• 대한간호학회지
• /
• 제23권3호
• /
• pp.377-398
• /
• 1993

A survey of infant practices was conducted to provide information on which to base planned nursing interventions. The subjects were a convenience sample of 168 mothers visiting out - patients departments of five general hospitals and one public health center in Seoul for immunizations or treatment for common colds for their infants from two to 12 months of age. Data collection was carried out from July 8th to September 30th, 1991 using a questionnaire of 84 questions, 31 on the type of feeding, 22 on supplementary feeding and 21 on demographic infer mation. The results are summarized as follows : 1) The type of feeding was primarily artificial feed-ing (63.1%), followed by mixed feeding (22%) and breast feeding (14.9%) of the 59 mothers expecting during pregnancy to breast feed, 54. 2% changed artificial feeding and 30.5% went on to breast feed as they had expected. For mothers expecting to continue breast feeding over seven months. only one infant was being breast fed for over seven months. 2) For the 106 mothers using artificial feeding, 70. 8% hed attempted breast feeding, 64% of them for less than a month. Breast milk had been suppressed by for medication (38.7%) : 34.9% had used no specia] means. 3) The major reasons for replacing breast feeding with artificial feeding were the infants' demand for more milk (47.2% ) and insufficient supply of breast milk (49.3％). 4) Most mixed feeding was started at the age of one to three months (59.5%). Only 34.4% gave an artificial feeding after breast feeding : most (46%) alternated breast feeding with artificial feeding. On the whole, the motive for mixed feeding was the lack of breast milk (70.3%). 5) Many mothers (81.8%) were adding vitamin or mineral supplements to artificial milk and 51.5% were adding something to faciliate digestion. As for the method of sterilizing milk bottles and nipples, 56% had sterilized them together in boiling water from the beginning : 27% were just washing the bottles after boiling only once initially when measuring artificial milk powder, 31. 5% of the mothers over filled the measuring spoon rather than to the level. 6) The mother's occupation was related to her way of feeding. Mothers at home full time did more breast feeding than mothers employed outside the home. (x²=5.72, p=〈0.05). 7) Most mothers began supplementary food, from three to four months (48.8%) : 11.2% began later than seven months. Supplementary food was given between milk feedings by 67.2% of the mothers : 19.2% gave it before a milk feeding. Some mothers(26.4%) made their own supplementary food : 19.2% used ready - made supplementary food products for convenience. Recommendations for nursing interventions included : 1. Prenatal education about the advantages of breast feeding and breast care, and home visits after delivery for counselling related to breast feeding. Correct preparation of artificial feeding methods need to be taught in both pre & postnatal periods. In addition, specific education about supplementary feeding needed. 2. Further research is indicated about the Perceived lack of supply of breast milk and about the effectiveness of nursing interventions to Promote breast feeding.

• Journal of Preventive Medicine and Public Health
• /
• 제31권4호
• /
• pp.692-707
• /
• 1998

우리나라 근로자의 특성과 산업보건 현실에 적합한 신경행동검사들을 선택하기 위하여 지금까지 국내의 일부 연구에서 사용되었던 신경행동검사들의 타당도를 비교평가하였다. 대구지역의 중소규모 사업장에서 톨루엔, 크실렌, 메틸에틸케톤, 이소프로필알콜, 메탄올에 폭로되는 유기용제 폭로군 96명과 대조군 100명을 대상으로 인구학적 변수와 직업관련 변수를 조사하고, 컴퓨터 신경행동검사 네 가지 검사항목(숫자 더하기, 부호숫자 짝짓기, 숫자 외우기, 손가락 두드리기)과 면접식 신경행동검사 일곱 가지 검사항목(Benton visual retention 검사, 숫자 외우기, 숫자부호 짝짓기, 숫자 더하기, 목적점찍기, 핀꼽기, 막대 두드리기)을 수행하였다. 11개의 신경행동검사 항목들 중 지각과 반응속도 영역에서 컴퓨터 부호숫자 짝짓기, 운동영역에서 컴퓨터 손가락 두드리기 및 미세운동영역에서 핀꼽기의 유사영역의 다른 검사에 비해 타당도가 상대적으로 높은 것으로 평가되었다. 이러한 결과는 산업장 근로자의 중추신경계장애의 선별을 위한 신경행동검사의 선택에 도움이 될 것으로 생각되나 대상자의 폭로기간이 길지 않고 폭로력과 재현성을 고려하지 못한 제한점을 가진다.

