• 농촌의학ㆍ지역보건
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• 제35권2호
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• pp.177-192
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• 2010

본 연구는 심뇌혈관질환 고위험군 교육프로그램 개발을 위해 대구광역시 심뇌혈관질환 고위험군 등록관리 시범사업단 교육정보센터 방문한 65세 이상 고혈압?당뇨병 환자(고위험군)와 교육자를 대상으로 교육목적, 교육과정구성, 교육방법, 교육내용에 대하여 고위험군과 교육자의 교육필요도와 지식 정도 등의 교육요구도를 조사하였고, 교육내용 영역 및 내용에 대해서는 필요도와 고위험군 및 교육자가 평가한 고위험군의 지식 정도를 비교하였다. 연구대상자는 2009년 6월부터 8월까지 4개 교육정보센터 자조모임에 참석한 고위험군 60명과 교육정보센터 44명의 교육자를 대상으로 실시하였다. 가장 선호하는 형태는 소그룹(5-9명)교육, 교육 시간은 30분-1시간, 교육구성은 이론 50%와 실습 50%. 교육이수완료기간은 3개월로 응답하였다. 교육내용에 대한 필요도는 고위험군과 교육자 모두 평균 이상으로 응답하여 본 연구에서 제시한 모든 교육내용을 포함하는 것을 반영할 수 있었다. 고위험군과 교육자의 교육필요도와 지식 정도평가에 따라 교육프로그램 개발 및 교육방향을 제시하면 다음과 같다. 첫째 범주로 고위험군의 교육필요도와 지식 정도 점수 간에 차이가 없는 항목들로 대부분 기본교육과정으로, 잘 인지하고 있는 편이므로 표준화된 교육방법을 지속적으로 운영하면 될 것으로 생각된다. 둘째 범주로 고위험군의 지식 정도가 낮은 교육내용에 대해서는 기본교육과정에 포함시키고 효과적인 실습으로 모든 단계에서 반복할 수 있도록 한다. 셋째 범주로 고위험군의 지식 정도에 개인편차가 큰 항목들은 집단교육이나 소그룹교육보다 개별교육과정에 포함시켜 개별 교육 시 개인의 문제를 해결할 수 있는 기술향상을 목적으로 이루어질 수 있도록 한다. 넷째 범주로 고위험군의 지식 정도 점수와 교육자가 평가한 고위험군의 지식 정도 점수 간에 차이가 있는 항목들은 고위험군이 직접 참여할 수 있는 심화교육의 형태로 하며, 교육방법, 교육환경에 대한 표준화와 구체적인 매뉴얼을 제시하고 관리 목표를 설정하여야 할 것이다. 다섯째 범주로 고위험군과 교육자간 교육의 필요성에 대해 유의한 차이가 있는 항목들은 교육 시 이들 항목의 필요성을 강조하여야 할 것이다. 이상의 내용을 반영하고, 자가관리기술을 향상 시킬 수 있는 요소들을 추가하면 체계적인 교육 프로그램을 개발하는데 도움이 될 수 있을 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권15호
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• pp.6353-6356
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• 2014

Background: The purpose of this study was to investigate and evaluate risk factors for lymph node metastases (LNM) in cases of endometrial cancer (EC). Materials and Methods: A retrospective single institution analysis of patients surgically staged for EC at Ankara Oncology Education and Research Hospital from 1996 to 2010 was performed. Roles of prognostic factors, such as age, histological type, grade, depth of myometrial invasion, cervical involvement, peritoneal cytology, and tumor size, in the prediction of LNM were evaluated. Fisher's exact test and logistic regression analysis were used to assess the effects of various factors on LNM. Results: LNM was observed in 22 out of 247 patients (8.9%) and was significantly more common in the presence of tumors of higher grade, deep myometrial invasion (DMI), cervical involvement, size >2cm, and with positive peritoneal cytology. Logistic regression analysis revealed that DMI remained the only independent risk factor for LNM. NPV, PPV, sensitivity, and specificity for satisfying LNM risk were 98.0, 19.5, 86.3, and 65.3%, respectively for DMI. Conclusions: The incidence of LNM is influenced independently by DMI. If data support a conclusion of DMI, LND should be seriously considered.

