• Journal of the Korean Society of Food Culture
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• v.24 no.4
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• pp.351-358
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• 2009

The aim of this study was to compare the dietary patterns and behaviors of female university students according to their type of residence. The subjects consisted of 369 female students from the Gyeongju area. This cross-sectional survey was conducted using a self-administered questionnaire. The SPSS 14.0 statistical package was used for the data analysis. The results are as follows: the height and weight means were 162.7${\pm}$4.6 cm and 53.9${\pm}$6.7 kg respectively. For BMI, 44.2% of the subjects were with in the normal (18.5-23) and 49.1% were underweight and 6.2% were overweight. In terms of alcohol consumption, 78.9% of the subjects consumed alcoholic beverages, and there was no significant difference by the type of residence However, for drink proportion and the preferred type of alcoholic drink there were significant differences by the type of residence (p<0.001). Third, for smoking status and the intention of quitting smoking there were significant differences by the type of residence (p<0.000, p<0.05 respectively). Also, for exercise regularity and preference as well as food preference and taste, there were again significant differences by the type of residence (p<0.001). Finally, in terms of breakfast intake and kinds of foods eaten at breakfast significant differences were found by the type of residence (p<0.01).

• Korean Journal of Exercise Nutrition
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• v.23 no.3
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• pp.29-38
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• 2019

[Purpose] Effective nutritional intervention can help reduce the risk of nutritional problems and improve athletic performance in adolescents. The five A's (assess, advise, agree, assist, and arrange) model is widely used as the theoretical framework for advice on nutrition, smoking, drinking, and physical activity and it recommends that practitioners in primary health care promote behavior change to facilitate positive outcomes. This model has also been useful in understanding the underlying processes of behavior change. This study aimed to develop both a novel evidence-based nutritional intervention protocol, rooted in sound nutritional theory, and a customizable nutritional intervention program to support sustainable healthy eating, enhance nutrient intake, and improve athletic performance in adolescent athletes. [Methods] In this study, we adapted the 5 A's behavioral change model and motivational interview to develop a theoretical framework to help adolescent athletes change their behavior and achieve their goals. [Results] During each step of the 5 A's protocol, a customized nutritional intervention protocol was developed by nutrition experts for each of adolescent athletes. Each plan was developed to improve the eating habits of adolescent athletes through group education and counseling. All nutritional counseling sessions were designed to enable participants to apply nutritional knowledge and practical action plans to their training and competition conditions to enable each of them to achieve individual athletic goals and facilitate self-management. [Conclusion] A theoretical and evidence-based nutritional intervention protocol was developed to identify and address obstacles to healthy dietary habits in adolescent athletes. This could be used as the basis for further studies aimed at improving nutrient intake and athletic performance in adolescent athletes.

• The Journal of Pediatrics of Korean Medicine
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• v.38 no.2
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• pp.32-40
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• 2024

Objectives The main aim was to quantify forward head posture using POM Checker®, a postural balance analyzer, among elementary school students. Additionally, the study aimed to investigate whether postural imbalance improved following three sessions of the school doctor program focused on body posture correction. Methods The program was conducted as part of the school doctor program in Korean Medicine, featuring lectures by a designated Korean Medicine doctor at an elementary school. The curriculum covered the importance of maintaining correct posture and included posture correction exercises. Pre- and post-program self-reported surveys were administered, alongside postural measurements taken over three months at one-month intervals. The survey included data on gender, grade, lifestyle habits, and awareness of correct posture. Result Out of 73 participating students, 63 underwent body balance measurements from the upper grades of one elementary school. Survey results revealed significant variations in daily sitting hours and weekly exercise levels. Attendance at lectures increased knowledge about correct posture. Initial measurements of forward head posture categorized 41.0% and 1.6% of participants into caution and risk groups, respectively. After the second measurement, the caution group representation decreased to 3.2%, and by the third measurement, only 1.6% of participants remained in the caution group. Conclusions Improvements in the angle and understanding of forward head posture among elementary school students were observed before and after the Korean Medicine school doctor program. However, posture improvement may be temporary, necessitating consistent follow-up management and monitoring.

