• 제목/요약/키워드: The young old

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사료의 에너지 및 조단백질 함량이 토종오리의 성장과 도체 특성에 미치는 영향 (Effect of Dietary Metabolizable Energy and Crude Protein Concentrations on Growth Performance and Carcass Characteristics of Korean Native Ducks)

  • 김홍래;권형주;오성택;윤정근;최영인;추연경;강보석;김학규;홍의철;강창원;안병기
    • 한국가금학회지
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    • 제39권3호
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    • pp.167-175
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    • 2012
  • 본 실험은 대사 에너지와 조단백질 수준이 토종오리의 생산성 및 도체 특성에 미치는 영향을 연구하기 위해 수행되었다. 육성 전기는 토종오리 828수를 9개 처리에 공시하여 사용하였고, 육성 후기는 육성 전기를 거친 토종오리 중 720수를 9개 처리에 공시하여 사용하였다. 육성 전기의 실험 사료는 ME 3,000, 2,900 및 2,800 kcal/kg, CP 23, 22 및 21%이었으며, 육성 후기에는 ME 3,100, 3,000 및 2,900 kcal/kg, CP 19, 18 및 17%로 처리하여 사용하였다. 육성 전기 실험 결과는 CP 수준이 증가함에 따라 체중, 증체량 및 사료 요구율이 유의적으로 개선되었지만(Linear effect, P<0.01), ME 수준과 $ME{\times}CP$ interaction에 의한 유의차는 나타나지 않았다. 균일도는 ME, CP 수준과 $ME{\times}CP$ interaction 모두에서 유의차가 나타나지 않았다. 육성 후기 실험 결과는 체중, 섭취량, 증체량, 사료 요구율 및 균일도에서 유의한 차이가 관찰되지 않았으나, 도체율에서는 ME 3,000 kcal/kg에서 유의적으로 가장 높게 나타났으며(Quadratic effect, P<0.01), ME와 CP의 수준이 증가함에 따라 간의 상대적 중량이 유의적으로 각각 작아지는 결과(Linear effect, P<0.01)가 나타났다. 가슴육, 넓적다리 및 북채의 상대적 중량에서는 수준간 유의적인 차이는 나타나지 않았다. 토종오리 고기의 화학 및 물리적 특성인 육색, pH, 가열 감량 및 전단력가에서는 ME 및 CP 수준과 $ME{\times}CP$ interaction 모두에서 유의차가 나타나지 않았다.

한국(韓國)에 있어서의 장내기생충감염(腸內寄生虫感染)의 현황(現況)과 추이(推移) (Current Status and Transition of the Prevalence of Intestinal Parasitic Infections in Korea)

