• 한국식품영양학회지
• /
• 제32권3호
• /
• pp.189-201
• /
• 2019

The objective of this study was to investigate the health status and nutritional intake of the old population living in Soonchang, Jeollabuk-do, Korea. 69 subjects aged 65 years and older were recruited in July 2016. The WHR, was significantly higher in elderly male group than elderly female group (p<0.05), but both groups had abdominal obesity (0.85 and over). T-score mean of elderly male and female groups were below $-2.5mg/cm^3$ that they were osteoporotic. In the elderly male group, the higher concentrations of creatinine, homocysteine and uric acid were found to be significantly unfavorable factors (p<0.001, respectively). The blood vitamin $D_3$ levels of elderly male group was significantly higher than that of elderly female group (p<0.05). The physical activity and self-rated health were significantly higher in elderly male group than in elderly female group (p<0.05, p<0.01, respectively). The nutrient intakes of male group were found to be significantly favorable factors than in female group. The score of mini nutrition assessment was significantly lower in elderly female group than in the elderly male group. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of disease of Korean elderly people living in rural areas.

• 대한간호학회지
• /
• 제50권6호
• /
• pp.799-812
• /
• 2020

Purpose: This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone. Methods: A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs. Results: The final model with 14 of the 8 analysed paths showed a good fit to the empirical data: χ2 = 173.26(p < .001, df = 53), normed χ2 = 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects. The variables included in the eight significant paths explained 83.7% of variance in the prediction model. Conclusion: Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.

• 한국컴퓨터정보학회논문지
• /
• 제29권5호
• /
• pp.131-142
• /
• 2024

본 논문에서는 농촌 노인의 건강증진행위에 영향을 미치는 요인들을 성별에 따라 제안한다. 본 연구는 농촌진흥청의 '농촌 노인 맞춤형 돌봄프로그램 개발 수요조사' 자료를 활용하여 분석하였다. 분석대상은 농촌에서 거주하는 만65세 이상 502명의 자료를 활용하였다. 분석방법은 SPSS 25.0 프로그램을 활용하여 기술통계, 교차분석, 상관관계분석, 위계적 회귀분석을 사용하였다. 분석결과 건강증진행위 실천에 있어서 남성과 여성의 차이가 있는 것으로 나타났다. 남성의 경우 연령이 낮고 교육수준이 낮을수록, 배우자와 함께 거주할 때, 사회적 활동에 참여할 때 건강증진행위 수준이 더 높았고, 여성의 경우 연령이 많고, 주관적 건강상태가 좋을수록, 사회적 활동에 참여할 때 건강증진행위 수준이 더 높은 것으로 나타났다. 본 연구는 농촌 노인의 성별에 따라 건강증진행위를 촉진할 수 있는 기초자료가 될 것이며, 이를 바탕으로 정책적·실천적 접근 방안에 대한 시사점을 제시하였다.

• Clinics in Shoulder and Elbow
• /
• 제26권3호
• /
• pp.287-295
• /
• 2023

Background: Posterolateral rotatory instability (PLRI) is a common mechanism of recurrent elbow instability. While the essential lesion is a deficiency in the lateral ulnar collateral ligament (LUCL), there are often associated concomitant bony lesions, such as an Osborne-Cotterill lesions (posterior capitellar fractures) and marginal radial head fractures, that compromise stability. Currently, there is no standard treatment for posterior capitellar deficiency associated with recurrent PLRI. Methods: We conducted a retrospective review of five patients with recurrent PLRI of the elbow associated with a posterior capitellar impaction fracture engaging with the radial head during normal range of motion. The patients were treated surgically with LUCL reconstruction or repair and off-label reconstruction of the capitellar joint surface using a small metal prosthesis designed for metatarsal head resurfacing (HemiCAP toe classic). Results: Five patients (three adolescent males, two adult females) were treated between 2007 and 2018. At a median follow-up of 5 years, all patients had complete relief of their symptomatic instability. No patients had pain at rest, but two patients had mild pain (visual analog scale 1-3) during physical activity. Three patients rated their elbow as normal, one as almost normal, and one as greatly improved. On short-term radiographic follow-up there were no signs of implant loosening. None of the patients needed reoperation. Conclusions: Recurrent PLRI of the elbow associated with an engaging posterior capitellar lesion can be treated successfully by LUCL reconstruction and repair and filling of the capitellar defect with a metal prosthesis. This treatment option has excellent clinical results in the short-medium term. Level of evidence: IV.

