• 제목/요약/키워드: graduate medical education

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요통환자들의 성생활 행태와 영향 요인 조사 (A survey on sex life behavior and factors of low back pain)

  • 남철현;우광석
    • 대한물리치료과학회지
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    • 제9권3호
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    • pp.31-49
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    • 2002
  • The purpose of this study was to investigate discomforts and sexual life and to identify the relation between the discomforts and sexual life with low back pain. The data were collected from March 2 through July 31, 2001. Four hundred forty-two questionnaires were returned (response rate=88.0%). Analysis of the data was done with SPSS PC+ and use descriptive statistics, $x^2$-test, t-test, ANOVA. regression. The statistics shows that over than 80% of the adults experienced lumbago at least one time in their life, and Back pain is known as one of the most common complaints made by the patients of all ages in the general hospital or local medical clinics throughout. However, in certain case it leads to a chronic condition which can cause a great deal of problems in management and in financial burden to individuals and society. The result of this study was summarized as follows: 1) It appeared that regarding the distribution of gender, male was the higher(63.6%) then that of female, the portion of forties was 28.5%. Sitting for long time was 23.1% in men and 21.7% in women. Unknown reason including sexual behaviour was 12.9% in men and 15.5% in women. Patients treated medicine and physical therapy were 36.4%. In level of educational background, the rate of high school was 31.0%, technical college was 28.5%. The highest proportion by occupation was 18.3% of office workers, occupation posture was 41.9% of sitting. 2) Men(26.0%) and most of women(34.8%) were not satisfied in the explanation satisfaction rate of sex life concerned disease. 23.8% in men and 23.6% in women considered flexibility of waist good. Man(33.3%) and most of woman(35.0%) considered that Health education is necessary. 32.7% in men and 27.3% in women did't mind educator is whoever. Preventing of lower back pain(LBP) and proper Health education of sex life are demanded in daily life. 3) 58.0% of man and 64.0% of woman mostly had a posture which is man over woman. 28.5% in men and 27.8% in women considered that proper information finding of LBP and sex life was very few and few. 37.7% in men and 42.7% in women have acquired information about sex life flung their friends. 4) The number of sex life was decreased from 2.96 0.98 to 2.61 1.63 and also the time of sex life was decreased from 3.65 1.89 to 226 1.64. The satisfaction rate of sex life changed from 3.60 0.86 to 2.77 1.10. In the number of sex life, The non correct group was 2.62 1.91 and the correct group was higher in 2.68 1.65. In the time of sex life, The non correct group was 2.02 1.47 and the correct group was higher in 229 1.65. The satisfaction rate of sex life was 2.76 0.86 in non correct group and 2.88 1.10 in correct group. So there was a difference. 5) In the satisfaction rate of sex life, Men who have a lower back pain were higher than women and no attack group was higher than attack group. As they had many sex life, the satisfaction rate was higher significantly in statistics. As the time of sex life was short, the satisfaction rate was lower significantly in statistics. As the age was low, the demand rate of Health education was high and as means of patient who had a lower back pain was high, the demand rate of Health education was high. As the patient who had a lower back pain had a long married life, the demand rate of Health education was high and as education level was high, the demand rate of Health education was high. It is necessary to provide patients with conservative treatment, educational teaching, and training to prevent further injuries in the future. In general, it is important to educate the public how to prevent back injuries and how to treat themselves in an onset period to prevent further injuries sliding into a chronic state. Sexuality is an integral part of normal and healthy relationships, but patients are unable to enjoy sex because they are riot able to get into a comfortable position due to back pain. Many conditions of the spine can make certain positions uncomfortable. Health educator should make the education program of the discomforts and the sexual pattern for low back pain in workplace and/or hospital. Further study Is needed on how to integrate the educational program on sexuality into the total rehabilitation program.

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특발성 성조숙증 여아의 유형별 분류에 따른 신체발육 및 성호르몬 분비 (The Physical growth and secretion of sex hormone in girls with Idiopathic precocious puberty)

  • 권미영;김명
    • 디지털융복합연구
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    • 제12권9호
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    • pp.283-290
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    • 2014
  • 본 연구는 조기 2차 성징을 주호소로 내원하여 특발성 성조숙증으로 진단받은 여아의 진단 유형에 따른 신체발육, 성호르몬 분비의 특성을 파악하고자 시도하었다. 2차 조기성숙을 주호소로 내원한 여아 중 기질적 원인으로 인한 경우를 제외한 성조숙증 여아들을 진성 성조숙증과 가성 성조숙증으로 분류하여, 내원 당시 연령, 출생 시 체중, 2차 성징 발현 나이, 부모 및 조부모 키, 키, 체중, 골연령, 체질량지수 등을 조사하였다. 또한 성호르몬 분비정도를 비교분석하였다. 수집된 자료는 SPSS 20.0 통계프로그램을 이용하여, 평균과 표준편차 그리고 Student t-test로 분석하였다. 본 연구결과 진성 성조숙증이 47명(38.9%), 가성 성조숙증이 66(61.1%)였다. 진성 성조숙증집단에서는 신장 및 체중 표준편차점수가 유의한 수준으로 증가되어 있었으며(p<.05), 성호르몬 검사 상 황체형성호르몬(LH), 난포자극호르몬(FSH) 그리고 에스트라디올(Estradiol)의 기저치가 가성 성조숙증에 비해 유의하게 높았다(p<.05).

