• 농촌의학ㆍ지역보건
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• 제48권4호
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• pp.262-274
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• 2023

본 연구는 달구벌건강주치의사업에 참여하고 있는 기관의 실무자와 서비스 이용자들의 경험을 토대로 질적연구를 통하여 보건의료·복지 서비스의 통합적인 지원의 성과와 개선방안을 살펴 보았다. 분석 결과 달구벌건강주치의사업은 의료취약계층의 복합적 수요 해결에 효과적이었다. 의료와 복지 사각지대에서 삶의 희망을 잃어버리고 의료와 복지서비스 이용에 대한 두려움을 가진 이용자들에게 신속 간단한 대상자 선정과 자원연계를 통한 통합적 서비스 제공으로 복합적 수요 해결과 삶에 대한 긍정적인 태도 회복, 삶의 질 개선에 기여하였다. 달구벌건강주치의사업은 대상자 의뢰기관부터 서비스 제공기관까지 공공뿐 아니라 민간기관이 참여하는 포괄적 네트워크를 구축하였으며, 대구의료원을 중심으로 5개 상급종합병원의 참여로 경증부터 최중증까지 대상자의 중증도에 적합한 치료를 지원하는 모형을 구축함으로써 의료혜택에서 소외된 대상자를 적극적으로 발굴하고 실제 이들의 건강 문제를 해결함으로써 건강 형평성을 개선한 것으로 파악된다.

• 지역사회간호학회지
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• 제22권3호
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• pp.241-251
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• 2011

Purpose: This study was to develop and evaluate a health promotion program for women with osteoarthritis. Methods: The research adopted the nonequivalent control group pretest-posttest design. The subjects were 34 in the experimental group and 34 in the control group sampled among vulnerable women aged over 40. The independent variable was the health promotion program, and the dependent variables were perceived health status, balance, K-WOMAC, depression, life satisfaction and health promoting behavior. The health promotion program was performed for 50minutes each session, twice a week and for 8 weeks. Data were collected from July 1 to September 11, 2010. Results: The experimental group showed significant differences in perceived health status, balance, WOMAC pain, WOMAC difficulty of performing activity, depression, and health promoting behavior compared to the control group. There was no significant difference in WOMAC stiffness, waist, weight, and life-satisfaction. Conclusion: The results of this study suggest that the health promotion program can be applied in degenerative arthritis education to improve self-care.

• The Korean Journal of Medicine
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• 제99권3호
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• pp.140-144
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• 2024

Hepatitis B virus (HBV) reactivation associated with various therapeutic interventions is a significant cause of morbidity and mortality among patients with current or resolved HBV infection. Since no curative treatment for HBV infection is currently available, a large number of individuals in the general population are at risk for HBV reactivation. Populations vulnerable to HBV reactivation include those currently infected with HBV or those who have had past exposure to the virus. The potential consequences of HBV reactivation are particularly concerning when these populations undergo anti-cancer chemotherapy, immunosuppressive or immunomodulatory therapies for managing various malignancies, rheumatologic diseases, inflammatory bowel disease, or undergo solid-organ or hematologic stem cell transplantation. This article aims to increase awareness of HBV reactivation and to elucidate the mechanisms and risks associated with HBV reactivation in various clinical settings.

• 대한간호학회지
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• 제40권3호
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• pp.400-410
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• 2010

Purpose: The purpose of this study was to investigate the factors that influenced the health-related quality of life of young-old (65-74 yr) men, old-old (75-84 yr) men, and oldest-old (85 yr or above) men in vulnerable aged received home care from public health center. Methods: The participants for this study were 318 aged Korean men living in D city. The data was collected from August to October, 2009 using structured questionnaires. Chi-square, One way ANOVA, Duncan test, Pearson's Correlation Coefficient and multiple regression with the SPSS WIN 14.0 program were used to analyze the data. Results: There were statistically significant differences among young-old, old-old, and oldest-old men regarding the health-related quality of life, health promoting behavior, IADL (Instrumental Activities of Daily Living), rehabilitation, depression, and social support. The model including variables related to physical, psychological, and social aspects of life, explained variance of the health-related quality of life of aged men differently, such as 39.6% of young-old, 35.4% of old-old, and 47.0% of oldest-old. Finally, IADL and social support were predictors in explaining the level of health-related quality of life among vulnerable old men regardless of age. Conclusion: Based on the findings of the study, nursing interventions should be developed to improve health-related quality of life of vulnerable aged men according to age differences.

• 대한간호학회지
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• 제48권2호
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• pp.182-194
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• 2018

Purpose: This study aimed to estimate the effects of a health mentoring program on fasting blood sugar, total cholesterol, triglyceride, physical activity, self care behavior and social support changes among community-dwelling vulnerable elderly individuals with diabetes. Methods: A non-equivalent control group pre-post-test design was used. Participants were 70 community-dwelling vulnerable elderly individuals with diabetes. They were assigned to the experimental (n=30) or comparative (n=30) or control group (n=28). The experimental group participated in the health mentoring program, while the comparative group participated in health education program, the control group did not participate in any program. Data analyses involved a chi-square test, Fisher's exact test, a generalized linear model, and the Bonferroni correction, using SPSS 23.0. Results: Compared to the control group, the experimental and comparative groups showed a significant decrease in fasting blood sugar, total cholesterol, and triglyceride. Compared to the comparative and control groups, the experimental group showed significant improvement in self care behavior. However, there were no statistical differences in physical activity or social support among the three groups. Conclusion: These findings indicate that the health mentoring program is an effective intervention for community-dwelling vulnerable elderly individuals with diabetes. This program can be used as an efficient strategy for diabetes self-management within this population.

