목적: 50세 이상에 해당하는 연구대상에서 성별에 따른 나이관련 황반변성의 초기와 후기 유병률과 위험 요인을 알아보고자 하였다. 방법: 제5기 국민건강영양조사(2010-2012) 원시자료의 총 조사대상자 25,534명 중 건강설문조사와 검진 조사를 모두 받은 50세 이상 남녀에서 결측치가 있는 대상을 제외한 7,599명(남자 3,263, 여자 4,336)을 연 구대상으로 하였다. 성별에 따른 초기 및 후기 나이관련 황반변성의 위험요인을 알아보기 위해 나이를 통제 한 상태에서 인구학적 특성, 전신질환, 검진조사에 관한 변수에 대해 로지스틱 회귀분석을 수행하였고 이 결 과에서 유의한 변수들만으로 다변량 로지스틱 회귀분석을 수행하였다. 결과: 나이관련 황반변성 초기의 유병률은 남자 8.8%, 여자 10.3%였으며 후기의 유병률은 남자 1.4%, 여자 0.7%였다. 초기 나이관련 황반변성에 대한 교차비는 남자에서 나이가 1세 증가할 때 1.043배, HDL (high-density lipoprotein)이 1mg/dL 증가할 때 1.010배, AST(aspartate aminotransferase)가 1IU/L 증 가할 때 1.011배, 비타민 D가 1ng/mL 증가할 때 1.020배 높아졌으며 Creatinine이 1mg/dL 증가할 때 0.446배 낮아졌고 여자에서는 나이가 1세 증가할 때 1.080배, B형간염표면항원 양성인 대상에서 1.960배 높아졌고 혈소판이 1Thous/uL 증가할 때 0.997배 낮아졌다. 후기 나이관련 황반변성에 대한 교차비는 남자 에서 나이가 1세 증가할 때 1.083배 높아졌고 B형간염표면항원 양성인 대상에서 3.436배 높아졌으며 여자 에서는 나이가 1세 증가할 때 1.126배 높아졌고 교육수준에서 저학력자보다 고학력자에서 2.480배 높았으며 혈소판이 1Thous/uL 증가할 때 0.991배 낮아졌다. 결론: 나이를 제외한 성별에 따른 초기 및 후기 나이관련 황반변성의 위험요인은 남자에서 초기는 AST와 HDL, 비타민 D였고 Creatinine의 증가는 교차비를 감소시켰고 후기는 B형간염표면항원 양성자에서 교차비 가 높게 나타났다. 여자에서 초기의 위험요인은 B형간염표면항원 양성이었고 후기는 교육수준이었으며 초기 와 후기 모두에서 혈소판 수치가 높아지면 교차비가 낮아지는 것으로 나타났다.

목 적: 본 연구는 제5기 국민건강영양조사(2012) 자료를 이용하여 한국 성인의 건성안 유병률과 위험요 인을 알아보고자 하였다. 방 법: 19세 이상 성인 중 안과의사에게 건성안 검진을 받은 5,698명(남자 2,368명, 여자 3,330명)을 대 상으로 인구사회학적 특성, 전신질환 특성, 건강관련행위 특성에 따른 건성안의 유병률과 위험요인을 분석 하였다. 결 과: 전체 연구대상자의 건성안 유병률은 13.5%이었다. 인구사회학적 특성별 건성안 유병률은 남성보 다 여성이, 50세 미만군보다 50세 이상군이, 농촌지역보다 도시지역에서 통계적으로 유의하게 높았으며, 전 신질환별 건성안 유병률은 고혈압, 이상지혈증, 골관절염, 류마티스 관절염, 우울증, 신부전증이 있는 경우 에 유의하게 높았다. 건강관련행위별 건성안 유병률은 비흡연자, 비음주자, 수면시간이 짧은 군이 높았다. 건성안 빈도는 여성에서(OR 2.29, CI 1.89-2.77)와 50세 이상군에서(OR 1.21, CI 1.01-1.46), 농촌지역에 서(OR 1.96, CI 1.56-2.47)에서 더 높았다. 유의한 모든 변수를 보정한 후에 건성안의 위험인자는 신부전 (OR 2.82, CI 1.48-5.69), 갑상선(OR 1.62, CI 1.16-2.26), 류마티스 관절염(OR 1.54, CI 1.01-2.33), 이상 지혈증(OR 1.42, CI 1.13-1.78), 우울증(OR 1.36, CI 1.11-1.66), 골관절염(OR 1.27, CI 1.02-1.57)이었다. 결 론: 우리나라 19세 이상 성인의 건성안 유병률은 13.5%으로 높은 수준이며, 50세 이상, 도시지역 거 주자, 여성과 신부전증, 갑상선, 류마티스 관절염, 이상지혈증, 우울증, 골관절염 환자에서 건성안의 위험이 높으므로 해당 위험요인을 가진 사람들을 대상으로 한 교육과 홍보를 통해 건성안증상을 조기 발견하여 적 절하게 대처하도록 할 필요가 있다

Glancing angle deposition (GLAD) is a powerful technique to control the morphology and microstructure of thin film prepared by physical vapor deposition. Chromium (Cr) thin films were deposited on a polymer substrate by a sputtering technique using GLAD. The change in thickness and Vickers microhardness for the samples was observed with a change in the glancing angle. The adhesion properties of the critical load (Lc) by a scratch tester for the samples were also measured with varying the glancing angle. The critical load, thickness and Vickers microhardness for the samples decreased with an increase in the glancing angle. However, the thickness of the Cr thin film prepared at a 90o glancing angle showed a relatively large value of 50 % compared to that of the sample prepared at 0o. The results of X-ray diffraction and scanning electron microscopy demonstrated that the effect of GLAD on the microstructure of samples prepared by sputter technique was not as remarkable as the samples prepared by evaporation technique. The relatively small change in thickness and microstructure of the Cr thin film is due to the superior step-coverage properties of the sputter technique.

