농촌지역 성인들의 혈청 총콜레스테롤치 및 관련요인

안순기,감신,진대구,김종연,천병렬,Ahn, Soon-Ki,Kam, Sin,Jin, Dae-Gu,Kim, Jong-Yeon,Chun, Byung-Yeol 대한예방의학회 2002 예방의학회지 Vol.35 No.3

Objectives : To investigate the fetal cholesterol levels and related factors in a rural adult population. Methods : 3,207 adults(1,272 men and 1,935 women) were examined in 1997 Their heights, weights, and fasting serum total cholesterol levels were measured, and their body mass indices were calculated. A questionnaire interviewing method was used to collect risk factor data. Results : The mean value of total cholesterol were 190.5 mg/dl, and 198.8 mg/dl, and the age-adjusted prevalence rates for hypercholesterolemia (above 240 mg/dl) were 13.7% and 10.2%, in men and women, respectively. From simple analyses, age, educational level, coffee intake, amount of meat and food intake, waist circumference, waist-hip circumference ratio(WHR), and body mass index(BMI) were significant risk factors in men (p<0.05) relating to serum total cholesterol levels. In women, age, educational level, hypertension history, diabetes history, herbal drug history, amount of feed intake, alcohol consumption, waist circumference, WHR, BMI, and menopausal status were significant risk factors (p<0.05). In multiple linear regression analyses, waist circumference (p<0.01), BMI (p<0.01), and coffee intake (p<0.05) proved to be significant risk factors in men. Whereas, menopausal status (p<0.01), BMI (p<0.01), herbal drug history (p<0.01), amount of food intake (p<0.05), waist circumference (p<0.05), and alcohol consumption (p<0.05) were significant risk factors in women. Conclusions : The significant risk factors, for both men and women, relating to the serum total cholesterol were waist circumference and BMI. Thus, for the reduction of serum total cholesterol level, it is recommended that health education for the control of obesity should be implemented.

