• Journal of Neurogastroenterology and Motility
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• 제24권4호
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• pp.559-569
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• 2018

Background/Aims Gastroesophageal reflux disease (GERD) is a common disease globally with increasing prevalence and consequently greater burden on the Healthcare system. Traditionally, GERD has been considered a disease of middle-aged and older people. Since risk factors for GERD affect a growing number of the adult population, concerns have been raised that increasingly younger people may develop GERD. We aim to determine if the proportion of younger patients has increased among the GERD population. Methods The incidence of GERD as well as several variables were evaluated during an 11-year period. Explorys was used to evaluate datasets at a "Universal" and Healthcare system in northern Ohio to determine if trends at a local level reflected those at a universal level. GERD patients were classified into 7 age groups (15-19, 20-29, 30-39, 40-49, 50-59, 60-69, and ${\geq}70$ years). Results The proportion of patients with GERD increased in all age groups, except for those who were ${\geq}70$ years in the universal dataset (P < 0.001) and those who were ${\geq}60$ years in the Healthcare system (P < 0.001). The greatest rise was seen in 30-39 years in both datasets (P < 0.001). Similarly, the proportion of GERD patients who were using proton pump inhibitors increased in all age groups except for those who were ${\geq}70$ years in both datasets (P < 0.001), with the greatest increase being the group 30-39 years (P < 0.001). Conclusion Over the last decade, there has been a significant increase in the proportion of younger patients with GERD, especially those within the age range of 30-39 years.

• Nutrition Research and Practice
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• 제13권2호
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• pp.141-149
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• 2019

BACKGROUND/OBJECTIVES: This study examined the association between refined grain consumption by subtype and the incidence of hypertension from the Korean Genome and Epidemiology Study data. SUBJECTS/METHODS: In total, 5,018 participants (2,439 men and 2,579 women) from 40 to 69 years without hypertension were recruited at the beginning (2001-2002). Blood pressure and antihypertensive medication use were assessed biennially for the incidence of hypertension during the 8-year follow-up period (2009-2010). Hypertension was diagnosed as systolic blood pressure ${\geq}140mmHg$ or diastolic blood pressure ${\geq}90mmHg$ or antihypertensive medication use. Dietary intake including refined grains was assessed by a food frequency questionnaire at baseline and the follow-up (2005-2006). A multivariate Cox proportional hazard model was used to examine hazard ratios (HRs) and 95% confidence intervals (CIs) for incident hypertension according to refined-grain consumption. RESULTS: A total of 1,377 cases of hypertension (710 men and 667 women) were newly ascertained. Frequent noodle consumers (${\geq}5servings/week$) among the women had a 2.3-fold higher risk of hypertension than infrequent noodle consumers after adjustment for potential confounders (HR = 2.31, 95% CI = 1.33-4.01, P for trend = 0.0001). However, no significant association was found among the men. The intake of other refined grain products such as white rice and breads was not associated with the incidence of hypertension. CONCLUSION: Frequent noodle consumption was positively associated with a risk of incident hypertension in South Korean women.

• 한국융합학회논문지
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• 제9권12호
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• pp.313-319
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• 2018

본 연구의 목적은 우리나라 만 65세 이상 노인의 연령별 신체활동 및 식생활과 정신건강의 관련정도와 영향요인을 파악하여 노인의 정신건강에 긍정적으로 대처할 수 있는 요인을 확인하고, 노인건강프로그램 개발의 기초자료로 활용하기 위함이다. 본 연구는 2015년도 국민건강영양조사결과를 기초자료로 한 이차자료 분석연구이며, 우리나라 만 65세 이상의 노인 1,484명을 대상으로 하였다. 자료분석은 IBM 23 ver. SPSS를 이용하였다. 본 연구 결과 전기노인은 정신건강변수의 세부항목 중에서 우울감과 스트레스 인지가 높았으며. 후기노인은 자살생각이 높았다. 식생활형편은 전기노인보다 후기노인에서 '음식섭취 부족' 이 높았다. 회귀분석 결과 노인의 식생활 형편, 중강도 신체활동이 노인의 정신건강과 관련성이 있는 것으로 보고되었다. 연구결과를 토대로 세분화된 연령대에 적합한 차별화된 간호중재 프로그램개발이 필요하다.

