• 대한지역사회영양학회지
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• 제13권5호
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• pp.713-722
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• 2008

The purpose of this study was to investigate the association among nutrient intakes and health-related lifestyles with cardiovascular disease risk assessed by blood lipid profile according to Apolipoprotein E genotypes. Middle-aged industrial male workers who had completed their annual medical examination were recruited and data of 675 subjects who finished the nutrient survey were used in the analysis. Anthropometric parameters, dietary assessment (FFQ), health-related lifestyles and blood profiles were used for statistical analyses. Apo E genotype groups were classified into the following three genotypes: Apo E2 group (including E2/E2, E2/E3, E2/E4), Apo E3 group (including E3/E3), Apo E4 group (including E3/E4, E4/E4). The frequency of Apo E2, E3, and E4 allele were 13.3%, 75.0% and 11.7% respectively. There were no significant differences in the anthropometric parameters depending on different Apo E genotypes. Also, no significant differences in the nutrient intakes were found according to the genotype groups. The nutrient intakes of all subjects were similar to or higher than the level of KDRIs (Dietary Reference Intakes For Koreans) except for intakes of calcium (67.44% of KDRIs), vitamin A (73.83% of KDRIs) and vitamin $B_2$ (78.02% of KDRIs). Also, there were no significant differences of health-related lifestyles according to Apo E genotype groups. As for the lipid profiles, Apo E4 group had significantly higher total and LDL-cholesterol concentrations than the Apo E2 group (p < 0.05). We confirmed that plasma total and LDL-cholesterol concentrations were greatly influenced by Apo E genotypes. However, nutrient intakes and health-related lifestyles were not associated with Apo E genotypes.

• 영재교육연구
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• 제25권2호
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• pp.237-259
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• 2015

이 연구는 음악(국악)영재 담당교사가 지녀야 할 자격 조건을 수렴하고, 수렴된 조건을 바탕으로 평가문항을 제작한 후, 그 문항에 대한 구인타당화를 도모함으로써 음악(국악)영재의 선발 및 교육과정 운영을 위한 토대를 마련하고 궁극적으로는 예술영재교육의 내실화 및 체계화를 도모하기 위하여 수행되었다. 음악(국악)영재 담당교사 평가문항의 문항분석을 위하여 탐색 및 확인적 요인분석을 실시하였고, 내적일관성 신뢰도를 추정하였다. 요인분석 결과 최종 41문항을 수렴하였고, 전통음악을 포함한 음악영재 담당교사가 지녀야 할 심리학적 구인을 확인할 수 있었다. 또한 평가문항에 대한 내적일관성 신뢰도 추정 결과 높은 신뢰도 수준(r=.974)을 확보할 수 있었다. 이 연구의 결과는 음악(국악)영재 담당교사 평가문항이 영재교육 현장에 즉시 투입 가능한 교사 평가도구임을 반영해준다.

• 영재교육연구
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• 제22권1호
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• pp.61-85
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• 2012

음악영재성 판별에서 부모의 관찰은 잠재된 영재성에 관한 정보를 제공하기에 중요하다. 또한 부모관찰정보의 타당도와 신뢰도는 후속되는 판별 전 과정의 타당성 확보에 영향을 미친다. 이러한 중요성에도 불구하고 국내 교사관찰추천제 및 음악영재성 판별모형에 투입되는 부모관찰정보의 타당성 여부에 관한 연구는 아직까지 없었다. 그러므로 이 연구는 음악(국악) 영재성 선별을 위한 부모관찰정보지(2차)의 타당화를 위하여 수행되었다. 나아가 음악(국악) 영재성 판별의 내실화 및 체계화를 도모하기 위하여 수행되었다. 부모관찰정보지(2차)의 타당도 검증을 위하여 탐색적 요인분석 및 확인적 요인분석을 활용하였다. 그 결과, 부모관찰정보지(2차)의 최종 40문항을 수렴할 수 있었고 나아가 음악(국악) 영재성의 심리학적 구인을 확인할 수 있었다. 또한 부모관찰정보지(2차)에 대한 내적 일관성 신뢰도 추정 결과, 높은 신뢰도 수준(내재적 특성 문항 $r$=.939, 외재적 환경 특성 문항 $r$=.887)을 확보할 수 있었다. 이 연구의 타당화 결과는 부모관찰정보지(2차)가 음악(국악) 영재성 선별을 위한 타당한 검사도구로서 영재 판별 현장에 즉시 투입 가능함을 반영해준다.

