• 농촌의학ㆍ지역보건
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• 제34권1호
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• pp.113-123
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• 2009

이 연구는 농촌지역에 거주하는 노인 160명을 대상으로 하여 최종 참여한 148명(중재군 70명, 대조군 78명)에게 수행하였다. 중재군에는 에너지 및 부족영양소의 급원 식품을 1주 분량으로 주 1회씩 3개월 동안 제공하고 동시에 영양교육을 6회 실시하였고, 대조군에 대해서는 식품제공을 적용하지 않은 상태에서 영양교육만 같은 내용으로 6회 실시하여 두 군을 비교 연구하여 얻은 결론은 다음과 같다. 1. 영양중재결과 영양지식의 유의한 차이는 없으나 중재군에서 우울증 척도의 점수가 유의하게 감소하였고, 식습관의 변화, 자신감과 신념척도의 점수가 유의하게 증가하였다. 2. 영양중재로 인한 혈액학적 변화로는 transferrin이 유의하게 증가하였다. 3. 중재군에서 에너지 필요추정량 대비 에너지섭취비율이 71.0%에서 87.4%로 증가하였고, 비타민A와 나이아신을 제외한 대부분의 영양소가 유의하게 증가하였다. 이상의 결과로 볼 때 단기간의 개입기간에도 지역사회노인이 실제로 섭취하는 음식의 구성은 식품제공을 겸한 영양중재사업을 통해 개선될 수 있으며, 개개인의 식습관, 우울증, 자신감 등의 개선을 기할 수 있어 영양개선에만 그치지 않고 다른 영역에 대한 파급효과를 기대할 수 있다. 또한, 노인영양개선사업은 단순히 교육만으로 효과를 충분히 거두기 어려우며 영양공급을 전제로 할 때 소기의 목적을 달성할 수 있다고 결론지을 수 있다.

• 한국환경농학회지
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• 제31권3호
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• pp.235-247
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• 2012

BACKGROUND: Gohyeon Stream is the municipal eco-stream of 7.1km in total length which flows through the downtown area of Gohyeon in Geoje city, rising from the watershed of Mundong Water Fall. Gohyeon district in Geoje city has been a rapid growing area centering in Geoje city and then experienced an rapid increase in population. Large amounts of sewage pollutants have been spewed into Gohyeon Stream from its tributaries, due to the lack of sewer system. Gohyeon Stream is laced with unhealthy levels of fecal coliform (FC). Restoration of water quality in Gohyeon Stream is no less inevitable in behalf of its ecosystem and the citizen. In this study, the water quality of Gohyeon Stream and its tributaries was examined temporally and spatially, and their relationships were comparatively analyzed to give useful basic data applying to a restoration project of the water quality of Gohyeon Stream. METHODS AND RESULTS: The samples ware taken at 20 points in Gohyeon Stream and 19 points in its tributaries during the rainy and dry seasons, respectively, and examined on the parameters of pH, temperature, salinity, dissolved oxygen (DO), suspended solid (SS), biochemical oxygen demand (BOD), chemical oxygen demand (COD), dissolved inorganic nitrogen (DIN; $NH_3$-N, $NO_3$-N, $NO_2$-N), disolved inorganic phosphorus (DIP; $PO_4$-P) and FC. The data were analyzed using a comparative analysis and Pearson's correlation analysis among the parameters. During the rainy season, the concentration of SS was high in the upper region of Gohyeon Stream, and the concentrations of COD, DIN and DIP were low in the upper region and high in the middle and lower regions. During the dry season, the concentration of SS was low and the concentrations of COD, DIN, DIP and FC were high in all regions. The Pearson's correlation analyses showed that the relationships between DO and FC, COD and DIP, and DIN and FC during the rainy season as well as between DO and DIN, SS and FC, COD and DIP, and DIN and DIP during the dry season were significant. CONCLUSION: During the rainy season, the upper region of Gohyeon Stream flowed the high level of SS, the middle region the high level of nutrients due to an agricultural run-off, and the lower region the high level of nutrients due to a sewage inflow. During the dry season, the water quality of Gohyeon Stream was directly and sensitively influenced on the inflow of sewage from the tributaries.

• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.97-119
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• 1991

본 연구는 농촌지역의 보건의료수준이 의료자원의 양적, 질적 격차와 의료이용과 의료접근도 및 건강수준의 면 등에서 도시지역보다 낙후되어 있다는 사실을 각종 통계지표를 이용하여 논증하였다. 다음으로 이러한 격차를 빚은 농촌보건사업의 문제점을 파악하여 이에 대한 대처방안을 농촌보건사업의 조직, 인력, 시설 및 장비, 재원 및 그리고 관리라는 5가지 부문으로 나누어서 모색해 보았는데 구체적으로는 첫째, 농촌보건 인력의 자질향상과 적정배치방안의 수립, 둘째, 농촌보건인력의 생산성 증대, 셋째, 보건소 및 지소의 운영개선, 넷째, 취약지 민간병원의 운영 개선, 다섯째, 사회, 경제여건의 변화에 따른 새로운 보건사업의 개발, 여섯째, 통합적인 보건의료인력관리 전담기관의 설립 등의 정책대안을 제시하고 있다.

• 농촌의학ㆍ지역보건
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• 제41권1호
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• pp.27-40
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• 2016

본 연구는 미래 결혼이민 여성의 간호를 담당할 간호 대학생들의 다문화에 대한 지식과 결혼이민 여성을 어떻게 생각하는지 그들의 태도를 확인하고, 다문화에 대한 지식과 결혼이민 여성에 대한 태도의 상관성을 파악하기 위해 연구를 실시하였다. 연구 대상자는 병원에 임상실습을 한 간호 대학생을 대상으로 하였으며 전라남도, 경기도, 서울특별시에 소재한 간호대학에 재학 중인 3, 4학년 220명을 대상으로 설문조사 방식으로 조사하였다. 결과적으로 간호 대학생의 다문화에 대한 지식은 13점 만점에 8.10점(${\pm}2.01$)으로 이를 100점으로 환산하면 62.4점 높게 나타났으며, 결혼이민 여성에 대한 태도는 전체 문항 평균이 5점 만점에 2.45점(${\pm}0.46$)으로 나타났으며, 하부영역별로 편견이 가장 낮았으며, 관심도, 신뢰도, 영향력, 배타감의 순으로 나타났다. 다문화에 대한 지식은 연령이 유의한 인자로 나타났으며 결혼이민 여성에 대한 태도는 연령, 거주 지역, 해외여행 경험 유무와 해외 체류경험 정도가 유의한 인자로 나타났다. 다문화에 대한 지식과 결혼이민 여성에 대한 태도는 정의 상관관계로 나타났으며 하부영역별로 신뢰성, 관심도, 수용, 영향력은 정적 상관관계, 배타감은 부적 상관관계로 나타났다. 간호 대학생의 결혼이민 여성에 대한 태도를 향상시키기 위해서는 외국어 능력을 함양하고 지속적으로 다문화를 경험할 수 있는 다문화 교육 프로그램 개발에 대한 안을 제언함으로써 실질적이며 효과적인 교육내용을 개발하는 것이 필요하다. 하지만 본 연구 결과만으로 연구 결과를 일반화 하는데 한계가 있으므로 연구대상 및 지역을 확대한 반복 연구 진행을 제언한다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2889-2894
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• 2016

This study aimed to modify behavior regarding liver fluke and cholangiocarcinoma prevention in Chumphuang district, Nakhon Ratchasima province, Thailand through integrated learning. A total of 180 participants were included through purposive selection of high-risk scores on verbal screening. Participants attended the health education program which applied the health belief model included family based, knowledge station based, academic merit based and community based learning. Data were collected using a questionnaire composed of 4 parts: 1) personal information, 2) knowledge, 3) perceived susceptibility, severity, benefits, and barriers, 4) practice regarding liver fluke and cholangiocarcinoma prevention. The result revealed that the majority were female (79.9%), age ${\geq}60$ years old (33.2%), primary school educational level (76.1%), and agricultural occupation (70.1%). The mean scores of knowledge, perception, and practice to liver fluke and cholangiocarcinoma prevention, before participated the integrative learning were low, moderate, and low, respectively. Meanwhile, the mean score of knowledge, perceived susceptibility, severity, benefits, and barriers, and practice regarding liver fluke and cholangiocarcinoma prevention, were higher with statistical significance after participation in the integrated learning. This finding indicates that health education programs may successfully modify health behavior in the rural communities. Therefore they may useful for further work behavior modification in other epidemic areas.

