• Journal of Nutrition and Health
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• 제57권1호
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• pp.1-15
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• 2024

한국인을 위한 식생활지침은 건강한 식생활을 위한 가이드로 활용되는데, 식생활지침에 대한 세부 항목이 제시되지 않아서 지침에 대한 실천도를 자세히 평가하기는 어렵다. 따라서 본 연구는 식생활지침 실천도를 평가할 수 있는 세부 항목들을 선별하여 지침 실천도를 평가하는 평가도구를 만들고자 수행되었다. 노인의 식생활지침 실천 평가도구 개발을 위하여 문헌검토와 전문가 자문을 거쳐 총 35개의 평가 후보 항목을 추출하고, 전국단위 5개 지역의 남녀 노인 800명 (남 400명, 여 400명)을 대상으로 설문조사를 수행하였다. 식생활지침의 세 가지 영역별로 후보 항목에 대한 탐색적 요인분석으로 평가도구에 사용될 항목을 선별하고, 확인적 요인분석을 수행하여 구성타당도를 검증하였다. 구조방정식 모형의 경로계수를 활용하여 항목별 가중치를 부여하여 식생활지침 실천 점수를 계산하고, 전국조사 결과를 바탕으로 평가도구의 등급 체계를 마련하였다. 본 연구에서 개발된 노인 식생활지침 실천 평가도구는 총 28개 항목으로 식품섭취 영역 13항목, 식생활습관 영역 7항목, 환경을 생각하는 식생활 문화 영역 8항목으로 구성되었다. 식품섭취 영역에는 신선 생채소, 황색채소, 생과일, 콩·견과류, 생선·해산물, 고기·달걀 섭취, 우유·유제품, 잡곡 섭취, 물, 다양한 식품군 섭취, 육류 가시지방 제거, 단 음료, 염장 식품 섭취 항목이 포함되었고, 식생활습관 영역에는 건강체중 유지, 활동량 증가 노력, 운동, 과식정도, 과음빈도, 아침식사 빈도, 식사의 규칙성 항목이 포함되었다. 환경을 생각하는 식생활문화 영역에는 조리 및 음식 먹기 전 손 씻기, 유통기한 (소비기한) 확인, 개인 접시에 덜어 먹기 실천, 냉장고에 보관한 음식 덜어 먹기, 제철음식 섭취, 지역 농산물 이용, 식품 원산지 확인, 음식물 쓰레기 줄이기가 포함되었다. 전국설문조사 노인 (n = 800)의 식생활지침 실천 평균 점수는 56.9점이었고, 식품섭취 영역 49.8점, 식생활습관 영역 63.2점 그리고 식생활문화 영역은 58.6점이었다. 식생활지침 실천 점수는 기 개발된 노인 영양지수 및 식품정보이해력 점수와도 유의한 상관성을 보여서 식생활지침 실천 평가 도구가 식품섭취와 식행동 뿐만 아니라 지속가능한 식생활 실천 부분도 잘 반영한다는 것을 확인할 수 있었다. 앞으로 노인 맞춤형 식생활지침 실천 평가 도구가 노인들의 식품섭취, 식생활습관 및 식생활문화 영역를 종합적으로 평가하는 쉽고 간편한 검색 평가 도구로 활발하게 활용될 것으로 기대된다.

• Journal of Korean Biological Nursing Science
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• 제19권3호
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• pp.131-140
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• 2017

