• 제목/요약/키워드: Health Training Center

검색결과 670건 처리시간 0.027초

건강증진 연구 보고지침 (Reporting Guidelines for Health Promotion Research)

  • 유승현
    • 보건교육건강증진학회지
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    • 제29권4호
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    • pp.83-99
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    • 2012
  • Objectives: The purpose of this review is to introduce reporting guidelines for health promotion research in an effort to enhance systematic structure and quality of health promotion research reported in academic papers. Methods: Widely accepted guidelines were selected for description, which focus on 4 distinct types of research design. Checklists and flow diagrams are described and compared. Results: CONSORT Statement is reporting guidelines for randomized controlled trials with a 25-item checklist and a flow diagram. TREND Statement with a 22-item checklist is to guide reporting of health research in nonrandomized design. STROBE Statement is a compiled guidelines for observational health research, accompanied by a 22-item checklist in a combined edition. PRISMA Statement consists of a 27-item checklist and a flow diagram, providing guidelines for reporting systematic reviews and meta-analyses. All items on the checklists and flow diagrams were introduced and discussed. Conclusion: Solid understanding of research designs and adoption of reporting guidelines will enhance the quality of research with information on internal and external validity. Education and training of researchers on the research reporting is required along with systems level adoption of efforts for research enhancement.

도시보건소 직원의 보건소 업무에 대한 인식 및 견해 (A Study on Perception and Attitudes of Health Workers Towards the Organization and Activities of Urban Health Centers)

  • 이재무;강복수;이경수;김천태
    • Journal of Yeungnam Medical Science
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    • 제12권2호
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    • pp.347-365
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    • 1995
  • 도시 보건소 직원의 보건소 업무에 대한 인식 및 태도를 파악하기 위하여 대구직할시 7개 보건소 직원 310명을 대상으로 1994년 8월 15일부터 9월 30일까지 설문조사를 실시하여 252명(회수율 81.3%)의 자료를 분석하여 다음과 같은 결과를 얻었다. 조사대상은 남자가 95명(37.3%), 여자가 157명(62.3%)이고, 60.3%가 대졸이상자였다. 현재 근무부서의 시설이 보건사업을 수행하는데 적합하다고 한 의견이 28.6%, 적합하지 않다가 51.1%였고, 보유 기자재가 사업수행에 적합하다가 19.4%, 적합하지 않다가 39.0%였으며, 보건소의 인력수가 적정하다가 28.6%, 적합하지 않다가 44.8%였다. 근무부서의 예산이 보건사업 수행에 적합하다고 한 의견이 13.1%, 적합하지 않다가 38.5%였다. 지방자치제 실시후 사업내용이 바뀌어야 한다고 한 의견이 51.9%, 지방자치제의 실시가 자신의 근무부서의 업무에 도움이 된다고 한 의견이 25.4%, 도움되지 않는다가 24.6%였다. 지방자치제 실시에 따라 보건소의 조직과 기능이 개선되어야 한다는 의견은 78.6%였다. 사업 목표량의 설정이 해당 부서나 지역의 실정에 비추어 맞게 책정되어 있다는 의견이 11.1%, '그렇지 않다'가 43.3%였다. 업무 수행을 위한 전문적인 지식이나 기술에 대한 교육을 더 받아야 한다고 한 의견이 57.5%, 더 받을 필요없다가 20.6%였고, 자신의 업무수행에 자율성이 있다고 생각하는 견해가 35.7%, 자율성이 없다가 25.8%였으며, 현재 하고 일에 만족한다가 39.3%, 만족하지 못한다가 16.3%였다. 보건소의 인사관리에 대해서는 11.5% 합리적이라고 하였고, 47.3%가 불합리적 이라고 하였으며, 보건소가 주민들로부터 신뢰를 받고 있다는 의견이 41.3%, '그렇지 않다'는 의견이 13.1%였다. 보건소에서 지역주민에게 제공하는 서비스 중에서 잘 시행되고 있는 사업은 결핵관리, 일반진료, 모자보건사업의 순이었으며, 부족한 사업은 보건교육, 치과진료, 위생, 통합보건사업의 순이었다. 향후 보건소에서 주민에게 제공해야 할 서비스로는 노인보건사업, 가정의료사업, 재활보건사업, 당뇨병관리, 고혈압관리, 학교보건사업, 정신보건사업의 순으로 지적하였다. 보건소 근무자들은 시설, 기자재, 인력, 예산, 인사관리, 사업목표량의 설정 및 평가, 인사관리 등에 대해서는 부정적인 의견이 많았으며, 업무수행을 위한 보수교육, 지방자치제 실시를 통한 업무의 변화, 업무의 자율성, 업무의 만족도 면에서는 대체로 긍정적인 의견을 가진 것으로 나타났다.

