• 한국융합학회논문지
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• 제9권8호
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• pp.365-377
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• 2018

본 연구는 한국 암 생존자의 삶에서 경험하는 행복감을 진화론적 개념분석 방법을 통해서 확인하고자 하였다. 분석 자료는 2000년 1월부터 2017년 9월까지 본 연구의 목적에 부합되는 11개의 논문을 분석하였다. 그 결과 한국 암 생존자의 행복감에서 나타나는 속성은 마음의 평정을 이루는 주관적 경험, 삶의 만족감과 안녕감을 위한 긍정적 마음, 작은 것의 소중함과 고마움을 깨닫게 되는 삶의 의미, 타인을 이해하고 도우며 더불어 살아가는 삶을 위한 관계형성이었다. 선행요인으로는 삶의 위기를 수용하고 현실에 대처하며 자기성찰과 환경적 지지가 이루어지는 것이며, 결과요인은 내면의 힘이 증가하고, 사랑을 느끼며, 새로운 삶을 추구하고, 자기실현을 이루게 된다. 본 연구는 한국 암 생존자의 행복감을 증진시킬 수 있는 단계적 사정을 위한 기본틀을 제시하였다는데 의의가 있으며, 다학제적 융합프로그램을 통한 암 생존자 관리가 이루어져야 할 것이다.

• 한국지반신소재학회논문집
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• 제5권3호
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• pp.45-52
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• 2006

보강토옹벽 구조물의 안정평가 및 관리는 변위 침하계측기 등에 의해 이루어지고 있고 Total Station 등을 이용한 측량장비들도 계측에 이용되고 있다. 그러나 이러한 계측은 대부분 국부적이며, 붕괴가 예상되는 경우에만 이루어지고 있다. 이와 같은 기존의 계측시스템은 계측기의 내구성 및 관리 측면에서 많은 경제적 손실이 야기되고 있어 측정값의 신뢰성에도 많은 문제가 발생하고 있다. 따라서 본 연구에서는 기존 시스템의 단점을 극복하기 위해 개발된 수치사진영상을 이용한 계측시스템을 실내시험을 통하여 보강토옹벽의 변위계측에 적용 실시하였다. 시험결과, 옹벽의 벽면변위계측이나 변형 및 균열 등의 계측을 위한 계측시스템으로 활용이 가능할 것으로 판단되었다.

• 대한간호학회지
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• 제47권2호
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• pp.143-163
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• 2017

Purpose: This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors. Methods: Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs. Results: Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress. Conclusion: Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

• Journal of Oral Medicine and Pain
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• 제42권2호
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• pp.29-34
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• 2017

Purpose: To evaluate aggravating factors of intermittent locking among temporomandibular joint using magnetic resonance imaging (MRI) and diagnostic criteria for temporomandibular disorder (DC/TMD) diagnosis. Methods: A retrospective analysis was conducted of 35 patients with intermittent locking history but normal intra-articular findings between September 2012 and June 2015 in Kyung Hee University Dental Hospital. A standardized DC/TMD assessment was performed on subjects with MRI findings. Clinical findings were assessed on the basis of maximum mouth opening (active & passive), self-reported habits, patients' age, gender, systemic diseases at the initial visit. First, chi square test was used to examine differences with variables and then risk factors for intermittent locking were assessed using multivariate logistic regression. Results: Self-reported bruxism was strongly associated with intermittent locking history. Conclusions: The new DC/TMD protocol is intended for use within any clinical setting and supports the full range of diagnostic activities from screening to definitive evaluation and diagnosis. Self-reported sleep bruxism has been associated with a higher likelihood of intermittent locking. Comorbidity is therefore a factor that must be assessed. It is necessary to consider the amount of contact of the teeth and the duration.

