• Journal of Preventive Medicine and Public Health
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• 제52권2호
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• pp.115-122
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• 2019

Objectives: The aim of this study was to assess knowledge, attitudes, and practices regarding tuberculosis (TB) in the general population in Timor-Leste. Methods: In the nationally representative cross-sectional 2016 Timor-Leste Demographic and Health Survey, 4622 men (aged 15-59 years) and 12 607 women (aged 15-49 years) were randomly selected using stratified multistage sampling and interviewed. Results: Overall, 66.9% of men and 62.8% of women were aware of TB, 4.4% of men and 12.6% of women had TB courtesy stigma, and 83.3% of men and 88.6% of women reported intention to receive TB treatment. The $mean{\pm}standard$ deviation overall TB knowledge score was $3.9{\pm}2.0$ (out of 8) among men and $3.0{\pm}1.8$ among women. In a multivariable linear regression analysis, among both men and women, older age, higher education, rural residence, and sources of TB information (family/friends, school/workplace, health care provider, Internet, television, and newspaper) were associated with higher TB knowledge scores. In addition, among women, higher wealth status and having heard about TB from the radio were associated with higher TB knowledge scores. Negative associations with TB courtesy stigma were found for urban residence and having heard about TB from family or friends among men, and for older age, higher TB knowledge, and TB information sources (family/friends and school/workplace) among women. Among both men and women, higher TB knowledge scores and having heard of TB from a health care provider were associated with intention to receive TB treatment. Conclusions: This study identified socio-demographic risk factors for deficiences in population-based TB knowledge in Timor-Leste; these findings should be considered when designing TB communication, prevention, and control strategies.

• 대한간호학회지
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• 제49권1호
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• pp.46-58
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• 2019

Background: Dating violence refers to violence occurring between people in an intimate relationship. Forms of dating violence are often categorized into physical, psychological, and sexual violence, and most existing literature has followed this frame. However, few studies have focused on the phenomenon of living under the perpetrator's coercive control in victims of dating violence, although those experiences are known to be signs of severe forms of violence later on. Purpose: The purpose of this study was to explore the experiences of being coercively controlled in female victims who had experienced dating violence. Method: For this study, in-depth interviews were conducted with a total of 14 female victims, and all interviews were audio-recorded and transcribed. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. Results: Three themes were derived in chronological order: idealizing the relationship (period of potential control), facing severer tyranny (period of coercive control), and escaping from the unending trap (period of post-control). The results showed that the victims experienced perpetrators' control with specific patterns. The perpetrators' controlling behaviors were invisible, literally benevolent, at the beginning; however, severe forms of violence seemed to appear as their relationship deepened and the perpetrators failed to control the victims. Conclusion: Findings from this study presented vivid experiences of female victims who needed help and care. Hopefully, the results can benefit in terms of developing evidence-based prevention strategies for victims as well as assessing the risks of severe forms of dating violence, such as physical attack or murder.

• Biomolecules & Therapeutics
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• 제27권1호
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• pp.107-116
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• 2019

The global obesity epidemic and associated metabolic diseases require alternative biological targets for new therapeutic strategies. In this study, we show that a phytochemical sulfuretin suppressed adipocyte differentiation of preadipocytes and administration of sulfuretin to high fat diet-fed obese mice prevented obesity and increased insulin sensitivity. These effects were associated with a suppressed expression of inflammatory markers, induced expression of adiponectin, and increased levels of phosphorylated ERK and AKT. To elucidate the molecular mechanism of sulfuretin in adipocytes, we performed microarray analysis and identified activating transcription factor 3 (Atf3) as a sulfuretin-responsive gene. Sulfuretin elevated Atf3 mRNA and protein levels in white adipose tissue and adipocytes. Consistently, deficiency of Atf3 promoted lipid accumulation and the expression of adipocyte markers. Sulfuretin's but not resveratrol's anti-adipogenic effects were diminished in Atf3 deficient cells, indicating that Atf3 is an essential factor in the effects of sulfuretin. These results highlight the usefulness of sulfuretin as a new anti-obesity intervention for the prevention of obesity and its associated metabolic diseases.

