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Health Care Utilization Pattern and Its Related Factors of Low-income Population with Abnormal Results through Health Examination (저소득층 건강검진 유소견자의 의료이용 양상 및 관련요인)

  • Kwon, Bog-Soon;Kam, Sin;Han, Chang-Hyun
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.87-105
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    • 2003
  • Objectives: The purpose of this study was to examine the health care utilization pattern and its related factors of low-income population with abnormal results through health examination. Methods: Analysed data were collected through a questionnaire survey, which was given to 263 persons who 30 years or over with abnormal results through health examination at Health Center. This survey was conducted in March, 2003. This study employed Andersen's prediction model as most well known medical demand mode and data were analysed through 2-test, and multiple logistic regression analysis. Results: The proportion of medical utilization for thorough examination or treatment among study subjects was 51.0%. In multiple logistic regression analysis as dependent variable with medical utilization, the variables affecting the medical utilization were 'feeling about abnormal result(anxiety versus no anxiety: odds ratio 2.25, 95% confidence intervals 1.07-4.75)', 'type of health security(medicaid type I versus health insurance: odds ratio 2.82, 95% confidence intervals 1.04-7.66; medicaid type II versus health insurance: odds ratio 3.22, 95% confidence intervals 1.37-7.53)', 'experience of health examination during past 2 years(odds ratio 2.39, 95% confidence intervals 1.09-5.21)' and 'family member's response for abnormal result(recommendation for medical utilization versus no response: odds ratio 4.90, 95% confidence intervals 1.75-13.75; family member recommended to utilize medical facilities with him/her versus no response: odds ratio 19.47, 95% confidence intervals 5.01-75.73)'. The time of medical utilization was 8-15 days after they received the result(29.9%), 16-30 days after they receive the result(27.6%), 2-7 days after they received the result(20.9%) in order. The most important reason why they didn't take a medical utilization was that it seemed insignificant to them(32.4%). Conclusions: In order to promote medical utilization of low-income population, health education for abnormal result and its management would be necessary to family member as well as person with abnormal result. And follow-up management program for person with abnormal result through health examination such as home-visit health care would be necessary.

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Up-to-date or Complete Immunization Coverage and Their Related Factors (영유아의 예방접종 및 그 관련요인)

  • Lee, Moo-Sik;Kim, Eun-Young;Kim, Keon-Yeop;Lee, Jin-Yong;Jang, Min-Young;Hong, Jee-Young
    • Journal of agricultural medicine and community health
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    • v.37 no.4
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    • pp.233-245
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    • 2012
  • Objectives: Understanding the predictor of immunization status in childhood is critical issue to improve National Immunization Program (NIP). The aims of this study were to verify the status of up-to-date or complete immunization coverage and to investigate its related factors. Methods: As of 2005, according to local residence registry data, there were 2,188 children who aged 12 to 35 months in Nonsan city, Korea. We conducted household survey for aged 12 to 35 months children, using questionnaires to obtain data on the status of immunization such as BCG, DTaP (diphtheria, tetanus, and pertussis), Polio, and MMR (mump, measles, rubella). Finally 1,472 participated in the survey. The operating definitions used in this study were following; "Complete immunization rate" refers to the rate of children who received all immunization within recommended age intervals fully "on-time"; "The 4:3:1 series" means status of receiving the fourth diphtheria-tetanus-pertussis (4 DTP), the third Polio (3 Polio), and the first measles-mumps-rubella (1 MMR) doses. Multivariate logistic regression analyses were used to determine factors affecting complete vaccination coverage of children. Results: Immunization rates of vaccine based on the vaccination card were from 92.7% to 96.4% except 4th DTaP (79.3%). Complete immunization rate of Korea NIP was 74.0% and that of the 4:3:1 series was 77.1%. A parent as primary caregiver (OR 0.59, 95% CI 0.39-0.87 at 19-35 months of children's age) and first-born children (OR 1.79, 95% CI 1.05-3.03 at 24-35 months of children's age) were significantly related to complete immunization coverage of Korea NIP. And a parent as primary care giver (OR 0.58, 95% CI 0.38-0.88 at 19-35 months of children's age) and first-born children (OR 1.94, 95% CI 1.21-3.14 at 19-35 months, OR 2.23, 95% CI 1.27-3.91 at 24-35 months of children's age) were significantly related to complete immunization rate of 4:3:1 series. Conclusions: Government should take actions to increase complete immunization rate. In particular, intervention on the secondary caregiver and non-first-born children should be needed.