지역사회중심 직업재활서비스 발전방안에 관한 연구

안순기,나운환 대구대학교 특수교육재활과학연구소 2005 再活科學硏究 Vol.23 No.2

The present study is about the development of community&#8208;based vocational rehabilitation service, reviewing relevant literature and previous researches and surveying 13 welfare centers for the disabled with vocational rehabilitation center and another 13 without. The objectives of this research are as follows. First, this study investigates the current state of local vocational rehabilitation service. Second, this study identifies variables affecting the performance of community&#8208;based vocational rehabilitation service and differences according to the variables. Third, based on the findings above, this study makes suggestions for the development of community&#8208;based vocational rehabilitation service at welfare centers for the persons with disabilities. Data collected in this research were analyzed through descriptive statistics, t&#8208;test, ANOVA, correlation analysis and regression analysis using Korean version SPSS 10.0 and the results are as follows. First, as for the current state of vocational rehabilitation service, large variations among welfare centers were observed in vocational counseling, vocational evaluation, employment service and post management, but the performance of vocational training was not much different among welfare centers. Services highly correlated with employment were vocational evaluation and vocational counseling, and services in significant correlation with supported employment were vocational counseling, vocational adjustment training and vocational evaluation. Second, variables affecting the performance of vocational rehabilitation service are as follows. vocational counseling service was significantly affected by the number of workers, and vocational evaluation service by the size of community, location and the number of workers in charge of vocational rehabilitation. Employment service was significantly affected by the existence of vocational rehabilitation center, the size of community and location, and the number of people employed by the existence of vocational rehabilitation center, the period of operation and the size of community. The execution of supported employment was significantly affected by the number of workers in charge of vocational rehabilitation, and the performance of supported employment by the existence of vocational rehabilitation center, the number of workers in charge of vocational rehabilitation and the size of community. Post management was significantly affected by the number of workers in charge of vocational rehabilitation. The results of analyzing differences according to influential variables are as follows. According to the existence of vocational rehabilitation center, welfare centers with vocational rehabilitation center showed higher performance than those without in vocational counseling, vocational evaluation, the number of vocational trainees, employment service, the number of people employed, supported employment service, the number of people employed through supported employment service and post management. According to the number of workers in charge of vocational rehabilitation, welfare centers with a large number of workers showed higher performance in vocational counseling, the number of vocational trainees, supported employment service, the number of people employed through supported employment service and post management. Based on the results of this study presented about, suggestions were made as follows for the development of community&#8208;based vocational rehabilitation service. First, because vocational rehabilitation service varies according to the existence of vocational rehabilitation center and the number of workers in charge of vocational rehabilitation, vocational rehabilitation centers should be installed in all welfare centers for the development of community based vocational rehabilitation service. Second, it is necessary to reinforce cooperation with the community and support projects. In this study, location, the size of community, the number of workers in charge of vocational rehabilitation appeared to affect the performance of vocational rehabilitation service. suggests that vocational rehabilitation service is being executed differently among communities. Third, manuals on the services of welfare centers for the disabled vocational rehabilitation need to reflect vocational rehabilitation programs adequately. 본 연구는 지역사회중심 직업재활서비스 발전방안에 관한 연구로서, 장애인복지관 직업재활사업을 중심으로 직업재활센터 설치운영 장애인복지관 13개소와 직업재활센터 미설치 운영 장애인복지관 13개소이다. 다음과 같은 구체적인 목적을 설정하고자 한다. 첫째, 지역중심 직업재활서비스의 운영실태를 알아본다. 둘째, 지역사회중심 직업재활서비스 성과에 미치는 영향변수와 변수별 차이를 알아본다. 셋째, 상기의 결과를 토대로 장애인복지관에서의 지역사회중심 직업재활서비스의 발전방향을 제안하고자 한다. 상기 연구 목적에 따른 연구 결과를 분석하여 지역중심 직업재활 서비스 발전방안을 제시하면 다음과 같다. 첫째, 직업재활서비스는 직업재활센터 설치 유&#8228;무, 직업재활 담당직원수에 따라 상당한 차이가 있는 것으로 나타난 바 지역사회중심 직업재활서비스가 발전되기 위해서는 직업재활센터가 전 복지관으로 확대 설치되어야 한다. 둘째, 지역연계나 지원사업을 확대할 필요가 있다. 지역, 소재지 규모, 직업재활 담당직원 수 등이 직업재활서비스에 영향을 주는 요인이 되는 것은 직업재활서비스가 고루 실시되지 않은 이유도 있다. 따라서 이를 해결하기 위해서는 네트워크 형성을 통한 연계방안이나 별도의 지원사업이 마련되어야 한다. 셋째, 장애인복지관 직업재활사업안내 매뉴얼이 직업재활과정을 균형있게 반영할 수 있도록 변화가 필요하다.

苗木의 素質이 사과 '후지'/M.9品種의 栽植後 初期 3年間 樹體生長과 結實에 미치는 영향

안순기,임열재 建國大學校 自然科學硏究所 2002 建國自然科學硏究誌 Vol.13 No.1

곁가지가 있는 묘목의 재식시 묘목의 소질에 따른 재식 후 초기 3년간의 수체행장과 결실에 미치는 영향을 알아보기 위하여 M.9에 접목한 ‘후지’품종을 공시재료로 하여 본 시험을 수행하였다. 곁가지의 총길이에 따라 묘목을 A, B, C 3 group으로 나누어 비교하였다. 곁가지 총길이가 591~786cm인 나무를 A group, 408~498cm인 나무를 B group, 236~343cm인 나무를 C group으로 하였다. B와 C group은 차이가 없었다. 곁가지의 길이별 분포는 10cm미만의 곁가지비율은 곁가지의 총길이가 제일 작은 C group이 33.7%로 제일 많았고, 20cm이상의 곁가지 비율은 곁가지의 총길이가 큰 A group이 66.7%로 많았다. 결실을 시키지 않은 재식 당년의 총신초 생장량은 C group이 적은 경향이었으나 통계적인 유의차는 인정할 수 없었다. 2~3년가지에 발생한 5cm이상의 평균 신초장은 결실이 없는 재식 당년에는 C group이 A group 보다 길었으나, 결실이 된 2년차와 3년차에는 반대의 경향이었다. 재신장율과 간경비대량도 평균 신초장과 같은 경향이었다. 재신장율과 간경비대량도 평균 신초장과 같은 경향이었다. 주당수량은 재식 2년차에는 A group이 현저히 많았으나, 3년차와 누계수량은 group간 차이가 없었다. 과실의 품질은 group간 차이를 인정할 수 없었다. 묘목의 소질중 총길이와 간격은 재식 2년차의 첫 결실과 고도의 정의 상관을 보였고, 곁가지 수는 상관이 없었다. This experiment was carried out to investigate the effects of nursery stock quality of 'Fuji'/M.9 apples on tree growth and yield during the first three years after planting. The nursery stock was classified by the total length of lateral branches(feathers) into three groups(A: 591~786 cm, B: 408~498 cm, and C: 236~343 cm). Group A averaged 18 feathers which were the most among three groups, and groups B and C showed no difference. The rate of feathers below 10 cm was the highest in group c with 33.7%, and group A had the highest rate with 66.7% in feathers over 20 cm, The total shoot growth during the first year after planting tended to be the lowest in group C, but there were no significant differences among groups. the average shoot length over 5 cm on two or three-year-old branches in the first year(non-bearing fruits) after planting was higher in group C than group A, but the opposite tendency was observed in second and third years(bearing fruits) after planting. Also, regrowth rate of shoot and increment of stem diameter had the same tendency as the average shoot length. The yield per tree in the second year after planting was the highest in group A, but no significant differences among groups were shown in the third year and two-year-cumulative yields. Fruit quality was not significantly different among groups. Total length of feather and stem diameter had high positive correlations with the yield of the second year after planting, but the number of feathers showed no correlation.

