• Title/Summary/Keyword: Social medicine

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Rare Earth Element Contents of the Ginsengs and their Soils, Keumsan area (금산 인삼과 토양의 희토류 원소 함량관계)

  • Song, Suck-Hwan;Min, Ell-Sik;Yoo, Sun-Kyun;Lee, Yong-Gyoo
    • Journal of Ginseng Research
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    • v.30 no.1
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    • pp.31-40
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    • 2006
  • Ginsengs(1-3 years old) from the Keumsan were analysed for the rare earth element(REE) contents and compared with their soils from the biotite granite(CR), phyllite(PH) and shale(SL) areas. In the soils, high REE contents and correlations were found in the SL. In the ginsengs, high element contents were shown in the SL. High correlations were found in the 3 year. In the upper parts, the 2 year of the GR was mainly high. Comparing with the same aged ginsengs, high elements were shown in the SL. Positive correlations were dominated and high correlations were shown in the 3 year ginsengs. In the root parts, the GR was high in the 2 year while the PH and SL were high in the 3 year. Comparing with the same ages, high elements were shown in the SL. High correlation relationships were found. Comparing between upper and root parts, the upper parts were mainly high, LREE showed big differences and relative ratios of the 2 year were mainly high. Comparing between soils and ginsengs, the soils were mainly high. Ratios between soils and root parts(soils/root parts) were higher than those of the upper parts. Ratios of the LREE showed big differences relative to those in the HREE and the ratios increased with ages. Overall results suggested that ginsengs of the SL were similar to those of soils and those of the PH showed big differences.

The Trend of Food and Nutrient Intakes of Korean(1969~1989) -The Third Report, Nutrient Intake from the Annual Report of the National Nutrition Survey- (한국인의 식품 및 영양섭취상태 추이(1969~1989) -제3보, 국민영양조사보고서에 의한 영양섭취상태를 중심으로-)

  • Park, Mi-A;Kim, Eul-Sang;Lee, Kyu-Han;Moon, Hyun-Kyung;Song, In-Jung;Tchai, Bum-Suk
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.21 no.6
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    • pp.655-661
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    • 1992
  • Form reports of the Korean National Nutrition Survey from 1969 to 1989, trends of nutrients intakes are reported as follows. The amount of energy intakes are decreased gradually. The proportion of energy from cereals to total energy are decreased from 85.9 percent at 1969 to 66.5 percent at 1989. There are increasing trend for the proportion of energy from animal foods to the total energy. The amount of protein intakes are increasing gradually. The ratio of animal protein to the plant protein have been increasing since the survey has been started. The amount of fat intakes are also increasing. The proportion of energy from the fat and protein to total energy had been shown increasing trends. Gradually, the calcium and iron intakes are increasing over the years. But the intakes of calcium is less than the average dietary allowance of subject examine until recently. The intakes of thiamin, showing adequate intake, are almost equal to the average dietary allowance. For the riboflavin, the amount of intakes are increasing from the mid nineteen-eighty. But the intake of riboflavin is less than the average dietary allowance. For the niacin and ascorbic acid, the amount of intakes are showing variations. But the amount of intakes are not inadequate.

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Salient musical elements and children's choice of objects in improvisational music therapy for children with autism (자폐아동의 즉흥음악치료에서 나타난 주요 음악요인 분석과 아동의 대상선정에 관한 연구)

