• 대한물리의학회지
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• 제15권1호
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• pp.143-152
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• 2020

PURPOSE: This study examined the effects of videoconferencing-based telerehabilitation exercise program on the gait, knee function, and quality of life of patients with knee osteoarthritis. METHODS: Forty-eight subjects, who were diagnosed with osteoarthritis of the knee by the radiologic findings, history, and a physical examination, were assigned randomly to a Control group, Experiment group I, and Experiment group II. The control group did not perform any exercise program and were educated in understanding and managing the disease of knee osteoarthritis for only one hour. Experimental groups I and II were provided with an exercise guidelines book for knee osteoarthritis, and the same exercise programs were conducted by face-to-face visits and non-face-to-face using telerehabilitation for eight weeks, respectively. To verify the effectiveness of each exercise program, the gait speed, knee disability index, and health related quality of life were measured. All assessments were conducted twice before and after the intervention. RESULTS: The participants who underwent both face-to-face and telerehabilitation exercise programs showed an improved gait speed, knee function, and health-related quality of life. In particular, there was no significant difference between the telerehabilitation exercise group and the direct face-to-face exercise group in improving the knee joint function and health related quality of life. CONCLUSION: A these findings the telerehabilitation exercise program for patients with knee osteoarthritis can alternate or supplement the face-to-face exercise program. Therefore, the telerehabilitation exercise program should be used not only as a substitute supplement program but also as an intervention for various diseases.

• 농촌의학ㆍ지역보건
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• 제25권2호
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• pp.231-244
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• 2000

한국농촌의학회지 창간호(1976년 발행)부터 24권2호(1999년 발행)까지 총 3호에 게재된 연구논문을 종합 분석한 결과는 다음과 같다. 1. 총 34호에 게재된 전체논문수는 337편이었고 이중 원저논문수는 240편(71.2%)이었다. 원저논문은 1970년대에 13편, 1980년대에 73편, 1990년대에 154편으로 계속 증가하고 있었다. 2. 원저논문 240편의 저자수는 1명에서 10명까지였고 3인인 경우가 55편(22.9%)으로 가장 높았다. 공동저자수가 점차 증가하는 추이를 나타냈다. 연구기관수는 l개에서 5개까지였고 단일기관인 경우가 106편(44.2%)으로 가장 높았다. 1990년대에 오면서 3개이상의 연구기관들이 공동연구하는 양상을 뚜렷이 나타냈다. 3. 게재논문의 사용언어는 97.5%가 한글로 기술되었으며, 영어논문은 2.5%이었다. 원저논문에 연구비를 받았다고 표시된 논문은 24편(10.0%)이었다. 4. 원저논문의 연구영역별 분류에 의하면 보건 관리에 관한 논문이 105편(43.8%), 질병역학 연구논문이 96편(40.0%), 농촌환경 및 농민의 직업성 질환분야는 39편(16.3%)으로 순이었다. 1970년대에는 질병역학 12편(92.3%), 보건관리 1편((7.7%)이었다. 1980년대에는 질병역학 33편(45.2%), 보건관리 29편(39.7%), 농촌환경 및 농민의 직업성질환 11편(15.1%)이었다. 1990년대에는 보건관리 75편(48.7%)으로 가장 많았고 질병역학 51편(33.1%), 농촌환경 및 농민의 직업성질환 28편 (18.2%) 순이었다. 5. 각 영역별 연구주제별 분류에 의하면 농촌 환경 및 농민의 직업성질환 논문 39편중 농약중독 8편(20.5%)으로 가장 많았고 농부증, 비닐하우스증에 관한 논문은 각각 7편(17.9%), 사고손상 및 기타중독 6편(15.4%) 순이었다. 질병역학 논문 96편중 기생충 56편(58.3%)으로 가장 많았고, 비감영성질환 16편(16.7%), 감염성질환 12편(12.5%)순이었다. 보건관리 논문 105편중 의료이용행태 25편(23.8%)으로 가장 많았고, 보건의료체계 18편(17.1%), 모자보건 13편(12.4%)순이었다. 연대별 다빈도 10순위 연구주제별 분포에 의하면 1970년대에는 기생충 6편(46.2%), 비감염성질환 4편(30.8%)순이었다. 1980년대에는 기생충 28편(38.4%)으로 가장 많았고, 보건의료체계 9편(12.3%), 의료이용행태 7편(9.6%), 모자보건 5편(6.8%), 농약중독 4편(5.5% )순이었다. 1990년대에는 기생충 22편(14.3%), 의료이용행태 18편(11.7%), 노인보건 16편(10.4%), 보건의료체계 14편(9.1%), 감염성질환 10편(6.5%), 비감염성질환 10편(6.5%) 순이었다. 6. 원저논문의 연구설계방법은 분석적연구 115편(47.9%), 기술적연구 92편(38.3%), 실험적 연구 21편(9.2%), 증례보고 6편(2.5%)순이었다. 1970년대에는 기술적연구 13편(100%)이고, 1980년대에는 기술적 연구 47편(64.4%), 분석적연구 19편(26.0%)이었으며, 1990년대에는 분석적연구 96편(62.8%), 기술적연구 32편(20.9%)으로 나타났다. 통계처리방법으로는 3개 연구영역 모두 지술적통계량을 모든 논문에 시도하였고, ${\chi}^2$-검정, t-검정 순이었다. 이상의 결과에서, 한국농촌의학회지에 원저 논문의 게재가 점차 증가하고 있고, 저자수 및 연구기관수도 1990년대에 들어 증가하여 농촌의 보건의료에 관한 연구가 계속 활발히 이루어지고 있다고 판단된다. 연구영역을 분석한 결과 보건관리에 관한 논문이 가장 많았는데 1970, 1980년대에 질병역학 논문이 가장 많았지만 1990년대에 와서 보건관리 논문이 급증한데 기인한다. 연구주제별 분석결과 1970, 1980, 1990년대 공히 질병역학 영역에 속한 기생충에 관한 논문이 가장 많아서 그동안 우리나라 농촌에 기생충 문제가 현 비중을 차지하고 있었음을 반영 할 수 있다. 그러나 1990년대에 그 비중이 감소하는 추세이며 앞으로 의료 이용행태, 노인보건 등 보건관리에 관한 주제에 대한 연구가 더 많이 이루어질 것으로 예측된다.

