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Consultations to Department of Dentistry for Child and Adolescent Inpatients with Dental Trauma (치과적 외상이 있는 소아청소년 입원환자의 치과 협진 의뢰)

  • Jo, Chanwoo;Kim, Jihun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.4
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    • pp.403-411
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    • 2017
  • The purpose of this research is analyzing present condition, and pursuing developmental direction of consultation to department of dentistry for medical inpatient with dental trauma. This research conducted a retrospective analysis of consultation to department of dentistry for medical inpatient at Wonju Severance Christian Hospital from March 2011 to February 2017. This research analyzed chief complaint and dental diagnosis, referring department, time of consultation after dental trauma, relation between hospitalization period and time of consultation after dental trauma, relation between dental trauma and admission in the medical department due to trauma, cause and age of dental trauma occurrence, treatment of dental trauma, and revisiting rate of inpatient with dental trauma after discharge. Among all the chief complaint and dental diagnosis, dental trauma was the highest. Among all the referring departments, departments of surgery were the highest. In relation to being delayed of consultation term after dental trauma, it turned out that there's pretty high mutual relation between the hospitalization period and the consultation term after dental trauma, and the hospitalization period had the quantitative influence on the consultation term. Statistically, dental trauma and admission in the medical department due to trauma had significant relations. In case of those patients due to car accidents, they had dental trauma without exception. Statistically, patient's group with dental trauma in hospital room was younger than patient's group with dental trauma in non-hospital room. Statistically, dental trauma and treatment in hospitalization had no significant relations, and dental trauma and revisiting department of dentistry after discharge had no significant relations. For the child and adolescent inpatients hospitalized for car accidents, there is high possibility of accompanying dental trauma, and dental consultations can be delayed. For the young child inpatients, the possibility of dental trauma occurrence in hospital room is high. Moreover, treatments during hospitalization and revisiting department of pediatric dentistry after discharge are not performed well for inpatients with dental trauma. Regarding these results, it can be an alternative that improving of consultation system, dedicated workforce placement and having dental facilities and equipment in the hospital ward, education to medical doctor and dentist, communication between medical doctor and dentist. This research can be used as a study material of medical and dental departments, and it's expected to be committed to developing of consultations to department of dentistry for child and adolescent inpatients with dental trauma.

A Study on the Impact of Human Factors for the Students Pilot's in ATO -With Respect to Korea Aviation Act and ICAO Human Factors Training Manual- (항공법규에 의거 지정된 조종사 양성 전문교육기관의 학생조종사에 대한 휴먼팩터 영향 연구)

  • Lee, Kang-Seok
    • The Korean Journal of Air & Space Law and Policy
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    • v.26 no.2
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    • pp.149-179
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    • 2011
  • Statistics of aviation accident in Korea show that safety level of training flights is high. However, more than 80% of aviation accidents happen owing to human factors. And because most reasons of them are concerned with pilot error, it is very important for student pilots who will transport a lot of passengers to develop the knowledge of safety and abilities of risk management for preventing accidents. In this study, in order to investigate the Human Factors which affect safety in training student pilots for flight, verified the correlationbetween experiences of accident, the differences according to the experience level of training flight and the differences between college student pilots and ordinary student pilots on the basis of human factors that composes the SHELL models. For the study, Using SPSS 17.0, conducted Correlation Analysis, Analysis of Variance(ANOVA) and t-test. To sum up the result of this study, student pilot's ability and equipment in the cockpit are the important factors for safety when pilots are training flight. Also the analysis of the differences between human factors according to the characters of student pilots' groups shows that college student pilots are affected by immanent factors and organizational cultures. So far, there haven't been any accidents which is related with human casualties when training at the ATO(Approved Training Organization). But accidents can occur at any time and anywhere. Especially the human factors which comprises most of aviation accident have a wide reach and are impossible to be eliminated, therefore, it is best to minimize them. Because ATO is the starting point to lead the aviation industry of Korea, we will have to be aware of problems and improve education/training of human factors.