• Journal of the Korean Dietetic Association
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• v.30 no.2
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• pp.140-151
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• 2024

This study evaluated the effectiveness of an obesity program developed to solve 'obesity', which was selected as the top priority for urgent improvement among the dietary problems of elementary school students in Busan. The program aimed to practice four health rules every day (sleep early, eat two vegetables with each meal, reduce sugary snacks, and exercise for 30 minutes every day). The participants were trained to practice the four rules online in real time every day for three weeks, and their performance in nutrition education tasks was monitored using Padlet. The anthropometric measurements showed no change in the overall average weight before and after participating in the program, but all students grew in height (z=-6.978, P<0.001), and the number of obese students decreased significantly (z=-3.317, P<0.001). This obesity program was effective in improving height growth and obesity in elementary school students. In terms of dietary changes, after participating in the program, the frequency of vegetable consumption increased significantly (z=-4.849, P<0.001), the frequency of sweet snack consumption decreased significantly (z=-4.298, P<0.001), and the bedtime improved (z=-1.000). Therefore, the non-face-to-face, self-directed obesity program developed in this study is expected to reduce the workload of nutrition teachers carrying a heavy workload such as meal service and nutrition classes, and can be used as an efficient nutrition counseling program.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.663-668
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• 2010

Background: Spontaneous pneumomediastinum is an uncommon disorder with few cases reported. It usually occurs in young males and has benign self-limiting course without any apparent concomitant factor. It is seen after intrathoracic pressure changes leading to alveolar rupture. The clinical experiences of two medical centers were reviewed to aid in optimal management. Material and Method: Retrospective review between March 2003 and August 2010 with spontaneous pneumomediastinum patients was performed. Result: 24 patients were identified with a diagnosis of spontaneous pneumomediastinum. These 24 patients were comprised of 18 men and 6 women with mean age 18.9 years (range 10 ~ 33). The major initial complaints were chest pain (79.2%), throat pain (62.5%), and subcutaneous emphysema (41.7%). The triggering events were exercise (16.7%), coughing (12.5%) and vomiting (12.5%). No apparent triggering event was noted in 54.2% of patients. In all cases, chest radiograph and computed tomography was done. Diagnostic computed tomography was required in 25%. White blood cell counts and C-reactive protein (CRP) were checked, and their initial mean values were $9,790{\pm}3,240/{\mu}L$ Land $1.31{\pm}1.71mg/dL$, final mean values were $5,440{\pm}1,665/{\mu}L$ Land $0.72{\pm}0.73mg/dL$, respectively. 23 patients were admitted (average $5.0{\pm}1.8$) and the symptoms were self-limiting in all cases without complications. Conclusion: Spontaneous pneumomediastinum is a benign condition with mild inflammatory signs that often presents with chest or throat pain. Secondary causes must be ruled out to avoid an unfavorable outcome with less invasive study. Because of very rare complications and recurrence, outpatient basis and shortened hospitalization may be feasible.

• Journal of the Korean Data and Information Science Society
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• v.27 no.6
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• pp.1609-1619
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• 2016

The aim of this study was to identify the construct validity and reliability of a Korean version of the Wellness Evaluation of Lifestyle (K-WEL). A total of 345 nursing students completed the 99-item K-WEL. Construct validity using exploratory and confirmatory factor analysis were conducted using SPSS WIN 22.0 and AMOS 18.0. The final K-WEL consisted of 71 scored items, 14 subscales (self worth, work, spirituality, gender identity, love, friendship, realistic belief, leisure, exercise, nutrition, stress management, emotional responsiveness, sense of control, sense of humor) and 4 factors (essential, social, physical and coping self). Goodness of fit of the final research model was acceptable as shown by ${\chi}^2=225.12$, p<.001, CMIN/DF=3.17, RMSEA=.08, NFI=.87, IFI=.91, CFI=.91. The convergent validity and discriminant validity was evaluated by AVE (.61~.69) and C.R. (.79~.89). The Cronbach's alpha values were .55~.87 for the subscales of K-WEL. This study shows that the K-WEL is a valid and reliable measurement to assess multidimensional aspects of wellness.

