• 대한임상독성학회지
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• 제9권1호
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• pp.14-19
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• 2011

Purpose: Most paraquat poisonings are easily diagnosed by history taking on physical examination, however, some are failed to be diagnosed initially if the poisoning was veiled. The purpose of this study was to explore the clinical characteristics of veiled paraquat poisoning. Methods: We retrospectively reviewed the medical records of patients whose discharge diagnosis was paraquat poisoning in one university teaching hospital between 1 Jan, 2001 and 31 Dec, 2010. Veiled paraquat poisoning was determined when there was a positive urine paraquat kit in patients who did not mention paraquat poisoning in an initial physical examination or had unknown cause of pulmonary fibrosis, acute renal failure, or multi-organ failure. Results: Of the 117 patients with paraquat poisoning during the study period, 6 patients (5.1%) had veiled paraquat poisoning. The clinical characteristics were 1) proteinuria - 6 (100%), 2) increased creatinine - 4 (66.7%), 3) green skin stains - 2 (33.3%), 4) mucosal ulcer - 3 (50%). Blood chemistry results were variable. Conclusion: We should suspect veiled paraquat poisoning for patients who have proteinuria, increased creatinine, green skin stain, mucosal ulcer and vomiting, or if they have rapidly progressing acute renal failure or multi-organ failure with unknown cause, even if patients didn't mention about paraquat poisoning upon the initial physical examination. In cases with the above clinical conditions, a thorough repeated physical examination including history taking and use of urine paraquat kits should be performed.

• Safety and Health at Work
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• 제1권2호
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• pp.149-157
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• 2010

Objectives: To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods: A cross-sectional survey was conducted in which 184 saleswomen with a current episode of self-reported LBP working in a large up-scale department store filled out a battery of 6 self-administered questionnaires and received a standardised physical examination. Results: Saleswomen with concurrent LBP had low disability levels. Factors significantly associated with disability were pain intensity, measured by a visual analogue scale, in the past week (p < 0.001), physical and mental health status (p < 0.001, p = 0.003, respectively), fear avoidance scores for both work and physical activities (p = 0.031, p = 0.014, respectively), past history of LBP (p = 0.019), and self-reported frequency of pushing or pulling objects placed in high positions during work (p = 0.047). A significant level (45%) of the variance in disability status was explained by these variables. Conclusion: In clinical management of LBP workers who required prolonged standing, such as salespeople, clinicians should look for modifiable risk factors associated with disability. Specific measures need to be taken to prevent disability due to LBP among salespeople.

• 생명과학회지
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• 제34권3호
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• pp.208-213
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• 2024

본 연구는 노인의 우울증 예방 및 치료를 위해 신체활동과 운동이 어떠한 효과가 있는지를 확인하는 것이다. 전 세계적으로 우울증은 지속적으로 증가하는 추세이며 특히 가속화되어 가는 고령화 사회에서 노인의 우울증은 더욱 심각한 문제라고 볼 수 있다. 노인의 우울증은 젊은 층에 비해 예후가 좋지 않으며 노화로 인한 신체적 질병의 증가와 신체적 장애에 의한 자존감 저하로 더욱 취약하다고 할 수 있다. 그러나 노인들의 우울증 관리, 노쇠로 인한 우울증 등의 문제에도 불구하고 지금까지 예방 및 치료에 관한 연구는 미미하다고 판단된다. 따라서 본 연구는 중요한 매개 변인인 수면장애와 우울증, 우울증에 대한 운동과 해마의 연관성, 우울증 관리를 위한 신체활동 및 운동의 과학적 효과를 분석하였다. 추후 노인의 우울증 개선과 자살예방에 관한 다양한 연구들이 수행되어져야 할 것으로 여겨진다.

• 한국컴퓨터정보학회논문지
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• 제24권1호
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• pp.151-158
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• 2019

This study aimed to analyze the research trend related on obesity in physical education in Korea through the keyword network analysis and to establish a basic database for effective design of prospective studies. To achieve it the study crawled co-occured keywords with 'obesity' and 'physical education' from RISS and analyzed the list from 1990 to 2018. They include 25 journal papers and 38 dissertations. The results are as follows. First, recent 30 years 63 papers published in Korea with 'Obesity' and 'Physical Education', and there were 144 related keywords. Second, analyzing journals which have 'Obesity' and 'Physical Education', co-occured keywords in 4 centrality were 24 keywords(student, Korea, prevention, effect, level, body, activation, actual condition, lesson, child, investigation, participation, book, cause, activity, normal, degree, nutrition, physical strength, weight, elementary, light, inquiry, health), and 37 keyword occurred in top 30. Lastly, by CONCOR analysis the result could be divided into 2 clusters. One consists of the object of obesity and its invervention, and the other consists of negative keywords of obesity and its preliminery dimenstion. Through the result, this study showed the research trend which involves the concept of obesity in physical education in Korea. Through the result, prospective obesity research in physical education in Korea would be promoted.