• Tuberculosis and Respiratory Diseases
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• 제68권2호
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• pp.67-73
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• 2010

Background: In previous study, most patients with bronchial anthracofibrosis (BAF) were non-miners, and non-occupational old aged females. However, the clinical significance of BAF in patients with coal workers' pneumoconiosis (CWP) is unknown. Methods: Among patients with CWP who transferred to our hospital for an evaluation of associated pulmonary diseases, 32 patients who had undergone a bronchofibroscopy (BFS) and chest computed tomography (CT) examination were evaluated for the association of the BAF using a retrospective chart review. Results: Nine of the 32 CWP patients (28%) were complicated with BAF. Four of the 16 simple CWP patients (25%) were complicated with BAF. According to the International Labor Organization (ILO) classification by profusion, 2 out of 3 patients in category 1, 1 out of 8 patients in category 2 and 1 out of 3 patients in category 3 were complicated with BAF. Five out of 16 complicated CWP patients were complicated with BAF. Three out of 7 patients in type A and 2 out of 5 patients in type C were complicated with BAF. CWP patients with BAF had significantly greater multiple bronchial thickening and multiple mediastinal or hilar lymph node enlargement than the CWP patients without BAF. There was no difference in the other clinical features between the CWP patients with BAF and those without BAF. Conclusion: Many CWP patients were complicated with BAF. The occurrence of BAF was not associated with the severity of CWP progression. Therefore, a careful evaluation of the airway with a bronchoscopy examination and chest CT is warranted for BAF complicated CWP patients who present with respiratory symptoms and signs, even ILO class category 1 simple CWP patients.

• 한국산업보건학회지
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• 제33권2호
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• pp.126-133
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• 2023

Objectives: This study was conducted to find out the prevalence and risk factors of anemia according to shift work. Methods: Data from the Korean National Health and Nutrition Survey (2016-2020) were used. 9,787 workers were divided into shift workers and non-shift workers. The work type between 6AM-6PM was defined as day work, and other work types were defined as shift work. A chi-square test was used to indicate the distribution of risk factors expected to affect shift work in both frequency and percentage. Multiple logistic regression analysis was performed to find out the relationship between anemia prevalence and shift work. Results: As a result of analysis, multiple logistic regression analysis of anemia prevalence and shift work, the OR (95% CI) of male workers on shift work was 2.186 (1.139 to 4.194) and there was a statistically significant difference. Conclusions: In conclusion, anemia in male shift workers should be considered a possibility of health problems. In the future, research based on various data collection should be conducted for research to reveal various causes or diseases of anemia in the future.

