• Journal of Korean Biological Nursing Science
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• 제19권1호
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• pp.18-29
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• 2017

Purpose: This study investigates the status of medication use of the elderly with chronic disease taking non-opioid analgesics and attempts to identify factors influencing medication adherence. Methods: Data were collected from September 1 to October 19, 2016. A structured questionnaire was used for face-to-face interview with a convenience sample of 161, elderly people with chronic disease taking non-opioid analgesics. The survey included questions about status of medication use, medication adherence, symptom experience, depression and family function. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with IBM SPSS 23.0 program. Results: The mean score of medication adherence of the elderly with chronic disease was $4.48{\pm}2.35$. Experiences of side effects (${\beta}=.31$, p< .001), use of over-the-counter pain medication (${\beta}=.19$, p= .009), and family function (${\beta}=.16$, p= .031) were identified as significant predictors. The final model explained 18.0% of the variation of medication adherence of the elderly with chronic disease taking non-opioid analgesics (F= 12.30, p< .001). Conclusion: Therefore, as a strategy to improve medication adherence of the elderly with chronic disease, therapeutic intervention should be developed to improve family function and to manage with personalized plans considering experiences of side effects and use of over-the-counter pain medication.

• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.870-883
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• 1997

The health center has to play an important role in promoting community health and satisfying a variety of community health needs and demands in the decentralized Korea. The nearly enacted Community Health Act compels every health center to make its own health plans which intend to deal with local health problems and plan its future health care. This obligation is obviously a big burden to most health centers. They do not have experiences in and abilities of making local health care plans. In order to establish a systematic community health plan, health centers have to concentrate their efforts on enhancing the ability of making health care plan through gathering and analysing the local health informations. However, it is very difficult in reality. This is simply because it will take long time to accomplish these activities. It seems natural that various professionals and researchers participate in carrying out the process of making community health plan in the initial stage. No standardized methodology and analysing framework exist even in the health professional society. Nonetheless, it is common to introduce survey research methodologies in analysing consumer's health care utilization and cost, and in identifying factors influencing health behaviors. Many researchers and professionals have applied social survey methodologies in obtaining information on providers and health policy makers as well. The authors have found that few studies have ever utilized local health data stored at the self-employed medical insurance society as the data source of planning activities. The purpose of this study is to illustrate the usefulness of the data stored at the Sung-Dong Gu Self-employed Medical Insurance Society in establishing the community health plan. The major contents of this study are as follows ; 1. frequency of utilization by age, area, sex, type of medical care institutions, and some major diseases 2. Medical treatment by type of medical care institutions, by classification of 21 diseases, by frequency of three-character categories 3. Medical treatment of major neoplasm and some chronic diseases by age, sex, and area. The conclusion of this study is that it is of great potentiality to find out the local health problems and to use them in blueprinting the community health plan through comparing the frequency of medical utilization analyzed by a variety of variables with NHI health data or the health data from survey research.

• 한국산림과학회지
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• 제103권2호
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• pp.278-286
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• 2014

우리나라 산림의 소규모 분산적 임업경영 여건 개선과 산주의 고령화, 부재산주 증가 등으로 인한 임업경영의 문제점을 개선하기 위한 방안으로 산림의 매매, 임대차 등을 통해 임업경영 규모의 확대와 방치된 산림의 효율적인 경영관리와 산림을 담보로 한 임업인 노후생활 안정지원을 위해 산지은행제도 도입이 필요한 시점이다. 따라서 본 연구에서는 산지은행제도의 도입 타당성 및 수요 등을 파악하기 위해 산주, 비산주 및 귀농 귀촌인을 대상으로 산지은행제도 도입의 필요성, 기대효과, 이용의향, 도입방안 등에 대한 설문조사를 실시하였다. 소재산주 262명, 부재산주 152명, 비산주 427명, 귀농 귀촌인 101명을 대상으로 한 설문조사 결과, 산지은행제도 도입이 필요하다고 응답한 비율이 산주 77.5%, 비산주 63.8%로 나타났으며, 산주와 비산주 모두 산지은행제도에서 이용의향이 있거나 수행하기를 기대하는 사업으로 연금과 임대사업을 선호하였다. 귀농 귀촌인의 설문조사에서도 약 75%의 귀농 귀촌인들이 산지은행제도가 농산촌 생활에 도움을 줄 것으로 기대하였으며, 임차와 매수사업에 대한 사업이용 의향이 높게 나타났다. 본 연구를 통한 산지은행제도 도입의 타당성 분석결과를 바탕으로 산지은행 정책수립에 필요한 자료제공은 물론 산지은행제도의 기본방향, 주요기능, 사업종류와 범위 설정 등을 결정하는데 있어서 도움이 될 것으로 기대한다.

• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2002년도 춘계 국제 학술대회
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• pp.91-99
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• 2002

A recent survey investigated that there were over one thousand un-controlled closed landfills(1,072 sites) in Republic of Korea. Most of these landfills were constructed before 1986. Waste management act were not promulgated at that time, so they usually do not have dranage system and leachate treatment facility. Also, considerable attention has been received to landfill leachate pollution, leachate has an adverse impact on the surrounding environment such as soil, groundwater, and water supply source. According to the result of survey for closed landfill management, it was reported that 875 sites out of 1,072sites(81.6％) have no leachate treatment facility and 630 sites out of 1,072sites(58.7％) have been used for farm lands and residence. Consequently it is hard to do postclosure care continuously in most of cases and these uncontrolled landfills have contaminated farm lands and residence. The average age of these landfills are ranged mostly between 2 to 15 years. Much time and advanced technology are needed to remediate these uncontrolled landfills, therefore the survey for present status of closed landfill sites is required and suitable treatment processes should be prepared. With this point of view, We has been investigated to find out the present status of closed landfill, problems of post management and discussed plans for remediation and reuse. Remedial actions of un-controlled landfill have been carried out the many cities since 1997 upto now. Most frequently applied technology were reuse after excavation and there were several cases to capping in the surface of landfill and to construct subsurface barriers. It is considered that landfills in use have a possibility not to be controlled because of inadequate construction and improper management. Therefore remediation of uncontrolled landfills and recovery technology should be develop continuously Especially, it has been expected that resource technology of landfill gas as a energy has some advantages in controlling odors in the site area and accelerating stabilization of landfills with the energy.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권6호
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• pp.548-557
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• 2020

Purpose: To better understand the benefits and harms of engagement with online pediatric liver disease communities within social media. Methods: We conducted a survey of caregivers of children with liver disease participating in online pediatric liver disease communities within social media, as well as a survey of healthcare providers (e.g., physicians, surgeons, nurse coordinators) from this field to better understand the perceived benefits and harms of participation. Results: Among 138 caregivers of children with liver disease that completed the survey, 97.8% agreed social media was a good place to learn about patient experiences and 88% agreed it was a good source of general information. Among caregivers, 84.8% agreed social media helps them to better advocate for their child. While 18% agreed that the information over social media was equal to the information from their healthcare team and 19% neither agreed/disagreed, only 3% indicated they would use this information to change care without telling their provider; in contrast, among 217 healthcare providers, 55% believed social media may lead caregivers to change management without telling their team. Conclusion: Engagement with online disease-specific communities in social media yields several benefits for caregivers and, in contrast to healthcare providers' concerns, participation is unlikely to lead to problems including caregivers changing the treatment plan without first discussing these plans with their team. Openness between caregivers and medical teams about the role for social media can help to improve trust and maximize the potential benefits of engagement with these groups.

• 여성건강간호학회지
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• 제25권3호
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• pp.285-298
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• 2019

Purpose: The purpose of this study was to identify the impacts of human papillomavirus (HPV) vaccination-related health belief, attitudes toward HPV vaccination, and subjective norms on HPV vaccination intent targeting mothers of elementary school daughters. Methods: The study use a correlative survey design. The subjects of the study were 121 mothers of elementary school daughters located in metropolitan city B. All subjects agreed to participate in the study. The data were collected from September 1 to October 18, 2018, and were analyzed using descriptive statistics, Independent t-test, ANOVA with a post hoc $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise multiple regression. Results: Attitude toward HPV vaccination, subjective norms, vaccination plans for their children, and mother's vaccination status were significant factors influencing HPV vaccination intention. These factors accounted for 72% of the HPV vaccination intention. Conclusions: This study showed that factors affecting the intention of mothers of elementary school daughters to vaccinate against HPV were HPV vaccination attitudes, subjective norms, vaccination plans for their children, and mother's vaccination status. The biggest influencing factor was HPV vaccination attitudes. Therefore, in order to encourage mothers of elementary school daughters to vaccinate against HPVs, national-level policies should be implemented to create a social atmosphere of positive attitudes toward HPV vaccinations that also emphasizes how easy it is to get vaccinated against HPV. Based on this, mothers of elementary school daughters should be encouraged to have them vaccinated against HPV, thus contributing to improving the HPV vaccination rates of elementary school girls.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권2호
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• pp.31-38
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• 2022

Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

• 한국학교보건학회지
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• 제36권3호
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• pp.113-125
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• 2023

Purpose: The purpose of this study is to develop a model for predicting mental health risk among adolescents based on health behavior information by employing a hybrid machine learning method. Methods: The study analyzed data of 51,850 domestic middle and high school students from 2022 Youth Health Behavior Survey conducted by the Korea Disease Control and Prevention Agency. Firstly, mental health risk levels (stress perception, suicidal thoughts, suicide attempts, suicide plans, experiences of sadness and despair, loneliness, and generalized anxiety disorder) were classified using the k-mean unsupervised learning technique. Secondly, demographic factors (family economic status, gender, age), academic performance, physical health (body mass index, moderate-intensity exercise, subjective health perception, oral health perception), daily life habits (sleep time, wake-up time, smartphone use time, difficulty recovering from fatigue), eating habits (consumption of high-caffeine drinks, sweet drinks, late-night snacks), violence victimization, and deviance (drinking, smoking experience) data were input to develop a random forest model predicting mental health risk, using logistic and XGBoosting. The model and its prediction performance were compared. Results: First, the subjects were classified into two mental health groups using k-mean unsupervised learning, with the high mental health risk group constituting 26.45% of the total sample (13,712 adolescents). This mental health risk group included most of the adolescents who had made suicide plans (95.1%) or attempted suicide (96.7%). Second, the predictive performance of the random forest model for classifying mental health risk groups significantly outperformed that of the reference model (AUC=.94). Predictors of high importance were 'difficulty recovering from daytime fatigue' and 'subjective health perception'. Conclusion: Based on an understanding of adolescent health behavior information, it is possible to predict the mental health risk levels of adolescents and make interventions in advance.

• 대한건축학회논문집:계획계
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• 제36권4호
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• pp.71-81
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• 2020

The purpose of this study is to propose the planning methods for pollution prevention in the initial design stage by identifying the pollution phenomena on the exterior of the building. It is important to catch the problem early on because exterior troubles begin with an initial design defect and causes rapid aging. The scope of this study is seoul public borough offices that should be sustainable for long as landmark located at the center of the district. Field survey was conducted three times in six months. Twenty-six borough offices were diagnosed with three levels of contamination through visual inspection and the contaminated locations, types, materials, and characteristics were checked. Fourteen common contaminated locations were identified in the first and intensively rechecked in the second. Five locations vulnerable to contamination were designated and the contamination and cleanliness situations were checked by location in the third. As a result, main polluted types and locations are sloping wall, upper wall, protruded wall, canopy, and wall under window. The key to avoiding these pollution problems is to minimize the horizontal plane on which dust can be deposited. In other words, it can be considered variously by shape and location, such as the slope of the horizontal plane, the floating of the surface, the installation of the roof surface, and the vertical louvers. And throating plans and material plans suitable for each location are presented. Various methods of the shape and location, material are expected to use as useful basic data for preventing pollutions during the initial design stage.

• 한국치위생학회지
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• 제18권2호
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• pp.227-237
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• 2018

Objectives: This study aims to recognize the importance of dental hygiene process diagnosis of dental hygiene process which can comprehensively grasp the patient's problem and to use it as a basis for establishing the patient's preventive treatment plan. Methods: This study did survey to 443 patients who received treatment based on the oral health care program from a dental clinic in Busan from January 2015 to January 2017. Data analysis was performed using IBM SPSS Statistics (Version 21.0), and statistical significance level was set at ${\alpha}=0.05$. Binary logistic regression analysis was performed to the dental hygiene problems affecting the dental hygiene plan. Results: There were significant differences in dental hygiene problems between male and female respondents on various dental problems such as dental plaque deposition, attrition, stain, dental fear, possibility of jaw joint disorder, food pressing, possibility of malocclusion. There were also significant differences in dental hygiene plans between male and female respondents in air-Jet, non-smoking education, and sealant. The most common dental hygiene plan was scaling, The problem of stain showed that the scaling plan was 0.20 times less. The explanatory power of the model was 43.5%, and the Hosmer and Lemeshow tests were 0.345. Conclusions: Therefore, if we continue to study the factors affecting the dental hygiene problems and the plan, we can reduce the burden of the dental hygienists applying the dental hygiene process in the dental clinic. And, it is expected that the oral health care program using the dental hygiene process will spread to the dental clinic as an excellent oral preventive program.