• 농촌의학ㆍ지역보건
• /
• 제5권1호
• /
• pp.16-27
• /
• 1980

Five hundred seventeen farmers(214 males and 303 females), over age 30 and living in Suh San County, Unsan township, were examined to determine the prevalence of peasants syndrome. Using the health interview questionnaire, the farmers were asked whether they had any of eight subjective symptoms during the past one month before the survey, October 1979. Those symptoms reported were scored based on a pre-determined point system. The farmers with high symptom scores(7 points or more) were further examined by the liver function test. In addition, all the sample(517 cases) were subjected to the examination of urinalysis and blood pressure. The liver function test is also undertaken for those farmers with high symptome scores(7 points or more) and those with abnormal findings in urinalysis and blood pressure. The results are summarized below: 1) 156 out of 517 farmers(30.2%) have had seven points or more of the symptom scores. Among the eight major symptoms, 72% of the farmers complained of lumbago. 2) The prevalence of peasant's syndrome were higher among females and the older age group. The symptom scores of this syndrome were slightly higher among women who have had many children (e. g. 4 or more). 3) The prevalence of peasant's syndrome was also related to the level of one's education-the lower education groups were found to have higher symptom scores of this syndrome. This may be due to the fact that the lower education groups are more exposed to manual labor. 4) The points of the peasants syndrome were higher in hypertensive farmers and those with abnormal findings of urinaly sis. 5) It was reported, in Japan, that those with high scores of the syndrome are more likely to have an abnormal findings in the liver function test. However, in this study it was observed that there was no significant difference between those with high scores of the syndrome (7 points or more) and those with low score of the syndrome(6 points or less) in the prevalence of abnormal liver function. As this study indicates that the point system given for the peasant's syndrome is closely related to the high bleod pressure and abnormal urinalysis(and to some extent to the abnormal liver function), there is a need to study peasant's syndrome more extensively. Such an effort will serve to detect varonic disease conditions among farmer's towards better management of farmer's health, which is vitally important for rural development in Korea.

• 농촌의학ㆍ지역보건
• /
• 제34권3호
• /
• pp.375-385
• /
• 2009

본 연구는 농촌지역 성인의 주요 식품 섭취 빈도와 혈압, 비만도, 허리/둔부 둘레비, 콜레스테롤과의 관계를 분석하고자 G군 소재 890명(남성 438명, 여성 452명)명을 조사대상으로 식품섭취 빈도 및 생리적 지수에 대한 조사를 하였으며 그 결과는 다음과 같다. 본 연구대상자는 남자가 49.2%, 여자가 50.8% 이었고, 연령별로는 60세 이상이 39.7%이었다. 학력으로는 고졸 이상이 43.8%이었고, 결혼한 경우가 84.3%이었으며, 직업은 농업인 경우가 46.7% 이었다. 자신의 건강상태를 좋다고 인지한 경우는 31.9%이었고, 나쁘다고 인지한 경우는 21.9%이었다. 흡연자는 20.7%이었으며, 혈압상태는 고혈압전단계가 14.9%이었고, 고혈압인 경우가 12.1% 이었다. BMI는 25.0kg/$m^2$이상인 비만인 경우가 27.1%이었다. WHR은 남자인 경우는 0.90이상, 여자인 경우는 0.85이상으로 비만인 경우가 42.0%이었다. 콜레스테롤은 200mg/dl이하로 정상인 경우가 76.1%이었고, 201mg/dl를 넘는 경우가 23.9%이었다. 뇨당은 양성인 경우가 8.7%이었다. 연령을 보정하여 식품섭취 빈도와 생리적 지수와의 관계를 보면 혈압은 과일류(p=.003)를 자주섭취한 군이 혈압이 정상이었으며, BMI는 우유류(p=.045)를 자주 섭취한 군과 주류(p=.007)를 적게 섭취한 군이 BMI가 정상이었다. 허리/둔부 둘레비는 채소류(p=.046)와 우유류(p=.021)를 자주섭취한 군과 주류(p=.003)를 적게 섭취한 군이 정상이었고, 콜레스테롤은 곡류(p=.020), 두류(p=.039) 및 해조류(p=.007)를 자주 섭취한 군이 콜레스테롤 수치가 낮은 결과를 보였다. 이상의 연구결과를 종합하면 혈압은 과일류, BMI는 우유류와 주류, 허리/둔부 둘레비는 채소, 우유류 및 주류, 콜레스테롤은 곡류, 두류 및 해조류 섭취와 유의한 관련성을 보여 식생활 개선에 대한 인식을 높이고 개개인에게 맞춤식 건강 증진 사업을 전개해 나가는 것이 필요하다고 사료된다.