• 디지털융복합연구
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• 제16권12호
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• pp.523-531
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• 2018

본 연구는 한국 임금근로자의 근무환경과 업무상 손상과의 관계를 확인하고자 시도되었다. 연구 자료는 4차 근로환경조사(2014) 자료를 이용하여 임금근로자 총 36,292명을 대상으로 분석하였다. 임금근로자의 개인적 요인을 통제한 후, 업무상 손상에 영향을 미치는 요인을 파악하기 위해 다변량 로지스틱 회귀분석을 수행하였다. 개인적 요인을 보정한 상태에서 건강이나 안전에의 위협정도(OR=3.77, 95% CI=2.934-4.844), 주당 49-59시간(OR=1.63, 95% CI=1.023-2.601) 혹은 60시간 이상(OR=2.66, 95% CI=1.683-4.197)의 근무시간, 육체노동직군의 직업분류(OR=1.76, 95% CI=1.218-2.536)가 업무상 손상에 영향을 미치는 요인으로 나타났다. 그러므로 업무상 손상 위험에 취약한 근로자 집단을 위한 업무상 손상 예방 및 관리 전략에 초점을 맞춘 정책적, 사회적 지원 노력이 요구된다.

• 디지털융복합연구
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• 제16권12호
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• pp.317-325
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• 2018

새로운 경제적 가치를 창출하고 국가경쟁력을 강화할 목적으로 세계 각국의 정부와 주요 민간 기업들은 빅데이터에 지속적인 관심과 과감한 투자를 하고 있다. 뉴스와 같이 객관적인 데이터를 수집하기 위해서, 데이터 무결성 및 품질의 확보는 전제되어야 한다. 포털 뉴스와 같이 객관적이고 방대한 데이터를 바탕으로 의사결정이나 트렌드 분석을 하고자 하는 연구자나 실무자의 경우, 기존 크롤러 방식을 이용할 경우 데이터 수집 자체가 차단되는 문제점이 발생한다. 본 연구에서는 Amazon Web Services (AWS)에서 제공하는 클라우드 서비스 플랫폼을 이용하여 기존 크롤러 방식의 문제점을 해결하여 웹 데이터를 수집하는 방법을 구현하였다. 또한 이를 바탕으로 국민의 안전과 직결되는 가스 안전 관련 기사를 수집하여 가스 안전과 관련된 이슈를 분석하였다. 본 연구를 통해 가스 안전을 확보하기 위해 5가지 분류, 즉 사고/발생, 예방, 유지/관리, 정부/정책, 그리고 대상 등을 기준으로 가스 안전을 위한 전략이 수립되고, 체계적으로 운영되어야 함으로 확인하였다.

• 융합정보논문지
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• 제9권8호
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• pp.53-62
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• 2019

본 연구는 수술실 간호사의 언어폭력유형, 정서적 반응과 대처와의 관계를 규명하기 위한 서술적 조사연구이다. 연구 대상은 종합병원 20곳 수술실에 근무하는 간호사 400명을 편의 추출하였고, 총 382부 중 372부가 분석되었다. 분석결과, 대상자가 경험한 언어폭력 가해자는 의사, 직속상사가 많았고, 대상자의 과반수이상이 이직을 생각하고 있는 것으로 나타났다. 언어폭력이 발생하는 상황은 수술동안 사용해야 할 혹은 사용 중인 장비가 기능을 못할 때가 가장 많았고, 폭력유형은 반말을 한다가 가장 높게 나타났다. 언어폭력경험은 결혼, 임상경력, 근무형태에 따라 유의한 차이를 보였고, 언어폭력 정서적 반응은 성별, 직위와 대처와는 연령, 학력, 임상경력, 직위와 유의한 차이를 보였다. 언어폭력 경험과 정서적 반응, 정서적 반응과 대처간의 유의한 상관관계가 있는 것으로 나타났다. 따라서 본 연구결과는 언어폭력 대처방법 및 예방교육 프로그램 개발에 일조할 것이다.

• 한국식품영양학회지
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• 제32권3호
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• pp.189-201
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• 2019

The objective of this study was to investigate the health status and nutritional intake of the old population living in Soonchang, Jeollabuk-do, Korea. 69 subjects aged 65 years and older were recruited in July 2016. The WHR, was significantly higher in elderly male group than elderly female group (p<0.05), but both groups had abdominal obesity (0.85 and over). T-score mean of elderly male and female groups were below $-2.5mg/cm^3$ that they were osteoporotic. In the elderly male group, the higher concentrations of creatinine, homocysteine and uric acid were found to be significantly unfavorable factors (p<0.001, respectively). The blood vitamin $D_3$ levels of elderly male group was significantly higher than that of elderly female group (p<0.05). The physical activity and self-rated health were significantly higher in elderly male group than in elderly female group (p<0.05, p<0.01, respectively). The nutrient intakes of male group were found to be significantly favorable factors than in female group. The score of mini nutrition assessment was significantly lower in elderly female group than in the elderly male group. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of disease of Korean elderly people living in rural areas.

