• Journal of Preventive Medicine and Public Health
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• v.20 no.2 s.22
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• pp.312-321
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• 1987

To investigate the maternal and child factors associated with early detection of cerebral palsy, 74 mothers of cerebral palsy children who were born since January 1, 1980 and being treated at Taegu Rehabilitation Center for the Handicapped, Rehabilitiation Center of Taegu University, St. Paul Children's House and Pusan Welfare Association of Cerebral Palsy Children were interviewed from February to April 1987. There is no association between age of child when parents noticed the child's abnormality and educational level of father but it tend to be detected earlier when education level of mother is college or above compared with high school or under. There is a trend of earlier detection of child's abnormality although statistically not significant in case father is professional or managerial worker, monthly income of father is over \610,000, child is first-born, age of the parents is 34 years or under, child is a boy, and child has periodic well-baby check-up. The child's abnormality is detected earlier when mothers had 7 prenatal visits or more compared with those who had 6 visits or less (p<0.05). Parents noticed the child's abnormality first in 85.1% of the cases whereas doctors detected it first in 2.7% and this percentage was not different whether the child had periodic well-baby check-up or not. The first physician's diagnosis of the children was cerebral palsy in 36.5% and the rest was normal, need for observation, uncertain, etc. Parents took the child to doctor for diagnosis 2-3 months after they noticed the child's abnormality and after the child was diagnosed as cerebral palsy parents either took no therapeutic measure or brought the child to physiotherapy or acupuncture or gave herb medicine before they started specific rehabilitative therapy. For early detection of the cerebral palsy children, teaching of evaluation method for child development should be reinforced both in medical school and clinical training course and should train the specialist for diagnosis and treatment of crippling conditions. Also, public education is needed for the importance of early detection of crippling conditions and currently available methods for diagnosis and treatment.

• Proceedings of the KSPS conference
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• 1997.07a
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• pp.258-259
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• 1997

1. 외국어로서의 영어 교육에 있어서 발음 지도는 어느 정도의 영어 수준에 도달하기를 기다릴 필요없이 가능한 한 저학년에서부터 직접 지도되어야 한다. 즉 영어 교육은 영어 발음 교육부터 시작되는 것이 가장 바람직하다. 어느 정도의 수준 높은 문법 이론을 알고 있는 (대)학생들이라도 발음에 관한 한 많은 연습이 요구되는 경우가 흔히 있다. 바꿔 말하면 이러한 학생들은 그들이 갖고 있는 문법 지식만큼 발음에 대한 적극적인 구사력도 당연히 발휘할 수 있어야할 것이다. 영어 교육을 강조할 때 문장 구조와 어휘 교육이 중요시된다면 발음 또한 조기 교육 단계부터 영어 교육 프로그램의 필수불가결한 요소로 인식되어야 한다. 그렇다면 제일 처음 무엇을 어떻게 시작 해야할 것인가\ulcorner 흔히 음소(phoneme)라는 말의 최소 단위부터 시작하여 자음군(consonant cluster)과 같은 음 결합체를 가르친 다음 단어 강세(word stress)를 다루며, 마지막으로 문장 강세(sentence stress), 리듬(rhythm), 억양(intonation) 등을 포함함 이음말(connected speech)을 가르치는 순서가 될 수 있을 것이다. 그러나 이러한 방법이 이론상 논리적이긴 하지만 실제로 영어를 외국어로 배우는 우리 학생들에게는 얼마나 효과를 거둘 수 있는지 매우 의심스렵다. 오히려 가장 유익한 순서는 기본 억양 과 같은 적절한 표현과 함께 주어진 화맥 속에서의 의미 있는 문장 강세를 가르치고 그 다음에 그에 수반되는 중요한 소리의 발음을 지적해 주는 것이다. 예를 들면 Give it to him과 같은 구조를 교사가 구두로 제시할 때 단어 하나 하나를 강조한 나머지 너무 천천히 말하게 되면 전체 문장의 발음을 오히려 어렵게 만들어버린다. 중요한 것 은 기본 의사소통에 필요한 부분에 초점을 맞추는 일이다. 개별 단어에 부수되는 문제점은 '보충 지도'(remedial teaching)로 교정이 가능하다. 2. 우리의 초등학교 영어 교육의 현황을 고려할 때 비록 발음 지도가 쉬운 일은 아니지만 미래 지향적 결과를 기대할 때 우선 두 가지를 생각할 수 있다. 첫째로 현재의 교육대학교의 교사양성에 있어서 영어교육의 교과과정을 염두에 두지 않을 수 없다. 1981년도부터 교육대학교가 4년제가 명실공히 영어과로 운영되기는 수년밖에 되지 않는 실정이다. 현재의 교과과정도 현장에서 영어교육을 담당하기에는 불충분할 뿐만 아니라 영어발음에 관한 뚜렷한 과정이 없는 실정이다. 혼히 외국인 강사가 담당하는 이른바 영어회화 시간이 곧 발음 시간도 될 수 있다고 생각하기 쉬우나 이것은 전적으로 별개의 문제이다. 따라서 체계적인 발음 교육을 할 수 있는 교과과정이 되기를 바란다. 3. 앞에서 언급했듯이 4년제 이전에 졸업한 현직 교사들은 재학 중 영어 발음에 관한 지도를 받아본 적이 없다. 여기서 중요한 것은 이들 교사들에게 적절하고도 충분한 발음 교육을 시켜야 하는 연수 과정이다. 소리로 듣고 말해야 하는 초둥 영어 교육에 서 교사의 발음에 관한 지식은 그 중요성을 아무리 과대평가해도 지나치지 않을 것이다. 문제는 연수 내용이다. 적어도 현재까지 실시되어 온 초둥영어교육 담당자 연수 교과목 내용은 핵심을 찾기 힘들 정도로 교파목이 다양하고 산만하다. 따라서 예를 들면 영어발음 지도에 관한 과목도 마지못해 끼워 넣는 식의 과목 배정이다. 여기에 고작 할당된 시간은 많아야 4시간 정도이다. 대학에서 한 학기에도 부족한 영어 발음을 아 무런 배경 지식도 없는 초등 교사들에게 4시간 동안 무엇을 어떻게 가르칠 것인가\ulcorner