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The research for the yachting development of Korean Marina operation plans (요트 발전을 위한 한국형 마리나 운영방안에 관한 연구)

  • Jeong Jong-Seok;Hugh Ihl
    • Journal of Navigation and Port Research
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    • v.28 no.10 s.96
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    • pp.899-908
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    • 2004
  • The rise of income and introduction of 5 day a week working system give korean people opportunities to enjoy their leisure time. And many korean people have much interest in oceanic sports such as yachting and also oceanic leisure equipments. With the popularization and development of the equipments, the scope of oceanic activities has been expanding in Korea just as in the advanced oceanic countries. However, The current conditions for the sports in Korea are not advanced and even worse than underdeveloped countries. In order to develop the underdeveloped resources of Korean marina, we need to customize the marina models of advanced nations to serve the specific needs and circumstances of Korea As such we have carried out a comparative analysis of how Austrailia, Newzealand, Singapore, japan and Malaysia operate their marina, reaching the following conclusions. Firstly, in marina operations, in order to protect personal property rights and to preserve the environment, we must operate membership and non-membership, profit and non-profit schemes separately, yet without regulating the dress code entering or leaving the club house. Secondly, in order to accumulate greater value added, new sporting events should be hosted each year. There is also the need for an active use of volunteers, the generation of greater interest in yacht tourism, and the simplification of CIQ procedures for foreign yachts as well as the provision of language services. Thirdly, a permanent yacht school should be established, and classes should be taught by qualified instructors. Beginners, intermediary, and advanced learner classes should be managed separately with special emphasis on the dinghy yacht program for children. Fourthly, arrival and departure at the moorings must be regulated autonomically, and there must be systematic measures for the marina to be able, in part, to compensate for loss and damages to equipment, security and surveillance after usage fees have been paid for. Fifthly, marine safety personnel must be formed in accordance with Korea's current circumstances from civilian organizations in order to be used actively in benchmarking, rescue operations, and oceanic searches at times of disaster at sea.

THE PRELIMINARY STUDY FOR THE DEVELOPMENT OF KOREAN VERSION PARENTING STRESS INDEX (한국형 부모양육스트레스 척도(Parenting Stress Index) 개발을 위한 예비연구)

  • Youm, Hyun-Kyung;Shin, Yun-O;Lee, Kyung-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.70-78
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    • 2000
  • This study was to develop Korean version of Parenting Stress Scale. Primary research was processed thru Abidin's PSI(Parenting Stress Index) scale. For the pilot primary study, distri-buted questionnaire to the mothers who have three to twelve age children and tried factor analysis with 382 data sheets. At the result, 29 items and 5 factors among the 47 items of child domain, 28 items and 5 factors among the items of parent domain were extracted. At the secondary pilot study survey, reanalyzed the 57 items extracted by primary pilot survey with the 392 data collected from three to six age children's parents. For the item discrimination analysis, calculated item-total correlation and deleted the items under r=.20. For the validity test, reviewed content validity and construct validity. For the verification of construct validity, tried factor analysis. At the result, in child domain area, the four factors, 'Reinforces Parent's, 'Accep-tability', 'Attention Distractiveness', 'Demandingness' and 24 items were extracted. Among the common variance of child domain, 'explained common variance' was 82.05%. In parent domain area, the five factors, 'Restriction of Role', 'Depression', 'Social Isolation', 'Parent Health', 'Spouse Relationship' and 24 items were extracted. Among the common variance of parent domain, 'explained common dominator' was 82.40%. For the verification of reliability, Cronbach's ${\alpha}$ coefficient was calculated and in child domain, .69, .70, .67, .66 were produced by each item, respectively and total reliability coefficient was ${\alpha}$=.81. Reliability coefficient of parent domain was .73, .70, .70, .55, .73 by each item, respectively and total reliability coefficient was ${\alpha}$=.83. This study was processed as a primary research to develop the Korean version of parent stress scale which is originally from U.S.A. version of PSI and apply it to proper Korean culture. Therefore, the necessity of continuous study was discussed with more localized items and factors.