• 대한간호학회지
• /
• 제23권4호
• /
• pp.678-693
• /
• 1993

The purposes of this study were to describe the level of vision and hearing impairments, depression and functional capacity, among Korean institutionalized elderly and to examine the relation-ship between sensory impairments, depression, and functional capacity in these people. The final pupose was to test the cognitive function path model using sensory competencies as predictors. A convenience sample of thirty nine male and 90 female subjects with a mean age of 80.5 were the subjects of this study. The subjects were tested for cognitive function, and vision and hearing impairments. Physical function and social function were measured by observation of designated task performance by the subjects. Their level of de-pression was measured using a Geriatric Depression Scale administered through an interview. Individual subjective ratings of hearing and vision were marked by the subjects, on a ladder scale. The results of the study showed that 48.8% of the subjects had a hearing impairment, 63.5% had a vision impairement, and 36.4% had both a vision and hearing impairement. The four sensory groups (no sensory impairement, hearing impairement, vision impairement, hearing and vision impairement) were tested for differences in depression, physical function, social behavior and cognitive function. The only significant difference that was found was in cognitive function, between the no sensory impairement group and the hearing and vision impairement group(F=3.25, P<.05), Subjective ratings of hearing showed a significant correlation with cognitive function(r=.34, p<.001) and with social behavior(r=.31, p<.001). There was no correlation between subjective vision ratings and cognitive function or social behavior. However there was a significant correlation between vision and hearing(r=.49, p<.001). There was also a significant negative correlation between age and vision(r=-.21, p<.01) and between age and hear-ing(r=-.34, p<.001). There was a significant correlation between depression and physical function (r=-.32, p<.001) but there was no correlation between depression and cognitive function or social behavior. Based on the literature review and the result, this study, a path model of sensory competence-> cognitive function- >social behavior was developed and tested : Perceived vision and perceived hearing were the exogenous variahles and cognitive function and social behavior were the endogeneous variables in the model. The path analysis result demonstrated an accept-able fit (GFI=.997, AGFI=.972, X$^2$=.72 (p=.396), RMSR=.019) between the data and the model. There was a significant direct effect($\beta$=.38) of perceived hearing on cognitive function. There was a significant direct effect ($\beta$=.32) of cognitive function on social behavior. The total effect of hearing on social behavior was $\beta$=.32 including the indirect effect ($\beta$=.12) . However perceived vsion had little effect ($\beta$=-.08) on cognitive function. The result of path analysis confirms that hearing levels influence cognitive function, and both hearing and cognitive function levels influence social behavior. However, vision has little effect on cognitive function or on social behavior. For the next study, a combined model of the pre viously developed environment - >depression- > physical and social function model, and the present cognitive function model, should be tested to further refine the functional capacity model. There also a need for longitudinal study of functional capacity and sencory competence in order to better understand how declining sensory competence influences functional capacity and how it effects in-creasing dependency and nursing needs in the elderly.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제27권3호
• /
• pp.164-172
• /
• 2016

Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

• 한국초등과학교육학회지:초등과학교육
• /
• 제29권4호
• /
• pp.552-566
• /
• 2010

This paper is an in-depth case study to analyze integrated elementary science lesson planning and practical teaching by two teachers at an urban elementary schools. One is an experienced teacher and the other is a beginning teacher. For this study, researchers asked teachers to design 5 stages of lesson planning after sharing basic theories about the integrated science education. The first of the 5 lesson planning stages is curriculum analysis and choice of integrated science topic. The second stage is constructing the frame of integrated science lesson contents, and the third is drawing a diagram of the integrated science lesson development. The fourth stage is making a table of lesson plans, and the last stage is writing integrated science lesson plans. Then, the teachers implemented the lessons they created. They taught students one unit of science which is composed of 8 lessons. Difficulties that teachers meet during designing plans and integrated science class were analyzed. 5 staged lesson planning, video transcriptions, teacher interview about lesson planning and teaching, researchers' checklists, reports of inspection classes, teachers' self evaluation, and students interviews were used for this study. One of the significant results of this study is that both experienced and beginning teachers had many difficulties in deciding on time to teach and contents of science and other subjects, as well as selection and organization of whole topics of integrated science teaching. The beginning teacher especially had greater issues with developing definite teaching-learning strategy to conduct thoughts and views for integrated science at the whole unit and each lesson. However, the experienced teacher was using various teaching-learning strategies by utilizing integrated science teaching professionalism to develop students' integrated thinking ability during the instruction of other subjects. The outcomes of this study are that both teachers could deeply understand the need and value of integrated science education at the elementary school through planning and teaching 8 lessons, and that they could have self-confidence with development of teaching professionalism for integrated science teaching. It may be possible that this study could help the development of pre- and in-service program for improvement of integrated science teaching professionalism for elementary school teacher.