• Korean Journal of Health Education and Promotion
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• v.21 no.1
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• pp.115-135
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• 2004

The purpose of this study was to examine the health knowledge, attitude and behaviors of Korea high school students and find out the relationship between knowledge, attitude and behaviors in an effort to lay the foundation for the development of health-promotion programs and health education for adolescents. The subjects were 505 students in their first and second year of high school in Gangnam-gu and Guro-gu, Seoul. After a survey was conducted for seventeen days from April 23 to May 9, 2003, with self-administered questionnaires, the collected data was encoded and analyzed with SPSS Win 11.0 program. The frequency, percentage, mean and standard deviation were calculated, and χ²-test, t-test, ANOVA, Scheffe Post Hoc Tests and Pearson Correlation procedure were employed. The findings of this study were as follows： 1. There appeared significant differences in general traits, family-related characteristics and health-related features between the students in Gangnam and the others in Guro. 2. The collective average of the Gangnam residents in health knowledge was 13.97, and that of the Guro residents was 14.64. The overall collective average was 14.35(total of 22 points), and 65.2 percent of the students investigated had a correct knowledge. The points showed significant differences in the variables of sex, economic status, mother's occupation,and health concerns. 3. The students from Gangnam scored a mean of 77.55 in health attitude, and the others from Guro got an average of 78.75. The overall collective average was 78.22(total of 110 points), and 71.1 percent took a correct attitude toward health. The points showed significant differences in the variables of sex, religion, mother's education level, health concerns. 4. In the field of health behavior, the Gangnam residents got a mean of 63.99, and the Guro dwellers scored a mean of 62.12. There was a significant gap between the two groups, and the overall collective average was 62.94(total of 102 points). 61.5 percent tried to stay fit in a correct behavior. The points showed significant differences in the variables of sex, economic status, parents' education level, father's occupation, health concern of parents, self-perceived health status, health concern, exercise or diet performance for health, health education times for 1yr. 5. Concerning the relationship of health knowledge to health attitude and behavior, the health knowledge showed significantly positive correlation with health attitude(r＝0.227, p＜0.01), and the health knowledge showed significantly positive correlation with health behavior(r＝0.262, p＜0.001). But their relationship is comparatively low. The health attitude was not significantly correlated to health behavior.

• Korean Journal of Community Nutrition
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• v.10 no.1
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• pp.36-45
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• 2005

The aim of this study was to investigate the dietary and lifestyle factors related to bowel pattern of female high school and college students in Gyeonggi Province. The total of 202 self-administered questionnaires (high school students 77 ; college students 125) were analyzed. All respondents were devided into four groups based on their self-reported pattern of defecation: 18 subjects ($9.0\%$) comprised the normal group, 73 ($36.1\%$) the constipation group, 73 ($36.1\%$) the constipation/diarrhea group, and 38 ($18.8\%$) the diarrhea group. Regularity of exercise was significantly higher in the college students than high school students, and times spending on a chair were longer in the high school students than college students. Most students ($72.7\%$) reported that they had stress. Fourty point six percent of the subjects reported that they had 3 meals per day, which tended to be higher in the normal and diarrhea group than constipation and constipation/ diarrhea group. Most students (69.7) skipped breakfast which was lower in the normal group than the other groups. The most preferred dietary fiber food was korean cabbage kimchi. Fifty-eight point four percent of the subjects reported that they had irregular bowel movement. Bowel movement was more irregular in the high school students than college students, and in the constipation group than the other groups. Of the subjects, $77.7\%$ had defecation frequency between three per week and three per day. Those who spent within 10 minutes for defecation were $79.6\%$, and those had difficulty in evacuating were $76.0\%$. High school students and those with constipation and constipation/diarrhea had a significantly lower defecation frequency, longer time spent at the toilet, and greater difficulty in evacuating than college students and normal and diarrhea group. The percentage of those who had feelings of residue in the intestine after defecation was $92.5\%$, and it was greater in the constipation or diarrhea group than in the normal group. Most students ($93.5\%$) reported that they had abdominal pain or discomfort. These results suggest that decreasing times spending on a chair, decreasing stress, keeping 3 meal per day at regular hours, and increasing dietary fiber intake are associated with desirable bowel pattern.

