• 보건행정학회지
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• 제25권4호
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• pp.323-332
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• 2015

Background: Antibiotic resistance has been becoming serious challenge to human beings. Overuse of antibiotics, especially, for infants is concerned, but studies are very few for the prescribing pattern of antibiotic use for infants. This study analyzes prescribing patterns of antibiotics in outpatients of preschool children with acute respiratory tract infections in South Korea. Methods: Data are used from 2011 Health Insurance Review & Assessment Services-pediatric patients sample. Inclusion criteria is outpatient children (0 to 5 years) with top five frequent diseases. Prescription rates are analyzed by types of disease, provider, specialty, region, and ages. Binary or multinomial logit models are used to analyze determinants of providers' prescription pattern. Results: The main findings are as follows. First, distributions of prescription rates are shown as L-shape or M-shape depending on the types of disease. Second, the prescription variation is so large among providers, where providers are polarized as a group with low prescription rates and the other group with high prescription rates, though the shapes are shown diversified across types of disease. Third, prescription rates appear to be lower in pediatrics and higher in ENT (ear-nose-throat). Fourth, broad spectrum antibiotics are widely used among children. Finally, the logit analysis shows similar results with descriptive statistics, but partly different results across types of disease. Conclusion: Antibiotics for respiratory tract infections of infants are used excessively with a large variation among providers, and especially broad spectrum antibiotics are used. The prescription guideline for antibiotics should be provided for each specific disease to reduce antibiotic resistance in the future.

• 대한물리치료과학회지
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• 제16권3호
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• pp.43-53
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• 2009

Background: The purpose of this study was to investigate the perception of home care team's home based physical therapy in public health center Method: We surveyed 11 questionnaires for hone care team in health center from 1st to 30th, November in 2008. Results: The person who recognized the exclusion fact of home-based physical therapy in long term care insurance was 64.2% in whole 109 people. About necessity of home-based physical therapy, "absolutely necessary" as the person answer was 43.1%. Home-based physical therapy in the insurance must come to be provided with a precedence was 81.3%. About starting time of hereafter home-based physical therapy "after 1 years" the opinion which was 60.7%. Opinion about operation institution of home-based physical therapy "the pubic hospital or health center" was 52.3%. In composition form of the home-based physical therapy team "with the physical therapist and occupation therapist come together" was investigated with 37.4%. Conclusion: As long term care insurance will be developed, discussion about quality- of-service must be continuous and depth. Relates hereupon, the academic, researchers, and the persons concerned must consider the best quality of life improvement of the citizen and prepare the ground which systemic, rational, and actual on starting of home-based physical therapy in long term care insurance.

• 한국동물위생학회지
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• 제32권4호
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• pp.325-334
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• 2009

Salmonella spp. are the important pathogens both economically and clinically in animals as well as human. Some of them have highly zoonotic potentials even though they are asymptomatic in animals. Therefore, the prevalence of Salmonella spp. in animals is highly concerned for human health. The present study was carried out to investigate the prevalence, antimicrobial resistance and PFGE patterns of Salmonella spp. isolated from chickens at slaughterhouse in Incheon area. The overall isolation rate of Salmonella spp. from cloaca and cecum specimens was 7.3 % (37/510). Thirty seven isolates of Salmonella spp. were identified to 5 serotypes; S. Enteritidis, S. Newport, S. Typhimurium, S. Gallinarum, and S. Derby with prevalence of 46.0%, 40.5%, 8.1%, 2.7%, and 2.7%, respectively. Resistance to nalidixic acid was found in 97.3% of Salmonella spp. isolated, followed by streptomycin (16.2%), tetracycline (16.2%), ampicillin (5.4%). Only 6 isolates (16.2%) showed resistance to more than two antimicrobials. In PFGE analysis of chicken and human isolates with Xba I, S. Enteritidis isolates from chicken showed very high similarity over 82.8% and also the similarity was very high in the comparison with human isolates. However, the higher similarity (100%) was observed among chicken isolates of S. Typhimurium. These results suggest the close genetic relatedness of Salmonella spp. isolated from chickens with human.

