• The Korean Journal of Pain
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• 제13권2호
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• pp.175-181
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• 2000

Background: Pain is often measured using psychophysical scaling techniques. However, all of these methods found their limits, since they were based on the subjective sensations reported by the subjects. It is, therefore, desirable to validate psychophysical pain measures by simultaneously measuring some physiological correlate of nociception. We studied an objective method for measuring pain in human volunteer using R(III) nociceptive flexion reflex. Methods: Four different intensity of electrical stimuli between perception and 1.4 times the R(III) nociceptive flexion threshold were delivered to the sole of the feet in 8 normal volunteers. We measured the flexion reflex activity in the skin over the ipsilateral tibialis anterior muscle and subjects rated each stimulus on a visual analog scale (VAS) Results: Both R(III) nociceptive flexion reflex activity and VAS ratings showed a linear relationship with stimulus intensity and with each other in all volunteers. Conclusions: R(III) nociceptive flexion reflex elicited through electrical stimulation may used as an objective pain measurement, previsionary based on our study paradigm.

• 대한족부족관절학회지
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• 제10권2호
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• pp.163-167
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• 2006

Purpose: To evaluate the results of extracorporeal shock wave therapy (ESWT) for patients with chronic proximal plantar fascitis. Materials and Methods: Between April 2005 and April 2006, 35 cases (24 patients) who were followed more than 6 months were evaluated. By $EvoTron^{(R)}$, 2 sessions of ESWT (Group 1: 1200 and Group 2: 1500 shock waves / session of $0.12\;mJ/mm^2$) were performed at 2 weeks interval. The mean age was 40.0 (range, 15-59) years. 13 patients were male and 11 patients were female. Visual analogue scale (VAS) on daily activity and a 100-point scoring system including 70 points for pain and 30 points for function were used. The clinical outcomes were rated as follows: excellent, no pain on daily activity; good, less than 50% of previous VAS; fair, 50-75% of previous VAS; or poor, more than 75% of previous VAS. Excellent and good were graded as satisfactory results. We compare clinical results between groups and evaluate the relationships between clinical results and duration of symptom, fascial thickening and previous steroid injection were evaluated. Results: Overall satisfactory rate were 71.4%. There was no significant difference of clinical results between groups. And there were no significant difference between clinical results and duration of symtom, preoperative fascial thickening and previous steroid injection. Conclusions: ESWT for recalcitrant chronic proximal plantar fascitis is useful treatment method with high patient satisfaction and pain relief, but more long-term study must be needed.

• 보건행정학회지
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• 제28권4호
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• pp.369-377
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• 2018

Background: Catastrophic health expenditure (CHE) occurs when medical expenditure of a household passes over a certain ratio of household income. This research studied the effect of gender on CHE based on Korea Health Panel data. Methods: This study implemented binary logistic regression model to figure out whether gender affects CHE and how different gender groups show pattern of CHE process. With gender, age, marital status, income level, economic activity, membership of private insurance, existence of chronic disease, and self-rated health were included in the model. Results: Results showed that females faced CHE 1.5 times more than males (odds ratio, 1.241). Also, main determinants of CHE in female groups were marital status, while age and economic activity status were significant in male groups. Subgroup analysis displayed that married female under 35 years old are located in intersectionality of CHE including pregnancy and delivery, multiple health risk behaviors, mental stress, and relatively vulnerable social status due to lower income. Meanwhile, both gender above 50 years old faced remarkably high chance of CHE, which seems to be caused by complex health risk behaviors and chronic diseases. Conclusion: Such results implied not only that gender is an important determinant of CHE, but also other determinants of CHE differ according to gender, which suggests a necessity of gender-based CHE support and rescue policy.