Effects of Glue Sniffing on Weight Increase or Central Nervous System of Young Rat (반복된 본드 흡입이 백서의 정상발육에 의한 체중증가와 중추신경계에 미치는 영향)

  • Kim, Heon;Kim, Sun-Min;Cho, Soo-Hun
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.2 s.42
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    • pp.222-230
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    • 1993
  • Industrial glues, known as 'Bonds' in Korea, contain many kinds of organic solvents, and glue sniffing of youths became one of the social problems in Korea. Mixed exposures to solvents by glue sniffing may induce chronic toxicities different from those by exposures to solvents of single component. To test effects of the glue sniffing on weight gain or central nervous system, two groups of 20 male Sprague-Dawley rats were exposed to air(control group) or vapors of the glues to narcotic status(exposed group), and weight check, tail flick test, hot plate test, rotarod treadmill test were done on the 14th,24th, 36th, 45th, 53rd, 86th, 102nd, 117th, 134th and 151st days after the first exposure. On the 188th day, their brains were excised and examined by a pathologist. Weight gain, controlled against time change, showed significant difference between the groups, but response times in tail flick test, hot plate tests, and rotarod treadmill test didn't. In pathological examination with blind method, no macroscopic or microscopic differences were found between the two groups. These results suggests that organic lesion in central nervous system may not ensue glue sniffing, but, before firm conclusion, more studies in various exposure conditions should be followed.

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Evaluation of TQM(Total Quality Management) of Home Economics Education Department in the University by Students (가정교육과 교사교육의 TQM(Total Quality Management: 총체적 질 관리) 구성요소에 대한 재학생들의 평가)

  • Kim, Sung-Gyo;Chae, Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.20 no.3
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    • pp.179-200
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    • 2008
  • This study is aimed at contributing to the future development of Home Economics Education Department by suggesting basic data of TQM(Total Qualify Management) for evaluating TQM of Home Economics Education Departmeut in education colleges. A survey was conducted involving all junior(3rd year) students of Home Economics Education Department in education colleges either by making a visit to 3 different schools or by sending it in the mail to 10 different schools. Responding answer-sheets, 302 copies(88.3%) out of 342 copies in total were returned. Finally, we used 285 copies(83.3%) as data for analysis. The results of this study are as follows: In terms of Professional Qualification of Home Economics Teachers, the students had passion for their Home Economics Education and also had a great pride and mission to be future Home Economics teachers. However, their ability proved to be poor and low in presenting a vision for Home Economics, in conducting extra-curricular activities, and the computer skills. In the case of college students, their satisfaction showed an average point 3.15 on a scale of 5. Those students who entered school voluntarily or those who hoped for re-entrance showed more satisfaction than those who entered school with good academic records or those who do not hope for re-entrance into school. In terms of professors' leadership, Students are perceived to choose 'Transactional Leadership' instead of 'Transformational Leadership'. Students', who have higher satisfaction and hopes for re-entrance, perception level about their professors' leadership style showed higher satisfaction than average. The students empowerment level showed average point 3.52, which is considered relatively high. Students at the college where professors majored in Home Economics Education are employed showed higher empowerment level than students at the college with professors who did not major in Home Economics Education. The result of evaluating general demand for renovating of Home Economics Education Dept. showed that: they perceived the "Teacher Education Course" of Home Economics Education Dept. as in need of cultivating practical skills in secondary school. They also said, "Teaching Method" is in great need of renovation. In the case of teaching method, they preferred laboratory work, and practical training. In earning credits, they emphasized the importance of faithfully completing the "Study of Content". For the Subject Matter Education, they required a training course to be set up in the secondary school. Finally they claimed that the teachers and students need to take the initiative in developing a Curriculum of Home Economics Education Dept. Based on the findings mentioned above, I would like to suggest further research on how to adopt and evaluate TQM in Home Economics Education, and faculty-centered evaluation methods. I also would like to suggest to vitalize quality research through the form of narrative research.

