• Nutrition Research and Practice
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• 제16권2호
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• pp.260-271
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• 2022

BACKGROUND/OBJECTIVES: The prevalence of obesity has been increasing in Korean children. As an unhealthy diet is known as one of the major determinants of childhood obesity, assessing and monitoring dietary fat intake of children is needed. SUBJECTS/METHODS: This analysis included 9,998 children aged 3-11 yrs from the 2007-2017 Korea National Health and Nutrition Examination Surveys. Dietary data were obtained from a single 24-h dietary recall. Intakes of total fat and fatty acids, including saturated fatty acid (SFA), monounsaturated fatty acid (MUFA), polyunsaturated fatty acid (PUFA), n-3 fatty acid (n-3 FA), and n-6 fatty acid (n-6 FA) were evaluated as the absolute amount (g) and proportion of energy from each fatty acid (% of energy). The total fat and SFA intake were also assessed according to compliance with dietary guidelines. Linear trends in the dietary fats intake across the survey period were tested using multiple regression models. RESULTS: Total fat intake significantly increased from 38.5g (20.3% of energy) to 43.4g (23.3% of energy) from 2007 to 2017. This increase was mainly accounted for the increases in intakes of SFA (7.2% to 8.4% of energy) and MUFA (6.2% to 7.5% of energy). PUFA intake increased from 4.4 to 4.7% of energy during the 11-yrs period: from 0.57 to 0.63% of energy for n-3 FA and from 3.8 to 4.1% of energy for n-6 FA. The proportions of children who consumed amounts exceeding the dietary guidelines for total fat and SFA significantly increased from 2007 to 2017, with increases from 9.8% to 17.4% for total fat and from 36.9% to 50.9% for SFA. CONCLUSIONS: Prominent increasing trends in the consumption of total fat and SFA but tiny change in n-3 FA intake were observed in Korean children. The healthy intake of dietary fats should be emphasized in this population.

• 한국건설안전학회 논문집
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• 제4권1호
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• pp.1-8
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• 2021

현재 유행하고 있는 COVID-19는 '세계보건기구' 설립 이래 가장 많은 사망자가 발생한 대유행이다. 수많은 건설 프로젝트에도 상당한 영향을 미칠 것으로 예상된다. COVID-19가 건설업계를 강타한 이후, 그들이 감당해야 할 위험은 매년 줄어들었다. 그러나 COVID-19의 장기화로 인해 대기 지연, 자재 공급, 경제적 손실의 위험이 증가했다. 정확한 대책은 파악이 필요할 것이며 현재 건설사업 중 리스크가 더 큰 비중으로 완화될 수 있어야 한다. 따라서 이번 연구는 COVID-19로 인해 국내 건설사에 건설사업에 영향을 미친 위험요소를 분석하고 규명하는 것을 목적으로 한다. 이전 건설 프로젝트의 리스크를 바탕으로 조사, 가중치 부여 등을 통해 리스크 사례 연구, COVID-19 관련 리스크 등을 추출한다. 각 위험 요소는 AHP 분석 기법을 기반으로 계산된다. 이에 따라 COVID-19로 인해 건설공사 리스크 연구 결과가 달라질 것으로 예상된다. 그것은 현재 상황과 이후의 전염병 상황에 대처하기 위해 제시될 것이다.

• 한국병원경영학회지
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• 제27권2호
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• pp.34-43
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• 2022

Objective: Telemedicine service is gaining importance in remote military areas. This study aimed to explore the mediating effect of user satisfaction on the association between military telemedicine service's quality and customer loyalty. Methods: The research data comprised the results of a satisfaction survey on 1,116 military telemedicine satisfaction surveys conducted from November 1 to November 31, 2021. T-tests and ANOVA were analyzed to confirm the difference in satisfaction and loyalty according to the general characteristics of the study subjects. User satisfaction, customer loyalty, and mediating effects were analyzed using multiple linear regression analysis. Results: Among the study subjects, 458 were affiliated with the Army, 68 with the Navy, and 36 with the Air Force. Among the quality of telemedicine service, tangibility, reliability, and empathy affected user satisfaction while reliability and empathy affected customer loyalty. Since the standardized coefficient beta of empathy was 0.150 (P=0.018), it was confirmed that it significantly affected customer loyalty by mediating user satisfaction. Conclusion: The telemedicine service's quality affects users' satisfaction and customer loyalty. Moreover, there was the mediating effect of user satisfaction on the association between telemedicine service and customer loyalty. Therefore, the reliability and reliability of the current telemedicine service can be improved through the replacement of outdated equipment and performance improvement, expansion of medicines in telemedicine units, and improvement of medical services through periodic CS education to increase the customers' satisfaction and loyalty.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.66-77
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• 2022