  • 김동찬
    • 농촌의학ㆍ지역보건
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    • 제9권1호
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    • pp.83-108
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    • 1984
  • Out of a total of 58 species of helminthic and protozoan parasitic infections in Korea, so far 38 species were reported as intestinal parasites of man. Quite a few species of the intestinal parasitic infections have long been prevalent throughout the country and this has been a significant public health problem. In this paper, current status and transition of the intestinal parasitic infections in the past years were presented. Chronological reviewing of data show background and prospects of change in the prevalence of infections. In the national prevalence survey on parasitic infections conducted once every five years since 1971, stool examinations were done by both cellophane thick smear and brine flotation techniques. Every egg positive case of Ascaris lumbricoides and Clonorchis sinensis was further examined by Stoll's dilution egg counting technique. In 1981, perianal swab using adhesive cellulose tape was added for Enterobius infection. For protozoan cyst examination conducted by province and city in '81, fecal specimens were fixed in SAF solution and examined by the formalin-ether concentration technique. High prevalence of parasitic infection in ana before the 1960s can be easily understood from the data given by the Ministry of Health and Social Affairs in 1967. From a parasite control point of view, the 1960s was the preparatory period particularly for control of soil-transmitted helminthiasis. Several organizations which have contributed to parasite control were founded in this period and the prevention law of parasitic infections was passed in '66. In the '70s, overall prevalence rates of the common intestinal parasitic infections, which were highly prevalent in the past were turned into reduction phase for the first time. The '80s can be said to be an active control period of parasitic infections. Intestinal helminths According to the reports of the national prevalence survey on parasitic infections, the prevalence of helminthic infections was 84.3%(number of person examined:24,887) in '71, 63.2%(27,178) in '76, and 41.1%(35,018) in '81. By area, the prevalence rate in '81 was 35.1%(20,569) in urban areas and 49.6%(14,447) in rural areas. Intestinal nematodes Ascaris lumbricoides The prevalence of Ascaris infection has decreased significantly in recent years. Among students, the prevalence was 55.4%, in '69 and decreased to 4.7% in '83. In the national prevalence surveys, the prevalence decreased to 13.0% in '81 from 54.9% in '71. By area, the prevalence decreased to 8.5% in '81 from 46.4% in '71 in urban area and 19.4% in '81 from 59.6% in '71 in rural area. By age, the prevalence has become in recent years relatively even in all age groups, although higher prevalence used to be seen in young age groups of around 10 years old, particulary in the highly prevalent rural areas. By sex, the prevalence was higher in the female than in the male. Unfertilized egg positive rates among the ascariasis cases increased gradually up to 55.4% on the average in '81. The intensity of the infection was also significantly decreased. Trichuris trichiura Trichuris infection had also decreased to 23.4% in '81 from 65.4% in '71. By area, the decreasing tendency of the prevalence became faster in urban areas than in the rural areas. The prevalence in urban and rural areas in '71 was 69.7%, and 63.1% respectively and decreased to 19.5% and 29.0% respectively in '81. By age, the prevalence reached a peak at the 10-14 age group and showed relatively even distribution throughout all age groups. By sex, the prevalence was close in young age groups, but in the 30s or over age group, especially in rural area, the prevalence was significantly higher in the female than in the male. The prevalence has much fluctuated depending in the area. The prevalence in rural areas surveyed in the '80s shows a range between 20.9% and 73.7% by locality. It is anticipated that the prevalence of Trichuris infection will drop more rapidly, when mass treatment is conducted. Hookworms Hookworm infection by mostly Ancylostoma duodenale and a few by Necator americanus has decreased to a negligible levels in recent years. In the national prevalence surveys, the prevalence was 10.7% in '71, 2.2% in '76, and 0.5% in '81. The prevalence was higher in rural areas than in urban areas. Wide application of multi-specific anthelminthics in the ascariasis control programmes conducted in the past decade appear to have been effective against hookworm infection. Trichostrongylus orientalis As in the case with hookworm infection, the prevalence of Trichostrongylus infection has reached a negligible levels. In the national prevalence surveys, the prevalence was 7.7% in '71, 1.0% in '76 and 0.2% in '81. Enterobius vermicularis In the national