• 한국학교보건학회지
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• 제35권2호
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• pp.49-56
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• 2022

Purpose: The purpose of the study was to investigate the changes in the prevalence of metabolic syndrome and its risk factors in Korean adolescents before and during the COVID-19 pandemic. Methods: The study employed a descriptive cross-sectional design. Data were obtained from the 2018 and 2020 Korea National Health and Nutrition Examination Surveys. Out of a total of 15,351 participants in the surveys, 971 adolescents aged 12 to 18 years were included. The data were analyzed using the rao-scott 𝝌² test and t-test. Results: There was no significant difference in the prevalence of adolescent metabolic syndrome before and after the outbreak of COVID-19. As for general characteristics, changes in high blood pressure were confirmed from waist circumference, diastolic blood pressure, and metabolic syndrome risk factors. When analyzing the general characteristics according to gender, there were significant differences in waist circumference and diastolic blood pressure in boys. Concerning the risk factors for metabolic syndrome, there was a significant difference in high blood pressure in both boys and girls and in abdominal obesity in girls. Conclusion: Hypertension and abdominal obesity, which are risk factors for metabolic syndrome, should be managed by including them in the school health area. Communities and schools should take an active role in preparing the youth for healthy adulthood.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.61-70
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• 2021

Purpose: The study aims at identifying patient-related and environmental factors associated with an increased risk of falling and, therefore, both caregivers and designers can be aware of fall risk factors and can contribute to prevent inpatient falls in their own areas of expertise. Methods: A case-control study has been conducted, utilizing patient data and physical environmental data in the unit of General Medicine in the United States. The case-control study investigated data about patients who had suffered falls as well as patients with similar characteristics (e.g., age, gender, and diagnosis) who did not suffer falls. Results: The study identified both patient-related and physical environmental factors associated with inpatient falls. Morse fall risk score, patient visibility, and patient accessibilityB were identified as significant predictors to inpatient falls, when controlling for other significant variables. Implications: The findings of the study can provide implications to both caregivers and healthcare and hospital environment designers. Caregivers should give special attention to patients with high Morse Fall Risk Scores to prevent inpatient falls. Designers also need to examine and to fine-tune the unit layout of inpatient care units to maximize each patient room's patient visibility from the rest of the unit and patient accessibilityB from working areas of nurses.

• 문화기술의 융합
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• 제8권6호
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• pp.561-567
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• 2022

본 연구는 간호대학생의 의사소통능력이 임상실습 스트레스에 미치는 영향을 파악하기 위해 시도되었다. 연구 대상자는 G시에 소재하고 있는 4년제 간호대학에 재학중인 간호대학생 188명으로 자료수집기간은 2022년 9월 5일부터 9월 20일까지였다. 자료는 SPSS 20.0 통계프로그램의 빈도분석, 평균과 표준편차, t-test와 One way ANOVA, Pearson's correation coeffcient, Stepwise multiple regression으로 분석하였다. 본 연구대상자의 의사소통능력은3.54±0.41, 임상실습 스트레스는 3.64±0.60였다. 간호대학생의 임상실습 스트레스에 영향을 미치는 영향요인은 의사소통능력, 학과만족도, 성별로 검증되었으며, 이들 변수의 설명력은 30.4%로 나타났다. 본 연구결과를 토대로 간호대학생의 임상실습 스트레스를 감소시키기 위한 교욱프로그램 개발에 활용 할 수 있을 것이다.

• 농업과학연구
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• 제49권4호
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• pp.639-646
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• 2022