• 공학교육연구
• /
• 제27권3호
• /
• pp.3-13
• /
• 2024

Since the launch of ChatGPT, many college students used it extensively in various ways in their curricular learning activities. This study investigates the utilization of ChatGPT in the curriculum of first and second-year engineering students, aiming to examine its influence from a learner perspective. We explored how ChatGPT is used in each subject and learning activity to understand how learners perceive the use of ChatGPT. From the survey data on engineering college students at E university, we examined students' perception on 'shortening time to perform tasks' through ChatGPT, 'dependence on ChatGPT', 'their contribution to individual capacity building', and 'their influence on academic grade'. The majority of students reported extensive use of ChatGPT for learning activities, particularly showing high dependency in liberal arts subjects and coding-related activities. While the use of ChatGPT in liberal arts was seen as not contributing to the enhancement of individual capacity, its use in coding was positively evaluated. Furthermore, the contribution of ChatGPT to the creativity in report writing tasks was highly rated. These findings offer several important implications for the use of AI tools like ChatGPT in engineering education. Firstly, the positive impact of ChatGPT's high usability and individual-capacity enhancement in coding should be expanded to other areas of learning. Secondly, as AI technology progresses, the contribution of AI tools compared to learners is expected to increase, suggesting that students should be encouraged to effectively use AI tools to achieve their learning objectives while maintaining a balanced approach to avoid overreliance on AI.

• Annals of Occupational and Environmental Medicine
• /
• 제34권
• /
• pp.29.1-29.14
• /
• 2022

Background: Hotel housekeepers are one of the most important occupational group within tourism hotel sector; various health problems related to their job have been described, above all musculoskeletal disorders. The objective of this study is to understand the experiences and perceptions of hotel housekeepers and key informants from the Balearic Islands (Spain) regarding occupational health conditions and the strategies employed to mitigate them. Methods: A qualitative study was carried out. Six focus groups with hotel housekeepers and 10 semi-structured interviews with key informants were conducted. Next, we carried out a content analysis. Results: Hotel housekeepers reported musculoskeletal disorders, anxiety and stress as main occupational health problems; health professionals underscored the physical problems. Hotel housekeepers perceived that their work (physically demanding and with repetitive movements) caused their health conditions. To solve health issues, they used medication (anti-inflammatory agents, painkillers, sedatives and anxiolytics), which allowed them to continue working; health public services, generally rated as satisfactory; individual protective equipment; ergonomics (with difficulties due to high work pace and hotel facilities) and physical activity. Two contrasting attitudes were identified regarding sick leave: HHs who refused to accept a doctor-prescribed sick leave (due to fear of being fired, sense of responsibility, ...), and those who accepted it (because they could not continue working, they prioritised health before work). Conclusions: Our results might contribute to plan improvement strategies and programs to address health problems among hotel housekeepers. These programs should include interventions, such as coping strategies for the work-related risk factors (i.e., stress) and strategies to reduce medicine consumption. Additionally, hotel facilities should adopt policies focused on making workplaces more ergonomic (i.e., furniture) and to diminish the work pace.