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Dietary status of young children in Korea based on the data of 2013~ 2015 Korea National Health and Nutrition Examination Survey (한국 영·유아의 식생활 현황 연구 : 2013~ 2015년도 국민건강영양조사를 이용하여)

  • Kim, Eun-kyung;Song, Byengchun;Ju, Se-Young
    • Journal of Nutrition and Health
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    • v.51 no.4
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    • pp.330-339
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    • 2018
  • Purpose: This study examined the dietary habits and nutritional status of young children in Korea. Methods: Data were collected from the 2013 ~ 2015 KNHNES (Korea National Health and Nutrition Examination Survey) by health behavior interviews and the 24-hour dietary recall method. This study included 1,214 (445 aged 1 ~ 2 years, 769 aged 3 ~ 5 years) young children aged 1 ~ 5 years. To analyze the dietary status of young children, the general characteristics of young children and their mothers, their dietary behaviors and health factors, and nutritional status and frequently consumed foods were analyzed. Results: The starting time of bovine milk and weaning were 14 ~ 15 months and 6.2 months, respectively. Eighty two percent of young children ate breakfast 5 ~ 7 times per week while only 2.3% of them skipped breakfast. The highest percentage (35.8%) of the frequency of eating-out was 5 ~ 6 times per week. The prevalence of asthma, atopy, and allergic rhinitis was significantly higher in young children 3 ~ 5 years old than in those 1 ~ 2 years old. The subjects with lower recommended energy intake were 44.1% and 57.4% of young children 1 ~ 2 years old and 3 ~ 5 years old, respectively. Most nutrients except calcium and potassium were taken enough. For the intakes of calcium and potassium, 51% and 64% of young children 1 ~ 2 years and 3 ~ 5 years old, respectively, were taking less than the recommended calcium intake, and 79.5% and 75.5% of young children 1 ~ 2 years and 3 ~ 5 years old, respectively, did not meet the recommended potassium intake. The frequently consumed foods of young children 1 ~ 2 years old were milk, white rice, apple, curd yogurt, and egg, and those of 3 ~ 5 years old children were milk, white rice, apple, egg, and mandarin. Conclusion: The results of this study can be used to provide basic data for the nutritional education of mothers and teachers and assist in the development of sustainable dietary programs for young children.

The Effect of Positioning with Mechanically Ventilatory Acute Respitatory Failure Patients on Arterial Oxygen Partial Pressure and Alveolar-arterial Oxygen tension (인공호흡기를 부착한 급성 호흡부전 환자에서 폐병변 부위에 따른 체위적용이 동맥혈 가스분압 및 폐포동맥간 산소 분압차에 미치는 영향)

