• 대한의용생체공학회:의공학회지
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• 제25권1호
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• pp.43-47
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• 2004

뇌의 기능성과 분산 영역간의 연결성에 대한 관심이 매우 증대되고 있는 추세다. 그 중에서 DTI (확산 텐서 영상)는 비침습적으로 뇌에서의 물분자의 확산과 뇌의 회백질 신경 다발 구조에 대한 정보를 제공할 수 있는 자기공명영상 기법이다. 따라서 우리는 이 기법을 통해 다른 해부학적 혹은 기능적 자기공명영상 기법으로는 얼을 수 없는 뇌의 신경 섬유 다발과 대뇌 피질 영역의 연결성 정보를 얻을 수 있다. 본 연구에서는 컬러 코딩 방식에 의하여 뇌의 주된 신경 다발의 방향성을 가시화 하고자 한다. 인간 뇌의 방향성 지도는 연합섬유, 방사섬유. 교련섬유. 운동 및 감각회로 섬유의 다발들을 구별하기 쉽게 하여준다. 우리는 이 목적 하에 24비트 칼라코딩 방법을 윈도우 PC 환경에서 IDL을 이용하여 구현하였다. 덧붙여 방향성의 각각의 성분 및 이방성에 대한 컬러 코딩과 이들을 표현하기 위한 다양한 색상표를 구현하였다. 결론적으로 우리의 24 비트 킬러 코딩을 이용한 뇌 회백질의 신경 다발의 방향성 가시화에 성공하였다. 우리가 구현한 방법에 의해 뇌의 주요 신경 다발들이 잘 가시화됨을 확인하였다.

• 한국의료질향상학회지
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• 제3권1호
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• pp.104-124
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• 1996

Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

• 한국콘텐츠학회논문지
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• 제16권12호
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• pp.192-202
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• 2016

본 연구는 성인의 지각된 건강상태, 건강태도, 건강관심도 및 건강증진행위 사이의 관계를 파악하기 위한 공분산구조분석 연구이다. 자료수집은 2014년 5월부터 6월까지 4개 도시에 거주하는 만 20세부터 만 59세 성인 292명을 대상으로 지각된 건강상태, 건강태도, 건강관심도, 건강증진행위를 조사하고 지각된 건강상태와 건강태도를 외생변수로, 건강관심도와 건강증진행위를 내생변수로 하는 연구모형을 구축하였다. 수집된 자료는 AMOS 20.0 프로그램을 이용하여 분석하였다. 연구결과 지각된 건강상태와 건강태도, 건강관심도는 건강증진행위에 직접효과가 있었으며, 지각된 건강상태와 건강태도는 건강관심도를 통해 건강증진행위에 간접효과를 있었다. 이러한 결과를 통해 성인의 건강증진행위 증진을 위해서는 장기적 관점에서 학교, 직장, 보건 의료기관을 통해 다양한 건강교육 프로그램을 운영하므로써 긍정적 건강태도 형성을 통한 건강관심도를 제고하고, 건강검진과 건강교육의 유기적 연계를 통해 자신의 건강상태에 대한 지각이 건강증진행위 참여의 계기로 이어 질 수 있도록 건강상담 개발 운영할 필요가 있다.

• 대한지역사회작업치료학회지
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• 제8권1호
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• pp.23-31
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• 2018

