• 보건의료산업학회지
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• 제6권1호
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• pp.117-128
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• 2012

This study purports to investigate the difference between upward and downward feedback and to find out the strategy to enhance the validity and reliability of the multi-source feedback system. Data were collected from 88 middle-level managers working at divisions of nursing, administration, and clinical technology at a university hospital located in north-eastern part of South Korea. Data about multi-source feedback of the year 2008 and 2009 were obtained from the department of personnel management under the permission of hospital top management. The collected data were analyzed using t-test, and correlation analysis. The major findings of the study were as follows: First, the scores of downward feedback were always higher than those of the upward feedback. Second, the scores of downward feedback were always higher than those of the upward feedback in both nursing and administrative staff, while no significant difference was found in technological staff. Third, the upward and downward feedback scores were significantly different in terms of the evaluation factors. Fourth, there were significant correlations between total scores of downward and upward feedback, and evaluation factor scores. In conclusion, the composition and weight of measurement items of multi-source feedback needs to be designed differently in terms of each job characteristics.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.198-204
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• 1998

Unstable fractures of the proximal humerus continue to be difficult problems for orthopaedic surgeons. The optimum treatment of these fractures has remained a matter of controversy. We analyzed the clinical results of open reduction and plate fixation underwent for patients of unstable fractures of proximal humerus after minimum 12 months follow up. The purpose of this study is to evaluate the efficacy of open reduction and rigid plate fixation. Twenty-two patients were managed with open reduction and plate fixation. Mean follow up duration was 20.6 months(range, 12 to 28 mon.). Because the age of patient as a maker of degree of osteoporosis was considered the key factor in the success of anatomic reconstruction, we divided into two groups according to age. Group A was comprised of 12 cases with younger than 50 yrs of age. Ten cases of older than 50 yrs of age were Group B. According to Neer's classification, five cases(22%) were two part fracture, 12 cases(64%) were three part fracture, and three cases(14%) were four part fracture. We used the Neer rating system for evaluating the results. In Group A, overall scores were 79.1. In Group B, overall scores were 76.8. Overall scores in two part fracture were 85, overall scores in three part fracture 78.4 and overall scores in three part fracture 68.3. We achieved excellent or good results in nine cases(75%) of Group A and seven cases(70%) of Group B. Also, we obtained excellent or good results in all cases of two part fracture, ten cases(71%) of three fracture and one case(33%) of four part fracture. The complications were three metal loosening, one avascular necrosis of humeral head, one severe stiff shoulder, one superficial wound infection and one ectopic ossification. The results were excellent or good in 16 cases(73%) out of 22 cases. In conclusion, rigid fixation and supervised early exercise would be a good option for unstable fracture of the proximal humerus.

• Journal of Korean Neurosurgical Society
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• 제67권2호
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• pp.209-216
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• 2024

Objective : Some patients with disc herniation who underwent discectomy complain of back pain after surgery and are unsatisfied with the surgical results. This study aimed to evaluate the relationship between preoperative disc height (DH), postoperative DH, and pain score 12 months after surgery in patients who underwent microdiscectomy for herniated lumbar disc. Methods : This study enrolled patients who underwent microdiscectomy at a medical center between January 2012 and December 2020. Patients with X-ray or computed tomography and pain score assessment (visual analog scale score) prior to surgery, immediately post-op, and at 1, 6, and 12 months after surgery were included. The DH index was defined as DH/overlying vertebral width. The DH ratio was defined as the postoperative DH/preoperative DH. Simple linear regression and multivariate linear regression analyses were applied to assess the correlation between DHs and leg pain scores 12 months after surgery. Results : A total of 118 patients who underwent microdiscectomy were included. DH decreased up to 12 months after surgery. The DH ratio at 1, 6, and 12 months after discectomy showed a significant positive correlation with the pain scores at 12 months after discectomy (1 month : p=0.045, B=0.52; 6 months : p=0.008, B=0.78; 12 months : p=0.005, B=0.69). Multivariate linear regression analysis revealed that the level of surgery, sex, age, and body mass index had no significant relationship with back pain scores after 12 months. Conclusion : In patients who underwent microdiscectomy, the DH ratios at 1, 6, and 12 months after surgery were prognostic factors for back pain scores at 12 months after surgery. Aggressive discectomy is recommended for lower postoperative DH ratios and Visual analog scale scores, leading to improved patient satisfaction.

• 농촌지도와개발
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• 제22권2호
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• pp.101-116
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• 2015

This study aims to identify the decision-making factors of people who have returned to rural areas for farming and residence according to personal characteristics and regions. The survey was conducted on 420 return farmers of six cities and counties in Gyeongsangbuk-Do from September 1st to October 11th 2013. For data analysis, researchers used 280 answered sheets and utilized two-way ANOVA and multinomial logistic regression analysis. Research results indicate three factors of returning to farm which are pull to rural area, push from city, and policy factor. The highest scores of factor is pull to rural area (2.93), the second one is push from city (2.31), and the lowest score is politic factor (2.18). In addition, these three factors of returning to farm are elucidated by environmental variable, economic variable, and information and opportunity provided by government. In other words, the factor of pull to rural area is related environmental variable and the factor of push from city is affected by economic variable. Lastly, politic factor pertains to information and opportunity provided by government.