• 한국직업건강간호학회지
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• 제11권1호
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• pp.5-12
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• 2002

The purpose of this study, as a project for health management at small workplace by Korean association of occupational health nurse, was to evaluate the program for correction of eating habits to prevent digestive disorders of workers. The study cases were twenty nine workers who voluntarily participated in the above program and they were from small(under fifty employees) workplace at Youngdeungpo-gu, Seoul. The study was done between January, 2000 and May, 2000. This program was concerned with daily menu for correction of eating habits and was composed of individual health education and distributing guide books and video. Nurses visited the workplace for the program once a week or two weeks. The result of this program was evaluated by paired t-test of digestive symptoms, eating habits, and self-efficacy before and after the fulfillment of the program. The result could be summarized as below. 1) There were decrease in digestive symptoms and improvement in eating habits and self-efficacy from study cases after fulfillment of the program. 2) The most common digestive symptoms were heartburn, upper abdominal pain, indigestion. The symptom which had been improved through the program were indigestion, heartburn and anorexia in the order. 3) The most improved eating habit was to eat flat foods instead of salty and spicy foods. The most improved self-efficacy was 'I can follow any helpful guides for my health'. The result indicated the program was successful for workers at small workplace. The continual management by nurses' regular visit once a week or two weeks was the most important thing for the successful program.

• 한국융합학회논문지
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• 제8권11호
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• pp.215-222
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• 2017

본 연구는 성인 비만자를 대상으로 구강관리행태와 치주질환 유병을 분석하여 관련 요인을 규명하고자 실시하였다. 국민건강영양조사 제6기 2차의 원시자료를 활용하여 최종 4381명의 성인을 추출하였고 체질량지수, 잇솔질횟수, 음주, 흡연 및 구강건강상태와 행태에 대한 관련성을 확인하고자 SPSS 통계프로그램을 이용하여 변수의 가중치를 적용하고 빈도 및 카이제곱 검증과 다중 로지스틱 회귀분석을 실시하였다. 그 결과 잇솔질횟수가 많을수록 치주질환 유병률은 낮아졌고, 체질량지수가 높을수록 치주질환 유병률은 높아지는 것을 확인하였다. 체질량지수는 잇솔질 횟수가 영향을 주며 두 변수는 궁극적으로 치주질환을 유발하는 요인으로 작용하였다. 이번 연구를 통해 세계적인 건강이슈인 비만의 경우 구강관리에 더욱 관심을 기울여야 하며 구강보건관리 프로그램이 개발되어져야 한다.

• 한국학교보건학회지
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• 제12권2호
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• pp.281-293
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• 1999

The purpose of this study was to develop a program of oral health education for children and to furnish basic data contributing to the improvement of children's oral health. In this study, we tried to analyze and discover the types of recognition in parents of children's oral care. With the use of Q-methodology that could systematically and scientifically estimate the subjectivity of humans, 28 parents were collected as a P-sample. 3 general types were discovered. The characteristics of each type were the following: Type 1. "Serious consideration of prevention care type" took a positive attitude to their children's oral care, were knowledgable, and maintained high concern about oral care. They regularly visited dentists for prevention and believed in caries prevention through brushing teeth. They also put high trust in dentists. Type 2. "Disposition by the existing state type" believed that caries could develop even with brushing teeth and could be inherited from parents, Practically, they had a passive attitude to their children's oral care depending on stages and were more concerned with the appearance of dentition than with their children's oral health. Type 3. "Home care-centered type" had less knowledge about children's oral care than the other two types and was careless for teeth prevention. Therefore, they had not intended to participate in the oral health education program.

• 한국동물위생학회지
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• 제36권3호
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• pp.193-201
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• 2013

Many consumers are increasingly concerned about the meat they eat, and accurate labelling is important due to public health, economic and legal concerns. Meat species adulteration is a common problem in the retail markets. In this study, a TaqMan$^{(R)}$ quantitative real-time polymerase chain reaction (PCR) assay was applied for its ability to quantify chicken meat, which was not indicated on the label, in 79 commercial pork products (ham, sausages, bacon and ground meat) producted by 10 different manufacturers. The amplification efficiency was 82.05% and the square regression coefficient ($R^2$) was 0.995. PCR results showed that 38.6% of ham samples, 50.0% of sausages samples, and 50.0% of ground meat samples were contaminated with chicken residuals, while the bacon samples were not contaminated with chicken residuals. Only twelve pork products of one of the manufacturers were in accordance with indicated in their labels. The PCR assay reported in this work could be particularly useful in inspection programs to verify the food labelling of commercial processed meats and to gain consumers' trust.