목적 : 요양병원 입원노인의 우울과 자아효능감이 삶의 질에 미치는 영향을 알아보고자 하였다. 연구방법 : 대상자는 경상북도 K시에 소재하고 있는 요양병원 입원노인 212명을 대상으로 하였다. 대상자의 일반적 특성, 한국판 노인 우울척도(GDS-K), 자아효능감척도, 세계보건기구 삶의 질 간편형 척도(WHOQOL-BREF)가 첨가된 구조화된 설문지를 통해 자료를 수집하였다. 수집된 자료는 부호화하여 SPSS ver.18을 사용하여 일반적 특성에 따른 우울, 자아효능감, 삶의 질의 차이와 자아효능감, 우울, 삶의 질 간 상관계수 그리고 우울, 자아효능감이 삶의 질에 미치는 영향을 알아보았다. 연구결과 : 일반적 특성에 따른 우울과 자아효능감은 입원기간과 종교가 통계적으로 유의한 차이가 나타났고, 삶의 질은 종교에서 유의미한 차이가 나타났다. 입원노인의 우울은 삶의 질과 통계적으로 유의한 부적 상관관계(p<.001)가 나타났고, 자아효능감 하위변인과 삶의 질은 통계적으로 유의한 정적 상관관계(p<.001)가 나타났다. 입원노인의 우울과 자아효능감이 삶의 질에 영향을 미치는 변인은 우울정도(${\beta}=-.328$)이고, 사회적 효능감(${\beta}=.248$), 신체적 효능감(${\beta}=.193$)으로 나타났다. 결론 : 입원노인의 삶의 질을 높이기 위해 우울을 감소시키고 자아효능감을 높일 수 있는 요양의료서비스의 제공 및 개발이 필요할 것이다.

• 한국병원경영학회지
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• 제25권3호
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• pp.67-77
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• 2020

Background: As of 2016, average Koreans sleep 7 hours and 42 minutes, the lowest figure among Organization for Economic Cooperation and Development(OECD) countries, and the number of people with sleep disorders reached 561,000. Accordingly, the government has promoted the provision of 'Multiple Sleep Test' to strengthen the diagnosis service for patients with 'sleep disorder' in july 2018. As a result, healthcare costs for patients with sleep disorder is on the rise every year. In this study, we utilized 'Appropriate Sleep' criteria of United States's National Sleep Foundation(NSF) then investigated Korean's sleep pertinence using ｢7th National Health and Nutrition Survey for 2016-2018」 by different occupational type, demographic characteristics, socio-economic characteristics, and health behaviors. Methods: We performed descriptive analysis to examine differences of sleep appropriateness by various sample characteristics. Multivariate logistic regression models were used to examine sleep appropriateness by occupational type and other variables. We also analyzed subgroup models to investigate. Results: As a result, a total of 1,948 (18.37%) study subjects experienced in-appropriate sleep. Results of the Multivariate logistic regression analysis revealed that blue color group had a higher odds ratio (OR) for experiencing in-appropriate sleep (OR=1.179). In addition, the odds ratio of experienced in-appropriate sleep among the elderly aged 70 and over was 2.698, and the odds ratio of the overstressed group was 1.299. Furthermore, sub-group analysis showed that blue color job of female(Or=1.334), high school or below(OR=1.404), divorce/death/separation(OR=2.039), 25%ile-50%lie income group(OR=1.411) more likely experienced in-appropriate sleep. Conclusion: Growing sleep disorder patients and related health care costs are expected. Government should apply detailed 'total periodic sleep disorder management policy' including pre-consultation, examination, diagnosis, treatment, post-consultation, self-management especially to vulnerable population that this study found.

• 융합정보논문지
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• 제10권8호
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• pp.77-86
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• 2020