• Animal Systematics, Evolution and Diversity
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• 제24권1호
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• pp.25-32
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• 2008

The Gold-spotted pond frog, Rana plancyi chosenica, designated as a vulnerable species by IUCN Red list. This species is a typical example facing local population threats and extinction due to human activities in South Korea. A strategic conservation plan for this endangered species is urgently needed. In order to provide information for future conservation planning, accurate information on the genetic diversity and taxonomic status is needed for the establishment of conservation units for this species. In this study, we used a molecular genetic approach using the mitochondrial cytochrome b gene and control region sequences to find the genetic diversity of gold-spotted pond frogs within South Korea. We sequenced the mitochondrial DNA cytochrome b gene and control region of 77 individuals from 11 populations in South Korea, and one from Chongqing, China. A total of 15 cytochrome b gene haplotypes and 34 control region haplotypes were identified from Korean gold-spotted pond frogs. Mean sequence diversity among Korean gold-spotted pond frogs was 0.31% (0.0-0.8%) and 0.51% (0.0-1.0%), respectively. Most Korean populations had at least one unique haplotype for each locus. The Taean, Ansan and Cheongwon populations had no haplotypes shared with other populations. There was a sequence divergence between Korean and Chinese gold-spotted pond frogs (1.3% for cyt b; 2.9% for control region). Analysis of genetic distances and phylogenetic trees based on both cytochrome b and control region sequences indicate that the Korean gold-spotted pond frog are genetically differentiated from those in China.

• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2006년도 Perspectives of Evironmental Health Issues in Asia-Pacific Region
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• pp.90-110
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• 2006

In the natural course of events, most human exposure to MeHg is through fish/shellfish consumption. The methylmercury exposure levels depends on the amount and species of fish/shellfish consumed daily. The developing brain in the late gestation period is known to be most vulnerable. Further, more methylmercury accumulates in the fetuses than in mothers. Therefore, efforts must be made to protect the fetuses from the risk of methylmercury, especially in populations which consume a lot of fish/shellfish.

• 식물분류학회지
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• 제42권4호
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• pp.253-259
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• 2012

한국특산식물이며 희귀식물인 변산바람꽃(Eranthis byunsanensis)의 보전을 위해 5개 자생지 집단을 대상으로 9개의 allozyme marker를 이용하여 유전적 다양성과 구조를 분석하였다. 변산바람꽃 집단의 대립 유전자의 수(A)는 2.4개, 다형적 유전좌위의 비율(P)은 90.0%, 이형접합자의 평균 기대치($H_E$)는 0.311을 나타내어 분포 역이 넓은 특산식물과 유사하거나 다소 높은 수준의 유전적 다양도를 유지하는 것으로 나타났다. 유전적 구조분석 결과 집단간 $F_{IS}$는 양의 값을 나타내었고 집단간 유전적 분화도는 낮은 결과(0.131)를 보였다. 집단간 높은 유전적 변이, 낮은 유전적 분화, 이형접합자의 결여양상은 이 종이 최근 고립되어 서식지의 단편화를 경험했을 가능성을 제시하며 유전적 확산을 막아 집단의 근친교배율이 증가한 것으로 판단된다. 현재 마이산과 나로도 자생지는 집단의 작은 크기와 종의 생존을 위협하는 인간활동에 의해 매우 취약한 상태이다. 따라서 유전적 변이가 다소 높고 분화가 적은 변산바람꽃 집단의 합리적 보전을 위해서는 특정한 집단에 대한 보전의 우선권을 설정하는 것 보다 전체 집단을 지속적으로 유지하고 근친교배율을 낮추기 위한 노력이 요구된다.

• 지역사회간호학회지
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• 제21권3호
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• pp.362-373
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• 2010

Purpose: The purpose of this study is to evaluate the costs and benefits of individual home visiting health care using secondary data and literature review. Methods: The total number of subjects was 1,008,837. A specific program was classified into disease management, care of infant, child and women, or elderly care. The costs and effects of a program were identified from a societal perspective, and the effects were converted into monetary terms or benefits. The total cost was calculated in the way that medical expenses, travel costs and productivity losses were offset by the decrease in benefits and thus only the program budget was included in the total cost. Results: The total program cost was 47.6 billion won per year and the total annual benefit was estimated at 435.6 billion won. The benefits of arthritis management were the biggest among disease management programs. The net benefit was 388.0 billion won per year and the benefit/cost ratio was 9.16. Conclusion: Home visiting health care was validated to be economically effective. It made a positive contribution to improving the health status of vulnerable populations and reducing medical expenses. These results suggest that home visiting care should be extended more broadly to vulnerable populations.

• 농촌계획
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• 제26권3호
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• pp.49-56
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• 2020

The purpose of this study was to explore the relationship between types of self-care activities and demand of agro-healing services in adults with disabilities. Data were obtained from a survey of 160 adults with disabilities dwelling in Korea and SPSS 25.0 software was used for frequency, descriptive analysis, correlation analysis, and hierarchical multiple regression analysis. The main results applying the Behavioral Model for vulnerable populations were as follows: 1) among the different types of their self-care activities, the mean of passive perceptions score was 1.13(SD=0.81), the mean of physical behaviors score was 3.01(SD=1.04), the mean of social relationships score was 1.40(SD=1.42) and the mean of agro-healing services utilization per year was 4.30(SD=2.55), 2) passive perceptions and social relationships in their self-care activities positively affected demand of agro-healing services, 3) age, perceived physical health, perceived mental health, region of adults with disabilities were also significantly associated with demand of agro-healing services. Based on these results, practical and political implications for promoting self-care activities and agro-healing services in adults with disabilities were discussed.