• 제목/요약/키워드: Preventive Intervention

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초.중.고등학교 보건교사의 보건수업 수행에 대한 교사효능감 관련요인 (Factors related to Teachers' Self-efficacy in Korean Health Teachers)

  • 김영숙;하영미;박현주;정혜선;권은하
    • 한국학교보건학회지
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    • 제25권1호
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    • pp.59-67
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    • 2012
  • Purpose: There is little known about teachers' self-efficacy in health teachers even though over 75% of Korean health teachers have offered school health education. The purpose of this study was to examine factors related to teachers' self-efficacy in Korean health teachers. Methods: Data were collected from school nurses from 474 schools such as 236 elementary schools, 140 middle schools and 98 high schools in Seoul with the stratified random sampling method. The associations among school characteristics, health teachers' characteristics, and teachers' self-efficacy were examined by ANOVA (Anlaysis of variable). To identify the possible predictors of teachers' self-efficacy, ANCOVA (Analysis of covariance) was performed. Results: Two factors, school stage (elementary, middle or high schools) and types of school (public or private school), were significantly related to teachers' self-efficacy. Teachers' self-efficacy of health teachers in elementary schools was significantly higher than that in middle and high schools. Health teachers in private school had significantly higher teaching self-efficacy than ones in public school. Conclusion: Given the fact that health teachers in elementary and private school had higher teachers' self-efficacy, an intervention to strengthen teachers' self-efficacy of health teachers in middle and high schools as well as ones in public school is required to help children and adolescents learn good health behaviors.

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어린이 성폭력 예방 교육이 유치원 교사의 지식 및 태도에 미치는 효과 (The Effect of Education on the Knowledge and Attitude toward Child Sexual Abuse in Kindergarten Teachers in Korea)

  • 배정이
    • 한국간호교육학회지
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    • 제7권2호
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    • pp.254-263
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    • 2001
  • The Purpose of this study was to find out the effects of education for prevention of sexual abuse (rape, sexual assault, sexual harassment etc.) of children in kindergarten teachers. Incidences of sexual abuse in Korea is ranked 3rd in the world. Sexual abuse of children, particularly, is one of the most serious crimes that affect both the victimized children and their family. The issue related to sexual abuse of children has been ignored, and there is a lack of systematic education to prevent sexual abuse of children either for children or their parents in Korea. Furthermore, lack of knowledge and poor attitude of teachers limit their capability to provide education for sexual abuse prevention to the children. The education for kindergarten teachers may change their knowledge of the sexual abuse and their attitude toward it and improve their capability in helping children. 114 Korean kindergarten teachers participated in this study. Research design was one group pretest-posttest design. The education given to the subjects included 2 hours of lecture. The education program was developed based on a survey. Preschool-aged-children, parents, and teachers were interviewed to reveal their educational needs based on their experiences related to sexual abuse. This program includes such as safety education, crisis management, resource person(s), and phone numbers of available hospital. Data was collected before and after the education was given to the subjects, to assess their knowledge and attitude toward child sexual abuse. Two instruments were used in this study. Using Cronbach's ALPHA validity and reliability of 2 instruments were tested. The analysis of the data was done with Window SPSS 10.0 for descriptive statistics, t-test and ANOVA. The results of this analysis were as follows : 1. After education, the score of kindergarten teachers knowledge was higher than before (t=-4.409, p=0.002). 2. After education, the score of kindergarten teachers attitude was higher than before (t=3.065, p=0.003). The findings from this study will provide an intervention strategy for prevention of sexual abuse in children.

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Essential Occupational Safety and Health Interventions for Low- and Middle-income Countries: An Overview of the Evidence