• 문화기술의 융합
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• 제4권4호
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• pp.241-247
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• 2018

본 연구는 지역아동센터 청소년을 대상으로 서비스 이용경험-센터 교사와의 만족도 및 서비스 이용평가-이 공동체의식에 미치는 영향을 알아보고 센터 서비스 이용경험과 공동체 의식간의 관계에서 학교적응의 매개효과를 파악하고자 하였다. 지역아동센터 아동패널조사 2기 패널 대상자 중 2017년 전국 중학교 1학년 청소년 438명을 표본으로 하였다. 자료는 SPSS 18 프로그램을 이용하여 상관관계분석, 단계별 회귀분석 및 Sobel test를 실시하였다. 연구결과 지역아동센터 청소년들은 센터 교사와의 만족도 및 서비스 이용평가를 긍정적으로 인식할수록 공동체 의식이 높았으며, 아울러 교사 만족도 및 서비스 이용평가는 학교적응을 통해 공동체 의식에 긍정적 영향을 미침으로써 부분매개효과를 나타냈다. 이를 토대로 저소득 청소년의 공동체의식 증진을 위해 청소년과 센터 교사 간 긴밀한 관계 유지, 서비스의 질적 수준 향상, 지역아동센터와 학교체계 간 연계 프로그램 개발 및 적용의 필요성을 제안하였다.

• 융합정보논문지
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• 제8권6호
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• pp.75-84
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• 2018

연구목적: 본 연구는 제2형 당뇨환자의 당화혈색소 수치 조절에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 연구방법: 본 연구는 2015년도 1월부터 12월까지 시행된 제6기 3차 년도 국민건강영양조사 자료 중 검진조사와 건강설문조사를 이용하였으며 설문에 참여한 전체 대상자 검진조사와 건강 설문조사에 참여한 전체 대상자 7.380명 중 제2형 당뇨환자로 분류된 285명을 대상으로 진행하였다. 연구결과: 대상자의 당화혈색소 조절에 영향을 주는 요인은 연령, 교육수준, 유병기간, 수면시간으로 나타났고 나머지는 영향을 주는 요인으로 나타나지 않았다. 결론: 제2형 당뇨환자에 있어서 중년기에도 질병 이환을 발견한 시점부터 교육수준에 맞는 적절한 당뇨교육을 실시하고, 적정 수면시간을 지키도록 하는 것도 당화혈색소 수치 조절에 영향을 미치는 것으로 나타났으므로, 이에 대한 적용 가능한 교육방법이나 프로그램의 개발이 필요하다.

• PNF and Movement
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• 제17권2호
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• pp.283-291
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• 2019

Purpose: The purpose of this study was to investigate the effects of trunk stability training on static balance and game records among archers. Methods: The subjects comprised 24 voluntary archers in middle and high school (aged 14-19 years). All the subjects received trunk stability training for an hour per day 3 days a week for 4 weeks. The Tetrax balance system was used to measure the stability index of the subjects' static balance. The subjects' game records were scored using a single FITA round system. All the subjects were measured before the intervention, 2 weeks into the intervention, and 4 weeks after the intervention, with a follow-up measurement 2 weeks later. Results: The results of this study showed that the stability index was significantly different across all the measuring positions after the intervention (p<0.05). Furthermore, the results of the measurements of the standing position with eyes open and closed were significantly different before the intervention compared to 4 weeks after the intervention (p<0.05). The archery position with the head turned to the left and eyes closed was also significantly different pre-intervention compared to 2 weeks after the start of the intervention (p<0.05). Additionally, the archery records were significantly different after the intervention (p<0.05), as well as before the intervention and 4 weeks after the intervention (p<0.05). Conclusion: Trunk stability training can improve static balance in archers. It may also be helpful in improving athletic performance and maintaining the life of the athlete. Accordingly, trunk stability training may prevent and resolve injuries through careful management when playing one-side sports.