prevalence survey in '81, the egg positive rate was 12.0%. Higher prevalence is expected when examined repeatedly. The prevalence rate was 10.3% in urban area and 14.6% in rural area. In recent surveys conducted in rural areas among schoolchildren, the prevalence was 32.4% in Gimhae Gun in '82 and 64.1% in Yeongyang Gun in '83. By age, the egg positive rate was higher in young age groups of around 10 and sharply decreased in age groups of around 20 and then somewhat increased again in middle age groups. By sex, the prevalence was higher in the female than in the male. Strongyloides stercoralis Strongyloides stercoralis infection has rarely been found in Korea. Three cases were reported in 1914. And 0.1-0.5% were found infected out of 2,642 persons examined at the prisoner-of-war camp on Geojedo in 1956. One case was reported in '54 and '82, respectively. Anisakis spp. No systematic survey has been conducted for anisakiasis In Korea. So far, only several cases have been found 1 case in Seoul in '71, 5 cases in Busan in '81 and 1 case in Busan in '84. Intestinal trematodes Metagonimus yokogawai In the national prevalence survey conducted in 1981, the egg positive rate was 1.24% on the average. High endemic areas are located in the southwestern part of Korea. The prevalence in Hadong Gun was 29.1% on the average in '79. In a survey conducted in 76, the prevalence was 44.0% in Gwangyang, 55.0% in Gogseung and 29.0% in Gurye. The infection is closely correlated with raw sweetfish consumption in these areas. Other intestinal trematodes A human case of Heterophyes heterophyes was reported in 1914. Several species were reported in the '80s : 17 cases of Fibricola seoulensis, 9 cases of Pygidiopsis summa, 8 cases of Heterophyes heterophyes nocens, 1case of Heterophyopsis continua, 2 cases of Stellantchasmus falcatus, 1 case of Stictodora sp., 1 case of Echinostoma hortense, and 4 cases of Echinochasmus japonicus. As the intermediate hosts, snakes and frogs play a role for F.seoulensis and fish for the rest of the species. Intestinal cestodes Taenia saginata and T. solium Egg positive rates in the national prevalence survey were 0.7% in '76 and 1.1% in '81. The prevalence in '81 was 0.6% in urban area and 1.8% in rural area. The proglottid positive rate in Jeju Do was 19.2% on the average. On Udo, Jeju Do in 1983, the egg positive rate among the inhabitants was 2.9%. Hymenolepis nana In the national prevalence survey, egg positive rates were 0.6% in '76 and 0.4% in '81. No difference was seen in the prevalence by area and sex. Hymenolepis diminuta Infected cases were reported : 3 in '64 and I in '66. Egg positive rate in '81 was 0.01% in the national prevalence survey. Diphylobothrium latum So far, about 30 cases have been reported. The cases have been reported more frequently in recent surveys. Mesocestoides sp. A case was reported from a hospitalized patient in Seoul in '67. Spirometra erinacei Two cases were reported in '84 following reidentification of the adult worms collected in '74. Intestinal protozoa Out of a total of 23 species of human protozoan infections in Korea, 13 species were reported as intestinal protozoa : Entamoeba histolytica, E coli, Endolimax nana, Iodamoeba b$\ddot{u}$tschlii, Dientamoeba fragilis, Giardia lamblia, Chilomastix mesnilii, Embadomonas sp., Enteromonas hominis, Trichomonas hominis, Isospora belli, I. Hominis(Sarcocystis hominis), and Balantidium coli. Since the first report on intestinal protozoan infections in 1925, there have been quite a few survey data on the prevalence of the infection. It was found reviewing the data chronologically that up to the early '70s the infection was prevalent around a 30-50%. After that, the protozoan cyst positive rate has shown the tendency of gradual decrease throughout the country. Protozoan cyst survey conducted in Seoul and several provinces in 1981 revealed infection rates of 8.9%(1,310) in Gangweondo, 10.7%(1,703) in Gyenggi Do, 11.7%(1,032) in Jeonra Buk Do, 9.1%(4,116) in Jeonra Nam Do, and 1.4%(5,275) in Seoul. Entamoeba histolytica In the survey conducted by province in '81, the cyst positive rate was 0.8% in Gangweon-do, 0.3% in Gyeonggi Do, 1.4% in both Jeonra Buk Do and Jeonra Nam Do, and 0.2% in Seoul. Giardia lamblia In the survey by province in '81, cyst positive rates were 2.2% in both Gyeonggi Do and Jeonra Buk Do, 1.9% in Jeonra Nam Do, 0.5% in Gangweon Do, and 0.9% in Seoul. Balantidium coli Two cases were reported. One in 1930 and the other in '74. Isospora belli and I. Hominis(Sarcocystis hominis) Isospora belli was reported : 1 case in '56 and 3 cases in '66. I. Hominis, recently identified to be synonymous with Sarcocystis hominis, was reported : 3 cases in '66. Other intestinal protozoa The protozoan parasites other than the above mentioned are generally treated as commensal, although some of them are considered to be pathogenic. The data of '81 show that about 10% of the inhabitants are still infected with protozoa.