Assessment of Genetic Variability in Two North Indian Buffalo Breeds Using Random Amplified Polymorphic DNA (RAPD) Markers

  • Sodhi, M.;Mukesh, M.;Anand, A.;Bhatia, S.;Mishra, B.P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권9호
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    • pp.1234-1239
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    • 2006
  • Murrah and NiliRavi are the important North Indian buffalo breeds occupying the prominent position of being the highest milk producers. These breeds are more or less similar at morphological as well as physiological levels. The technique of RAPD-PCR was applied in the present study to identify a battery of suitable random primers to detect genetic polymorphism, elucidation of the genetic structure and rapid assessment of the differences in the genetic composition of these two breeds. A total of 50 random primers were screened in 24 animals each of Murrah and NiliRavi buffaloes to generate RAPD patterns. Of these, 26 (52%) primers amplified the buffalo genome generating 263 reproducible bands. The number of polymorphic bands for the 26 chosen RAPD primers varied from 3 (OPG 06 and B4) to 26 (OPJ 04) with an average of 10.1 bands per primer and size range of 0.2 to 3.2 kb. DNA was also pooled and analyzed to search for population specific markers. Two breed specific RAPD alleles were observed in each of Murrah (OPA02 and OPG16) and NiliRavi (OPG09) DNA pools. RAPD profiles revealed that 11 (4.2%) bands were common to all the 48 individuals of Murrah and NiliRavi buffaloes. Pair-wise band sharing calculated among the individual animals indicated considerable homogeneity of individuals within the breeds. Within breed, band sharing values were relatively greater than those of interbreed values. The low genetic distance (Nei's) value (0.109) estimated in this study is in accordance with the origin and geographical distribution of these breeds. The RAPD analysis indicated high level of genetic similarity between these two important North Indian buffalo breeds.

Stockmanship Competence and Its Relation to Productivity and Economic Profitability: The Context of Backyard Goat Production in the Philippines

  • Alcedo, M.J.;Ito, K.;Maeda, K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제28권3호
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    • pp.428-434
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    • 2015
  • A stockperson has a significant influence on the productivity and welfare of his animals depending on his stockmanship competence. In this study, stockmanship competence (SC) is defined as the capacity of the stockperson to ensure the welfare of his animals by providing his animals' needs. The study was conducted to evaluate the SC of backyard goat raisers and examine its relationship to goat productivity and economic profitability. There were 101 respondents for this study who have all undertaken farmer livestock school on integrated goat management (FLS-IGM). Interview was conducted in Region I, Philippines on September 3 to 30, 2012 and March 4 to 17, 2013. Data on SC, goat productivity and farmer's income were gathered. Questions regarding SC were formulated based on the Philippine Recommendations for Goat Production and from other scientific literature. Housing, feeding, breeding and health and husbandry management were the indicators used in computing stockmanship competence index score (SCIS). Pearson correlation using Statistical Package for Social Science (SPSS) was carried out to analyse the relationship between SCIS, productivity and income. Based from the results of the study, a majority of the respondents raised native and upgraded goats. The computed mean SCIS before and after undergoing FLS-IGM were 38.52% and 75.81% respectively, a percentage difference of 65.23%. Both index scores resulted in significant differences in productivity and income. The median mature weight and mortality rate of goats before FLS-IGM was 14 kg and 30% respectively. After FLS-IGM, median mature weight was 19 kg and mortality rate decreased from 30% to 11.11%. Likewise, fewer goat diseases were observed by farmers who were able to undergo FLS-IGM. With regard to income, there was a 127.34% difference on the median net income derived by farmers. Result implies that improved SC could lead not only to increased productivity and income of backyard goat raisers but also to better animal welfare.

