• Advances in pediatric surgery
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• 제7권2호
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• pp.147-156
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• 2001

대한소아외과학회의 연례 행사인 2000년도 주제토의를 소아외과의 지수 질환으로 정하여 1999년 말 현재 3년 이상의 진료 실적을 가진 대한소아외과학회 정회원 36명을 대상으로 미리 작성된 조사서에 의하여 2차례의 수술 증례 수 등록을 시행하였다. 대상 환자는 1997년부터 1999년 말까지 3년간 수술이 시행된 환자로 하였으며, 1차 조사에서 30명이 응답하였고, 미비점 보완을 위한 2차 조사에는 26명이 응답하여 이 성적을 요약하였다. 본 성적을 바탕으로 향 후 대한소아외과학회의 지수 질환 대상 목록표를 작성 제시하였으며, 이를 코드화 하고자 제안하였다.

• 한국학교보건학회지
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• 제12권2호
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• pp.207-215
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• 1999

The objectives of this study are to explain the use of media materials in school health education with other related factors in elementary, middle, and high schools in Korea. The data were collected by questionnaires from June to September in 1998. The number of subjects were 294 school nurses. The PC-SAS program was used for statistical analysis such as percent distribution, chi-squared test, spearman correlation test, and logistic regression. The use of media materials in health education has become extremely common. Unfortunately, much of the early materials were of poor production quality, reflected low levels of interest, and generally did little to enhance health education programming. A recent trend in media materials is a move away from the fact filled production to a more affective, process-oriented approach. There is an obvious need for health educators to use high-quality, polished productions in order to counteract the same levels of quality used by commercial agencies that often promote "unhealthy" lifestyles. Health educators need to be aware of the advantages and disadvantages of the various forms of media. Selecting media materials should be based on more than cost, availability, and personal preference. Selection should be based on the goal of achieving behavioral objectives formulated before the review process begins. The decision to use no media materials rather than something of dubious quality usually be the right decision. Poor-quality, outdated, or boring materials will usually have a detrimental effect on the presentation. Media materials should be viewed as vehicles to enhance learning, not products that will stand in isolation. Process of materials is an essential part of the educational process. The major results were as follows : 1. The elementary schools used the materials more frequently. But the production rate of media materials was not enough. The budget was too small for a wide use of media materials in school health education. These findings suggest that all schools have to increase the budget of health education programs. 2. Computers offer an incredibly diverse set of possibilities for use in health education, ranging from complicated statistical analysis to elementary-school-level health education games. But the use rate of this material was not high. The development of related software is essential. Health educators would be well advised to develop a basic operating knowledge of media equipment. 3. In this study, the most effective materials were films in elementary school and videotapes in middle and high school. Film tends to be a more emotive medium than videotape. The difficulties of media selection involved the small amount of extant educational materials. Media selection is a multifaceted process and should be based on a combination of sound principles. 4. The review of material use following student levels showed that the more the contents were various, the more the use rate was high. 5. Health education videotapes and overhead projectors proved the most plentiful and widest media tools. The information depicted was more likely to be current. As a means to display both text and graphic information, this instructional medium has proven to be both effective and enduring. 6. An analysis of how effective the quality of school nurse and school use of media materials shows a result that is not complete (p=0.1113). But, the budget of health education is a significant variable. The increase of the budget therefore is essential to effective use of media materials. From these results it is recommended that various media materials be developed and be wide used.

