• 성인간호학회지
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• 제20권1호
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• pp.91-101
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• 2008

Purpose: The purpose of this study was to investigate the relationships between a experience of falling, fear of falling, depression, and perceived health status in urban areas. Methods: After obtaining Institutional Review Board (IRB) approval, a one-time, face-to-face, and private interview was conducted with each participant who was eligible and agreed to participate in this study from May 2007 to August 2007 by trained graduate-level nursing students. The questionnaires consisted of Fall Efficacy Scale, K-GDS, and SF-36. The collected data were analyzed with SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, and hierarchical regression. Results: The major findings of this study were as follows; 1) approximately 9% of participants had fallen within one year. Study participants reported moderate fear of falling(M=43.80); moderate physical health (M=42.31) and mental health(M=46.05); and low depression status(M=10.38). 2) there were significant differences in fear of falling according to gender, experience of falling, exercise, and depression. 3) significant factors influencing on fear of falling were experience of falling and physical health status. Conclusion: The results of this study indicate that nurses working closely with older adults should be taught the impact of previous falls and physical health status on fear of falling and need to reinforce exercise behavior for older adults who are vulnerable to fear of falling.

• 정보관리학회지
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• 제38권3호
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• pp.199-214
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• 2021

본 연구는 고령화 사회에서 국내 공공도서관 노인서비스 현황을 파악하여 개선점을 도출하기 위한 목적으로 수행되었다. 전국의 도시지역 공공도서관을 대상으로 온라인 설문조사를 수행한 결과 총 172개 도서관이 응답하였다. 연구 결과, 국내 공공도서관은 대체로 노인이용자의 중요성에 대해서 인식하고 있으나, 적극적인 대응에는 한계가 있는 것으로 나타났다. 도서관 장서 및 공간/시설에 대해 우선적으로 강화해야 할 영역은 큰활자·음성도서/정기간행물 장서 확충과 높은 서가의 책을 찾기 위해 직원에게 도움 요청이 가능하도록 해야 한다는 점으로 조사되었다. 도서관 서비스/프로그램의 경우 우선적으로 강화해야 할 영역은 사회참여 프로그램과 인문학 프로그램으로 분석되었다. 정보서비스 담당 사서들은 다른 노인서비스 기관과 차별화된 도서관만의 노인서비스를 제공하기 위해서 노인세대의 계층을 세분화하고 보다 전문화된 서비스 및 프로그램을 기획하여야 한다는 의견을 개진하였다.

• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.190-198
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• 2021

Objectives: Insufficient evidence exists regarding factors that affect screening adherence among people with a family history of diabetes, who comprise roughly half of all patients with diabetes. Therefore, we aimed to identify the determinants of diabetes screening adherence in adults with a family history of diabetes who had not yet been diagnosed with diabetes. Methods: This cross-sectional study was conducted at selected urban primary healthcare facilities in Tehran, Iran. The study population was clinically non-diabetic adults above 20 years of age with a family history of diabetes in at least 1 first-degree relative. All eligible people identified on randomly-selected days of the month were invited to join the study. Results: Among 408 participants, 128 (31.4%) had received a fasting blood glucose check during the last year. Using binary logistic regression, the independent predictors of screening adherence were knowledge of adverse effects of diabetes such as sexual disorders (odds ratio [OR], 3.05) and renal failure (OR, 2.73), the impact of family members' advice on receiving diabetes screening (OR, 2.03), recommendation from a healthcare provider to have a fasting blood glucose check (OR, 2.61), and intention to have a fasting blood glucose check within the next 6 months (OR, 2.85). Other variables that predicted screening adherence were age (OR, 1.05), job (being a housekeeper; OR, 3.39), and having a college degree (OR, 3.55). Conclusions: Knowledge of the adverse effects of diabetes, physicians' and healthcare providers' advice about the benefits of early disease detection, and family members' advice were independent predictors of screening adherence.