• 대한영양사협회학술지
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• 제30권2호
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• pp.112-124
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• 2024

This study investigated the factors associated with HINT-8 (Korean health-related quality of life instrument with eight items), including health habits, hand grip strength, chronic disease, chewing function, mental health, and nutrient intake. In this study, the health-related quality of life (HRQoL; HINT-8) was assessed using the data from the 2019 Korea National Health and Nutrition Examination Survey (KNHANES VIII) among Koreans aged over 65, with HINT-8 being evaluated based on the general characteristics. Of the participants from KNHANES VIII, 1,455 subjects were analyzed using SPSS statistics complex samples (Windows ver. 27.0). The HINT-8 score was significantly lower in females and in those aged 75 years or older, lowest educational level, lowest income level, and single households. Logistic regression analysis, adjusted for the general characteristics, revealed a significant association between a lower HINT-8 group and various factors: low aerobic physical activity (OR=1.71, 95% CI=1.25~2.35), low hand grip strength (OR=1.34, 95% CI=1.02~1.78), chewing difficulties (OR=2.17, 95% CI=1.62~2.92), poor self-rated health status (OR=6.11, 95% CI=4.42~8.45), stressful mental status (OR=3.57, 95% CI=2.27~5.63) and poor calcium status (OR=1.45, 95% CI=1.11~1.88). On the other hand, this study could not reveal a significant association between a lower HINT-8 group and factors such as smoking, drinking, chronic disease, and nutrient intake status, except for calcium intake. This study suggests that HINT-8 is associated with aerobic physical activity, hand grip strength, chewing function, mental health, and calcium intake, but not with smoking, drinking, chronic disease, and nutrient intake.

• Asian Pacific Journal of Cancer Prevention
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• 제15권18호
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• pp.7539-7545
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• 2014

Background: It has been proved that participating in exercise improves colorectal cancer patients' prognosis. This study is to identify barriers to exercise in Korean colorectal cancer patients and survivors. Materials and Methods: A total of 427 colorectal cancer patients and survivors from different stages and medical status completed a self-administered questionnaire that surveyed their barriers to exercise and exercise participation. Results: The greatest perceived exercise barriers for the sampled population as a whole were fatigue, low level of physical fitness, and poor health. Those under 60-years old reported lack of time (p=0.008), whereas those over 60 reported low level of physical fitness (p=0.014) as greater exercise barriers than their counterparts. Women reported fatigue as a greater barrier than men (p<0.001). Those who were receiving treatment rated poor health (p=0.0005) and cancer-related factors as greater exercise barriers compared to those who were not receiving treatment. A multivariate model found that other demographic and medical status were not potential factors that may affect exercise participation. Further, for those who were not participating in physical activity, tendency to be physically inactive (p<0.001) and lack of exercise skill (p<0.001) were highly significant barriers, compared to those who were participating in physical activity. Also, for those who were not meeting ACSM guidelines, cancer-related exercise barriers were additionally reported (p<0.001), compared to those who were. Conclusions: Our study suggests that fatigue, low level of physical fitness, and poor health are most reported exercise barriers for Korean colorectal cancer survivors and there are differences in exercise barriers by age, sex, treatment status, and physical activity level. Therefore, support for cancer patients should be provided considering these variables to increase exercise participation.

• 한국콘텐츠학회논문지
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• 제12권8호
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• pp.300-309
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• 2012

본 연구는 여대생들의 건강행태와 건강상태가 사회성에 미치는 영향과 사회성이 대학생활 만족도에 미치는 영향에 대하여 파악하고자 하였다. 대상은 부산, 대구, 경남에 소재한 보건관련 전공 여자 전문대학생 335명으로, 일반적 특성, 사회성, 대학생활만족도, 건강행태, 건강상태, 인터넷 중독 등을 설문 조사하였다. 분석방법은 chi-square test, t-test, one-way ANOVA, ANOVA for trend 및 구조방정식을 통해 분석하였다. 그 결과 사회성 하위요인으로는 책임성이 영향력이 가장 컸으며, 책임성은 만나이가 높을수록(p<0.001) 높았으며, 본인 인지 체형이 매우 마른경우에서 낮았다(p=0.005). 사회성에는 만나이(p<0.001), 주관적 건강상태(p<0.001), 고3 체육수업(p=0.004)이 직접적인 영향을 보였다. 또한 사회성은 대학생활 만족도에 직접적 영향력을 보여, 만나이가 많을수록, 주관적 건강이 높을수록, 고 3체육수업을 할수록 사회성이 높아져 대학생활 만족도가 높아지는 것으로 나타났다. 따라서 대학생활 만족도를 높이기 위한 방안으로 고등학생의 체육활동 강화와 이들의 삶의 질 향상을 위한 다각적 노력이 필요한 것으로 판단된다.