• 한국식품영양학회지
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• 제19권2호
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• pp.183-192
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• 2006

The purpose of this study was to investigate the performance of elementary school dietitians in terms of nutrition education in the northern portion of Gyeonggi province. Self-administered questionnaires were given to 50 dietitians who have worked in elementary schools with self-operation food service, and 35(70%) dietitians returned the questionnaires. The results are summarized as follows: no students took part in nutrition education as a regular course, but all dietitians performed nutrition education in passive ways, such as 'using home correspondence'(39.0%), 'bulletin board/poster'(22.0%), 'using the internet'(13.4%) and 'indirectly through a classroom teacher'(12.2%). Most respondents performed nutrition education 'one time/month'(66.0%) or 'one time/week'(20.0%). The respondents thought that suitable teaching times for nutrition education were 'during a related subject'(35.5%), 'during lunch time'(22.6%) rather than 'during an independent subject'(16.1%). Most of the dietitians(94.3%) did not perform nutrition counseling because of 'a lack of opportunity'(72.7%) and 'workload'(27.3%). Additionally 88.6% of respondents did not have the time of for nutrition counseling for parents because 'am not a teacher'(56.7%) and 'workload'(30,0%). Information sources for nutrition education were mainly 'internet'(71.4%) and 're-educationa1 materials'(17.1%). They possessed instructional materials in the forms of 'printed materials'(35.1 %), 'exhibition/bulletin board'(31.2%), and 'electrical materials'(33.8%), 'but did not have 'solid materials' such as food models and dolls. Generally they had mostly 'leaflets'(82.9%), 'bulletins'(68.6%), 'internet'(57.1%), and 'CDs'(57.1%). Preferences for instructional materials used were 'printed materials'(46.2%), 'exhibition/bulletin board'(36.5%), and 'electrical materials'(17.3%) 'Leaflets'(80.0%) were mainly used; 'CD'(17.1 %) use was low compared to the proportion possessing CDs. The topics frequently chosen by the subjects for nutrition education were 'table manners'(82.9%), 'basic concepts of food and nutrition'(80.0%), and 'proper food habits'(80.0%), but the topics helpful for practical use, such as 'how much do I eat'(20.0%) and 'nutrition labeling'(37.1%), were not included frequently. The respondents thought that 'eating only what they like'(60.0 %), 'intake of processed foods'(17.8%), and 'obesity'(17.8%) were the most common nutritional problems among elementary school children. They also thought that establishing a regular course for nutrition education was an effective way to cut down on these nutritional problems. In conclusion, nutrition education programs that are combined with effective instructional materials and practical topics should be developed. Additionally, it is recommended that dietitians act as teachers who participate in regular courses as soon as possible.

• Asian-Australasian Journal of Animal Sciences
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• 제33권10호
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• pp.1544-1557
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• 2020

Objective: Genomic selection (GS) is becoming popular in animals' genetic development. We, therefore, investigated the single-step genomic best linear unbiased prediction (ssGBLUP) as tool for GS, and compared its efficacy with the traditional pedigree BLUP (pedBLUP) method. Methods: A total of 9,952 males born between 1997 and 2018 under Hanwoo proven-bull selection program was studied. We analyzed body weight at 12 months and carcass weight (kg), backfat thickness, eye muscle area, and marbling score traits. About 7,387 bulls were genotyped using Illumina 50K BeadChip Arrays. Multiple-trait animal model analyses were performed using BLUPF90 software programs. Breeding value accuracy was calculated using two methods: i) Pearson's correlation of genomic estimated breeding value (GEBV) with EBV of all animals (r_M1) and ii) correlation using inverse of coefficient matrix from the mixed-model equations (r_M2). Then, we compared these accuracies by overall population, info-type (PHEN, phenotyped-only; GEN, genotyped-only; and PH+GEN, phenotyped and genotyped), and bull-types (YBULL, young male calves; CBULL, young candidate bulls; and PBULL, proven bulls). Results: The r_M1 estimates in the study were between 0.90 and 0.96 among five traits. The r_M1 estimates varied slightly by population and info-type, but noticeably by bull-type for traits. Generally average r_M2 estimates were much smaller than r_M1 (pedBLUP, 0.40 to0.44; ssGBLUP, 0.41 to 0.45) at population level. However, r_M2 from both BLUP models varied noticeably across info-types and bull-types. The ssGBLUP estimates of r_M2 in PHEN, GEN, and PH+ GEN ranged between 0.51 and 0.63, 0.66 and 0.70, and 0.68 and 0.73, respectively. In YBULL, CBULL, and PBULL, the r_M2 estimates ranged between 0.54 and 0.57, 0.55 and 0.62, and 0.70 and 0.74, respectively. The pedBLUP based r_M2 estimates were also relatively lower than ssGBLUP estimates. At the population level, we found an increase in accuracy by 2.0% to 4.5% among traits. Traits in PHEN were least influenced by ssGBLUP (0% to 2.0%), whereas the highest positive changes were in GEN (8.1% to 10.7%). PH+GEN also showed 6.5% to 8.5% increase in accuracy by ssGBLUP. However, the highest improvements were found in bull-types (YBULL, 21% to 35.7%; CBULL, 3.3% to 9.3%; PBULL, 2.8% to 6.1%). Conclusion: A noticeable improvement by ssGBLUP was observed in this study. Findings of differential responses to ssGBLUP by various bulls could assist in better selection decision making as well. We, therefore, suggest that ssGBLUP could be used for GS in Hanwoo proven-bull evaluation program.

