• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.479-493
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• 2019

본 연구는 중고령층 문해학습자의 흥미 유발 및 학습 효과를 높이는 문해교육 방법을 제시하는데 목적을 두었다. 이를 위해 충북 중고령층 문해교사, 기관 운영자, 평생교육사, 문해학습자 총11명을 면담 및 참여관찰 하였다. 연구결과 중고령층 학습자들은 배운 것을 쉽게 잊어버리고 받아쓰기를 통해 글씨를 정확하게 익히며, 높은 경쟁 심리 등 공부가 일상생활에서 1순위가 되고 있다. 글씨 형성 의미를 알게 하는 놀이활동, 실생활과 연결된 학습, 받아쓰기가 기억력 및 인지력 향상에 효과적이다. 또한 일상생활에서 익숙한 재료를 활용한 만들기, 교과서에 나오는 극과 시로 역할극, 글씨 큰 그림 동화책 활용, 팀 단위 게임 및 활동, 배우기 쉬운 악기 및 노래 부르기, 공연 및 발표회 등 무대 경험, 실생활 및 교육문화 시설 현장 체험 등이 중고령층의 흥미와 학습 효과를 높일 수 있다. 결과 공유 발표회 및 연합 행사, 자료 및 재료비, 문해교사 역량강화 교육 및 공유, 문해교육 연중 운영, 학력인정과정과 병행 및 보조강사 지원이 중요하다. 시사점으로는 문해교사 교육, 보조강사 활용, 학력인정 문해교육과정 활성화 방안에 대한 연구가 필요하다.

• Journal of Nutrition and Health
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• 제46권1호
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• pp.61-71
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• 2013

The aim of this study was to examine the relationship between dietary variables and the prevalence of insulin resistance (IR) in middle-aged Korean adults using data from the 2007-2009 Korea National Health and Nutrition Examination Survey. Because IR is closely linked with metabolic syndrome, subjects were divided into three groups according to symptoms of metabolic syndrome: the 'Normal group' without any symptoms, the 'Risk group' with one or two symptoms, and the Metabolic syndrome (MetS) group' with three or more symptoms. Subjects between the ages of 30 and 65 years with no prior diagnosis or treatment for diabetes, hypertension, or dyslipidemia were selected. The number of subjects per group was as follows: 2,085 adults in the Normal group, 3,699 adults in the Risk group, and 1,160 adults in the MetS group. Metabolic syndrome was defined according to Adult Treatment Panel III criteria with modified waist circumference cutoff values (men ${\geq}$ 90 cm, women ${\geq}$ 85 cm). Subjects with HOMA-IR > 2.0 were classified as IR. Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) was calculated using the following formula: (fasting plasma glucose ${\times}$ fasting plasma insulin)/22.5. Nutrients and food groups intake were obtained from a single 24-hour recall. Subjects with IR in the Normal group were more obese and less physically active than non-IR subjects. In the MetS group, subjects with IR were more obese and had a lower prevalence of smoking and drinking, compared with non-IR subjects. Men with IR in the Normal group had a tendency to consume more oils and sugars than non-IR men, while women with IR in the same group had higher intake of carbohydrate, dietary glycemic index, and dietary glycemic load than non-IR women. Women with IR in the Risk group had lower energy intake but higher intake of oils and sugars than non-IR women. In the MetS group, consumption of fruits was higher in subjects with IR than in non-IR subjects. In conclusion, findings of this study suggest that dietary carbohydrate intake, including glycemic index, may be associated with IR in healthy women. Further research in prospective cohort studies in order to examine the effects of dietary carbohydrate on IR incidence will be necessary.

