• 치위생과학회지
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• 제18권2호
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• pp.97-104
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• 2018

본 연구는 유아의 구강건강 증진을 위한 우식예방효과를 알아보고자 우식위험이 높은 6세 유아를 대상으로 CRA에 따라 위험군을 분류하고 치아우식 예방을 위한 중재를 시행한 후 변화를 평가하였다. 사전에 부모 인터뷰(CRA 설문지)를 통해 선별된 최종 연구대상자 33명을 대상으로 첫 방문 시 구내검사, 타액분비율검사, 우식원인균검사, 산생성능검사를 실시하고 CRA 설문지에 따라 우식위험군을 분류하였다. 대상자들에게 4개월 간격으로 불소도포 및 구강보건교육 실시하고 1년 뒤 첫 방문 시와 동일하게 평가하였으며 다음과 같은 결과를 얻었다. 연구대상자의 우식위험군 분포는 초기에 중위험군이 18.2%, 고위험군이 39.4%, 초고위험군이 45.4%로 나타났으며 1년 후에는 중위험군이 6.1%, 고위험군이 39.4%, 초고위험군이 54.5%로 중위험군이 감소하고 초고위험군이 다소 증가한 것으로 나타났다. 중재 전후 dft index 평가 결과, 모든 위험군에서 중재 후 dft index가 증가하였으며, 군 간 유의한 차이가 있었다(p=0.001, p=0.008). Cariview score는 중위험군과 초고위험군에서 중재 후 Cariview score가 다소 감소한 것으로 나타났으나 중재 전후 군 간 유의한 차이는 없었다. 우식원인균 평가 결과, SM균은 모든 군에서 중재 후 ${\geq}10^5CFU/ml$ saliva가 감소한 것으로 나타났으며 LB균은 고위험군과 초고위험군에서 중재 후 전반적으로 균이 감소하는 양상을 보였다. 타액분비율에서는 우식위험군이 높아질수록 타액분비율이 낮아지는 양상을 보였으며 중재 전후 모두 우식위험군에 따라 유의한 차이가 있었다(p<0.001). 이상의 결과를 볼 때 정기적인 우식위험관리가 우식 고위험 아동들의 우식위험요소의 변화에 영향을 미치는 것을 확인할 수 있었으며, 관련된 후속 연구를 통해 국내 실정에 맞는 정기적인 우식위험관리 체계의 모색이 필요하다.

• 대한수학교육학회지:학교수학
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• 제11권3호
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• pp.497-511
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• 2009

본 연구는 서울시에 위치한 초등학교 3학년 아동 53명을 대상으로 도식기반 전략 프로그램으로 수학 문장제를 교수함에 있어 중재재료 투입방법(병렬, 순차)에 따른 수행결과를 처치집단, 문제유형(결합, 변화, 비교), 회기별(사전검사, 사후검사 3회)로 알아보고자 하였다. 사전, 사후검사 문항은 곱하기와 나누기 연산을 필요로 하는 결합, 변화, 비교 문제로 각 3문제씩 9문제로 구성되었으며 각 회기가 끝난 다음날 바로 사후검사로 수행 정도를 측정하였다. 본 연구결과에 따르면 문장제 유형별 수행이 교수재료 투입시기에 큰 영향을 받지 않았으나 문제구조가 유사한 결합형 문제와 변화형 문제인 경우 나중에 교수한 변화문제의 도식이 결합문제의 도식 생성에 혼란을 주어 결합문제의 수행이 떨어지는 결과가 나타났다.

• 보건교육건강증진학회지
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• 제26권2호
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• pp.87-101
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• 2009

Objectives: The purpose of this study was to develop strategies for creating health promoting school and to evaluate the implementation and its effect on the school. Methods: Based on WHO's Health Promoting School, we developed 5 strategies and implementing process for creating health promoting school and undertook The implementation process included workshops to raise awareness of the health promoting school, establishment of a school health team, review of the health needs of its community, development of an action plan, and practice of activities and reflect on program. Seventeen teachers (male 35.3%, female 64.7%) and 248 students (male 51.2%, female 47,6%) had completed pretest and posttest. Results: It was increasing in school's social environment, community relationship, personal skill and health service among components of HPS. However, there were no significant differences in self-reported health status and health behaviors among teachers. Although there were no significant changes in self-esteem, self-efficacy and BMI, there were significantly increasing in health knowledge, physical activities and fruit and vegetable intakes among students of a pilot school. Conclusion: Strategies for a creating health promoting school were appropriate to implement in school and they would also make a contribution to improve health knowledge and health behaviors in elementary school students.

