• Tuberculosis and Respiratory Diseases
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• 제87권2호
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• pp.176-184
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• 2024

Background: Results of studies investigating the association between body mass index (BMI) and mortality in patients with coronavirus disease-2019 (COVID-19) have been conflicting. Methods: This multicenter, retrospective observational study, conducted between January 2020 and August 2021, evaluated the impact of obesity on outcomes in patients with severe COVID-19 in a Korean national cohort. A total of 1,114 patients were enrolled from 22 tertiary referral hospitals or university-affiliated hospitals, of whom 1,099 were included in the analysis, excluding 15 with unavailable height and weight information. The effect(s) of BMI on patients with severe COVID-19 were analyzed. Results: According to the World Health Organization BMI classification, 59 patients were underweight, 541 were normal, 389 were overweight, and 110 were obese. The overall 28-day mortality rate was 15.3%, and there was no significant difference according to BMI. Univariate Cox analysis revealed that BMI was associated with 28-day mortality (hazard ratio, 0.96; p=0.045), but not in the multivariate analysis. Additionally, patients were divided into two groups based on BMI ≥25 kg/m² and underwent propensity score matching analysis, in which the two groups exhibited no significant difference in mortality at 28 days. The median (interquartile range) clinical frailty scale score at discharge was higher in nonobese patients (3 [3 to 5] vs. 4 [3 to 6], p<0.001). The proportion of frail patients at discharge was significantly higher in the nonobese group (28.1% vs. 46.8%, p<0.001). Conclusion: The obesity paradox was not evident in this cohort of patients with severe COVID-19. However, functional outcomes at discharge were better in the obese group.

• 대한토목학회논문집
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• 제36권1호
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• pp.181-190
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• 2016

전 세계적으로 재난으로 인한 피해가 증가함에 따라 재난관리에 대한 관심이 높아지고 있다. 21세기 한국사회 역시, 메르스와 같은 신종 재난의 출현, 복합재난의 증가, 기후변화로 인한 재난의 대형화를 경험하고 있다. 본 연구에서는 이와 같이 복잡해지고 있는 한국의 재난 패턴을 분석하기 위하여 1948년부터 2014년까지의 한국에서 발생한 자연재난과 사회재난으로 인한 인명 재산 피해와 재난빈도의 관계를 살펴보았다. 또한, 우리나라 재난대응 조직에 변화를 가져온 사건들을 분석하여 멱함수와의 관계를 분석하였다. 연구 결과, 한국의 재난 피해와 빈도 사이의 관계는 멱함수 법칙을 따른다는 것을 확인하였으며, 이를 설명할 수 있는 함수식의 계수를 계산하였다. 이와 더불어, 우리나라 재난대응조직의 변화는 대규모 피해로 사회전반의 관심을 불러일으키는 "사회적 충격사건"들에 의해 유발되었으며, 이러한 사건들은 발생빈도는 낮지만 그 피해규모가 큰 사건들로서 멱함수의 긴 꼬리 부분에 위치한다는 것을 확인하였다. 연구가 갖는 정책적 시사점은 정규분포곡선으로 설명되지 않는 멱함수의 긴 꼬리 부분에 위치한 사건들에 주목하여 재난대응을 위한 정책 수립이나 조직 정비를 해야 한다는 것이다.

• 정신신체의학
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• 제29권2호
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• pp.136-143
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• 2021

연구목적 코로나바이러스 사태로 인해 전세계가 보건 위기와 큰 혼란의 국면을 맞은 가운데, 특히 재난 상황에서 시민의 건강을 위해 노력하는 공공 근로자들의 신체적, 정신적 스트레스가 과중해지고 있다. 본 연구는 공공 근로자들의 정신적 스트레스를 분석하고자 했다. 방 법 본 연구에서는 광명시 정신건강복지센터 홈페이지를 통해 모집한 531명의 공공영역 종사자를 대상으로 한국판 지각된 스트레스 척 도(Perceived Stress Scale, PSS), 한국판 우울증 평가도구(Patient Health Questionnaire-9, PHQ-9), 한국판 사건 충격 척도 수정판(Impact Event Scale-Revised, IES-R-K)을 시행하였다. 결 과 분석 결과에 의하면 코로나 19 관련 종사자들은 중등도 이상의 지각된 스트레스 반응(85.2%), 우울증상(22.2%), 외상 후 스트레스 관련 증 상(38.8%)을 보여, 상당한 스트레스와 우울증상을 경험하는 상태로 나타났다. PSS 총점은 PHQ-9, IES-R 총 점 및 IES-R의 하위 척도별 점수와 유의한 상관관계를 보여, 주관적으로 지각된 스트레스 반응 정도가 우울 증상과 연관되어 있음을 시사하였다. PSS, PHQ-9, IES-R 총점은 각각 모두 연령과 음의 상관관계를 보였다. 즉, 연령이 직무 스트레스 반응과 번아웃에 대한 보호요인으로 작용할 가능성이 있다. 결 론 향후에 공공영역 종사자 들의 정신건강에 관한 추가적인 연구가 필요하겠으며 정신건강 관리 및 적절한 개입이 마련되어야 할 것으로 사료된다.