• Journal of Hospice and Palliative Care
• /
• 제14권4호
• /
• pp.218-226
• /
• 2011

목적: 본 연구는 국가 차원의 암 생존자 관리 프로그램 개발과 관련한 일반대중들의 태도를 조사하고 분석하여, 국가 암 생존자 관리를 위한 정책과 제도 마련에 대한 필요성을 제시하고자 한다. 방법: 16개 시도시의 20세 이상 성인남녀 1,015명을 대상으로 성별, 연령별, 시도별 인구분포에 의한 할당추출 인구 구성비와 동일하게 대상자를 추출하여 조사를 실시하였다. 인구학적 특성, 암과 관련된 인식, 암 생존자 관리를 위한 국가 프로그램에 대한 태도를 포함한 구조화된 설문지를 사용하여 전화 면접조사를 실시하였다. 결과: 암 치료 후 국가차원의 지속적인 관리 필요성에 대해 응답자의 56%가 '매우 그렇다', 27%가 '그런 편이다'라고 응답하였다. 관리의 내용으로는 29.8%가 '치료 후 진료 또는 관리에 대한 보험 적용확대'로 가장 많았으며, '암 치료 후 체계적인 교육 및 재활 프로그램 제공'이 25.6%이었다. 교육 수준이 낮거나[adjusted odds ratio (aOR)=1.36; 95% confidence interval (CI)=1.04~1.77], 기혼이거나[aOR=1.79; 95% CI=1.34~2.37], 경제수준이 낮거나[aOR=1.36; 95% CI=1.04~1.77], 선진국 대비 치료수준이 높다는 견해를 가진 경우[aOR=1.56; 95% CI=1.15~2.12] 그렇지 않은 경우보다 암 치료 후 국가차원의 관리 필요성에 공감하는 것으로 나타났다. 암환자 장애인 인정 정책에 대해서는 대상자의 68%가 적극 찬성 또는 찬성한다고 응답하였으며, 교육수준이 낮을 수록[aOR=1.35; 95% CI=1.03~1.78], 기혼인 경우[aOR=1.89; 95% CI=1.41~2.53] 그렇지 않은 경우보다 더 찬성하는 것으로 나타났다. 결론: 암 생존자 관리를 위한 국가 차원의 프로그램에 대한 일반 국민들의 태도는 전반적으로 긍정적임을 확인할 수 있었다.

• Journal of Preventive Medicine and Public Health
• /
• 제31권3호
• /
• pp.540-563
• /
• 1998

This Study has been carried out to make a recommendation for the next amendment of the Infectious Disease Prevention Act with a specific focus on the kind of notifyable disease. Korean, Japanese, German, U.S, English and French acts on infectious diseases prevention were reviewed, compared with and analized in regards of numbers and kinds of notifyable infectious diseases and their tendency of amendments. An criteria was designed to assess the level of validity of diseases to be designated in the act. Four items, the fatality (greater than 10% or not), the possibility to make a big epidemic, the availability of efficient vaccination and the usefulness of isolation, are used in the assessment. This index is applied to the diseases in Korean and other countries' Infectious Disease Prevention Acts. Results are as follows: 1. The Korean Infectious Disease Preventon Act has a unique way of classifying the notifyable infectious disease, that is, the first, the second and the third class. But the author cannot find the basis of classification. No other countries reviewed have the similar classification. 2. The ten diseases, cholera, plague, yellow fever, diphtheria, typhoid fever, poliomyelitis, rabies, tetanus, malaria, and meningococcal meningitis are designated as the notifyable diseases not only in Korea but also in Japan, Germany, United States, England and france. 3. Thirty seven diseases including small pox, Lassa fever, anthrax, influenza, German measles, Legionellosis, infection with E. coli O157:H7, Q-fever, brucellosis, Lyme disease are designated as legal disease at least one of the above mentioned countries. 4. The Korea has been coped with the change of the infectious disease occurrence for last fifty years in amendment of the Infectious Disease Prevention Act. 5. Japan has a special infectious surveillance system composed of 3,880 clinics throughout the whole country. 6. Germany has classified infectious diseases in five categories which are based on seriousness of disease. Any confirmed death, cases and suspected cases in class I should be reported within 24 hours. But only confirmed death and cases in class II, but not suspected cases, are reportable in Germarny. 7. Plague, bacillary dysentery, pertussis, mumps, Japanese encephaltis and Korean hemorrhagic fevers are diseases with high credits validity index among Korean legal disease. 8. German measles, anthrax, E. coli O157 : H7 infection, Lassa fever, Q-fever, brucellosis are high in validity index among those which are not designated in Korea but designated in other countries. In conclusion, the Korean Infectious Disease Prevention Act has well been coped with the changes of infectious disease occurrence for last fifty years, but the classification basis and the validity of diseases to be designated as legal diseases is worth reevaluating.