• Journal of Chest Surgery
• /
• 제33권10호
• /
• pp.817-822
• /
• 2000

Video assisted thoracic sympathectomy or sympathicotomy is a safe and effective therapy for the treatment of palmar hyperhidrosis with immediate symptomatic imporvement. However the degree of satisfaction may diminish with time due to cmpensatory sweating or excessive hand dryness. Therefore by comparing and assessing the degree of symptomatic improvement or compensatory sweating following sympathectomy or sympathicotomy at various levels we aim to determine the optimal level of sympathetic nerve block which will result in minimal side effects and maximal benefit. Material and Method: Among 194 patients having undergone video assisted thoracic sympathectomy or sympathicotomy between January 1996 and June 1999, 137 patients who responded to either telephone interview or questionnaire were included in the current study. The patients were divided into three groups. Group I(n=61) ; patients having undergone T2,3,4 sympathectomy group II(35) ; patients having undergone T2 sympathicotomy and group III(41) ; patients having undergone limited T2 sympathicotomy which consist of block of interganglionic neuronal fiber on the third rib. The parameters studied comprised of pre- and post-operative palmar temperature change treatment satisfaction the degree of compensatory sweating or discomfort from palmar dryness postoperative complication and changes in plantar sweating Result : There was no difference in age and sex among the groups and the mean postoperative elevation in palmar temperature was 21.59$^{\circ}C$ without any differences among the groups. Patients expressing satisfaction were 65.6%, 62.9% and 90.24% in groups I, II and III, respectively(p<0.05) Moderate to severe compensatory sweating was present in 65.6% 51.4%, and 24.39%, in group I, II, and III, respectively(p<0.05) Slight but comfortable amount of palmar humidness was expressed in decreasing order group III(41.6%) group I(24.6%) and group II(5.7%) (p<0.05) Ineffectiveness or recurrence was present in 5patients in group I(8.2%) 1 patient in group II(2.9%) and none in group III. With regards to plantar sweating decrease in sweating was expressed in 43 patients(31.4%) while similar degree of sweating in 61 patients(44.5%) and increase in sweating in another 33 patinets(24.1%) Conclusion : Limited T2 sympathicotomy resection of the lower interganglionic neuronal fiber of the second sympathetic ganglion on the third rib showed immediate effect in palmar hyperhidrosis and caused lesser compensatory sweating and hand dryness.

• 재활치료과학
• /
• 제4권1호
• /
• pp.63-73
• /
• 2015

목적 : 본 연구는 감각방어를 가진 자폐 범주성 아동을 대상으로 감각식이 가정프로그램을 시행하여 감각조절과 사회적 능력에 미치는 영향을 알아본 연구이다. 연구방법 : 연구대상자는 감각방어를 가진 만 12세의 자폐 범주성 아동 1명이었다. 보호자 인터뷰와 평가를 통해 대상 아동에게 맞는 감각식이 가정프로그램을 만들었고, 보호자 교육을 통해 대상자의 가정에서 총 23일간 하루에 3번 30분씩 감각식이 가정프로그램이 진행되었다. 감각식이 가정프로그램 중재 전 후에 Adolescent/Adult Sensory Profile과 사회성숙도검사가 시행되었고 아동의 감각증상목록이 작성되었다. 결과 : 감각식이 가정프로그램 중재 후, Adolescent/Adult Sensory Profile검사의 Low Registration, Sensory Sensitivity, Sensation Avoiding영역이 정상범주에 속하게 되었으며, 사회성숙도검사 결과 사회연령과 사회지수가 향상되었다. 결론 : 감각식이 가정프로그램을 통해 아동의 감각방어가 완화되었으며 감각조절과 감정의 조절이 향상되었지만 한 명의 아동을 대상으로 한 연구이기 때문에 앞으로 더 많은 대상자들을 대상으로 한 연구가 이루어져야할 것이다.

• 대한지리학회지
• /
• 제51권6호
• /
• pp.893-914
• /
• 2016

본 연구의 목적은 경주 양동마을의 지속가능발전을 주제로 탐구기반 야외조사활동 프로그램을 개발하고 현장적용 연구를 통해 프로그램을 평가하는 것이다. 효과적인 탐구기반 야외조사활동의 설계를 위해서는 탐구질문, 조사대상 지역, 모바일 테크놀로지의 역할, 학습활동 및 산출물 설계, 교사의 역할에 대한 이해가 중요하다. 양동마을은 2010년 세계문화유산으로 지정된 이후 급격한 변화를 겪고 있으며, 학생들은 양동마을에서 가옥의 변화를 조사하고, 주민들을 인터뷰하고, 마을에서 변해야 하는 것과 변하지 말아야 하는 것을 조사한다. 학생들의 야외 데이터 수집을 지원하기 위해 모바일 테크놀로지(예, Collector for ArcGIS)가 활용되었다. 프로그램은 2016년 2월 고등학교 답사동아리 학생들(N=21)이 참여해 현장적용 연구가 진행되었다. 학생들의 사전-사후활동, 야외에서의 데이터 수집활동이 관찰되었으며, 학생들이 수집한 데이터와 제작한 산출물을 분석하였다. 프로그램 참여를 통해 학생들은 양동마을에 대한 지식과 가치가 높아졌을 뿐 아니라 과정에 대해서도 만족과 즐거움을 표시했다. 모바일 테크놀로지의 활용은 탐구기반 야외조사활동에서 학습활동의 실제성을 높여주고, 학생들 간 협력을 원활하게 하며, 공유가 가능한 디지털 형태의 산출물 생산을 지원한다.

