• 한국융합학회논문지
• /
• 제9권10호
• /
• pp.347-353
• /
• 2018

본 연구의 목적은 장애인에 대한 차별과 폭력경험이 자살생각에 어떠한 관련성이 있는지를 파악하고자 하였다. 연구 자료는 2014 장애인실태조사를 이용하였으며, 6,332명을 최종분석대상자로 하였다. 자살생각은 최근 1년 동안 실제로 자살시도를 해 본적이 있는지 여부로 정의되었다. 참조군은 자살생각 없음이며, 로지스틱회귀분석을 실시하였다. 연구결과 자살생각을 가진 장애인은 18.5%(n=1,171)였다. 장애인이라는 이유로 언어폭력과 정신적 폭력을 당한 경험이 있는 경우에서 자살생각 위험이 높게 나타났다. 성희롱, 성추행, 성폭력을 경험한 시기가 청소년기인 경우에서 자살생각 위험이 16.7배(CI=4.22-66.18), 가해자가 모르는 사람인 경우 5.85배(CI=2.34-14.6), 대처방법이 무시하거나 참는 경우 4.08배((CI=2.05-8.12) 자살생각 위험이 높았다. 결혼 시 차별경험을 받은 경우 1.60배(CI=1.24-2.08), 장애로 인한 차별을 항상 느끼는 경우 2.73배(CI=4.22-66.18) 자살생각 위험이 높았다. 차별경험과 폭력경험으로 인한 자살생각은 자살로 발전할 수 있으므로 정신적 안녕을 위해 가족 및 사회의 관심과 배려 및 지역사회 차원의 예방프로그램이 함께 지원되어야 할 것이다.

• 한국응용과학기술학회지
• /
• 제25권4호
• /
• pp.539-555
• /
• 2008

It is well understood that developing new drugs is one of the highest value-added businesses in a country; however, the current governments' spending in pharmaceutical research and development(R&D) is minimal in Korea. This paper suggests that different governmental bodies should take in charge of different stages of the R&D process in order to maximize the use of limited government research funding. First, during the initial phase of the drug development, including clinical trials, the Ministry of Education, Science and Technology is the most appropriate governmental organization to support the research. For later procedures such as supporting the industries for exporting developed drugs, legislative approvals, and building infrastructure for future clinical trials should be supported by the Ministry of Knowledge and Economy and the Ministry of Health and Welfare along with the Korea Food and Drug Administration(KFDA). The KFDA, which is the main governmental agency approving newly developed drugs in the market, will need to take a crucial responsibility in the initial phase of the pharmaceutical R&D by guiding the industries with timely and proper information. As a first step, it is recommended to set up and operate a center for supporting new drugs, so that the industries can facilitate the development of marketable drugs which meet customers' needs. Later, in order to expedite the process of exporting and getting approvals of the newly developed drugs from foreign countries, it is necessary to develop new approval system, which includes introduction of the Good Manufacturing Practice (GMP), mandatory validation system, and education program for supporting expertise. Lastly, the KFDA needs to take an active role in developing Korean pharmaceutical industries by communicating with other foreign governments with regards to the globalization of the Korean pharmaceutical industries. For example, as a follow up after the Free Trade Agreement(FTA), active discussion on GLP of Mutual Recognition Agreement(MRA) with the United States of America, should be seriously considered.

• 한국생활과학회지
• /
• 제13권1호
• /
• pp.97-110
• /
• 2004

This study was carried out to investigate the ity, food habits and eating behavior of the college students. The responses of 1,112 students(male 468, female 644) to the questionnaire were analyzed. The results were summarized as follows: The means of height, weight were $174.1{\pm}5.1cm$, $66.0{\pm}8.1kg$ for males, respectively and were $164.3{\pm}6.0cm$, $50.7{\pm}5.3kg$ for female, respectively. The means of relative body weight(RBW) were $99.1{\pm}11.6$ for males and $91.2{\pm}10.3$ for females. Body mass index(BMI) were $21.8{\pm}2.5$ for males and $19.3{\pm}2.0$ for females. The rate of underweight, normal and obese on the basis of BMI was 19.9%, 71.5%, 8.6% for males, respectively and 68.4%, 30.4%, 1.3% for females respectively. Among underweight subjects, 59.3% answered that they had normal weight. 37.5% of normal weight subjects regarded themselves more obese or less obese than their actual body shape. Food habit score(out of a possible 50 points) was 29.4 in male and 29.3 in female, the score of self boarding students was the lowest among groups. Self boarding students had lower scores than the home-living students on the regularity of meals, eating time, protein intake, vegetable intake, lipid intake and food balance. The average meal frequency of the students was 2.46 times a day. Breakfast was skipped most frequently. Self-boarding students missed breakfast more often than other groups. The main reason of skipping breakfast was due to lack of time. The type of favorite snack was cookies and ramyun and in terms of snack time, most of the students had snack between lunch and dinner or after dinner. The rates of smoking and alcohol drinking were 29.8%, 76.7%, respectively and 25% of subjects exercised regularly. The results of this study suggest that a comprehensive nutrition education program is needed for college student to improve their eating habits about skipping meal and to maintain their health.