• 동아시아식생활학회지
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• 제5권1호
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• pp.41-51
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• 1995

Bone mass accretion during puberty appears to be critical in the development of peak bone mass. Although bone density of females in Korea has been studied, only a few studies have related bone mass with anthropometric patterns or puberty in the pubescent girls. This study was conducted as part of a study of major determinants of bone development during puberty. Subjects were aged 14∼16 yr(mean 14.97), and had no history of disorders or dedication use likely to influence bone or calcium metabolism. Bone mineral density and content were measured by dual energy X-ray absorptiometry using a Lunar DPX+Scanner (Lunar Madison, WI). Also, total body fat, and total lean body mass were assessed using a Lunar DPX dual-energy X-ray absorptiometer, Pubertal status was assessed according to the Marshall and Tanner guidelines. Serum levels of osteocalcin was measured by RIA using a commercial kit assay. Skinfold measurements were taken with a skinfold caliper(Lange Caliper, USA). Data were analyzed using the regression and GLM procedure of the statistical package SAS. The results indicated that the observed means for lumbar spine BMD and femoral BMD correspond to approximately 91% and 96% of the means for young adult females, respec tively. All subjects were menarchal, with the majority being in the middle to end stages of pubertal development. Total body BMD was positively related to fat mass(P<0.001), lean body mass and time since menarche, and negatively related to urine pyridinoline, serum alkaline phosphatase and osteocalcin. The data indicate that girls who reported lower age for menarche had significantly higher bone densities than girls who reported higher age for menarche. Attaining peak skeletal bone mass during puberty may reduce the incidence of osteoporosis in later life. this finding suggests that early menarche may augment peak bone mass, influencing the extent of bone loss later in adulthood. The results suggest that good nutrition in childhood appears to be needed not for growth and development, but possibly also to assure an optimal peak of bone mass and thus greater latitude for the maintenance or skeletal integrity in the face of bone losses. Troeps skinfold thickness was a better predictor of total BMD and total BMC than was any other skinfold thickness. The study did not find a relationship between total BMD and body fat %, but total fat was significantly positively related to total BMD(r=0.49) and total BMC(r=0.60). It supports earlier report that there was a significant correlation between TBMD and body weight. Conclusively, total fat, lean body mass and pubertal development could influence BMD in pubescent girls. Clearly, longitudinal studies are required to assess the effect of puberty on peak bone mass, and to define further the potential determinants of peak bone mass.

• Journal of Preventive Medicine and Public Health
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• 제49권5호
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• pp.275-287
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• 2016

Objectives: C-reactive protein (CRP), an inflammatory biomarker, has been widely used as a preclinical marker predictive of morbidity and mortality. Although many studies have reported a positive association between CRP and mortality, uncertainty still remains about this association in various populations, especially in rural Korea. Methods: A total of 23 233 middle-aged participants (8862 men and 14 371 women) who were free from cardiovascular disease, cancer, and acute inflammation (defined by a CRP level ${\geq}10mg/L$) were drawn from 11 rural communities in Korea between 2005 and 2011. Blood CRP concentration was analyzed as a categorical variable (low: 0.0-0.9 mg/L; intermediate: 1.0-3.0 mg/L; high: 3.1-9.9 mg/L) as well as a continuous variable. Each participant's vital status through December 2013 was confirmed by death statistics from the National Statistical Office. Cox proportional hazard models were used to assess the independent association between CRP and mortality after adjusting for other risk factors. Results: The total quantity of observed person-years was 57 975 for men and 95 146 for women, and the number of deaths was 649 among men and 367 among women. Compared to the low-CRP group, the adjusted hazard ratio for all-cause mortality of the intermediate group was 1.17 (95% confidence interval [CI], 0.98 to 1.40) for men and 1.27 (95% CI, 1.01 to 1.61) for women, and the corresponding values for the high-CRP group were 1.98 (95% CI, 1.61 to 2.42) for men and 1.41 (95% CI, 1.03 to 1.95) for women. Similar trends were found for CRP evaluated as a continuous variable and for cardiovascular mortality. Conclusions: Higher CRP concentrations were associated with higher mortality in a rural Korean population, and this association was more prominent in men than in women.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권2호
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• pp.119-129
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• 2016