• 보건행정학회지
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• 제8권2호
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• pp.125-148
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• 1998

Accurate vital statistics are essential for a national health planning and evaluation. Among various vital statistics, birth and death rates, and infant and matemal mortality rates together with the causes of death are the very basic ones for above purposes as well as for the maternal and child health management. These statistics are based on the birth and death reports. It is required by law to report every birth and death within one month after its occurrence. However, in case of a neonatal death occurring prior to the birth report, most of the birth and death are not reported. Thus accurate infant and maternal mortality rates are not available yet in Korea. The main objective of this study is to develop a birth and infant death reporting system via computer network. We designed a new birth report form based on the current form and data from the analysis of medical record forms of 14 hospitals. A new form is basically addition of essential medical information to the current birth report form. Since a revision of the rules and regulations related wtih the birth report is necessary to use a new form, we kept the current from intact to make it acceptable to the government office for a field trial. We also developed computer programs for data input for birth and death reports at a medical faciltiy, data processing for production of maternal and child health indices at a health center, and management of maternal and child health services including immunization and postantal care at health center. The birth certificate and birth report can be printed out at a medical facility. The computer packages were programmed by Borland Delphi 3.0 and can be run under Windows 95 system. We proposed a new birth and death reporting system via computer network after a field trial for data input, transmission, and processing. The medical and demographic data o birth and death at medical facilities will be sent to health centers directly via computer network. The health center will retain the medical data for analysis and forward only the data for birth and death reports required by current regulations to the Dong, Up, or Myun Office. Once the birth or death is reported via computer network to the Dong Office, then the Dong Office will notify the baby's mother of the birth report and request to submit the baby's name by mail. When the baby's name its submitted. the Dong Office will forward the birth reports to the Common Court and Statistics Agency in the same way as the current system, Upon the completion of birth registration of the Common Court, the court will issue the birth certificate to mother which will be used in lieu of the family record. The advantages of proposed birth and death reporting system via computer network ar as follows ; I) The accuracy, timing, and completeness of reporting will be improved and more accurate maternal and child health indices can be obtained, ii) The maternal and child health services of health center will be obtained, iii) Epidemiologic data for pregnancy and birth can be obtained, iv) Manpower for birth and death reporting will be saved.

• Journal of Preventive Medicine and Public Health
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• 제38권1호
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• pp.25-37
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• 2005