• 한국운동역학회지
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• 제24권4호
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• pp.385-390
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• 2014

The purpose of this study was to investigate the effects of landing tasks on the anterior cruciate ligament (ACL) injury risk factors in female basketball players. Fifteen female basketball players performed a drop landing and a drop landing with a vertical jump on the 40 cm height box. Three-dimensional motion analysis system and ground reaction force system was used for calculate the ACL injury risk factors. Paired samples t-test with Bonfferoni correction were performed. The drop landing with a vertical jump had the higher knee flexion angle, peak knee varus moment, trunk flexion angle than a drop landing. However, the drop landing had the higher trunk rotation angle than a drop landing with a vertical jump. These results indicate that seemingly minor variations between drop landing and drop landing with a vertical jump may influence the ACL injury risk factors. Caution should be used when comparing studies using different landing tasks.

• 기술사
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• 제34권5호
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• pp.77-81
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• 2001

The industrial accident in subway of late is increasingly coming to the front as a serious problem of society because a scale of industrial accident is a large size, and powerfulness, while the percent of accident is decreasing as a result of industrial facilities with the largeness of equipment, automation, and high horse-powering. In this paper, a study on the estimation of accident loss prevention cost and risk analysis in subway construction is proposed as an alternative to the techniques currently used in the general construction projects safety. Then the concept of risk evaluation using a risk assessment model is presented to drive value of risk and numerical example for risk analysis. A means for this does grasp the importance of educational factor by way of analyzing the causes of accident through statistical data of labor department, emphasizing the necessity and the importance of safety education, being helpful to act safety by decreasing insecure activity which ranks the majority of accident causes with putting the education program, form, method into practice that are suitable for a place of business.

• 한국간호교육학회지
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• 제24권2호
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• pp.190-200
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• 2018

Purpose: The purpose of this study was to identify the level of perception of safety risk factors and the degree of performance of safety nursing activities in order to develop an education program to improve the safety of patients. Methods: The subjects were 217 nurses from 3 university hospitals in Incheon. Data were collected with structured questionnaires and analyzed using descriptive analysis, t-test, and ANOVA using SPSS 22.0. Results: The level of perception of patient's safety risk factors and safety care activities was 2.93 and 4.68, respectively. Perception of patient safety risk factors which belonging to the risk type of therapeutic devices, equipment, service and infrastructure all scored below average; also in addition, behavior, performance, and violence risk type and work system, information and communication risk type showed relatively low perception levels. Safety nursing activities showed a low level of performance in accurate communication among medical teams, management of fire and disaster, security management, use of restraints, identification of patients, and correct performance of operations and procedures. Conclusion: Based on these results, it is necessary to improve the safety of patients by taking proper management measures along with education.

• 한국학교ㆍ지역보건교육학회지
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• 제23권4호
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• pp.81-93
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• 2022

Objectives: The purpose of this study was to develop a model for comprehensively evaluating the risk of sarcopenia in Korean adults and to generate the sarcopenia risk scorecard model based on the results. Methods: The participants of the study were 7,118 adults without sarcopenia in the first basic survey, and a longitudinal analysis was conducted using data from the 1st to 8th survey (2006-2020) of the Korean Longitudinal Study of Aging (KLoSA). The data were analyzed using Rao-Scott chi-square test and weighted Cox proportional hazards regression of complex sampling design. The sarcopenia risk scorecard model was developed by Cox proportional hazards regression using points to double the odds (PDO) method. Results: The findings show that the risk factors for sarcopenia in Korean adults were gender, age, marital status, socioeconomic status, body mass index (BMI), regular exercise, diabetes and arthritis diagnosis. In the scorecard results, the case of exposure to the highest risk level was 100 points. The highest score range were given in the order of age over 65, low BMI, and low socioeconomic status. Conclusions: The significance of this study is that the causal relationship between various factors and the occurrence of sarcopenia in Korean adults was identified. Also, the model developed in this study is expected to be useful in detecting participants with risk of sarcopenia in the community early and preventing and managing sarcopenia through appropriate health education.

• 한국학교ㆍ지역보건교육학회지
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• 제21권1호
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• pp.1-14
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• 2020

Objectives: The purpose of this study is to analyze the relationship between dual smoking and mental health. Methods: This study was conducted on 5,879 Korean adults, and a logistic regression analysis was conducted to investigate the relationship between smoking type and mental health. Results: The types of smoking were surveyed as 'dual smoking' 6.1%, 'electronic cigarette' 1.7%, 'general smoking' 12.1%, and 'non-smoking' 80.1%.. The risk of diagnosing depression in the dual smoking group was 2.87 times higher than in the non-smoking group, the risk of depression was 1.66 times higher than in the non-smoking group, and the risk of stress was 1.62 times higher. Conclusion: Even in adulthood, health education such as smoking prevention education and smoking cessation education should be conducted.

• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.563-568
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• 2016

Background: Breast cancer is the most prevalent cancer in women worldwide and its frequency is increasing gradually in many countries. Over the last three decades an increase in the breast cancer has been witnessed in the earlier low-risk Asian countries including Pakistan. Purpose: The objective of the current study was to assess the prevalence of known risk factors like early menarche, late menopause, socio economic, reproductive and demographic factors, among women diagnosed with breast cancer at INMOL hospital, Lahore, Punjab, as little information exists in this regard. Materials and Methods: A survey study was conducted on 200 women diagnosed with breast cancer who were seen at Institute of Nuclear Medicine and Oncology (INMOL) hospital, Lahore. A structured questionnaire was administered to these patients regarding the known risk factors through face to face interviews after obtaining appropriate consent. Results: Regarding non-modifiable risk factors, our study showed that majority of the breast cancer patients were diagnosed at 35-45 years (32.5%) or at older age (${\leq}46$) and experienced menarche at 12 years or older (66 %). Likewise, a large number of patients reached menopause at the age of 45 years (60%), had no family and personal history of breast cancer (80%) and hence fell in a low risk category. Regarding modifiable risk factors in women diagnosed with breast cancer, most of the patients fell in low risk strata as the majority were married (98%) at young age, breastfed their children for 12 months or more (88%) and bore two to three children (80%). Considering income criteria, the majority of the patients had a low risk profile as they belonged to middle class (70%), urban area (60%) and were house wives (80%). However, it was noted that a considerable number of women (34%) diagnosed with breast cancer experienced menarche at an early age (<12) and reached menopause after the age of 45 years. This situation is further augmented by environmental changes and dietary habits and places them in a high risk category.

• Environmental Analysis Health and Toxicology
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• 제20권2호
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• pp.97-108
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• 2005

This study is to estimate differences, relationships and related factors of environmental risk perception and perceived benefit among residents and workers. A self-administered questionnaire survey using a structured instrument was carried out to residents and workers in industrial area during April, 2002. Total number of participants were 657 including 329 residents and 328 workers. Participants assessed environmental risk perception, self- assessed knowledge, trust in authorities and perceived benefit associated with 10 products manufactured in industrial area. There were difference in environmental risk perception, knowledge and trust in authorities and perceived benefit among residents and workers. Especially, trust in authorities and perceived benefit were statistically significant difference among residents and workers. Inverse relationships between environmental risk perception and perceived benefit have been observed for different products. In other words, the greater the perceived benefit, the lower the perceived risk, and vice versa. Factors mostly associated with participant's characteristics of environmental risk perception were age. marriage status (workers), education level (workers). There was statistically significant difference. Perceived benefit was statistically significant difference with sex, marriage status, residence duration, education level (workers). Related factors of environmental risk perception among residents and workers were age, trust in authorities. And factors affecting the perceived benefit were sex, age, education level (workers), and trust in authorities (workers). According to the results, people having high trust in the authorities perceived less risks than people having low in the authorities. To improve the communication of risk information, further study focus on assessment of experts, government and stakeholder in industrial area. Methodologies of this study can be used as the basis for investigating the structure of public perception of environmental products risks and benefit, designing a public information and risk communication program, and developing policy actions to improve acceptance.

• 한국지역사회생활과학회지
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• 제22권4호
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• pp.655-668
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• 2011

Although consumer ethical behavior related with illegal copies of digital software has been considered to be an important issue, not many studies have attempted to examine the issue. Firstly, this study attemped to explain the moral judgment and intention to make illegal copies of smart phone applications for college students. Secondly, psychological factors such as moral intensity and perceived risk related to making illegal copies were tested to be significantly different in individual characteristics such as experience of ethical education and past experience of making illegal copies of software, sex, age and household income. Thirdly, the effect of related factors such as psychological factors and individual characteristics was estimated to significantly influence moral judgment and intention to make illegal copies. Two step method(using LIMDEP program) was applied to estimate the model as a structural equation model. According to the results of this study, magnitude of consequences, financial risk and performance risk were found to be significantly different in income groups(less than middle class vs more than middle class). Prosecution risk was found to be significantly different in gender groups(female vs male). In addition, social consensus, financial risk, performance risk and prosecution risk were found to be significantly different in ethical education groups(experience vs no experience). Furthermore, moral judgment for making illegal copies of smart phone applications was found to be significantly influenced by income, ethical education, magnitude of consequences, temporal immediacy and social consensus. And intention to make illegal copies of smart phone applications was found to be significantly influenced by moral judgment, age, financial risk, performance risk and prosecution risk.