• 제목/요약/키워드: Job Family

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응급의료 센터의 체류 및 입원대기 시간 지연 요인 - 일개 의료기관을 중심으로 - (An Analysis of Primary Causes for Waiting for Inpatient Admission and Length of stay at Emergency Medical Center(EMC))

  • 길숙영;김옥준;박진선
    • 기본간호학회지
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    • 제6권3호
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    • pp.522-531
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    • 1999
  • This research identifies the ingress to egress primary factors that causes a patient to receive delayed emergency medical care. This material was collected between February 1st to 28th, 1998. Research envolved 4,118 people who visited the college emergency medical center in Kyeongido Province, South Korea. Medical records were examined, using the retrospective method. to determine the length of stay and the main cause for waiting. Results are as follows : 1. The age group with the highest admission rate was 10 and under, approximately 1,394 (33.9%). Followed by an even distribution for ages between 11-50 at 10-15% for their respective ranges. The lowest admission rate was 50 years and above. 2. From the 4,118 records examined, 3,489 received outpatient treatment (84.7%); 601 were admitted for inpatient care (14.6%); 25 arrived dead on arrival (0.6%); and 4 people died at the hospital. 3. Between 7PM to 12AM, 42.9% were admitted to the EMC. The hours from 9PM to 11PM recorded the highest admission rate and 5AM to 8AM was the lowest From 8PM to 12AM, the most beds were occupied. 4. For most patients. the average length of stay was approximately 2.2 hours. By medical department, external medicine was the longest for 2.8 hours. Pediatrics was the shortest for 1.6 hours. The average waiting period for inpatient admission was 2.6 hours. Inpatient admission for pediatrics and external medicine was 3.4 hours and 2.2 hours respectively. 5. Theses are primary factors for delay at EMC: 1) pronged medical consultations to decide between inpatient versus outpatient treatment, and delaying to be inpatient, 2) when you call physicians they are delayed to come 3) Understaffing during peak or critical hours, 4) Excessive consulting with different medical departments, 5) some patients require longer monitoring periods, 6) medical records are delayed in transit between departments, 7) repeated laboratory tests make delay the result, 8) overcrowded emergency x-ray place causes delay taking x-ray and portable x-ray, 9) the distance between EMC and registration and cashier offices is too far. 10) hard to control patient's family members. The best way to reduce EMC waiting and staying time is by cooperation between departments, both medical and administrative. Each department must work beyond their job description or duty and help each other to provide the best medical service and satisfy the patient needs. The most important answer to shortened the EMC point from ingress to egress is to see things from a patient point of view and begin from there to find the solution.

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대구.경북지역 고등학생의 식생활교육 요구도 조사 (A Study on the needs of Dietary Education of High School Students in Daegu and Gyeongbuk Province)

  • 김윤화
    • 한국가정과교육학회지
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    • 제22권4호
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    • pp.77-90
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    • 2010
  • 본 연구는 고등학생들의 식생활영역 실천도 및 교육 요구도를 조사하기 위해 대구 경북지역의 1, 2학년 고등학생 463명을 대상으로 자기기입식 설문조사로 실시되었다. 식생활교육에 대한 필요성 인식수준은 3.47/5.00점으로 높았다. 식생활 교육이 필요한 이유로는 건강관리와 성장에 필요하기 때문이 54.6%로 가장 높았다. 일상생활에서 식생활 지식의 활용도는 3.16점, 식생활 영역에 대한 흥미도는 3.23점이었고, 식생활교육이 흥미로운 이유는 내용이 다양하고 재미있어서가 28.3%로 가장 높았으며, 직업선택을 위해(21.2%), 행복한 가정생활을 위해(20.7%), 실습이 많아서(19.7%) 등이었다. 식생활 영역의 난이도는 2.82점으로 낮은 편이었고, 식생활교육 요구도는 3.24점으로 조리능력 향상을 위한 요구도가 3.59점으로 가장 높았고, 다음으로 우리나라 식생활 문화(3.46점)에 대한 요구도가 많았다. 식생활 영역의 실천도는 3.43점으로 위생적이고 안전한 식품선택(3.72점)이 가장 높았고, 다음으로 손 씻기 등의 위생적인 식생활(3.71점)이 높았지만 건강한 생활을 위한 식생활, 식생활 평가, 생애주기를 고려한 식생활에 대한 실천도가 낮았다. 식생활교육 실천도는 필요성 인식, 활용도, 흥미도, 요구도와 양의 상관관계를 나타내었지만 난이도와는 음의 상관관계를 나타내었다. 따라서 고등학교 시기의 식생활교육은 성장과 발달, 건강과 행복한 가정생활을 위해 더욱 강화되어야 하며, 일상생활에서의 실천율을 높이기 위해 교육내용과 방법의 개선이 요구되었다. 또한 식생활교육은 학교교육 뿐 아니라 가정과 사회와 연계한 통합교육으로 이루어져야 할 것이다.