Objectives: The purpose of this study was to investigate mental health problems in obese child and adolescent patients. We assess the frequency of mental health problems and their differences according to sex, school grade and severity of obesity. Methods: The sample consisted of 106 children and adolescents aged 8-16 years (61 boys with mean age $10.98{\pm}2.26$, 45 girls with mean age $9.74{\pm}1.96$, p=.004) who were diagnosed with obesity and recruited at the Department of Pediatrics of Jeju National University Hospital. The participants completed the Korean-Child Behavior Checklist (K-CBCL), Children's Depression Inventory (CDI), Korean version of the Eating Attitude Test-26 (KEAT-26), and somatotype drawings. Results: The percentage of participants having a T-score in clinical range on one or more CBCL subscale was 37.7%. The percentage of participants in the high risk group for depression (CDI score above 17) was 20.8% and that in the high risk group for eating disorder (EAT-26 score above 20) was 6%. The girls showed significantly lower CBCL T-scores in social competence ($48.39{\pm}15.66$ vs. $38.91{\pm}22.04$, p=.011), adjustment function ($49.51{\pm}17.35$ vs. $40.38{\pm}22.58$, p=.020) and school competence ($53.34{\pm}10.47$ vs. $48.22{\pm}15.11$, p=.042) than the boys, but the percentages of boys and girls in clinical range were not significantly different. The middle school students showed (significantly) higher CBCL T-scores in somatic symptoms ($60.86{\pm}9.44$ vs. $55.74{\pm}6.76$, p=.005), aggressive behavior ($58.81{\pm}6.74$ vs. $54.68{\pm}6.22$, p=.009), total problems ($59.86{\pm}9.91$ vs. $54.88{\pm}9.76$, p=.039) and externalizing problems ($57.90{\pm}10.57$ vs. $52.44{\pm}9.38$, p=.022) than the elementary school students. The severe obesity group showed significantly higher CBCL T-scores in attention problems ($59.18{\pm}9.45$ vs. $54.15{\pm}5.34$, p=.001), social problems ($59.25{\pm}8.59$ vs. $55.96{\pm}6.50$, p=.038), delinquent behavior ($58.07{\pm}6.97$ vs. $54.73{\pm}6.00$, p=.017) and total problems ($59.21{\pm}11.65$ vs. $54.67{\pm}9.03$, p=.037) than the mild to moderate obesity group. Conclusion: Significant proportions of obese children and adolescents suffer from mental health problems. Clinicians need to pay attention to the mental health risk, especially in obese adolescents and severely obese children and adolescents.

• Tuberculosis and Respiratory Diseases
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• 제60권4호
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• pp.464-468
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• 2006

폐종괴로 발현하는 M. kansasii 감염은 흔하지 않으며 기관지 탄분섬유화증을 동반한 M. kansasii 폐감염에 대한 보고는 아직 없었다. 기저질환 없이 면역력이 정상인 비흡연자에서 우하엽의 폐종괴로 발현하고 기관지 탄분섬유화증을 동반한 M. kansasii 폐감염에 대하여 표준 치료로 호전되고 있는 증례를 경험하였기에 보고하는 바이다.

• 한국방사선학회논문지
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• 제5권4호
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• pp.171-178
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• 2011