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Effects of exercise on AKT/PGC1-α/FOXO3a pathway and muscle atrophy in cisplatin-administered rat skeletal muscle

  • Bae, Jun Hyun;Seo, Dae Yun;Lee, Sang Ho;Shin, Chaeyoung;Jamrasi, Parivash;Han, Jin;Song, Wook
    • The Korean Journal of Physiology and Pharmacology
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    • 제25권6호
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    • pp.585-592
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    • 2021
  • Cisplatin has been reported to cause side effects such as muscle wasting in humans and rodents. The physiological mechanisms involved in preventing muscle wasting, such as the regulation of AKT, PGC1-α, and autophagy-related factor FOXO3a by MuRF 1 and Atrogin-1, remain unclear following different types of exercise and in various skeletal muscle types. Eight-week-old male Wistar rats (n = 34) were assigned to one of four groups: control (CON, n = 6), cisplatin injection (1 mg/kg) without exercise (CC, n = 8), cisplatin (1 mg/kg) + resistance exercise (CRE, n = 9) group, and cisplatin (1 mg/kg) + aerobic exercise (CAE, n = 11). The CRE group performed progressive ladder exercise (starting with 10% of body weight on a 1-m ladder with 2-cm-interval grids, at 85°) for 8 weeks. The CAE group exercised by treadmill running (20 m/min for 60 min daily, 4 times/week) for 8 weeks. Compared with the CC group, the levels of the autophagy-related factors BNIP3, Beclin 1, LC3-II/I ratio, p62, and FOXO3a in the gastrocnemius and soleus muscles were significantly decreased in the CRE and CAE groups. The CRE and CAE groups further showed significantly decreased MuRF 1 and Atrogin-1 levels and increased phosphorylation of AKT, FOXO3a, and PGC1-α. These results suggest that both ladder and aerobic exercise directly affected muscle wasting by modulating the AKT/PGC1-α/FOXO3a signaling pathways regardless of the skeletal muscle type.

대구·경북지역 보건소 성교육 담당자의 훈련 및 업무현황과 개선방안 (Training, Working State and Ways of Improving Work of Sex Education Counselors in Health Centers)

