• Title/Summary/Keyword: 신체 수정

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A Modified Attribution-Affection Model of Public Discrimination against Persons with Mental Illness -Model comparisons among schizophrenia, depression and alcoholism- (정신장애인의 사회적 거리감에 대한 수정된 귀인정서모형 적용 - 정신장애 유형별 모형비교 -)

  • Park, Keun Woo;Seo, Mi Kyoung
    • Korean Journal of Social Welfare
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    • v.64 no.4
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    • pp.209-231
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    • 2012
  • Recently, the many anti- stigma program use the 'mental illness is an illness like any other biogenetic illness' approach. This is based on Weiner's attribution affection theory. However, mental illness is difficult to be applied with attribution affection premise because attributing no blame for mental problem(biogenetic cause) leads to fear and dangerousness. We proposed a modified attribution affection model that explains the relations between biogenetic causal belief and social distance. Our model assumed that attributing personal responsibility for each mental problem leads to anger and social distance. And attributing no blame for mental problem(biogenetic causal belief) reinforces perception of dangerousness and social distance. This study presented typical vignettes of schizophrenia, depression and alcoholism according to the diagnosis criteria of DSM-IV to 768 university students randomly. Path analysis was used to test modified attribution affection model. The major findings are, First our original model modified partially for fit index. So final model assumed that i) The more respondents believed personal responsibility, the more anger, the more anger reaction corresponded closely with more social distance. ii) biogenetic causal beliefs leads to a worsening of dangerousness and perception of dangerousness leads to a increasing of social distance. Second, multi-group analysis was conducted to verify how a modified attribution affection model would be applicable to three groups. The result is that there is no difference among three groups. Finding from this research suggest to change anti-stigma program that use medical model.

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Comparison of neonatal outcomes between the spontaneous and in vitro fertilization twin pregnancies (인공수정 및 자연수정으로 태어난 쌍생아간 임상 양상 비교)

  • Kim, Hee Moon;Lee, Jeong Won;Shin, Seon Hee;Kim, Sung Koo;Sung, Tae Jung
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.740-745
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    • 2007
  • Purpose : There is a dominant opinion that in vitro fertilization (IVF) leads to an increased incidence of twins, low birth weight (LBW) infants, prematurity and mortality. On the other hand, technical development of IVF and improvement of neonatal intensive care have increased the survival rate of neonates. The purpose of this study was to verify the tendency by comparing the clinical aspects of IVF and spontaneously conceived twins, and to establish methods to increase the survival rate of neonates after IVF. Methods : Retrospective reviews were performed on all twin infants who were admitted to the nursery and NICU at Kangnam Sacred Heart Hospital, Hallym University from January 1, 2000 to December 31, 2006. Medical records of IVF twins (study group, n=92) and spontaneously conceived twins (control group, n=265) were analyzed and compared. Neonatal outcomes and complications, as well as obstetric outcomes, were analyzed and compared. Results : Mean gestational age and birth weight of the study group ($34.6{\pm}3.5$ weeks, $2,203.9{\pm}617.2g$) were considerably lower than those of the control group ($36.3{\pm}2.4$ weeks, $2,367.0{\pm}517.9g$). The frequency of prematurity less than 37 weeks (68.5% vs 51.3%) and extremely LBW (15.2% vs 6.4%) were also significantly higher in the study group. Other neonatal outcomes were all insignificant. The obstetric characteristics, maternal age ($32.6{\pm}3.3$ years vs $30.3{\pm}3.9$ years) and the frequency of cesarean delivery(95.7% vs 79.9%) were significantly higher in the study group. Other obstetric outcomes were insignificant except for the frequency of incompetent internal os of cervix (36.2% vs 3.6%) and cerclage operation (38.3% vs 4.3%). Conclusion : Based on the above results, clinical outcomes of twin infants will be further improved by careful attention and thorough antenatal care of the IVF twins.