• Clinics in Shoulder and Elbow
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• 제3권2호
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• pp.75-78
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• 2000

Purpose: The purpose of this study was to review primary traumatic anterior shoulder dislocation in the 40 years and older to determine the incidence of recurrence, rotator cuff injury and associated fractures. Materials and Methods: From May, 1991 to October, 1998, seventeen patients were available to participate in the study. The average age was 55 years(range, 40 to 75 years). Follow-up averaged 27 months(range, 12 to 48 months). There were 12 men and 5 women. 10 right and 7 left shoulders were involved. Any participant with a history of shoulder pain and limitation of motion was excluded from the study. Each shoulder was evaluated with UCLA shoulder functional assessment. Results: The overall results were excellent in 9 patients(52.9%), good in 3 patients(17 .6%), fair in 3 patients(17.6%), and poor in 2 patients(11.7%). Surgical treatment of the associated rotator cuff and greater tuberosity fracture injuries resulted in 5 patients with excellent(55.6%), 3 patients with good(33.3%) and I patient with poor(11.1 %) and Nonsurgical treatment of the associated injuries resulted in 2 patients with excellent(33.3%), 3 patients with fair(50%), 1 patient with poor(16.7%)(P=0.025). Conclusion : Our findings on small number of patients suggest that the diagnosis of a rotator cuff and other pathologies should be approached aggressively by an MRI, CT arthrogram if significant pain and weakness are still present and early surgical repair of rotator cuff and greater tuberosity can lead to restoration of shoulder function and better outcomes in selected patients.

• 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.

• 재활치료과학
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• 제7권2호
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• pp.29-40
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• 2018

목적 : 본 연구의 목적은 한국 성인의Upper extremity performance test for elderly (TEMPA) 표준치를 제시하고, 수집된 자료를 바탕으로 성인의 손 기능의 특성과 근력의 차이를 연령별, 성별로 알아보는 것이다. 연구방법 : 연구에 참여한 대상자는 20세에서 59세 사이의 손 기능에 장애가 없는 성인 138명이었다. 손 기능의 특성과 근력을 평가하기 위하여 모든 대상자에게 TEMPA, Jarmar dynamometer, pinch gauge를 시행하였다. 결과 : 성인의 손 기능에는 연령별, 성별 차이가 통계적으로 유의미한 차이를 보이지는 않았지만, 40대와 50대에서 수행 속도가 감소하는 경향을 보였다. 성인의 근력은 40대에서 가장 높은 수준의 근력을 보였으며 50대에서 감소하는 경향을 보였지만 대부분의 결과에서 유의미한 차이는 없었다. 결론 : 작업치료사는 중년 성인의 손기능과 근력에서 나타나는 감소의 전조 증상에 대한 관심과 그 기능 수준을 유지하기 위한 교육 프로그램을 제공하는 것이 필요할 것이다. 본 연구를 통해 한국 성인의 TEMPA 표준치가 확립되었다. 이 표준치가 임상적 평가 및 근거 기반연구에 있어 유용한 자료가 되기를 기대한다.

• 대한방사선기술학회지:방사선기술과학
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• 제40권2호
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• pp.205-211
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• 2017

비알콜성 지방간에서 지방 간염으로 진행되는 확률이 높은 중등증 이상에서 적극적인 진단과 치료가 필요하다. 이에 본 연구에서는 비알콜성 지방간을 경도, 중등증, 중증으로 나누어 GLCM 알고리즘의 컴퓨터 분석기법을 이용하여 정량적인 방법으로 분류하였다. 또한 지방간 중에서 국소지방회피영역의 초음파영상의 특징을 알아보고자 하였다. 정상, 경도, 중등도, 중증지방간, 국소적 저지방영역, 각각 80증례를 대상으로 GLCM 알고리즘의 파라미터 중에 간초음파영상의 인식률이 높은 자기상관성, 편차의 제곱, 평균의 합, 분산의 합에 대한 값을 산출하였다. GLCM알고리즘의 파라미터 인식률의 결과는 평균 97.5%로 나타났다. 국소적 저지방 영상분석의 결과는 정상실질과 가장 유사한 값을 나타내었다. 초음파검사는 일차적인 선별검사법으로 쉽게 접근할 수 있지만 숙련도에 따라 검사방법의 정확도나 결과의 일치성 부분에서 차이가 있을 수 있다. GLCM알고리즘을 적용하여 지방간 정도를 정량적으로 분류할 수 있었으며, 국소적 저지방영역은 지방침착이 되지 않은 균질한 간실질임을 예측 가능하였다. 이러한 GLCM 컴퓨터영상분석이 지방간뿐만 아니라 다른 병변의 감별에도 중요한 정보를 제공할 것으로 판단한다.