우리나라 소아 물리치료사의 임상적 추론 (Clinical Reasoning by Pediatric Physical Therapists in South Korea)

  • 이혜영;이인희;김경
    • The Journal of Korean Physical Therapy
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    • 제24권5호
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    • pp.377-382
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    • 2012
  • Purpose: The purpose of this qualitative study was to understand the application of clinical reasoning throughout clinical and therapeutic knowledge of clinical pediatric physical therapists under physician prescriptions. Methods: Purposive sampling techniques were used in selection of nine clinical pediatric physical therapists in South Korea. Open and semi structured interviews were conducted, and were thoroughly examined and reviewed, followed by analysis of the clinical reasoning portion. Results: Pediatric physical therapists have been influenced by information gathering, physical function and evaluation of their patients, hypothesis-orientation, and re-evaluation and self-monitoring. Novice physical therapists were more dependent on physician prescriptions and parent's hope than the result of their own evaluation and critical pathway. Middle experienced pediatric physical therapists were more dependent on rapport with children and their parents. Highly experienced pediatric physical therapists were more reliant on hypothesis-orientation and self-monitoring. As reports on clinical experience of pediatric physical therapists have accumulated, clinical reasoning of pediatric physical therapists has been influenced by their experience, such as education, clinical pathology conference, their own clinical experience and rapport with patients and their parents than physicians' prescriptions. Conclusion: The findings of the current study are generally consistent with existing research on clinical reasoning. The results of the current study may be used by educators for enhancement of clinical reasoning abilities and knowledge of students or novices as well as development of a guide for use by suitable novices or students, and could provide important information for use in physical therapy practice and research.

서울시 교직원의 고혈압 실태파악과 그 요인에 관한 연구 (A Study of Epidemiological Characteristics and Related factors in School Personnel with Hypertension)

  • 신선미;김종희;한규종;이희우
    • 한국학교보건학회지
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    • 제17권1호
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    • pp.55-69
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    • 2004
  • Purpose : To describe epidemiological characteristics and related factors in school personnel with hypertension. Method : 5,384 school personnel (2,638 males and 2,746 females) received physical examination at the Seoul School Health Center in 2002. blood pressure(BP) was classified by JNC 7th report. Normal BP is systolic BP <120 and diastolic BP<80, prehypertension BP is 120-139 or 80-89mmHg, stage 1 hypertension BP is 140-159 or 90-99, and stage 2 hypertension >=160 or >=100 mmHg. each group was evaluated by gender. We used multiple regression and logistic regression. Results : Normotension was 20.13% in males and 48.65% in female, prehypertension 43.4% in males and 38.06% in females, stage 1 hypertension 26.38% in males and 10.99% in females, stage2 hypertension 9.59% in males and 3.2% in females. the older age group had higher distribution of stage 1 hypertension and stage 2 hypertension. The means and abnormal rates of BMI, blood sugar, total cholesterol, GOT, GPT, and GTP was higher when their blood pressure was higher. However, an alcohol habit among lifestyle factors had an inverse effect. Higher Bp was correlated to a higher BMI, FBS, and cholesterol-like dose response. In stage 1 hypertension, the related factors of hypertension for males were BMI, amount of cigarettes smoked, exercise, blood sugar, total cholesterol, and GTP. In stage 1 hypertension, age, BMI, exercise, blood sugar, total cholesterol were related factors in female. In stage 2 hypertension, age and smoking were related factors in male, and age, BMI, and cholesterol in female. Conclusions : It is possible to intervene in all related factors of hypertension except age through life-style modification and appropriate medical management. Active health promotion is needed in School personnel.

보건의료계열 대학생의 심폐소생술 태도에 영향을 미치는 요인 (The Influential Factors for the Attitude of Health-Care University Students on Cardiopulmonary Resuscitation)

  • 정금숙;오현미;정선영
    • 한국산학기술학회논문지
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    • 제14권5호
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    • pp.2271-2280
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    • 2013
  • 본 연구는 보건의료계열 대학생의 심폐소생술에 대한 지식, 자신감 및 태도를 알아보고 심폐소생술에 대한 태도에 영향을 미치는 요인을 파악하고자 시도된 서술적 조사연구이다. 연구 대상은 참여를 동의한 보건의료계열 대학생 516명으로 하였다. 자료 분석은 연구목적에 따라 t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple linear regression을 실시하였다. 대상자의 심폐소생술에 대한 태도와 심폐소생술에 대한 지식은 유의한 정적 상관관계가 있는 것으로 나타났으며(r=.269, p<.001), 또한 심폐소생술에 대한 태도와 심폐소생술에 대한 자신감은 유의한 정적 상관관계가 있는 것으로 나타났다(r=.620, p<.001). 대상자의 심폐소생술에 대한 태도에 영향을 미치는 요인으로는 심폐소생술에 대한 자신감, 성별, 심폐소생술에 대한 지식, 성격, 전공에 대한 생각, 심폐소생술 교육경험, 의료봉사경험, 전공선택동기가 유의한 영향 요인이었으며, 설명력은 49%이었다. 본 연구의 결과를 근거로 심폐소생술에 대한 긍정적인 태도를 강화할 수 있는 적극적인 프로그램 개발과 교육을 제언한다.