  • Verbeek, Jos;Ivanov, Ivan
    • Safety and Health at Work
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    • 제4권2호
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    • pp.77-83
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    • 2013
  • There is still a considerable burden of occupational diseases and injuries in the world. It is not well known which interventions can effectively reduce the exposures at work that cause this burden. The objective of this article is to summarize evidence from systematic reviews of interventions to prevent occupational diseases and injuries. We included systematic reviews of interventions to reduce the incidence of work-related cancer, dust-related diseases, occupational asthma, chronic obstructive pulmonary disease, noise induced hearing loss, back pain, and occupational injuries. We searched Medline and Embase with predefined search strategies to locate systematic reviews of these interventions. We found 23 systematic reviews of which the results are also applicable to low- and middle income countries. Effective measures to reduce exposure leading to work-related cancer, dust-related diseases, asthma, chronic obstructive pulmonary disease, noise, and injuries are available. However, better implementation of these measures is needed. Regulation, enforcement of regulation, and incentives for employers are effective interventions to achieve this goal. There is evidence that feedback and rewards for workers help in reducing occupational injuries. There is no evidence in many studies that back pain can be prevented. Personal protective equipment technically has the potential to reduce exposure but this is difficult to put into effect. There is no evidence in the studies regarding the effectiveness of education and training, preventive drugs, or health examinations. There is evidence that the implementation of technical measures enforced by regulation can prevent occupational diseases and injuries. For other interventions such as education or health examinations, there is no evidence that supports their effectiveness. More systematic reviews are needed in the area of injury prevention.

디지털중독 위험군 남학생의 VDT 자각증상 영향요인 (Factors Influencing VDT syndrome among male adolescents with risk of digital addiction)

  • 서문경애;이영진
    • 디지털융복합연구
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    • 제14권1호
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    • pp.363-370
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    • 2016
  • 본 연구는 디지털기기 중독 위험군에 속하는 남자 중학생의 VDT증후군 자각증상 정도를 확인하고, 이에 영향을 미치는 요인을 파악하고자 하였다. 서술적 관계 조사연구로 디지털중독 위험군에 속하는 남자 중학생 169명을 대상으로 온라인 게임 중독, 스마트폰 사용 중독, VDT 증후군의 자각증상, 컴퓨터 사용 환경을 조사하였다. 결과적으로 디지털중독 위험군인 남자 중학생의 VDT 증후군 자각증상은 심리적 증상, 전신증상, 눈 증상, 근골격계 증상순으로 경험하는 것으로 분석되었다. 가장 다빈도 자각증상은 눈 관련 증상으로 눈의 피로감, 시력저하로 나타났다. VDT 증후군 자각증상의 영향요인은 스마트폰 사용 중독, 주중 컴퓨터 사용시간, 컴퓨터 사용 환경으로, 28.1%를 설명하였다. 본 연구는 디지털 중독에 대한 포괄적인 관점에서 건강문제를 탐색하고, 이에 영향을 미치는 요인을 예측해 보고자 시도된 연구로서 의의를 갖는다.

Current Issues in Evaluating Health Promotion Programme Using Traditional Korean Medicine in Korea

  • Han, Dong-Woon;Kim, You-Kum;Lee, Young-Ho
    • 대한한의학회지
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    • 제29권5호
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    • pp.126-133
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    • 2008
  • Purpose : The aim of this study is to identify current situation and issues of outcome measures to evaluate the public health programs using traditional medicine by public health centers in Korea. Method :This study analyse and review existing data and documents related to traditional Korean medicine and health policy using contents analysis method. To collect the information on outcome measures evaluating the programmes, this study reviewed annual reports for health promotion programmes using traditional Korean medicine(HP-TKM) of Hub public health centers, as pilot public health centers, which have implemented the health promotion programmes collectively. Additionally, the review included research articles, government documents and book chapters on the topics related assessments in health promotion. Results :HP-TKM are stroke prevention education, smoke free program, health promotion according to Four Constitutional Medicine, home visiting treatment, etc. However, there are only a few studies of traditional medicine focused health promotion evaluation strategies. The benefits of health promotion programs using TKM can be categorized as non-health benefit, physiological, psychological and physical effects. To manage and monitor the intervention programmes efficiently, attention should be given to developing relevant and valid outcome measures for evaluating the programmes by government and public health center. Conclusion :Up to now, considering number of researchers, research projects undertaken or published articles and reports, within traditional Korean medicine there is a lack of capacity in research. Thus, government should pay more attention to developing relevant and valid outcome measures for evaluating the programs.

