• Title/Summary/Keyword: Health-Effect Assessment

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Functions (Mobility, Self-care, Social Ability) and Health-related Quality of Life in Children with Cerebral Palsy

  • Ko, Joo-Yeon;Lee, Suk-Min
    • The Journal of Korean Physical Therapy
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    • 제22권3호
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    • pp.37-44
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    • 2010
  • Purpose: The purpose of this study was to describe the functional (mobility, self-care, social ability) and health-related quality of life in children with cerebral palsy (CP). Methods: A cross- sectional survey of 202 children with CP, mean age $5.91{\pm}1.57$ years, was carried out using the Gross Motor Function Classification System (GMFCS), Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), and Child Health Questionnaire (CHQ). Results: The functional assessment of children with CP showed that a more severe GMFCS level was associated with lower functional abilities (p<0.05). The health-related quality of life assessment showed that psychosocial well-being was less impaired than physical well-being. The internal consistency of the three instruments was satisfactory (cronbach's ${\alpha}$>0.80). The three different scales were correlated from moderate to strong (r=0.44 to 0.92). It was also found that mobility, tone distribution, and the parents' education level exerted a significant effect on the quality of life of children with CP (p<0.05). Conclusion: These findings suggest that children with CP have reduced function and quality of life and these are influenced by various factors. However, planning and application of various task-oriented functional interventions to childhood CP may be useful.

Structural health monitoring of the Jiangyin Bridge: system upgrade and data analysis

  • Zhou, H.F.;Ni, Y.Q.;Ko, J.M.
    • Smart Structures and Systems
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    • 제11권6호
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    • pp.637-662
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    • 2013
  • The Jiangyin Bridge is a suspension bridge with a main span of 1385 m over the Yangtze River in Jiangsu Province, China. Being the first bridge with a main span exceeding 1 km in Chinese mainland, it had been instrumented with a structural health monitoring (SHM) system when completed in 1999. After operation for several years, it was found with malfunction in sensors and data acquisition units, and insufficient sensors to provide necessary information for structural health evaluation. This study reports the SHM system upgrade project on the Jiangyin Bridge. Although implementations of SHM system have been reported worldwide, few studies are available on the upgrade of SHM system so far. Recognizing this, the upgrade of original SHM system for the bridge is first discussed in detail. Especially, lessons learned from the original SHM system are applied to the design of upgraded SHM system right away. Then, performance assessment of the bridge, including: (i) characterization of temperature profiles and effects; (ii) recognition of wind characteristics and effects; and (iii) identification of modal properties, is carried out by making use of the long-term monitoring data obtained from the upgraded SHM system. Emphasis is placed on the verification of design assumptions and prediction of bridge behavior or extreme responses. The results may provide the baseline for structural health evaluation.

납과 비소에 대한 환경매체별 생태위해성평가 (Ecological Risk Assessment of Lead and Arsenic by Environmental Media)

  • 이병우;이병천;김필제;윤효정
    • 한국환경보건학회지
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    • 제46권1호
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    • pp.1-10
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    • 2020
  • Objectives: This study intends to evaluate the ecological risk of lead (Pb), arsenic (As), and their compounds according to the 2010 action plan on inventory and management for national priority chemicals and provide calculations of risks to the environment. By doing so, we aim to inform risk management measures for the target chemicals. Methods: We conducted species sensitivity distribution (SSD) analysis using the collected ecotoxicity data and obtained predicted no effect concentrations (PNECs) for the in-water environment using a hazardous concentration of 5% (HC5) protective of most species (95%) in the environment. Based on the calculated PNECs for aquatic organisms, PNEC values for soil and sediment were calculated using the partition coefficient. We also calculated predicted exposure concentration (PEC) from nation-wide environmental monitoring data and then the hazard quotient (HQ) was calculated using PNEC for environmental media. Results: Ecological toxicity data was categorized into five groups and five species for Pb and four groups and four species for As. Based on the HC5 values from SSD analysis, the PNEC value for aquatic organisms was calculated as 0.40 ㎍/L for Pb and 0.13 ㎍/L for As. PNEC values for soil and sediment calculated using a partition coefficient were 77.36 and 350.50 mg/kg for Pb and 24.20 and 112.75 mg/kg for As. The analysis of national environmental monitoring data showed that PEC values in water were 0.284 ㎍/L for Pb and 0.024 ㎍/L for As, while those in soil and sediment were respectively 45.9 and 44 mg/kg for Pb, and 11.40 and 19.80 mg/kg for As. Conclusions: HQs of Pb and As were 0.70 and 0.18 in water, while those in soil and sediment were 0.59 and 0.13 for Pb and 0.47 and 0.18 for As. With HQs <1 of lead and arsenic in the environment, their ecological risk levels are found to be low.

