• 대한감각통합치료학회지
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• 제8권1호
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• pp.27-40
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• 2010

목적 : 본 연구는 학교 방과 후 활동으로 감각통합치료를 제공하였을 때 작업수행요소와 더불어 작업수행영역인 학교에서의 기능적 과제수행에 미치는 영향을 알아보기 위하여 실시하였다. 연구 방법 : 실험은 대전 Y초등학교에 재학 중인 1-2학년 아동 3명을 대상으로 방과 후 활동 시간에 감각통합치료를 제공하였으며, 중재는 2010년 5월과 6월에 걸쳐 총 25회를 제공하였다. 감각통합치료효과를 알아보기 위해 단일집단 사전-사후 설계(one group pretest-posttest design)를 사용하였고, 작업수행요소에서의 변화를 알아보기 위하여 단축감각프로파일(SSP), 한국판 시지각 발달검사(K-DTVP-2), Bruininks-Oseretsky Test of Motor Proficiency 1(BOTMP)를 사용하였으며, 작업수행영역에서의 변화를 알아보기 위하여 학교에서의 기능적 과제 수행능력에 대한 평가(School Function Assessment)를 사용하였다. 결과 : 방과 후 감각통합프로그램(감각통합치료)을 적용한 결과 대상아동들은 작업수행요소인 단축감각력(SSP), BOTMP, 한국판 시지각 발달검사(K-DTVP-2)의 수치상 향상을 보였으며, 작업수행영역인 학교에서의 기능적 과제 수행(SFA)의 점수에서도 향상을 보였다. 결론 : 본 연구를 통해 방과 후 감각통합프로그램(감각통합치료)이 작업수행요소와 학교에서의 기능적 과제수행에 긍정적인 영향을 미친다는 것을 보여주었지만, 대상의 수가 적어 통계적 유의성을 찾는 데는 한계가 있었다. 따라서 향후 연구에서는 대상자의 수를 고려한 연구들이 필요할 것으로 사료된다.

• Environmental Analysis Health and Toxicology
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• 제29권
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• pp.18.1-18.9
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• 2014

Objectives The purpose of this study was to determine a separation method for each arsenic metabolite in urine by using a high performance liquid chromatography (HPLC)-inductively coupled plasma-mass spectrometer (ICP-MS). Methods Separation of the arsenic metabolites was conducted in urine by using a polymeric anion-exchange (Hamilton PRP X-100, $4.6mm{\times}150mm$, $5{\mu}m$) column on Agilent Technologies 1260 Infinity LC system coupled to Agilent Technologies 7700 series ICP/MS equipment using argon as the plasma gas. Results All five important arsenic metabolites in urine were separated within 16 minutes in the order of arsenobetaine, arsenite, dimethylarsinate, monomethylarsonate and arsenate with detection limits ranging from 0.15 to $0.27{\mu}g/L$ ($40{\mu}L$ injection). We used G-EQUAS No. 52, the German external quality assessment scheme and standard reference material 2669, National Institute of Standard and Technology, to validate our analyses. Conclusions The method for separation of arsenic metabolites in urine was established by using HPLC-ICP-MS. This method contributes to the evaluation of arsenic exposure, health effect assessment and other bio-monitoring studies for arsenic exposure in South Korea.

• Nutrition Research and Practice
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• 제6권1호
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• pp.35-44
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• 2012

This study was conducted to assess improvements in nutritional status following the application of nutrition education to elderly patients in a long-term care hospital. The study was carried out from January to May 2009, during which a preliminary survey, a pretest, the application of nutrition education, and a post-test were applied in stages. The number of subjects at pretest was 81, and the number of participants included in the final analysis was 61 (18 men, 43 women), all of whom participated in both the nutrition education program and the post-test. The survey consisted of general demographic items, health behaviors, dietary behaviors, the Nutrition Screening Initiative checklist, and nutrient intake assessment (24 hour recall method). The nutrition education program lasted for four weeks. It included a basic education program, provided once a week, and mini-education program, which was offered daily during lunch times. The survey was conducted before and after the education program using the same assessment method, although some items were included only at pretest. When analyzing the changes in elderly patients after the nutritional education program, we found that, among subjective dietary behaviors, self-rated perceptions of health (P<0.001) and of depression (P<0.001) improved significantly and that dietary behavior scores also improved significantly (P<0.001), while nutritional risk levels decreased. In terms of nutrient intake, subjects' intake of energy, protein, fat, carbohydrate, calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C all increased significantly (P<0.001). These results indicated that nutritional education is effective in improving the nutritional status of elderly patients. We hope that the results of this study can be used as preliminary data for establishing guidelines for nutrition management tailored to elderly patients in long-term care hospitals.