• Journal of Community Nutrition
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• 제6권3호
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• pp.131-136
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• 2004

The purpose of this study is to compare the relative risk of metabolic syndrome (MS) in middle aged adults with different body weights. 155 subjects living in urban Beijing were recruited from 24 neighborhood committees of urban Beijing. They were divided into normal weight, overweight and obese groups according to their BMIs. The general information of the subjects was collected using an interview-administered questionnaire. Standard procedure was followed to measure subject's weight, height and waist. Biochemical parameters (total cholesterol (TC), low- and high­density lipoprotein cholesterol (LDL-C ; HDL-C), triglyceride (TG), and fasting glucose) and blood pressure were also determined. The results indicated that the systolic and diastolic blood pressure, HDL-C of obese group was lower than that of the normal weight group. Fasting glucose of obese males was significantly higher than that of normal weight males. No significant difference of fasting glucose was found among female groups. No significant difference of TG was found among male groups, while TG of overweight and obese females was both significantly higher than normal weight females. There was no significant difference of TC and LDL-C among normal weight, overweight and obese groups in both males and females. The MS rate of obese males was significantly higher than the normal weight and overweight males, as was the female. The relative risk of MS in obese group was about 11 times higher (OR=11.249, $95\%CI$ = 3.812 - 33.191) than the normal weight group after adjusting for age, gender, smoking, drinking, family economic level and education status. It is concluded that obesity contributed to lower HDL-C, hypertriglyceride, hypertension and MS after controlling the effects of age, gender, socioeconomic status, alcohol drinking and smoking. Obese individuals have a higher risk of having MS than their normal weight counterparts.

• 한국초등과학교육학회지:초등과학교육
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• 제37권3호
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• pp.309-322
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• 2018

There is no doubt that science -and, therefore, science education- is central to the lives of all (NGSS, 2013). This manuscript focuses on ideas in astronomy that are at the foundation of elementary students' understanding of the discipline: the apparent motion of the sun explaining the day / night cycle on Earth. According to prior research demonstrating that neither children nor adults hold a scientific understanding of the big ideas of astronomy (NRC, 1996), understanding of concepts may base students' progress towards more advanced understanding in the domain of astronomy. We have analyzed the logic of the domain and synthesized prior research assessing children's spatial representation from an earth- and a space based perspective to develop a set of learning trajectories that describe how students' initial ideas about apparent celestial motion as they take school science can be build upon. In this study elementary students' representations were compared by their resident context including urban and rural. This study may present a first look at the use of a learning progression framework in analyzing the structure of astronomy education. We discuss how this work may eventually lead towards the development and empirical testing of how children learn to describe and explain apparent patterns of celestial motion.

• 지역사회간호학회지
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• 제16권2호
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• pp.148-156
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• 2005

Purpose: This study was to identify the relations among health-promoting behaviors. self-esteem and depression in the vulnerable elderly in an urban community. Method: The subjects were 185 vulnerable elderly adults aged over 65 in D city, who were selected through convenience sampling. Data were collected by a questionnaire survey. The tools used in this study are the HPLP developed by Walker(1987), the Self-esteem Scale developed by Rosenberg (1965), and the Geriatric Depression Scale developed by Yesavage & Brink(1983). Collected data were analyzed with the SAS program using descriptive statistics. Pearson's correlation coefficient, t-test, ANOVA, Duncan's multiple-range test and stepwise multiple regression. Result: Self-esteem and depression was in a negative correlation with each other (r=-0.21), but no significant correlation was observed between HPB and depression. HPB and self-esteem were in a positive correlation with each other (r=0.38). The most powerful predictor of depression was self-esteem and, next, leisure activity and the type of family living together. The three factors accounted for 41.1% of the variance in depression in the vulnerable elderly. Conclusion: These results suggest that self-esteem, leisure activity, and the type of family living together can be potential risk factors for old age depression. These findings may give useful information for developing visiting nursing service programs focused on depression in the vulnerable elderly.

