• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.5.1-5.14
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• 2023

Background: Perfluoroalkyl substances (PFAS) are chemicals widely used in various products in everyday life. Due to its unique strong binding force, the half-life of PFAS is very long, so bioaccumulation and toxicity to the human body are long-standing concerns. In particular, effects on kidney function have recently emerged and there are no studies on the effect of PFAS on kidney function through epidemiological investigations in Korea. From 2018 to 2020, the Korean National Environmental Health Survey (KoNEHS) cycle 4, conducted an epidemiological investigation on the blood concentration of PFAS for the first time in Korea. Based on this data, the relationship between PFAS blood concentration and kidney function was analyzed for adolescents. Methods: We investigated 5 types of PFAS and their total blood concentration in 811 middle and high school students, living in Korea and included in KoNEHS cycle 4, and tried to find changes in kidney function in relation to PFAS concentration. After dividing the concentration of each of the 5 PFAS and the total concentration into quartiles, multivariable linear regression was performed to assess the correlation with kidney function. The bedside Schwartz equation was used as an indicator of kidney function. Results: As a result of multivariable linear regression, when observing a change in kidney function according to the increase in the concentration of each of the 5 PFAS and their total, a significant decrease in kidney function was confirmed in some or all quartiles. Conclusions: In this cross-sectional study of Korean adolescents based on KoNEHS data, a negative correlation between serum PFAS concentration and kidney function was found. A well-designed longitudinal study and continuous follow-up are necessary.

• 화약ㆍ발파
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• 제26권2호
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• pp.29-37
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• 2008

도로 및 철도 건설에서 적용되는 터널의 단면크기는 $50m^2$에서부터 $200m^2$의 중 대단면 터널이 주를 이루고 있으나, 전력구, 통신구, 광산용 터널, 용수를 위한 도수로터널 등 특수한 용도로 설계, 시공되고 있는 터널에서는 $20m^2$이하의 단면크기를 갖는 경우가 많다. 소단면 터널의 경우에는 협소한 작업공간으로 인하여 적용공법 뿐만 아니라 장비의 사용 또한 제약을 받게 되어 작업효율이 저하되고 공사기간이 늘어나게 되는 등 여러 가지 문제점을 안고 있다. 특히, 에멀젼 폭약을 사용하는 발파에서 먼저 기폭된 발파공의 충격압력에 의해 인접공의 폭약이 예비압축되어 사압현상을 일으키고 잔류약을 발생시키는 사례가 종종 발생하고 있다. 사압현상은 발파의 실패와 함께 2차적인 사고의 위험요인이 될 수 있으므로 이를 방지하기 위한 대책을 수립하여야 한다. 기존 문헌을 통하여 사압현상의 원인과 발생 가능성을 검토하였고, 사압현상이 발생한 소단면 터널현장을 대상으로 그 대책을 수립하여 적용하였다. 심발방법을 변경하여 전단의 충격압력을 견딜 수 있는 공간격을 확보하고 뇌관의 초시간격을 적절하게 배치한 발파패턴을 적용한 결과, 사암현상을 억제하고 잔류약의 발생을 감소시켜 계획 굴진장을 확보하였으며 파쇄석의 크기를 감소시키는 등 양호한 결과를 얻을 수 있었다.

• 임상간호연구
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• 제21권2호
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• pp.169-179
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• 2015

Purpose: The purpose of this study was to investigate nurse images and likability that were perceived by various groups in the general population. Methods: Using cross-sectional descriptive design, six groups of people were invited to participate in the survey. The participants included nurses, physicians, nurse aids/technicians, patients/caregivers, college students, and the general public. A total of 1,530 individuals were drawn from 42 hospitals nationwide. Bhargava's likability questionnaires and the Ward Nurse Image tool were used. Results: Compared with other groups, patients and caregivers had higher scores for likability and better nurse image than other groups. Most respondents perceived nurses are clean and caring, but many individuals still had the image that nurses are submissive. Conclusion: To improve nurse image, perceptions from various groups of people need to be considered and programs develop to show the positive aspects of nursing and nurses.

• 한국치위생학회지
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• 제19권5호
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• pp.689-698
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• 2019

Objectives: The study aimed to investigate the relationship between depression and number of present teeth in Korean elderly individuals. Methods: Data for this cross-sectional survey was obtained from the records of the sixth Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,199 Korean elderly individuals above 65 years of age. The survey and examination data were used for the independent variables. The KNHANES included health status, nutrition survey, and oral examination. $x^2-test$ was performed to identify the characteristics of depression and number of teeth present according to the characteristics of the study subjects. Logistic regression analysis was also performed to identify the relationship between depression and number of teeth present. The statistical significance level wa sset at 0.05. Results: The prevalence of depression in the subjects was 14.8%. There were statistically significant differences in the prevalence of depression, depending on gender (p<0.001), education level (p=0.001), income (p=0.001), spouse status (p<0.001), and alcohol consumption (p=0.020). The association between depression and the number of teeth present showed statistically significant difference after adjustment (p=0.040). Conclusions: Depression in elderly individuals was closely related to the number of teeth present. Therefore, public health policies for improving oral health should be established to prevent depression.