• 대한의사협회지
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• 제61권12호
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• pp.702-705
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• 2018

Advances in technology lead to advances in medical devices, and these advances have the positive effect of creating opportunities for beneficial developments in healthcare, such as innovating traditional healthcare processes or expanding opportunities for diagnosing and treating diseases. Nonetheless, device developers, suppliers, users, insurers, and patients all face the challenge of balancing patient safety and health effectiveness with a reasonable profit. In Korea, the New Health Technology Assessment system aims to introduce safe and effective health technology, but this is only effective for the entry of devices onto the healthcare market. This system is not enough for creating a healthy ecosystem in which high-quality technologies and devices survive in the market and naturally exit from the market if not successful. The nation must not lag in the rapid development of medical devices, but the concomitant requirement for patient safety is like two rabbits moving in different directions. There is not enough time to resolve each source of uncertainty for both developers and users. The early adoption of health technologies, including medical devices, offers new opportunities for treatment and diagnosis, but also poses unexpected health risks. Thus, we need to design a plan to generate scientific evidence related to medical devices after they introduced into practice. Additionally, regarding the use of individual medical devices, we believe that the creation of a healthy ecosystem for medical devices by implementing medical device surveillance culture is a way to manage the opportunities and risks of the early introduction of innovative medical devices.

• 한국컴퓨터정보학회논문지
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• 제22권6호
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• pp.109-114
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• 2017

In this paper, I propose the effects of food therapy on subjects' health and happiness. The result has come out that food therapy enhances subjects' multi-dimensional health(medical, functional, self-evaluative) and their happiness. The participants were 230 adults over 30 years old living in Seoul and Gyeonggi district. To examine the effect of food therapy, the study sampled 220 questionnaire out of 230. By the non-equivalent control group design, the health levels were measured in three concepts: medical dimension, functional dimension and self-evaluative dimension. The results are as follows: First, participants who had taken food therapy for 3 months have been enhanced in their subjective and functional health level. Their subjective health enhanced from $2.80{\pm}.44$ to $4.07{\pm}.27$ (p=.000). And their functional health enhanced from $.92{\pm}.07$ to $.94{\pm}.07$(p=.035). Second, participants' happiness has enhanced significantly. Cognitive happiness enhanced from $3.39{\pm}.50$ to $3.84{\pm}.44$(p=.000). And emotional happiness enhanced from $2.76{\pm}.44$ to $3.07{\pm}.34$(p=.000). With this results, in case that people apply food therapy based on Yaksun, they are able to expect their enhancement of health level and happiness. Therefore study shows that Food therapy helps people to pursue their health and happiness improvement and suggest valuable information of a way to enhance quality of life.

• Environmental Analysis Health and Toxicology
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• 제12권3_4호
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• pp.31-41
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• 1997

Public concerns about hazardous health effect from the exposure to organic by-products of the chlorination have been increased. There are numerous studies reporting that chlorination of drinking water produces numerous chlorinated organic by-products including THMs, HAAs, HANs. Some of these products are known to be animal carcinogens. The purpose of this study was to estimate health risk of DBPs by chlorinated drinking water ingestion in Seoul based on methodologies that have been developed for conducting risk assessment of complex-chemical-mixture. The drinking water sample was collected seperately at six water treatment plant in Seoul at March, April, 1996. In tap water of households in Seoul, DBPs were measured wilfh the mean value of 36.6 $\mu$g/L. Risk assessment processes,. which include processes for the estimation of human cancer potency using animal bioassay data and calculation of human exposure, entail uncertainties. In the exposure assessment process, exposure scenarios with various assumptions could affect the exposure amount and excess cancer risk. The reference dose of haloacetonitriles was estimated to be 0.0023 mg/kg/day by applying dibromoacetonitrile NOAEL and uncertainty factor to the mean concentration. In the first case, human excess cancer risk was estimated by the US EPA method used to set the MCL (maximum contaminant level). In the second and third case, the risk was estimated for multi-route exposure with and without adopting Monte-Carlo simulation, respectively. In the second case, exposure input parameters and cancer potencies used probability distributions, and in the third case, those values used point estimates (mean, and maximum or 95% upper-bound value). As a result, while the excess cancer risk estimated by US EPA method considering only direct ingestion tended to be underestimated, the risk which was estimated by considering multi-route exposure without Monte-Carlo simulation and then using the maximum or 95% upper-bound value as input parameters tended to be overestimated. In risk assessment for Trihalomethanes, considering multi-route exposure with adopting Monte-Carlo analysis seems to provide the most reasonable estimations.