일본에서의 건강증진사업의 노력과 성과 : 건강일본 21의 중간평가

  • O, Eun-Hwan
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2009.05a
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    • pp.108-108
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    • 2009
  • 일본에서는 일차보건의료의 중요성을 강조하고 건강증진 향상을 위한 노력의 일환으로 제기된 알마아타선언이 발표된 1978년과 때를 같이 하여 같은 해부터 국민건강 만들기 대책이 시작되어 지금까지 30여년의 시간이 지났다. 그 동안 두 차례의 정책수정 과정을 거쳐, 2000년부터는 제3차 건강만들기의 활동으로 "건강일본 21"을 실시하고 있다. 건강일본 21의 기본적인 목적은 모든 국민이 건강하고, 활기가 넘치는 사회를 실현하며, 조기사망을 예방하고 치매와 같은 병상상태의 생활에서 벗어나 건강수명을 연장하는 것으로 하고 있다. 이를 위하여 조기사망이나 장애와 관련된 암, 뇌졸중, 심장질환, 자살 등과 같은 질환군을 파악하고, 이러한 질환군에 영향을 미치는 비만, 고혈압, 당뇨, 치주질환 등에 관한 위험군을 찾아내어, 이러한 것들을 사전에 예방할 수 있도록 하는 흡연, 음주, 식사, 운동과 같은 생활습관과 관련된 요인들을 개선하도록 하는 노력을 기울이고 있다. 이에 본 연구에서는 건강일본 21에서 사업영역으로 정한 (1) 영양 및 식생활, (2) 신체활동 및 운동, (3) 휴양 및 마음의 건강 만들기, (4) 흡연, (5) 음주, (6) 치아건강, (7) 당뇨병, (8) 순환기질환, (9) 암 등에 관한 각 분야에 있어서 현재의 현황을 알아보고, 지금까지의 성과를 파악하며 앞으로의 현실가능성을 전망해 보았다.

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Effects of Saengsig with Behavior Modification Therapy on Body Composition Changes in Obese Patients (행동수정을 병행한 생식이 비만인의 신체조성에 미치는 영향)

  • 김경남;박성호;홍서영;윤호준;김융기;송윤경;임형호;이영종
    • The Journal of Korean Medicine
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    • v.24 no.1
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    • pp.9-28
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    • 2003
  • Objects : The aim of this study was evaluate the effect of the Saengsig taken along with Behavior Modification Therapy, Methods : We examined the body compositions of 20 obese patients who were treated with Saengsig and Behavior Modification Therapy for 2 months by Inbody 2.0. Results : Changes of body composition due to Saengsig with Behavior Modification Therapy were reduction of body weight by $3.14{\pm}1.33{\;}kg$, lean body mass by $0.14{\pm}1.48{\;}kg$, fat mass by $3.00{\pm}1.53kg$ and BMI by $1.30{\pm}0.54$ Conclusion : Fat mass and body fat rate were significantly reduced after treatment with Saengsig with Behavior Modification Therapy.

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A Study on Medical Fee System of the convalescent hospital -Focused on the case of patient group adjustment - (요양병원 수가제도에 대한 소고 -환자군 조정 판결을 중심으로 -)

  • Kwon, Hye Ok
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.195-218
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    • 2017
  • The increase in medical expenses for convalescent hospitals is increasing abnormally, which puts enormous burden on the National health insurance finances. This is a phenomenon that has been associated with the social phenomenon of rapid aging. The fact that the convalescent hospitals are paid the fixed amount per day for hospitalization became the incentive for some hospitals to use the patients as means of making money. And these hospitals intend to get regular care or take medicines at other hospitals in order to reduce medical expenses, even when the medical fee is paid. In order to prevent such financial leaks, the Health Insurance Review and Assessment Service adjusted the patient group for inpatients in a hospital with the above behavior, and then cut the cost of medical care benefits. However, Above decision was canceled by the court on the grounds that there was no basis rule. However, based on the above case, I think that it can be an opportunity to draw up the problem and to improve of the Medical Fee System of hospital. The modified medical fee system can strengthen the medical function of the convalescent hospital. In addition, it seems reasonable to exclude admission for "physically disabled group". Even if admission is allowed for the physically disabled group due to social needs, it should be excluded from the National health insurance for the fianacial soundness and the sustainability of the system.