• Journal of Preventive Medicine and Public Health
• /
• 제26권1호
• /
• pp.20-36
• /
• 1993

Work-related low back pain is one of the major factors that cause the loss of working power especially in actively working age, therefore controlling the work-related low back pain is one of the major issues in the field of industrial safety and health. This study was performed for detecting the risk factors and proposing the efficient control program of the work-related low back pain. The subjects were male workers employed at the manufacturing industry in Pusan with longer than 6 months' working duration. The data was collected by self-reported questionnaire and interview from May 1 to October 31,1992. The contents of questionnaire were as follows:. the experience of low back pain within the recent one month, general characteristics(age, marital status, education level, religion, regular exercise), physical characteristics(height, weight), employment status(working duration, daily working hours, rest during work, satis(action fur the job), type of work and working environments(posture, forward bending, lifting and movement, satisfaction for table and chair). The result was analyzed for 608 entire respondents by case-control comparative method. The number of cases was 152 with a history of work-related low back pain, so the relative frequency of self-reported work-related low back pain was 25.0%, and the number of controls was 344 without any history of low back pain. As a result, two characteristics of the employment status(working duration, satisfaction fur the job) and all characteristics of type of work and working environments showed a statistical significance between the case and control groups(p<0.01). The Oddb ratios of these variables for Work-related low back pain were calculated. They were 7.88 for the satisfaction fur chair, 7.86 for lifting and movement,3.31 for satisfaction for table, and 2.22 fur bending forward(p<0.01). And for the multivariate logistic regression analysis confirmed that unsatisfaction for table was independent risk factor for Work-related low back pain. In summary, though this study was based upon the self-reported questionnaire and the subjective complaints, the satisfaction for chair, lifting and movement, satisfaction for table, and bending forward concerned with the type of work and working environments were considered as the main factors causing the work-related low back pain, and the work-related low back pain may be preventable by the ergonomic control of these factors.

• Journal of Hospice and Palliative Care
• /
• 제19권4호
• /
• pp.310-321
• /
• 2016

목적: 본 연구의 목적은 중년기 성인의 호스피스 완화의료와 공유의사결정에 대한 인식 및 요구도를 파악하는 것이다. 방법: 대상자는 D광역시에 거주하는 40세 이상 65세 미만의 중년기 성인 중 연구의 목적을 이해하고 동의한 90명이었다. 자료는 자가 보고식 설문지로 수집하였으며, SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 결과: 대상자 중 76.7%가 호스피스 완화의료에 대해 인식하였으나 공유의사결정에 대해서는 82.2%가 인식하지 못하였다. 대상자들은 호스피스 완화의료와 공유의사결정에 대하여 각각 85.6%, 77.8% 필요하다고 하였다. 호스피스 완화의료에 대한 인식은 기독교나 천주교인 경우, 소득이 높을 때, 현재 질병이 있을 때 인식률이 높았으며, 의료진의 체계적인 상담 및 설명을 들을 수 있는 간호 및 치료방법에 대한 요구도가 가장 높았다. 성별, 소득수준, 현재 건강상태 및 질병상태에 따라 치료결정 항목의 중요도에 차이가 있었다. 소득수준이 높을 때 공유의사결정에 대한 인식은 높았으며, 전문직업이 있거나 현재 질병이 있을 때 공유의사결정에 대한 요구도가 높았다. 결론: 향후 국내에서 호스피스 완화의료와 공유의사결정에 대한 논의가 지속적으로 진행되기 위해서는 의료진 및 일반인들을 대상으로 한 다양한 교육프로그램의 시행과 홍보가 필요하다.