시나리오를 통한 건강사정 실습교육이 간호대학생의 의사소통능력, 비판적 사고 성향 및 학업성취에 미치는 효과 (The Effects of Health Assessment Practical Education through Scenario on Communicative Competence, Critical Thinking Disposition and Academic Achievement among Nursing Studuents' in University)

  • 김혜경;김향수
    • 한국응용과학기술학회지
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    • 제36권3호
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    • pp.930-941
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    • 2019
  • 본 연구는 간호 대학생을 대상으로 시나리오를 통한 건강사정 실습교육이 의사소통 능력, 비판적 사고 성향 및 학업성취에 미치는 효과를 보기 위한 비동등성 대조군 사전-사후 설계의 유사실험 연구이다. C북도 G군 소재 J대학교와 G도 P시 소재 P대학교에서 건강사정 교과목을 수강하는 간호학과 2학년 학생을 대상으로 실험군 35명, 대조군 34명에게 각각 시나리오를 통한 실습교육과 전통적 실습교육 수행 전 후로 자료를 수집하였다. 연구결과, 시나리오를 통한 건강사정 실습교육을 받은 실험군이 전통적 실습교육을 받은 대조군보다 의사소통 능력(t=2,797, p=.007), 비판적 사고 성향(t=2,406, p=.019), 정보수집능력(t=2,977, p=.004), 문제인식능력(t=3.584, p=.001)이 통계적으로 유의미하게 높아졌다. 그러므로 간호학생들의 의사소통 능력, 비판적 사고 성향, 정보수집능력 및 문제인식능력 향상을 위해 건강사정 수업 시 시나리오를 통한 실습교육프로그램을 활용할 수 있을 것으로 생각된다.

농업 종사자를 위한 영양상담 프로그램 개발 (Development of Computer-based Nutritional Counseling Program for Farmers)

  • 이승교;박양자
    • 동아시아식생활학회지
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    • 제10권5호
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    • pp.345-355
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    • 2000
  • The purpose of this study is to develop a software program for nutritional counseling by assessment of nutrients intake status and health degree by using semi-quantitative frequency food intake method and the questionnaire of Cornell Medical Index(CMI) and farmers' syndrome. This program is composed with three parts, nutrients intake, health status with body complaints, and nutrition counseling contents for diet therapy of each body condition states. First, nutrient intakes with percentage of Korean Recommended Dietary Allowances, and quantities of other nutrients intake were calculated and presented in an out-put screen. Second, the different body complaints(farmers' syndrome, anemia, hypertension, gastrointestinal problem, and cardiovascular complaints) were divided 3 groups of health status as normal. suspected and ailment. The contents of nutritional counseling with recommended food kinds. intake quantities. and recommended preparation methods were shown by button click of each health state of body complaints. And also this program could serve several times for one person to compare nutrition education and counseling effect by use of pre and post presentation results. This programs would be effect to home extension workers of rural development administration for farmers' nutrition counseling.

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Is Job Insecurity Worse for Mental Health Than Having a Part-time Job in Canada?

  • Kim, Il-Ho;Choi, Cyu-Chul;Urbanoski, Karen;Park, Jungwee;Kim, Jiman
    • Journal of Preventive Medicine and Public Health
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    • 제54권2호
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    • pp.110-118
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    • 2021
  • Objectives: A growing number of people depend on flexible employment, characterized by outsider employment status and perceived job insecurity. This study investigated whether there was a synergistic effect of employment status (full-time vs. part-time) and perceived job insecurity on major depressive disorder. Methods: Data were derived from the 2012 Canadian Community Health Survey-Mental Health of 12 640 of Canada's labor force population, aged 20 to 74. By combining employment status with perceived job insecurity, we formed four employment categories: full-time secure, full-time insecure, part-time secure, and part-time insecure. Results: Results showed no synergistic health effect between employment status and perceived job insecurity. Regardless of employment status (full-time vs. part-time), insecure employment was significantly associated with a high risk of major depressive disorder. Analysis of the interaction between gender and four flexible employment status showed a gender-contingent effect on this link in only full-time insecure category. Men workers with full-time insecure jobs were more likely to experience major depressive disorders than their women counterparts. Conclusions: This study's findings imply that perceived job insecurity may be a critical factor for developing major depressive disorder, in both men and women workers.