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The Effects of Taekwondo Training Program on Body Composition, Bone Mineral Density and Growth Factors in the Children (태권도 수련 프로그램이 아동들의 신체 조성, 골밀도 및 성장 인자에 미치는 영향)

  • Kim, Hyung-Don;Kim, Duk-Jung
    • Journal of Life Science
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    • v.18 no.9
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    • pp.1230-1238
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    • 2008
  • The purposes of this study was to identify the effects of regular training on body composition, bone mineral density and growth factors by taekwondo training program in the children. Subjects were aged 11$\sim$13 years. There was classified two groups (experiment group 12, control group 12), total 24. Measured items for this study were body composition (weight, percent body fat, body mass index), lumbar (L2, L3, L4), femur (neck, trochanter, ward's triangles) bone mineral density and growth factors (growth hormone, IGF-I, IGFBP-III) in the 12weeks before and after. Results of this study were as follows; In the body composition, there were showed significant differences on the weight, percent body fat and body mass index level between groups. In the bone mineral density, there were showed significant differences on the lumbar 2, 3, and femur neck, femur trochanter, femur ward's triangles level between groups. In the growth factors, there were showed significant differences on the growth hormone, IGF-I, and IGFBP-III level between groups. This study showed that an 12weeks taekwondo training program affected in a positive effects in almost of items in trained children.

The Effects of the Child Care Center-Family Linked Sensory Activity on Infant's Physical Development and Infant-Parent Interaction (보육시설과 가정의 연계를 통한 감각활동이 영아의 신체발달과 영아-부모 상호작용에 미치는 효과)

  • Lee, Sook Hwa;Hwang, Sung Ha;Nam, Mi Kyoung
    • Korean Journal of Childcare and Education
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    • v.6 no.3
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    • pp.103-125
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    • 2010
  • The purpose of this study is to investigate effects of 1 or 2 years old infant to target infant care facilities and the sense of family activities conducted in conjunction with the infant's physical development and infant-parent interaction. The purpose of this study, research questions are as follows. First, child care center-family linked sensory activity is effective in the infant's physical development? Second, child care center-family linked sensory activity is effective in the infant-parent interaction? The subjects of this study are 56 infants of 1-2 year old and their mother or father 56 people in S and D infant care facilities in K city. S infant care center, experimental group, carry out child care center-family linked sensory activity. D infant care center is control group to apply an integrated program. The child care center-family linked sensory activity are conduct on 24 times, 3 times a week, totally 8 weeks. The results were as follows. First, child care center-family linked sensory activities are partially effective on the infant's physical development than the control group. Therefore, in order to promote the development of the infant's physical development, home and child care center will be done in conjunction with sensory activities are needed. Second, child care center-family linked sensory activities had positive effect on infant-parent interaction than the control group. Therefore, to improve infant-parent interaction, it is necessary to carry out child care center-family linked sensory activities. In conclusion, child care center-family linked sensory activities are correlated in positive effects on the physical development of infants and the infant-parent interaction.

A Cross-Sectional Study on Fatigue and Self-Reported Physical Symptoms of Vinylhouse Farmers (비닐하우스 농작업자의 피로도와 주관적 신체증상에 관한 연구)