• 대한인간공학회지
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• 제32권1호
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• pp.139-144
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• 2013

Objective: The current study investigated a non-obtrusive measure for detecting physical fatigue based on the analysis of formant frequencies of human voice. Background: Fatigue has been considered as a main cause in industrial and traffic accidents. Therefore, it is critical to detect worker's fatigue for accident prevention. Method: After running exercises on a treadmill, participants were instructed to read a sentence and their voices were recorded under four different physical fatigue levels. Korean vowels of "아", "어", "오", "우", and "이" from the voice recorded were then used to collect formant 1 frequencies. Results: Results of separate ANOVAs showed a significant main effect of physical fatigue on formant 1 frequency of "아", "어", and "이". Furthermore, post-hoc comparisons revealed that formant 1 frequency of "아" was most sensitive to physical fatigue level employed in this experiment. Conclusion: Formant 1 frequencies of some vowels significantly decrease as the physical fatigue level increases. Application: Potential application of this study includes the development of a measure of physical fatigue state that is free from sensor attachment and requires little preparation.

• 인지과학
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• 제15권4호
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• pp.31-47
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• 2004

본 연구는 아동들의 물리지식 발달을 알아보기 위해 수행되었다. 3세에서 11세 사이의 아동 80명과 성인 16명이 연구에 참여하였고 이들이 어떤 물리지식을 가지고 있는지, 이러한 물리지식이 물리이론의 형태로 체제화 되어 있는지, 어떤 발달적 변화가 일어나는지 등을 살펴보았다. 그 결과, 높은 곳에서 떨어지는 물체 과제에서는 물체의 낙하운동 자체에 대해서는 모든 연령의 아동이 정확한 지식을 가지고 있었다. 그러나 이러한 운동의 원인이 되는 힘인 중력, 관성력, 마찰력, 부력 등을 이해하고 여기에 관련된 다른 개념들을 이해하는데 있어서는 연령차가 있었다. 연령이 낮아질수록 중력보다는 지지의 유무로 낙하운동을 이해하고 물체의 무게와 공기의 저항과 같은 관련되는 다른 지식도 없는 것으로 나타났다. 경사면에서 미끄러지는 물체 과제에서는 물체의 움직임 자체는 모든 연령의 아동들이 정확하게 예측할 수 있었지만 이에 영향을 미치는 무게나 이 상황에서 작용하는 힘인 중력과 마찰력, 그리고 그들의 상호작용에 대해서는, 9세와 11세가 되어야 소수의 아동이 정확하게 이해할 수 있게 되는 것으로 나타났다. 물에 뜨거나 가라앉는 물체 과제에서는 5세 이하의 어린 아동의 경우는 상당수가 물체가 물에 뜨거나 가라앉는 현상 자체를 이해하는데 어려움이 있었다. 그 원인에 대해서도 9세와 11세 아동 중 소수가 부력이나 중력을 언급하였지만 이러한 지식도 완벽한 것은 아니었다. 그리고 부력에 관해서는 성인들조차 완벽한 지식을 가지고 있지 못한 것으로 나타났다. 이러한 결과를 종합하면 아동들은 약 5세경부터 자신의 물리지식을 물리현상의 원인을 설명하는 도구로 사용한다는 점에서 초보적인 수준의 물리이론을 가지고 있음을 알 수 있다. 그러나 응집성과 추상성 측면에서 보면 9세와 11세 아동들의 이론도 응집성이 부족하고 여전히 지각적 속성을 인과기제로 사용하는 등 추상성도 부족하였다. 마지막으로 아동들의 물리지식은 연령이 증가함에 따라 인과기제로서의 역할, 응집성, 추상성 등의 이론적 특성이 강해지는 방향으로 변화하는 뚜렷한 발달적 경향성을 보여 주었다.

• Archives of Plastic Surgery
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• 제38권6호
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• pp.775-782
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• 2011

Purpose: Nasal bone fracture is most common facial bone fracture. The cause of fractures is mainly trauma such as fighting, automobile accident and fall down, and it commonly involves young males. Very frequently nasal bone fractures are associated with other facial injuries such as orbital bone fracture, maxillary bone fracture and nasal septal deformities. Because of various dynamic directions of power are involved, phenomenon of fractures are also various and treatment cannot be simple. Methods: We studied and analyzed retrospectively 452 cases nasal bone fractures from January 2008 to December 2010. Diagnosis were made with physical examination, Nasal bone X-rays, Facial bone CT and 3D facial bone CT. Four surgeons are involved in treatments of these patients and applied different procedure along patient's condition and deformity. We analyzed the cause of nasal bone fractures, deformities, associate injuries and applied surgical technique, and patient's satisfaction rate. In this study, old nasal bone fractures were excluded. Results: Young male group was most commonly sustained nasal bone fracture and physical violence was most common cause of injury. 64 of 452 patient was involved associate injuries of face. Closed reduction were applied 246 cases and C-arm quide reduction were 167 cases and in 20 cases lateral osteotomy were applied. Approximately, more than 80% of the Patients were satisfied with the outcomes. Conclusion: Diagnosis and treatment of nasal bone fractures are considered simple but because of various deformity and associate injuries, treatment is not always simple and universal. Time to time, we face unsatisfied patient after treatment of nasal bone fractures. For obtaining satisfactory result, cause of injury and state of deformities and associate injuries such as nasal septal deformity should be evaluated properly and proper treatment should be applied.