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야외 조형물의 보존에 있어 최근 보존윤리이론에 대한 비판적 주석 (Ethical Premises for Maintenance of Outdoor Sculpture)

  • 김겸
    • 한국문화재보존과학회:학술대회논문집
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    • 한국문화재보존과학회 2004년도 제20회 발표논문집
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    • pp.25-32
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    • 2004
  • All the works including sculpture created by modern artists contain a message that represents both the ideas and spirit of an era. We are entrusted with the responsibility of transmitting to future generations modern art in as nearly as perfect condition as possible. Thus despite the challenges we face in preserving modern art, we are obliged to conserve it. Especially, outdoor sculpture can be considered as not only works of art themselves, but also a public art. The work of contemporary sculptors often refers to the complexity of social relationships between the art and the public space, so that the public space tends to include the actual public in the art. The conservator at this point needs to preserve tile concept of the public art which is incorporated in the public participation in the sculpture, in addition to the materials of the sculpture itself. Once the sculpture is damaged, it will need restoration. Restoration may be essential to prevent further deterioration, or it may be necessary in order to make an object usable again. It is difficult to generalize about restoration because, as with preventive treatment, the acceptable degree of intervention varies from one discipline to another The degree of treatment including restoration may depend on such variables as available resources, the future use of the object, and the needs of the particular discipline to which it belongs. When conservators start to treat artworks or during the treatment, they will face many moments where they have to make a choice. Codes of ethics are necessary in order to provide a basis for making choices. Even though ethics have always been subject to change depending on an era or culture, the ethics subject will be much easier to reached an agreement on than one involving aesthetic value. The aesthetic value will be one of the most prominent factors for defining the damage: even minor loss of parts or discolouration can be considered as fatal damage for artworks. Sometimes, an alteration of the appearancecould be intended by the artist himself so that the artist's intention could be important factor for judging the damage of artworks. But, modern hermeneutic theories show that the artist's intention cannot be the only factor for consideration, so that the interpretation and application of artist's intent should be an interdisciplinary task regarding distinctive social and cultural backgrounds.

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Efficacy and Safety of Soy Protein Based Formula in Atopic Dermatitis

  • Yeom, Kkot-Bo-Ra;Kim, Kyu-Han
    • Preventive Nutrition and Food Science
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    • 제16권3호
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    • pp.248-252
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    • 2011
  • Soy protein based formula (SPF) has been developed for infants who are at a high risk for atopic dermatitis (AD) and cow's milk protein allergy (CMA). We performed this study to evaluate the therapeutic efficacy and safety of SPF compared to conventional hydrolyzed cow's milk formula (hCMF) in the feeding of infants with AD and CMA. 38 infants (12 to 24 months of age) diagnosed with CMA and AD were randomized to receive either SPF or hCMF for 12 weeks. Follow-up was conducted at 4, 8 and 12 weeks. Growth parameters of the infants were evaluated during each visit. Clinical evaluations, including AD severity scores, pruritus, specific immunoglobulin E (IgE) (cow's milk protein and soy protein) levels of peripheral blood, were made at enrollment and week 12. Analysis was performed on the 32 infants (SPF: n=16, hCMF: n=16) who completed the 12-week intervention. Eczema area and severity index (EASI) scores, a measure of the severity of AD, and pruritus were significantly reduced after 12 weeks compared to enrollment in the both groups; however, the median changes for EASI scores and pruritus were not statistically different between the two groups. The growth parameters did not differ significantly between both groups at any assessed time point. This study suggests that SPF could be useful in decreasing the severity of AD without affecting infant growth status. Therefore SPF could provide an adequate and safe alternative to hCMF in treating infants with AD and CMA during the first 12 to 24 months of their life.

미국 청소년의 문제성 음주에 대한 심리사회적 보호변인과 위험변인의 역할 - 보호변인의 보상효과와 완충효과를 중심으로 - (The Impact of Psychosocial Protective and Risk Factors on Problem Drinking among American Adolescents: Focused on Compensatory and Buffering Effects of Protective Factors)