  • Kim, Jinah
    • Journal of Music and Human Behavior
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    • v.9 no.2
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    • pp.53-67
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    • 2012
  • Improvisational music therapy is known to promote social engagement in children with autism. This study investigated salient features that characterize the engagement of the child with autism and the therapist in improvisational music therapy. Through video analysis of the children's behavior, this study sets out to investigate what engages children with autism into mutual play with the therapist in improvisational music therapy by measuring the shared musical elements between the child and the therapist during musical synchronicity episodes and the children's choice of instruments. A repeated measures, a crossover design was employed in two different conditions (n = 10). Children were randomly assigned into two groups; group 1 participated music therapy first, followed by play therapy second. Group 2 followed the reverse order. Specific target behaviors were analyzed in the selected sessions 1, 4, 8 and 12. As expected, improvisational music therapy produced markedly more and longer events of musical synchronicity in children with autism than the play sessions with toys (p < .001). Rhythm and dynamic appeared to be the two most salient elements during musical synchronicity events between the child and the therapist. Observational findings confirmed that horns and whistles were the most frequently selected instruments in music therapy, whereas a dollhouse set was in play therapy by children with autism. The clinical implications and the details of these findings are discussed further.

A Comparative Study of Parental Stress in Families with Epileptic Children (간질아동 부모의 스트레스에 관한 비교 연구)

  • Kim, Bo-Young;Cho, Sung Min
    • Clinical and Experimental Pediatrics
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    • v.45 no.10
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    • pp.1251-1262
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    • 2002
  • Purpose : The purpose of this study is to assess and compare the stress of mothers and fathers in families with epileptic children, and to assess contributing factors to their stress. Methods : We used a family stress survey with 35 questionnaires to obtain data concerning the parents' perceived stress. Data were analyzed with SPSS 8.0 program using Pearson correlation coefficient, oneway ANOVA, and multiple range test. Results : The parents' stress level seemed not so high and there was no significant difference in stress level between mothers and fathers. There was no significant correlation between most demographic variables of the parents and parents' stress level. But the time of bringing epileptic children correlates positively with the stress level. Oneway ANOVA showed the differences of parents' stress level according to the education institution, seizure type, number of antiepileptic drugs, and the combined disabilities of the sufferer. Conclusion : The results of present study indicate that the stress level in the families with epileptic children may be influenced by some treatment-related characteristics of epileptic children such as seizure type, number of antiepileptic drugs, combined disabilities and the raising method of hospital expenses.

Relationship between Characteristics of Lengthy Hospital Stay Patients, Knowledge of Transfer Needs and Their Willingness to Transfer - Strategies for the Effective Transfer of Lengthy Hospital Stay Patients - (장기재원환자의 특성 및 전원 인지도와 전원 의향과의 관계 - 장기재원환자의 효율적 전원을 위한 전략 제시 -)

  • Kang, Eun Sook;Tark, Kwan-Chul;Lee, Taewha;Kim, In Sook
    • Quality Improvement in Health Care
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    • v.9 no.2
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    • pp.116-133
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    • 2002
  • Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

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Immunomodulating Effects of Red Ginseng on the Regulation of Cytokine Release in vivo (홍삼의 생체 내 사이토카인 분비에 대한 면역조절효과)

  • Sohn, Eun-Hwa;Yoon, Jae Woong;Koo, Hyun Jung;Park, Dae Won;Jeong, Yong Joon;NamKoong, Seung;Han, Hyo-Sang;Kang, Se Chan
    • Korean Journal of Plant Resources
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    • v.25 no.5
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    • pp.578-585
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    • 2012
  • Cytokines released from innate immune cells play key roles in the regulation of the immune response. Red Ginseng (RG, steamed and dried root of Panax ginseng C.A. Meyer) is known to show different pharmacological effects by changed composition of saponins compared with Panax Ginseng. In this study, we examined the immunomodulatory effects of RG on the regulation of cytokine release in mice. RG was injected i.p at doses of 0.5, 5 and 50 mg/kg for 6 weeks. We assessed that the weight index of immune organs such as thymus, and spleen, and the mitogen blastogenesis of splenocytes. We also determined the levels of circulating cytokines in serum from RG-treated mice using ELISA assay. The weight index of thymus and spleen, and proliferation of mitogen response of splenocytes have increased in the RG-injected groups. In addition, the levels of IFN-${\gamma}$, TNF-${\alpha}$, IL-6, IL-12 and IL-2 concentrations have significantly increased in the serum of RG-treated mice, but that of IL-10 has not. These results suggest that RG has immune stimulating effects and could be useful as a immunoregulator of circulating cytokine release in vivo.