Purpose: Dyslipidemia was a known risk factor for cardiovascular disease and was a leading cause of mortality in worldwide. This study aimed to determine the factors associated with prevalence and medication treatment of dyslipidemia in Korean adult population. Methods: In this study, based on the criteria set by the Korean Society of Lipidology and Atherosclerosis, the factors associated with prevalence and medication treatment of dyslipidemia was evaluated in a population of 12,506 people ($age{\geq}20$), who participated in the Korean National Health and Nutrition Examination Survey (2013-2015). The findings were tested by using multivariate logistic regression. Results: Dyslipidemia prevalence rate was 36.5%. Among populations with dyslipidemia, 17.5% were treated with lipid-lowering drugs. In the multivariate logistic regression model, male, increase in age, lower education level, non-drinker, current smoking, less physical activity, increase of body mass index, hypertension, and diabetes were associated with an increased odd of dyslipidemia. Female, increase in age, higher income, excess fat intake, hypertension, diabetes, myocardial infarction, and angina were associated with an increased odd of medication treat. Conclusion: The results of this study could be used to screen patients at the high risk for dyslipidemia or to predict medication adherence.

• 수산해양기술연구
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• 제32권3호
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• pp.294-301
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• 1996

To improve the corrosion resistance of stainless steel and Fe, the adherence between fIlm and substarte and the corrosion resistance to ceramic fIlm ($TiO_2$ and $ZrO_2$), coated by RF magnetron sputtering, were studied. The adherence index (X) was determined by the measure of micro - hardness test. Also, the corrosion resistance on oxide coatings was studied using electrochemical measurement. The main results obtained are as the following: 1) In the micro - hardness test, with 1J.UI1 thickness fIlm, it has only one the value of X. Above 2J.UI1 thickness fIlm, however, get another value ofX as the cracks in fIlm. 2) The adhensivity of titania ($TiO_2$) coated fIlm is superior to that of zirconia ($ZrO_2$) coated fIlm. 3) All oxide fIlm used adhere well on the mild materials such as pure steel than high intensity materials like stainless steel. 4) The corrosion resistance of zirconia coated materials was improved compared to titania coated materials.

• Korean Journal of Radiology
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• 제21권12호
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• pp.1345-1354
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• 2020

Objective: To evaluate radiomics analysis in studies on mild cognitive impairment (MCI) and Alzheimer's disease (AD) using a radiomics quality score (RQS) system to establish a roadmap for further improvement in clinical use. Materials and Methods: PubMed MEDLINE and EMBASE were searched using the terms 'cognitive impairment' or 'Alzheimer' or 'dementia' and 'radiomic' or 'texture' or 'radiogenomic' for articles published until March 2020. From 258 articles, 26 relevant original research articles were selected. Two neuroradiologists assessed the quality of the methodology according to the RQS. Adherence rates for the following six key domains were evaluated: image protocol and reproducibility, feature reduction and validation, biologic/clinical utility, performance index, high level of evidence, and open science. Results: The hippocampus was the most frequently analyzed (46.2%) anatomical structure. Of the 26 studies, 16 (61.5%) used an open source database (14 from Alzheimer's Disease Neuroimaging Initiative and 2 from Open Access Series of Imaging Studies). The mean RQS was 3.6 out of 36 (9.9%), and the basic adherence rate was 27.6%. Only one study (3.8%) performed external validation. The adherence rate was relatively high for reporting the imaging protocol (96.2%), multiple segmentation (76.9%), discrimination statistics (69.2%), and open science and data (65.4%) but low for conducting test-retest analysis (7.7%) and biologic correlation (3.8%). None of the studies stated potential clinical utility, conducted a phantom study, performed cut-off analysis or calibration statistics, was a prospective study, or conducted cost-effectiveness analysis, resulting in a low level of evidence. Conclusion: The quality of radiomics reporting in MCI and AD studies is suboptimal. Validation is necessary using external dataset, and improvements need to be made to feature reproducibility, feature selection, clinical utility, model performance index, and pursuits of a higher level of evidence.