  • Hwang, Hee Joung;Park, Hye Ja
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.234-244
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    • 2000
  • It is widely recognized that manipulation of body position takes advantage of the influences of gravity for improving oxygenation. The study aims to determine the effects of positioning(supine, prone, right lateral decubitus and left lateral decubitus positions) applied to the mechanically ventilatory acute respiratory failure patients on arterial oxygen partial pressure($PaO_2$), alveolar arterial oxygen tension difference($AaDO_2$), mean aterial pressure, peak inspiratory pressure and plateau pressure. Thirty two acute respiratory failure patients admitted to the medical intensive care unit at Kangnam St. Mary's Hospital, The Catholic University of Korea from March 1997 to January 1998, were divided into three groups by radiographic evidence of unilateral or bilateral lung disease. In group 1 with dominant right lung disease were twelve subjects, group 2 with dominant left lung disease had eight subjects and group 3 had twelve subjects with bilateral lung disease. The variables were measured in 30 minutes after each position of supine, prone, good lung down lateral decubitus and sick lung down lateral decubitus position. The position order was done at random by Latin squre design. The results are as follows; 1) With group 1 patients, the $PaO_2$ in the left lateral decubitus and prone position were $126.8{\pm}30.8$ mmHg and $106.7{\pm}36.8$ mmHg, respectively(p=0.0001). 2) With group 2 patients, the $PaO_2$ in the prone and the right lateral decubitus position were $121.7{\pm}44.7$ mmHg and $118.5{\pm}31.7$ mmHg, respectively (p=0.0018). 3) With group 3 patients, the $PaO_2$ was $143.6{\pm}36.6$ mmHg in the prone position (p=0.0001). 4) With group 1 patients, the $AaDO_2$ in the left lateral decubitus and the right lateral decubitus position were $178.1{\pm}29.7$ mmHg and $233.1{\pm}24.4$ mmHg, respectively(p=0.0001). 5) With group 2 patients, the $AaDO_2$ in the prone and the left lateral decubitus postion were $184.0{\pm}39.5$ mmHg and $231.0{\pm}23.9$ mmHg, respectively(p=0.0019). 6) With group 3 patients, the $AaDO_2$ in the prone and the supine postion were $377.1{\pm}35.6$ mmHg and $435.7{\pm}13.1$ mmHg, respectively (p=0.0001). 7) There were no differences among the mean arterial pressure, peak inspiratory pressure and plateau pressure for each of the supine, prone, left lateral decubitus and right lateral decubitus position. The results suggest that oxygenation may improve in mechanically ventilatory patients with unilateral lung disease when the position is good lung dependent and prone, and patients with bilateral lung disease when the position is prone without any effects on the mean arterial pressure and airway pressure. It is suggested that body positions improve ventilation/perfusion matching and oxygenation need to be specified in patient care plans.

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Burnout among Clinical Dental Hygienists and Its Coping Behaviors (임상치과위생사들의 직무소진과 대처행동)

  • Kim, Young-Sun;Yoon, Hee-Suk
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.225-233
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    • 2007
  • This study, to investigate the job burnout and coping behaviors that clinical dental hygienists feel in the work process, has collected 322 clinical dental hygienists working in Daegu, Kyungbuk province, and Ulsan and had a conclusion as follows. 1. The average of area job burnout and coping behaviors were as follows; emotional burnout, 3.26, cynical manners, 2.63, the declination of job efficiency, 2.58, the total average, 2.82. 2. The average of area were as follows; active coping, 3.36, passive coping, 2.95, and the total average, 3.19. 3. The difference of job burnout relating to general characteristics was shown that the lower education level and age they were in, the significantly higher the declination of job efficiency and burnout area were. The unmarried had significantly higher points at cynical manners, the declination of job efficiency and burnout. Besides, the introspective had significantly higher points at emotional exhaustion, cynical manners, and burnout area. 4. The difference of job burnout related to working circumstance was shown that those with short working experience and those in charge of the general treatment showed significantly high points at the declination of job efficiency. And the less annual salary, the significantly higher points at cynical manners, the declination of job efficiency and burnout area. 5. In the correlation between job burnout and coping method, burnout area has a significantly normal correlation with active coping and coping area, whereas, it has significantly abnormal correlation with passive coping. 6. As for the difference of area burnout relating to coping behaviors, in coping area A group(under average) had significantly higher points than B group(over average) at the declination of job efficiency and burnout area. From the above results, it was proved that the clinical dental hygienists in younger age, with shorter work experience and less annual salary, no marital spouse had higher points at burnout and passive coping.

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Analysis and Design of Learning Support Tool through Multi-Casting Techniques (멀티 캐스팅 기법을 통한 학습지원도구의 분석 및 설계)