The present experiment was conducted to assess the effect of Buttiauxella-derived phytase in finishing pigs fed corn/soybean meal diets with an increase in the calcium (Ca)/total phosphorus (P) (Ca/tP) ratio and a reduction in net energy on the growth performance and nutrient digestibility on the finishing pigs. A total of 90 crossbred ([Yorkshire × Landrace] × Duroc) finishing pigs with an average initial body weight (BW) of 56.94 ± 2.43 kg were used for an 11-week feeding trial. The pigs were randomly allotted to one of three dietary treatments (six replication/treatment and five pigs/pen) in a randomized complete block design according to their BW and gender. Dietary treatments consisted of supplementation of phytase (0.05, 0.07, and 0.1% in the control, Trt1 and Trt 2 diets, respectively) maintaining the Ca/tP ratio (1.67 : 1, 1.84 : 1, and 2.19 : 1 in control, Trt1 and Trt 2 diets, respectively) and reducing the net energy by 1% in Trt1 and Trt2 diets compared with the control diet. The results showed that dietary supplementation with phytase in the energy-reduced diet had a similar (p > 0.05) effect on the BW, average daily gain, average daily feed intake, and gain/feed ratio of the finishing pigs. Also, there were no effects (p > 0.05) of treatment matrixes on the nutrient digestibility of dry matter, nitrogen calcium, phosphorus, and gross energy. In conclusion, the increase of phytase and Ca/tP ratio and the reduction of net energy in the corn/soybean meal diet resulted in comparable growth performance and nutrient digestibility of finishing pigs relative to pigs fed the control diet.

• 대한물리치료과학회지
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• 제29권4호
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• pp.65-74
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• 2022

Background: This study attempted to find out the degree of awareness of owners who have the most influence on companion animal's rehabilitation exercise, and the purpose of the treatment effect, and the expectations of rebilitation treatment. The purpose of this study is to find out about the awareness, comprehension, and expectations of caregiver for rehabilitation exercise in companion animal medical services, and to develop them into a field of animal medical services. Design: The tool used in this study used a questionnaire, and the composition consists of the subject's general characteristics, recognition of companion animal rehabilitation, comprehension and expectation. Methods: A questionnaire was given to 103 companion animal's owners, and all were collected and analyzed. Analysis of the frequency analysis method, Fisher's exact test were analyzed. Results: It was confirmed that the difference was significant in the question of whether the caregivers had heard companion animal rehabilitation (p<.05). When asked that rehabilitation is necessary to improve physical function, the difference was confirmed to be significant (p<.05). The significance was confirmed when asked if the caregiver was willing to participate in animal rehabilitation education (p<.05). When asked if caregiver was willing to recommend rehabilitation exercise for companion animal of other caregiver who need rehabilitation exercise, it was confirmed that the difference was significant (p<.05). Conclusion: There was significant difference between gender. This study confirmed that the definite concept caregivers' perception in animal rehabilitation was not established. Therefore, in order to improve perception of caregivers, interdisciplinary exchanges and publicity for animal rehabilitation are needed, and the development of training and education programs for rehabilitation experts was suggested.

• 한국학교ㆍ지역보건교육학회지
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• 제24권3호
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권5호
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• pp.1431-1445
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• 2022

We construct a deep neural network model named ECGResNet. This model can diagnosis diseases based on 12-lead ECG data of eight common cardiovascular diseases with a high accuracy. We chose the 16 Blocks of ResNet50 as the main body of the model and added the Squeeze-and-Excitation module to learn the data information between channels adaptively. We modified the first convolutional layer of ResNet50 which has a convolutional kernel of 7 to a superposition of convolutional kernels of 8 and 16 as our feature extraction method. This way allows the model to focus on the overall trend of the ECG signal while also noticing subtle changes. The model further improves the accuracy of cardiovascular and cerebrovascular disease classification by using a fully connected layer that integrates factors such as gender and age. The ECGResNet model adds Dropout layers to both the residual block and SE module of ResNet50, further avoiding the phenomenon of model overfitting. The model was eventually trained using a five-fold cross-validation and Flooding training method, with an accuracy of 95% on the test set and an F1-score of 0.841.We design a new deep neural network, innovate a multi-scale feature extraction method, and apply the SE module to extract features of ECG data.

• Nutrition Research and Practice
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• 제16권sup1호
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• pp.57-69
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• 2022