Incidence of and Factors for Self-reported Fragility Fractures Among Middle-aged and Elderly Women in Rural Korea: An 11-Year Follow-up Study

안순기,감신,전병열 대한예방의학회 2014 Journal of Preventive Medicine and Public Health Vol.47 No.6

Objectives: This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea. Methods: The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductivecharacteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs). Results: Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidenceof fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture. Conclusions: Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.

학습민첩성의 선행요인과 결과변인 간의 구조적 관계 : 해양수산업 중심으로

안순기,김정훈,김군홍 한국해양비즈니스학회 2021 해양비즈니스 Vol.- No.50

Managing change is challenging. In a crisis like COVID-19, organizations are suddenly confronted by the need to shift their operating norms and structures. One of the necessary competencies required of leader and employee is learning agility Based on literature review on learning agility, we proposed the hypothesized research model. Hypothesis 1. Protean Career Orientation is positively related to Learning Agility; Hypothesis 2. General Self Efficacy is positively related to Learning Agility; Hypothesis 3. Learning Agility is positively related to Job Crafting; Hypothesis 4. Learning agility mediates the positive relationship between Protein career orientation and Job crafting; Hypothesis 5. Learning agility mediates the positive relationship between General self efficacy and Job crafting. This study was conducted in maritime industry. structural equations analysis was performed on 182 data to prove the hypothesis. As a result of hypothesis testing, all hypotheses were accepted. there was also a direct effect between Protean career orientation and job crafting. Finally, the academic and practical contribution of this study is presented. The limitations and future research directions are presented.

한국과 중국의 서비스무역 국제경쟁력에 관한 연구

안순기(Soon-Ki Ahn),송진구(Jin-Goo Song) 한국무역연구원 2021 무역연구 Vol.17 No.6

Purpose This study compares and analyzes the trends in service trade between Korea and China by analyzing the RCA index, SRCA index, and TSI index. Design/Methodology/Approach For this analysis using the UN Comtrade DB, the service trade in 11 sectors was analyzed using Extended Balance of Payments Services (EBOPS) 2002 between Korea and China for 8 years (2010 to 2018). The comparative advantage was measured by calculating the present comparative advantage index (RCA), the revealed symmetric comparative advantage (SRCA), and the trade specialization index (TSI). Then, the level of competition was measured by analyzing the export competition (ESI) of the service sectors between Korea and China. Findings In Korea and China, the transportation and construction sectors, which are highly related to manufacturing, have relatively high international competitiveness; however, international competitiveness is weakening in other service trade sectors. Research Implications In the case of royalties and license fees, if international competitiveness is weakened, as product exports increase, the size of the service deficit in that sector will inevitably increase. Accordingly, it should be human investment related to infrastructure construction and human education, such as royalties and license fees.