  • Kim, Jung-Soo;Shin, Ho-Jun;Han, Eun-Ju;Kim, Haeng-Kon
    • Annual Conference of KIPS
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    • 2001.04b
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    • pp.727-730
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    • 2001
  • 초고속 인터넷 서비스의 확대에 따라 이를 교육에 직 간접적으로 응용하기 위한 노력이 지속적으로 진행되어 왔다. 특히 웹 기반의 가상강의 저작도구를 통한 웹 코스웨어는 원거리 학습자들의 학습 욕구를 자기 주도적인 학습을 통해 가능케 했고 기존의 텍스트, 사운드를 통한 가상강의에서 동영상이 가미된 주문형 교육 서비스(EOD: Education On Demand)가 가능해졌다. 그러나 이를 이용하는 학습자는 전체적인 모듈의 이해를 통해 수업이 진행됨에 따라 학습과정에서는 질의응답을 튜터를 통해 웹 캐스팅이 이루어졌다. 따라서, 질의응답은 텍스트 형식의 E-mail, 채팅, 게시판, 방명록을 통해 이루어지므로 학습자가 요구한 질의 내용을 잘못 이해하고 튜터가 학습 과정에서의 피드백을 제공하지 못함으로써 개인 학습의 동기부여가 감소됨에 따라 흥미를 잃게 되었다. 본 논문에서는 이러한 문제점을 개선하기 위해 멀티 캐스팅 기법을 통해 교육용 서버를 이용한 학습지원도구를 분석, 설계한다. 가상강의는 기본적인 컨텐츠를 제시하고 그를 통해 수업이 진행되는 과정에서의 질의응답을 일대다(One-To-Many)의 멀티 캐스팅 서비스를 튜터가 지정한 교육용 서버를 통해 텍스트 형식이 아닌 강의자료로 쓰인 문서 파일에 직접 작성하여 전송하게 된다. 따라서 튜터는 메일링 서비스를 통해 질문사항을 자신의 폴더 서비스로 확인하고 즉시 학습자에게 피드백을 제공함으로써 튜터와 학습자들간의 커뮤니케이션이 활발히 이루어지며, 상호작용의 증가를 통해 웹 기반의 컨퍼런싱(WBC: Web Based Conferencing)을 가질 수 있게 된다.rver는 Client가 요청한 Content(services)를 전달 해 주는 컨텐트 전달 모듈(Content Deliver Module)과 서버 Phonebook 엑세스 모들(Server Phonebook Access Module)로 구성되어 있다.외 보다 높았다(I/O ratio 2.5). BTEX의 상대적 함량도 실내가 실외보다 높아 실내에도 발생원이 있음을 암시하고 있다. 자료 분석결과 유치원 실내의 벤젠은 실외로부터 유입되고 있었고, 톨루엔, 에틸벤젠, 크실렌은 실외뿐 아니라 실내에서도 발생하고 있었다. 정량한 8개 화합물 각각과 총 휘발성 유기화합물의 스피어만 상관계수는 벤젠을 제외하고는 모두 유의하였다. 이중 톨루엔과 크실렌은 총 휘발성 유기화합물과 좋은 상관성 (톨루엔 0.76, 크실렌, 0.87)을 나타내었다. 이 연구는 톨루엔과 크실렌이 총 휘발성 유기화합물의 좋은 지표를 사용될 있고, 톨루엔, 에틸벤젠, 크실렌 등 많은 휘발성 유기화합물의 발생원은 실외뿐 아니라 실내에도 있음을 나타내고 있다.>10)의 $[^{18}F]F_2$를 얻었다. 결론: $^{18}O(p,n)^{18}F$ 핵반응을 이용하여 친전자성 방사성동위원소 $[^{18}F]F_2$를 생산하였다. 표적 챔버는 알루미늄으로 제작하였으며 본 연구에서 연구된 $[^{18}F]F_2$가스는 친핵성 치환반응으로 방사성동위원소를 도입하기 어려운 다양한 방사성의 약품개발에 유용하게 이용될 수 있을 것이다.었으나 움직임 보정 후 영상을 이용하여 비교한 경우, 결합능 변화

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The Comparison of Knowledge and Attitude of AIDS between the Sex Group with a Prostitute and the Non-sex Group in Unmarried Young Men (젊은 미혼 남성에서의 매춘부와 성관계를 한 경험이 있는 집단과 매춘부와 성관계를 한 경험이 없는 집단 사이에서의 에이즈에 대한 지식과 태도 비교)