• Tuberculosis and Respiratory Diseases
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• 제60권3호
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• pp.321-329
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• 2006

연구 배경: 폐암은 2000년에 들어와 우리나라 암 사망 원인 질환 중 1위가 되었으며, 아직 뚜렷한 생존기간의 향상이 없는 예후가 불량한 암이다. 최근 표적 치료제 개발에 따른 후속 연구 및 흡연이 폐암 발병에 미치는 영향에 대한 연구들에서 인종 간 유전적 특성의 차이, 생활환경이 미치는 영향 등이 부각되기도 하였다. 우리나라 폐암 환자의 임상적 특성에 대한 연구는 아직 미흡한 실정이다. 저자 등은 단일 3차 의료기관에서 지난 9년간 확진된 폐암 환자의 임상적 특성을 알아보고자 한다. 방 법: 1996년 9월부터 2005년 8월까지 9년간 본원에 입원하여 폐암으로 진단을 받았던 1655예의 환자를 대상으로 연구하였다. 모든 대상 환자에 있어서 연령, 성별, 세포형, 임상적 병기를 분석하였다. 폐암 진단 당시 설문에 응답하였던 941예의 환자를 대상으로 폐암 가족력, 직업, 흡연력, 임상 증상, 체중감소, 수행상태 등을 조사하였다. 진단 당시 동반 질환으로 당뇨, 고혈압을 포함한 심장혈관질환, 만성폐쇄성폐질환, 특발성 폐섬유화증 및 활동성 폐결핵 등을 조사하였다. 결 과:전체 연구대상 폐암 환자의 남여 성비는 3.6:1 이었다. 세포형은 편평상피세포암이 제일 흔하였고, 여자에서는 선암이 흔한 세포형이었다. 흡연력이 있었던 경우가 80.1%이었고 비흡연자는 19.9%이었다. 여자 72.3%가 비흡연자 이었다. 비흡연자에서는 남여 모두 선암이 제일 흔한 세포형이었고, 흡연력이 있는 환자에서는 편평상피세포암이 흔하였다. 1996년부터 2000년까지와 2001년부터 2005년까지 두 단위 기간으로 나누어 보았을 때, 비소세포폐암 중 선암이 차지하는 빈도의 증가(29.5%에서 33.7%로)추세와 편평상피세포암의 감소(49.9%에서 41.8%로) 추세를 확인할 수 있었다. 환자 중 무증상은 6.2%에서 관찰되었고 흔한 증상으로는 기침, 객담, 호흡곤란 등 순 이었다. 동반 질환으로 만성폐쇄성폐질환, 심장 혈관 질환, 당뇨, 결핵, 특발성 폐섬유화증은 각각 44.1%, 22.2%, 10.7%, 3.9%, 1.6%에서 관찰되었다. 부모, 형제, 자매 중 폐암 가족력이 있었던 환자는 4.4% 이었고, 환자 직업력이 폐암 발병과 관련성이 있을 것으로 추정된 경우는 12.2%이었다. 결 론: 우리나라 폐암 환자에서 높은 흡연율이 관찰되었고 아직 편평상피세포암이 제일 흔한 세포형 이었다. 향후 우리나라 폐암 환자의 임상적 특성에 대한 보다 세밀한 조사가 필요하겠다.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.7.1-7.6
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• 2016

Objectives The aim of this study is to evaluate radiation exposure resulting from the comprehensive health examinations of selected university hospital programs and to present basic data for research and management strategies on the health effects of medical radiation exposure. Methods Radiation-based diagnostic studies of the comprehensive health examination programs of ten university hospitals in Seoul, Korea, as introduced in their websites, were analyzed. The medical radiation studies of the programs were reviewed by radiologists. Only the effective doses of the basic studies were included in the analysis. The optional studies of the programs were excluded. Results Among the 190 comprehensive health examination programs, 132 programs (69.5%) included computed tomography studies, with an average of 1.4 scans. The average effective dose of radiation by program was 3.62 mSv for an intensive program for specific diseases; 11.12 mSv for an intensive program for cancer; 18.14 mSv for a premium program; and 24.08 mSv for an overnight program. A higher cost of a programs was linked to a higher effective dose (r=0.812). The effective doses of the examination programs for the same purposes differed by as much as 2.1 times by hospital. Inclusion of positron emission tomography-computed tomography was the most critical factor in determining the level of effective dose. Conclusions It was found that radiation exposure dose from comprehensive health exam programs targeted for an asymptomatic, healthy public reached between 3.6 and 24 times the annual dose limit for the general public. Relevant management policies at the national level should be provided to minimize medical radiation exposure.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.233-243
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• 1986