• 환경영향평가
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• 제31권5호
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• pp.310-320
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• 2022

본 연구는 국내 최대 소셜 네트워크인 블로그 글을 대상으로 텍스트마이닝 및 네트워크 분석을 통해 COVID-19 발생 후 '박쥐'에 대한 대중들의 인식 변화를 파악하였다. 국내에서 COVID-19 발생전 2019년부터 2020년까지 9,241건의 네이버 블로그 글을 수집하였다. 수집된 자료는 파이썬(Python)과 NetMiner 4.3.2으로 분석하였고, 시기별로 도출된 키워드와 키워드 간 연관성을 통해 박쥐에 대한 대중들의 인식을 심층적으로 분석하였다. 분석결과, 2020년 박쥐 키워드의 출현 빈도는 2019년에 비해 25배 이상 증가하였고, 중심성 수치 또한 3배 이상 증가되었다. 네트워크 분석 결과, '박쥐'에 대한 인식은 COVID-19 발생전과 후 차이를 나타냈다. COVID-19 이전에 박쥐는 야생동물의 한 종(Species)으로 인식되는 경향성이높았던 반면, COVID-19 발생 초기인 2020년 상반기에는 전염병 및 건강 분야와 연관시켜 인간사회를 위협할 수 있는 존재로 강하게 인식하였고, 하반기에는 생태 및 문화 유형 비중이 높아지면서 박쥐에 대한 관심영역이 확장된 것을 확인하였다. 본 연구는 COVID-19 발생 이후 질병 숙주로서 박쥐의 잠재적인 영향에 대한 대중들의 관심과 인식 변화에 대한 정보를 제공함으로써 질병연구의 확장과 공중보건 관리, 미래감염병 대응을 위한 방향을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.158-163
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• 2020

Objectives: In the current early phase of the coronavirus disease 2019 (COVID-19) outbreak, Bali needs to prepare to face the escalation of cases, with a particular focus on the readiness of healthcare services. We simulated the future trajectory of the epidemic under current conditions, projected the impact of policy interventions, and analyzed the implications for healthcare capacity. Methods: Our study was based on the first month of publicly accessible data on new confirmed daily cases. A susceptible, exposed, infected, recovered (SEIR) model for COVID-19 was employed to compare the current dynamics of the disease with those predicted under various scenarios. Results: The fitted model for the cumulative number of confirmed cases in Bali indicated an effective reproduction number of 1.4. Interventions have decreased the possible maximum number of cases from 71 125 on day 86 to 22 340 on day 119, and have prolonged the doubling time from about 9 days to 21 days. This corresponds to an approximately 30% reduction in transmissions from cases of mild infections. There will be 2780 available hospital beds, and at the peak (on day 132), the number of severe cases is estimated to be roughly 6105. Of these cases, 1831 will need intensive care unit (ICU) beds, whereas the number of currently available ICU beds is roughly 446. Conclusions: The healthcare system in Bali is in danger of collapse; thus, serious efforts are needed to improve COVID-19 interventions and to prepare the healthcare system in Bali to the greatest extent possible.

• 한국도서관정보학회지
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• 제51권3호
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• pp.251-279
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• 2020

본 연구는 최근 코로나바이러스감염증-19(코로나19)가 도서관 내외부 환경에 미친 파장에 주목하고, 감염병의 사회적 확산에 따른 도서관계의 대응 활동 양상을 살펴보았다. 또한 도서관을 둘러싼 환경 변화를 가늠하기 위하여 텍스트 마이닝 기술을 활용해 뉴스의 보도 양상과 주요 이슈 변화를 분석함으로써 코로나19에 대한 국내 도서관계의 대응을 파악하였으며, 소셜미디어를 통해 도서관에 대한 이용자들의 인식과 요구가 어떻게 변화하였는지 알아보았다. 수집된 뉴스보도 1,852건과 도서관 관련 트윗 227,983건을 대상으로 주요 이슈를 도출한 결과, 비대면 상황의 장기화, 전자책 대출의 증가, 온라인 서비스 및 사서에 대한 기대감 향상, 도서관 공간 요구의 재조명이라는 시사점을 도출하였다. 마지막으로 언택트(비대면) 상황에서 제공된 도서관 서비스들의 대표 사례를 선정하여 장서, 서비스, 공간으로 구분·정리함으로서 향후 포스트 코로나 시대에 대응하는 도서관 서비스의 방향성을 가늠하고자 하였다.