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고등학생의 성장환경에 따른 진로의사결정의 유형과 자기효능감의 차이 (The Difference of Growth Environment and High School Students' Career Decision Making)

  • 김진희;백선아
    • 한국가정과교육학회지
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    • 제25권1호
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    • pp.1-14
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    • 2013
  • 본 연구의 목적은 고등학생의 성장환경에 따라 진로의사결정에 차이가 있는가를 알아보는 것이다. 고등학생 600명을 대상으로 설문 조사를 실시하여 539부를 최종분석에 사용하여 성장환경 변인에 따라 군집분석을 실시하여 2개의 집단으로 구분하였다. 군집 A와 B는 성장환경에서 독립-성취 지향 요인을 제외하고 나머지 하위 요인의 점수에서 유의한 차이가 있어 성장환경의 특성이 서로 다른 집단임을 검증하였다. A group는 B group보다 정치적 사회적 지적 문화적인 활동에 관심을 갖고, 사회적 활동과 여가활동에 적극 참여하며 윤리적 도덕적 종교적 문제와 가치를 강조한다. 진로의사결정의 합리적 유형 점수는 A group보다 B group이 높고, 의존적 유형 점수는 A group이 B group보다 높다. 직업정보수집은 A group이 B group보다 점수가 높고, 목표설정과 자기평가 요인에서는 B group이 A group보다 점수가 높다. 성장환경의 특성에 따라 진로의사결정 유형과 자기효능감 점수는 차이가 있으므로 가정에서는 자녀에게 긍정적인 성장환경을 제공하는 것에 관심을 갖고 다양한 자극과 풍부한 경험이 제공되는 성장환경을 조성해 줌으로써 자녀들이 자신의 적성에 맞는 진로를 탐색하고 결정하는데 도움을 주어야 할 것이다.

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이주여성 출신 지역 생활문화와 아동놀이에 관한 연구 : 중국 길림성 집안시를 중심으로 (A Study of the Living Culture of Transnational Married Women and of Children's Outdoor Plays in their Hometown : Jilin Province - Jian in China)

