• 가정간호학회지
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• 제8권2호
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• pp.148-158
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• 2001

Purpose: This study is to investigate the attitudes on the Home Health Care among the physicians and nurses in P University. Method: Data were gathered from 71 physicians and 264 nurses. working at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and Fisher exact test. Results: 1) As to the previous information about home health care program, those who have been familiar to it were 100% of physicians, and 99.6% of nurses, and 39% of the physicians and 66.1% of the nurses. were found to have responded with right answers, 2) As to the acceptance of the home health care program, 87% of physicians and 98.5% of nurses were found to be positive and there showed a significant difference(p= .019), 3) The main reasons for accepting the system were: the alleviation of the family burden of time, the maintenance of continuity of care, and the reasons for opposing the system were incomplete legal assurance. the possibility of providing illegal medical services. 4) The physician's intention rate of patient referrals to home care program reveled 49.2%. 5) According to the services related to Home Health Care. the orders of acceptance rates were medical tests related services (77.8%, 92%); therapeutic nursing interventions(69.0%, 88.2%): and services for medication(68.3%, 82.5%) among physicians and nurses. respectively. Conclusion: For the stabilization and successful implementation of home health care system. it should be accompanied with education for physicians about home care. setting specific laws and regulations for home care. legal assurance of home care business. outcome research for home care recipients. and support systems of hospital administration.

• KDI Journal of Economic Policy
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• 제29권3호
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• pp.29-73
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• 2007

보육보조금은 일반적으로 여성의 노동시장참여를 용이하게 해주려는 것과 아동이 양질의 보육 및 교육 환경에서 돌보아지는 것을 돕는 목표로 지급된다. 본 연구는 보육시설을 이용하는 영아가구에 보육료를 지원하는 영아기본보조금의 효과를 살펴봄으로써 영아기본보조금이 그 정책목표를 달성하고 있는지 검토한다. 기본보조금이 2006년 민간보육시설에만 도입되었고 유아는 제외하고 영아에게만 지급된다는 준실험적(Quasi-Experiment) 설정을 이용하여 시설 측면과 가구 측면의 효과를 분석한다. 분석 결과, 보조금으로 인해 영아의 이용비중이 높은 보육시설에서는 교사의 처우 및 시설환경이 개선되는 등의 효과가 나타났으나 여성의 노동공급에는 거의 영향을 미치지 않았고, 수요자의 보육만족도에도 부정적 영향을 미친 것으로 나타났다.

• 한국조리학회지
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• 제18권3호
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• pp.58-71
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• 2012

본 연구는 외식기업 문화마케팅이 기업이미지와 구매의도에 미치는 영향을 밝히는데 목적을 갖고, 서울 지역에 소재한 패밀리레스토랑 이용 유경험자 20대~60대 남 여 총 300명을 편의표본추출 하여 2011년 6월 1일~8월 30일 간 설문조사를 실시하였다. 분석결과 첫째, 외식기업 문화마케팅이 기업이미지에 미치는 영향을 검증한 결과 문화판촉, 문화기업이 기업이미지에 통계적으로 유의한 정(+)의 영향을 미치는 것으로 나타났다(p<.05). 둘째, 기업이미지가 구매의도에 미치는 영향을 검증한 결과 기업이미지는 구매의도에 통계적으로 유의한 정(+)의 영향을 미치는 것으로 나타났다(p<.001). 셋째, 외식기업의 문화마케팅과 구매의도의 관계에서 기업이미지의 매개효과를 분석한 결과 기업이미지는 문화지원, 문화연출, 문화기업, 문화판촉과 구매의도간의 관계에 있어 부분 매개하는 것으로 나타났다. 이상의 결과를 볼 때 외식기업에서의 문화마케팅 중 문화판촉과 문화기업 요인이 기업이미지에 긍정적인 정(+)의 영향을 미치고, 문화판촉, 문화연출, 문화기업 또한 외식기업의 구매의도에 정(+)의 영향을 미치는 것으로 나타났다. 이는 문화마케팅에 의한 결과로 기업이미지의 긍정적인 향상과 함께 구매의도에도 영향을 미쳐 외식기업의 매출향상에 기여할 수 있음을 시사한 것으로 볼 수 있다.

• 한국사회복지학
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• 제54권
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• pp.295-319
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• 2003