• Clinical and Experimental Pediatrics
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• 제55권12호
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• pp.470-473
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• 2012

Purpose: The purpose of this prospective case-control study was to survey the detection rate of respiratory viruses in children with Kawasaki disease (KD) by using multiplex reverse transcriptase-polymerase chain reaction (RT-PCR), and to investigate the clinical implications of the prevalence of respiratory viruses during the acute phase of KD. Methods: RT-PCR assays were carried out to screen for the presence of respiratory syncytial virus A and B, adenovirus, rhinovirus, parainfluenza viruses 1 to 4, influenza virus A and B, metapneumovirus, bocavirus, coronavirus OC43/229E and NL63, and enterovirus in nasopharyngeal secretions of 55 KD patients and 78 control subjects. Results: Virus detection rates in KD patients and control subjects were 32.7% and 30.8%, respectively (P=0.811). However, there was no significant association between the presence of any of the 15 viruses and the incidence of KD. Comparisons between the 18 patients with positive RT-PCR results and the other 37 KD patients revealed no significant differences in terms of clinical findings (including the prevalence of incomplete presentation of the disease) and coronary artery diameter. Conclusion: A positive RT-PCR for currently epidemic respiratory viruses should not be used as an evidence against the diagnosis of KD. These viruses were not associated with the incomplete presentation of KD and coronary artery dilatation.

• 보건행정학회지
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• 제31권4호
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• pp.472-478
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• 2021

Background: Early identification of patients who are highly likely to develop severe illness among confirmed cases of coronavirus disease 19 (COVID-19) can be expected to lead to effective treatment. This study therefore aimed to determine whether the presence of nonalcoholic fatty liver disease (NAFLD) has an impact on the exacerbation of COVID-19 symptoms. Methods: The study used the Korean National Health Insurance claim data for treatment of COVID-19 patients in 2020. NAFLD includes nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH). The outcome variables used were hospitalization and the use of medical devices. Hospitalization was defined by a length of stay exceeding one day and the use of medical devices was defined as one or more uses of a ventilator or extracorporeal membrane oxygenation. Multivariable logistic regression analysis was performed to determine if there was a difference in the hospitalization and use of medical devices of COVID-19 patients depending on the presence of NAFLD. Results: The odds ratio of hospitalization was 1.059, indicating slightly higher odds of hospitalization for patients with NAFL or NASH compared to those without the conditions, but it was not statistically significant (0.969-1.156). On the other hand, the odds ratio of use of medical devices was high at 1.667 and was statistically significant (1.111-2.501). Conclusion: The study results found NAFLD to be a risk factor that can exacerbate symptoms in COVID-19 patients. Accordingly, it is necessary to identify NAFLD patients through preemptive screening and provide them with appropriate treatments.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.1-14
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• 2021

Objectives: The study aimed to analyze the effects of household financial difficulties caused by COVID-19 (2019 coronavirus disease) on suicidal tendencies of adolescents. Methods: We selected 54,948 middle and high school students who were surveyed based on the Korean Youth Risk Behavior Web-based Survey 2020. To analyze the data, we used the STATA 16.0 program to conduct propensity score matching (PSM). Results: After controlling for selection effects by using PSM, the household financial difficulties caused by COVID-19 maintained a significant predictive effect on increasing suicidal ideation, suicide attempts, and decreasing tendency in hospital-treated after suicide attempts. However, depressive symptoms and suicide plan did not show a significant correlation with household financial difficulties associated with COVID-19. Conclusions: It was found that the rate of suicidal ideation and suicide attempts among adolescents who experienced a household financial difficulties due to COVID-19. Therefore, It can provide empirical evidence for estimating the impact of COVID-19 on adolescent suicide rates.

• Journal of Preventive Medicine and Public Health
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• 제54권1호
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• pp.22-30
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• 2021

Objectives: The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency posing unprecedented challenges for health authorities. Social media may serve as an effective platform to disseminate health-related information. This study aimed to assess the extent of social media use, its impact on preventive behavior, and negative health effects such as cyberchondria and information overload. Methods: A cross-sectional observational study was conducted between June 10, 2020 and August 9, 2020 among people visiting the outpatient department of the authors' institution, and participants were also recruited during field visits for an awareness drive. Questions were developed on preventive behavior, and the Short Cyberchondria Scale and instruments dealing with information overload and perceived vulnerability were used. Results: The study recruited 767 participants with a mean age of about 45 years. Most of the participants (>90%) engaged in preventive behaviors, which were influenced by the extent of information received through social media platforms (β=3.297; p<0.001) and awareness of infection when a family member tested positive (β=29.082; p<0.001) or a neighbor tested positive (β=27.964; p<0.001). The majority (63.0%) of individuals often searched for COVID-19 related news on social media platforms. The mean±standard deviation scores for cyberchondria and information overload were 9.09±4.05 and 8.69±2.56, respectively. Significant and moderately strong correlations were found between cyberchondria, information overload, and perceived vulnerability to COVID-19. Conclusions: This study provides evidence that the use of social media as an information- seeking platform altered preventive behavior. However, excessive and misleading information resulted in cyberchondria and information overload.