• 한국간호교육학회지
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• 제10권2호
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• pp.239-251
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• 2004

The purpose of this study was to find out the effects of education for prevention of child sexual abuse (rape, sexual assault, sexual harassment etc.) of children in elementary school students. 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. 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 teachers may change their knowledge of the sexual abuse and their attitude toward it and improve their capability in helping children. 223 Korean elementary school students participated in this study. Research design was One group pretest-posttest design. The education given to the subjects included 4 hours through the multimedia CD-ROM on the prevention of child sexual abuse. The education program was developed based on a survey. School- 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, during 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 school nurses knowledge was higher than before(t= -4.677, p=0.000). 2. After education, the score of school nurses attitude was not higher than before (t=0.131, p=0.896). The findings from this study will provide an intervention strategy for prevention of sexual abuse in children.

• 한국아동복지학
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• 제55호
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• pp.143-171
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• 2016

본 연구는 청소년의 학교폭력 가해행동에 대한 청소년 개인요인, 학교요인, 지역요인의 영향을 검증하기 위해 2수준 다층모형을 적용하였고, HLM 7 프로그램으로 분석하였다. 이를 위해 서울 및 경기지역 50개 중학교의 총 1,777부 학생자료가 분석에 사용되었다. 2수준 다층모형 분석결과, 학교폭력 가해행동에 영향을 미치는 청소년 개인요인으로는 폭력에 대한 태도, 부모 애착, 아동학대 경험, 비행친구접촉으로 나타났고, 학교요인으로는 교사의 폭력적 훈육으로 나타났다. 또한 본 연구에서 지역사회 요인으로 주목한 지역무질서가 청소년의 학교폭력 가해행동에 정적으로 유의한 영향을 미치는 것으로 확인되었다. 본 연구 결과는 학교폭력 원인의 이해와 그에 따른 대책마련을 위해서는 청소년 개인, 가정, 학교 외에도 지역사회 등 청소년의 일상생활이 이루어지는 다양한 환경적 맥락을 종합적으로 고려해야 함을 제시한다. 본 연구결과를 바탕으로 학교폭력을 효과적으로 해소하기 위한 정책 및 실천 방안이 논의되었다.

• 대한가정학회지
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• 제50권7호
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• pp.21-35
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• 2012

Based on the premise that perspectives or the frame of cognition may affect the ways that family practitioners support or intervene in families, this study aimed to investigate the perspectives of Certified Healthy Family Specialists (CHFS) on family practice in the Healthy Family Support Centers. A total of 9 CHFSs gave information about their beliefs and perspectives on family practice in in-depth interview. Additionally, 5 CHFS participated in focus group interview and gave information about their values, beliefs, and perspectives on family practice. Through qualitative analyses, four perspectives were found to be explicitly or implicitly carried by CHFSs: System theory perspective, Strengths perspective, Family cognition perspective, and Public intervention perspective. These four perspectives are currently leading themes of family research and are prospected to prevail in family support and intervention practices in the Healthy Family Support Centers in South Korea. Based on the results of qualitative analyses, directions and range of influence in perspectives on family practice perceived by CFHSs were discussed. In this study, the subject of Healthy Family Project, the CHFSs' aims, and emphasis on family practice were dealt with, and developmental direction establishment related to the Healthy Family Support Centers and CFHSs in the dimension of practice and policy in the future were implied.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권2호
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• pp.117-122
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• 2007

Practice parameters for non-pharmacological treatment of children and adolescents with pervasive developmental disorders are based on the scientific literature for evidence-based practices. Appropriate educational and behavioral interventions are important in improving the long-term outcome in pervasive developmental disorders. Early and sustained intervention appears to be particularly important. The goal for interventions is to gain pragmatic skills for verbal communication, playing with peers, daily living routines, self-management, and social adaptation. Appropriate involvement and collaboration with parents and family are essential for well-functioning intervention programs. The life-long nature of autism implies that the clinician should maintain an active role in long-term treatment planning and family support. Vocational training and training for more independent living are important for adolescents with autism. Professionals should be knowledgeable about local and national resources and opportunities for family support as well as support of the individual.

