• 대한간호학회지
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• 제44권4호
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• pp.391-397
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• 2014

Purpose: This study was done to examine the association between body mass index (BMI) and any type of clinical dementia. Methods: Participants were 60,321 people over 60 years of age enrolled in the Seoul Dementia Management Project in 2011. K-MMSE was used to classify participants as having a cognitive impairment and the Clinical Dementia Rating or DSM-IV by psychiatrists or neurologists to determine whether participants were in the dementia group or the non-dementia group. Descriptive statistics, chi-square test, and binary logistic regression analysis were performed. Results: In the univariate analysis, age, education level, living with spouse, BMI, alcohol consumption, and exercise were significantly associated with dementia. In multivariable analysis, increasing age was positively associated with dementia, and educational level was negatively associated with dementia. The exercise group had a lower prevalence of dementia than the non-exercise group. The odds ratio of dementia in the over-weight and obese groups compared to the normal group was 0.85 (95% CI 0.60, 0.98) and 0.64 (95%CI 0.46, 0.75), respectively. Conclusion: Results indicate that dementia is negatively associated with increasing BMI in people aged 60 years or older, but a prospective cohort study is needed to elucidate the causal effect relationship between BMI and dementia.

• Annals of Clinical Neurophysiology
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• 제20권2호
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• pp.79-84
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• 2018

Background: Pulsatility of cerebral arteries and aortic stiffness have been associated with white matter hyperintensities (WMH). We explored which is better correlated with the severity of WMH in a population with acute lacunar infarct. Methods: We included patients with acute small subcortical infarcts who underwent transcranial Doppler (TCD) and brachial ankle pulse wave velocity (baPWV). Exclusion criteria were any stenosis or occlusion on major cerebral arteries on magnetic resonance angiography; poor temporal insonation windows; ankle brachial index < 0.9; and atrial fibrillation. We assessed the performance of the pulsatility index of bilateral middle cerebral arteries (PI-MCA) and baPWV for predicting moderate-to-severe WMH, defined as an Age Related White Matter Changes score > 5, and then sought to find independent predictors using binary logistic regression analysis. Results: Eighty-three patients (56 males, mean age $61.5{\pm}11.4$) participated in the study. Uni-variate analysis showed old age and high PI-MCA were significantly correlated with moderate-to-severe WMH. However, baPWV was not associated with the severity of WMH. Multivariate analysis revealed old age (odds ratio per 1-year increase, 1.068; p = 0.044) and upper tertile of PI-MCA (odds ratio, 5.138; p = 0.049) were independently associated with moderate-to-severe WMH. Receiver-operating characteristics showed PI-MCA differentiated those with and without moderate-to-severe WMH with an area under the curve of 0.719. Conclusions: PI-MCA derived from TCD was better correlated with the severity of WMH than baPWV in a population with lacunar infarction. Pulsatility of cerebral arteries may better predict cerebral small vessel disease than the aortic stiffness index.

• 한국인구학
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• 제31권2호
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• pp.1-20
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• 2008