  • Lim, Gyung-Soon;Kim, Chung-Nam
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.15-29
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    • 2003
  • Objectives: This study was done to find out fatigue and self-reported physical symptoms of Vinylhouse farmers. The results of this study could be used as a basic data to develop health promotion program for Vinylhouse farmers who are suffering from fatigue and physical symptoms. Methods: The 166 respondents, who were working in Vinylhouse and were living in a remoted area where the primary health post located, were participated in this study. Thirty: 30 items of self-reported fatigue scale was used to evaluate the farmers fatigue level which made by Japanese industrial and hygenic association(1988). Twenty four: 24 items of index used by researcher for self-reported physical symptoms was from Lee In Bae's(1999) modified Index which was originated from Cornell Medical Index(1949). Another questionnaires used in this study were developed by researcher through related documents. Results: The results of this study were as follows; Fatigue scores were high in accordance with women(t=-2.212, p<0.05), worse recognized health state(F=20.610, p<.001), lack of sleeping hours(F=3.937, p<0.05), eat irregularly(t=-3.883, p<0.001), don't take a bath after application of chemical(t=-2.950, p<0.01), working time per a day(F=5.633, p<0.01) & working time per a day in Vinylhouse(F=5.247, p<0.01) were long. Subjective physical symptoms were high in accordance with women(t=-3.176, p<0.01), worse recognized health state(F=35.335, p<0.001), and low education(F=3.467, p<0.05). eat irregularly(t=-3.384, p<0.01), alcohol drinking(t=-2.389, p<0.05). When farmers don't take a bath after application of chemical show high(t=-3.188, p<0.01). As a result, the factors affecting to Vinylhouse worker's health were irregular diet habit, scarce exercise, lack of proper rest, symptoms oriented from Vinylhouse work in contaminated environment with high temperature and humidity. Conclusions: Based on this study, health promotion program is necessary for Vinylhouse workers. Also, the development of continuously practical strategy of healthy life style including exercise and comprehensive health promotion program considered the country's social and cultural background are needed.

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Development and Practical Application of Relaxation Training Contents for Middle and High School Archery Players (중.고교 양궁선수용 이완훈련 콘텐츠 개발 및 현장 적용)

  • Hong, Kil-Dong
    • The Journal of the Korea Contents Association
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    • v.8 no.4
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    • pp.237-246
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    • 2008
  • The purpose of this study was to develop relaxation training contents for middle and high school archery players with considering the ecological validity of social, cultural, and sports environment in Korean but also examine the effect of developing relaxation training contents through case study approach and interviews. The relaxation training contents was based on previous researches about relaxation program. In addition, in order to develop the program 3 archery experts and 2 sport psychologists had meetings. The relaxation training contents categorized as orientation, breathing regulation, progressive relaxation training, cognitive restructuring, meditation, heart rate biofeedback training, autogenic training, behavior therapy, self regulation. The experimental group were 6 male Korean national archery substitute players, who were selected in 2007. The effects was examined on competitive state anxiety inventory-2, heart rates, archery score and interviews. As the result of applying the developed program of this study on the field, competitive state anxiety, somatic state anxiety and heart rate were decreased. In the interviews athletes told that they were relaxed psychologically and physically. This result demonstrated the relaxation training program were effective.

Health Promoting Behaviors, Health Problems and Self-Rated Health status in Female marriage immigrant in Korea (여성결혼이민자의 건강증진행위, 건강문제 및 주관적 건강상태)

  • Seo, In-Ju;Park, Jung-Suk
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.369-382
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    • 2013
  • This study is to identify health promoting behaviors and health problems of female marriage immigrant in Korea and is an descriptive study for searching the factors influencing health problems of them. And to provide basic data for developing health promoting interventions for them. Methods: The tools for this study were HPLP II developed by Walker et al. (1995) and modified and translated by Park (2005), CMI developed by Weider et al. (1945) and translated by Go & Park(1980), and modified by Seo and Park(2010). Data were analyzed with descriptive statistics, t-test, ANOVA, and correlation and stepwise multiple regression with the SPSS WIN 18.0 program. Results Conclusion: Female marriage immigrants have done low level of health promoting behavior(2.01) and they had more mental health problems than physical health problems. Factors influencing health problems of the participants were found to be self-rated health and general character which includes age-gap with partner, partner's education and age of female marriage immigrant. Factors influencing self-rated health of the participants were found to be exercise of health promoting behaviors and monthly income. In consideration of this result, we need to provide health education and develop health programs for female marriage immigrant in Korea.