• Title/Summary/Keyword: 일반 청소년

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Clinical Significance of Interferon $\gamma$ Release Assay for Diagnosis of Tuberculosis in Children (소아 결핵 진단에 있어서 결핵 특이항원자극 인터페론 감마 측정검사의 임상적 의의)

  • Lee, Hee Woo;Park, Hwa Young;Ahn, Young Min;Sohn, Keun Chan
    • Pediatric Infection and Vaccine
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    • v.17 no.2
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    • pp.137-147
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    • 2010
  • Purpose : The purpose of this study is to evaluate the usefulness and limitation of QuantiFERON-TB Gold (QTB) for diagnosis of latent tuberculosis in children. Methods : The medical records of 112 children who were tested by tuberculin skin test (TST) and QTB for detection of latent tuberculosis (TB) in Eulji General Hospital during the period from January 2007 to June 2009 were retrospectively reviewed. Results : Of the 112 participants, the clinical TB group included 15 (13.4%), the contact group included 43 (38.4%), and the non-contact group included 54 (48.2%). Positive rates of TST and QTB were 100% and 80% in the clinical TB group, 64% and 14% in the close contact group, 27% and 0% in the casual contact group, and 52% and 2% in the non-contact group, respectively. Sensitivity of QTB was 80.0% and specificity was 92.6%. Agreement between QTB and TST was poor ($\kappa$=0.209). We also confirmed that the positive rate of QTB increased as the age of the patient increased (P=0.011). A QTB indeterminate result was observed in 11 (9.8%) subjects. QTB was retested in 15 subjects. In 5 of the 6 subjects who had positive results initially, positive results persisted for a median 2.2 months after termination of treatment. Conclusion : Although QTB was associated with several problems, including low sensitivity and a high rate of indeterminate results, it had clinical importance due to its high specificity. We found good correlation with regard to exposure and QTB positivity, including that of young children under 5 years of age. However, clinical application of interferon-$\gamma$ releasing assay for young children for diagnosis of active and latent tuberculosis will require additional prospective studies.

Analysis of Korean Corporates' Direct Giving to the Social Welfare Activities (한국기업의 사회복지활동 분석: 직접기부(direct giving)행위를 중심으로)

  • Han, Dong-Woo
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.407-428
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    • 1999
  • Corporates' participation in the social welfare activities in Korea was analyzed through literature reviews and empirical survey. Literature reviews on the previous studies were implemented to identify the corporates' motivations, methods, types and funding sources of social welfare activities. The empirical survey results show that 37% (83 firms) of respondents among 222 companies has participated in direct giving to the social welfare activities by various methods and types. The bigger amount of last fiscal year's sales, the more amount of gifts to social welfare activities. The average amount of gifts was \ one billion forty-six million per company in the monetary tenn which is 0.06% of the last FY's average sales of respondents. The most frequently implemented program of the corporates' social welfare activities was 'scholarship to unprivileged adolescent', while the program which the largest amount of gifts were donated was 'support for the social welfare agencies'. For the participation methods, most corporates implement social welfare program directly, and the rest of the companies take the methods of supporting the existing social welfare agencies and institutions. The cash benefit was salient for the modes of gift transfer. Funding sources for the gifts were various such as certain portion of the amount of sales, pretax-profits, or posttax profits, and even rare, independently established funds for the social welfare activities. Among them, a certain portion of the last FY's amount of sales was the dominant source of corporates' social welfare activities.

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Studies of Specific Foods to Absolute Intake and Between-Person-Variance in Various Nutrients Intake (농촌거주 청소년의 식이조사에서 나타난 영양소의 주된 공급식품과 변이식품의 양상)

  • 김영옥
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.24 no.6
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    • pp.892-900
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    • 1995
  • Dietary data of 538 middle school students have been analysed to identify the contribution of specific foods to absolute intake and between-person-variance in nutrient consumption. The 24-hour-dietary-recall method had been used to collect the data required. Contribution of specific foods, in terms of ranking order for both absolute intake and between-person-variance have been observed. Ranking order of food for absolute intake was given based on the percen of contribution whereas the ranking order of foods for between-person-variance was given based on the percent of contribution whereas the ranking order of foods for between-person-variance was given based on a coefficient fo variation. As a result, for most of the nutrients(except cholesterol), the ranking order of foods for the between-person-variance was quite different from that of absolute intake. The results indicate that to identify between-person-variance of nutrient intake in an epidemiology study, foods with a high ranking in between-person-variance should be included in developing the food frequency questionnaires rather than foods which showed a high ranking in absolute intake.