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Survey on the Dental Health Status & Dental Health Behaviors of Workers (근로자의 구강건강실태 및 구강보건행동에 관한 조사)

  • Jang, Ji-Eon
    • Journal of dental hygiene science
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    • v.12 no.1
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    • pp.55-62
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    • 2012
  • The purpose of this study was to obtain database for development of education and programs of dental examination in industries. survey and dental examination was conducted by dental hygienist and dentist, and the data from 1016 respondents were analyzed. The result obtained was as follows: 1. Dental disease was 58.2% among 1,016, there was most a lot of peridontal disease, and overlapping disease, dental caries, missing tooth, fracture and abrasion, in order. 2. Utilization of dental care was 40% for last six months, it was significant high that age and working periods, married in marriage state, and unhealthy in subjective dental health state. 3. It was significant high that woman, fourty ages, middle economic state and working periods in above three times of tooth brushing a day. 4. Utilization of dental hygiene auxiliary devices was 41.8%, it was significant high that age, marriage state, economic state and working periods. 5. As for relationship between dental disease status and dental health behaviors, a person without periodontal disease was significant high in above three times a day, and a person without extraction, a person with fracture and abrasion, a person without overlapping disease was significant high in utilization of dental hygiene auxiliary devices.

A Study on the Effects of After-purchase Feedback About Customer Service Quality on Purchase Process - Focusing on Internet Shopping Mall - (고객 서비스 품질에 대한 구매 후기 댓글이 구매과정에 미치는 영향 - 인터넷 쇼핑몰을 중심으로 -)

  • Shin, Chang-Nag;Kim, Young-Ei;Park, Young-Kyun
    • Journal of Distribution Research
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    • v.14 no.1
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    • pp.27-44
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    • 2009
  • This research classified the customer service factor of on-line shopping mall into tangibility, reliability, responsiveness, and empathy and analyzed the effect that the factors affect to consumer's purchase and re-purchase. If we present suggestions on the basis of these results of study, we would provide next two points: First, purchasers have utilized online shopping mall who pursued free from hard sell that being done in off-line and convenience of purchase affected more by reliability and responsiveness such as the fame of shopping mall that visit, reliability of security, and quick product search than the Customer of After-purchase Feedback influence for online purchasers decision factor out of consumer's purchase and re-purchase by on-line shopping mall customer service factor. Second, This study analyzed that online re-purchaser recognized the Customer of After-purchase Feedback factor high and built their loyalty through friendly emotion of on-line shopping mall and satisfaction of shopping mall service, and recommendation. In addition, they behave themselves as an affirmative messenger that is role of the Customer of After-purchase Feedback that make active opinion presentation and participation through community by important adjustment impact that empathy factor of on-line shopping mall customer service.

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A study on the Safe-Life Village Design for the Citizen Security (시민보호를 위한 생활안전 마을지도 설계에 관한 연구)

  • Lee, Tae Shik;Seok, Geum Cheol;Cho, Won Cheol
    • Journal of Korean Society of Disaster and Security
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    • v.6 no.3
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    • pp.43-48
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    • 2013
  • This paper focused on the continuing the citizen safety, the contributing the local economy's activation, and the improving the safe and the social walfare on the civil environment. Seoul metropolitan nominated the model village the Buggaja 2 dong of the Seodaemoon-gu for the making safe village in the 2013. It is designed the village map for the safe life, discovered the dangerous factor about the various and social facilities which is a road, a walking way, a school, a enjoy place for the children, a Thema place, the leasure place, facilities etc., and improved the model village for the incident's and accident's reduction education and training from 2011 to 2013. The results on the discovering and improving activities by the resilient safe monitoring activity, in the 2011 the village is reduced the 23 people from the 151 people to the 128 people in the dead number into the total citizen 34,000 during a year, is showed the excellent values, which the dead people reduced the 23 people in the village, which the safe-life result was over the 12.8% in the national average. For the making resilient city, for the supporting the visitors which it looks around the safe-life model village, the tracking road map is designed, and the tenth safe life factors is showed.