아시아 내에서의 혼인이동과 노동이동이 급증하는 현실에서 한국, 대만, 일본은 이민자들의 주요 유입국으로 부상하였다. 최근 들어 한국, 대만, 일본 정부는 이민자들을 수용하는 우호적인 사회분위기와 이들에 대한 사회적 지원 체계를 구축하기 위한 노력을 시도하고 있다. 이민자들에 대한 정책 마련을 위해서는 이민자들에 대한 일반인들의 태도가 어떠한지 알아보는 것이 필요하다. 따라서 이 연구는 국제사회조사프로그램(ISSP)의 2003년 '국가정체성' 모듈 자료를 활용하여 한국, 대만, 일본인들의 이민자에 대한 태도와 결정요인을 살펴보았다. 기술분석 결과에 따르면, 이민자 수 증가에 대하여 대만인은 가장 부정적인 응답을 하였고 다음으로 일본, 한국 순이었다. 한국의 경우는 이민자에 대한 태도가 복합적인 것으로 나타났다. 가령 이민자에 대한 반감은 가장 낮은 반면 동질적인 민족정체성에 대한 태도는 가장 높다. 또한 이민자들이 한국경제에 긍정적인 영향을 미칠 것이라는 응답은 높았으나 문화적인 다양성에 긍정적인 영향을 미칠 것이라는 응답은 가장 낮았다. 이항 로지스틱 분석을 통하여 이민자 수 증가에 대한 태도에 영향을 미치는 결정요인을 살펴본 결과, 개인의 연령은 부정적인 영향을 미치는 것으로 나타났다. 교육수준은 대만의 경우에는 긍정적인 영향을 미쳤으나, 한국과 일본에서는 통계적으로 유의미하지 않았다. 이민자에 대한 가치관은 3개국 모두에서 이민자 수 증가에 대한 태도에 유의미한 영향력을 나타내었다. 이민자에 대한 정책 수립에 있어서 가치관 교육이 시급한 것으로 판단된다.

• 한국미생물학회:학술대회논문집
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• 한국미생물학회 2008년도 International Meeting of the Microbiological Society of Korea
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• pp.171-171
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• 2008

We monitored the occurrence of human enteric viruses in urban rivers by cell culture-PCR and RT-nested PCR. Water samples were collected monthly or semimonthly between May 2002 and March 2003 in four urban tributaries. Enteric viruses were detected by RT-nested PCR and cell culture-PCR based on a combination of Buffalo Green monkey kidney (BGMK) and A549 cell lines, followed by phylogenetic analysis of amplicons. By RT-nested PCR analysis, 45 (77.6%), 32 (55.2%), 32 (55.2%), 26 (44.8%), 12 (20.7%), 2 (3.4%), 4 (6.9%), and 4 (6.9%) of 58 samples showed positive results with adenoviruses, enteroviruses, noroviruses (NV) genogroup I (GI) and II (GII), reoviruses, hepatitis A viruses, rotaviruses and sapoviruses, respectively. Adenoviruses were most often detected and only eight (13.8%) samples were negative for adenoviruses and positive for other enteric viruses in the studied sites. Thirty-one (77.5%) of the 40 samples were positive for infectious adenoviruses and/or enteroviruses based on cell culture-PCR, and the frequency of positive samples grown on A549 and BGMK (65.0%) was higher than that grown on BGMK alone (47.5%). The occurrence of each enteric virus, except reoviruses and hepatitis A viruses was not statistically correlated with the water temperature and levels of fecal coliforms according to Binary logistic regression model. By sequence analysis, most strains of adenoviruses and enteroviruses detected in this study are similar to the causative agent of viral diseases in Korea and most NV GI- and GII-grouped strains were closely related to the reference strains from China and Japan, and GII/4-related strains had similar sequences to strains recognized as a worldwide epidemic outbreak. Our results suggested that monitoring human enteric viruses is necessary to improve microbial quality and cell culture-PCR using the combination of A549 and BGMK cells and the adenovirus detection by PCR could be useful for monitoring viral contamination in the aquatic environment.

• 한국콘텐츠학회논문지
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• 제20권1호
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• pp.519-529
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• 2020

본 연구는 대학생의 학업성취 예측모형을 구축하여, 각 요인간의 상호관계와 상대적 영향력을 밝히는데 목적이 있다. 이를 위해 J 대학 재학생 1,310명의 학습자 개인요인과 학습전략 요인을 설문하였으며, 그 결과를 데이터마이닝 기법인 의사결정나무 분석을 통하여 학업성취 예측요인의 변별과 패턴을 분석하고, 각 요인의 상대적 영향력을 살펴보기 위한 이항 로지스틱 분석을 실시하였다. 분석결과, 학업성취를 예측하는 가장 중요한 요인은 효능감으로 나타났으며, 이외 학습동기, 시간관리, 우울이 학업성취를 예측하는 요인으로 나타났다. 학업성취를 예측하는 요인의 패턴은 효능감과 시간관리 수준이 높은 경우와 효능감이 중간 수준이더라도 학습동기가 높은 경우로 나타났다. 효능감과 학습동기가 낮거나 우울이 높은 경우 학업성취를 감소시키는 것으로 나타났다. 이러한 결과를 토대로 대학생의 학업성취 향상을 위한 효능감과 학습동기 향상, 시간관리 교육 강화, 부정적 정서 관리 등을 제안하였다.