본 연구는 저소득 모자가구주의 대부분이 일을 하고 있음에도 불구하고 경제적으로 여전히 어려운 노동빈민(working poor)으로서의 위치에서 벗어나지 못하고 있다는 문제의식 속에서 비롯되었으며, 저소득모자가구의 생활실태를 최근 사회과학 내에서 논의되고 있는 사회적 배제 개념을 이용하여 분석하고 이의 극복방안으로서 사회적 통합과 연대모색을 제안하였다. 구체적으로 본 연구는 남성가장을 중심으로 한 일반가구, 일반 모자가구, 사회적 빈곤선 이하에 놓인 저소득모자가구를 대상으로 각 가구유형별 특성과 생활실태를 비교분석하고 이를 통해 전반적인 모자가구의 사회적 배제과정을 살펴보았다. 본 연구는 2000년 지역사회복지협의회의 "사회복지욕구조사" 원자료를 이차분석(secondary analysis) 하였으며 총 3,182가구가 최종적으로 분석에 포함되었다. 연구결과에 의하면 전반적으로 모자가구는 일반모자가구, 저소득모자가구에 상관없이 고용형태, 주거형태, 소득, 소비생활 측면에서 일반(남성가장)가구에 비해 어려움을 겪고 있었다. 일반가구에 비해 모자가구는 가족으로부터 자원을 제공받기보다는 오히려 장애, 만성질환 등의 가족원을 보호해야 하는 상당한 부담을 안고 있었으며, 사회적 안전망에서도 모자가구는 전반적으로 제외되어 있는 것으로 나타났다. 이것은 모자가구가 일반가구에 비하여 전반적으로 사회적으로 취약해지거나 고립될 가능성이 매우 높은 현실을 반영하며, 현재 공식적으로 빈곤층, 혹은 저소득층으로 분류되지는 않았지만 일반모자가구도 포괄적인 사회적 안전 망이 확립되지 않는다면 향후 저소득층으로 배제될 가능성이 매우 높다는 사실을 확인시켰다. 마지막으로 연구결과에 기초하여, 전체 모자가족의 사회적 배제를 극복할 수 있는 사회적 통합방안이 모색되었다.

• 한국문헌정보학회지
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• 제50권3호
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• pp.455-490
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• 2016

본 연구는 한국의 다문화가정 청소년이 마주하고 있는 사회적, 문화적 요인이 그들의 일상 정보 행태, 특히 미디어 사용을 통한 정보 행태에 미치는 영향의 양상을 살펴보고자 하였다. 13세에서 18세 사이의 다문화가정 청소년 11명을 대상으로 정보요구기록지, 미디어 이용에 관한 설문조사, 두 차례에 걸친 심층 면담이 실시되었으며, 이를 통해 얻은 자료를 바탕으로 다문화가정 청소년의 일상 문제 상황과 미디어를 통한 정보 요구 해결의 양상을 다각적인 시각에서 분석하였다. 다문화가정 청소년이 일상의 문제 상황에서 필요로 하는 정보의 주제는 학업, 여가, 외모, 자기개발, 생활, 진로 등이었으며, 특히 학업과 여가에 대한 정보 요구가 압도적으로 높았다. 본 연구에 참가한 다문화가정 청소년들은 정보 요구의 해결을 위해 능동적으로 미디어를 사용하고 있었다. 이들에게 미디어는 심리적 도피처이자 안식처였고, 자기표현을 위한 도구였으며, 지식과 생활 정보를 얻을 수 있는 해답의 책이자 여가 시간의 동반자였다. 본 연구에서 제시된 미디어 이용 관련 방안들은 추후 도서관에서 다문화가정 자녀를 대상으로 한 서비스를 기획하는데 활용될 수 있을 것이라 기대한다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1419-1424
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• 2012

Objectives: To investigate in depth the use of complementary and alternative medicines (CAMs) by cancer patients at the end-of-life (EOL) and how they communicate with physicians about them. Design and location: In 17 hospitals in Korea between January and December 2004 we identified 4,042 families of cancer patients. Results: The prevalence of CAM use among cancer patients at the EOL was 37.0%, and 93.1% had used pharmacologic types of agents. The most frequent motive for CAM use was the recommendation of friends or a close relative (53.4%) or a physician (1.6%). Only 42.5% discussed CAM use with their physicians. Satisfaction with CAMS was recalled for 37.1%. The most common reason given for that satisfaction was improvement of emotional or physical well-being, while ineffectiveness was the most common reason given for dissatisfaction. The average cost of CAM during the last month of life was $US 900. CAM use was associated with longer disease periods, primary cancers other than liver, biliary, and pancreatic, and need of support from physicians or religion. Conclusions: CAM use among cancer patients at the EOL was common, not discussed with physicians, and associated with expectation of cure. Expectations were generally unmet while the treatments were a financial burden. Further studies evaluating the effects of CAM at the EOL and factors that enhance communication with the physician are needed.

• 한국인구학
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• 제30권3호
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• pp.137-156
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• 2007