• 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.

• 가정간호학회지
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• 제9권2호
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• pp.103-113
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• 2002

Purpose: This study was conducted to explore the relationship among health belief. health locus of control and patients sick-role behavior compliance of diabetic mellitus patients visiting public health center. Method: The subjects of this study were 193 of the diabetic patients who were visiting 4 Public Health Center in B city. The instrument used for measuring health belief was Park's(1985). for health locus of control was Wallston. et al's(1978) and for sick-role behavior compliance was Park's(1984). The data were collected with structured questionnaires; total 58 items contained about health belief. health locus of control and sick-role behavior compliance from 1st to 31st July. 2001. The data was analyzed by the SPSS/PC programs using t-test. Pearson's correlation coefficient. ANOVA and Scheffe-test. Result: The average score of the health belief was $57.99\pm9.45$ health locus of control was $66.83\pm9.48$ and sick-role behavior compliance was $42.81\pm7.00$. Statistically significant factors influencing the health belief among social demographic characteristics were family number(F=3.818. p=0.024), monthly income(F=5.153, p=0.002), time of diagnosis(F=3.937. p=0.002) and difficult to control disease(F=5.803. p=0.000). The significant factors influencing the health locus of control were marital status(F=4.669. p=0.010). Also significant factors influencing the sick-role behavior compliance were monthly incomes(F=5.245, p=0.000). the time of diagnosis(F=4.424. p=0.001) and admission to hospital with diabetes(F=9.031. p=0.000). There was negative mild correlation comparatively between health belief and sickrole behavior compliance(r=-0.142, p<0.05) but no correlation in sensitiveness/severity, barrier, benefit(p<0.05). There was no correlation between internal. external. chance health locus of control and sick-role behavior compliance (P>0.05). Conclusion: There was a negative weak relationship between health locus of control and patient's sick role behavior compliance. Therefore further study to investigate the relating factor of the sick role behavior compliance among above of middle aged diabetes mellitus patients is necessary.

• 한국식품영양과학회지
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• 제40권10호
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• pp.1417-1422
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• 2011

본 연구는 비만중년여성 34명을 대상으로 벨리댄스와 영양교육 실시가 신체조성과 혈청지질 및 인슐린 저항성에 미치는 요인을 구명하기 위하여 벨리댄스와 영양교육을 12주간 실시한 후 운동전과 후의 신체조성, 혈청지질, 인슐린 저항성, leptin 및 adiponectin 호르몬, 그리고 항산화능을 측정하여 비교분석하였다. 벨리댄스 프로그램은 1회 1시간씩 주3회 실시하였으며, 운동 강도는 60~85% HRmax로 실시하였다. 영양교육프로그램은 영양 교육과 개별 상담으로 나누어 총 4회 실하였다. 신체조성중 체중 5.53%, 체지방률 9.51%, BMI 5.61% 유의적으로 감소하였으며, 골격근량은 0.81% 증가하였다. 혈청지질의 변화는 TG 13.50%, TC 9.51%, LDL-C 10.43% 유의적으로 감소하였으며, HDL-C는 3.24% 증가하였다. 인슐린 농도는 19.76% HOMA-IR 지수는 18.22% 유의적으로 감소였다. Leptin 호르몬의 분비는 32.35% 유의적으로 감소하였으나 adiponectin 농도는 변화가 없었다. 그러나 총 유리기 농도는 증가하는 경향을 보였고, 혈중 총 항산화능의 변화는 없었다. 본 연구의 결과를 살펴보면 보건소에서 실시하는 비만클리닉 프로그램은 비만중년 여성의 체지방률을 낮추어 혈청지질 및 인슐린 저항성을 개선함으로써 건강을 증진시키는 긍정적인 효과가 있을 것으로 사료된다.