• 대한지역사회영양학회지
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• 제22권5호
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• pp.441-455
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• 2017

Objectives: The purpose of this study is to describe beverage patterns among healthy Korean adults and investigate their association with prevalence and components of metabolic syndrome. Methods: Subjects consisted of 6,927 Korean adults, aged 19-64 years in the $6^{th}$ Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015). Beverages were regrouped into twelve groups based on food codes and beverage intake (g/day) was assessed by 24-hour recall. Factor analysis was used to obtain beverage patterns. Waist circumference and body mass index (BMI) were used as anthropometric data; fasting blood glucose, triglyceride, high density lipoprotein (HDL), and blood pressure were used as biochemical indicators. The odds ratio (OR) for prevalence of metabolic syndrome and components of metabolic syndrome was assessed using logistic regression analysis. Results: Three beverage patterns were identified using factor analysis: 1) carbonated soft drinks 2) coffee (without added sugar or powdered creamer), and 3) alcoholic beverages. Subjects with high scores for the carbonated soft drink and coffee without added sugar or powdered creamer patterns were younger and subjects with high scores for the alcoholic beverage pattern were older. There were significant differences in gender distribution in all three beverage patterns, with men more likely to have high scores for carbonated soft drink and alcoholic beverage patterns. On the other hand, women were more likely to have higher scores for coffee without added sugar or powdered creamer pattern. Within each pattern, there were significant differences in sociodemographic and lifestyle characteristics such as education, household income, frequency of eating out, and smoking status according to the quartile of pattern scores. Alcoholic beverages and carbonated soft drinks patterns were associated with an increased levels of metabolic syndrome components, but coffee without added sugar or powdered creamer was not associated with any of metabolic syndrome components in healthy Korean adults after adjusting for age, sex, education, BMI, weight management, household income, smoking status, frequency of eating out, and energy intake. Conclusions: Alcoholic beverages and carbonated soft drinks patterns are associated with increased levels of metabolic syndrome components while coffee without added sugar or powdered creamer pattern is not associated with any of metabolic syndrome components in healthy Korean adults.

• 한국심리학회지ㆍ건강
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• 제19권3호
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• pp.711-727
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• 2014

본 연구에서는 Hendy 등(2009)이 개발한 부모의 식사 중 행동평가 척도(Parent Mealtime Action Scale)의 표준화를 실시하였다. 이를 위해 만 1-11세 정상발달 아동의 부모(N=887)를 대상으로 번안된 PMAS와 K-CEBI를 실시하였으며, 신뢰도 검증을 위해 이들 중 일부에게 재검사(N=45)를 실시하였다. 또한 발달장애아동의 양육자 116명을 대상으로 PMAS를 실시하여 변별타당도를 검증하였다. 요인분석 결과 한국형 부모의 식사 중 행동척도(PMAS)는 8요인구조가 적합한 것으로 나타났다(간식제한, 섭취주장, 과일채소 섭취, 긍정적 설득, 보상사용, 부모의 간식섭취, 음식의 다양성, 저지방식). K-PMAS는 유의한 수준의 내적 합치도 및 검사-재검사 신뢰도를 보고하였고, K-CEBI와의 상관분석 및 발달장애 아동을 둔 부모 집단과의 차이를 통해 아동의 체중 및 식습관에 영향을 주는 부모의 식사 중 행동을 측정하기에 신뢰롭고 타당한 도구임이 증명되었다. 일원변량분석 결과 아동의 성별에 따른 차이는 나타나지 않았으나, 아동의 연령에 따른 부모의 식사 중 행동에서는 유의한 차이가 드러나 이를 반영한 규준을 제시하였다. 끝으로 본 연구의 연구적, 임상적 함의 및 한계점에 대해 논의하였다.

• 한국놀이치료학회지
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• 제21권4호
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• pp.491-507
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• 2018