이 연구는 코로나 19 확산에 따른 WHO의 마스크 사용 지침에 대한 한국 보건당국의 이행 및 불이행 내용을 분석하고 그것의 원인과 대안 선택의 결과를 도출하여 전염병 예방에서 지침의 한계와 연구의 함의를 제시하는데 목표가 있다. 이를 위해 국내·외 마스크 관련 문헌들을 고찰하고 WHO의 마스크 지침과 한국 보건당국의 마스크 권고사항을 분석대상으로 한다. 분석 결과는 다음과 같다. 첫째, 한국의 보건당국은 두 차례의 권고 사항에서 WHO의 "제한된 마스크 사용자 관점"을 기본적으로 수용하고 적용해왔다. 둘째, 한국의 보건당국은 마스크 수급이 부족해지면서 WHO 마스크 지침과는 상이한 이행을 하였다. 셋째, 한국의 보건당국은 보편적 마스크의 필요성에 따른 마스크 공급 안정화를 기반으로 코로나 19 초기 방역에 성공할 수 있었다. 넷째, WHO 마스크 지침에서 마스크 사용자 제한은 결과론적으로 지침으로서의 부분적 오류를 드러냈다. 분석에서 도출된 함의는 의학적 근거에 따른 국제 지침일지라도 일단 감염병 팬데믹 상황에선 국제 규칙의 엄격한 준수보다 각국의 방역상황 및 역량에 따라 자율적인 지침을 따르도록 허용할 필요가 있다는 점이다.

• 부모자녀건강학회지
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• 제4권2호
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• pp.56-72
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• 2002

Web sites on the internet are getting major resources to gain information related to child care. Though the numerous web sites deliver child care information, they have never been evaluated with criteria before. The purpose of this study is to identify existence and organization of child care portal sites and to analysis their contents, therefore to suggest guidelines for parents. The survey was conducted from Sep. 1. to Oct. 30., 2001. by means of Lycos Korea and Daum search engine and finally 45 portal sites related to child care were selected eliminating the commercial and personal homepages. The results were as follows: 1. Most of the sites(95.6%) were operated by corporations without registration(82.2%). Consultants were mostly professional (71.1%). 2. The contents were analyzed 4 categories including 19 themes. 3. Diet & Nutrition category include weaning food, breast feeding, bottle feeding and snack. The recipe and type of weaning food on months were topped(64.44%). 4. Infant Care category include bathing, sleeping, clothes, skin care and cord care. bathing method and heat of bathing water were topped(44.44%). 5. Growth & Development category was consisted of developmental characteristics, dental growth, play & exercise and learning & guidance. Developmental stage and motor development were topped (62.22%). 6. Health maintenance & promotion category was consisted of emergency care, prevention of accidents, vaccination, common pediatric disease and parental role. Care of diarrhea, constipation and fever, and precautions for vaccination were topped(48.89%).

• Genomics & Informatics
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• 제8권3호
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• pp.108-115
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• 2010

Hypertension is the most prevalent disease worldwide and is itself a risk factor for cerebral, cardiac, and renal diseases. The inconsistency of candidate genes suggested by previous genomewide association studies (GWASs) may be due to not only differences in study design and genetic or environmental background but also the difference in the power of analysis between continuous traits and discrete traits. We analyzed 352,228 single nucleotide polymorphisms (SNPs) in 8842 unrelated Koreans obtained from Ansan and Ansung cohorts. We performed a series of GWA analyses using three different phenotype models; young hypertensive cases (278 subjects) versus elderly normotensive controls (680 subjects); the upper 25% (2211 hypertensive cases) versus the lower 25% of the SBP distribution (2211 hypotensive controls); and finally SBP and DBP as continuous traits (8842 subjects). The numbers of young hypertensive cases and elderly normotensive controls were not large enough to achieve genomewide significance. The model comparing the upper 25% subjects to the lower 25% of subjects showed a power that was approximate to that of QTL analysis. Two neighboring SNPs of the ATP2B1 gene, rs17249754 (SBP, p=$2.53^{-10}$; DBP, p=$1.28{\times}10^{-8}$) and rs7136259 (SBP, p=$1.30{\times}10^{-9}$; DBP, p=$6.41{\times}10^{-8}$), were associated with both SBP and DBP. Interestingly, a SNP of the RPL6 gene, rs11066280, revealed a significant genomewide association with SBP in men only (p=$3.85{\times}10^{-8}$), and four SNPs located near the MAN2A1 gene showed a strong association with DBP only in elderly men aged 60-70 years (e.g., rs6421827, p=$4.86{\times}10^{-8}$). However, we did not observe any gene variant attaining genomewide significance consistently in the three phenotype models except for the ATP2B1 gene variants. In general, the association signal with blood pressure was stronger in women than in men. Genes identified in GWASs are expected to open the way for prevention, early diagnosis, and personalized treatment of hypertension.