• The Korean Society of Law and Medicine
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• v.7 no.2
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• pp.9-74
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• 2006

Due to the awareness of their rights for medical liability and the advancement of legal principles, it becomes also not hard to find those who seek damages against hospitals, doctors and nurses for the suicide committed under the protection of psychiatric institute in Korea these days. Judgements on these kinds of cases are not enough yet, so that it may be too early to try to find principles used in these cases, however it is hardly wrong to read following things from above cases. That is, to gain the case, plaintiffs should show (1) there exists an obligation of "due care"(there is a special relation between patients and hospitals), (2) the duty is violated on the basis of the applicable standard of care, (3) whatever injures or damages are sustained are proximately caused by the breach of duty and (4) the plaintiff suffers compensable damages. To specific, whether a psychiatric institute was liable for wrong death or not depends upon the patients conditions, circumstances and the extent of the danger the patients poses to himself or herself; in short, the foreseeability of self-inflicted harm(the doctor should have or could reasonably have foreseen the patient's suicide and the doctor's negligence actually caused the suicide). In this context if a patient exhibit strong suicidal tendencies, constant observation should be required. Negligence has been found not exist, however, when a patient abruptly and unexpectedly dashes from an attendant and jumps out a window or otherwise attempts to injure himself or herself. And the standard of conduct that is required to meet the obligation of "due care" is based on what the "reasonable practitioner" would do in like circumstances. The standard is not one of excellence or superior practice; it only re quires that the physician exercise that degree of skill and care that would be expected of the average qualified practitioner practicing under like circumstances. Most of these principles have been established at cases of the U.S.A and Japan. In this article you can also find the legal organizations of medical liability and medical contacts on the suicide of patients who have psychiatric diseases under Korean negligence law.

• The Korean Journal of Rehabilitation Nursing
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• v.5 no.1
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• pp.7-17
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• 2002

The purpose of this study was to investigate the effect of taping therapy on activities of daily livings (ADL), hand function and range of motion in poststroke-hemiplegic patients. Sample were selected from 20 poststroke-hemiplegic patients at public health center in the period from September 5 to November 21, 2001. The research design was one group pretest-posttest design. The hemiplegia period of the participants was from one year to five years. The pretest and posttest included measuring activity of daily livings(ADL), instrumental activity of daily livings(IADL), hand function, range of motion, quality of life. In this research design, a treatment were to expose taping therapy who were received self-help management program. This self-help management program was composed of five sessions and each session had health education on stroke, diet, risk factor, ROM exercise and recreation. 20 patients were treated with kinesio taping(Nippon Sigmax Co., Ltd., Benefact(r), width 50mm). Tapes were applied to the Deltoid, Supraspinatus, Infraspinatus, Brachioradialis with paralyzed upper extremity. The taping therapy was performed once a week for 5 weeks. SPSS Win 8.0 was used for the data analysis. The results of this study were as follows: 1) The score of BADL was increased from 30.5 to 33.95 after program, and that was statistically significant(p=.019). 2) The score of IADL was increased from 11.6 to 12.75 after program, but that was statistically insignificant(p=.161). 3) The score of hand function was increased from 17 to 20.35 after program, and that was statistically significant(p=.026). 4) The shoulder's ROM(p=.000) and wrist's ROM(p= .004) were significantly increased. According to the results of this study, taping therapy is effective for improving ADL, hand function, ROM, quality of life. However, this study found no significant differences in IADL. Consequently, these findings showed that the taping therapy was effective in improvement of physical aspects(BADL, hand function, upper extremity's ROM) in poststroke-hemiplegic patients.