목적 : 본 연구는 LOTCA-G를 한국어로 번역 후 문화적으로 표현에 차이가 있는 문항을 한국 실정에 맞게 수정보완해 그것의 타당도 및 신뢰도를 알아보고, 우리나라 65세에서 90세 노인에게 확대 적용할 수 있는 근거를 제시하고자 시행하였다.연구방법 : 한국 문화를 고려하여 수정한 LOTCA-G의 타당도 조사는 성인작업치료 임상경력 3년 이상의 작업치료사에게 검토를 의뢰한 내용 타당도(content validity)를 실시하였고, 신뢰도 조사는 정상 대조군 40명과 임상 환자군 40명을 대상으로 재검사법(test-retest method)을 실시하였다.결과 : 내용 타당도는 양호했고, 건강 대조군과 임상 환자군의 검사-재검사 신뢰도와 검사자간 신뢰도, 항목별 내적 일치도, 연령 군별 신뢰도 모두 만족할 수준이었다. 한국 문화를 고려하여 수정한 LOTCA-G는 그 해당 연령뿐 아니라 65세에서 70세 사이 대상도 함께 신뢰도 조사한 결과 만족할 수준이었다.

Purpose : This study is for investigating the factors influencing on treatment effect of devel-opmental disability children under 6-year-old.Methods : This study was investigated March, 2003 from January, 2003 to child fewer than 6 ages and parent each 43 people who is undergoing medical diagnosis from occupational ther-apy of K university hospital, S hospital, C hospital.Results : Obstacle type of 43 disabled children handicap by 50% and language impairment, mental retardation, sight obstacle, difficulties. It is 25.6% that there is no family member that can give help for disabled children’s treatment, is that 1 person is more 69.8%, and that have 3 people 4.7%, and in 25 points full marks that stew of family more than 21 points by 79.1% lazi-ness or family of stew that in general by high thing appear. Disabled children was using aver-age 4.16 places’ treatment institution during a week. Total number of treatment during a week is 5.19 times of treatment per average one child patient. While child’s treatment adaptation degree is that 32.6% well regardless of sentiment or hygienic condition, 37.2% when sentiment or hygienic condition is good well, and 18.6% is usual, 2.3% is different according to sentiment or hygienic condition therapist or treatment institution, and 9.3% is not well in most case. Comparing coefficient of correlation with adaptation degree and cura-tive effect when treat and treatment actual conditions of family’s support, home treatment num-ber of times, medical fee, treatment equipment utilization number of times, treatment number of times etc. and child’s characteristic of child’s age, obstacle grade, duplicated obstacle number and so on, Child’s duplicated obstacle number showed high negative correlation of comparative with curative effect, and child’s obstacle degree showed high negative correlation with curative effect.Conclusion : By result of this study, child’s motor development treatment effect is considered that child’s obstacle degree and duplication number of obstacle is connected. Therefore, it means that efficient and practical treatment to grasp child’s obstacle and state more closely and more interests and efforts of parent and therapist are in need.

Physiological Cost Index (PCI) of walking has been widely used to predict oxygen consumption in healthy subjects or patients. The purposes of this study were to evaluate the predictability of physiological cost index of upper extremity exercise with a sander for the amount of exercise and cardiac function and to find out most efficient speed of exercise. Upper extremity exercise was conducted in 67 healthy children (age 4 -12) for 2 minutes with a sander in two different speeds, such as self selected comfortable and self selected fast speeds. Speed of sander was calculated, and heart rate were measured before and immediately after the exercise. Physiological Cost Index (PCI) of upper extremity exercise was calculated for statistical analysis. The result were as follows; 1.　Comfortable and fast speeds of the sander went up according to the increase of age, sander PCI during exercise by it, decreased as the age increased with significant difference in each group (p=0.00). The heart rate change during exercising by it, there was no significant difference. 2.　The heart rate change during the exercise by sander increased as the speed of sander increased. Linear regression equation between the heart rate change during the exercise by sander and the speed of sander were 'Y (the heart rate change by sander) = 0.332X (the speed of sander) + 12.731' (R²= 0.154). Stepwise regression showed the speed of sander affected the change of heart rate positively, and the age affected negatively (R²= 0.242, p = 0.00). 3.　The PCI during the exercise by sander decreased as the speed of sander increased. Linear regression equation between the PCI during the exercise by the sander and the speed of sander were 'Y (the PCI by sander) = -0.00495X (the speed of sander) + 2.091'(R²= 0.267), and statistic significant was recognized (p = 0.00). 4.　The speed of exercise by sander it increased as the age increased. Linear regression equation between the speed of the sander and the age were 'Y (the speed of sander) = 2.481X (the age) -0.893(R²= 0.452), and statistic significant was recognized(p = 0.00). 5.　The reliability analysis for the method of examining each PCI, showed high reliability coefficients and the value of alpha was 0.9337. In conclusion, PCI of the upper extremity exercise with a sander could be thought to predict the energy consumption from the speed of sander as there was a linear relationship between the speed of sander exercise and heart rate change with exercise. PCI of the upper extremity exercise with the self selected fast speed was most efficient. Further study with oxygen consumption analysis is recommended to apply PCI in upper extremities in patients with different pathologies in motion.