Factors Influencing Stress Coping Behaviors of Elementary Students in Korea (한국 초등학생들의 스트레스 대응 행동에 영향을 미치는 요인)

  • Lee, Chung-Yul;Lee, Gyu-Young;Jeon, Kyoung-Mi;Park, So-Hyun;Hong, Yoon-Mi;Lee, Hyeon-Kyeong
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.1-13
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    • 2009
  • Objectives: The purpose of this study was to examine factors influencing stress coping behaviors of elementary students in Korea. Methods: This study used a descriptive comparative survey design. A total of 1,161 elementary students voluntarily participated in the study from 10 schools at three regional levels (large and medium-sized cities, and rural towns). Coping behaviors were measured by the modified Ways of Coping Checklist. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Results: The most commonly used stress coping behavior reported by the participants was mystic coping, followed by positive coping, and negative coping. Students living in the large city and female students tended to use more coping behaviors than students living in the medium-sized city or rural towns and male students, respectively. Positive coping behaviors were associated with high school performance while myotic coping behaviors were associated high life satisfaction. Conclusion: Elementary students who are males, dissatisfied with their lives, or living in large cities or rural towns tended to be at risk for poor coping. There were differences in factors influencing coping behaviors by type of coping behaviors. An approach to building a successful coping behavior that is specifically tailored to the gender subsets of population and region-specific social and physical environment is recommended.

A Proposal for Promotion of Research Activities by Analysis of KOSEF's Basic Research Supports in Animal Resources Science Field (한국과학재단의 동물자원과학 분야의 기초연구지원 추이분석을 통한 연구활동지원 활성화 제언)

  • Min, T.S.;Park, S.H.;Kim, S.Y.;Kim, Y.Y.;Lee, H.T.;Han, In-K.
    • Journal of Animal Science and Technology
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    • v.47 no.1
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    • pp.115-132
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    • 2005
  • This research was conducted to make suggestions for the promotion of research activities in the field of animal resources sciences, and we evaluated the research funding trend and the present status of research funding offered by KOSEF in this field. Comparative portion of the number of research projects and grants in this field to other fields has a tendency to be decreased year by year except recent few years. Researchers in this field have received more research funding from the group-based program than from the individual-based program. Also, they have received less money(per project) than did researchers in the fields of general agricultural sciences and other science and technology. Researchers in this field ranges from 43 to 51 years of age and showed 48 years of average age. It was found that researchers who has been funded in the field of animal resources sciences have showed tendency of publication of more articles to SCI journals in recent 5 years. The strong points of the animal resources of agricultural sciences field in South Korea include: lots of researchers, the establishment of research infra-structure, the excellence in research competitiveness and technology level. However, its weaknesses are: a lack of leadership in relevant societies and institutes, a predicted shortfall of researchers in the next generation and insufficient research productivity. The opportunities include: increasing the importance of the biotechnology industry, activating international cooperation researches and exploring the multitude of possible research areas to be studied. However, some concerns still exist, such as threats from developed countries for the government to open the agricultural market, the reduction of the number of full-time farms and intensification of needs for economic and social effects. The diverse actions and systems based upon the strongpoint, weakness, opportunity and threats above-mentioned are required to encourage research activities in the field of animal resources of agricultural sciences in Korea In addition, researchers in this fields would make an effort to keep pace with international society as well as domestic demands.