• Journal of agricultural medicine and community health
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• v.28 no.2
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• pp.155-169
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• 2003

Objectives: The purpose of this study is to provide data for the improvement of hypertension management of community health practitioner posts through the study on hypertension management in community health practitioner posts. Methods: A questionnaire was mailed to 700 community health practitioners and 205 of them responded during the period from March 13, 2003 to May 13. The survey results were analyzed using SPSS program, version 11. Results: The results are as follows; 1. There are two major activities in a hypertension prevention project for community: health education and early detection. About 57% of community health care practitioners perform a health education for community people four times a year. The 64.5% of them used the materials for health education provided from a community health center and 22.1% of them performed a post-evaluation. The main method of early detection of hypertension was measurement of blood pressure of person to visit, which was 96.1%. Other methods included home visiting(89.3%), a referral from community hospitals and other resources(49.1%), health promotion events(39.5%), and a review of medical records(35.7%). 2. For the registration and management of patients with hypertension, about 36% of community health centers used a special form and more than 50% of them have registered patients who were managed by other health care institutions in the community. A computerized program was used for the management of patients with hypertension in 68.5% of them. More than 60% of them responded that it was used for report, treatment, and follow-up of patients with hypertension.

• The Korean Journal of Emergency Medical Services
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• v.18 no.1
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• pp.83-94
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• 2014

Purpose : This study assessed the improvement of competency levels for participants, as well as their satisfaction from completion of the special international disaster response program. Methods : The program structure followed an intensive two-week course that included a combination of lectures, discussions, case studies, and field trips. "ICN Framework of Disaster Nursing Competencies" was used for designing the program. A pre-post survey was done to measure the change in the competencies of students and assess their satisfaction after finishing the program. Focus group interviews were also performed to further understand the attitudes of participants toward the disaster issues. Results : The overall pre-program test score for disaster competency was $2.18{\pm}0.68$ and the post-program test score was $6.30{\pm}0.84$, which showed statistically significant gains in all competency items (p <.001). The general satisfaction of participants with the program was quite high, demonstrated by a mean score of $4.5{\pm}0.51$. The benefits for students from program participation included increased knowledge and better understanding of the important roles of international organizations and NGOs. Conclusion : The international disaster education programs are necessary to provide an opportunity for students to increase their disaster competency. In addition, future development of a unified educational competency framework is also necessary.

• Journal of Preventive Medicine and Public Health
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• v.31 no.1 s.60
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• pp.139-156
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• 1998

Diving related disease including decompression sickness is an important occupational health problem and diving fishermen remain a fairly hazardous occupation in Korea. To prevent diving related disease, we investigate diving patterns, incidence of diving related diseases, and contributing factors of 433 diving fishermen of three coast interviewing and mailing questionnaire in 1996. Mean age of divers was 39.7 years, ranged from 24 to 58 years, 92.8% of these were male, and 58.4% of divers were high school graduates. Mean duration of work as a diver was 12.9 years, ranged from 2 to 40 years. It was found that 70.4% of divers were using hookah system, 22.2% of helmet, and only 2.5% SCUBA. About half of them have learned diving skills from other divers. The peak season of diving was from April to June and mean working days were 20.3 days per month during the peak season. On the average, the divers dived 5-6 times, ranged from 1 to 10 times a day with 51.1 minutes of diving time, ranged from 20 to 120 minutes, at 30 m or 40 m in depth, and 35.5 minute of interval on surface. Most divers ascended slowly making decompression stop, yet the decompression profile used was not based on any scientific knowledge except for their own experiences. It appeared that each diving system had slightly different diving patterns. There were 282(65.0%) divers that suffered from DCS in 1995 and 31.2% of divers were given recompression therapy at a medical facility since they worked as diving fishermen. Skin and musculoskeletal complaints were common symptoms of DCS and 39% of divers experienced a voiding difficulty. In univariate analysis, females have an increased frequency of DCS(93% vs 66% for males). Old age, long duration of work, helmet diving, diving time, diving depth, repetitive diving, and blow up were all contributing factors to DCS. It was found that most diving patterns exceed no decompression limit and did not use the standard decompression table. This suggests that most of divers are at high risk of developing diving related disease with prolonged dives and lengthy repetitive diving in deep depth. Considering the diving patterns and economic aspect of professional diving, the incidence of DCS among diving fishermen in Korea will not decrease in the near future. These findings suggest that periodical health surveillance for divers, and education of health and safety are important for reducing the risk of diving related disease in the population of diving fishermen.