• 한국과학교육학회지
• /
• 제35권1호
• /
• pp.143-157
• /
• 2015

본 연구의 목적은 한국 전통 과학 지식의 과학 교육 가능성에 대해 파악하고자 함에 있다. 한국 전통 과학을 소재로 과학적 개념, 역사적 지식, 문화적 경험 등이 포함된 실험과 그룹 활동, 탐방을 포함한 5개 프로그램을 개발했다. 개발한 프로그램의 주제는 역법, 앙부일구의 원리, 과학자 장영실, 한국의 고대 자연 기록, 경복궁 탐방 등이었다. 이 프로그램에 참여한 고등학생들의 프로그램 전후 인식 조사, 수업 관찰 자료, 수업 활동 자료, 면담을 분석한 결과, 학생들의 한국 전통 과학에 대한 인식은 문화적 범주 내에서 과학적 요소를 찾는 수준을 넘어서서 자연 과학으로서의 한국 전통 과학 가치로 변해갔다. 또한, 우리 전통 과학에 대한 기대감을 과학적, 실용적, 정서적 측면에서 표현했는데, 한국 전통과학의 실용적, 정서적 측면들이 학생들에게는 비과학적 측면으로 인식되기도 하였다. 또한 이들은 서양 과학과 한국의 TSK와의 관계를 통해 과학에 대한 세계관을 드러냈는데 크게 다섯가지로 분류되었다. 학생들은 전반적으로 한국 전통 과학을 아끼고 사랑하는 마음을 가지고 있었지만, 한국 전통 과학의 과학적 가치에 대해서는 혼란스러움을 나타냈다. 학생들은 우리가 배우고 있는 과학이 어떠한 의미를 가지고 있는지 고찰하고 과학 교육자들은 그것을 세심하게 검토할 필요성이 제기되었다. 아울러 우리가 한국의 TSK에 대한 지식을 학생들에게 전달하는 방법에 대해 다시 생각해 보고, 한국 TSK에 대한 학문적, 과학교육적인 심층 연구가 이어져야 할 것이다.

• 사상체질의학회지
• /
• 제4권1호
• /
• pp.81-106
• /
• 1992

The purpose of this study was to find out the causal relationship between perceptual level of stress and health state according to Korean constitutions and to analyze that effect on the Korean constitution's health state. Subjects of this study were 87 out patient department of constitution at Kyung-Hee Oriental Medicine Hospital. Data were collected by using interview with Questionaire during 6 months from Feb. 2 to June 31, 1991. The Measurement tools used by this researcher were Go's The Questionaire of Identify about constitution, Lee's stress scale and Go's modified Cornell Medical Index which were approved it's reliability and validity. All of the questionaires of were used after pre- test. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and Pearson correlation. And then this research's issue was tested by SAS program's ANCOVA. The findings of this study was summarized as follow. 1. There was significantly differences in stress perceptual level in Korean constitution. (F=9.68, P=.000). The So Em In (小陰人) were higher than the other constitution on stress perceptional level. 2. In health state, there was significantly difference among Korean constitution. (F=6.654, P=.002). Also the So Em In (小陰人) was lower than the other constitution at health state. Therefore, it was considerate that So Em In (小陰人) was higher perceptual level of stress than the other constitution and the resulting poor health state. 3. Stressful perception was effected on the health state, as a result inverted correlation was constructed between stress perception and health state. (r=-.6034, P=.0001) 4. After exclusion of stress perceptual level, each of the Korean Constitution's health state was not difference (F=1.01, P=.37). It was mean that differences of the Korean Constitution's perceptual level of stress effected on the health state. Bacause So Em In (小陰人) had higher perceptual level of stress than other constitution (F=9.687, P=.000), in proportion to that one's health state was poor. From the results of this study, it could be concluded that the higher stress perceptual level according to Korean constitution, the poorer health state. Further study in this area needs to be consideration that in order to coping with stress, researcher grope for quality nursing intervention with more accurative assessment about Korean constitution.