• 한국조경학회지
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• 제44권6호
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• pp.137-147
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• 2016

본 연구는 대구광역시 수성구의 근린공원을 대상으로 건강 유지 및 증진 목적 공원 이용자들의 보행환경 인식이 보행환경 만족도에 미치는 영향을 파악하고, 건강증진 기대효과와의 관계성을 분석하였다. 먼저, 보행환경 인식을 평가한 결과, '완만한 경사'가 가장 높은 평가를 받아 공원까지 접근로의 경사가 완만하여 보행하는데 큰 불편함이 없는 것으로 인식하고 있었으며, '혐오요소가 많음', '장애물이 많음', '이륜차의 위험성' 등 보행안전과 관련된 항목들의 평가가 낮게 나타났다. 이를 바탕으로 보행환경 인식 요소들이 보행환경 만족도에 미치는 영향을 분석하기 위해 단계적 회귀분석을 수행한 결과, '공기의 쾌적성', '주변경관의 아름다움', '보도의 연속성', '다양한 볼거리', '나무그늘 제공', '혐오요소가 많음' 등 6개 인식 요소들이 영향을 미치는 것으로 분석되었다. 따라서 수목식재로 쾌적한 대기환경 및 녹음을 제공하고, 가로환경 정비를 통해 혐오요소를 제거해야 한다. 또한 아름다운 경관 조성과 다양한 볼거리 요소를 도입하고, 보도의 연결성을 높이는 등의 노력이 필요할 것으로 판단된다. 마지막으로 거주지에서 공원까지의 보행환경 만족도와 건강증진 기대효과의 관계성을 분석한 결과, 보행환경에 만족할수록 공원 이용이 늘어나고, 더 나아가 신체적, 정신적 건강증진 기대효과가 있는 것으로 분석되었다.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.498-509
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• 2017

장애아동 부모 및 가족의 돌봄부담을 경감시키기 위한 돌봄지원이 제공되고 있지만 몇몇 한계점이 지적되면서 최근 들어 전반적인 개선이 요구되고 있다. 이에 본 연구는 장애아동 부모 및 서비스제공자의 관점에서 장애아동 가족의 돌봄부담 경감을 위해 필요한 돌봄지원의 내용 및 범위를 파악하고 개념화하는 것을 목적으로 하였다. 이를 위해 본 연구에서는 서비스 욕구조사 및 프로그램 개발에 유용한 개념도 연구법이 사용되었다. 개념도 연구법에 따라 먼저 장애아동 부모 두 집단과 사회복지사 한 집단을 대상으로 초점집단면담을 실행하여 총 31개의 돌봄지원 내용요소(진술문)를 도출하였으며, 연구 참여자들은 이 진술문들을 개념적 유사성에 따라 분류하고 상대적 필요도에 따라 평정하였다. 다음으로 분류자료들은 다차원 척도법과 군집 분석을 통해 분석되었으며, 평정자료들에 대해서는 평균과 표준편차를 산출하였다. 분석결과, 장애아동 돌봄지원 내용요소 31개는 4개의 범주로 개념화되었으며, 모든 범주의 필요도 점수는 높게 나타났다: 일상적 돌봄, 활동중심 돌봄, 부모 돌봄역량 강화, 가족관계 강화. 본 연구결과는 돌봄지원제도 개선 및 지원정책 개발에 유용한 기초자료를 제공하였다는 점에서 그 의의가 있다.