  • 염석헌;김창윤;이경수
    • 농촌의학ㆍ지역보건
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    • 제27권2호
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    • pp.159-175
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    • 2002
  • 본 연구는 대구광역시와 경상북도 보건소의 성교육 상당 담당자들의 구체적인 직무 현황과 실태를 조사하고 비교 분석하여 제반 문제점을 파악한 후 개선 방안을 도출하고, 이를 통하여 성교육 및 상담의 효율적인 수행방안을 제시하고자 수행되었다. 정상북도의 경우 총 53명을 교육하여 보건소당 평균 2.3명을 교육하였고, 보건소별로는 1명부터 5명까지 배치되어 있었다. 대구광역시의 경우도 10명을 교육하였으나, 보건소별로는 0명부터 3명까지 차이를 보였다. 성교육과 상담교육을 이수한 근무자 중에서 교육이수 후 성상담 업무를 담당한 경험이 있는 경우는 38명으로 66.7%를 차지하였다. 전체 31개 보건소 중 현재 성교육 업무를 담당하고 있는 담당자 27명이 응답한 내용을 분석해 보면 다음과 같다. 성교육이나 상담시 사용하는 자료에 대한 복수응답 결과 비디오를 이용한 경우가 25건(92.6%), 책이나 소 책자가 23건(85.2%), 사진을 이용한 경우가 10건(37.0%), 빔프로젝트 8건(29.6%), 슬라이드를 이용한 경우가 7건(25.9%) 순이었다. 성교육과 상담업무 담당자의 업무별 투입시간 비율을 보면, 성교육 외의 업무가 76.2%, 학교현장에서의 성교육 7.6%, 성교육 자료수집 5.7%, 성교육 자료개발 3.5%, 청소년 상담 3.0%순이었다. 성교육과 상담실시 여부를 분석한 결과 27개 보건소 중에서 유치원 학생에 대하여 성교육을 실시하고 있는 보건소는 12개로 44.4%, 초등학교는 13개로 48.1%, 중학교는 19개로 70.4%, 고등학교는 14개로 51.9%, 성인 대상의 교육과 상담은 10개 보건소에서 교육을 실시하고 있어 37.0%로 나타났다. '99년도 한해 동안 각 보건소에서 실시한 성상담 건수는 평균 301건이었으며, 보건소에서 실시한 현장 성 교육 횟수는 유치원이 13.1회, 초등학교 7.5회, 중학교 4.8회, 고등학교 10.9회, 그리고 성인을 대상으로 한 교육횟수가 21.0회였다. '99년 한해 동안 각 보건소에서 실시한 성교육 인원은 유치원이 평균 782명, 초등학교가 235명, 중학교 240명, 고등학교 448명, 그리고 성인 교육이 1,534명으로 나타났다. 성교육 담당자들의 업무에 가장 큰 문제점에 대한 응답 중 '업무량이 과중하다'가 9명(33.3%), '성교육 자료 부족'이 8명(29.6%)으로 가장 많았다. 성교육 담당자의 업무와 관련된 개선방안에 대한 응답에서 성교육을 담당하는 기관이 더욱 전문적이고 체계적이어야 한다는 지적이 70.4%로 가장 높았고, 교육 자료가 더욱 구체적이고 세분화되어야 한다고 응답이 44.4%, 보건소 성상담요원의 업무량의 감소로 인한 성 상담과 교육에의 전문화와 체계화에 대한 의견이 37.0%, 다음으로는 학교, 교사와 보건소와의 협조 강화가 29.6%였다. 이상의 결과로 볼 때, 현재 보건소의 성교육 상담 인력의 훈련과 배치 및 활용은 효율적이지 못하다고 판단되며, 인력의 효율적 활용을 위한 인사교류 방안의 개선과 지역의 성교육과 상담 수요에 따른 인력 양성 계획이 필요하다. 또한 보건소의 성교육을 효율적으로 수행하기 위한 전문성 확보를 위해 담당자의 지속적인 교육과 업무수행을 위한 교육자료의 개발과 보급이 필요하다.

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복합재활중재 프로그램이 경도인지저하와 치매환자의 인지와 손기능에 미치는 연구 (The Effect of a Complex Rehabilitation Intervention Program on Cognitive and Hand Functions in Patients with Mild Cognitive Impairment and Dementia)

  • 정복희
    • 대한통합의학회지
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    • 제4권3호
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    • pp.49-59
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    • 2016
  • Purpose : The study was aimed to evaluate the improvement of cognitive and hand functions after the application of a complex rehabilitation intervention program on patients with mild cognitive impairment (MCI) and dementia who were living a regional community from. Methods : Subjects who were living in a regional sanatorium or who were outpatients of a community health center were enrolled from 2012. 2 to 2013.2 All subjects were enforced 8 cycles of a complex rehabilitation intervention program including RON dance, physical activity using therabands, reality awareness training, space retrieval training and handicraft activities. Results : There were significant improvement in LOTCA-G cognitive function and JTHFT hand function test after the application of a complex rehabilitation intervention program. Conclusion : The result shows a significant improvement in cognitive and hand functions after the application of a complex rehabilitation intervention program in patients with MCI and dementia. Therefore the authors suggest the vast studies of the cognitive function program development and hand function vitalization by the application of a complex rehabilitation intervention program.