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소아 조혈모세포 이식 환자에서 b형 헤모필루스 인플루엔자와 폐렴구균 백신 접종 후 항체 반응에 관한 연구 (Antibody Responses in Hematopoietic Cell Transplantation Recipients after Vaccination Against Haemophilus Influenzae Type b and Streptococcus pneumoniae)

  • 김예진;황지영;최수한;공은혜;김양현;박기섭;유건희;성기웅;구홍회;김경효
    • Pediatric Infection and Vaccine
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    • 제21권2호
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    • pp.81-95
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    • 2014
  • 목적: 조혈모세포이식 환자들은 b 형 헤모필루스 인플루엔자(Haemophilus influenzae type b, Hib)과 폐렴구균(Streptococcus pneumoniae, Sp)에 의한 침습성 감염에 취약하다. 방법: 삼성서울병원에서 2009-2011년 사이에 조혈모세포 이식 환자들에게 Hib와 Sp 백신을 접종하고 면역반응을 평가하였다. 결과: 10명의 소아환자가 참가하였고 연령의 중앙값은 5.5세 이었다. Hib 백신 이전에는 60%의 환자에서 anti-PRP IgG가 측정 하한값 $0.15{\mu}g/mL$ 보다 낮았으나 접종 후 100%의 환자에서 $0.15{\mu}g/mL$와 방어 항체가 $1.0{\mu}g/mL$ 이상으로 증가하였다. Sp 백신을 접종한 2-5세 환자 군은 접종 전 6개의 혈청형에 대한 기하 평균 항체가가 $0.35{\mu}g/mL$ 미만이었으나 접종 후 5개월째 7개 혈청형에 대한 기하 평균 항체가가 모두 $0.35{\mu}g/mL$ 이상으로 증가하였다. 5세 초과의 환자 군에서는 접종 전에 4개의 혈청형에 대한 기하평균 항체가가 $0.35{\mu}g/mL$ 미만이었으나 접종 후 3개월째 검사한 7개 혈청형에 대한 기하 평균 항체가가 모두 $0.35{\mu}g/mL$ 이상 증가하였다. 결론: 소아조혈모세포 이식 환자에서 Hib와 Sp 백신접종 후 면역 반응을 보임을 관찰하였다. 국내 소아 조혈모세포 이식 환자에서 이들 백신에 대한 면역반응 연구가 지속적으로 필요할 것으로 사료된다.