남자 노숙인의 분노와 건강기능과의 관계에서 자기효능감의 매개효과 (Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men)

  • 박수인;김선아
    • 대한간호학회지
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    • 제44권4호
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    • pp.361-370
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    • 2014
  • Purpose: The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons. Methods: The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K). Results: The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health. Conclusion: Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

플립러닝 학습법이 간호대학생의 자기주도 학습능력, 비판적 사고성향, 학업적 자기효능감에 미치는 효과 (The Effect of Flip Learning Learning Method on Self-directed Learning Ability, Critical Thinking Disposition, and Academic Self-efficacy of Nursing Students)

  • 양지원
    • 한국융합학회논문지
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    • 제12권11호
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    • pp.467-473
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    • 2021
  • 본 연구는 플립러닝을 적용한 건강사정수업이 간호대학생의 자기주도 학습능력, 비판적 사고성향, 학업적 자기효능감에 미치는 효과를 확인하기 위한 연구이다. 경상북도 K시 일개 간호대학에서 플립러닝을 적용하여 건강사정을 수강하는 2학년 학생을 대상으로 하였으며, 단일군 전후 비교 연구이다. 최종분석은 104명을 대상으로 하였고, 사전 사후 차이는 대응표본검정으로 분석하였다. 그 결과 자기주도 학습능력(t=-3.23, p<.01), 비판적 사고성향(t=6.381, p<.001), 학업적 자기효능감(t=-4.62, p<.001) 모두 통계적으로 유의하게 증가하였다. 이 연구결과를 바탕으로 플립러닝 학습법이 간호대학생의 자기주도 학습능력, 비판적 사고능력, 학업적 자기효능감을 증진시키는 효과적인 프로그램임이 확인되었다. 플립러닝 학습범의 적용은 장기적으로는 교육환경을 개선하고 학생들의 능력을 강화시키는 역할을 할 것이다.

베이비부머세대 근로자의 경제, 사회요인이 주관적 건강평가에 미치는 영향 -민간의료보험가입 조절효과- (The Influences of Economic, Social Factors on the Subjective Health Assessment for Baby Boomer Generation Workers -the Moderating Effect of Private Health Insurance-)

  • 허원구
    • 한국콘텐츠학회논문지
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    • 제15권9호
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    • pp.257-272
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    • 2015
  • 본 연구는 우리나라 베이비부머세대 근로자의 경제요인, 사회요인, 조절요인이 주관적 건강평가와 어떠한 영향을 미치는지 파악함을 목적으로 하고 있다. 2012년도 한국노동연구원에서 실시한 제4차 고령화연구패널(KLoSA) 자료를 이용하여 베이비부머세대 근로자 1,202명을 분석 대상으로 하였다. 척도로 경제요인, 사회요인을 선정하여 주관적 건강평가에 유의미한 차이가 있는지 분석하였다. 분석방법으로는 빈도분석, t-test, ANOVA, 상관관계분석, 그리고 경제요인, 사회요인이 주관적 건강평가와의 관계에 민간의료보험가입이 조절효과가 있는지 검증하기 위한 다중회귀분석(Multi Regression Analysis)을 실시하였다. 연구결과 베이비부머세대의 주관적 건강평가에 영향을 미치는 주요 요인으로는 연령, 학력, 주택소유, 친구만남, 전반적삶만족, 민간의료보험가입 등이었다. 그리고 경제요인, 사회요인이 주관적 건강평가와의 관계에서 민간의료보험가입이 조절효과가 있는 것으로 나타났다.

인천지역 기후변화에 따른 미세먼지의 건강 취약성 평가 (Health Vulnerability Assessment for PM10 due to Climate Change in Incheon)

  • 유희종;김정곤;신재원;김영주;민성은;제갈대성;방기인;이성모
    • 한국환경보건학회지
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    • 제43권3호
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    • pp.240-246
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    • 2017
  • Objectives: This study was conducted to evaluate the vulnerability of the human health sector to $PM_{10}$ due to climate change in Incheon over the period of 2005-2014. Methods: Vulnerability to $PM_{10}$ consists of the three categories of climate exposure, sensitivity, and adaptive capacity. The indexes for climate exposure and sensitivity indicate positive effects, while adaptive capacity shows a negative effect on vulnerability to $PM_{10}$. The variables in each category were standardized by the rescaling method, and respective relative regional vulnerability was analyzed through the vulnerability index calculation formula of the Intergovernmental Panel on Climate Change. Results: Regions with a high exposure index were the western and northern urban areas with industrial complexes adjacent to a highway, including Bupyong-gu and Seo-gu. Major factors determining the climate exposure index were the $PM_{10}$ concentration, days of $PM_{10}$ >= $100{\mu}g/m^3$, and $PM_{10}$ emissions. The regions showing a high sensitivity index were urban regions with high populations; these commonly had a high mortality rate for related diseases and vulnerable populations. Conclusions: This study is able to support regionally adjusted adaptation policies and the quantitative background of policy priority since it provides information on the regional health vulnerability to $PM_{10}$ due to climate change in Incheon.