• 환경영향평가
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• 제32권2호
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• pp.112-122
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• 2023

오염 토양의 생태적 기능을 회복하고 토양이 제공하는 생태적 서비스를 최대화하기 위해서는 오염물질에 의한 독성이나 위해성 외에도 토양생태계의 기능적인 측면인 생물서식처, 영양분 순환, 완충작용등과 같은 토양의 건강성을 고려하여야 한다. 본 연구에서는 정화토양의 건강성을 정량적으로 평가하는 방법을 제시하고 세척처리 및 토양경작처리 토양에 적용하여 제안한 평가방법의 적용 가능성을 살펴보았다. 토양의 생산성, 서식처, 수분보유능, 물질순환능, 완충능, 탄소보유능 등으로 토양 건강성 평가항목을 선정하고, 평가지표로 식물 성장, 지렁이 성장, 수분보유능, 미생물활성도, 양이온교환용량, 유기물함량 등을 활용하였다. 본 연구결과 오염물질 정화 후에도 토양 건강성이 온전히 회복되지 않는 것으로 나타났는데, 오히려 세척 토양의 경우와 같이 정화 전보다 건강성이 떨어지는 경우도 발생하였다. 반면에 유류 오염으로 인한 토양질의 변화는 크게 없는 반면, 토양건강성은 나빠지는 것으로 나타났으며, 경작처리 후 다소 개선된 토양질과는 달리, 토양 건강성은 여전히 회복하지 못한 것으로 나타났다. 따라서 본 연구 결과 오염과 정화과정 중에 토양의 정화 효과를 평가할 경우에는 토양질과 토양건강성을 함께 고려하는 것이 바람직함을 보여 주었다. 정화 토양의 지속 가능한 이용 및 생태계 서비스 증진을 위해 본 연구에서 제시된 정화 토양의 건강성 평가 방법이 유용하게 활용될 수 있을 것으로 기대된다.

• 한국안전학회지
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• 제39권3호
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• pp.60-67
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• 2024

This study aimed to identify challenges faced by occupational health and safety education institutions to derive and propose methods of improving occupational health and safety education. To achieve this, 13 personnel responsible for occupational health and safety education institutions were interviewed, resulting in the identification of 14 areas for improvement. Consequently, a survey was developed and conducted among 107 individuals from 195 occupational health and safety education institutions. The priorities of the 14 items were analyzed using methods such as the content validity ratio (CVR), paired t-test, locus for focus model, Borich's needs assessment, and effect size (Cohen's d). The research results highlighted significant challenges, including the importance of mitigating abnormal competition among occupational health and safety education institutions, improving awareness among employers and workers regarding the importance of occupational health and safety education, and developing programs that satisfy customer demands.

• 한국노년학
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• 제31권4호
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• pp.871-884
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• 2011

표준장기요양이용계획서는 노인장기요양보험 이용자와 가족의 급여이용을 지원하기 위한 목적으로 도입된 일종의 케어플랜이라고 할 수 있다. 본 연구는 가족수발자가 인지하는 표준장기요양이용계획서의 질과 만족도, 활용도를 파악하고 이들 간의 관계를 파악하는 것을 목적으로 한다. 연구자료는 2008년 11월~12월 현재 노인장기요양보험 1~3등급 판정을 받고 재가장기요양서비스를 이용하고 있는 수급자의 가족수발자를 대상으로 가정방문면접조사를 통해 수집하였고, 총 944명의 가족수발자 가운데 표준장기요양이용계획서를 읽어본 경험이 있으며 설문을 완성한 351명이 최종분석대상이 되었다. 조사도구는 가족수발자와 수급자의 인구사회학적 특성 및 장기요양특성, 질 측정항목(9개), 전반적 만족도 측정항목(1개), 활용도 측정항목(2개) 등을 포함하였고, 질, 만족도 및 활용도 간의 관계를 파악하기 위해 경로분석을 실시하였다. 연구결과, 표준장기요양이용계획서의 질은 장기요양 욕구평가 영역, 장기요양 이용계획 영역, 월 한도액 관리지원 영역 등 세 개 영역으로 구분되었고, 모든 영역이 만족도 및 활용도와 유의한 상관관계를 나타냈다. 다음으로 경로분석 결과, 표준장기요양이용계획서의 장기요양 욕구평가 영역의 질(간접효과, 경로계수=0.077)과 전반적 만족도(전체효과, 경로계수=0.324)가 활용도에 통계적으로 유의한 영향을 미쳤다. 본 연구결과는 표준장기요양이용계획서의 역할을 향상시키기 위한 전략을 개발하는데 도움이 될 것으로 기대된다.

• 한국소음진동공학회논문집
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• 제23권2호
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• pp.99-104
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• 2013

Assessment of noise exposed population is to check the environmental noise level and social influence in order to reduce the risks such as annoyance and disturbance that are generated by environmental noise. Also, this method suggests the preferential noise abatement policy and action plan by accurately finding the area that the noise causes harmful effect to human health. Recently, a noise map, which can predict noise in comprehensive areas, is used for the assessment of noise exposed population, breaking from the methods using existing measures. In particular, countermeasure for the noise can be considered more effectively by using assessment methods of noise exposed population for specific noise levels, areas, and building types which are the main input factors in noise maps. In this study, assessment methods of noise exposed population by using 2 dimensional noise map are compared with those by 3 dimensional noise map.