어린이들의 음료를 통한 카페인 섭취량 실태조사 및 영양교육에 따른 효과 평가 (Survey of Daily Caffeine Intakes from Children's Beverage Consumption and the Effectiveness of Nutrition Education)

  • 김성단;윤은선;장민수;박영애;정선옥;김동규;김연천;채영주;김민영
    • 한국식품영양과학회지
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    • 제38권6호
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    • pp.709-720
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    • 2009
  • 서울시내에 유통 중인 음료 140건을 HPLC를 이용하여 분석한 결과로 음료의 유형별 카페인 함량을 파악하였으며, 서울시내 강남 북에 위치한 3개 학교 9학급 267명의 어린이를 대상으로 음료의 선호도 및 섭취량을 설문조사하여 어린이들의 카페인 섭취량을 확인하였다. 이를 토대로 어린이들의 음료를 통한 카페인 섭취의 위해성에 대한 정보를 제공하고, 올바른 식습관을 형성하기 위하여 "카페인 섭취를 줄이자"라는 제목으로 여름방학 전에 강의, 프레젠테이션 및 동영상을 활용한 영양교육을 실시하였다. 영양교육의 효과를 평가하기 위하여 여름방학 후에 음료의 선호도와 섭취횟수를 다시 설문조사하여 교육 전 후의 실생활에서 카페인에 대한 인식과 섭취량의 변화를 토대로 결과를 비교하였다. 교육대상의 연령은 $6{\sim}7$세(2학년)가 88명(33.0%), $8{\sim}9$세(4학년)가 95명(35.6%) 및 $10{\sim}11$세(6학년)가 84명(31.4%)이었으며, 아동의 성별은 남아 142명(53.2%), 여야 125명 (46.8%)으로 연령별 및 성별 비슷한 분포를 보였다. 어린이들의 음료에 대한 선호도는 탄산음료(27%) 및 과실 채소음료(27%)> 이온음료(26%)> 초콜릿음료(7%)> 유제품(6%)> 비타민 및 기능성음료(3%)> 녹차음료(2%)> 홍차음료(1%) > 커피(1%)의 순서였다. 유통 중인 음료의 유형별 카페인 함량은 커피($33.8{\pm}2.4{\sim}49.1{\pm}5.6\;mg/100\;mL$)> 커피우유 ($10.6{\pm}3.3\;mg/100\;mL$)> 콜라($6.0{\pm}2.4\;mg/100\;mL$)> 녹차, 홍차, 및 우롱차함유 액상차($2.3{\pm}1.9{\sim}4.1{\pm}0.6\;mg/100\;mL$) > 초콜릿우유 및 음료($1.6{\pm}0.7{\sim}1.7\;mg/100\;mL$)> 홍차함유 고형추출차($1.3{\pm}1.7\;mg/100\;mL$) 순서로 높았다. 유통음료의 카페인 함량과 어린이들의 음료 섭취빈도를 설문조사한 결과를 토대로 전체 어린이들의 음료를 통한 평균 카페인 섭취량은 $5.9{\pm}11.2$ mg/person/day이었다. 음료를 통한 카페인 섭취량이 $8{\sim}9$세는 $0.0{\sim}22.0$ mg/person/day(평균 $4.2{\sim}5.6$ mg/person/day) 그리고 $10{\sim}11$세는 $0.0{\sim}80.5$ mg/person/day(평균 $7.9{\pm}13.1$ mg/person/day)로 연령이 높아 질수록 섭취량이 늘어났으며, 성별에 따른 섭취량은 남자가 $0.0{\sim}80.5$ mg/person/day(평균 $6.9{\pm}12.8$ mg/person/day), 여자가 $0.0{\sim}67.5$ mg/person/day(평균 $4.8{\pm}9.0$ mg/person/day)로 남자 어린이들의 카페인 섭취량이 여자 어린이들에 비해 높았다. 또한 어린이들이 카페인을 섭취하게 되는 음료의 유형은 커피 57%(평균 3.4 mg/person/day)> 커피우유 20%(평균 1.2 mg/person/day)> 탄산음료 15%(평균 0.9mg mg/person/day)> 초콜릿우유 6%(평균 0.4 mg/person/day)> 비타민 및 기능성음료 2%(평균 0.1 mg/person/day)의 비율이었다. 교육전 후 카페인함유음료의 선호도 및 섭취량 변화를 살펴본 결과, 음료의 선호도 변화는 카페인함유음료 모두 교육 전보다 교육 후에 선호도가 감소하였다. 특히 탄산음료, 커피, 비타민 및 기능성음료의 선호도 평균값이 각각 교육 전 3.25, 2.50 및 3.30에서 교육 후 3.07(t=2.084), 2.29(t=2.174) 및 3.04(t=3.002)로 감소하였다. 즉 교육 전보다 교육 후에 탄산음료, 커피, 비타민 및 기능성음료의 선호도가 유의적으로 감소하여(p<0.05, p<0.05, p<0.01) 카페인 섭취를 줄이고자 하는 영양교육의 효과가 나타났다. 연령별 교육 후의 선호도변화는 선호도가 유의적으로 감소하였던 청량음료, 커피, 비타민 및 기능성음료의 경우 연령이 높아질수록 감소폭이 낮아졌다. 교육전 후 카페인함유음료를 통한 카페인 섭취량 변화는 커피를 제외한 카페인함유음료 모두 교육 후에 카페인 섭취량이 감소하였다. 특히 탄산음료, 초콜릿함유음료, 비타민 및 기능성음료를 통한 카페인 섭취량 평균값이 각각 교육 전 0.88 mg/person/day, 0.36 mg/person/day 및 0.13 mg/person/day에서 교육 후 0.65 mg/person/day(t=2.736), 0.27 mg/person/day(t=2.217) 및 0.08 mg/person/day(t=3.171)로 카페인 섭취량이 유의적으로 감소하여(p<0.01, p<0.05, p<0.01) 영양교육 후의 카페인 섭취에 대한 식습관이 개선되는 영양교육의 효과가 나타났다. 연령별 교육 후의 카페인 섭취량 변화는 유의적으로 감소하였던 초콜릿함유음료, 비타민 및 기능성 음료의 경우 $6{\sim}7$세의 어린이들만 교육 전보다 유의적으로 감소하여(p<0.05, p<0.05, p<0.001), 선호도와 같이 영양교육에 대한 효과가 연령이 높아질수록 낮았다. 성별 변화는 남자아이들의 카페인 섭취량이 영양교육 후에 유의적으로 감소하고(p<0.001, p<0.05, p<0.001), 여자아이들의 경우에는 유의적인 변화를 나타내지 않았다. 그러므로 본 영양교육으로 일부음료에서 카페인 선호도 및 섭취량이 유의적으로 감소하는 결과를 나타내어 어린이들이 카페인 섭취를 줄이려는 의식 및 행동변화를 보임으로써 식습관이 개선되는 효과가 나타났다. 한편 식습관의 변화를 확장하기 위해서는 교육기간의 확대, 교육방법의 변화를 고려하여야 할 것이다.