Our study was designed to identify the difference in the mental health status among hospitalized patients due to occupational diseases and accidents and pre-employment physical examinees, and to identify the relationship between mental health status and socio-demographic variables, and to provide information useful to non-psychiatric clinicians in caring of such patients. Samples were comprised of 189 pneumoconiotic patients, 132 industrial accident-induced patients and 122 pre-employment physical examinees who were interviewed with 90-item symptom cheklist (SCL-90). The following results were obtained: 1) Mean scores of symptom dimension on socio-demographic subgroup showed higher tendencies in older aged, male, lower educated, miner, married, mining residence, and pneumoconiotic patients. 2) Mean scores of total samples on all symptom dimensions were as follows in the order of their magnitudes; Depression, Somatization, Obsessive-compulsive, Anxiety, Psychoticism, Interpersonal sensitivity, Phobic-anxiety, Hostility, and Paranoid ideation. 3) The highest mean scores on each socio-demographic subgroup were as follows; Depression in younger aged and Somatization in older aged; Depression in male Somatization in female; Somatization in lower educated and depression in higher educated; Somatization in miners and depression in non-miners; Somatization in married and Depression in unmarried; Depression in all kind of residences; Somatization in patients and Depression in pre-employment physical examinees(normal). 4) In consequence of stepwise multiple regression, the important socio-demographic variables were age, occupation, diagnostic classification, and residence. Age was the most imprtant variable in Somatization, Depression, Obsessive-compulsive, Anxiety, Phobic anxiety, Paranoid ideation, and Psychoticism. Occupation was the most important one in Interpersonal sensitivity and Hostility and also had significant realtionships with all symptom dimensions.

• Journal of Preventive Medicine and Public Health
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• 제44권6호
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• pp.267-274
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• 2011

Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.

• Pediatric Infection and Vaccine
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• 제26권3호
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• pp.170-178
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• 2019

목적: 인플루엔자 예방접종은 인플루엔자 감염을 예방하고 병원 내 전파를 차단할 수 있는 가장 효과적인 방법이다. 본 연구자들은 국내 병원내 직원들의 인플루엔자 예방 접종률의 현황 및 접종률과 연관된 인자들을 살펴보고자 하였다. 방법: 2017-2018 인플루엔자 시즌 전, 경기도 고양시 내 3개 종합 병원의 인플루엔자 예방접종 캠페인 대상인 병원 직원들이 연구에 포함되었다. 연구대상자의 인구학적인 특성 및 직업적 특성을 후향적으로 수집하였다. 결과: 총 7,180명의 병원내 직원 중 6,994명(97%)이 연구에 포함되었으며 전체 예방 접종률은 85%였다. 의료직종 중에서는 간호직군이 92%로 가장 높았고, 의료기술직군(88%), 의사직군(84%), 비의료직군(79%) 순이었다(P<0.001). 비의료직군에서의 접종률은 환자와의 접촉 정도에 비해 서로 상이하였으며, 환자와 접촉이 빈번한 비의료직군의 접종률은 90%로 덜 빈번한 비의료직군의 73%보다 유의하게 높았다(P<0.001). 결론: 2017-2018 인플루엔자 시즌 병원내 직원의 예방접종률은 85%이었다. 이는 기존의 병원내 직원 대상으로 자발적인 예방접종을 진행하는 여러 국가들의 보고들과 비교했을 때 높은 편에 속한다. 병원내 직원의 특성에 따라 예방 접종률은 서로 상이하며, 병원내 직원의 예방접종률을 보다 높이기 위해서는 이러한 요인들을 포함한 다각적인 접근을 고려해야 한다.

• 대한통합의학회지
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• 제7권2호
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• pp.111-119
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• 2019

Purpose : The aim of this study was to investigate patterns of medical use among juveniles and adolescents, including for chronic disease, in Korea. The study sought to do the following: (a) investigate the extent to which chronic diseases account for medical expenditures, (b) investigate and the socio-demographic characteristics associated with medical use, and (c) identify the differences in medical use between juveniles and adolescents. Methods : We used data from the 2015 Korean Health Panel and selected 12 variables. The socio-demographic characteristics investigated included, growth period (juvenile, adolescents), gender, family income, national basic livelihood act status, disability registration, and degree of disability. There were five medical factors that were considered: emergency room use, hospitalization use, hospital outpatient use, chronic disease, and medical expenditure. Data were analyzed using stepwise multiple and logistic regression. Results : The prevalence of chronic disability in juveniles and adolescents was 31.1 % and 1 %, respectively. The factors affecting medical expenditures included hospitalization use, hospital outpatient use, family income, disability, gender, chronic disease, and emergency room use ($R^2=.160$, p<.05). For national basic livelihood act recipients, the probability of having chronic disease was about 1.6 times higher (OR=1.597, 95 % CI=1.092-2.335, p=.016), compared with non-national basic livelihood act recipients. People with disabilities were 6.6 times more likely than those without disabilities to suffer from chronic disease (OR =6.571, 95 % CI=2.776-15.556, p<.001). Hospital outpatient user was 2.3 times higher than non-user (OR=2.260, 95 % CI=1.702-3.001, p<.001). Juveniles had a 1.7 times and 6.2 times higher likelihood of emergency rooms user (OR=1.654, 95 % CI=1.270-2.155, p<.001), and hospital outpatient user than adolescents (OR=6.208, 95 % CI=4.443-8.676, p<.001). Conclusion : The findings of this study suggest that health care services for juveniles is needed to manage chronic diseases that have an effect on medical expenditures.