• 대한예방한의학회지
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• 제10권2호
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• pp.81-93
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• 2006

This study was carried out to examine the actual condition of health promotion program through oriental medicine in the health center and to provide basic data to develop proper policy of oriental medical health promotion program for the community people. The data were collected from 26 health centers which have been implementing the oriental medical health promotion program, using selfadministered questionnaire for two weeks from 1 October to 15 October 2006. The results are as follows : Generally, the respondents have the positive views on the level of budget and facilities/equipments of the oriental medical health promotion program in health center. However, they have the negative views on the level of manpower and education/training of the program. And also more than 70% of the respondents have the negative opinion on capabilities of formulating and evaluating the oriental medical health promotion program. The respondents indicated that there was the lack of coordination between the oriental medical health promotion program and existing health promotion in health center, and that low rate of utilizing community resources. With regard to the method of selecting the target group for the program, there are differences according to the each program. Many programs tended to select the target group not through the criteria of life-course and illness group but through the efficiency of selecting group. And many programs such as stroke prevention program, constitutional medicine program, oriental medical prenatal program, oriental medical prenatal and postnatal program, oriental medical child care program are mainly composed of the development of educational program and lecture. Regarding the number of the present oriental medical health promotion programs, around 65% of respondents answered that the number of the programs was many and thus they needed to decrease to the proper level. And with regard to the priority of the need, effectiveness and the satisfaction for each programs, on the whole, Qui gong program, stroke prevention program, area-specialty program and oriental medical home visiting program have high score. In particular, oriental medical quit-smoking program has lowest score. From these results, it requires to develop and improve the oriental medical health promotion program in health center considering the need and characteristics of community.

• 한국학교보건학회지
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• 제31권2호
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• pp.117-126
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• 2018

Purpose: The leading cause of death among teenagers in Korea is suicide. Also, it is known that mental health of Korean adolescents identified based on the levels of perceived stress or depression is very poor. The purpose of this study was to examine the current status of student mental health programs in Korea and the associated problems and to explore ways to make the programs more effective. Methods: The subjects of the study were a total of 115 school nurses and school counselors in elementary, middle and high schools. The study examined the current status and the associated problems of school mental health programs as well as the needs for teacher training programs related to student mental health. Results: Few mental health programs other than counseling for at-risk students were being carried out. The problems associated with student mental health management were, in terms of management, 'accountability in case of incidents such as student suicide' and 'parents uncooperative in their kid's mental health management (visit to hospital, etc.)' and, in terms of manpower, 'unclear R&R between school nurses and school counselors' and, more fundamentally, 'the lack of human resources.' The needs for teacher training programs related to student mental health were very high and the content required most was 'ways to manage stress of students and teachers themselves,' followed by 'interpersonal conflicts management & conservational skills,' and 'ways to manage student mental illness.' Conclusion: In conclusion, to increase the effectiveness of student mental health programs, we should move on from the current system which focuses only on early discovery and intervention to a more comprehensive system that includes preventive approaches, while having clearer R&R and more workforce dedicated to student mental health programs and attracting more parental cooperation and support.

• 대한물리치료과학회지
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• 제15권2호
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• pp.87-95
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• 2008

Background: Hemiplegic patients usually have difficulty maintaining balance. Balance training is a major component of there habilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of PLS(Posterior Leaf Spring), FES(Functional Electrical stimulation), treadmill training, and neurodevelopmental treatment on the improvement of balance in patients with hemiplegia. Methods: We looked into published studies from Dankook University’s electronic library databases of RISS4U, KMbase, NCBI, and MEDLIS concerning the effectiveness of any form of intervention leading to improvement of balance. All types of studies relevant to the topic that were published in English during the time period of 1986 to 2005 were included. Results: 1. There were significant differences in standing balance, dynamic activity balance, and gait speed between barefoot subjects and subjects who wore SPAFO and HPAFO(p<.05). 2. The changes in ROM and FRT related to sex, age, height, and weight part of the diagnosis, as well as experience relapse, was of meaningless value. Changes in ROM related to the duration of pain and experiences of falling down were also meaningless. However, FRT showed significant static differences(p<.05). 3. The body-weight-support treadmill training scoring of standing balance, step length, and a timed 10m walking test showed definite improvement. 4. The proprioceptive control approach improved dynamic balance in patients with hemiplegia. Conclusion: Consequently, further study is needed to verify methods when physical therapists are researching balance ability in hemiplegic patient.