Objective: This study is a systematic review conducted to analyze the environmental factors that cause falls in the older adult. Design: Systematic review Methods: The study was conducted by searching the Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), and Data Base Periodical Information Academic (DBpia) databases for literature published in South Korea up to July 2020. A total of 12 studies were selected for analysis based on the inclusion and exclusion criteria. Results: The results of the analysis revealed that all the selected literature were surveys and the study subjects were 65 years of age and above. The sample size ranged from a minimum of 95 subjects to a maximum of 3,278. A total of eight tools were used to measure the environmental factors associated with falls. The prevalence and recurrence of falls increase with age and deterioration of health. Older adult individuals who experience falls encounter difficulties in recovering from impaired physical function and disability; moreover, in severe cases, falls may lead to death. Falls are largely associated with a combination of intrinsic and extrinsic (i.e., environmental) factors. The purpose of this study was to assess potential extrinsic risk factors for falls. Falls occur in indoor environments, such as washrooms, bathrooms and living rooms, and outdoor environments, including roads and stairways, depending on the season, time of day, and use of ambulatory aids. In such environments, falls are mainly caused by slipping and stuttering. Conclusions: Therefore, as the rate of fall is influenced by several factors, extrinsic factors should be improved by developing comprehensive accident prevention programs that address the improvement of environmental risk factors around places of residence to reduce risk factors among the older adult, who, especially, are at a high risk for falls.

• Journal of Yeungnam Medical Science
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• 제39권4호
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• pp.309-313
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• 2022

Background: Because premed students do not take courses related to medicine during their first 2 years, they cannot establish their identity as students at medical schools, making it difficult for them to set goals as future doctors. We conducted an early clinical and basic laboratory exposure program for premed students and studied the effects of the program and student satisfaction levels. Methods: We performed an early clinical and basic laboratory exposure program for premed students for 2 days and evaluated the effects of the program and student satisfaction with it. The program consisted of two types: type 1, where two to four students formed a group, which was assigned to a particular department to participate and make observations during ward rounds, outpatient clinics, examinations, procedures, and surgeries (in the case of basic laboratory work, the students partook in experimental observations); and type 2, where one student followed a medical school professor to observe the professor's day. After the program ended, an online survey was conducted to investigate the effects on students, their thoughts, and satisfaction levels. Results: In total, 114 students (91.2%) responded to the survey. Approximately 94% of them were satisfied with the program. They found that the program would be useful for deciding on future career paths, gaining knowledge about a department of interest, studying for a medical program after premedical studies, and befriending residents and professors in certain departments. Conclusion: Early clinical and basic laboratory exposure programs are recommended for premedical students.

• Ecology and Resilient Infrastructure
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• 제9권1호
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• pp.59-67
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• 2022

The purpose of this study is to provide essential data necessary to assess ecological flow requirements by understanding habitat conditions for fish species through monitoring an ecological environment in the Korea stream (Dal Stream) and building related database. On-site surveys were conducted for identifying ecological and habitat conditions at the four monitoring sites. Fish sampling was carried out at the selected four sites (St.) during the period ranging from September, 2008 to September, 2009. At the four sampling sites, we measured water surface elevation, depth and velocity at the cross-sections. Optimal Ecological Flowrates (OEFs) were estimated using the Habitat Suitability Index (HSI) established for four fish species Zacco koreanus (St.1), Pungtungia herzi (St.2), Coreoleuciscus splendidus (St.3), and Zacco platypus (St.4) selected as icon species using the Physical HABitat SIMulation system (PHABSIM). Eighteen species (56.3%) including Odontobutis interrupta, Coreoperca herzi and C. splendidus were found endemic out of the 32 species in eight families sampled during this study period. The endangered species was collected Acheilognathus signifier, Pseudopungtungia tenuicorpa and Gobiobotia macrocephala, and this relative abundance was 9.4%. The most frequently found one was Z. platypus (31.3%) followed by C. splendidus (17.6%) and Z. koreanus (15.7%). The estimated IBI values ranged from 27.3 to 34.3 with average being 30.3 out of 50, rendering the site ecologically poor to fair health conditions. For C. splendidus (St.3), the dominant fish species in the stream, the favored habitat conditions were estimated to be 0.3-0.5 m for water depth, 0.4-0.7 m/s for flow velocity and sand-cobbles for substrate size, respectively. An OEFs of 8.5 m³/s was recommended for the representative fish species at the St.3.

• 한국산림과학회지
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• 제111권4호
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• pp.651-666
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• 2022

본 연구는 산림치유 프로그램의 효과를 검증한 국내연구를 체계적으로 정리하고 분석하여, 현재까지의 연구 현황과 기존 연구의 한계를 파악하고 앞으로 나아갈 방향을 제시하기 위하여 수행되었다. 최종 선별된 120편의 논문을 '학술지 정보', '연구대상자 특성', '프로그램 특성', '실험 디자인', '측정지표'를 중심으로 분석하였다. 농수해양학 분야에서 가장 많은 논문이 게재되었으며, 논문 수는 관련 논문이 처음 게재된 1996년 이후 점차 증가하는 추세를 보였다. 남녀 모두, 중장년기, 건강인을 대상으로 한 연구가 가장 많았다. 산림치유 프로그램은 연속형으로, 산림복지시설에서 진행한 경우가 가장 많았으며, 운동·정신·식물요법이 주로 활용되었다. 실험군과 대조군을 비교한 경우가 가장 많았고, 연구대상자의 수는 29명 이하가 대부분이었다. 자기보고식 설문을 통해 신체적·정신적 반응을 측정한 연구가 가장 많았다. 향후, 본 연구의 결과는 효과적인 산림치유 프로그램의 개발 및 관련 연구의 확장을 위한 기초자료로써 활용될 것으로 기대된다.