본 연구는 영유아 부모를 위한 놀이참여태도 척도의 타당도를 검증하기 위해 수행되었다. 질문지는 영유아 자녀의 놀이에 대한 부모의 참여태도를 측정하기 위해, 본 연구자들이 델파이 조사를 통해 개발한 33개 자기보고식 질문지를 사용하였고, 예비조사를 거쳐 문항의 가독성과 의미전달 정도를 파악하였다. 본 조사는 서울 및 인천 지역에 위치한 9곳의 어린이집에 재원 중인 영유아 부모 447명을 대상으로 수행되었으며, 최종적으로 339명의 자료를 이용하여 탐색적 요인분석, 확인적 요인분석, 상관분석, 중다회귀분석과 신뢰도 분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 영유아 부모를 위한 놀이참여태도 척도의 구인타당도를 검증한 결과, '민감하게 놀기(7문항),' '반응적으로 놀기(6문항),' 그리고 '즐겁게 놀기(7문항)'의 3개 요인 총 20문항으로 정리되었고, 3요인 모형의 적합도는 우수한 것을 확인하였다. 둘째, 영유아 부모를 위한 놀이참여태도 척도의 내적일관성은 양호한 것으로 나타났다. 셋째, 영유아 부모를 위한 놀이참여태도 척도의 공인타당도를 검증한 결과, 본 척도와 부모의 놀이성과는 통계적으로 유의미한 정적상관을 나타내어 공인타당도가 확인되었다. 마지막으로, 영유아 부모를 위한 놀이참여태도 척도는 부모의 양육스트레스와 유아의 자기조절능력을 예측하는 준거타당도가 있음이 확인되었다. 본 연구를 통해 타당화된 영유아부모를 위한 놀이참여태도 척도는 자녀의 놀이에 참여하는데 있어 부모의 어떠한 태도가 적합한지를 제안하는 부모교육자료로 활용되거나 자녀와의 놀이 참여 태도 개선 및 향상을 위한 부모교육프로그램이나 놀이치료의 효과성을 평가하는 지표로 활용될 수 있을 것으로 기대된다.

• 여성건강간호학회지
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• 제18권1호
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• pp.28-37
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• 2012

Purpose: The purpose of this study was to address the difference menopausal symptoms according to sasang constitution and menopausal status among perimenopausal women. Methods: Data for this cross-sectional study was collected by administering questionnaires that elicited general information. The menopause rating scale (MRS) and Questionnaire for the Sasang Constitution Classification II (QSCC II) was given to 284 perimenopausal women who met the eligibility criteria and agreed to participate in the study. Results: The study subjects were composed of 27.5% so-yangin, 24.6% so-eumin, 18.7% tae-eumin, and 29.6% undefined category. The total MRS and all subscales were significantly higher for postmenopausal women in comparison to premenopausal women. Especially, so-eumin and tae-eumin displayed significantly higher scores in urogenital symptoms. The MRS score in postmenopausal women who belonged to the group of tae-eumin and so-eumin was significantly higher than those for premenopausal women. However, so-yangin displayed higher scores in psychological and urogenital symptoms than tae-eumin for premenopausal women. So-eumin presented significantly higher scores in urogenital symptoms in comparison to the undefined category for postmenopausal women. Conclusion: These findings suggest that sasang constitution could be an important factor in understanding the woman's menopausal symptoms and identify the best treatment.

• 보건교육건강증진학회지
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• 제10권1호
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• pp.9-20
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• 1993

This study was conducted to show one case model for a community nutrition program as a part of the public health systems. The purpose of this study is to evaluate the effect of the nutrition education through the Knowledge(K), Attitude(A), and Practice of the nutrition that is the Behavior-Diagnosis(Be-D). The Nutrition Education was done for 33 housewives whom live in Sudong-Myeun, Namyangju-Kun, Kyungki-Do. It had been performed eight times during April 3rd through May 30th, 1991. We investigated actual conditions of objects about K, A, Be-D in the nutrition, and the Food Environment(En) separately before and after the nutrition education by questionnaire and interview. The results of the research turned out as follows ; 1. The comparison of the scores before and after nutrition education showed significant increase in the knowledge and attitude. 2. The scores of the Be-D were also significantly higher after education, especially in the number of foods taken per day, the balanced diet, the general food habits for adult, and amounts of intake of nutrients showed significant increase of lipid, calcium, Vit. A, $Vit B_2$, Vit. C after nutrition education. 3. Multiple regression analysis showed that the scores of the Knowledge and En were significantly associated with the number of food taken per day for condition of adjusting socio-demografic factor and A effect. Also, En was important variable in explanation of the balanced diet and A, En were important in the general food habits for adult.

• 한국치위생학회지
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• 제13권4호
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• pp.659-668
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• 2013

Objectives : The purpose of this study is to analyze the causes of stress driven by the national examination and to find out correlation between stress factors and students' general characteristics. Methods : Data were collected from self-reported questionnaires by dental hygiene students in D university in February, 2012. Results : Those having good high school GPAs (p<.05) and high preliminary test scores (p<.01) towards dental hygienist (p<.05). National license examination was the most stressful factor for 54.2% of the students. Much more stressful pressure goes to students of non-scheduled admission (p<.01), students who graduated from vocational high schools(p<.01), students with good high school GPAs (p<.05), and having high preliminary test scores(p<.05). Most of the students tended to bear the burden on national written examination with an average of 4.17. The most difficult subject was oral biology introduction (average 4.52). Oral biology introduction was more stressful to students of early admission, students graduating from vocational high schools (p<.05), students with good high school GPAs (p<.05), and students who had relatively low preliminary test scores (p<.001). Conclusions : It is crucial to reduce stress factors and to develop related programs.