지역사회 노인의 공원 이용실태와 건강프로그램 요구: 성별에 따른 차이를 중심으로

최은숙,안순기,김경숙 한국통합사례관리학회 2012 한국케어매니지먼트연구 Vol.7 No.-

본 연구는 노인들의 공원 이용실태를 분석하고 건강프로그램의 요구를 파악하여 공원에서 제공할 수 있는 지역사회 노인건강관리 프로그램을 개발하고자 시도하였다. 본 연구대상자는 A시에 소재한 18개 공원에서 60세이상 노인 346명의 동의를 얻어 면담방식으로 조사하였다. 자료분석은 SAS 9.1을 사용하여 공원 이용실태와 건강문제별 건강서비스 요구도를 빈도와 백분율로 파악하였다. 연구대상 노인의 약 66%는 공원을 이용하는 목적이 운동이었고, 약 67%는 공원이용이 건강에 도움이 된다고 응답하였다. 연구대상 노인들의 약 94.5%는 1가지이상의 건강문제를 가지고 있었고 약 72.8%는 2개 이상의 건강문제를 가지고 있었다. 연구대상자의 건강문제는 흡연율 33.2%, 음주율 37.0%, 비만율 31.5%이었고, 고혈압 유병률 56.4%, 당뇨병 유병률 30.9%, 관절염 유병률35.3%이었다. 건강문제 중 흡연, 음주, 당뇨병, 관절염은 남녀간에 통계적으로 유의한 차이가 있었으며 남녀간20% 이상의 차이를 보였다. 결론적으로 지역사회 노인의 공원 이용실태, 성별 건강문제와 건강프로그램 요구도를 고려하여 간이 건강검진, 금연프로그램, 건강상담, 관절유연성 체조프로그램 등의 맞춤형 건강 프로그램을 개발하여 공원을 기반으로 체계적인 건강서비스를 제공할 필요가 있다. Purpose: This study was conducted to understand types of park utilizations, health problems, needs of health service of elderly using park area in community. Method: The data was collected from 346 elderly who use 18 parks in one city. The data were collected through the interview from March to May in the year of 2010. The data were analyzed by Χ2 test, mean and frequency using SAS, 9.1 version. Results: The major reason using park was to do excise. 94.5% of the elderly had one or more health problems. Prevalence of health problems were 33.2% for smoking, 37.0% for drinking, 31.5 for obesity, 56.4% for hypertension, 30.9% for diabetes mellitus, and 35.3% for arthritis. There were gender differences in prevalence of smoking, drinking, diabetes mellitus, and arthritis. There were high needs for simple health examination, health counseling, and exercises that increase joint flexibility among health programs Conclusions : In order to develop park based health programs, types of park utilizations major health problems, gender differences in health problems, and needs of health programs should be considered.

Secular trends and related factors in leisure-time sedentary behavior among Koreans: an analysis of data from the 2011-2017 Korea Community Health Survey

서현주,최민정,안순기 한국역학회 2022 Epidemiology and Health Vol.44 No.-

OBJECTIVES: Sedentary behavior has gradually increased and has become a public health problem. Therefore, this study investigated trends in weekday leisure-time sedentary behaviors, as well as characteristic socio-demographic and lifestyle correlates in Korean adults. METHODS: We analyzed data from 914,946 adults aged ≥ 19 years who participated in the Korea Community Health Survey (2011, 2013, 2015, and 2017). Leisure-time sedentary behavior was categorized as a binary variable (< 4 and ≥ 4 hr/day). Multivariable regression analysis was used to model the prevalence of sedentary behavior and estimate odds ratios. RESULTS: The prevalence of leisure-time sedentary behavior decreased from 15.2% to 14.4% in men and from 16.6% to 16.0% in women between 2011 and 2017, respectively. However, a significant increase was observed in subjects with an education lower than high school in both genders (β coefficient= 0.12 for men and 0.08 for women, p for trend < 0.001). Women in the lowest household income level (β coefficient= 0.08, p for trend= 0.001) and with poor subjective health status (β coefficient= 0.05, p for trend= 0.013) showed an increasing trend. Other factors associated with sedentary behavior were age, education level, body mass index, household income, walking activity, perceived stress level, and subjective health status in both genders. CONCLUSIONS: Identifying the secular trends and correlates of sedentary behavior by gender and associated factors will provide empirical evidence for developing public health campaigns and promotion programs to reduce sedentary behavior in Koreans.