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Analysis of School Life Satisfaction and Acculturation of Elementary Students of North Korean Refugees in Daegu and Gyeongbuk Region (대구·경북지역의 북한이탈 초등학생의 문화변용과 학교생활 만족도)

  • Park, Soon Ho
    • Journal of the Korean association of regional geographers
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    • v.22 no.1
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    • pp.168-179
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    • 2016
  • This study attempted to analyze the relationship between school life satisfaction and acculturation of elementary students of north Korean refugees in Daegu and Gyeongbuk region. The socio-demographic characteristics of elementary students in Daegu and Gyeongbuk were different from in capital territory or other parts of Korea. The acculturation of students living in Daegu and Gyeongbuk was distinctive. The proportion of assimilation was slightly higher than that of integration. However, 42 percent of students belonging to separation and marginalization passively accepted south Korean culture, so that they would have a difficult time in adjusting to new culture. Students getting older and being used to school life strongly inclined to accept south Korean culture; while, students born in north Korea tended to resist acceptance of south Korean culture. Most students were satisfied with school life. The satisfaction level was high in the relationship with teachers and school environment; while, the satisfaction level in learning activity was relatively low. In the relationship between school satisfaction and types of acculturation, students actively accepting new culture were relatively highly satisfied with their school life. A standardized short-term education oriented program for north Korean adolescents refugees living in south Korea should be shifted into the long-term support policy reflected in class and attribute in terms of acculturation.

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The Reinterpretation of Comic-Animation by Content Users - The Reproductions in Korean Cosplay Culture (콘텐츠 유저에 의한 만화-애니메이션의 재해석에 관한 연구 - 한국 코스프레 문화에서의 재생산)

  • Yoon, Wn-Ho
    • Cartoon and Animation Studies
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    • s.41
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    • pp.487-510
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    • 2015
  • In recently, thanks to the development of computer and internet, and reinforcement of digital media literacy of ordinary people, many users of comics and animations recombine contents into various ways, including UCCs. In a glance, it seems these outputs violates the copyrights of contents. But in reality, they helps the growth of the ecosystem of contents market, with increase of contents users. The reason of these reproductions inclines the characteristics of animation media. Animation, which are constituted by plastic symbols, auditory symbols, and narrative symbols, and Comic, which supports stories of Animations, affects as 'Imaginary signifier'. These signifiers helps users of contents to dismantle and reassemble stories. These aspects are seen in doujin culture, animation soundtrack fandom, and voice actor fandom. But In this article, we will concentrate into cosplay culture. Cosplay culture shows more active appearances than another fandoms. In especially, cosplay stage and daily cafe show more active reproductions of characters and communications. However, they are done by youth fans, which has not enough financial abilities: therefore, events are not sustainable and discontinued. And they have another limits, like lack of opportunity of performance. In the reality of Korean society, which needs of community making by community member, and hybrid culture, comics and animation productions in Korea are in need of access positively and encourage reproductions of active receivers of animations.