성인 남성들이 2002년부터 2006년 까지 건강검진을 받기위해 대학병원을 내원한 성인 남성 80명을 개인별 골밀도를 5년간 관찰하여 분석하였다. 연구 대상자 성인 남성 80명의 평균연령은 $43.15{\pm}4.82$세였다. 대퇴경부의 골밀도는 1차 측정에서 -0.61에 비하여 4차 및 5차 측정에서 유의하게 감소하였으며, 척추 골밀도는 1차 측정 -0.67에서 2차 측정에서 유의한 감소를 나타냈지만 3~5차 측정에서 유의한 차이를 보이지 않았다. 생활습관에 따른 음주, 흡연, 운동, 식습관에 따른 군 간의 대퇴경부 및 척추 골밀도 변화 값의 차이는 보이지 않았다. 1차 측정에서의 대퇴경부 골밀도를 기준으로 골밀도 상($0{\leqq}BMD$), 중($-1.0{\leqq}BMD<0$), 하(BMD < -1.0) 집단에서 1차 측정과 5차 측정 골밀도의 차이를 비교하였을 때, 상 집단에서 대퇴경부 골밀도가 1차 $0.67{\pm}0.76$에서 $0.42{\pm}0.93$로 유의하게 감소하였다. 다른 집단에서는 전후 비교에서 유의한 차이를 보이지 않았다. 대상자들의 나이에 관계없이 젊어서부터 골밀도가 낮은 사람들은 대퇴경부 및 척추의 골밀도가 낮아 있었으며, 골밀도가 높은 사람들은 1차 측정 때부터 5차 측정 때까지 높았다. 대퇴경의 골밀도는 1차 측정에 비해 5차에서 유의한 감소를 나타내어 척추보다는 대퇴경부의 골밀도에 주의하도록 한다.

• 지역사회간호학회지
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• 제11권1호
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• pp.231-244
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• 2000

Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

• 한국환경생태학회지
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• 제30권2호
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• pp.199-213
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• 2016

본 연구는 해안림의 식생특성을 분석함으로써 다층구조의 혼효림으로 발전할 수 있는 가능성을 파악하고, 관리방안을 제시할 목적으로 수행되었다. 본 연구에서는 서해안에 위치한 기지포, 춘장대, 장항 및 구시포 등 4개 지역의 해안림을 대상으로 식생구조와 식물상을 조사 분석하여 다음과 같은 결과를 얻었다. 4개의 조사지역 교목층에서 곰솔이 우점하고 있으며 조사지역에 따라 일부 교목층과 아교목층에서 소나무, 아까시나무, 졸참나무, 산벚나무, 상수리나무 및 밤나무가 우점하고 있었다. 4개 지역 해안림의 곰솔군락은 전반적으로 어린 개체와 큰 개체의 밀도보다 중간 개체의 밀도가 높아 곰솔군락으로 계속 유지될 것으로 판단된다. 구시포 해안림의 경우는 지형적인 입지여건에 따라 장기적으로 참나무류의 군락으로 천이가 진행될 가능성이 있다. 조사대상지에서 총 205종의 식물 종이 조사되어 다양성이 높은 것으로 나타났다. 다층구조의 해안림으로 유도하기 위해서는 곰솔림의 간벌, 통행로 설치, 이용구역 제한 등의 관리를 통해 다양한 식생이 침입하여 생육할 수 있는 환경을 조성할 필요가 있다.

• 디지털융복합연구
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• 제19권5호
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• pp.321-331
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• 2021

본 연구는 웰에이징을 위한 웰다잉 교육과 웰다잉 문화확산, 산업화를 구축하는 데 필요한 기초 자료를 얻고자 2021년 2월 1일~2021년 2월 22일까지 한국갤럽을 통해 자료를 수집하였다. 연구결과 조사 대상자의 웰다잉 교육경험은 4.7%이었고 교육만족도는 2.88점으로 나타났다. 연령층별 웰다잉 교육 요구도 분석 결과 청년과 중년층은 호스피스 교육 및 정보, 연명의료 관련 정보, 장례정보 순이었고, 장년층은 호스피스 교육 및 정보, 장례 정보, 죽음 관련 심리적 극복 순이었으며, 노년층은 호스피스 교육 및 관련 정보, 장례 정보, 연명의료 관련 정보 순서로 조사되었다. 웰다잉 문화 관련 산업화 인식은 삶과 죽음에 대해 이야기할 수 있는 웰다잉 카페, 입관체험, 장지 방문과 같은 웰다잉 체험, 문화와 예술 관련 여행상품 개발 순서로 조사되었다(p<0.05). 이와 같은 결과는 웰에이징을 위한 웰다잉 교육 프로그램 개발과 문화확산 및 산업화 구축에 유용하게 활용될 수 있을 것으로 기대된다.