• The Korean Journal of Ecology
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• 제25권6호
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• pp.383-389
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• 2002

Pb and Cd concentrations and reproductive progress of feral pigeons were investigated in urban (Seoul) and industrial complex (Ansan) areas from November 2000 to May 2001. Results of the Pb analysis for the feral pigeons from the Ansan industrial complex (egg contents: 1.13 $\mu$g/wet g, bones of adult: 10.5 $\mu$g/wet g) and Seoul (1.64 $\mu$g/wet g, 29.5 $\mu$g/wet g, respectively) indicated that the Pb level of eggs and bones of adults were significantly different between the two colonies (p<0.05). Cd concentrations in liver and kidney of adult pigeons were also significantly different between the Ansan (liver: 0.14 $\mu\textrm{g}$/wet g, kidney: 0.43 $\mu$g/wet g) and Seoul (liver. 0.24 $\mu$g/wet g, kidney: 1.05 $\mu$g/wet g) colonies. (p<0.05). However, egg size and thickness, incubation period and nestling growth rates did not differ between the study areas. Also, clutch size, number of young hatched per nest and number of young fledglings per nest did not significantly different in the noted areas. Considering the lead and cadmium concentrations of pigeons, these were not as high as those considered as results in toxic effects in other species, and the biological significance from these level differences is uncertain.

• 지역사회간호학회지
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• 제20권3호
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• pp.335-342
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• 2009

Purpose: This study was to identify the degree of the sense of mastery and health-promoting behaviors in the vulnerable female elderly of urban areas, and to determine factors influencing their health-promoting behaviors. Methods: The subjects were 253 vulnerable female elders aged over 60 in D City. Data were collected by a questionnaire survey. Analysis of data was done with the SPSS/WIN program. Results: The mean score of the sense of control was 15.8. It was significantly different according to living arrangement, and subjective health status. The mean score of health-promoting behavior was 3.8. It was significantly different according to living arrangement and subjective health status. Health-promoting behavior was affected more highly in subjects with a low degree of sense of mastery than in those with a medium degree of sense of mastery. Conclusion: These results suggest that the sense of mastery is an important variable for health-promoting behavior. These findings may give useful information for developing health-promoting programs focused on the sense of mastery in vulnerable female elderly adults.

• 대한지역사회영양학회지
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• 제4권1호
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• pp.57-63
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• 1999

This study was done to investigate the blood pressure, BMI and serum lipids of cerebrovascular accident patients in Seoul. The subjects were 195 Korean urban cerebrovascular accident patients who were hospitalized at Dong Seo Oriental Hospital in Seoul from June, 1997 to December, 1997. There were more cerebral infarction patients(164) than cerebral hemorrhage patients(31). Cerebral infraction patients were prevalent for subjects in their sixties, but cerebral hemorrhage patients were most commonly in their fifties. The BMI of cerebral infarction accidents was significantly higher than that of cerebral hemorrhage patients(p<0.05). Mean diastolic blood pressure of cerebral hemorrhage patients was significantly higher than that of the cerebral infarction patients(p<0.05). The mean systolic blood pressure of the cerebral hemorrhage patients was higher than that of the cerebral infarction patients, not statistically significant. The serum total cholesterol and glucose levels of the cerebral infarction patients was significantly higher than those of the cerebral hemorrhage patients(p<0.05). Serum total cholesterol(p<0.01), triglyceride(p<0.05) and LDH(p<0.01) levels of female subjects were significantly higher than those of male subjects. Serum total cholesterol has a negative correlation with serum GOT and GPT, but has a positive correlation with triglyceride. Serum triglyceride has a negative correlation with diastolic blood pressure but has a positive compellation with serum glucose.

• Safety and Health at Work
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• 제8권4호
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• pp.402-406
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• 2017

Transit workers constitute a blue-collar occupational group that have elevated smoking rates relative to other sectors of employed adults in the United States. This study analyzed cross-sectional tobacco survey data from 935 workers (60% African American; 37% female) employed at an urban public transit agency in California. Prevalence of current and former smoking was 20.3% and 20.6%, respectively. Younger workers were less likely than older workers to be current or former smokers. Having a complete home smoking ban was associated with decreased likelihood of being a smoker [odds ratio (OR) = 0.04, 95% confidence interval (CI) = 0.01-0.17], as were neutral views about whether it is easy for a smoker to take a smoking break during their shift (OR = 0.50, 95% CI 0.28-0.88). Current smoking among the sample is > 50% higher than the adult statewide prevalence. Potential points of intervention identified in this study include perceived ease of worksite smoking breaks and establishing home smoking bans. Tailored cessation efforts focusing on older transit workers more likely to smoke are needed to reduce tobacco-related disparities in this workforce.