• 한국ITS학회 논문지
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• 제8권2호
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• pp.1-13
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• 2009

최근 각 지자체별로 ITS에서 방대한 양의 APTS(BMS, 교통카드 등)자료가 수집되고 있으나 버스배차관리에 활용되는 지표는 도착정시성과 차두간격균등성에 국한되어 있다. 수집되는 자료를 버스운행관리에 충분히 활용하지 못하고 있는 실정이다. 본 연구에서는 이용객 수요를 고려한 운수회사의 배차관리 수준을 평가하기 위해 상관계수를 이용하여 수요탄력적 배차관리지표(DEI, Demand Elastic Index)를 개발하였다. 합리적인 개발지표의 적용을 위한 이상치를 유발시키는 자료에 대한 보정방안을 강구하여 적용하였으며, 노선별 제약조건(운행대수, 배차간격 등)을 고려하여 지표의 형평성을 제고하였다. 개발된 평가지표를 서울시 전체노선(356개)에 적용하고, 노선특성(일평균배차간격, 일일수집금, 일평균운행시간, 운행대수)에 따른 적용성(형평성)을 확인하였다. 본 연구의 개발지표는 ATPS자료가 수집되는 노선의 배차계획 및 관리 수준의 평가가 가능하여, 효율적인 배차관리에 활용성이 클것으로 생각된다.

• Nutrition Research and Practice
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• 제17권2호
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• pp.316-329
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• 2023

BACKGROUND/OBJECTIVES: This study investigated the association between dietary quality based on the Korean Healthy Eating Index (KHEI), and the prevalence of chronic conditions among middle-aged individuals (40-60 yrs of age) living alone. MATERIALS/METHODS: The participants were selected (1,517 men and 2,596 women) from the Korea National Health and Nutrition Examination Survey (KNHANES) 2016-2018 and classified into single-person households (SPH) and multi-person households (MPH). Nutrient intake, KHEI, and the prevalence of chronic conditions were compared according to household size. The odds ratios (ORs) of chronic conditions were analyzed according to the tertile levels of KHEI by gender within each household size category. RESULTS: Men in SPH had a significantly lower total KHEI score (P < 0.0001) and a lower prevalence of obesity (OR, 0.576) than those in MPH. For men, the adjusted ORs for obesity, hypertension, and hypertriglyceridemia in the first tertile (T1) of KHEI scores within SPH compared with the third tertile (T3) were 4.625, 3.790, and 4.333, respectively. Moreover, the adjusted OR for hypertriglyceridemia in the T1 group compared to the T3 group within the MPH was 1.556. For women, the adjusted ORs for obesity and hypertriglyceridemia in T1 compared to T3 within the SPH were 3.223 and 7.134, respectively, and 1.573 and 1.373 for obesity and hypertension, respectively, within MPH. CONCLUSIONS: A healthy eating index was associated with a reduced risk of chronic conditions in middle-aged adults. Greater adherence to a healthy eating index could lower the risk of chronic conditions in middle-aged adults living alone.

• 대한간호학회지
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• 제48권4호
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• pp.389-406
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• 2018

Purpose: This review aimed to evaluate the effectiveness of telemonitoring (TM) in the management of children and adolescents with asthma. Methods: We searched Ovid-MEDLINE, Ovid-EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and 5 domestic databases to identify randomized controlled trials (RCTs) published through December 2017. Two reviewers independently selected relevant studies, assessed methodological quality and extracted data. We performed a meta-analysis of TM versus usual care and summarized the intervention characteristics of included studies. Results: Of the 3,095 articles identified, 8 RCTs (9 articles) were included in this review. The type of TM intervention of included studies was varying across studies (transmitted data, transmission frequency, data review, etc.). The pooled asthma control score was not significantly different between TM and usual care (standardized mean difference 0.04, 95% confidence interval (CI) -0.20~0.28). Another pooled analysis demonstrated no statistically significant difference in asthma exacerbation between TM and usual care (odds ratio 0.95, 95% CI 0.43~2.09). Overall, the pooled results from these studies revealed that TM did not lead to clinically significant improvements in health outcomes, but some studies in our analysis suggested that TM increased patient medication adherence and intervention adherence. Conclusion: The current evidence base does not demonstrate any differences between TM intervention and usual care, but TM intervention might be considered a promising strategy for the delivery of self-management support for children and adolescents with asthma. Further well-designed studies are needed to assess the effects on clinical outcomes.