Objective : To estimate the magnitude of psychosocial distress and examine eligible factors associated with the development of psychosocial distress in Korean employees, using a nationwide sample. Methods : A total of 6,977 workers were recruited from 245 companies. A structured questionnaire was used to assess sociodemographics, health-related behaviors, job characteristics, social support at work, personality traits (locus of control, type A behavior pattern), self-esteem, and psychosocial distress. Results : The results showed that 23 % of workers were categorized as high stress, 73% as moderate, and 5% as normal. Hierarchical multiple regression analysis showed that psychosocial distress was more common in younger workers, both male and female. Regular exercise was negatively associated with increase of psychosocial distress. In job characteristics, as expected, low decision latitude, high job insecurity, and low social support at work were related to high psychosocial distress. Personality traits such as locus of control and type A behavior pattern, and self-esteem were more powerful predictors of psychosocial distress than general characteristics, health-related behavior, and job characteristics. There were some gender differences. While men who are less educated and single (unmarried, divorced, and separated) experienced higher levels of psychosocial distress than those who are educated and married, women who feel high job demand experienced higher levels of psychosocial distress than those who feel low job demand. Conclusions : The proportion of the high stress group was higher than expected, and psychosocial factors like social support and personality characteristics (e. g. locus of control, type A behavior pattern and self-esteem) were more significant factors for psychosocial distress than other variables. This finding suggests that some psychosocial factors, especially inadequate social support, low self-esteem and lack of internal locus of control for the development of psychosocial distress, will also operate as an intervention strategy in the worksite stress reduction program. It is strongly required that worksite stress reduction programs should be established in at both occupational and level as well as in individual levels.

• 한국산학기술학회논문지
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• 제17권4호
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• pp.489-499
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• 2016

본 연구는 숲이라는 자연환경이 인터넷 중독 청소년의 인터넷 중독과 자존감에 어떤 영향을 미치는지를 알아본 것이다. 본 연구의 목적을 달성하기 위하여 동일한 집단상담 프로그램을 숲과 교실이라는 환경에서 각각 실시하여 그 차이를 비교하였다. S시의 중학생 24명을 실험집단, 비교집단, 통제집단 등으로 각각 8명씩 무선 할당하여 총 6회기의 프로그램을 실시하고 사후 및 추후에 집단 간에 차이가 있는지를 알아보았다. 종속변수는 인터넷 중독 점수와 자존감 점수로 하였다. 연구결과, 숲에서 프로그램을 실시한 실험집단이 통제집단에 비하여 사후 및 추후 시기에서 인터넷 중독점수에서 유의한 차이가 있었다. 시기별로 보면, 실험집단은 사전에 비하여 사후 및 추후에 인터넷 중독 점수에서 유의한 차이가 있었다. 비교집단은 통제집단에 비하여 사후 및 추후시기에 집단 간에 유의한 차이가 없었다. 숲 환경에서 실시한 프로그램은 비교집단과 통제집단에 비하여 사후 및 추후시기에 자존감의 점수에서 집단 간 유의한 차이를 보였으며 실험집단은 비교집단 및 통제집단에 비하여 자존감의 점수가 유의하게 상승되었다, 비교집단 또한 통제집단에 비하여 자존감이 유의하게 상승된 것으로 나타났다. 또한 실험집단은 사전에 비하여 사후 및 추후에 자존감 점수가 유의하게 상승된 것으로 나타났다. 본 연구결과는 숲이라는 자연환경이 인터넷 중독 청소년의 중독 증상을 감소시키고 자존감을 향상하는 등의 치료적 기제를 가지고 있음을 시사한다. 앞으로의 연구에서는 다양한 중독자에 대한 치료적 방법의 하나로서 숲 환경이 어떤 영향을 미치는 지를 검증해볼 필요가 있다. 끝으로 본 연구의 제한점과 시사점을 기술하였다.

• 가정∙방문간호학회지
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• 제7권1호
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• pp.58-72
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• 2000

This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

• 한국조경학회지
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• 제44권6호
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• pp.40-50
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• 2016