  • Yeom, Chang-Hwan;Choi, Youn-Seon;Choi, Kyung-Hee
    • Journal of Hospice and Palliative Care
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    • v.4 no.2
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    • pp.122-129
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    • 2001
  • Purpose : After Acquired Immunodeficiency Syndrome (AIDS) is known to be a fatal disease, efforts and studies are made to determine the cause, treatment method and method of preventing infection. However, no treatment method is present and vaccine development has not been made. Therefore, the most effective treatment method is prevention, and almost 100% prevention is possible when correct preventive measures are taken. We suggest effective prevention education by comparing knowledge and attitude of those unmarried men who had sexual encounters with prostitutes (high risk group) and those with no sexual encounters with prostitutes (low risk group). Methods : From January 1, 2000 to June 30, 2000, a survey was done in 516 unmarried soldiers and college students. With the collected data, chi-square test was used to compare and analyze the demographic characteristic, knowledge on AIDS, and attitude on AIDS between the high risk group and low risk group. One-way ANOVA test was used to compare and analyze the scores on knowledge between these two groups. Results : Among 516 unmarried men, 256 men (49.6%) fell into the high risk group and 260 men (50.4%) into the low risk group. Both groups showed that they heard of AIDS during their middle school years. The main route of obtaining knowledge on AIDS was through TV programs with 124 men(48.4%) in the high risk group and 167 men (64.2%) in the low risk group (P=0.002). Among 20 items, the average score on knowledge was $13.9{\pm}1.9$ in the high risk group and $14.1{\pm}1.8$ in the low risk group with no statistical difference between these two groups (P=0.191). Two items showed statistical significance in the low risk group compared with the high risk group; these were the item of AIDS being transmitted through transfusion (P=0.014) and through mosquitoes (P=0.009). As for attitude, statistical significance was present in the item stating that AIDS patients should be isolated in the high risk group compared with the low risk group (P=0.029). Conclusions : The present study showed that both the high risk group and low risk group obtained knowledge on AIDS through TV. No statistical difference was present between the two groups other than the high risk group showed statistically high results in two items on knowledge and one item on attitude. Thus, these results showed that exposure to AIDS can be lowered with better knowledge and the attitude of those with a low risk of infection was more positive.

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Validity of Referral of High Risk Pregnancy in MCH Center (모자 보건 센터에서의 고위험 산모 의뢰 기준의 타당성)

  • Kim, Gui-Yeon;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.1 s.25
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    • pp.146-152
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    • 1989
  • To test the validity of referral of high risk pregnancy in the MCH Center, 6,017 pregnant women who visited MCH Center of South District Health Center for delivery between 1 April 1985 and 31 March 1987 were interviewed on arrival to obtain the data for demographic characteristics and obsteric history and traced to check the delivery outcome. Out of 5,820 women whose delivery outcomes were confrmed, 704 women(12.1%) were referred to other hospital or clinic for high risk factors. The proportion of poor delivery outcome(stillbirth, low birth weight and neonatal death) among referred cases was 4.4% while that of the women delivered at the MCH Center was 2.2% (p<0.01). Decision of the midwives for the referral of high risk pregnancy based on their clinical assessment was consistent with the delivery outcome (good or poor) in 86.5%. Major reasons for referral were premature rupture of membrane(46.5%) and cephalopelvic disproportion(20.0%) and the C-section rates for these cases were 10.1%, 17.6%, respectively. Discriminant analysis of the demographic characteristics and obstertric history for the discrimination of delivery outcome showed that gestational age had the highest discriminant function coefficient(0.88) and it was followed by parity(0.37) and maternal education(0.30). Referral of high risk pregnancy by the midwives based on their clinical assessment was considered to be reasonably valid. However, a risk scoring system for an MCH Center which can improve the validity may be developed if one applies the discriminant analysis for more comprehensive independent variable(including clinical assessment of midwife, demographic characteristics and obstetric history) and dependent variable (including medically indicated C-section, complication of pregnancy and delivery, stillbirth, low birth weight, neonatal death and maternal death).

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