• 식품보건융합연구
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• 제6권4호
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• pp.17-19
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• 2020

HIV/AIDS disease still remain a global pandemic and it's management has undergone series of treatment changes and improvement although there is still no permanent cure.Dolutegravir belongs to a group of HIV drugs called integrase inhibitors. Integrase inhibitors block an HIV enzyme called integrase. By blocking integrase, integrase inhibitors prevent HIV from multiplying and can reduce the amount of HIV in the body.Dolutegravir combination based regimen has turned out to be very effective (antiviral) with negligible rare side effects on clients. This drug (Dolutegravir based regimen) combination has successfully increased the appetite for food of all the clients, unlike others and has shown to reduce viral load in the most shortest period ever. It can be deduced that development of resistant mutant virus will be reduced if not eliminated with dolutogravir based regimen.The role of Continuous adherence counseling has shown to improve clients treatment management. It is important to note that the availability of food has direct effect on the economic status or financial weight on the client. Hence the progress that is increase in body mass index (BMI) is a direct impact of the availability of food for the clients.

• Archives of Plastic Surgery
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• 제37권3호
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• pp.250-255
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• 2010

Purpose: Pincer nail is a relatively rare deformity characterized by an increase in transverse curvature along the longitudinal axis of the nail. This curvature commonly increases from proximal to distal end of nail, leading to pinching, curling, and distortion of the underlying soft tissue and resulting frequently in severe pain. Numerous surgical procedures have been reported. Preserving the width of the nail in the correction of the pincer nail is very important for functional and aesthetic reasons. We report the results of the correction of the pincer nail using autogenous dermofat graft with a good result. Methods: From May 2006 to September 2008, dermofat graft was performed in 6 patients with pincer nail. Patients were four women and two men, and the average age was 51. The affected digits were the unilateral great toes in four patients and the unilateral thumbs in two patients. Average follow-up period was 13 months. Surgical procedure was removal of nail using an elevator to avoid damage to the nail bed. An incision was created in distal portion of hyponychium. Paronychium was dissected from distal phalanx by periosteal elevator through incision of hyponychium and tunnel was made. Then dermofat grafts harvested from inguinal area were inserted into the tunnel. Finally, a silicone sheet was inserted eponychial fold for prevention of synechia. Objective assessment was evaluated by use of the width index and height index. Results: All patients reported resolution of the pain and soft tissue pinching sensation that they had before the operation. There was good adherence between the nail plate and the underlying nail bed. The nails have regrown and were corrected in a normal and flattened appearance. The width index and height index were improved. Conclusion: The autogenous dermofat graft seems to provide an effective treatment of the pincer nail with preservation of the nail matrix.

• Asian-Australasian Journal of Animal Sciences
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• 제6권3호
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• pp.441-445
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• 1993

Ten bacteriocin-producing Enterococcus faecium strains with urease activity ($1.10-6.2nkat.mL^{-1}$) were isolated from the rumen of 2-8 weeks old calves. All strains were resistant aginst disodium arsenate at a minimal inhibition concentration - MIC $5g.L^{-1}$ and mercury chloride ($MIC=10-20mg.L^{-1}$). Eight strains were resistant against silver nitrate ($MIC=40-50mg.L^{-1}$) and three against antibiotics used. The resistance against six antibiotics was found in A23 strain. Values of adherence index ranged from 5.02 to 20.4 enterococci adhered per one epithelial cell of rumen wall. All isolates produced bacteriocins which inhibited the growth at least of one of five indicator organisms. The EF1 strain with a good affinity to the epithelial cell ($15.2{\pm}1.2$) produced bacteriocin substance with antimicrobial activity against grampositive and gramnegative indicator bacteria.