• 여성건강간호학회지
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• 제7권4호
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• pp.486-498
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• 2001

The purpose of this study was to identify transition conditions, health behavior and indicators of healthy transitions among middle-aged women based on Schumacher & Meleis(1994) transition model for developing intervention program for their health promotion. A convenience sample of 221 women aged 40-60 was obtained in Jung-Gu, Seoul and they were asked to complete the questionnaires, which consisted of modified health-promoting lifestyle profile(HPLP), knowledge of menopause, physical well-being, emotional well-being, modified women's role integration protocol (WRIP), Beck's Depression Inventory(BDI), and indicators of healthy transition with subcategories such as subjective well-being, role mastery and well-being of interrelationship. The results were as follows: 1. Women had a mean age of 47.53 years. More than half(53.39%) of the women had jobs and 88.69 % had their spouses, Of 221 women, 51.13 % were premenopausal, 19.91% were perimenopausal, and 28.96% were postmenopausal. 2. Women scored lower on health responsibility and exercise than on self actualization, nutrition and interpersonal support among subcategories of health behavior measured the modified HPLP. Only 11.98% of respondents had breast-self examination and 42.66% had pap smear for screening cancer. 3. In transition conditions, women had poor knowledge about menopause and median level of physical well-being, emotional well-being and stress. 15.45% of the women had clinical depression. 4. As for the outcome index of the transition model, the mean of indicators of healthy transition was 3.69(possible range 1-5). 5. The levels of education and economic and the menstrual status were significantly related to physical well-being, depression and stress in the categories of transition conditions. The total score of health behavior correlated negatively with depression. The total score of indicators of healthy transition correlated with physical well-being, emotional well-being, stress, and depression in the categories of transition conditions. In conclusion, these findings suggested a profile of fragile middle-aged women and contributed to developing the community-based intervention program for health promotion.

• 대한통합의학회지
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• 제7권4호
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• pp.291-300
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• 2019

Purpose : This study focuses on the influence of bridge exercise combined with whole body vibration on muscle activity and balance. Methods : 30 stroke patients were recruited for subjects. The subjects were divided to bridge exercise combined stable surface (Group I), bridge exercise combined unstable surface (Group II), and bridge exercise combined bridge exercise (Group III), of which 10 subjects were randomly allocated. The subjects were given 30 minutes of neurologic physical therapy which included gait training and muscular strength training, and additionally given 30 minutes of bridge exercise combined stable surface, bridge exercise combined unstable surface, and bridge exercise combined whole body vibration for each group, five times a week, for 8 weeks. Their muscle activity and balance were analyzed before the intervention. After 8 weeks of the intervention, the mentioned parameters were measured once more for between-group analysis. Results : Comparative analysis of the muscle activity and balance between the groups showed statistically significant difference, and post-hoc analysis showed the Group III had greater changes in muscle activity and balance than Group Iand Group II. Conclusion : Such results revealed that bridge exercise combined with whole body vibration is effective in muscle activity and balance. Based on the current study, more effective program is to be proposed for elite athletes as well as stroke patients. Based on the current study, studies that incorporates various frequencies of vibration is required for development of effective whole body vibration exercise program.

• Journal of Acupuncture Research
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• 제28권4호
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• pp.57-64
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• 2011

Objectives : The aim of this study is to overview the current status of Cochrane systematic review of acupuncture. Methods : Published Cochrane systematic reviews and protocols for evaluating acupuncture and/or moxibustion were searched by the terms 'acupuncture' and 'moxibustion' in Issue 1, Cochrane Library, 2011. Only reviews or protocols that regarded acupuncture or moxibustion as primary methods of intervention in their reviews were included. Data regarding first author national affiliation, intervention and disease, as well as the number of reviews or protocols that included Korean, Chinese, or Japanese databases in search strategies were obtained. Results : We found 92 hits at screening, and 59 studies were eligible for this review. Included interventions were acupuncture (n=56), auricular acupuncture (n=2), and moxibustion (n=1) for various diseases and conditions. The number of publications of Cochrane systematic reviews or protocols increased gradually from 2002 to 2011. First authors' affiliations were located in China (n=32), Australia (n=8), UK (n=7), Canada (n=4), U.S. (n=4), Germany (n=2), Norway, (n=1) and Korea (n=1). 44, four and four Cochrane reviews adopted Chinese, Korean and Japanese databases, respectively. Conclusions : Search strategies in a substantial number of Cochrane reviews or protocols for acupuncture and moxibustion heavily relied on Chinese databases. Korean databases were underused in existing Cochrane reviews and protocols, and Korean authors were much less involved in the Cochrane systematic reviews or protocols than Chinese authors. Further studies need to be conducted in order to incorporate evidence of acupuncture reported in Korean databases into the Cochrane systematic reviews.