• Physical Therapy Rehabilitation Science
• /
• 제5권4호
• /
• pp.163-169
• /
• 2016

Objective: The purpose of this study was to investigate the effects of vibration resistance exercise (VRE) in patients with tennis elbow on strength, range of motion (ROM), function, pain and quality of life (QOL). Design: Randomized controlled trial. Methods: Twenty-seven participants were randomly assigned to either the VRE group (n=9), weight resistance exercise (WRE) group (n=9) or control group (n=9). Each group underwent hot compress for 15 minutes and electrotherapy for 15 minutes. The VRE group underwent exercises using a vibrating ball for 5 minutes. The WRE group underwent exercises using dumbbells for 5 minutes. All participants were evaluated on wrist extension strength using a hand-held dynamometer, grip strength level through an electric dynamometer, and ROM through a smartphone goniometer application before and after intervention. Patient-rated tennis elbow evaluation, Visual Analogue Scale and Short Form 8 were measured by questionnaires. Results: There were showed significant differences among the VRE, WRE and control group in wrist extensor muscle and hand grip strength, ROM, elbow function, pain and QOL after intervention (p<0.05). The VRE group showed a greater significant improvement in wrist extensor muscle strength and elbow function compared with the others (p<0.05). The VRE and the WRE groups had a more significant improvement in wrist extensor muscle and hand grip strength, ROM and pain compared with the control group (p<0.05). However, there were no significant differences in QOL among the three groups. Conclusions: Combining VRE with thermotherapy and electrotherapy appears to be more effective in improving wrist extension strength, ROM, elbow function, QOL in tennis elbow patients.

• 지역사회간호학회지
• /
• 제9권2호
• /
• pp.336-349
• /
• 1998

The purpose of this study was to test the effects of music therapy on cognitive function and depression in demented old adults. This study was made with one -group in a pre- and post-test design. The subjects were seven demented old adults over, sixty-five years and with mild to moderate cognitive impairment, residing at a nursing home. Music therapy was given by one researcher and one research assistant for thirty to forty minutes twice a week for 4 months. Music therapy was conducted with the subjects both listening and singing with a cassette player and a double-handed drum. In order to evaluate the effects of music, we measured the level of cognitive function and depression at the beginning and at the end of the music therapy session by means of an MMSE- K developed by Kwon and Park and the Depression Inventory developed by Chon. The Data were analyzed using descriptive statistics and a paired t - test analysis using a SPSS PC package. The results are as follows: 1) The subjects of the music therapy showed improvement in cognitive function. The MMSE-K score was significantly increased after music therapy. Especially, memory recall was very significantly. 2) The subjects of the music therapy showed a slight decrease in depression. However, there was no significant difference in the degree of depression between mean scores measured before and after music therapy. The results suggest that music therapy is effective in improving and maintaining cognitive function in demented old adults. And we suggest that long-term music therapy will be required to improve depression in demented old adults. These findings are encouraging the idea that music therapy may improve cognitive impairment.

• 한국수자원학회:학술대회논문집
• /
• 한국수자원학회 2005년도 학술발표회 논문집
• /
• pp.1239-1243
• /
• 2005

The water quality of the Ian Stream, a tributary of the Na14dong River, was estimated to provide an information in establishment of an ecological restoration plan for fan dam which will be constructed in near future. Seven stations were selected in upstream (3 stations) and downstream (4 stations) of Ian Stream, centering the construction site of Ian dam. Samples were collected at the surface water of 7 stations selected on May 1, June 16, and September 1 in 2004. The values of DO, pH, and BOD are satisfied Grade I for river water standard in nearly all sites. The concentrations of total nitrogen (TN) and total Phosphorus (TP) showed low level with ranges of $1.10\~2.25\;mgN/L,\;5\~14\;{\mu}gP/L$. However, the total and fecal conform bacteria were detected in nearly stations, especially high at the upstream stations. The number of fecal conform bacteria corresponds to the Grade III for river water standard. In addition, some metals (iron, manganese) were detected during dry season. As a consequence, general water quality of Ian Stream satisfied Grade I for river standard and it is expected that pollution loads from watershed is not significant. However, the detection of fecal conform, which is thought to be from livestock and residents, and some metals originating mimes watershed can have a potential health risk exists for aquatic organisms lived in Ian Stream. It needs to be solved by the construction of wastewater treatment plant to diminish the health risk from stream water polluted by fecal conform and metals, and to provide the safe ecological habitat for aquatic organisms.