• 한국산림과학회지
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• 제87권3호
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• pp.317-327
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• 1998

본 연구는 Schwartz의 규범활성화이론을 산림휴양지에서의 쓰레기투기 행동에 적용하여 본 것으로 쓰레기투기 행동의 1)미적, 2)미적+생태적, 3)미적+생태적+경제적, 4)미적+생태적+경제적+교육적 결과에 대한 내용을 포함하는 각기 다른 설득메시지가 휴양객의 쓰레기투기의 결과에 대한 인지도, 쓰레기투기에 대한 개인규범과 행동에 미치는 영향을 알아보기 위하여 실시되었다. 본 연구를 위한 데이터는 1996년 8월중 지리산 국립공원의 북부관리소지역에 위치한 제 2야영장에서 수집되었으며, 총177부중 144부(85%)가 본 연구를 위하여 이용되었다. 더불어, 휴양객의 쓰레기투기 행동에 대한 규범의 변화를 알아보기 위하여 1994년에 같은 장소에서 수집된 데이터를 부분적으로 이용하였다. 연구결과에 의하면, 다른 내용을 포함한 설득메시지(미적, 미적+생태적, 미적+생태적+경제적, 미적+생태적+경제적+교육적)의 제공은 쓰레기투기 행동의 결과에 대한 인지도, 개인규범 또는 쓰레기투기 행동의 변화에 영향을 미치지 않는 것으로 나타났다. 그러나, 쓰레기투기 행동의 결과에 대한 인지도가 높은 응답자는 낮은 응답자에 비하여 쓰레기를 지정된 장소가 아닌 곳에 함부로 버리지 않아야 한다는 개인규범의 강도가 높게 나타났다. 또한, 쓰레기투기 행동의 결과에 대한 인지도가 높은 응답자 또는 개인규범의 강도가 높은 응답자는 낮은 응답자에 비하여 쓰레기를 지정된 장소이외의 곳에 함부로 버리지 않은 것으로 나타났다. 1994년과 1996년 사이에 제 2야영장을 이용한 휴양객들의 쓰레기투기 행동에 대한 개인규범의 강도에는 변화가 없었다. 본 연구의 결과에 대한 토의와 더불어 몇 가지 관리방안을 제시하였다.

• 한국지역사회생활과학회지
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• 제17권1호
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• pp.141-154
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• 2006

The purpose of this study is to provide the information of the aged olds for which basic data are almost no available. The subjects were divided on the base of age 75. The elderly under 75 were named 'the young olds' and over 75 were 'the aged olds'. The aim of this research is to promote health and to improve nutrition, and the survey was made for health promotion behaviors, habits against health risk, dietary management status and diet intake. And it was conducted by 24 hr-recall method and analyzed by nutrients intake. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire about health behavior and dietary management was carried out by interview method through regional home extension workers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Out of the subjects the aged olds over 75 was 31.9%, elementary school educated (93.5%), with spouse (40.3%), with adult children(28.6%), monthly living cost of 500-1,000 thousand won(40.3%). Mean age was 78.82 years compared with 69.75 years of the young olds. 46.8% of the aged olds used monthly pocket money over 1000 won and it was lower than 63.3% of the young olds. Only half of the aged olds had regular exercise of walking (77.8%) or with athletic equipment (17.8%). However, the young olds did more frequent walking (82.1 %) and less exercise with athletic equipment (4.8 %), which was significantly different. Kinds of disease were different with the young or the aged olds, as more proportion of cardiovascular disease(37.9%) for the young olds and joint lumbago neuralgia(41.6%) for the aged olds. Dietary management was good (3 meals per day: 93.4%, fixed mealtime: 72.4%, and regular amount: 79.9%). But there was significant difference in side dish varieties and kinds of snacks; for the aged olds only 8% had over 5 sorts (compared with 18.8% of the young olds) and the kinds of snacks were cookie, candy, juice, carbonated beverage for the aged olds (compared with noodle, milk, soybean-milk for young olds). The ratio of nutrients intake (energy, riboflavin and niacin) with RDA was significantly higher for the aged olds than that of the young olds. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some of the aged olds had difficulties in Instrumental Activities of Daily Living (IADL) like housekeeping, using transportation, going shopping and making phone calls. These results suggest that low quality of life is linked with low economic status of the rural elderly and congregate meal at village hall would be required because of the lack of side dishes variety for the aged olds. And nutrition education program about good snacks and exercise practice would be needed for the aged olds. By operating nutrition education program the aged olds would enjoy better quality life maintaining or ameliorating IADL abilities.