  • 송순
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.131-143
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    • 2010
  • The purpose of this study is to understand the living culture of transnational married women and to analyze the out door play of children in their hometown. The data was collected through observation from 27th June to 7th July 2008 in Jian, Jilin Province China. The children's play and lifestyles were observed, and data pertaining to the culture of the people were collected by a teacher and staff. We also visited the residents for housing information. The results are given below. 1. They dressed in Korean clothes on festive days and the boys put on a hood. They had eating habits which included cooking for themselves or buying semi-manufactured goods but did not use, instant food. The housing habits involved a combination of cooking and heating by Korean floor heating system(Ondol). They utilized outdoor space to grow vegetables. Those with a fulltime job(teacher) preferred to live in an apartment but an apartment was too expensive. Public utility charges and traffic expenses were cheap. 2. The main festive days are the lunar New Year's Day and Chuseok. The children returned home and enjoyed the festive day with their parents. The language used are Korean language and Chinese. Some Korean words and phrases in Jian Joseonjok have different meanings as compared to how they are used in Korea. A capping ceremony did not to celebrate becoming an adult from an adolescent. Couples performed a wedding ceremony at a wedding hall attended by their parents and invited relatives from both families. The relatives gave the couple a wedding gift. They did not go on a wedding trip as it was not affordable but instead spent their wedding night at a hotel in this culture. When someone dies, they bury the body after cremation. They perform a memorial service for three years on the birthday of the departed. They have a banquet on the 60th birthdays with their relatives and neighbours and are typically presented with a carp for longevity. 3. They understand capitalism and therefore send their children to school to improve their social position. The Korean and Chinese languages are required subjects in school. The students choose a second language(English or Russian). They prefer English class but at the time of this study an English class was not offered at the school in Jian Joseonjok. Therefore the children entered a Chinese school. 4. The children play outdoor games such as Y$\acute{a}$o J$\grave{i}\bar{a}$(要家), X$\grave{i}$ang g$\grave{i}$(象棋), T$\grave{i}\grave{a}$o p$\acute{i}$ j$\grave{i}$n(r)(跳皮節), D$\grave{o}$uch ing g$\grave{u}$n 凍冷根, B$\bar{e}$i B$\bar{e}$i 背背, and soccer. They play games according to the season.

서울 近郊 傳統 農村의 變化 (The industrialization and the change of social structure of the traditional rural villiage in the Seoul Metropolitan suburbs)

  • 정부매;최기엽
    • 대한지리학회지
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    • 제29권3호
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    • pp.340-359
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    • 1994
  • This study intends to describe the characteristics of the transformation of the rural society by tracing the changing social and economic processes of traditional clan villiage (Yeolmi-ri, Silchon-myeon, Kwangju-gun, Kyunggi-province) in the suburbs of Seoul Metropolitan Area. Rural society has experienced serious change of the social structure by the ever expanding urbanization and industrialization since 1960's. The suburbs of Seoul Metropolitan Area is the representative case area of such transformation. This study analyzed various chracteristics of population structure of a villiage, the processes of residential movement and the occupational shift of each household of the villiage in terms of household's life-history collected by interviewing with each household. And the whole households of a villiage is divided by two groups of the native clan group and the non-dan in-migrant group. The results of this study are summarized as follows. 1) This villiage is located within a lineal distance of 40km and a time distance of about 30 to 40 minutes, adjoined dy the Joongbu(중부) national highway, the Kyungchoong (경충) industrial road, the local road between Yangpyuna(양평) and Gonjiam(곤지암) and having a advantageous iocational linkage to Seoul capital city. 2) It is a typical traditional dan villiae constituted of dan family Gu(구) one of whose ancestors had appointed to the prime minister of Chosun Dynasty, and until 1979, 56 out of 60 families of the villiage households were clan families. 3) Since 1979, as the villiage invaded by the out-movement of the small scale manufacturing industries from Seoul capital city, labours moved in this vallige from outside and increased villiage size up to 203 households in 1993, consequently the constitutional proportion between the native clan group and the non-clan in-migrant group was reversed up to 28% vs 72% deepening the sociological heterogeneity. 4) Because of the small scale of industries in this villiage and the vicinity with the city of Seoul, the population turnover of this villiage is very high. The turnover frequency is firstly high within same administrative district of gun(군) level and secondly high between this villiage and the city of Seoul. Thus short-distance movement is identified. 5) There is a close correlation between the residential movement and the occupational shift. The most numbers of non-farm native group have the experiences of migration while the members of native farming group don't shift both the job and the place of residence. The inmigrant group had several migration experiences but few occupational shifts. Thus occupatioanl shift is high for the native group while residential shift is high for the in-migrant group. It is concluded that the change proceeded in Metropolitan suburbs was not directed to form the traditional rural village as 'gesund Gebiet' with respect to the ballance among the economic, cultural and environmental adequency.