  • 김영미
    • 한국사회복지학
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    • 제56권4호
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    • pp.269-290
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    • 2004
  • 본 연구는 미국 청소년들의 문제성 음주에 대한 심리사회적 보호변인들과 위험변인들의 영향력을 확인하고, 이들 중 보호변인들의 역할을 보다 구체적으로 검토하기 위해서 개별 보호변인의 보상효과와 완충효과를 분석하였다. 연구 자료는 The Monitoring the Future 2002 연구의 10학년 4,362명의 사례를 활용하였으며, 자료 분석방법으로는 위계회귀분석이 사용되었다. 분석결과는 친구의 영향력, 감각추구성향, 일탈행동경험이 문제성 음주에 대해 유의미한 위험변인으로 기능함을 보여주었다. 보호변인의 경우에는 음주결과에 대한 부정적 기대, 부모와의 유대, 학교에 대한 유대, 친사회적 활동이 직접적으로 문제성 음주의 감소에 영향을 주는 보상효과를 나타냈다. 또한 음주결과에 대한 부정적 기대는 친구의 영향력을 완화시켜 문제성 음주를 감소시키는 유의미한 완충효과를 가지고 있었다. 본 연구는 이러한 결과를 바탕으로 문제성 음주에 대한 예방적 개입을 위한 실천적 방안을 제시하였다.

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군부대 내 부적응 병사에서 충동성과 혈청 지질과의 상관성 (The Relationship between Serum Cholesterol and Impulsiveness in the Division of the Republic of Korean Army)

  • 김슬기;강석훈;임명호;최종혁;이병용
    • 대한불안의학회지
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    • 제8권2호
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    • pp.120-126
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    • 2012
  • Objective : Previous studies reported a correlation between the low serum cholesterol level and impulsive behaviors. In this study, we investigate an association between the serum lipid levels and psychological parameters in maladaptive soldiers in the Korean Army. Methods : A total of ninety-six maladaptive subjects and thirty-six normal controls in the Korean army were evaluated with the Korean version of Barratt Impulsiveness Scale (K-BIS), Korean version of Beck Suicidal Ideation Scale (K- BSIS), Korean version of Beck Depression Inventory (K-BDI) and Korean version of Beck Anxiety Inventory (K-BAI). Serum total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) and high density lipoprotein (HDL) level were measured by overnight fasting blood sampling. Results : There were no significant differences between the groups in demographic characteristics. Serum total cholesterol levels (t=-2.209, p=0.032), triglyceride levels (t=-4.593, p<0.001), and LDL levels (t=-3.753, p=0.001) of maladaptive subjects were significantly lower than those of normal controls, and maladaptive subjects had higher K-BIS scores than normal controls (t=7.542, p<0.001). Negative correlation was found between LDL levels and non-planning impulsiveness in the maladaptive subjects (r=-0.253, p=0.013). LDL levels (${\beta}=-0.258$, p=0.008) and K-BDI scores (${\beta}=0.266$, p=0.043) emerged as significant predictors for non-planning impulsiveness. Conclusion : These results suggested that LDL level was associated with non-planning impulsiveness. These findings suggested that serum cholesterol levels might be available as a biological marker of impulsiveness. However, more large samples, longitudinal biological study and psychiatric evaluations should be needed to develop a preventive intervention for maladaptive male conscripts in the Korean army.

퇴행성 관절염 환자에게 적용한 탄소면상발열체가 통증조절과 슬관절 기능 향상에 미치는 효과 (The Effect of pain control and improve function of knee applied to osteoarthritis by carbon surface heating)

  • 손민영;이병훈;오경애;박종
    • 디지털융복합연구
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    • 제11권9호
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    • pp.247-254
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    • 2013
  • 본 연구는 탄소 면상발열체를 퇴행성 슬관절염 환자에게 적용하여 통증과 기능정도를 알아보는 목적으로 시행되었다. 연구 대상자는 2010년 7월부터 2010년 9월까지 C지역에 세 기관에서 총 45명을 대상으로 실험하였다. 대조군(n=15, 여성노인, 무처치)과 기존 세라믹 원적외선군(n=15, 여성노인, 원적외선 적용), 탄소 면상발열체군(n=15, 여성노인, 탄소면상발열체 적용)로 분류하고 치료는 1주에 3회, 3주씩 총 9회 30분씩 원적외선을 양 무릎에 적용하였다. 평가는 실험 전, 실험 후, 3주 후에 측정하였다. 처치후 VAS, PPT, K-WOMAC으로 평가하였다. 연구 결과를 통해 탄소 면상발열체를 사용한 원적외선 온열치료가 퇴행성 슬관절염의 통증감소와 기능향상 효과를 보인바 향후 임상에서 퇴행성 슬관절염 환자에게 치료방법의 하나로 사용 될 것으로 생각된다.