• 시큐리티연구
• /
• 제37호
• /
• pp.137-163
• /
• 2013

이 연구는 미국 공립학교의 사례를 통해 학교 내 안전을 미치는 요인과 학교 내 안전에 효율적인 경비형태를 분석함으로서 국내 학교 내 안전을 높일 적절한 방안을 제시하는데 그 목적이 있다. 이 연구는 학교 내에서 발생하는 범죄를 종속변수로 하는 중범죄모델과 범죄의 유형에는 포함되지 않더라도 학생들의 안전을 위협할 수 있는 비행행위 및 집단행위로 범위를 한정시켜 종속변수로 하는 학교폭력모델로 나뉜다. 첫 번째, 학교 내 안전에 영향을 미치는 요인의 분석결과, 중범죄안전 모델과 학교폭력 안전 모델의 설명력은 각각 10.3%, 12%이며, 중범죄안전 모델을 살펴보면 학생을 대상으로 한 안전교육(t=2.521, p=0.012), 학교활동 부모참여(t=11.733, p=0.000), CPTED활동(t=3.206, p=0.001), 학교 내 경비활동(t=2.983, p=0.003)이 통계적으로 유의미하게 중범죄로 부터의 안전에 긍정적인 영향을 미치는 요인으로 나타났다. 학교폭력안전 모델에서도 유사하게 학교활동의 부모참여(t=10.399, p=0.000), CPTED활동(t=7.238, p=0.000), 학교내 경비활동(t=4.018, p=0.000)이 통계적으로 유의미하게 학교폭력으로 부터의 안전에 영향을 미치는 요인으로 나타났다. 두 번째, 어떠한 유형의 경비활동이 학교 내 안전을 높이는지 분석한 결과, 중범죄안전 모델과 학교폭력안전 모델, 두가지 모델의 설명력은 각각 4.4%, 3.9%이며, 중범죄 안전 모델에서는 학교에서 실행하는 경비활동 중 지역경찰과의 협조(t=2.112, p=0.035), 교칙관리(t=3.309, p=0.001), 경비순찰활동(t=2.548, p=0.011)이 통계적으로 유의미하게 중범죄로 부터의 안전에 영향을 미치는 요인으로 나타났고, 학교폭력안전 모델에서는 경비활동 중 지역경찰과의 협조(t=2.364, p=0.018), 교칙관리(t=4.142, p=0.000)가 통계적으로 유의미하게 중범죄로 부터의 안전에 영향을 미치는 요인으로 나타났다. 이 연구의 결과에 따라 교사에 대한 교육보다 학생에 대한 교육이 학교 내 안전에 긍정적이고, 학교 운영에 부모참여도 교육과 마찬가지로 지속적이고 계속적인 참여가 학교안전을 위해 필요하다. CPTED활동의 경우, 미국의 사례의 결과를 그대로 받아들여 강화하는 방안을 마련하고, 경비활동에 관하여는 가시성을 높이고 지역경찰과의 협조를 원활히 하는 방안이 학교 내 안전에 긍정적 영향 줄 것이다.

• 한국조리학회지
• /
• 제21권2호
• /
• pp.119-129
• /
• 2015

본 연구에서는 현미의 기능성과 식이섬유 등과 같은 다양한 생리활성물질을 갖고 있으면서도 식품소재로의 활용이 미미한 미강을 전통주인 탁주의 제조에 활용하였다. 주정을 활용하여 제조한 탈지 미강을 넣어 제조한 술의 발효과정중의 이화학적 특성 및 발효특성과 탁주의 항산화특성을 비교 분석하였다. 탈지 미강의 첨가량이 증가할수록 pH는 증가하는 경향을 나타내었고, 발효 기간의 경과에 따라 감소하다가 다시 증가하는 경향을 나타내었으며, 유의적인 차이를 보였다(p<0.05). 탈지 미강의 첨가량이 증가할수록 적정산도는 높은 값을 나타내었으며, 유의적인 차이를 나타냈다 (p<0.05). HPLC를 이용한 ethanol의 함량은 탈지미강의 첨가량에 따라 감소하여 control이 16.51%, TDT3이 16.20%(w/v), TDT6이 16.07 %(w/v), TDT10이 15.75%(w/v)의 순으로 나타났다. 산성탁주의 FRAP(ferric reducing antioxidant power) radical-scavenging activity는 TDT6이 2.56 g/moL로 대조군에 비해 높은 환원력을 나타내었다. 산성 탁주의 기호도에 대한 9점 척도법을 분석한 결과 TDT3이 color, sweet taste, sour taste, alcohol taste, overall-acceptability에서 기호도가 높게 나타났다. 이는 TDT3의 산성주가 기호도를 향상시킨 가장 최적의 첨가조건이라고 보며, 탁주의 품질개선에 활용가치가 있으며, 상품화 가능성을 제시한다고 생각된다.

