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      • KCI등재

        폐쇄성 수면무호흡증 리스크와 혈중 지질 수치와의 연관성

        김가연,이주현 대한가정의학회 2025 Korean Journal of Family Practice Vol.15 No.1

        Background: Obstructive sleep apnea (OSA) increases the risk of dyslipidemia, thereby heightening the likelihood of developing cardiovascular diseases. Hence, prior to the diagnosis of OSA, it is essential to investigate the association with dyslipidemia in at-risk individuals. Methods: Using raw data obtained from the 2021 Korea National Health and Nutrition Examination Survey, we examined the details of 2,882 participants aged 40 years and older, who were not diagnosed with sleep apnea and did not use lipid-lowering medications. Participants who had reported snoring, fatigue, or witnessed apnea episodes, were categorized into the “OSA Risk Group” (OSARG), and logistic regression analysis was performed to examine the association between serum lipid levels and dyslipidemia. Results: OSARG participants were found to have a higher prevalence of hypertriglyceridemia and increased prevalence of dyslipidemia. After adjusting for sex, age, education, economic status, housing type, obesity, physical activity, smoking, and alcohol consumption, only hypertriglyceridemia remained significantly associated with the OSARG, and the odds ratio for OSA was significantly higher among those patients with hypertriglyceridemia (1.39; 95% confidence interval, 1.06–1.83). Conclusion: Among adults aged 40 years and older, compared with those not at risk, individuals at risk of OSA were characterized by a higher prevalence of hypertriglyceridemia. These findings thus indicate that the management of hypertriglyceridemia and dyslipidemia may be warranted prior to the diagnosis of OSA in this population.

      • 키치 헤어스타일의 조형적 특성에 관한 연구

        김가연 한국메이크업디자인학회 2005 한국메이크업디자인학회지 Vol.1 No.2

        The purpose of this study is to inquire into the kitsch characteristic shown in the hair style after 2000 by establishing the concept of kitsch hair and investigating its aesthetic. This research analyzed concept and esthetic principles about do kitsch through literature. For study, I investigated the literature related to sociology, aesthetics, cosmetology and fashion as well as analyzed visual materials after 2000. In terms of hair style, the concept of kitsch hair is defined not only as material used to express new style, refusing uniformity and developing from the conventional consciousness of beauty but also as the kitsch characteristic owned by behavior on style and styling. Divide and analyz work about figurative special quality, material, form, texture, color. The outcome of analyzing hair style after 2000; First, various material makes various form decorating excessively in hair style. Second, form is exaggerated or expresses optical emphasis such as imbalance and exaggeration overly. Third, kitsch hair style can express effective image by emphasis of texture, and express variously according to purpose do key. Fourth, color causes much effects because act strongly in hair style, and have fair clout to texture of hair style. This dissertation aims to investigate the hair style in the 21st century through sociocultural phenomenon , kitsch. And I expect that kitsch is newly recognized as an expressional art in the culture and become the opportunity to solidify the foundation of cosmetology.

      • 헤어스타일에서 표현되는 이미지에 관한 연구

        김가연 한국메이크업디자인학회 2005 한국메이크업디자인학회지 Vol.1 No.2

        This study represents concept of image and hair style on the basis of research data, magazine and internet. This study was characterized the hair styles based on image of fashion and analyzed concept and feature of hair style by image. Base on this, 7 hair styles by images were modeled. 7 hair styles are Elegance Image, Modern Image, Romantic Image, Casual Image, Avant-garde Image, Natural Image and Ethnic Image. The results of this study were as follows, First, elegance image expressed style that long-length hair and curl was hardly shown. Secondly, modern image expressed style that short-length hair and was shown good volume. Thirdly, for romantic image express style that narrow wave and was shown good volume. Fourth, short-length hair of casual image expresses style shows narrow wave. Fifth, avant-garde image express style that radical and strange. Sixth, for natural image express style that long-length hair and very weak wave and natural wave runs down. Seventh, for ethnic image, long-length hair was braided and express genetic curly hair.

      • KCI등재

        2024년 의료사태에 따른 전공의 부재가 부산권역심뇌혈관 센터의 급성 뇌졸중 치료과정 및 결과에 미치는 영향에 대한 후향적 연구: 병원 전 단계 및 병원 내 단계를 중점으로

        김가연,차재관,김대현,서정화,정진헌,이윤경 한국보건행정학회 2025 보건행정학회지 Vol.35 No.1

        Background: This study aimed to analyze the impact of the resident physician shortage on the performance of acute stroke treatment at both the pre-hospital and in-hospital stages at the Busan Regional Cardiovascular and Cerebrovascular Center. Methods: This study included patients suspected of acute stroke who received pre-hospital notification between March 1 and August 31, 2024, during the period of resident physician absence, as well as those diagnosed and treated at the Busan Regional Cardiovascular and Cerebrovascular Center. The control group consisted of patients treated during the same period in 2023. We compared pre-hospital notification acceptance rates and diagnostic accuracy. In the hospital, we assessed reperfusion therapy rates, neurological severity at admission, and discharge mortality. Results: During the period of resident physician absence, the referral rate for suspected acute stroke patients increased, but the actual acceptance rate decreased (p<0.01). Additionally, the proportion of patients transferred from other hospitals was higher than the proportion of those transported by 119 emergency ambulance (p<0.01). Most of the patients who were not accepted were due to the center’s capacity issues. The transportation time for acute stroke patients referred through the hotline was significantly longer than average (73.3 minutes vs. 48.3 minutes, p<0.01). In the hospital stage, the rate of intravenous thrombolysis significantly decreased during the strike period (p<0.01), while the mortality rate was significantly lower (p<0.05). Conclusion: Despite the shortage of medical personnel, in-hospital care capacity was maintained. However, pre-hospital admission rates declined, underscoring the need for improved diagnostic accuracy and the establishment of a systematic collaboration network to ensure efficient patient acceptance.

      • KCI등재

        저체중 출생과 사회경제학적인 특성의 상관관계

        김가연,손혜림 한국보건사회학회 2024 보건과 사회과학 Vol.- No.67

        Low birth weight (LBW) is a critical early-life factor that shapes human capital development across the lifespan, which may potentially impact long-term socioeconomic inequality. This study examines the relationship between LBW and parental socioeconomic characteristics using 1998–2021 Birth Statistics. We examine disparities in birth outcomes based on parental education, occupation, and marital status, highlighting the role of social inequalities in shaping these outcomes. Higher parental education is linked to greater birth weights and a decreased likelihood of LBW, with maternal education playing an increasingly important role in recent years. Similarly, parental employment in white-collar occupations is associated with improved birth outcomes. In contrast, children born out of wedlock are more likely to have lower birth weights and a higher risk of LBW, an effect that has grown more significant over time. These findings emphasize the need to consider the dynamic nature of these factors in the development of policies aimed at addressing LBW.

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