• 구강회복응용과학지
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• 제35권3호
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• pp.123-131
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• 2019

구강작열감 증후군은 점막 이상 등의 임상소견이 없는 상태에서 혀 및 구강점막의 작열감과 구강건조감, 미각이상 등의 불편감을 호소하는 증상으로, 남녀 모두에서 나타날 수 있으나 중년의 폐경기 여성에서 빈발한다. 임상에서 진단이 쉽지 않고 명확한 원인을 밝히기 어려워 증상 경감을 치료목표로 해왔다. 병인은 국소적, 전신적 및 심리적 요인으로 나뉘고 치료는 ${\alpha}$-lipoic acid, clonazepam, 영양보충 등의 약물요법과 인지행동치료 등이 있으며 최근에는 단일 치료법보다는 복합요법의 높은 효과에 대해 관심이 모아지고 있다. 다각적인 면에서 원인요소를 고려하여 약물적 접근과 인지행동요법을 포함한 심리치료 병행으로 환자들의 증상을 경감해주는 것이 필요하다.

• Journal of Oral Medicine and Pain
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• 제44권3호
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• pp.112-117
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• 2019

Purpose: The aim of this study was to assess the thickness of the roof of the glenoid fossa (RGF) in Korean adult population without symptoms of temporomandibular disorder (TMD) using cone-beam computed tomography (CBCT). Methods: CBCT Data from 111 Korean adult patients aged ${\geq}25years$ (55 males and 56 females) without signs and symptoms of TMD were analyzed retrospectively in this study. The thickness of the RGF was determined as the perpendicular distance between the 'glenoid fossa line' and 'middle cranial fossa line' on parasagittal and paracoronal reconstructions, respectively. The thickness of the RGF according to sex and age was analyzed using t-tests (p<0.05). Differences were also examined between the right and left sides, and between the paracoronal and parasagittal sides. Results: The mean thickness of the RGF in all subjects was $0.75{\pm}0.39mm$; there was no significant difference in thickness between male ($0.78{\pm}0.36mm$) and female ($0.72{\pm}0.30mm$). We found no correlation between age and the mean thickness of the RGF, when age was grouped by decade. However, when subjects were divided into >40 years and ${\leq}40years$ age groups, the thickness of the RGF was significantly different between the groups. Conclusions: We found that the thickness of the RGF did not differ by sex, but might be affected by aging. Further studies with larger numbers of subjects are needed to confirm the results of this study.

• 수산경영론집
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• 제50권3호
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• pp.1-15
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• 2019

The purpose of this study is to analyze the differences by comparing consumption tendency of the Flatfish and Salmon using focus group interview (FGI). The FGI was conducted on university students in their 20s, with a total of 38 respondents surveyed in seven focus groups. Flatfish was recognized as a food in the form of popular sliced raw fish and had customer image that fit for middle-aged men in their 40s and 50s while eating with alcohol. 20s were perceived to be out of date with their age group as flatfish was considered old fish that did not match their age. In addition, they felt low accessibility to flatfish. Salmon was perceived by 20s as a food with a higher appeal than flatfish. Salmon has been creating a brand identity in their 20s and 30s for fashionable and trendy food that appealed to younger generations. They considered characteristics of salmon high in intangible value, such as something sophisticated, trendy, and beautiful. 20s consumed various forms of salmon including salmon sushi, salmon bowl, and salmon fillet, and they perceived it as a psychologically close food that can be easily accessible. In this study, the color of species (orange color of salmon), accessibility, restaurant image, and social media exposure were found to influence the consumption patterns of two species.

• 한국융합학회논문지
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• 제10권10호
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• pp.337-346
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• 2019

본 연구의 목적은 제 2 형 당뇨병, 고혈압 및 이상지질혈증을 복합적으로 가지고 있는 중년 대상자의 체중조절, 운동, 식이조절을 통한 질환관리 노력에 영향을 미치는 융합적 요인을 확인하고자 시행되었다. 본 연구는 2015년 지역사회 건강 조사 (CHS)의 원시 데이터를 사용했다. 2015년 지역사회건강조사의 총 228,558명 중 연구대상 선정기준에 부합되어 분석에 이용된 대상자는 2,990명의 데이터를 활용하였다. 다중 회귀 분석이 수행되었고 체중조절노력, 운동노력, 식이조절노력 변수의 설명력은 각각 20.1%, 6.8 %, 5.3 %였다. 본 연구의 결과는 대사성 질환이 복합적으로 있는 대상자의 성별, 사회 경제적 상태 및 흡연과 음주의 행동 습관과 체중감소, 운동, 식이조절의 질병 관리 노력의 관계를 보여 주었다. 향후 대사질환을 복합적으로 가지고 있는 환자를 위한 서비스나 중재 프로그램 개발에 요소들을 복합적으로 고려할 것을 제언한다.