• 한국산업보건학회지
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• 제19권3호
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• pp.182-194
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• 2009

This study was conducted to evaluate health status and to propose health protection measures of irregular plant construction workers in Yoesu National Industrial Complex (YNIC). The status of safety and health management was examined in five areas including safety and health education, work environment monitoring, health examination, health management record, and personal protective equipment (PPE) for plant construction workers. The safety training rate for plant construction workers was reached high at 91%, The training was mostly consisted of safety accident related things, but training on hazardous materials was found to be insufficient. Workplace monitoring results showed that the compliance rate for work environment for irregular construction workers was 54% and workplace monitoring during turnaround (TA) period with high risk of exposure to hazardous agents has not been implemented. While 61.4% of irregular workers received the general health examination but only 36.8% received the special health examination. The special health examination was found to be conducted only upon welders from 2-3 years ago. The issue of health management record upon irregular construction workers was not being implemented. In case of PPE, basic safety protective equipments such as safety shoes, safety belt, safety helmet were being supplied well while the supply rate of respirator for organic vapor was relatively low at 40%. Based on this study, two suggestions to maximize the utilization of the current safety and health program were made while boosting its effectiveness in protecting workers' health. First, the role of owners (petrochemical plant) related to safety and health should be strengthened. Second, in consideration of the characteristics of construction workers who usually engage in short term employment and frequent movement, community based health management organization is suggested that can overcome such structural problem and carry out the implementation of health examination and sustained health management.

• 가정과삶의질연구
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• 제33권2호
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• pp.135-148
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• 2015

The purpose of this study is to develop cognitive behavioral therapy(CBT) to improve the parenting efficacy of married immigrant women, and verify its effectiveness. In the CBT of this study, behavioral technique was added to cognitive reconstruction based on cultural context in order to improve parenting efficacy. The study selected 28 married immigrant women, and randomly divided them into a CBT group(10), a general treatment group(8) and a control group(10). The CBT and the general treatment programs consisted of 10 sessions, approximately 2 hours in duration. The results of the study were as follows. 1) The level of parenting efficacy was improved significantly in the CBT and the general treatment group. 2) The level of negative automatic thoughts and dysfunctional parenting thoughts was significantly decreased only in the CBT group. 3) In the CBT and the general treatment group, the level of parenting stress and acculturative stress was decreased while the level of psychological well-being improved. On the other hand, the level of parent-adolescent communication was improved significantly only in the CBT group. 4) In comparison with the general treatment group, the CBT group showed higher parenting efficacy and lower automatic thoughts and dysfunctional parenting thoughts. This study has significance in its attempt to develop a parent training program to improve the parenting efficacy of married immigrant women by integrating behavioral modification and communication skills training focused on cognitive reconstruction of parenting-related negative thoughts and beliefs in application of the CBT paradigm.

• 전기전자학회논문지
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• 제22권1호
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• pp.21-28
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• 2018

옷 입은 상태에서도 협소한 회음부 공간에 제품을 위치시켜 외부로 들어나지 않고, 부담 없이 저주파자극치료를 할 수 있도록 저주파모듈의 컴팩트한 배변배뇨장애 치료용 스마트 헬스케어 시스템을 개발한다. 이 시스템은 사용자 골반저근의 수축력을 감지하여 스마트폰 엔터테인먼트 앱과 연동되도록 함으로써, 사용자가 거부감 없이 능동적 운동치료를 병행할 수 있는 배변배뇨장애 치료를 위한 스마트 헬스케어장치이다. 바이오피드백을 통한 운동 과정은 모니터링 할 수 있고, 측정된 데이터를 메모리에 저장함으로써 근육강화 훈련의 향상을 비교평가할 수 있다. 마지막으로 시제품의 전자파 방사 및 성능에 관한 시험을 통해 안전성을 확보한다.

• 산업진흥연구
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• 제1권2호
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• pp.95-101
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• 2016

본 연구는 중소기업의 자격부여형 일학습병행제 참여가 근로자의 직무능력 향상에 미치는 영향을 분석하였다. 연구결과 일학습병행제의 교육형태 중 수행평가가 근로자의 직무능력 향상에 유의한(p<.001, ${\beta}=.514$) 영향을 미쳤으며 직급에 따른 일학습병행제 효과 인식에 차이가 나타났다. 결론적으로 중소기업의 자격부여형 일학습병행제 참여 시 수행평가가 근로자의 직무역량 향상에 긍정적인 영향을 미치고 있으므로 기존 학습과정에서 대표적으로 운영되는 집체식 교육훈련이나 현장훈련만큼 수행평가의 효과성을 중요하게 인식하고 프로그램에 적극적으로 포함시킬 필요가 있다고 제안할 수 있다. 본 연구는 중소기업의 자격부여형 일학습병행제 참여가 근로자의 직무능력 향상에 미치는 영향을 분석함으로써 일학습병행제 참여의 성과 분석에 관한 연구의 폭을 넓히고 학습형태에 따른 효과성을 규명한 데 연구의 의의가 있다.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.190-200
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• 2020