• 한국콘텐츠학회논문지
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• 제19권5호
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• pp.497-510
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• 2019

본 연구는 간호사들이 외상환자를 돌봄에 있어 필요한 역량의 주요 영역을 분석함으로써 간호사 및 외상간호교육이 나아갈 방향을 제시하는 것을 목적으로 한다. 본 연구는 JBI(Joanna Briggs Institute)의 범주 문헌고찰(Scoping review) 매뉴얼에 따라 시행되었다. 주제어로는 trauma, $nurs^*$, $competenc^*$, $role^*$, attitude, knowledge and skills 이었으며, Pubmed, CINAHL, ProQuest, Web of Science, Scopus, ERIC의 6개 데이터베이스를 활용하여 문헌을 검색하였다. 문헌선정기준과 문헌배제기준에 따라 외상간호를 위한 간호사의 역량 도메인을 제시한 논문 8개를 최종 포함시켰다. 최종 논문 8개는 외상진료체계에 따라 분석한 결과 '병원 전 처치와 이송', '병원외상치료', '재활'의 역량을 포함하였으나 '손상예방'의 역량은 찾아볼 수 없었다. 또한 Lenburg의 COPA(Competency Outcomes and Performance Assessment) 모델의 각 역량을 바탕으로 도출된 역량 도메인을 분석하였다.

• Archives of Plastic Surgery
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• 제46권3호
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• pp.198-203
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• 2019

Background Professional affiliation between medical centers and professional sports teams can be mutually beneficial in the provision of healthcare and marketing strategy. Anecdotal evidence suggests a link between trauma volume and sporting events; however, there is limited data. This study aims to characterize the incidence of operative hand and facial trauma during professional baseball home games. Methods A retrospective review of surgical cases for traumatic hand or facial injuries at a level 1 center between 1999 and 2012 was performed. Demographic information including date of injury, admission status, and operative repair were collected. Patients were grouped based on whether their trauma occurred on the date of a home game. Results Operative hand and facial trauma occurred at a rate of 33.4 injuries per 100 days with home games, compared to 22.2 injuries per 100 days (incidence rate ratios, 1.50; 95% confidence interval, 1.34-1.69). When home games were played, patients were more likely to present as a result of motorcycle accidents (3.1% vs. 1.5%; P=0.04) or bicycle accidents (5.0% vs. 2.6%; P=0.01). Other mechanisms of trauma were not statistically different. There was an increase incidence of injuries during home games in August; weekly variability showed an increased incidence during the weekends. Conclusions There was an increased rate of operative hand and facial injuries on dates with professional home games. The incidence of injuries during home games was higher in the late summer and on the weekends. Further analysis may allow improved resource allocation and strategies for injury prevention and treatment.

• Safety and Health at Work
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• 제12권1호
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• pp.57-65
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• 2021

Background: The objective of this study was to elucidate the relationships musculoskeletal pains with combined vulnerability in terms of age, gender, and employment status Methods: The fifth European Working Conditions Survey (EWCS) in 2010 (43,816 participants aged 15 years and over) analyzed for European employees and the third Korean Working Conditions Survey (KWCS) in 2011 (50,032 participants aged 15 years and older) analyzed for Korean employees. In this study, three well known vulnerable factors to musculoskeletal pains (older age, female gender, and precarious employment status) were combined and defined as combined vulnerability. Associations of musculoskeletal pains with combined vulnerability were assessed with prevalence ratios (PRs) and 95% confidence intervals (CIs) estimated by Poisson regression models with robust estimates of variance. Results: The prevalences of musculoskeletal pains were lower but the absolute and relative differences between combined vulnerabilities were higher among Korean employees compared with the European employees. Furthermore, the increased risk of having musculoskeletal pains according to combined vulnerability was modestly explained by socioeconomic factors and exposure to ergonomic risk factors, especially in Republic of Korea. Conclusions: The results of this study showed that the labor market may be more unfavorable for female and elderly workers in Republic of Korea. Any prevention strategies to ward off musculoskeletal pains, therefore, should be found and implemented to mitigate or buffer against the most vulnerable work population, older, female, and precarious employment status, in Republic of Korea.