• 한국지역사회생활과학회지
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• 제17권1호
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• pp.123-139
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• 2006

The purpose of this study is to search how to promote health and improve nutrition and health care of the elderly people in rural area. Behaviors for health promotion and habits against health risk were surveyed. Dietary management was analyzed for surveyed nutrient intake by 24 hr -recall method. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire for health behavior and dietary management was carried out by trained interviewers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Characteristics of the elderly people were 61-74 year-olds (68.2%), elementary school educated (78.4%), with spouse (51.7%), monthly living cost of 500-1,000 thousand won(43.4%), and monthly pocket money of 50-100 or 100-200 thousand won(33.5%, 26.5%). 41.4% of the subjects checked up medical examination regularly. The alcohol drinking status was significantly different according to gender: high no-drink rate of female (52.5%) and low no-drink rate of male (25.6%). Kinds of disease were different according to gender: higher proportion of cardiovascular disease(46.3%) and diabetes mellitus(8.1 %) in male and joint lumbago neuralgia(44.4%) and osteoporosis(8.6%) in female. Gastrointestinal complaints were nausea (69.0%) and chronic indigestion (17.8%). Constipation (12.0%) and vomiting (4.3%) were more frequent in female. Dietary management was good (3 meals per day: 93.4%., dining with family: 72.4%, regular mealtime: 72.4%, and 3-4 times of snacks per week: 44.9%) except side dish taking of 3-4 kinds only. However, almost one-third of the female elderly ate alone (30.6%) which was well compared with one-fifth of the male (19.7%). And food and nutrients intake were not significantly different according to gender except that male elderly's intake of energy and protein was lower than that of female's. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some female elderly had some difficulties with Instrumental Activities of Daily Living (IADL) like working at home, using transport, and going shopping. These results suggest that low quality of life linked with low economic status of the rural elderly and that congregate meal at village hall would be required for the female elderly eating alone. For the undernourished male elderly, it would be needed to provide snacks and to establish nutrition and health surveillance system.

• 한국물환경학회지
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• 제26권1호
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• pp.116-124
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• 2010

방글라데시에서는 지하수에 대한 의존도가 증가함에 따라 지하수에 기인하는 비소오염이 점차 심각한 문제로 나타나고 있다. 비소는 토양, 자연수, 그리고 심지어 음용수에까지 포함되어 있지만, 비소에 대한 관리 규정이 없어서 최근까지 적절히 측정되지 않고 방치되어 왔다. 그러나 비소오염에 대한 피해가 증가하면서 비소 경감의 필요성이 강조되었다. 본 연구에서 조사된 23 개 지점에서 채집된 쌀의 비소 함량은 평균 0.34 mg/kg 이었으며 3 개 지점은 1.02~1.12 mg/kg 로서 기준치인 1.0 mg/kg을 초과하였다. 비소오염을 줄이는 경제적 방법으로서 식물을 이용한 정화법이 제시되고 있는데 Pteris vittata 라는 고사리는 비소를 잘 흡수하여 농축하는 것으로 알려져 있으며 본 연구에서 실험한 결과 비소농도 20 mg/kg의 토양에서 재배한 경우 지상부 식물조직의 비소함량이 16 mg/kg까지 농축되는 것으로 나타났다. 그러나 뿌리의 비소함량은 지상부의 약15% 정도로 낮은 것으로 나타나 지상부의 제거로서 비소를 제거할 수 있음을 보여주었다. 비소오염이 전국적으로 심각함에도 불구하고 정부의 노력은 광범위한 지역을 관리하기에 아직 충분치 않으므로 경제적이고 간단한 대책들이 필요하며 식물을 이용한 정화법이 하나의 대안이 될 수 있을 것이다.

• 한국환경복원기술학회지
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• 제21권1호
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• pp.13-30
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• 2018

In terms of environmental friendly land use and objective environmental assessment, legislative assessment items of Environmental Conservation Value Assessment Map (ECVAM) consists of designated areas related to conservation and protection, and areas that are planned to be designated in the future. However, the gap with the reality due to omission of several protection areas and land use regulations, and assessment grades according to 3 division land use map of forest, agricultural land, and urbanized area, results in low application and utilization of ECVAM. Therefore in this study, the legislative assessment of the ECVAM was performed with new assessment items and its new ratings, to suggest an improvement in legislative assessment items of the ECVAM. As a result, legally protected areas of inhabited islands under absolute conservation, special wildlife protection districts, protected marine areas, environmental preservation sea areas, scenic spots, forest protection zone, traditional temple preservation zone, and 45 zone or district related to regulation of land use were additionally designated as new legislative assessment items. New grade ratings were given to each additional assessment items in consideration of the restrictions on acts. As a result of the legislative assessment based on the new assessment items and new grades, the 1st grade area increased by 3.47%, and the 2nd grade area increased by 19.35%. The 3rd grade area decreased by 8.54%, the 4th grade area increased by 2.95%, and 5th grade increased by 2.91%. In addition, the out-of-grade area decreased by 20.14%, considered to be a realistic assessment based on land use. With the improved legislative assessment, it is possible to provide a more accurate environmental assessment map. Increase usage of ECVAM is expected in providing regulations of land use and base data for integrated land management of land environmental planning.