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혈청 총 콜레스테롤과 체질량 지수, 혈압, 생활습관과의 관련성 (A Study on the Correlation Among Total Serum Cholesterol Level, Blood Pressure, Body Mass Index, and Lifestyle)

  • 최소영;주영희;오진경;류은정;김정순;강영실
    • 성인간호학회지
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    • 제17권1호
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    • pp.149-159
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    • 2005
  • Purpose: The purpose of this study was to examine the relationship among the levels of total serum cholesterol level, blood pressure, body mass index, and lifestyle. Method: This study was designed as a descriptive correlation study. Subjects were 972 adults participated voluntarily living in GyeongNam. The height, weight, blood pressure and fasting serum cholesterol were measured. Body mass index was caculated. Information on general characteristics (age, gender, education, job, family history) and life style(cigarette, alchol, sleeping time, regular exercise, meal pattern, peppery, salty, sweetness, vegetable diet, meat diet) were collected using a questionnaire by interviewing method. Result: The mean value of total serum cholesterol was $197{\pm}36.4mg/dl$(mean; $189{\pm}36.7mg/dl$, women; $202{\pm}35.1mg/dl$). By simple analysis, the serum total cholesterol according to general characteristics features was statistically significant in age(F= 6.765, p=000) and gender (t=5.372, p=.000). Total serum cholesterol levels increased significantly with increasing BMI. The serum total cholesterol according to life style features was statistically significant in cigarette(${\chi}^2=12.12$, p=.016), exercise(${\chi}^2=6.335$, p=.042), salty taste(${\chi}^2=18.801$, p=016), vegetable diet (${\chi}^2=19.488$, p=012). The most affecting factor which total serum cholesterol factor was BMI(${\beta}=.151$, p=.000). Conclusion: The significant risk factors relating to serum total cholesterol were age, gender, BMI, smoking, and exercise. Therefore, for the reduction of serum total cholesterol level, it is recommended that nursing intervention for the prevention of obesity, change of life style should be implemented.

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Shoes from Pinet to the Present

  • June, Swann
    • 한국복식학회:학술대회논문집
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    • 한국복식학회 2001년도 19th International Costume Association Congress
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    • pp.11-13
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    • 2001
  • For those unfamiliar with the shoe world, Pinet (1817-1897) was a contemporary of Worth, the great Parisian couturier. So I look at the glamour shoes and the world of haute couture, and indeed the development of the named designer. That is a concept we are all familiar with now. So it is not easy to comprehend the lack of names for the exquisite work before 1850. Straightway I have to say that the number of noted shoe designers is far fewer than famous dress designers, but I will introduce you to some of them, against the background of contemporary shoe fashions. Franc;ois Pinet was born in the provinces (probably Touraine) in 1817, two years after the end of the Napoleonic Wars. His father, an ex-soldier, settled to shoemaking, a comparatively clean and quiet trade. It had a tradition of literacy, interest in politics, and was known as the gentle craft, which attracted intelligent people. We should presume father would be helped by the family. It was usual for a child to begin by the age of 5-6, tying knots, sweeping up, running errands and gradually learning the job. His mother died 1827, and father 1830 when he was 13, and at the time when exports of French shoes were flooding world markets. He went to live with a master shoemaker, was not well treated, and three years later set out on the tour-de- France. He worked with masters in Tours and Nantes, where he was received as Compagnon Cordonnier Bottier du Devoir as Tourangeau-Ia rose dAmour (a name to prove most appropriate). He went on to Bordeaux, where at 19 he became president of the local branch. In 1841 he went to Paris, and in 1848, revolution year, as delegate for his corporation, he managed to persuade them not to go on strike. By now the shoemakers either ran or worked for huge warehouses, and boots had replaced shoes as the main fashion. In 1855 Pinet at the age of 38 set up his own factory, as the first machines (for sewing just the uppers) were appearing. In 1863 he moved to new ateliers and shop at Rue ParadisPoissoniere 44, employing 120 people on the premises and 700 outworkers. The English Womans Domestic Magazine in 1867 records changes in the boots: the soles are now wider, so that it is no longer necessary to walk on the uppers. There is interest in eastern Europe, the Polonaise boots with rosette of cord and tassels and Bottines Hongroises withtwo rows of buttons, much ornamented. It comments on short dresses, and recommends that the chaussure should correspond to the rest of the toilet. This could already be seen in Pinets boots: tassels and superb flower embroidery on the higher bootleg, which he showed in the Paris Exposition that year. I think his more slender and elegant Pinet heel was also patented then or 1868. I found little evidence for colour-matching: an English fashion plate of 1860 shows emerald green boots with a violetcoloured dress.