• 대한예방한의학회지
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• 제26권2호
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• pp.1-9
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• 2022

Objectives : The purpose of this study is to identify priorities for the 4th Comprehensive Plan for Korean Medicine Development using Delphi and AHP techniques. Methods : This study uses Delphi-AHP method to first, select the target priority policy based on the policy content of the 4th Comprehensive Plan. In addition, two surveys on the priorities were conducted to reach consensus between experts. The main results of the first survey were also provided to experts participating in the second survey to help form expert consensus. Finally, the final policy priority was chosen based on the second survey result. Results : Survey results showed that of the 39 policies in the 4th Comprehensive Plan, "improve the accessibility of Korean medicines," was the most important goal. This was followed by "support for Korean medicine R&D from clinical research to industrialization," "provide foundation for a pilot project that provides customized medical services" and "strengthen the public medicine function of Korean medicine by expanding the its infrastructure in national and public hospitals." Conclusion : The results showed that capacity building of Korean medicine in primary care, improvement of the health insurance system, and research centered on industrialization are relatively more important goals, while the need to enhance global competitiveness was much less important. These key points can serve as a reference when formulating the 5th Comprehensive Plan for Korean Medicine Development in the future.

• 인간식물환경학회지
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• 제23권3호
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• pp.377-385
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• 2020

Background and objective: In the Republic of Korea, military service is mandatory. Some of new recruits have the stress from the special environment, which could cause psychological maladjustment. The military forces have operated education programs such as green camp and healing camp. The study was conducted to investigate changes in psychological and physiological stress by conducting forest healing activities along with plant scent treatment for soldiers participating in a green camp. Methods: A total of 52 soldiers were participated including maladjustment soldiers and those recommended by their military units to protect the unfit soldiers who participated in forest healing activities in the green camp. The programs that were certified by the Korea Forest Service between 2014 and 2019, and were applied for stress reduction and relaxation training were classified into stress-coping programs and forest experience programs. Post-hoc surveys and cortisol measurements were carried out. Results: Green camp soldiers experience and differences in the level of stress responses were found to be very statistically significant between the treatment and control groups. The techniques for coping with stress were not significantly different in the control group, and the treatment group showed statistically significant results. In addition, the results of analyzing changes in the concentration of cortisol and measuring physiological stress were very statistically significant in forest healing activities at 4 p.m. Conclusion: Once green camp soldiers face stressful situations, forest healing programs using forest plant scents for green camp soldiers can have positive responses and forest healing activities can reduce psychological and physiological stress responses, improving maladjustment behaviors caused by stress and positively affecting the reduction of cortisol.

• Nutrition Research and Practice
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• 제16권3호
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• pp.405-417
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• 2022

BACKGROUND/OBJECTIVES: This study examined the changes in food behaviors of dietary fatty acids over 2007-2018 among Korean adults. SUBJECTS/METHODS: This study used data from the 4th (2007-2009), 5th (2010-2012), 6th (2013-2015), and 7th (2016-2018) Korea National Health and Nutrition Examination Surveys. A total of 46,307 adults aged 19-64 yrs were selected and dietary data were obtained from a single 24-h recall. In the 4th and 7th data, the major food sources for each fatty acid based on the contributing percentage of the food item were compared. The consumption trends in the major food sources were presented as grams per day over 2007-2018 and compared across the survey periods using the multiple regression model. RESULTS: From 2007 to 2018, for total fat, saturated fatty acid (SFA), and monounsaturated fatty acid, the contribution of animal food sources, including beef, chicken, and eggs increased but plant food sources (e.g., tofu, soybean, and plant oil) decreased. As polyunsaturated fatty acid sources, mayonnaise, eggs, and bread showed higher contributions, whereas soybean and tofu showed lower contributions in the 7th data compared to the 4th data. For n-3 fatty acids, the contribution of fish decreased between the 4th and 7th data. Over 12 yrs, the significant increases in the absolute amount of consumption from animal sources were observed. In contrast, decreases in the consumption from plant sources and fish were seen across the survey periods. CONCLUSIONS: In Korean adults, increases in the intake of dietary fatty acids along with changes in the food behaviors during 2007-2018 have evoked great concern for SFA intake, which is a cardiovascular disease risk factor. Healthy food sources of dietary fatty acids should be emphasized in this population.