Healthy Japan 21 objectives and strategies (일본건강증진 사업의 목표 및 추진전략: Healthy Japan 21)

  • Hoshi, Tanji
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.55-88
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    • 2005
  • Healthy Japan 21의 목적은 삶의 질을 향상시킴은 물론 노동가능 인구집단의 유병률을 줄이고 건강수명을 연장시키기 위하여, 21세기 모든 일본인들이 더욱 건강하고 행복한 삶을 향유할 수 있도록 국가사업을 활성화하는 것이다. 구체적 목적은 조기사망을 예방하고 건강생활을 향상하는 것으로, Healthy Japan 21의 전략적 기획과정에서 건강수명의 연장을 실현하기 위하여 2010년까지 달성되어야 하는 구체적인 목적들이 또한 제시되었다. 조기사망을 감소시키기 위하여 사고, 암, 자살, 심장병 감소의 중요성을 인식하고 9개의 주요 목표로 영양, 신체활동, 휴식과 이완, 금연, 절주, 구강보건, 당뇨병 예방, 심혈관계질환 예방, 암 예방을 설정하였다. 흡연, 알콜, 식사 그리고 운동과 같은 생활양식은 스트레스, 비만, 고혈압과 같은 위험요인 및 질병관리와 관련이 있으며, 위험요인은 암, 심장병, 구강질환의 발생과 밀접한 관련을 갖는다. 따라서 질병의 발생을 예방하기 위해서는 건강증진과 일차예방이 강조되어야 한다. 일차예방에 중점을 두기 위해서 우리는 전통적인 질병관리의 중점사항인 정기적인 건강검진을 통해 질병 조기발견을 노력을 게을리 하지 말아야 할 것이다. 아울러 의료비 감소, 병상에 있는 사람들의 감소, 사회세의 감소도 또한 달성되어야 하는 사업의 결과로 설정되어 있다. 가장 최근의 Healthy Japan 2000(1998-99)의 평가에 따르면 목표들의 15%가 달성되었거나 초과 달성된 것으로 나타났다. 이 중 아동과 청소년의 사망률의 경우, 1-14세 아동의 사망률은 1987년부터 26%가 감소되어 2000년도 목표인 인구 100,000명단 28명의 사망을 초과 달성한 것으로 평가되었다. Healthy Japan 21의 두 가지 주요 전략은 일반 인구집단을 위한 전략과 고위험 집단을 대상으로 하는 전략으로 구성된다. 개인의 건강한 생활양식으로의 변화를 포함한 우리의 건강증진 노력은 사람 중심으로 개인의 선택을 기반으로 하고 있다. 이러한 노력을 지원하기 위하여, 각 개인이 정보를 갖은 상태에서 올바른 선택을 할 수 있도록 적당량의 올바른 정보를 제공하는 것이 필수적이다. 이와 같은 일본의 건강증진계획은 2000년 3월에 Healthy Japan 21이 설립되었으며, 2000-2002년 사이 모든 현이 자신의 사업계획을 설정하였으며, 2001-2005년에는 약 반수 정도의 지방자치단체들이 자신들의 사업계획을 확정하였다. 건강증진을 이루는 중요한 수단은 파트너 쉽에 있다. 정부조직 뿐 아니라 건강보험회사, 보건의료서비스 제공자, 교육단체, 대중매체, 사기업, 봉사단체 등을 포함한 건강분야의 조직들은 자신들의 전문적 기술들을 한데 모아 서로 협력하여야 한다. 또 하나의 중요한 수단은 건강 지지적인 환경이다. 개인의 건강증진 노력을 체계화함으로써 지지적인 환경을 조성할 수 있다. Healthy Japan 21에 대한 평가는 2005년에 중간평가가, 2010에 최종평가가 있을 예정이다. 평가결과들은 이후에 진행될 사업의 향상을 위한 기준으로 활용될 예정이다.

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Knowledge, Attitudes, Practices and Education Needs Toward Safe Medication Use among Middle and High School Students (중·고등학생의 의약품 안전 사용에 대한 지식·태도·행동 및 교육 요구 분석)