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스마트 제조기술을 도입하는 일학습병행 학습기업을 위한 NCS 기반 교육훈련 및 자격 제안 (NCS-based Education & Training and Qualification Proposal for Work-Learning Parallel Companies Introducing Smart Manufacturing Technology)

  • 최환영
    • 실천공학교육논문지
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    • 제12권1호
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    • pp.117-125
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    • 2020
  • 중소·중견기업을 대상으로 하는 정부의 스마트 팩토리 추진 사업에 따라서 전국에 10,000개 이상의 지능형 공장이 구축 완료 또는 구축 예정으로 되어 있고 정부주도로 2022년까지 10만명의 전문 인력 육성을 목표로 하고 있다. 스마트 팩토리는 자동화된 제조현장에 효율적 자원관리 체계와 ICT 기술이 융합되는 형태로 각 지방 정부와 일부 대학, 공공단체 소속 훈련기관등이 중심이 되어 공급자 입장에서 수많은 종류의 교육훈련 과정을 소개하고 있으나 산업계 직업훈련의 표준이라고 할 수 있는 NCS와는 연계성이 부족한 상태로 그 방향성과 적정성은 재고의 여지가 있어 보인다. K 대학의 일학습병행제에 참여 중인 수도권과 충남권 학습기업을 대상으로 스마트 팩토리 도입 희망 여부와 수요를 파악하고 직무 매칭을 통하여 기업 내에서 스마트 팩토리 기술 도입의 창구 역할을 하게 될 실무자를 정의하여 커리어 패스를 감안한 육성목표를 설정하고 스마트 팩토리를 도입 및 운영에 적정한 훈련 필수능력단위와 선택능력단위의 수준, 훈련 시간을 포함하는 NCS 기반 자격 설계 안을 제시하고자 한다.

집단 변인에 따른 임신 및 수유에 관한 의식 및 영양 교육 요구도 비교 - 임신수유부, 의료전문인, 여대생 집단 비교 - (Perception and Service Needs about Nutrition Education of Pregnant and Lactating - To Compare with Pregnant and Lactating Women, Health Specialist and College Women -)