대구지역 암등록사업의 효율적 수행방안

진대구,천병렬,안순기,김종연,감신,Jin, Dae-Gu,Chun, Byung-Yeol,Ahn, Soon-Ki,Kim, Jong-Yeon,Kam, Sin 대한예방의학회 2002 예방의학회지 Vol.35 No.4

Objective: This study was conducted to automatically improve the completeness and validity of the Daegu Cancer Registry, using cross record linkage of many data sources, and to develop a computerized patient enrollment system for efficient communication among cancer researchers via the internet. Method: We analyzed 10,229 cancer patients who were reported in the National Cancer Registry, and from pathological reports, health insurance cancer claims lists, cancer patient records at hospital information centers and death certificates from the Korea National Statistical Office. Result: We confirmed 4,624 cancer patients and found 897 of new cases from a review of medical chart. The new cases were detected efficiently using cross record linkage. We developed a computerized patient enrollment system, based on a client-sewer model, for the input of cancer patients, and then developed a web-based reporting homepage and patient enrollment system for the internet. Conclusion: This system could manage cancer databases systematically, and could be given to other researchers as a basic database.

음주 진료 지침

정진규,김종성,윤석준,이사미,안순기 대한가정의학회 2021 Korean Journal of Family Practice Vol.11 No.1

Patients with drinking problems are commonly encountered by primary care physicians in clinical practice. This paper presents the care guidelines fordealing with such patients. The guidelines have been summarized below. Drinking problems can lead to common health problems; hence, it isnecessary for primary physicians to develop their screening, treatment, and counseling capacity. All patients visiting the primary care clinics arerecommended to undergo screening actively for drinking problems. Screening for drinking problems utilizes three questions (frequency, amount,and maximum amount) to determine if the patient is at risk. For Koreans, moderate drinking is defined as ≤8 drinks/week (1 drink=14 g alcohol) formen aged up to 65 years and ≤4 drinks/week for those aged >65 years; the limit for women is half of that defined for men. In particular, it isrecommended that people with facial flushing reaction should maintain their alcohol consumption level at half of that of non-flushers. In order totreat patients with drinking problems effectively, the focus should be on their environment, particularly when using the family-oriented approach. Itis recommended to determine the need for drug treatment depending on the patient’s symptoms, and follow-ups should be performed atappropriate periods. The use of anti-craving medications is recommended (e.g., naltrexone, acamprosate, and selective serotonin reuptake inhibitor). In order to counsel the patients effectively, the use of the “FRAMES’ Motivational Enhancement Interview” and “Insight Enhancement Counseling” issuggested. 음주 문제는 일차진료 현장에서 매우 흔한 문제이다. 이에 가정의는이에 대한 선별검사, 진단, 치료 및 상담에 대한 능력을 갖추어야 할것이다. 본고에서 제시하는 음주 문제 가이드라인은 아래와 같이 요약할 수 있다. 일차의료에서 음주 문제는 매우 흔한 건강문제이므로 일차의료 의사는 이에 대한 선별검사, 진단, 치료 및 상담에 대한능력을 갖춰야 한다. 일차의료에 방문한 모든 환자를 대상으로 음주 문제에 대한 적극적인 선별검사가 권장된다. 음주 문제에 대한선별검사는 3가지 질문(주당 평균 음주 횟수, 1회 평균 음주량, 최대음주량)을 통해 위험음주(과음, 폭음) 여부를 판단하고, 선별검사도구를 활용할 경우에는 국내에서 타당성이 입증된 선별검사 도구를 활용하는 것이 권장된다. 또한 한국인에서 적정음주량은 65세이하 남성은 8잔/주(1잔=14 g alcohol) 이하 65세 초과는 4잔/주 이하이며, 여성은 남성의 절반이다. 특히 음주 시 안면홍조가 있는 사람은 비홍조군의 적정음주량의 1/2을 적정 음주로 보는 것이 타당하다. 음주 문제를 효율적으로 치료하기 위해서 환자의 주변 환경, 특히 가족 중심의 진료 접근을 권장한다. 일차의료에서 음주 문제에대한 약물 치료 여부는 증상에 따라 결정하고 약물치료를 하는 경우에는 탈독기, 유지기에 따라 적절한 간격으로 추적관리하고 충분한 기간 동안 사용할 것을 권장한다. 음주 문제 환자에 대한 항갈망제 치료는 naltrexone, acamprosate, selective serotonin reuptake inhibitor계열의 항우울제가 권장된다. 마지막으로 음주 문제 환자에서 전문적인 치료가 필요한 경우 정신과의사에게 의뢰할 것을 권장한다.