The Study on Change of Refractive error and Addition in Progressive Eyeglasses Lens Wearers (누진렌즈안경 착용자의 가입도와 굴절이상 변화에 대한 연구)

  • Joo, Seok-Hee;Shim, Moon-Sik;Shim, Jun-Beom
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.399-404
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    • 2013
  • Purpose: This study was to analyse the changes of refractive error and addition in progressive eyeglasses lens wearers. Methods: Data of 244 subjects who have been prescribed progressive eyeglasses lenses were used for analysis. The range of age was between 43~69 old years and they visited the optical shop in Gwangju metropolitan city from 2003 to 2013. According to the refractive state and age, The changes of refractive error and addition was analysed respectively. Results: The changes of distance refractive power by refractive error was showed +0.10 D in emmetropia, +0.07 D in myopia, +0.23 D in hyperopia (p=0.000). The change of addition was showed +0.22 D in emmetropia, +0.29 D in myopia, +0.17 D in hyperopia (p=0.000). The changes of distance power and addition by age was +0.08 D distance refractive power, +0.30 D addition in the group of 40~49 old years, +0.17 D distance refractive power, +0.20 D addition in the group of 50~59 old years and +0.15 D distance refractive power, +0.14 D addition in the group of 60~69 old years (p=0.046, p=0.006). Conclusions: The changes of refractive error and addition of progressive eyeglasses lens wearers in all refractive state and age were gradual increase in the direction (+) diopter.

Exploring the Meaning of Self-directed Service experienced by Preservice Teachers -Focused on the Service of Daycare Programs for Lower Grades of Elementary- (예비유아교사가 경험한 자기 주도적 봉사의 의미 탐색 -초등학교 저학년 돌봄 교실 봉사를 중심으로-)

  • Hwang, Ji-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.443-452
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    • 2016
  • Six preservice teachers who participated in the "2016 service of summer vacation daycare programs by university and college students" focused on the programs for the formation of art, music and physical education and recreation culture were selected as research participants. The meaning of the experience they had through the service process was qualitatively analyzed. The subjects accepted the purpose of the self-directed service in which they should themselves solve a series of the entire process, from planning a volunteer program through drawing up the budget and purchasing materials to practice, evaluation and expressed the intention of participation. A volunteer program was conducted including visiting a daycare program for lower graders of elementary school (1st and 2nd grades) with more than 40 class hours during vacation. As research materials, research participants' journals, transcripts of individual interviews and group interviews, transcripts of phone calls, e-mail messages, and self-evaluation records of each class hour were collected. To increase the reliability and validity of the study, triangulation, member check, advice and review of the experts were conducted. In the study results, the volunteering experience-related significance for the preservice teachers who participated in the self-directed service were broadly categorized into 'Becoming a capable professional teacher', that consists of 'Increasing the power of thinking', 'Realizing the importance of communication', 'Doing together itself is important' and 'Ability to apply information and resources is needed'. 'Increase the continuity between preschool and elementary education' was subdivided into 'Get to know the necessity of the continuity between preschool and elementary education' and 'Want to learn the continuity between preschool and elementary education.'

A Study on Oral Health Status of Industrial Workers Gumi City (구미시 일부 근로자의 구강건강실태 조사연구)

  • Kim, Hye-Jin;Bae, Soo-Myung;Choi, Ok-Sun
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.205-209
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    • 2005
  • The number of workers in the study were 831 in their academic backgrounds are 53.6% workers who graduated from high schools 80.7% of the subjects replied that their economic state belonged to the middle class. 55.7% brushed their teeth at least three times a day and 58.7% of them brushed their teeth after they had dinner. In questions about living habits, 68.4% were found to drink alcohol, among whom 55.7% had more than one bottle of So-ju. As well, 57.7% of the subjects smoked, among whom 34.8% smoked half the pack or one whole pack of cigarettes a day and 30.0% had smoked more than 10 years. The result of oral examination showed that 25.9% had more than 1 decayed tooth, 14.8% had their teeth missing, 42.2% suffered periodontal diseases, and 11.7% had problems with wisdom teeth.

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