• 한국식품영양학회지
• /
• 제27권5호
• /
• pp.940-955
• /
• 2014

The purpose of this study was to compare the degree nutrient intake, health status and other characteristics of females aged 65 years and over in a longevity area according to family arrangement. For analysis, 585 female elderly were recruited from the Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as the longevity-belt region in Jeonla province, Korea. The subjects were categorized into three groups according to family arrangement (living alone, living with spouse only and living with family). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups, nutrient intake and mini nutrition assessment. In the group living with their spouse only, the highest education, physical activity, diverse food intake, frequency of eating meats and fish, energy and nutrients intake, and score on the mininutrient status assessment (MNA) were found to be significantly favorable factors. Taken together, these results demonstrated that the group living with their spouse only had relatively superior nutrient intake and the quality of diet. In contrast, the group living alone showed the lowest self-rated economic status, diversity of food intake, and physical activity, with the highest frequency of drinking, smoking and regular exercise for almost everyday compared with the other groups. On the other hand, those living with family demonstrated the lowest intake of supplements or functional foods, and levels of hemoglobin hematocrit MCH, but the highest HBA1c and blood sugar. Therefore, the group living with family was assumed to be at risk of anemia and diabetes. These results could be useful to plan effective strategies to increase the health-life expectancy of Korean elderly people living in rural areas, according to family arrangement.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제20권4호
• /
• pp.341-354
• /
• 1998

GMI (Fibrel${(R)}$) is one of the dermal filling substances which have been successfully used for the treatment of depressed cutaneous scar and wrinkles. It's major components are; Gelatin powder, which provides a framework for the clot to form and remains stable under the scar, and ${\varepsilon}$-aminocaproic acid, which inhibits the production of fibrinolysin, and Plasma, which provides the necessary ingredients for collagen synthesis. GMI has advantages of low immunogenicity and increased longevity. It has been known to induce fibroblast activity and promote new collagen synthesis. We used 34 Sprague-Dawley rats which were bred under the same condition and duration. 18 of experimental animals were undergone cardiac puncture, and their blood were collected, centrifugated, and stored in freezer. Out of 16 animals, control group were injected with 2ml plasma into the subcutaneous tissue of Lt. scapular, while experimental group were implanted of 2 ml GMI into the Rt. same area. Experimental animals were sacrificed at the 3rd day, 5th day, 1st week and 2nd week respectively after implantation of GMI. To observe the histopathologic change of GMI and surrounding tissue reaction of GMI, we had examined with H&E staining, immunohistochemical staining with vimentin, ${\alpha}$-SMA, S-100 under LM and SEM. The obtained results were as follows ; 1. In LM study, the inflammatory cell infiltrations and granulation tissue formation were observed, and muscle tissues were well attached with adipose tissues in the control group. In the experimental group, inflammatory cell infiltrations had been observed by the 2nd week and irregular adipiose tissues and well differentiated mesenchymal tissues were examined. 2. In immunohistochemical study, the experimental group of ${\alpha}$-SMA study, there were a prominent positive response on endothelial development of granulation tissues and mesenchymal tissues compare with the control group. In vimentin study, positive response on mescenchymal fibroblast continued to 2nd week, but negative in the control group. In S-100 study, both groups were positively responded on irregular adipose tissues. 3. In SEM study, collagen fibers were embedded by the plasma by the 5th day in the control group, and in the 3rd day experiment GMI were resorved but communited with collagen fiber till the 1st week. Collagen fibers were infilt-rated into GMI at the 2nd week and the infilltrated GMI were conglomerated with the mature adipose cells and the collagen fibers. From the above results, GMI implantation in the subcutaneous tissue of Sprague-Dawley rat, the mild infiltration of inflammatory cells were showed till 2nd week and the granulation tissues were observed. GMI were nearly resorbed till 2nd week, but well attached with adipose tissue and collagen fibers. The endothelium and fibroblasts were actively proliferated. Adipose tissues and mesenchymal tissue cells were observed. As already expressed, GMI showed resorptive change in course of time without any early immune reaction, and seemed to induce fibroblast activity and promote new collagen synthesis.