• Journal of Nutrition and Health
• /
• v.42 no.2
• /
• pp.128-134
• /
• 2009

For children, voluntary addition of micronutrients to foods must be done without health risk to any of them. This study examined safe maximum levels of vitamin A and C, and calcium for children based on nutrient intake data from the 2001-2002 and 2005 National Health and Nutrition Examination Survey (NHANES) in Korea, while using the safe strategy for addition of micronutrients to foods suggested by EU. For the respective 2001-2002 and 2005 NHANES data proportions of potentially fortifiable energy intake ranged 0.36-0.40 and 0.31-0.34 and the $95^{th}$ percentile intake of energy were 2,325-3,296 kcal and 2,286-3,814 kcal depending upon age groups. Ninety-fifth percentile intake levels of vitamin A were over or close to UL, even without considering supplement intake for some age groups, which suggest that vitamin A fortification to foods required further consideration. For calcium, 12-14 year old children were the most sensitive group for excessive intake and nutrient fortification to foods. In these children, maximum levels for fortification were 242-290 mg and 484-580 mg with 0.135 and 0.068 proportions of fortified food (PFF) assumed, respectively, without considering calcium intake from supplements. With consideration of calcium intake from both diet and supplement, the maximum levels for fortification were 20-36% of those without supplement intake. The maximum fortification levels of vitamin C were the lowest in 3-5 year old children, showing 77-187 mg and 68-164 mg with and without supplement intake, respectively. These results suggest that the model used for risk assessment in this study can be used to help risk managers to set maximum levels for safe addition of micronutrients to foods.

• The Research Journal of the Costume Culture
• /
• v.15 no.1 s.66
• /
• pp.137-151
• /
• 2007

This study was performed to narrow down the Sizing System for Female Adult's garments(KS K 0051) following age target and body shapes. The study was based on the sizing system and the anthropometric measurements, called Size-Korea, which were surveyed in the years 2003 and 2004. At first, the subjects of the survey were classified into 4 age groups, $18{\sim}24,\;25{\sim}34,\;35{\sim}49\;and\;50{\sim}59$, based on the most significant differences of body sizes. Secondly, the ranges of four key dimensions - height, bust, waist and hip-of normal sizes were identified through analyzing Rohrer index and percentile. The selected sizes within the ranges were grouped by the drop which was the subtraction of bust girth from hip girth. In conclusion, there was the most frequent drop for each age group; 9cm drop for the $18{\sim}24$ years old group, the 6cm drop for the $25{\sim}34$ years old and $35{\sim}49$ years old and 3cm drop for $50{\sim}59$ years old. The upper body garment sizes of the same drop and target ages could be merged to 10 to 12 sizes, which were remarkably smaller than the Female Adult garment sizing system, and further to 2-5 sizes, considering the percentile importance. However, $50{\sim}59$ years old group needed to be analyzed in different ways, because the number of subjects of normal size in the age decreased rapidly, that the normal sizes for them were very limited. In addition, the reference body sizes of each garment size were apparently different when they were compared to each age groups. These basic data for garment size specification could be usefully adapted for the apparel companies' own sizing system according to their age target and body shapes, to achieve efficient production and better fit.

• Nutritional Sciences
• /
• v.5 no.2
• /
• pp.91-102
• /
• 2002

A survey of how dietary patterns and living habits were related to individual health status was undertaken amongst the elderly in Jeon-ju the results were analyzed in order to collect information which would be useful in preventing chronic diseases and promoting health in the general population. Two hundred and thirty elderly people, 73 min (31.7%) and 157 women (68.3%) from the colleges and households in the Jeon-ju area, were studied in truly and August, 1999. Average scores for men and women, respectively, in nutrition-related questions were as follows: 4.98 $\pm$ 0.24 and 5.24 $\pm$ 0.13 in a nutrition knowledge test (maximum score= 10), 25.92 $\pm$ 0.39 and 26.04 $\pm$ 0.26 for nutrition attitudes (maximum=50), and 11.25 $\pm$ 0.15 and 10.70 $\pm$ 0.12 for dietary habits (maximum= 15). The percentages of smokers and drinkers in the sample were 23.3% and 31.5% among men, and 3.2% and 10.8% among women, respectively, while those who took regular exercise were 67.1% among men and 34.8% among women. Average scores of clinical symptoms for men and women were 27.62 $\pm$ 0.62 and 33.36 $\pm$ 0.47, respectively. Analysis was carried out on the effects of individual dietary patterns and lifestyles on current health status in a healthy group (below the 25 percentile in clinical symptom scores) and an unhealthy group (above the 75 percentile in clinical symptom scores). The results show that the healthy elderly group had relatively good nutrition knowledge, nutrition attitudes, and dietary patterns, ate with family, took nutrition supplements and snacks, and did not smoke. The most healthy group ate out once a month, drank small quantities of alcohol occasionally, and exercised once or twice a week. We believe that the results of this study will be helpful in developing or coordinating plans or programs f)r improving the health of elderly people.