간흡충증(肝吸虫症) 역학(疫學) - II. 저도유행지(低度流行地) 고양지방(高陽地方)에 있어서의 간흡충감염(肝吸虫感染)의 현황(現況)과 자연추이(自然推移) (Epidemiological Studies of Clonorchiasis - II. Current Status and Natural Transition of the Endemicity of Clonorchis sinensis in Goyang Gun, a Low Endemic Area in Korea)

  • 김동찬;이온영;이종수;안장수;장영미;손성창;이성희
    • 농촌의학ㆍ지역보건
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    • 제8권1호
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    • pp.66-80
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    • 1983
  • As a part of the epidemiological studies of clonorchiasis in Korea, this study was conducted to evaluate the current endemicity and the natural transition of the Clonorchis infection in Goyang Gun a low endemic area in recent years, prior to the introduction of praziquantel which will eventually influence to the status of the prevalence. The data obtained in this study in 1983 were evaluated for natural transition of the infection in comparison with those obtained 16 years ago in 1967 by the author (Kim, 1974). The areas of investigation, villages and schools surveyed, methods and techniques used in this study were the same as in 1967, except for the contents of the questionnaire for raw freshwater fish consumption by the local inhabitants. 1) The current prevalence rate of Clonorchis infection among the inhabitants was 7.5% on the average out of a total of 479 persons examined. The prevalence rate was 9.0% in the riverside area and 4.2% in the inland area. Among the schoolchildren, the prevalence rate was 1.1% out of a total of 1 319 examined. By area, it was 1.4% in the riverside area and 0.7% in the inland area. By sex, the prevalence rate was 13.3% in the male and 1.3% in the female in the inhabitants and no difference was seen in the schoolchildren. 2) In the natural transition of the infection, the prevalence rate in the inhabitants has decreased from 22.5% in 1967 to 7.5% in 1983, and in the schoolchildren, from 9.5% in 1967 to 1.1% in 1983. The reduction rate was higher in the riverside area than in the inland area. 3) In the prevalence rate by age, 1.2% was seen in the 10-14 age group and gradually increased to 8.1% in the 30-39 age group and reached peak 18.1% in the 40-49 age group. By sex, in the male, the prevalence rates have increased to 31.9% and 33.3% in the 40-49 and 50-59 age groups, respectively and decreased thereafter. In the female, the prevalence rate less than 5% was seen only in between the 10-14 and 30-39 age groups. 4) In the natural transition of the prevalence rate by age, sharp decrease was seen in the male from around 50% in 1967 between 15-19 and 30-39 age groups. The generation over 40s showed less decrease. In the female, the prevalence rate has decreased from 13% in 1967 to 5% in 1983 in the middle age groups and dropped to 0% in the rest of the age groups. 5) The intensity of the infection among clonorchiasis cases by mean EPmg (number of eggs per mg feces) value was 1.4. In the inhabitants, the value was 2.0 in the riverside area and 0.4 in the inland area. While in the schoolchildren, the value was 0.2 in both riverside and inland areas. 6) In the transition of the intensity of the infection, EPmg among the inhabitants has decreased from 3.9 in 1967 to 2.0 in 1983 in the riverside area, and from 2.9 to 0.4 in the inland area. In the schoolchildren, the reduction was similar in both riverside and inland areas resulting from 1.0-1.1 in 1967 to 0.2 in 1983. 7) In the intensity of the infection by age, EPmg 3.4 was peak at the 40-49 age group and 0.2-1.0 was seen in the rest of the age groups. The mean value was 1.5 in the male and 0.6 in the female. 8) In the natural transition of the intensity of the infection, the EPmg has decreased from 2.7 in 1967 to 1.4 in 1983. By age, reduction was seen in all of the age groups, particularly in the young and the old age groups of 50s and over, except in the 40-49 age group in which reverse phenomenon was seen. By sex, it has decreased from 3.5 in 1967 to 1.5 in 1983 in the male and from 1.0 to 0.6 in the female. 9) In the distribution of the clonorchiasis cases by the range of EPmg value, 70.3% of the cases were placed in the range of 0.1-0.9 as the most and 16.2% in 1.0-4.9 as the next. With such figures, those included in the range less than 0.9 as light infection were 78.4% and under 5.0-9.9 up to moderate infection 99.3% of the cases were covered. The cases were distributed up to 20.0-39.9 in the male and to 1.0-4.9 in the female. 10) In the transition of the distribution of the clonorchiasis cases by EPmg, the highest intensity reached up to 60.0-79.9 in 1967 and to 20.0-39.9 in 1983. In the range of light infection, under 0.1-0.9, the distribution in rate was 64.5% in 1967 and 78.4% in 1983. Up to the range of moderate infection, under 5.0-9.9, 91.7% in 1967 and 97.3% in 1983 were seen respectively. 11) In a survey for raw freshwater fish consumption among the local inhabitants,78.3 of the clonorchiasis cases interviewed admitted their experience of the raw consumption. However, those who practised in the past two years were 34.8% 55.6% of those who have such experience in the past professed that they did not practise raw freshwater fish consumption in the past two years. 12) The major cause of the reduction of the raw freshwater fish consumption among the inhabitants were the wide spread water pollution in the locality. The most common reason professed for stopping raw freshwater fish consumption among the inhabitants was the risk of the fluke infection. 13) In animal survey, 3.1% of dogs were found infected with Clonorchis, decreasing from 21.6% in 1967. 14) The distribution of the first intermediate host, Parafossarulus manchouricus has greatly diminished in this locality and found only in two localized ponds. No Clonorchis infection was found from the snails examined. 15) The second intermediate freshwater fish host has been further limited by extended water pollution. No susceptible fish host could be examined. 16) In conclusion, the endemicity of Clonorchis infection in Croyang Gun, low endemic area, has significantly decreased during the past 16 years. The major cause of the regressive transition of the infection was the water pollution of the freshwater system of this locality. This has upset the ecosystems of the intermediate host of Clonorchis sinensis in many areas of waterbodies and further discouraged to a significant extent the local inhabitants from raw freshwater fish consumption.

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산업간호현장의 보건업무 전산화시스템 활용현황과 산업간호사의 전산화 직무만족도 연구 (A Study of the Health Service Computerization State and the Occupational Nurses's Satisfaction Level on Computerization)