• 한국환경보건학회지
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• 제42권2호
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• pp.71-84
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• 2016

Objectives: Exposure assessment using questionnaires is effective in large-scale epidemiological studies. However, a limited number of studies have evaluated the questionnaires used in epidemiologic studies in terms of occupational and environmental exposure. The purpose of this study was to summarize and evaluate questionnaire items included in major epidemiological studies conducted in Korea with regard to occupational and environmental exposure. Methods: A total of 12 studies (four cohort studies, six large-scale cross-sectional surveys, and two panel studies) were selected for this study. Various questionnaire items related with occupational and environmental items were collected and summarized into tables. Results: Although job type and address were included in almost all of the studies, the information on occupational or environmental exposure to specific risk factors was collected in a limited number of studies. Moreover, questionnaire items were not standardized, warranting a continuous effort to develop questionnaires and evaluate their validity. Conclusion: Our results suggest that validated questionnaire items focusing on occupational and environmental exposure need to be developed in order to enhance the availability of the information collected from questions in epidemiological studies.

• 한국환경보건학회지
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• 제39권3호
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• pp.268-278
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• 2013

Objectives: The purpose of this study was to apply the Hazard Analysis Critical Control Point (HACCP) system to the production of seasoned laver products. The hazard analysis examined microbial evaluations and developed a HACCP management plan through the heating process. Methods: In this study we chose three companies and performed the analysis thrice. During this study, general bacteria along with other food poisoning bacteria such as Salmonella spp., Staphylococcus aureus, Listeria monocytogenes, Bacillus cereus, E.coil, O157:H7, Vibrio parahaemolyticus, were studied at varying temperatures from 100 to $300^{\circ}C$. Results: The presence of general bacteria was detected in raw laver in the samples analyzed from all the three companies, and the number ranged from $10^5-10^7$. Bacillus cereus was detected in samples from only two of the three companies analyzed. However, Salmonella spp., Staphylococcus aureus, Listeria monocytogenes, E.coil, O157:H7, and Vibrio parahaemolyticus were all negative. General bacteria was reduced to $10^5$ after being subjected to temperatures of $100-250^{\circ}C$, but heating to over $270^{\circ}C$ reduced the number to below $10^3$, and the other microbes such as Bacillus cereus were not detected. Conclusions: In conclusion, the heating process ($270-280^{\circ}C$) along with RPM of 100-1200 were identified as CCP to reduce biological hazards.

• 한국환경보건학회지
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• 제43권4호
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• pp.298-306
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• 2017

Objectives: Since 1998, the Korea National Health and Nutrition Examination Survey (KNHANES) has been conducted in order to investigate the health and nutritional status of Koreans. The food intake data of individuals in the KNHANES has also been utilized as source dataset for risk assessment of chemicals via food. To improve the reliability of intake estimation and prevent missing data for less-responded foods, the structure of integrated long-standing datasets is significant. However, it is difficult to merge multi-year survey datasets due to ineffective cleaning processes for handling extensive numbers of codes for each food item along with changes in dietary habits over time. Therefore, this study aims at 1) cleaning the process of abnormal data 2) generation of integrated long-standing raw data, and 3) contributing to the production of consistent dietary exposure factors. Methods: Codebooks, the guideline book, and raw intake data from KNHANES V and VI were used for analysis. The violation of the primary key constraint and the $1^{st}-3rd$ normal form in relational database theory were tested for the codebook and the structure of the raw data, respectively. Afterwards, the cleaning process was executed for the raw data by using these integrated codes. Results: Duplication of key records and abnormality in table structures were observed. However, after adjusting according to the suggested method above, the codes were corrected and integrated codes were newly created. Finally, we were able to clean the raw data provided by respondents to the KNHANES survey. Conclusion: The results of this study will contribute to the integration of the multi-year datasets and help improve the data production system by clarifying, testing, and verifying the primary key, integrity of the code, and primitive data structure according to the database normalization theory in the national health data.

