition) for 120 min. As the result of head-manikin test, the surface temperature on middle of back-neck was the lowest in Hat B of four conditions and the surface temperature on top of head was the lowest in Hat C. As the result of climatic chamber trials, there were apparent differences between with (Hat A, Hat B, Hat C) and without a sun hat (Control). In rectal temperature ($T_{re}$), mean skin temperature ($\={T}_{sk}$), heart rate (HR), total sweat rate (TSR), The physiological heat strain was less in the condition with hats than in the condition without a sun hat. As the increasing rate in Tre, Hat B is the most effective hat for alleviation heat strain. As the subjective responses, Hat B was the most effective hat for thermal comfort even though the difference was not significant. Hat C was less effective than Hat B and the reason might be the increase of weight due to inserting the ventilating structure.

• Journal of Nutrition and Health
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• 제39권2호
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• pp.133-144
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• 2006

The purpose of this study was to evaluate the nutritional status and to identify related factors in elderly hemodialysis patients. Sixty-four patients who were registered in Asan Medical Center, Seoul, Korea, participated in the study. The data was collected between September and December, 2003. General characteristics were obtained with the use of an interviewer-administered questionnaire. Anthropometric and biochemical data, 3-day dietary records and dietary habits were also obtained. The results of this study were analyzed with t-test or $X^2$-test using SPSS package program. The percentage of elderly hemodialysis patients who were undergoing mild to severe malnutrition (MN group) and were normal nutrition (NN group) by subjective global assessment (SGA) criteria were 46.9% and 53.1 %, respectively. Appetite (p < 0.05) and dietary cholesterol intakes (p < 0.05) were significantly lower in MN group than the NN group. Body mass index (BMI, p < 0.001), lean body mass (LBM, p < 0.05), triceps skinfold thickness (TSF, p < 0.01), mid ann circumference (MAC, p < 0.01) and mid ann muscle circumference (MAMC, p < 0.05) were also lower in the MN group than the NN group. There were also significant differences in blood urea nitrogen (BUN, p < 0.05), creatinine (p < 0.05), prealbumin (p < 0.001) and C-reactive protein (CRP, p < 0.05). SGA was negatively correlated with serum BUN, creatinine and pre albumin, dry weight, BMI, LBM, total body water, TSF, MAC and MAMC, and positively correlated with age. In stepwise multiple regression analysis, SGA was related to BMI, CRP, age and BUN. In conclusion, almost half of the subjects were in malnourished status and had lower values in anthropometric and biochemical data. Our results suggest that SGA is a simple and adequate method for assessing the nutritional status in elderly hemodialysis patients and adequate dietary guidelines based on individual nutritional status are needed in the patients.

• 한국건설관리학회논문집
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• 제11권4호
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• pp.22-31
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• 2010

프로젝트 초기단계에서 산정된 공사비는 발주자의 중요한 의사결정에 영향을 미치므로 그 중요성이 강조되고 있지만, 정보의 부족으로 인하여 주로 견적전문가의 경험과 지식에 의존하여 진행된다. 이것은 현재 문제와 가장 유사한 과거 사례를 선택하여 사용하는 사례기반추론으로 발전되었다. 사례기반추론 모델의 예측 성능은 속성 가중치의 산정 결과에 많은 영향을 받으므로, 정확한 속성 가중치의 산정이 요구된다. 기존의 연구는 수학적 방법 또는 전문가의 주관적 판단을 이용하는 방법을 사용한다. 본 연구는 기존 연구의 문제점을 보완하기 위해 유전자 알고리즘을 이용한 사례기반추론 공사비 예측 모델을 제안한다. 공사비 예측 모델은 최근이웃 조회 방법의 과정에 의해 추출한 사례의 공사비 정보를 이용하여 예측 대상의 공사비를 산정한다. 검증 결과 AACE에서 정의한 견적시기별 예측 정확도와 표준화 회귀계수 동일가중치를 사용한 방법보다 높은 오차율을 나타내었다. 따라서 본 연구는 유전자 알고리즘을 도입하여 예측 성능을 향상시키고, 사례기반추론 방법을 사용하여 사용자가 이해하기 용이한 해결책 도출과정을 제시하였다는데 그 의미가 있다.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.198-209
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• 2014

당뇨병은 유병률과 합병증으로 인한 사망률이 지속적으로 증가하는 질병이다. 본 연구는 성인의 당뇨병 유병률 영향요인을 확인함으로써 당뇨병 유병률의 감소를 위한 중재전략 개발의 기초자료를 제공하고자 시도되었다. 연구대상자는 19세 이상 성인으로 2012년 국민건강영양조사 원시자료를 활용하여 분석하였으며, 5995명의 자료가 분석에 사용되었다. 수집된 자료는 SPSS 18.0 프로그램의 복합표본 분석 모듈을 사용하여 가중치를 부여한 후 분석하였다. 연구결과 19세 이상 성인의 당뇨병 유병률은 10.5%였고, 당뇨병 유병 오즈비는 학력에서 대졸 이상에 비해 중졸은 2.51배, 주관적 건강상태가 매우 좋은 경우에 비해 매우 나쁜 경우 4.77배, 비만인 경우 1.44배, 고혈압을 진단받은 경우 2.57배, 고지혈증을 진단받은 경우 2.63배, 체중조절을 하지 않는 경우 1.31배, 식이요법을 하는 경우 2.75배로 높았다. 본 연구는 당뇨병 유병률을 예측하는 변수로 교육수준, 주관적 건강상태, 비만 유병 여부, 고혈압 의사진단 여부, 고지혈증 의사진단 여부, 체중조절 여부, 식이요법 여부를 밝힘으로써 당뇨병 유병률을 감소시키기 위한 간호중재와 연구방향을 제시하였다.

• 한국의류학회지
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• 제29권1호
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• pp.35-45
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• 2005

The purpose of this study was to evaluate thermal properties of soccer wear with different materials and designs. As a beginning step, the questionnaire survey about the actual condition of soccer wears was conducted. with the results of the questinnaire, two soccer wears with new material and design that were improved in tactile sensations, absorption and ventilation were developed. We evaluated thermal and subjective responses of subjects wearing Korea national soccer team uniform in 1998 World Cup (Uniform 98), soccer wear with new material and same design(New II) and with new material and new design(New I). New I was made with mesh in armhole for improving ventilation. Rectal temperature, skin temperature, clothing microclimate, and heart rate were measured in climatic chamber test(twelve times) and field test(eighteen times). The results were as follows. 1. As the results of the climatic chamber test, rectal temperature was lower in New I and New II than Uniform98, and mean skin temperature was lower in New I than Uniform 98 and New II. Heart rate was lower in New I than New II, and total body weight loss and local sweating were not significantly different by soccer wears. 2. As the results of the field test, rectal temperature was lower in New I than Uniform98 and New II. Mean skin temperature was lower in New II than Uniform98 and New I. Clothing microclimate temperature was lower in New II than Uniform98 and New 1, and clothing microclimate humidity was lower in New I, New II than Uniform 98. Heart rate was lower in New I than Uniform 98, New II and total body weight loss and local sweating were lower in New I, New II than Uniform 98. In conclusion, New I using new design using mesh in armhole and new material using sweat absorbent finishing was excellent from the point of view of physical responses, ventilation and sweat absorption.