• 기술혁신학회지
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• 제9권4호
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• pp.812-841
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• 2006

본 연구는 중소벤처평가지표의 개선을 위해 t-test, 요인분석, 로짓회귀분석을 이용하여 평가지표의 판별력을 분석하였다. 연구결과를 요약하면 하면 다음과 같다. 첫째, 중소벤처평가지표의 분류정확도가 93%를 보이고 있어 기존 재무비율을 이용한 선행연구의 예측력과 비슷한 것으로 나타났다. 둘째, 통상적으로 중소벤처지원기관의 평가지표는 기술성지표, 사업성지표, 시장성지표로 구성되어 있는데 본 연구의 요인분석 결과 6개의 평가지표로 구성되는 것이 바람직함을 보이고 있다. 셋째, 중소벤처성과에 영향을 미치는 요인들로, 기존 연구에서도 주장된 기업가정신(entrepreneurship)을 나타내는 경영자기술역량, 경영자경영역량 그리고 사업성인 것으로 나타났다. 그리고 이들의 비중(영향정도)는 비슷한 것으로 나타났다.

• 한국치위생학회지
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• 제18권2호
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• pp.227-237
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• 2018

Objectives: This study aims to recognize the importance of dental hygiene process diagnosis of dental hygiene process which can comprehensively grasp the patient's problem and to use it as a basis for establishing the patient's preventive treatment plan. Methods: This study did survey to 443 patients who received treatment based on the oral health care program from a dental clinic in Busan from January 2015 to January 2017. Data analysis was performed using IBM SPSS Statistics (Version 21.0), and statistical significance level was set at ${\alpha}=0.05$. Binary logistic regression analysis was performed to the dental hygiene problems affecting the dental hygiene plan. Results: There were significant differences in dental hygiene problems between male and female respondents on various dental problems such as dental plaque deposition, attrition, stain, dental fear, possibility of jaw joint disorder, food pressing, possibility of malocclusion. There were also significant differences in dental hygiene plans between male and female respondents in air-Jet, non-smoking education, and sealant. The most common dental hygiene plan was scaling, The problem of stain showed that the scaling plan was 0.20 times less. The explanatory power of the model was 43.5%, and the Hosmer and Lemeshow tests were 0.345. Conclusions: Therefore, if we continue to study the factors affecting the dental hygiene problems and the plan, we can reduce the burden of the dental hygienists applying the dental hygiene process in the dental clinic. And, it is expected that the oral health care program using the dental hygiene process will spread to the dental clinic as an excellent oral preventive program.

• 치위생과학회지
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• 제21권3호
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• pp.133-139
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• 2021