• The Journal of Pediatrics of Korean Medicine
• /
• v.24 no.1
• /
• pp.1-8
• /
• 2010

Objectives This study is to find out how fungiform papillae count, which represents the density of taste buds, is related to eating behavior of children and adolescents. Methods The authors measured fungiform papillae count, height, and weight of 50 healthy children aged from 2 to 15. To evaluate the severity of anorexia, parents of the subjects answered modified version of Korean Children's Eating Behaviour Questionnaire (K-CEBQ). Children with weight of less than 50th percentile were assigned to low-weight group, while the others to high-weight group. Pearson's correlation test was conducted in order to evaluate the relationship between modified K-CEBQ score and fungiform papillae count. Results Low-weight children scored $29.8{\pm}9.1$, while high-weight children scored $24.5{\pm}7.1$. (p<0.05) on modified K-CEBQ Pearson's correlation coefficient between modified K-CEBQ score and fungiform papillae count was 0.503 (p<0.05) in low-weight group, 0.260 in high-weight group, and 0.339 (p<0.05) in total. However, there were no statistical significance in correlations between modified K-CEBQ score and percentile of weight, height, or BMI. Conclusions Severity of anorexia was correlated to the density of taste buds, especially in children who weighed less than average. The analysis on each single question indicated that children with high taste bud density had poor appetite not because of their inadequate digestive function, but because of their fastidious eating habit. Further study should be focused on finding out which specific aspect of appetite is related to the taste bud density.

• Quality Improvement in Health Care
• /
• v.22 no.2
• /
• pp.75-90
• /
• 2016

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

• Journal of Korean Society of Transportation
• /
• v.25 no.4
• /
• pp.7-19
• /
• 2007

The purpose of posted speeds is to provide a speed that ensures the safety of vehicle flow according to given road situations. Because of this, posted speeds must be carefully examined, and posted speeds at freeway exits and entrances in particular should consider car characteristics. Posted speeds at freeway exits and entrances must take changing speeds due to curve radiuses into consideration and in this study, an 85th percentile speed becomes the most important element to consider. When it is considered that most traffic accidents occur because of variations in speed between cars, posted speeds should be set after considering car traveling characteristics. Within these dimensions, instead of putting significance on an upper direction regulation or lower direction regulation, speed distributions which fit to the characteristics of each road should be fully considered. Accordingly, this study evaluated appropriate posted speeds that will reduce the dangers of traffic accidents through posted speed regulations of roads now in operation by offering a posted speed setting method theory, using entries at Yangji, Yongin, and Cheongwon interchanges as subjects.

• Journal of Korean Society on Water Environment
• /
• v.28 no.6
• /
• pp.804-812
• /
• 2012

This study contemplated domestic and other country's effluent limitation standards and suggested a methodology to establish technology-base limitation value. Current effluent limitation regulates industrial point sources discriminated by discharge flow rate and by regional distinction in Korea. Discharged $BOD_5$ load from large-scale plants(flow rate above $2,000\;m^3/day)$ exceeds 50% of overall industrial wastewater, which present rationale for discrimination based on plant size. However, regional distinction and pollutant- specific regulation might be insufficient to meet practical effectiveness of wastewater management policy, due to the nearly same limitation. Water quality data and treatment methods were investigated in hospital industry. And their distribution of effluent $BOD_5$ concentrations was statistically analyzed to suggest limitation value. Effluent $BOD_5$ concentrations showed lognormal distribution and $95^{th}$ percentile was corresponded to 87.9 mg/L, which could be suggested as tentative effluent limitation in hospital industry. The $95^{th}$ percentile of log-transformed distribution showed similar value of 86.5 mg/L. This study demonstrated reasonable methodology for establishing effluent limitation reflecting wastewater characteristic and treatment technology in separately categorized industry.