  • 정희영;박형숙
    • 한국직업건강간호학회지
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    • 제13권1호
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    • pp.5-18
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    • 2004
  • This study aims to investigate the use state of the health service computerization system in the occupational nursing field and the occupational nursers' satisfaction level, and provide basic data to promote the development of the health service computerization system for the nursing field. For this study, a questionnaire was provided to 118 occupational nurses who belong to Busan and Gyeongnam branches of KAOHN(Korean Association of Occupational Health Nurses) for 2 months (from Dec. 1, 2002 to Jan. 31, 2003). A tool of Choi Yong-Heui(2000) was used to investigate the satisfaction level of using the health service computerization system. The collected materials were analyzed in real number and percentage, average and standard deviation, t-test and ANOVA by using the SPSS WIN 10.0 program. This study is summarized as follows: 1. The average age was $31.99{\pm}5.58$ old in this study. The married were 54.2%. Participants who graduated from a junior college was 76.9%. The average service period was $4.48{\pm}4.68$ years. In service types, 79.7% of participants served in a health care center. The average service period was $3.22{\pm}2.89$ years. The service place which had 1000 workers or more was 35.6%. 2. Only 20.3% of participants in this study had a computer use education. 3. The field who participants used mostly was communication/internet, $3.29{\pm}.85$ hours in average. 4. 97.1% of occupational fields had computers and peripheral devices: 71.4% in pentium computer, 42.8% in the hard disk capacity of 20-29GB, 60.0% in 15 inch monitors, 86.2% in printers, 18.1% in digital cameras, 12.4% in LAN, and 9.5% in scanners. 80.1% of the occupational fields which were objects of study could use communication. 5. The occupational fields which did not introduced the health service computerization system were 62.8%. The main cause was attributable to entrepreneurs' insufficient recognition 66.6%. 51.5% of the entrepreneurs did not have an introduction plan. 37.2% of participating companies had the health service computerization system. 56.4% of them introduced it since the year 2000. 81.6% of the introduction motivation aimed to the efficiency of health service. The most issue upon introduction was insufficient understanding of a person in charge - 25.6%. The in-house development of the system covered 56.4%. 61.5% of the participants accepted their demands from the first stage of development. The direct effect of computerization showed the increase of 25.9% in the quickness and continuity of service treatment, and 25.9% in the serviceability of statistical treatment. 6. 22.0% of the participants had a computerization system use education. 69.2% of them had a in-house education. An educational method by nurses who used the computerization system was 76.9%. 92.3% of the education was helpful for practical duties. 7. An analysis of the computer use by health service fields showed that the medicine management in a health management field was 15.9%. the work environment measuring management in a work environment filed was 32.9%. the employment. general and special examination management in a heal th management field was 61.1 %. the various reports management in an administrative field was 64%. the health education data preparation management in an educational field was 58.0%. and the medicine and expendables management in an equipment management field was 51.6%. An analysis of the computerization system use showed that the various statistical data manage in a health management field was 13.0%. the work environment measuring management in a health management field was 34.8%. the personal disease management in a health management field was 51.9%. the heal education data preparation management in an educational field was 54.5%. and the equipment management of health care centers in an equipment management field was 52.6%. 8. 31.6% of the participants wanted that health service computerization system would include the generals of health services. 42.4% of the participants thought that first of all. the aggressive interest and investment of employers were required to build the health service computerization system. 9. The participants' satisfaction level on the computerization system use was $3.51{\pm}.57$ points. An analysis by each factor showed $3.62{\pm}.68$ points in a service change factor. $3.15{\pm}.63$ points in a computer program use factor, and $3.45{\pm}.71$ points in a continuous computerization use factor. 10. An analysis of the computerization system use by general characteristics of participants showed that the married (p = .022) had the satisfaction level higher than the unmarried. 11. The satisfaction level of the computerization system use by participants' computer use ability tended to be higher in proportion to the increase of computer use abilities in spreadsheet (F=2.606. p=.048). presentation (F=3.62. p=.012) and communication/internet(F=2.885. p=.0321. Based on the study results mentioned above. I will suggest as follows : The nationwide enlargement and repetition study is required for occupational nurses who serve in occupational nursing fields. The computerization system in a health service field is inferior comparing with other fields. The computerization system standard by business types and characteristics should be prepared through employers's aggressive participation and national support. Therefore various statistical data which occurs in occupational fields will be managed systematically and efficiently. A regular and systematic computer education plan for occupational nurses in charge of health services in the filed is urgently required to efficiently manage and improve the health of on-site workers.

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퇴원환자의 가정간호 이용의사와 관련 요인 (A Study on the Expressed Desire at Discharge of Patients to Use Home Nursing and Affecting Factors of the Desire)

  • 이지현;이영은;이명화;손수경
    • 재활간호학회지
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    • 제2권2호
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    • pp.257-270
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    • 1999
  • The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

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일부 금속 및 기계제품 제조업체 근로자들의 산업재해($1980{\sim}1981$)에 관한 조사 (An Epidemiological Study on the Industrial Injuries among Metal Products Manufacturing Workers in Young-Dung-Po, Seoul)