• 한국치위생학회지
• /
• 제15권6호
• /
• pp.1009-1017
• /
• 2015

Objectives: The study aimed to investigate the effect of communication competence on the organizational effectiveness in dental hygienists. Methods: A self-reported questionnaire was completed by 248 dental hygienists in Seoul, Incheon, and Gyeonggido from November 1 to 30, 2014. The questionnaire consisted of general characteristics of the subjects(4 items), job characteristics(10 items), communication competence(49 items), organizational commitment(15 items), job satisfaction(16 items), and turnover intention(5 items). The instrument for communication competence and organizational commitment was done by Likert 5 points scale. Data were analyzed by t test, one way ANOVA, stepwise multiple regression test, and post-hoc Scheffe test using SPSS 18.0 program Results: The average of communication competence was 3.49(${\pm}0.28$). Of the sub-factors of communication competence, interpretational competence had the highest score of 3.65(${\pm}0.33$) followed by self-presentation 3.50(${\pm}0.49$), message conversion 3.50(${\pm}0.47$), role performance 3.44(${\pm}0.37$), and goal setting competence 3.28(${\pm}0.60$). There were significant effects in the organizational commitment including workplace(dental clinic=1, ${\beta}$=-0.254), weekly average working hours($${\leq_-}40$$ hours=1, ${\beta}$=0.182), role performance(${\beta}$=0.163), self-presentation(${\beta}$=0.144), goal setting competence(${\beta}$=0.130), and position(head=1, ${\beta}$=0.137). There were significants effects in the job satisfaction including position(head=1, ${\beta}$=0.217), weekly average working hours($${\leq_-}40$$ hours=1, ${\beta}$=0.204), education level(graduate school=1, ${\beta}$=0.184), job career(3~6 years=1, ${\beta}$=-0.181), goal setting competence(${\beta}$=0.194), and interpretational competence(${\beta}$=0.124). Conclusions: The communication competence of the dental hygienists showed a partial effect on the organizational effectiveness. In order to improve the organizational commitment and job satisfaction and the turnover intention, a variety of efforts must be taken and focused on goal setting competence, role performance, self-presentation, and interpretational competence.

• Child Health Nursing Research
• /
• 제6권3호
• /
• pp.329-343
• /
• 2000

This study was conducted to measure the degree of Korean Gender Egalitarianism among the students from six different high schools(132 girls, 127 boys) in Sunchon si, Chunnam province from Dec. 7th to Dec. 15th in 1999. The survey on gender egalitarianism was done in relation to the public understanding of the subject matter, parents' hug times, and parent's communication skills. Korean gender egalitari- anism scale was standardized by Korea Woman Developmental Institutes in 1999. The data was analyzed by SAS program. Results were as follows: 1) Generally, girls are more conscious of gender egalitariannism than boys(t=-13.79, p<.001). Above all, the younger the students are, the more they feel equal(F=8.01, p<.01). In sibling cases, two sisters have the highest level of gender egalitarianism while two brothers have the lowest level of gender egalitarianism(F=9.20, p<.001). Students who come from religious families are more inclined to demonstrate gender equality(t= 2.42, p<.05). However, there is no difference in relation to the parents' ages or academic background or harmony within the family. 2) There is no difference that girls and boys generally communicate with their parents. In ages, 17 years old students communicate more than 18, 19 with parents(father F=3.97 p<.05ㆍmother F=5.31, p<.01). That is, the younger students can communicate with their mothers more often than the older ones. In sibling cases, two sisters have more openly communication to parents while two brothers have(F=2.84, p<.05). Students communicate with their parents regardless of parents' academic background. But those from the family in harmony have more open chance to communicate than those who are not in hamony(father F=21.66, p<.001ㆍmother F=13.37, p<.001). They can comm -unicate with their parents better when their fathers hug them than when they didn't get hugs(father t=-4.76, p<.001ㆍ mother t= -2.34, p<.05). They can also communicate with their patents better when their mothers hug them once or more than when they didn't get hugs(father t=-3.78, p<.001ㆍmother t=-5.64, p<.001). 3) There is no difference whether the father hugs or not, but the mother's hug is very important because students whose mothers hug them once or more have significantly more gender egalitarianism than those students whose mothers didn't do(t=-3.98, p<.001). Based upon these results, it is recommended that we reconsider the role of gender in the socialization of high school students and also include gender egalitarianism in sex education. In this context, further study should be done for the improvement of students' communication within the framework of egalitarianism based upon parents' hugs(semi-language). Continued study is especially important in regards to the mother's hug and its enhancement of the students' gender egalitarianism.