• Journal of Nutrition and Health
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• 제27권3호
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• pp.236-252
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• 1994

This survey was accomplished to investigate the patterns of vitamin/mineral supplements usage in the middle-aged. Eight hundred seventy two persons of middle age were chosen from various cities and rural communities in Korea. In this study, those factors affecting vitamin/mineral supplements consumption, and usage patterns were examined. In addition, vitamin and mineral intakes through supplements were calculated, and then compared with RDA. As a result, vitamin/mineral supplements were taken by 40.8% of subjects. The higher the age, education level, family income and socioeconomic status were, the higher the percentage of supplements consumption was. City-dewellers used them more often than rural-dewellers. And vitamin/mineral supplements were taken frequently in subjects who perceived their health as poor, and concerned much about health. Illness and climacteric symptoms were also related with elevated usage. However, nutritional knowledge and food habit did not affect supplements consumption. Users mostly received information about supplements from TV/radio/newspapers, of family/friends. One of the mainly cited reasons for taking supplements, next to ' to give energy', was 'to be healthier'. The four most favored supplements, in ranking order, were vitamin B-complex, vitamin E, vitamin A and Ca. Most vitamin and mineral intakes through supplements were much greater than RDA except Ca. Especially, vitamin B1 intake was the highest as 49.6$\pm$34.9 times of RDA. In conclusion, vitamin/mineral supplements used by the middle-aged in Korea was as high as those of western countries. Supplements consumption seemed to be related with affluence, poor health status, and high level of health consiousness. And supplements tended to be taken for health promotion irrespective of scientific background. Most vitamin and mineral intakes by supplements were exceeded RDA, and their intake ranges were very wide. Thus some subjects should give attention to the potential harms of megadose.

• Safety and Health at Work
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• 제12권4호
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• pp.462-470
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• 2021

Background: Fatigue is pervasive, under-reported, and potentially deadly where flight operations are concerned. The aviation industry appears to lack a standardized, practical, and easily replicable protocol for fatigue risk assessment which can be consistently applied across operators. Aim: Our paper sought to present a framework, supported by real-world data with subjective and objective parameters, to monitor aircrew fatigue and performance, and to determine the safe crew configuration for commercial airline operations. Methods: Our protocol identified risk factors for fatigue-induced performance degradation as triggers for fatigue risk and performance assessment. Using both subjective and objective measurements of sleep, fatigue, and performance in the form of instruments such as the Karolinska Sleepiness Scale, Samn-Perelli Crew Status Check, Psychomotor Vigilance Task, sleep logs, and a wearable actigraph for sleep log correlation and sleep duration and quality charting, a workflow flagging fatigue-prone flight operations for risk mitigation was developed and trialed. Results: In an operational study aimed at occupational assessment of fatigue and performance in airline pilots on a three-men crew versus a four-men crew for a long-haul flight, we affirmed the technical feasibility of our proposed framework and approach, the validity of the battery of assessment instruments, and the meaningful interpretation of fatigue and work performance indicators to enable the formulation of safe work recommendations. Conclusion: A standardized occupational assessment protocol like ours is useful to achieve consistency and objectivity in the occupational assessment of fatigue and work performance.

• 한국치위생학회지
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• 제12권3호
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• pp.621-629
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• 2012

Objectives : The purpose of this study was to examine the influential factors for the oral-health practice of adult workers and the relationship of their health-promotion life style to the factors of oral-health practice in an attempt to determine the impact of health-promotion life style. Methods : The subjects in this study were 160 workers who worked in Seoul, North-Jeolla and South-Jeolla Province, and were at the age of 20 and up. The survey was conducted from February 1 to July 20, 2011. Results : As for the relationship of the general characteristics of the workers to the factors of their health-promotion practice, gender made statistically significant differences to toothbrushing female (3.24), and there were statistically significant differences in education/concern according to more than college(2.72) scored higher academic credential(p<0.05). The group of the workers whose health-promotion life style was better in terms of all the toothbrushing(3.35), use of oral hygiene supplies(2.19), regular dental-clinic visit(2.70), dietary control(2.84) and education/concern(3.20) scored higher, and there were statistically significant differences in the factors of education/concern(p<0.05). Their health-promotion life style had an impact on regular dental-clinic visit among the factors of oral-health practice(p<0.05), and there was a positive correlation between health-promotion life style and tooth brushing, dietary control(p<0.05), regular dental-clinic visit, education and concern(p<0.01) the factors of oral-health practice. Conclusions : Workers should be stimulated to get into sound life habits to change their behavior, and they should be urged to improve their preventive health care, to get a dental checkup and ultimately to promote their health as well. Companies should take measures to accelerate the oral health promotion of workers and provide more dental checkup programs for them to be more concerned about their oral health, to promote their oral health and to maintain the best oral health.