• 한국환경보건학회지
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• 제44권2호
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• pp.115-123
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• 2018

Objectives: Preservatives, suspected to be endocrine disrupting chemicals, are widely used in feminine hygiene products for the prevention of deterioration. Information regarding the usage patterns of feminine hygiene products and the concentrations of preservatives in these products is limited. The present study was conducted to investigate the use of feminine cleansers among Korean women and quantify the concentration of preservatives in feminine cleansers. Methods: Approximately 500 women were recruited from the city of Busan in August 2017 and a questionnaire survey was conducted on the use of feminine cleansers. Several major feminine hygiene products (n=69) were identified and selected for analysis of 22 preservatives. Following appropriate preparation, the products were analyzed by HPLC/DAD. Results: Over 70% of the participating women used at least one feminine cleanser. Marital status and parity were associated with the frequency of use. Liquid was most frequently used form of feminine cleanser (66.6%). The greatest proportion of subjects answered that they use it 'one to two times per week' (36.5%). Among the 69 feminine cleansers, benzoic acid, sorbic acid, phenoxyethanol, and methyl paraben were detected at $144-4,428{\mu}g/g$, $195-1,470{\mu}g/g$, $269-4,237{\mu}g/g$, and $625-4,901{\mu}g/g$, respectively. BA was the most frequently detected (46.4%). Conclusions: In the present study, the characteristics of feminine cleanser use among Korean women were investigated. Based on an analysis of preservatives in the feminine hygiene products, one product was determined to exceed the maximum authorized concentration of MeP (0.4%). Our results will help refine exposure and risk assessment for toxic chemicals in feminine cleansers.

• 한국환경보건학회지
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• 제46권5호
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• pp.548-554
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• 2020

Objectives: This study is to examine the polyvinyl chloride (PVC) materials in elementary school classrooms and libraries in Seoul, and to investigate phthalate contamination in indoor dust. Methods: PVC material was identified for building materials and furniture using portable x-ray fluorescence (XRF). Phthalates in dust samples (n=19) were extracted by ultrasonic extraction using cyclohexane and analyzed by GC-MS. Results: Diethyl phthalate (DEP), di-n-butyl phthalate (DBP), and Bis (2-ethylhexyl) phthalate (DEHP) were found in all collected dust samples (n=19), and diisonyl phthalate (DINP) was detected in all except for one sample (n=18). The concentration of DEHP (median: 2190 mg/kg) and DINP (2960 mg/kg) were higher than other compounds, suggesting that there are many products in the school that used these compounds. When comparing the phthalate concentration in the classroom (n=11) and library dust (n=8), the total concentration in the classroom (median: 10000 mg/kg) was higher than that in the library (8030 mg/kg). DEHP was the dominant compound in the library. The library is relatively more equipped with PVC furniture (n=83) and most floors are also identified as PVC material, suggesting that floors and furniture made of PVC materials are main sources of DEHP contamination. Conclusions: This study is a pilot survey for investigating phthalate contamination in elementary schools. As a result of the survey, phthalate contamination in elementary school was confirmed. However, further study requires risk assessment of children through analysis of phthalate metabolites in children based on sufficient number of samples and information about the site.

• 환경생물
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• 제30권1호
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• pp.9-14
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• 2012

넓은 범위의 염분에 대한 망둑어 3종의 적응성을 파악하기 위하여 이들의 생존 및 성장에 대한 염분농도의 영향을 검토하였다. 두줄망둑은 0~33.6‰의 염분범위에서 유의한 생존율 차이가 없었고, 점망둑의 생존율은 염분농도 13.4‰ 이상에서 90% 이상을 나타내었으며, 3.4‰ 이하에서는 80% 이하로 유의하게 감소하였다. 또한, 날개망둑의 생존율은 염분농도 3.4‰ 이상에서 90% 이상을 나타내었으나, 담수에서는 87.5%로 유의한 감소가 관찰되었다. 두줄망둑은 염분농도 13.4 및 20.2‰에서 가장 높은 일일성장률은 나타냈고, 담수에서 유의한 감소가 관찰되었다. 점망둑의 일일성장률은 염분농도 20.2~33.6‰ 이상에서 가장 높았고, 10.1‰ 이하에서 가장 낮아 이들 사이의 유의한 차이를 나타냈다. 날개망둑의 일일성장률은 염분농도 10.1~27.4‰에서 가장 높았으나, 담수에서 유의한 감소가 나타났다. 이상의 결과는 3종의 망둑어, 특히 점망둑은 낮은 염분에 노출되었을 때, 그들의 생존 및 성장에 영향을 받는다는 것을 의미하고 있어 이들의 분포 및 개체수에 잠재적인 영향을 받을 수 있을 것으로 예상된다.