• 한국산학기술학회논문지
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• 제16권9호
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• pp.6112-6119
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• 2015

이 연구는 물리치료사의 직무스트레스와 이직의도를 확인하고 둘 사이의 관련성을 파악하기 위해 실시되었다. 연구 대상자는 경기 인천지역에 근무하는 물리치료사 309명이었다. 자료 수집은 2015년 6월 1일부터 동년 6월 25일까지 구조화된 자기-기입방식 설문조사를 사용하였다. 연구결과, 직무스트레스는 직무자율에서 가장 높았고, 관계갈등에서 가장 낮게 나타났으며, 이직의도는 $2.80{\pm}0.70$점이었다. 물리치료사는 나이와 총근무년수가 증가할수록 직무스트레스와 이직의도가 높아지는 유의한 양의 상관관계를 보였다(p<.05). 이직의사는 모든 직무스트레스 요인들과 유의한 양의 상관관계가 있었고, 의욕저하 또한 직무불안정을 제외한 직무스트레스의 모든 요인들과 유의한 양의 상관관계를 보였다(p<.05). 또한 직무스트레스 요인 중 직무자율, 직무체계, 보상, 직장문화가 이직의도에 영향을 미치는 요인으로 나타났다. 본 연구를 통해 물리치료사의 직무 스트레스의 증가는 이직의도를 높이는 위험요인인 것을 알 수 있었고, 직무스트레스와 이직의도를 감소시키기 위한 노력이 필요할 것으로 사료된다.

• 여성건강간호학회지
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• 제4권3호
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• pp.309-321
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• 1998

The purpose of this study was to analyze the contents related to health in the three major monthly women's magazine that was printed from March, 1997 to February, 1998. The unit of analysis was the section of health, living life, and reaing child. The total number of related story of health was 317. The analysis was done according to the target, health management, topics and the informer by using frequency and number. The findings are as follows : 1. The contents were categorized by target people. The number of items for women was 113(35.6%), child(17.4%), family(15.5), husband(4.7%) and others(26.8%). Others were the contents that are impossible to classify. 2. The number of items of contents by health management was the related to health maintenance and promotion 120(47.8%), health care when they were deviated from health 26(10.3%), and those of both attributes 105(41.8%). 3. The number of items of contents by topics was the related to the occurrence, prevention and treatment of various kinds of disease 41(12..9%), diet 37(11.7%), academic information 11.3%, women's disease 10.4%, the effect of foods 6.0%, child's growth & development and child care 5.75, various kinds of therapy for health care 5.7%, sexual life 5.4% and exercise 4.7%. 4. The number of items of contents by informer was medical doctor 215(49%), lay person's case report or report of a struggle against a disease 12.3%, relevant organization of a related story(eg. family therapy research institute, physical therapist's or teacher's) 11.2%, and the contents of existing books or lecture 8.9%. Among those contents, only the one case from nurse or Korean nurses association as informer was founded, which is related to "skinship child care." In conclusion, this finding showed that women's magazine took a role as a important resource providing informations of health to women. it provides a challenge to the health professionals to have concerns on women's needs, and the content, source, and accuracy of the health related information and take part in the process producing information through such as screening and examining so as to give accurate information to women. Then women's magazine can take a role as a major resource for maintaining and promoting women's health. Finally, nurses's, who are professional health care providers, important and active role as informers toward the lay persons, especially for the women who are non-professional care givers at the family unit should be stressed. More active and continual monitoring and analyzing the contents related health in the mass media including magazine and Internet network in detail, and participating in establishing the system of adequate and precise information for women and lay persons from the nursing profession are required absolutely.