본 연구는 라이프스타일에 따른 도시농업 유형 선호도를 분석함으로써 향후 "도시농업활성화 정책" 수립을 위한 기초 자료를 제시하는데 목적이 있다. 연구방법은 서울특별시 자치구 중 도시농업 활성화를 지원할 수있는 근거를 마련한 9개자치구민을 대상으로 설문조사를 실시하였다. 이를 통해 라이프스타일과 도시농업 선호활동과의 인과관계를 검정하고자 하였다. 연구결과, 첫째, '건강추구형'이 도심형 도시농업에 유의한 것으로 나타났다. 이는 안전한 먹거리와 건강을 추구하는 도시민이 도시농업 교육 프로그램에 적극적으로 참여하고, 도심 내 자연경관 향상을 위해 식물 및 경관작물 심기, 도시농업박람회 참가 등의 도심형 도시농업 활동을 선호하는 것으로 나타났다. 둘째, '여가활동형'이 주택활용형 도시농업에 유의한 것으로 나타났다. 주로 취미 및 여가활동을 중시하는 도시민은 실내 생활 속에 텃밭 가꾸기, 아파트 베란다 공간을 활용한 텃밭 가꾸기 등 주로 텃밭 가꾸기 등의 주택활용형 도시농업 활동을 선호하는 것으로 나타났다. 셋째, '건강추구형'이 학교교육형 도시농업과, 농장 및 공원형 도시농업에 유의한 것으로 나타났다. 건강을 추구하는 도시민은 교육농장 참여 및 학교텃밭 가꾸기, 도심 외곽 개인 농장 운영, 도시농업 박람회 참가 등의 참여 활동을 선호하는 것으로 나타났다. 넷째, '가족지향형'이 학교교육형 도시농업에 유의한 것으로 나타났다. 가족지향형 도시민은 학교와 연계된 다양한 도시농업 교육 및 활동에 적극 참여하는 활동을 선호하는 것으로 나타났다. 본 연구는 도시농업 유형을 고찰하고, 라이프스타일과 도시농업 유형 선호도와의 영향관계를 살펴, 도시농업의 실수요자의 성향 및 선호활동을 알아보는데 연구의 의의가 있다.

• 한국가정과교육학회지
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• 제19권4호
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• pp.17-36
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• 2007

본 연구는 건강 신념 모델에 근거하여 초, 중, 고등학생을 대상으로 우유교육 프로그램을 개발하교 학교교육에서 적용 후 그 효과를 알아보고자 하였다. 교육 프로그램 내용 구성으로는 학교 교과서 내용 체계를 기초로 하여, 교육 내용 요소들을 추출하고 체계화 작업을 통하여 실생활에서 쉽게 적용할 수 있도록 개발하였다. 초등학생은 우유에 대해 '어느 정도 알고 있다'가 '잘 모르는 편이다'에 비해 응답 비율이 매우 높은데 비해 중학생은 '어느 정도 알고 있다' 와 '잘 모르는 편이다'가 비슷하였으며, 고등학생의 경우는 '잘 모르는 편이다'가 52.2%로 가장 많았다. 우유가 주는 의미는 '영양보충용' 식품으로 모든 학교 급별에서 주된 의미로 나타났으며, 우유에 대한 인식을 분석한 결과, 우유는 건강해지기 위해 먹는 식품으로 인식하고 있었다. 개발된 우유 교육 프로그램 적용 후 그 변화정도를 분석한 결과, 우유에 대한 인지정도는 유의적으로 증가하였으며(p<0.05), 우유 교육 프로그램을 적용하고 난 후 영양보충용이라는 응답이 유의적으로 높아졌다(p<0.05). 우유에 대한 인식 변화는 '건강해지고 싶어서'가 전 연령층에서 유의적으로 증가 한 것을 볼 수 있었다(p<0.05). 중학교와 고등학교에서만 우유에 대한 지식의 이해 정도에 대해 유의적인 차이를 보였다(p<0.05). 그러므로 초, 중, 고등학생들을 대상으로 한 우유 교육 프로그램을 통하여 우유에 대한 인식 및 의미가 변화되었음을 관찰할 수 있었으며 우유에 대한 지식의 이해 정도의 변화를 관찰할 수 있었다. 이에 본 연구에서 개발된 교육프로그램을 토대로 우유 교육 프로그램이 향후보다 체계적이고 확대되어 지속적으로 실시된다면, 우유에 대한 의미는 물론 인식 그리고 지식 정도에 있어 효과적인 결과를 유도할 수 있을 것이다.