본 연구는 2018년 정부의 추경사업으로 시행된 이공계 중심 청년 일자리 창출과제인 '청년TLO 육성사업'의 효과성을 검증하는 데 목적이 있다. 선행연구를 통하여 사업 만족도와 취·창업 성과에 영향을 미치는 5가지 요인의 인과 모형을 도출하였다. 실증연구를 위하여 사업을 실행하고 있는 전국 66개 대학의 산학협력단을 통해 청년TLO를 대상으로 설문지를 배포하여 2,363개를 수집하였다. SPSS 23.0 통계패키지를 이용하여 모형의 실증분석을 실시하였다. 분석결과, 사업 만족도에 영향을 미치는 요인으로 선정한 1) 모집·선발, 2) 교육 지원, 3) 근로조건, 4) 사업 관리, 5) 활동 지원의 5개 변수 모두 유의한 변수로 나타났고 사업 만족도는 취·창업 성과에 미치는 변수임을 확인했다. 본 연구는 청년 TLO의 성과분석을 위한 광범위한 최초의 실증연구이며 연구자의 독립변수 모두가 사업 만족도에 영향을 미치는 인자임을 확인했다. 실무적인 시사점으로 사업 운영요소의 향상은 사업 만족도를 향상시키고, 이는 정부의 목표인 청년의 취·창업 성과 제고를 위해 필요한 요소임을 추정할 수 있다. 하지만 본 연구의 한계점으로는 취·창업 성과 지표로 객관적 지표가 아닌 주관적 취·창업 인지도 조사이기에 모형의 해석에 유의할 필요가 있다고 판단된다.

• 대한의용생체공학회:의공학회지
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• 제34권3호
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• pp.148-155
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• 2013

This study is about the development of the wrist rehabilitation system for the patient who has limited capability of movement after stroke. Electromyography triggered training system (ETTS) can play the role between complete passive training and patient activating training system. Surface EMG was measured on pronator teres muscle and biceps brachii muscle for wrist pronation and supination. Our system detects whether the subject makes muscular effort for pronation or supination or nothing in every 50 ms. When the effort level exceeds the preset percentage of maximal voluntary contraction, the motor rotates according to the direction of the intention of the subject. EMG triggers the motor rotation for the wrist rehabilitation training until the preset angle. To evaluate its performance, the maximum voluntary contraction level was measured for 4 subjects at first. With the audio-visual instruction to rotate the wrist (pronation or supination) the subjects made effort to follow the instruction. After calculating root mean square (RMS) for 50 ms, the controller determines whether there was muscular effort to rotate while holding the motor. When there was an effort to rotate, the controller rotates the motor 0.8 degree. By comparing the RMS values from two channels of EMG, the controller determines the rotational direction. The onset delay is $0.76{\pm}0.24$ s and offset delay is $0.65{\pm}0.22$ s for pronation. For supination the onset delay is $1.24{\pm}0.41$ s and offset delay is $0.77{\pm}0.22$ s. The system responded fast enough to be used for rehabilitation training. The controller perceived the direction of rotation 100% correctly for the pronation and 97.5% correctly for supination. ETTS was developed and the fundamental functions were validated for normal subjects. The clinical validation should be done with patients for real world application. With ETTS, the subjects can train voluntarily over the limitation of the range of motion which increases the effectiveness of the rehabilitation training.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제6권1호
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• pp.65-73
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• 1995

본 연구에서는 ADHD로 진단된 5세에서 11세 연령 범위의 임상 환아 집단을 대상으로 부모 훈련과 약물(메칠펜)을 병행한 치료와 약물만을 단독으로 사용한 치료 효과를 비교하였다. 8주간의 부모 훈련과 약물 치료를 실시한 결과, ADHD 아동들이 학교나 가정에서 보이는 주의산만함, 충동성, 과잉활동성 등 문제 행동을 감소시키고 부모의 양육 스트레스를 감소시키는데 부모 훈련과 약물 치료를 병행하는 것이 약물치료를 단독으로 사용하는 것보다 매우 효과적인 것으로 나타났다. 약물 치료만을 사용한 경우, 부모가 평정한 아동의 문제 행동 잠수와 양육 스트레스 점수상에서는 거의 변화가 없는 반면, 교사의 평정치와 TOVA 검사의 Reaction Time과 Variability 점수가 비록 통계적으로 유의미하지는 않았으나 약물 치료후에 정상 범위로 감소되는 경향이 있었다. 이러한 결과는 메칠펜이 주의력 결핍 중상의 치료에 효과적일 수 있으나, ADHD 아동이 학교나 가정에서 보이는 문제 행동을 변화시키고 부모나 교사가 ADHD 아동에 대해 가지고 있는 부정적인 인식을 변화시킬 뿐만 아니라 부모들의 자녀양육 스트레스를 감소시키기 위해서는 부모 훈련이 반드시 필요하다는 점을 시사해 주었다.