  • Oh, Heejin;Kwak, Arim;Lee, Minju;Lee, Eunjung;Kim, Jiha;Lee, Moon-Soo;Jeon, Young Ho;Kim, Kyungim
    • Journal of Science Education
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    • v.43 no.3
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    • pp.400-416
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    • 2019
  • The purpose of this study is to find ways to improve education about safe medication use by investigating the current status of medication use by middle and high school students, and by evaluating their knowledge, attitudes, practices and education needs toward safe medication use. For this purpose, a survey was administered to 200 middle and high school students in Seoul and Gyeonggi Province. Over the past year, 92.0% and 57.5% of respondents used over-the counter drugs and prescription drugs at least one time, respectively. Regarding the experience of education on safe medication use, 34.0% of respondents have been educated more than once since their admission to middle school. The overall mean score of knowledge·attitude·practice (KAP) toward safe medication use was 3.79, but the mean score of practice scope was relatively lower than the others. Moreover, there were no significant differences in KAP scores for safe medication use by school grade or educational experience. Based on these findings, we suggest further studies regarding 1) expansion and differentiation of education content on safe medication use, 2) transition of education method to outcome-based education approach, and 3) inclusion of education on safe medication use in the regular curriculum of middle and high schools.

A Study on the Experience of Hands-on Workers' Case Management in the Organization for Preventing Prostitution (성매매방지기관 실무자의 사례관리 경험에 대한 연구)

  • Yuk, Hea-Ryeon;Nam, Mi-Ae
    • Korean Journal of Social Welfare Studies
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    • v.47 no.1
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    • pp.233-259
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    • 2016
  • The purpose of this study is to investigate the problems brought about by applying the case management of prostitution in practice, considering its special characteristics. The study is based on the actual experience and understanding of the hands-on workers toward its case management, who are working at the organization for preventing prostitution. To do this, data collected for the research is analyzed by an inductive approache. Participants are selected in the Counseling Centers for Prostitution, General Supporting Facilities, Supporting Centers for Self-help, and Youth Facilities. Three organizations in each type of the centers or facilities are respectively chosen. Twelve participants are composed of six hands-on workers in charge of the case management and six managers supervising it(called the director of the Center in some Centers). According to the analysis, the main issues of their case management experiences are divided into 5 topics and then sub-divided into 12 ones in 3 areas. Each theme of the topics is 'Steady & ordinary, not special tasks', 'Co-existence of a burden & thrilling', 'Sad, but pretending to be serene', 'Know-hows through practical experiences', 'Nevertheless, fill my future with hopes'. On the basis of the result, some policies and instructions necessary to actively revitalize the case management are suggested: expanding professional training centers based on the field, preparing government level customized-services in medical treatments and laws, creating jobs & intensifying job training, setting up various cooperative systems with local organizations via active networking, establishing super-vision systems, and so on.

Fibromyalgia from the Psychiatric Perspective (정신과적 관점에서의 섬유근통)

  • Lee, Yunna;Lee, Sang-Shin;Kim, Hyunseuk;Kim, Hochan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.99-107
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    • 2020
  • Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

A Study on the Factors Affecting High-Risk Drinking in Korean Women -Using hierarchical regression- (한국 여성의 고위험 음주 영향요인 분석 -위계적 회귀분석을 이용하여-)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.51-59
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    • 2021
  • This study was undertaken to identify factors that influence high-risk drinking among women. Seventh National Health and Nutrition Survey data were used, and 3,453 women aged 19 or older were studied. Subjects were divided into general and high-risk drinking groups according to high-risk drinking rate indicators, and these groups were compared to identify demographic and sociological characteristics, differences in health-related characteristics, and factors associated with high-risk drinking. The data analysis was performed using IBM SPSS 25.0. The analysis showed 8.8% of the cohort were high-risk drinkers, and that rates of high-risk drinking were higher among women in their 20s to 30s, smokers, and those with experience of depression. In particular, smoking, and depression were associated with a 4.5 [(95% confidence interval (CI)=2.804-7.372, p<0.001)] and 7.0-fold [(95% CI=2.918-16.855, p<0.001)] increases in rates of high-risk drinking. In addition, the risk of high-risk drinking was high among 15- to 19-year-olds, which indicates an urgent need to develop and implement drinking education programs for women in adolescence and early adulthood. We expect the results of this study to be used to create health policies and health promotion programs aimed at reducing the high-risk drinking rate among women.