• 대한간호학회지
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• 제17권2호
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• pp.145-152
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• 1987

The problem addressed by this study was to reveal what people of Korean rural villages think about the cause, treatment and prevention of illness. The purpose was to contribute to the building of a concept of health toward the development of Korean Nursing Theory. Subjects were residents of five districts among four counties in a farming area of Chonbuk province recommended by health workers as appropriate informants. They were interviewed in their homes, using ethnoscientific methods developed in anthropology. The research tool consisted of open questions developed through the literature and preliminary exploratory interviews. Data were analyzed by classifying each concepts of cause, treatment and prevention of illness or illness symptoms collated by frequency and percentage. The causes of illness are conceived as primarily concrete physical and natural, for examples, overeating, lack of energy, changes in the season and extreme temperatures. Compared to others studies, few supernatural causes related to traditional view of illness were identified. Concepts of the treatment of illness included formal treatments used by modern western or oriental physicians and traditional therapists. But folk medicine used by traditional healers or by the family in the home was most prevalent. The concept of illness prevention originated in the concept of the cause of illness, thus primarily physical and natural, for examples, nutritious food, limiting the amount of food, avoiding becoming cold. When the concept of illness of rural Korean is researched from a sociocultural aspect, the traditional views of an evil cause of ill health and treatment by supernatural methods is not found to be prevalent but folk medicine still occupies a large place in treatment which si often a complex mixture from many mysterious sources. The significance of this study lies in the fact that ethnonursing research can contribute basic data toward the development of Korean nursing theories. Modern western medical concepts have not been accepted unconditionally: traditional concepts are alive and dynamic in Korea and must be recognized in Korean nursing.

• 대한지역사회영양학회지
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• 제20권4호
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• pp.301-309
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• 2015

Objectives: While recent studies showed that coffee consumption reduced the risk of all-cause mortality, no study has examined the effect of coffee consumption on all-cause mortality related to sleep disorders. We aimed to examine whether sleep-related disorders would differently affect the association between coffee consumption and the risk of all-cause mortality among 8,075 adults aged 40 to 69 years. Methods: In a prospective cohort study, the study participants were biennially followed up for 12 years from 2001 to 2012. On each follow-up visit, the participants underwent comprehensive tests including anthropometric examinations, interviewer-administered questionnaires, and biochemical tests. Coffee consumption frequency and the amount were measured using a semi-quantitative food frequency questionnaire. Using death certificate data from Korean National Statistical Office, the vital status of each study participant was identified. Sleep-related disorders were examined with interviewer-administered questionnaires. We estimated Hazard ratios and the corresponding 95% confidence intervals from Cox Proportional Hazard models. Multivariable models were established after adjusting for center, total caloric intake, age, gender, body mass index, physical activity, education, smoking, drinking, hypertension, diabetes, total cholesterol, c-reactive protein, energy-adjusted food groups of refined grains, vegetables, fruits, meat, fish, and dairy. Results: Compared with those who had no coffee consumption, participants who had about three cups of coffee per day showed a reduced risk of all-cause mortality, after adjusting for covariates. Those who had a sleep-related disorder showed no significant effect of coffee consumption on the risk of all-cause mortality, whereas those who had no sleep-related disorders showed significantly reduced risk of all-cause mortality. Conclusions: Our findings suggested that approximately three cups of coffee per day would be beneficial to reduce the risk of all-cause mortality only among adults with no sleep-related disorders. Coffee consumption should be prudent for those with sleep-related symptoms.

• Clinical and Experimental Pediatrics
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• 제52권11호
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• pp.1194-1199
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• 2009

Child abuse is defined by a recent act or failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm; involved a child; and is carried out by a parent or caregiver. This report provides guidance in the clinical approach to the evaluation of suspected physical abuse in children, and role of pediatrician. The medical assessment is outlined with obtaining a medical history, physical examination, and diagnostic testing. A minor form of child abuse which only involves skin injury is most frequently seen by a pediatrician. This kind of child abuse can be followed by more severe forms of child abuse, which have high mortality rates and cause serious physical and mental sequelae to the survivor. Therefore, a pediatrician's role in an early detection and prevention of child abuse is very important.