• 한국병원경영학회지
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• 제19권4호
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• pp.45-56
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• 2014

Purpose: This study aims to explore the effects of personal characteristics, satisfaction, quality of care, role performance, image, awareness level of public hospitals perceived by community residents on use-experience of public hospitals. Methods: A cross-sectional survey was conducted with 2,100 community residents around 39 district public hospitals. The questionnaire was designed to collected information on personal characteristics and community awareness of public hospitals. The community awareness consists of 5 factors and 15 items. The data were collected utilizing call-interview by a survey company. Results: The personal characteristic and community awareness were shown significant differences between having use-experience and not-having use-experience of public hospitals (p<.001), except gender. As the results of multiple logistic regression, the significant variables of use-experience of public hospitals were satisfaction (OR=1.06 95%CI=1.010-1.116), quality of care (OR=1.07, 95%CI=1.016-1.134, level of awareness to public hospitals (OR=1.50, 95%CI=1.378-1.632), age (OR=0.43, 95%CI=0.236-0.785), education (OR=1.62, 95%CI=1.013-2.590), type of medical security (OR=0.37, 95%CI=0.142-0.945). Conclusions: Public hospitals have to effort to improve community awareness through providing quality of care, and role performance. It is possible to support them by the Central and Local Government.

• Journal of Radiation Protection and Research
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• 제47권2호
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• pp.67-76
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• 2022

Background: We conducted a cross-sectional study of residents within and outside Fukushima Prefecture to clarify their perceptions of the need for smartphone applications (apps) for explaining exposure doses. The results will lead to more effective methods for identifying target groups for future app development by researchers and municipalities, which will promote residents' understanding of radiological situations. Materials and Methods: In November 2019, 400 people in Fukushima Prefecture and 400 people outside were surveyed via a web-based questionnaire. In addition to basic characteristics, survey items included concerns about radiation levels and intention to use a smartphone app to keep track of exposure. The analysis was conducted by stratifying responses in each region and then cross-tabulating responses to concerns about radiation levels and intention to use an app by demographic variables. The intention to use an app was analyzed by binomial logistic regression analysis. Text-mining analyses were conducted in KH Coder software. Results and Discussion: Outside Fukushima Prefecture, concerns about the medical exposure of women to radiation exceeded 30%. Within the prefecture, the medical exposure of women, purchasing food products, and consumption of own-grown food were the main concerns. Within the prefecture, having children under the age of 18, the experience of measurement, and having experience of evacuation were significantly related to the intention to use an app. Conclusion: Regional and individual differences were evident. Since respondents differ, it is necessary to develop and promote app use in accordance with their needs and with phases of reconstruction. We expect that a suitable app will not only collect data but also connect local service providers and residents, while protecting personal information.

• 한국치위생학회지
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• 제15권5호
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• pp.925-932
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• 2015

Objectives: The aim of this study is to investigate the relationship between diabetes mellitus and oral disease in the Korea adults by using the representative data of Korea National Health and Nutrition Examination Survey (KNHANES) V. Methods: Using data from a cross-sectional survey of Korea National Health and Nutrition Examination Survey V. The subjects were 5,602 adults over 19 years old. The survey data and the examination data are used for the independent variables. KNHANES included health status, nutrition survey, and oral examination. The health status was obtained by a self-reported questionnaire of the study subjects and direct interview was carried out on economic status, prevalence rate, and use of medical services. Results: The regular dental checkup of diabetes patients was significantly lower than the general population. Regular dental visits allow adults to receive early diagnosis and obtain restorative care at the first visit. The regular annual oral examination is very important to prevent and manage the chronic diseases including diabetes mellitus. Conclusions: Diabetes mellitus can be fully prevented and managed by the regular annual dental checkup. The establishment of the regular dental checkup system can prevent and manage the complication due to diabetes mellitus and other chronic diseases.

• 대한안전경영과학회지
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• 제14권4호
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• pp.137-145
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• 2012

This study was planned to analyze the effect of the types of employment on work-related injury experience. The types of employment may have influenced on working conditions including the exposure to risk factors. Korean Working Conditions Survey have collected the various working conditions as household survey with structured questionnaire. The probability of work-related injury of self-employed is more than that of regular worker. But there is no difference of probability of work-related injury experience between regular and irregular worker controlled by general characteristics and the exposure to risk factors. Authors have found that the type of employment have indirect effect on work-related injury experience via the exposure to risk factors. The result of this study may be heuristic one because of data limitation as cross sectional survey data. In future, well designed survey data can evaluate the effect of the type of employment on safety and health status.

• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2483-2486
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• 2013

Background: The aim of this study was to determine the epidemiology of tobacco smoking, toombak dipping and alcohol consumption as risk factors for cancer in the adult population of the northern state of Sudan. Materials and Methods: A cross-sectional survey from March to April 2010, covering 963 adults, was performed. Result: Only 207 had responded, and the male female prevalence was 20.8% and 0.73%. Out of 207 respondents, 29.5% had smoked tobacco in their lifetime, 38% were toombak dippers, while 14% were consumers of alcoholic beverages. Conclusions: The prevalence of toombak dipping was higher than tobacco smoking among the adult population in the northern state of Sudan. Female participation in tobacco and alcohol related studies was found to suffer from major obstacles since these habits are considered as social stigma. Appreciation of the full impact of smoking on population health will definitely make a major contribution to improvement of the poor public health situation in Sudan.

• 한국지구물리탐사학회:학술대회논문집
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• 한국지구물리탐사학회 2003년도 Proceedings of the international symposium on the fusion technology
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• pp.690-694
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• 2003

Groundwater preferentially flows through sediment layers with high permeability such as colluvium. Its flow paths are called groundwater vein streams. An underground temperature survey is a method to locate vein streams by underground temperature anomalies associated with flowing groundwater. A groundwater flow system near an irrigation reservoir located in the upper part of a landslide block was surveyed with this method. After a geomembrane lining was installed in the reservoir, the total cross-sectional area of the vein streams in the aquifer decreased to as little as 0.35 times that before installation of the liner. A change in groundwater quality also indicated that the mixing of groundwater with leaked water from the reservoir stopped after installation of the lining.