• 대한방사선기술학회지:방사선기술과학
• /
• 제41권5호
• /
• pp.427-435
• /
• 2018

There was a shortage of research reports on sterilization criterion and contamination of ultrasonic probes. Therefore, in this study, we were going to provide a basic study to measure the level of microbial contamination in ultrasonic probes and to investigate the radiographer's awareness of infection. After the scan, samples were collected from the rubber part of the probe by opening a sterile swab (Transport Medium AM608-1S) for medical bacteria collection with the remaining gel removed with a paper towel. Also, the collected samples of bacteria were grown for seven days and then the laboratory was analyzed. Among the total 29 types of microorganisms, Micrococcus luteus 21(26%), Moraxella species 16(20%), Coagulase negative staphylococcus 8(10%), Bacillus species 5(7%), Bicillus circulans 3(5%), Acinetobacter lwoffii 2(2%), and 1 other Candida parapsilosis (1%) a number of bacteria and fungus, was detected. In a disinfectant experiment using LuciPac Pen on the Lumitester PD-30s, we cultured the rubber part of the probe two to three times to measure the bacteria. Bacteria decreased to 97% with Aquanax (alkaline reduced water 100%), 99% with Klarion wash (0.01% sodium hydroxide), 94% with Klarion disinfection (0.01% nitrous acid water), Sterilization was best with Klarion wash (0.01% sodium hydroxide). Therefore, guidelines for cleaning and disinfection of ultrasonic probes was required, and further development of probe-only disinfectants is required.

• 대한지역사회영양학회지
• /
• 제3권2호
• /
• pp.292-307
• /
• 1998

This study was conducted to evaluate the eating behavior and to analyze the various factors affecting eating behavior among middle school students. The subjents consisted of 212 middle school students(106 boys and 106 girls between 13-14 years) residing in Seoul. A questionnaire was used as the questionnaire consisted of four parts : the socio-demographic characteristics of the subjects, value toward food and nutrition, diet diversity(the number of food items) and eating behavior. Results showed that fifty three point five percent of males and fifty seven percent of females skipped breakfast. The main reason for skipping breakfast was shortage of time. Fifty five percent of the total number of subjects stated that they had more than two plasant meals a day. The number of food items eaten was significantly higher in males than in females. In only 16.4% of total subjects(18.5% of male and 14.2% of female), the primary pursuit in having meals was not to satisfy hunger but to consider nutrition and health. The eating behavior of the adolescents showed that 65% of the subjects had a 'good' eating behavior score and 17.4% had scores of 'excellent' and 'poor' respectively. The existence of parents, the economic level of the family, and concern of health and nutrition affected the eating behavior score. The less the subject skipped breakfast, the greater they placed a value toward food and nutrition. Value toward food and nutrition had a significant influence on their eating behavior. Those who placed a value toward food and nutrition had a higher eating behavior. Those who placed a value toward food and nutrition had a higher eating eating behavior. As a result of the multiple regression analysis, factors affecting eating behavior were 'pleasant meal' , 'the value toward food and nutrition' and 'the numbers of food items' in order(R2=0.2984).

• 한국환경독성학회:학술대회논문집
• /
• 한국환경독성학회 2003년도 춘계학술대회
• /
• pp.194-194
• /
• 2003

The International Agency for Research on Cancer (IARC, 1989) has classified whole diesel exhaust as probably carcinogenic to humans. Diesel exhaust particulate matter (DPM) adsorbs different chemical substances including PAHs and nitroarenes. DPM is emphasized because it is a major component of diesel exhaust, it is suspected of contributing to a health hazard. Diesel exhaust is a complex mixture of carbon particles and associated organics and inorganics, and it is not known what fraction or combination of fractions cause the health effects [cancer effects, noncancer effects (respiratory tract irritation/inflammation and changes in lung function)] that have been observed with exposure to diesel exhaust. In order to identify which chemical classes are responsible for the majority of the observed biological activities, we performed a particular biological/chemical analysis. Respirable particulate matter (PM2.5: <2.5mm) was collected from diesel engine exhaust using a high-volume sampler equipped with a cascade impactor. Particulate oganic matter was extracted by the dichloromethane/sonication method and the crude extract was fractionated according to EPA recommended procedure into seven fractions by acid-base partitioning and silica gel column chromatography. We examined genotoxic potentials of diesel exhaust particulate matter using novel genotoxicity tests, which are rapid, simple and sensitive methods for assessing DNA-damage at the DNA and chromosomal level (comet assay, in vitro MN test and Ames test). Higher genotoxic potency was observed in non polar fractions and several PAHs were detected by GC-MS, such as 1,2,5,6 dibenzanthracene, chrysene, 1,2-benzanthracene, phenanthrene and fluoranthene.