  • 안홍석;이영미;오유진
    • 대한지역사회영양학회지
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    • 제11권3호
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    • pp.327-337
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    • 2006
  • The major purpose of this study was to develop the nutrition education contents and material through the basic data from the service provider and the consumer. And also, to find out the differences of attitude and needs between the service provider (SP breastfeeding specialist), present consumer (PC, pregnant or lactating women) and future consumer (FC, college women). There were types of questionnaires, which consisted of needs and attitudes toward child and maternal nutrition, as well as the personal characteristics of the study subjects. The subjects consisted of 113 breastfeeding specialists who served at medical related institutions, 197 pregnant or lactating women and 309 college women. The self-administered questionnaires from subjects were collected from October to November 2005 in Seoul and Kyunggi Province. The data was analysed by SPSS Win 12.0, ANOVA and Kruskal-Wallis test. The results of this study were as following: 1) The most Important determining factors on breastfeeding was 'medical specialist's support' (3.51) and the next one was 'knowledge of maternity care practice' (3.39). And the importance score of determinating factors on breastfeeding was significantly different between each group (p < 0.001). The groups of consumer (3.50 at PC and 3.59 at FC) considered the service provider (3.32) more important. The service providers considered a more effective determining factor to be 'husband and family support' and 'peer support' than the others (p <0.001). 2) To compare the effective factors of breastfeeding practices between the three groups, the service providers were more significantly considered than the otters such as 'attendance of intervention program' (p < 0.001). But the PC group considered the most effective factors wis 'mother's job after delivery'. 3) The self-evaluated score of the breastfeeding knowledge was the most high in SP; the score was significantly different between groups. The knowledge score of nutritional aspects in human milk was most highly evaluated. But maternity care practice and public acceptance marked the lower evaluation score than other issues. 4) The desirable types of educational material was mass media, and the next was printed matter such as booklets. Two kinds if consumers preferred DVD or VCR tapes than and the service provider group (p < 0.001). 5) The priority contents of nutrition service PC group wanted the information about infant care more than maternal care (p < 0.05), but FC group's priority was significantly different compared with PC group (p < 0.001). The priority of SP group pointed out the information of practical child care methods. The results showed the needs of nutrition service, education channels, and perception toward effective factors on consumer behavior changes were significantly different between each group. Thus the result of this study may suggest that consumer oriented nutrition service programs must be developed.

한국(韓國)의 전통적(傳統的) 민간요법(民間療法)의 이용실태(利用實態) 조사연구(調査硏究) -성인병(成人病)에 이용(利用)되는 식품(食品)을 중심(中心)으로- (A Study on the Actual Utilization Korean Traditional Remedies -About foods used on geriatric disease-)

  • 이금숙;황춘선
    • 한국식생활문화학회지
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    • 제5권3호
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    • pp.331-347
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    • 1990
  • This study was designed under the purpose to analyze the Korean Traditional Folk Remedies on food, to submit the basic statistical data, and to utilize them by examining how much they know about the Korean Traditional Folk Remedies and also by examining how frequently they used them. The sample was consisted of 312 housewives living in Daegu, Kyungsan city and Kyungsan-eup, the survey was made by use of questionaires from July 15 to August 1 1989. The results are as follows 1. Analysis of Folk Remedical Contents 1) The method of the Folk Remedies used in this area was mainly food, which can be easily found around their house and easy to use, it was possible to apply scientific principles in some cases. 2) The major popular method was shown to feed boiled barley or brown rice which are known as the Folk Remedy for Diabetes. 3) The ANOVA of variable shows the significant influence on each object which age, religion, the level of education, job, monthly income, and the area except family formation. 2. The Frequency of Folk Remedies and additional analysis 1) The most frequently used Folk Remedy was Arterio-sclerosis(1.44), which is followed by the loss of Eyesight(1.40), Hang over(1.28), Couth(1.27), Cold(1.26) etc. 2) In the analysis of Pearson Correlation between frequencies of Folk Remedies used, and demographic variables such as age(p<.05), the monthly income(p<.01), in that area, total number of response items showed a positive correlation. 3. The source to learn about Folk Remedy. 1) It is acknoledged that they are mostly instructed by their forefathers, friends, neighbors, professional textbooks, mass communications, herb doctors, other medical sources or education at school etc. 2) The ANOVA of Variables shows the big differences between each group by age. Based on the above findings, the following suggestions are made ; Most of Korean Traditional Folk Remedies are recognized scientific and reasonable which are based on the scientific research and herb medicine therefore it should be made good use of for our life in good health additionally. I hereby insist that the importance of our Folk Remedies should be reviewed and focused for maintenance our health.

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