합계출산율이 2005년 1.08이라는 최저치에서 2006년 1.13으로 증가하면서, 이 증가가 각종 정책의 결과이기 때문에 출산력 증가가 지속될 것이라는 주장과 일시적일 것이라는 주장 간 논란이 있다. 이 연구는 인구동태신고 자료를 활용하여 최근의 출산력 변화를 집중적으로 살펴봄으로써 정책 시사점을 찾고자 하였다. 이를 위하여 출산순위별 템포조정합계출산율, 모의 연령 및 출산순위별 출산율, 연령별 유배우 출산율, 연령별 유배우 이혼율 등을 분석하였다. 전년대비 2006년 합계출산율과 출생아수가 증가한 것은 여성의 초혼과 첫째아 출산의 연기가 주춤해지면서 주로 30대 초반의 첫째아 출산 증가에 기인한다. 2006년과 2007년에는 20대 후반 여성인구의 증가(제3차 베이비붐 효과) 및 초혼의 급증으로 2007년과 2008년에는 출생아수가 증가할 것이다. 다만, 20대의 미혼율은 증가하구 유배우 출산율은 감소 추세이어서 장기적 관점의 출생아수 및 출산율 증가는 미지수이다. 또한, 첫째아와 둘째아의 출산율은 급속도로 저하되는데 반해, 셋째아 이상은 변화가 없으며, 둘째아 출산이 출산연령조정의 영향을 많이 받는 것으로 나타났다. 이는 셋째아 이상을 출산하도록 장려하는 것보다는 첫째아, 둘째아를 낳을 수 있는 사회적 환경 조성이 더 필요하고 현실적임을 시사한다. 아울러, 사회적 양육대책 마련, 고령출산에 따른 모자보건문제, 다문화가정지원책 필요성 등을 언급하고 있다.

• 한국수정란이식학회지
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• 제28권3호
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• pp.243-250
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• 2013

Pyracantha is a genus of thorny evergreen large shrubs in the family of Rosaceae, with common names Firethorn or Pyracantha. It's extract has also been used in cosmetics as a skin-whitening agent and functioning through tyrosinase inhibition. Recent studies have shown that pyracantha extract possesses antioxidant activities and may significantly improve lipoprotein metabolism in rats. Although the mode of action of Pyracantha extract is not fully understood, a strong relationship was observed between antioxidant and apoptosis in some types of cells. Thus, the aim of this study was to evaluated the effect of pyracantha extract on blastocysts formation and their quality of the porcine parthenogenetic embryos. After parthenogenetic activation by chemicals, presumptive porcine parthenogenetic embryos were cultured in PZM-3 medium supplemented with extracts of pyracantha leaf, stalk and root for 6 day (1, 5 and $10{\mu}g/ml$, respectively). In our results, the frequency of blastocyst formation in pyracantha root extract ($5{\mu}g/ml$) treated group had increased that of other groups. Furthermore, blastocysts derived from pyracantha root extract ($5{\mu}g/ml$) treated group had increased the total cell numbers and reduced apoptotic index. Blastocyst development was significantly improved in the pyracantha root extract ($5{\mu}g/ml$) treated group when compared with the $H_2O_2$ treated group (p<0.05). Subsequent evaluation of the intracellular levels of ROS in pyracantha root extract ($5{\mu}g/ml$) treated groups under $H_2O_2$ induced oxidative stress were decreased (p<0.05). In conclusion, our results indicate that treatment of pyracantha root extract may improve in vitro development of porcine parthenogenetic embryos through its antioxidative and antiapoptotic effects.

• 한국학교보건학회지
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• 제10권1호
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• pp.41-50
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• 1997

The purpose of this study is to provide fundamental data supporting facilitation of a formal health education performed by school nurses as health educators. To evaluate the teacher expertise of school nurses as health educators, this study analyzed the present status of health education and the recognition of self-confidence in teaching ability of school nurses. Self addressing questionnaire were mailed out to 340 secondary school nurses in Seoul and out of them 244 nurses (71.8%) responded to the survey. Analysis of the data was made using t-test and ANOVA in SAS program. The major results are as follows : 1. The total health instruction performance rate was 84.6% (204). Regular health instruction was carried out by 66 nurses and the rest of the 155 subjects gave irregular instruction on health education. 2. Regular health education classes was offered as a part of physical education class hour by 89.4% of the respondents whereas only 10.6% of them had formal health education classes. The survey showed that irregular health education classes were mainly held in physical education class hours (70.3%) and 14.8% had opportunities for additional classes on health education. 3. The average class for regular health education was 5 hours per week but for irregular health education classes were only one hour per semester (32.9%). 4. Among the 11 categories of health education, education on drug abuse and body structure and function and physical development occupied 95.6%, 69.6% respectably while physical training, family health, social health occupied 10.8%, 12.7%. 5. Health education was given much more at public schools (88.2%) than at private schools. 6. 232 (95.0%) school nurses agreed with the necessity of formalizing health education classes and 227 (93.1%) wanted to change their status from school nurses to formal health teachers. 7. There is a tendency to change the status from school nurse to formal health teacher, and the necessity of having a formal curriculum on health education while less recognized by the older and longer-careered nurses was more recognized by those nurses with higher education. 8. The lack of administrative support (79.5%), work burden (77.9%), and lack of teaching competency (22.1%) were the greatest problems. 9. Education on drug abuse was stressed the most whereas physical training was most neglected. 10. There is a tendency that older and longer-careered school nurses thought less positively of their status, and then 98 (81.1%) school nurses acknowledged themselves as professional teachers. 11. 176 (72.5%) school nurses agreed with the necessity of continuing education : health knowledge and teaching skills for formal health teachers. 12. 179 (73.8%) school nurses had a positive attitude and undergraduate preparation and the practice of professional health teachers. 13. The school nurses had self-confidence in their teaching competence, teaching strategies and knowledge in all 11 health education areas.