BACKGROUND/OBJECTIVES: Vitamin D is produced in the skin during sun exposure and is also ingested from foods. The role of vitamin D needs to be considered in the prevention and management of various diseases. Moreover, since the majority of Koreans spend their days indoors, becoming susceptible to the risk of vitamin D deficiency. The current study aims to prepare a basis for determining dietary reference intake of vitamin D in Korea, by reviewing the evidence against various diseases and risks. MATERIALS/METHODS: Literature published in Korea and other countries between 2014 and 2018 was prioritized based on their study design and other criteria, and evaluated using the RoB 2.0 assessment form and United States Department of Agriculture Nutrition Evidence Library Conclusion Statement Evaluation Criteria. RESULTS: Of the 1,709 studies, 128 studies were included in the final systematic analysis after screening. To set the dietary reference intakes of vitamin D based on the selected articles, blood 25(OH)D levels and indicators of bone health were used collectively. Blood vitamin D levels and ultraviolet (UV) exposure time derived from the Korean National Health and Nutrition Examination Survey were analyzed to establish the dietary reference intakes of vitamin D for each stage of the life cycle. The adequate intake levels of vitamin D, according to age and gender, were determined to be in the range of 5-15 ㎍/day, and the tolerable upper intake level was established at 25-100 ㎍/day. CONCLUSIONS: The most important variable for vitamin D nutrition is lifestyle. A balanced diet comprising foods with high contents of vitamin D is important, as is vitamin D synthesis after UV exposure. The adequate intake level of vitamin D mentioned in the 2015 Dietary Reference Intakes for Korean (KDRI) remained unchanged in the 2020 KDRI for the management of vitamin D nutrition in Koreans.

• Journal of Preventive Medicine and Public Health
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• 제55권2호
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• pp.205-212
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• 2022

Objectives: This study aimed to identify the behaviors associated with discrimination towards people living with HIV/AIDS (PLHA) in Indonesia and to determine the factors affecting discrimination. Methods: Secondary data from the 2017 Indonesia Demographic and Health Survey were analyzed using a cross-sectional design. Discrimination was assessed based on the questions (1) "Should children infected with HIV/AIDS be allowed to attend school with non-infected children?" and (2) "Would you buy fresh vegetables from a farmer or shopkeeper known to be infected with HIV/AIDS?" Multivariable logistic regression was used to determine the factors affecting discrimination, with adjusted odds ratio (aOR) and 95% confidence interval (CIs) used to show the strength, direction, and significance of the associations among factors. Results: In total, 68.9% of 21 838 individuals showed discrimination towards PLHA. The odds of discrimination were lower among women (aOR, 0.63; 95% CI, 0.55 to 0.71), rural dwellers (aOR, 0.81; 95% CI, 0.75 to 0.89), those who understood how HIV is transmitted from mother to child (aOR, 0.81; 95% CI, 0.73 to 0.89), and those who felt ashamed of their own family's HIV status (aOR, 0.56; 95% CI, 0.52 to 0.61). The odds were higher among individuals who knew how to reduce the risk of getting HIV/AIDS (aOR, 1.27; 95% CI, 1.15 to 1.39), how HIV/AIDS is transmitted (aOR, 3.49; 95% CI, 3.09 to 3.95), and were willing to care for an infected relative (aOR, 2.78; 95% CI, 2.47 to 3.13). A model consisting of those variables explained 69% of the variance in discrimination. Conclusions: Gender, residence, knowledge, and attitudes related to HIV/AIDS were explanatory factors for discrimination against PLHA. Improvements in HIV/AIDS education programs are needed to prevent discrimination.

• 웰빙융합연구
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• 제5권4호
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• pp.1-9
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• 2022

Purpose: Many people recognize the fact that women are basically poor at financial and retirement planning. A small number of scholars have explored the factors and situations that influence the level of awareness of pre-retirement women and men with regards to planning for their retirement years. In most developing countries, including Malaysia, there are more men in the younger segment of the population and more women in the older segment, since women tend to live longer than men due to having jobs of relatively lower risk, their behaviors, and activities. Research design, data and methodology: Given that it is hard to predict whether they will be healthy in old age, women may require additional resources to obtain the care and assistance that they need. The transition from career life into retirement is a long process for people to go through. Some may be able to prepare for the next stage of life, and some may not be able to prepare due to personal reasons. Planning for future retirement is important because it will affect the quality of a woman's life after a certain age. Results: Without proper planning, women may face financial instability, depression, and poor psychological well-being. However, many women are unaware of their financial status or do not know their family's financial status, such as tracking the main income, budget, and expenses, financial commitments and have no proper record of assets owned, loans owed, or updated loan balances. Conclusions: The findings of this research have led to the conclusion that pre-retiree women are likely to regard their retirement savings as sufficient without realizing that they should have at least several types of savings instead of just one, and the grave consequences of not having any savings at all for their retirement years.