• 한국초등과학교육학회지:초등과학교육
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• 제36권4호
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• pp.379-393
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• 2017

This study analyzed the relationship between self-directedness of science-gifted elementary students and their expression of scientific creativity in science-gifted class. A science-gifted program on the topic of Hydraulic Machine was implemented to 34 fifth-graders in the Science-Gifted Education Center of an education office in Seoul, Korea for four weeks. The self-directedness of the gifted students was divided into three types of 'General, Scientific, and Topic-Related Self-Directedness'. The products of the students' activities were assessed by using a scientific creativity assessment formula. Qualitative research, such as analysis of observations and interviews, was also conducted in order to identify characteristics that were not apparently revealed by quantitative data. The main results of this study are as follows: First, science-gifted elementary students' general self-directedness and their scientific creativity were significantly correlated (r=.373). Second, the students' scientific self-directedness and scientific creativity did not have a significant correlation (r=.294). Third, there was a positive correlation between the students' topic-related self-directedness and their expression of scientific creativity. Their self-rated scores (r=.420) for the topic-related self-directedness and the number of activity types associated with the topic had a positive correlation (r=.350). Fourth, the students were categorized into four groups according to the levels of their self-directedness and scientific creativity, and the result showed that Type HH (high self-directedness and high scientific creativity) was the most common type (15 students, 38.5%), followed by Type LL (low self-directedness and low scientific creativity) (11 students, 28.2%). Eight (20.5%) and five students (12.8 %) belonged to Type LH (low self-directedness and high scientific creativity) and Type HL (high self-directedness and low scientific creativity) respectively. Fifth, the classroom observation of the students in groups revealed that groups with more number of Type HH demonstrated better cooperation and performance. Sixth, the analysis results of the observation were almost matched to the results of the self-directedness and scientific creativity tests. The students with higher self-directedness demonstrated active class participation and good cooperative skills. The students with higher scientific creativity had a tendency to generate creative ideas more frequently in given situations. Seventh, dynamic activities were perceived as enjoyable and exciting by 76.9% of the students, but static activities that require creativity were regarded as interesting only by 23.1% of the students. Among the students who were satisfied with both the creative and static activities, Type HH accounted for the largest proportion (55.6%). In conclusion, factors such as students' interests, initiatives, and attitudes displayed through voluntary participations originated from their own daily life can predict the degree of scientific creativity associated with the topic. Also, when students were categorized into four types according to the level of self-directedness and scientific creativity, there was a tendency of active behavior in class, cooperative skill, and activity satisfaction. This suggested that we should consider self-directedness and scientific creativity in selecting the gifted, grouping them in class, and designing and executing programs for science-gifted elementary students.

• 한국과학교육학회지
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• 제30권2호
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• pp.275-290
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• 2010

중학생의 과학탐구활동 수행평가 시 총체적 채점과 분석적 채점의 신뢰도를 비교 분석하였으며, 분석적 채점을 하는 경우에는 신뢰도 확보를 위하여 채점척도의 수준을 어느 정도로 분석적으로 해야 하는지를 조사하였다. 중학생들이 작성한 4개의 과학탐구과제에 대한 활동지를 두 명의 채점자가 총체적 채점 방식, 분석적 채점 방식, 분석적 채점 중 채점척도를 2, 3, 4~7수준으로 다르게 하여 채점하였다. 총체적 채점 방식은 과제 간 내적 일치도가 높게 나타났으며, 분석적 채점 방식은 채점자간 신뢰도가 높게 나타났다. 또한 채점척도 3수준의 경우는 4~7수준의 경우와 활동간 내적 일치도와 채점자간의 신뢰도가 유사하게 나타났으나, 능력추정치별 학생의 분포, 문항곤란도 및 문항특성곡선의 경우 채점척도 3수준의 경우가 적절한 것으로 나타났다. 이러한 연구 결과는 과학탐구활동 수행평가 시 총체적 채점 방식을 선택하는 경우는 과제 간 내적일치도를 높일 수 있으며 분석적 채점 방식에 비해 낮게 나타나는 채점자 간 일치도를 높이기 위한 채점자간 협의등 방안이 필요하다는 것을 시사한다. 또한 분석적 채점 방식을 선택하는 경우는 채점척도 3수준으로 충분히 신뢰도를 확보할 수 있다는 점을 시사한다.