Background: Smoking in adolescence leads to an intensified addiction to nicotine when physical and mental growth has not yet been completed. With the advent of e-cigarettes, the rate of e-cigarette use among Korean adolescents has been steadily increasing. To date, studies on e-cigarettes and oral health, especially on the relationship between smoking styles and oral health in adolescents, are limited. Therefore, this study aimed to identify the risk factors for oral health problems caused by the repeated use of conventional cigarettes and e-cigarettes. Methods: This explanatory research study compared the adolescents' experiences of periodontal disease symptoms according to smoking type through a secondary analysis of the original data from the 15th Adolescent Health Behavior Survey (2019). Cross-analysis was performed to compare the smoking patterns according to the adolescents' general characteristics. Finally, a binary logistic regression analysis was performed to determine how smoking characteristics affect the adolescents' experience of periodontal disease symptoms. Results: In terms of patients' general characteristics, significant differences were observed in sex, school level, grades, household economic status, type of residence, and father's education level between adolescents who smoked conventional cigarettes alone and those who smoked both conventional cigarettes and e-cigarettes (p<0.05). After checking the factors affecting the smoking pattern and the experience of periodontal disease symptoms in adolescents, it was found that the duplicate smoking group was more likely to experience periodontal disease symptoms (odds ratio, 1.20) than the group that smoked conventional cigarettes alone (p<0.05). Conclusion: Duplicate smokers experienced more symptoms of periodontal disease than those who smoked cigarettes alone. Based on the findings of this study, smoking cessation counseling according to the smoking type and differentiated education for oral health promotion should be provided.

• 치위생과학회지
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• 제19권1호
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• pp.48-59
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• 2019

Background: The purpose of this study is to provide the data for discussions related to oral health promotion policies for single-person households by analyzing the status of unmet dental needs and related factors in single-person households in Korea, based on the Anderson model. Methods: The data, obtained from 544 single-person households of those over 20 years old who were targeted for the 6th Korea National Health and Nutrition Examination Survey, were analyzed through a complex sample frequency analysis, complex sample cross analysis (Rao-Scott chi-square test), and complex sample binary logistic regression analysis on a complex sampling design. Results: The most frequently given reason for an unmet dental need among single-person households was economic (52.4%). Factors related to the unmet dental needs of single-person households are smoking, which is a predisposing factor; personal income levels, which are an enabling factor; chewing discomfort; and limited daily activities, which are need factors. Smokers, the high-income group, the chewing-discomfort group, and the limited activity group showed high unmet dental care experience. Smokers had a 2.75 times higher rate of unmet dental care than non-smokers, and the high-income group had a 5.29 times higher rate of unmet dental needs than the median group. The rate of unmet dental needs for the chewing discomfort group was 3.27 times higher than the non-chewing discomfort group, and the limited activity group had a 7.87 times higher rate of unmet dental needs than the non-limited activity group. Conclusion: It is necessary to map out policies designed to help maintain and promote met dental needs considered to be internally heterogeneous to single-person householders, based on the Anderson model.

• 보건행정학회지
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• 제33권2호
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• pp.118-128
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• 2023

Background: Personal socio-economic abilities are crucial as it affects health inequalities. These multidimensional inequalities across the regions have been structured and fixed. This study aimed to analyze health vulnerabilities by regional cluster and identify regional health disparities of self-rated health, using nationally representative cross-sectional data. Methods: This study used personal and regional data. Data from the Community Health Survey 2021 were analyzed. K-means cluster analysis was applied to 250 si-gun-gu using administrative regional data. The clusters were based on three areas: physical environment, health-related behaviors and biological factors, and the psychosocial environment through the conceptual framework for action on the social determinants of health. And binary logistic regression analyses were conducted to examine the differences in self-rated health status by the regional clusters, controlling human biology, environment, lifestyle, and healthcare organization factors. Results: The most vulnerable group was group 3, the moderate vulnerable group was group 1, and the least vulnerable group was group 2. The group 2 was more likely to have high self-rated health status than the moderate vulnerable group (odds ratio [OR], 1.023; p<0.001). And the group 3 showed low self-rated health status than the moderate vulnerable group (OR, 0.775; p<0.001). However, the moderate vulnerable group had significantly higher self-rated health status than the most vulnerable group (group 2: OR, 1.023; p<0.001; group 3: OR, 0.775; p<0.001). Conclusion: These results demonstrate that community members' health status is influenced by regional determinants of health and individual levels. And these contribute to understanding the importance of specific and differentiated interventions like locally tailored support programs considering both individual and regional health determinants.