지역사회기반 참여연구 방법에 입각한 단기집중 방문재활프로그램 질적 평가: 치료사와 대상자 심층면담을 중심으로 (A Qualitative Evaluation of Short-Term Intensive Home-Based Rehabilitation Program for Disabilities Through In-Depth Interview: Community-Based Participatory Research Approach)

  • 이민영;김은성;윤범철
    • 한국전문물리치료학회지
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    • 제23권2호
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    • pp.44-56
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    • 2016
  • Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

지역사회 간호 서비스 전달 체계 모형 개발 -가정방문서비스를 중심으로- (Development of Community Health Nursing Service Model: - Based on the Visiting Nurses Project in Seoul, Kyonggi, and Kang-won Area-)

  • 김성실
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.361-374
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    • 2001
  • This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.

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정상성인의 자제 안정성과 시각을 이용한 균형훈련 (Postural Stability and Balance Training Using Vision in Adult)

  • 권미지
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.149-154
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    • 1998
  • This study was designed 1) to quantitatively observe changes in static platform and 2) to observe balance performance using vision. Seventy-five subjects participated in the study. Subjects comprised 39 males and 36 females(mean ages=23.8 years) without neurologic and orthopaedic impairments. Static balance was measured with eyes open and closed. Subjects was required to move the cneter of balance curser in a counterclockwise for 30 sec. The effect for the COBx(-) suggests that subjects tended to maintain their weight slightly In the left. The time taken and the accuracy to move the center of balance from target to target was 14 sec, $49.47\%$. The body sway upon reaching the target was 7.3 AP sway and 11.88 LR sway distance. In this study, the data developed could be appropriate to use for sine comparisons when balance training patients with neurologic or orthopaedic impairments.

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연속반응시간과제를 이용한 교차훈련의 효과 (The Effect of Cross Education using Serial Reaction Time)

  • 최진호;박소현
    • The Journal of Korean Physical Therapy
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    • 제20권4호
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    • pp.15-20
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    • 2008
  • Purpose: We investigated the effects of physical practice, mental practice, and cross education using serial reaction time (SRT). We recruited 21 right-handed healthy males and females who gave consent and had no clinical history for their upper limbs. Methods: The subjects were divided into three groups; actual practice (n=7), mental practice (n=7), and controls (n=7), who performed actual training, mental training, or no intervention respectively for three weeks. Super lab 4.0 displayed four symbols on the monitor and subjects pushed on the matching button, with reaction time assessed pre- and post-intervention. Results: Reaction time was significantly lower after actual or mental practice (p<0.05). Actual practice also decreased left hand reaction time. Conclusion: Actual practice and mental practice can improve motor learning, but mental practice is not sufficient for cross education.

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의료서비스조직 여성근로자의 역할갈등, 양육스트레스, 스트레스 대처유형이 조직몰입에 미치는 영향 (Influence of Role Conflict, Childcare Stress, and Stress Coping Type on Organizational Commitment among Female Workers at Hospital Settings)

  • 조희정;지재훈
    • 보건의료산업학회지
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    • 제4권1호
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    • pp.135-149
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    • 2010
  • The objective of this study is to investigate the influence of role conflict, childcare stress, and stress coping type on organizational commitment among female workers at hospital settings, and thus, to suggest implications for improving their productivity and quality of working life. Data were collected from 195 female employees working at a general hospital in Busan Metropolitan Area by using structured self-administered questionnaire. Among study variables, role conflict(-) and direct-positive stress coping type(+) had statistically significant effect on organizational commitment. This study results imply that role conflict, and stress coping type are crucial for managing desirable job attitude of female employees. Therefore, education and training, and consultation programme for diminishing role conflict and adopting appropriate stress coping type should be developed and utilized.