Epidemiological Survey on Metugonimus yokogawui Infection in the Eastern Coast area of Kangwon-Province, Korea (강원도 동해시 황강흡충 감염의 역학적 조사연구)

  • 안영겸;정평림
    • Parasites, Hosts and Diseases
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    • v.25 no.1
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    • pp.59-68
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    • 1987
  • An epidemiological survey on Metagonimus yokogawai infection was performed in the eastern coast area of Kangwon province. Formalin-ether concentration technique and Stoll's dilution egg counting method were employed to figure out the prevalence and intensity of M. yokogawai infection and eating habits of inhabitants with raw freshwater fish. The results are summarized as follows: 1. The prevalence rate of M. yokogawai infection was 6.6% among a total of 2, 357 examinees; 8.6% (115 out of 1, 345) in male and 4.0% (40 out of 1, 012) in female. 2. The prevalence rates were different by the streams where the examinees were residing: 17.8% along the area of Ohsip-cheon (stream), 11.8% along Maeup-cheon, 1.7% along Hwasang-cheon, 1.3% along Yeongok-cheon, 0.9% along Namdae-cheon, 0.9% along Sa-cheon and 0% in the other streams (Yongchon-cheon, Kangnung Namdae-cheon and Jusoo.cheon) in decreasing order. 3. By social strata, the positive rate was 8.0% (122 out of 1, 521) in general inhabitants and 3.9% (33 out of 836) in school children. 4. By the intensity of infection by means of EPG counts in feces; the light infection (less than 400/EPG) was 74.1%, moderate infection (401-1, 000/EPG) 17.3% and heavy infection (more than 1, 001/EPG) 8.6%. 5. Twelves out of 50 sweetfish (Plecoglossus altivelis) (24%) caught from the streams in eastern coast of Kangwon-Do were infected with metacercariae of M. yokogawai, and the number of larvae detected were 70.7 per 6sh in average. The metacercarial infection rates in fish were also different by the streams; 100% in Ohsip-cheon of Samcheok-Gun, 14.3% in Sa-cheon, 16.7% in Yeongokcheon of Myeongju-Gun and 0% in Namdae-cheon of Yangyang-Gun, respectively. 6. Six hundred ninety live (695) out of 1, 396 inhabitants and school children (49.8%) were experienced in eating raw freshwater fishes (Plecoglossus altivezis, Triboledon hakonensis, Coreoperca sp., Morose sp., Carassius sp. & Cyprinus sp. and Zacco platypus). The data were assayed with the questionnaire collected from the examinees. In summarizing the above results, it is known that the Ohsip-cheon area of Samcheok-Gun is highly infected region, and the other areas of Kangnung Namdae-cheon, Yeongok-cheon and Yangyang Namdae-cheon are very lowly infected or non-infected regions for M yokogawai infection.

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The Single-Session Group Education for Advanced & Terminal Cancer Patients and their Family Members (진행암 및 말기암 환자와 가족을 위한 집단 교육 프로그램)

  • Lee, Young-Sook;Heo, Dae-Seuk;Kim, Mi-Ra;Kim, Won-Gyung;Choi, Jeong-Yun
    • Journal of Hospice and Palliative Care
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    • v.7 no.1
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    • pp.64-72
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    • 2004
  • Purpose: This research aims to assess the effect of a single session of group education of hospice program at Seoul National University Hospital for the advanced and terminal cancer patients and their family members. Methods: Response to questionnaires from 89 participants were evaluated using SAS and CHISQ analysis. The questionnaires included the following items: 1) the characteristics of participants; 2) the characteristics of patients; 3) the difficulties of patient care; 4) the satisfaction with the program Results: The participants consist of 33 patients (37.5%) and 56 family members (56.2%). Diagnosis included mainly stomach, lung, breast, and colon cancer. Participants of family members consisted of spouse, parent, children, daughter-in-law, and siblings (in decreasing order). The participants were interested in the medical information, nutrition, pain and symptom management, and psychosocial adaptation. They had difficulties in emotional problem, nutrition and symptom management. Even though it was a single session of group education, the level of satisfaction was high (95%). Conclusion: This research shows that even the single session of the group education for the advanced and terminal cancer patients and their family members is very helpful by giving them the necessary information. In order to develop comprehensive care-giving services, more specific informations, more opportunities to participate in such sessions and longer question-answer time is required.

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