• Journal of Genetic Medicine
• /
• v.13 no.1
• /
• pp.41-45
• /
• 2016

Marfan syndrome (MFS) is an inherited connective tissue disorder with a mutation in the fibrillin-1 (FBN1) gene. Fibrillin is a major building block of microfibrils, which constitute the structural component of the connective tissues. A 10-year-old girl visited our hospital with the chief complaint of precocious puberty. According to her medical history, she had a pulmonary wedge resection for a pneumothorax at 9 years of age. There was no family history of MFS. Mid parental height was 161.5 cm. The patient's height was 162 cm (>97th percentile), and her weight was 40 kg (75th-90th percentile). At the time of initial presentation, her bone age was approximately 11 years. From the ophthalmologic examination, there were no abnormal findings except myopia. There was no wrist sign. At the age of 14 years, she revisited the hospital with the chief complaint of scoliosis. Her height and weight were 170 cm and 50 kg, respectively, and she had arachnodactyly and wrist sign. We performed an echocardiograph and a test for the FBN1 gene mutation with direct sequencing of 65 coding exons, suspecting MFS. There were no cardiac abnormalities including mitral valve prolapse. A cytosine residue deletion in exon 7 (c.660delC) was detected. This is a novel mutation causing a frameshift in protein synthesis and predicted to create a premature stop codon. We report the case of a patient with MFS with a novel FBN1 gene missense mutation and a history of pneumothorax at a young age without cardiac abnormalities during her teenage years.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.19 no.2
• /
• pp.110-115
• /
• 2016

Purpose: We performed to reveal the association between the Helicobacter pylori infection and body weight among children. Methods: Out retrospective study included patients who underwent the H. pylori immunoglobulin G testing at Konyang University Hospital between March 2011 and June 2014. These patients were classified as seropositive (28 boys, 27 girls; mean age: $9.89{\pm}3.28years$) or seronegative (55 boys, 54 girls; mean age: $9.84{\pm}3.02years$). Next, we compared various characteristics between the seropositive and negative groups, as well as between obese children (body weight ${\geq}90th$ percentile) and non-obese children (body weight <90th percentile). Furthermore, we compared the change in body weight after 2 months of treatment with amoxicillin, clarithromycin and omeprazole among the 55 seropositive children (14 treated children and 41 non-treated children). Results: There were no differences in the weights and laboratory data for the 55 seropositive children and 109 seronegative children (weight; $40.96{\pm}18.11kg$ vs. $36.85{\pm}13.72kg$, respectively; p=0.14). And, there was no difference in the prevalence of H. pylori infection among the 29 obese and 135 non-obese children (p=0.581). However, after 2 months of eradication, the 14 treated patients exhibited a significant weight gain ($+0.91{\pm}0.52kg$), compared to the 41 non-treated patients ($-0.29{\pm}1.16kg$, p=0.025). Conclusion: Our findings present that obesity was not associated with the H. pylori infection, although H. pylori eradication led to significant increase in body weight.

• Journal of Korean Society on Water Environment
• /
• v.30 no.5
• /
• pp.524-531
• /
• 2014

Korea has been trying to manage water quality of rivers and lakes in many ways. Ministry of Environment is making continuous efforts of operation control improvement such as strengthening effluent standards in sewage treatment plants and expanding Tele-Monitoring System (TMS). However, evaluation method for operations of sewage treatment plants and establishment system of effluent standards are inadequate. The objective of this study is to evaluate for operations of sewage treatment plants using statistics technique such as frequency analysis, percentile, normal distribution analysis. We used the effluent data (BOD, COD, SS) collected at 299 plants in 2012. The values were very low by comparison with standards. The Data followed a normal distribution. We think that distribution characteristics are closely related with effluent standards, especially T-P and BOD. Statistics technique attempted in this study can be used to evaluate for operations of sewage treatment plants and assess the appropriateness of effluent standards based on TBEL(Technology-based effluent limitation). And, this technique can be used to figure out the overall level of plants, the status of each plant and the favorable treatment process for each item (BOD, COD etc.). Data acquired through this method can be used to improve facilities and operation techniques and decide on a sewerage policy.