The Effects of Soybean Peptide Intake on Index of Muscle Damage and Hormone Concentration in Taekwondo Player

  • Son, Chang-Seob;Lee, Hye-Sook;Lee, Jang-Woon;Lee, Yoon-Bok;Park, Myeong-Soo;Yoo, Yung-Choon;Park, Jin-Hong;Hong, Seung-Bok;Hwang, Seock-Yeon
    • 대한의생명과학회지
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    • 제17권3호
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    • pp.245-251
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    • 2011
  • This study was conducted to investigate the effect of soybean peptide on muscle damage index and hormone (testosterone and cortisol) concentration. Subjects of this study were 23 high school male taekwondo players who had participated in regular exercise. They were randomly divided into two groups, one group took soybean peptide (S-peptide, n=13) 4 g a day for 4 weeks and the other took placebo (placebo, n=10) for the same time. We obtained blood samples before and after experiment and analyzed for CPK (Creatine phosphokinase), LDH (Lactate dehydrogenase), ALD (Aldolase), myoglobin, testosterone and cortisol. As for body composition, there was no significant difference in weight, body fat rate and LBM (lean body mass) between the S-peptide and the S-peptide group and placebo group. In CPK, LDH, ALD and myoglobin, S-peptide group was significantly lower than the placebo group and showed significant decrease before and after intaking soybean peptide (P<0.05~0.01). In the concentration of plasma testosterone, S-peptide group was increased from two weeks but not significant difference. The concentration of plasma cortisol showed significantly decrease in the S-peptide (P<0.01). These results indicate that the intake of soybean peptide have positive effect on index of muscle damage and changes of hormone concentration.

일부 외국인 근로자의 건강상태 및 의료이용에 관한 연구 (The Evaluation of the Health Status of Migrant Workers)

  • 김상순;김애련;김미한
    • 지역사회간호학회지
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    • 제8권1호
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    • pp.3-20
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    • 1997
  • The purpose of this study was to evaluate the physical and mental health status of foreign migrant workers in Korea, and to provide basic data for assessment of industrial Nurses, and to contribute to the improvement of their health status. There were 108 workers who participated in this study. They lived in Seoul and the capital region and the data were collected from 11th August to 23th, 1996. The C.M.I. was utilized for the study. The results obtained by this study were as follows: Digestive system and Inadequacy have the largest portion of the physical and mental illness respectively. With regard to physical and mental illness ac cording to the gender, the frequency of illness experienced by women was higher than men in Genitourinary system and Sensitivity. By ages, there were significant differences between those in their 20's and 30's and in their 40's, particularly Ears and Eyes system. There were significant differences in mental health illness according to educational levels. The middle school graduate group had more health ill ness than the group with higher than high school education in Anxiety. There were significant differences in the rate of job satisfaction. The dissatisfied group had more health illness in Eyes and Ears, Miscellaneous diseases, and Inadequacy. The lower the rate of working condition satisfaction, the higher the frequency rate of physical and mental health illness (Eyes and Ears, Musculoskeletal system, Nervous system, Frequency of illness, Habits, Total physical section, Inadequacy, Depression, Anxiety, Anger, Tension, Total mental section) By the accessibility of health services, the group who has respond to difficult had more health illness in Frequency of illness, Anxiety, Anger, Tension and Total mental section. There were significant differences in the reason of difficulty of health services use concerning Eyes and Ears and Miscellaneous diseases. The most important factor to explain the satisfaction of job and working condition was the satisfaction for supervisor.

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치과기공사의 피부질환 요인 - 서울시 중심 - (Factors of Skin Diseases in Dental Technician (Focus in Seoul))

  • 안재석;김해준;오세윤;김웅철;김지환
    • 대한치과기공학회지
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    • 제29권1호
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    • pp.9-21
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    • 2007
  • This study was conducted to determine the cause and prevalence of occupational skin disease in dental technicians working in Seoul, Korea. and to investigate the relation between these work condition and skin disease of the hand, wrist and forearm. This study was based on the Nordic occupational skin questionnaire(NOSQ), a self-administrated questionnaire which was modified to investigate the dental technician's occupational factors in domestic circumstances. The number was distributed to 500 dental technicians who participated in annual continuing education for dental technicians of the Seoul metropolitan area in April 2006. Of the subjects, 62(30.4%) had eczema and 70(32.9%) had urticaria, as diagnosed. Of the subjects with the symptoms of urticaria, 30 complained of atopic dermatitis, 65 complained of allergic rhinitis, 56 complained of allergic conjunctivitis, and 18 complained of asthma. The group with atopic history had a higher frequency of eczema or urticaria than the group without atopic history. From multiple regression analysis, the group who had a history of atopic dermatitis also had high symptom rates of eczema. The group who had a history of allergic rhinitis and allergic conjunctivitis had high symptom rates of urticaria. The urticaria symptom rates were higher in those wearing gloves than those who did not for the type of work.

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