• 한국산학기술학회논문지
• /
• 제21권1호
• /
• pp.197-207
• /
• 2020

본 연구의 목적은 지역사회 재가 노인 암 생존자의 죽음불안에 영향을 미치는 주요 요인을 파악하기 위함이다. 본 연구는 충청북도 소재 보건진료소 관할 지역에 거주하며, 재가 암환자로 등록된 노인 암 환자 216명을 대상으로 한 서술적 상관관계 조사연구이다. 자료수집 기간은 2019년 2월 27일부터 3월 15일까지이며, 자가보고형 설문지를 배부하여 자료를 수집하였다. 수집된 자료는 SPSS/WIN 24.0 프로그램 이용하여 t-test, one way ANOVA, Pearson's correlation coefficient, Hierarchical multiple regression을 이용하여 분석하였다. 연구 결과, 대상자의 죽음불안은 4점 만점에 2.47±0.39점, 자아통합감 2.60±0.29 점, 우울 6.35±4.0점, 좋은 죽음에 대한 인식은 2.97±0.35점이었다.. 위계적 회귀분석결과, 죽음불안에 영향을 미치는 유의한 요인은 좋은 죽음에 대한 인식(β=.255, p<.001), 우울(β=.185, p= .020), 종교(없음=1; β=.148, p= .021)순으로 나타났으며, 이들 요인들이 노인 암 생존자의 죽음불안을 16.4% 설명하였다. 본 연구 결과 노인 암 생존자의 좋은 죽음에 대한 인식, 우울, 종교가 죽음불안에 영향을 미치는 요인임을 확인하였다. 본 연구의 간호학적 유용성은 지역사회 재가 노인 암 생존자의 죽음불안에 영향을 미치는 요인을 파악한 점이다. 이러한 본 연구의 결과는 지역사회 노인 암 생존자의 죽음 불안을 완화시킬 수 있는 실증적 자료로 유용하게 활용할 수 있을 것이다.

• 한국노년학
• /
• 제37권3호
• /
• pp.601-616
• /
• 2017

본 연구는 노인의 자살생각에 미치는 영향요인에 대한 선행연구들의 결과를 메타분석을 통하여 종합하여 제시하며, 이를 바탕으로 자살생각 단계에서부터 자살을 효과적으로 예방하기 위한 자살예방프로그램 개발과 상담적 접근 방법을 모색하는데 실질적인 자료를 제공하고자 한다. 분석대상 자료는 2001년부터 2016년까지 국내 학술지에 게재된 선행연구들 중 노인의 자살생각에 영향을 미치는 변인들을 독립변인으로 하고 노인의 자살생각을 종속변인으로 하는 연구물 총 97편으로 하였다. 노인의 자살생각에 미치는 영향요인을 개인변인군, 가족변인군, 사회변인군으로 나누고 각각의 체계 안에서 자살생각의 유발요인과 억제요인을 살펴보았다. 분석 결과, 총 30개의 변인중 개인변인군에서 19개의 하위변인이 추출되었고 유발요인에서는 우울, 짐스러움, 스트레스가, 억제요인에서는 정신건강이 효과크기가 큰 것으로 나타났다. 가족변인군에서는 5개의 하위변인이 추출되었고, 유발요인 중 동거인 없음이 중간 효과크기를, 억제변인 중 가족결속은 큰 효과크기를 보였다. 사회변인군에서는 6개의 하위변인이 추출되었으며, 유발변인은 노인차별, 사회고립, 부정적 사회관계 순으로 효과크기가 나타났고, 억제변인은 사회관계, 사회지지, 사회환경, 사회활동 순으로 효과크기가 나타났다.

• Journal of Preventive Medicine and Public Health
• /
• 제55권3호
• /
• pp.280-288
• /
• 2022

Objectives: One of the most widely used pesticides today is chlorpyrifos (CPF). Cytochrome P450 (CYP)2B6, the most prominent catalyst in CPF bioactivation, is highly polymorphic. The objective of our study was to evaluate the role of CYP2B6^*6, which contains both 516G>T and 785A>G polymorphisms, in CPF toxicity, as represented by the concentration of 3,5,6-trichloro-2-pyridinol (TCPy), among vegetable farmers in Central Java, Indonesia, where CPF has been commonly used. Methods: A cross-sectional study was conducted among 132 vegetable farmers. Individual socio-demographic and occupational characteristics, as determinants of TCPy levels, were obtained using a structured interviewer-administered questionnaire and subsequently used to estimate the cumulative exposure level (CEL). TCPy levels were detected with liquid chromatography-mass spectrometry. CYP2B6^*6 gene polymorphisms were analyzed using a TaqMan^® SNP Genotyping Assay and Sanger sequencing. Linear regression analysis was performed to analyze the association between TCPy, as a biomarker of CPF exposure, and its determinants. Results: The prevalence of CYP2B6^*6 polymorphisms was 31% for ^*1/^*1, 51% for ^*1/^*6, and 18% for ^*6/^*6. TCPy concentrations were higher among participants with CYP2B6^*1/^*1 than among those with ^*1/^*6 or ^*6/^*6 genotypes. CYP2B6^*6 gene polymorphisms, smoking, CEL, body mass index, and spraying time were retained in the final linear regression model as determinants of TCPy. Conclusions: The results suggest that CYP2B6^*6 gene polymorphisms may play an important role in influencing susceptibility to CPF exposure. CYP2B6^*6 gene polymorphisms together with CEL, smoking habits, body mass index, and spraying time were the determinants of urinary TCPy concentrations, as a biomarker of CPF toxicity.