  • 이정희
    • Journal of Preventive Medicine and Public Health
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    • 제15권1호
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    • pp.187-196
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    • 1982
  • 1980. 1. 1부터 1981. 12. 31까지 만 2년간 서울 영등포 지역의 12개 금속 및 기계제품 제조업체 근로자들의 산업재해의 특성을 조사하여 얻은 결과는 다음과 같다. 1. 재해 발생율은 근로자 1000명당 45.7이며 남자 54.0, 여자 17.5로 남자에서 약 3배 이상 많이 발생하고 규모가 클수록 발생율이 감소하는 경향을 보였다. 2. 재해자들의 연령별 발생율은 19세 미만이 83.5로 제일 높고 $40{\sim}49$세가 가장 낮았다. 3. 근속 연수별 발생 분포는 1년 이하인 자가 48.1%로 근속연수가 짧을수록 재해빈도는 높았다. 4, 작업 개시 후 시간적 변동에 따른 발생율은 작업 개시 후 3시간이 6.0, 7시간이 6.1로 두 정점을 이루었다. 5. 요일별 재해 발생율은 월요일이 8.4(18.3%)로 가장 높았고 일요일이 가장 낮았다. 6. 월별 재해 발생율은 7월에 5.4(11.8%)로 가장 높았고 다음이 3월로 4.8(10.5%)였다. 계절별 발생율은 봄철에 13(28.4%)로 가장 높았다. 7. 재해원인별 발생빈도는 기계에 의한 것이 37.5%로 가장 높고, 다음이 기구없이 취급, 낙하물, 충돌에 의한 것이 각각 17.2%, 14.2% 및 10.2%를 차지하였다. 8. 상해 부위별 발생빈도는 상지부(上肢部)가 58.8% 하지부(下肢部)가 25.5%로 상하지(上下肢)가 전체의 84.3%였으며 이중 수지(手指)가 40.3%로 빈도가 제일 높았으며 좌우별 분포는 우측이 10%정도 많았다. 9. 상해 종류별 발생빈도는 열창 및 좌창이 34.0%로 가장 높았고 다음이 골절 및 탈구로 31.9%, 염좌 8.1%의 순이었다. 10. 요양 기간별 발생 분포는 2주에서 1개월이 54.4%로 가장 높았고 1개월 미만이 전체의 68.9%로 대부분이었으며 업체 규모가 클수록 치료기간이 연장되는 경향을 보였다. 11. 산재분 재해 대 비산재분 재해의 비율은 1:4.7이었다.리양상(解離樣相)은 거의 비슷하게 완만(緩慢)하였다. 4. 이상(以上)의 소견(所見)으로 미루어 볼 때 임신부(姙娠婦)의 CO 중독(中毒)은 산모(産母)보다 태아(胎兒)에서 더 큰 위해(危害)를 초래(招來)할 가능성(可能性)이 크며 또 HbF의 구성점유율(構成占有率)이 높은 6개월(個月) 이하(以下)의 영아에서도 그 위해도(危害度)가 클 것으로 간주(看做)된다. 따라서 임신부(姙娠婦) 또는 생후(生後) 6개월(個月) 이하(以下)의 영아가 CO 중독(中毒)되었을 때는 고압산소요법(高壓酸素療法)이 효과적(效果的)인 치료법(治療法)으로 보이며 그 치료시간(治療時間)을 성인환자(成人患者)에 있어서의 그것보다 좀 더 길게하는 것이 CO 중독(中毒)에 의한 위해(危害)를 감소(減少)시켜 줄 것으로 기대(期待) 된다. 있었다. 또한 공정 중 microwave와 autoclaving은 4가지 수산식품 낙지, 조기, 홍어, 새우의 allergenicity를 현저히 감소시키는 것으로 나타났다. 반면에 자외선은 단백질로 구성된 allergen의 구조는 크게 변화시키지 못하는 것으로 보여진 것을 알 수 있다. 그러므로 생선의 가공방법은 통조림 가공이나 microwave 처리가 allergenicity성을 감소시킬 수 있는 것으로 보여진다. 낙지, 조기, 홍어, 새우의 한외여과 fraction중 고분자인 100,000이상에서만 allergenicity가 나타났다. 따라서 이 allergen들의 분자량은 100,000 이상으로 추정되며 검색된 allergynicity 생선을 10,000∼100,000으로 한외여과 하였을 때 100,000 이상의 fraction에서만 PCA에 의해 allergenicity가 있는 것으로 인정되었다. 그러나 이 검색된 생선이 anaphylaxis가 인간에게서까지도 반응할지는 의문이다. 이 연구의 결과는 차후 임상실험환자에 의하여 최종 검증되어야 한다.일정한 관련성을 나타내지 않았다. 이상의 결과로

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한국, 미국, 일본의 식도암 방사선 치료에 대한 PCS($1998{\sim}1999$) 결과의 비교 분석 (Comparative Analysis of Patterns of Care Study of Radiotherapy for Esophageal Cancer among Three Countries: South Korea, Japan and the United States)

  • 허원주;최영민;김정기;이형식;최석렬;김일한
    • Radiation Oncology Journal
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    • 제26권2호
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    • pp.83-90
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    • 2008
  • 목적: 식도암의 방사선 치료에 대해 최초로 시행한 한국의 PCS의 결과를 토대로 미국, 일본에서 시행한 결과와 비교 분석하여 식도암 환자들의 특징, 진단 및 치료방침의 차이를 파악해 향후 범 국가적으로 활용할 시스템의 구축에 응용하고자 하였다. 대상 및 방법: 국내의 21개 병원의 방사선 종양학과에서 1998-1999년 동안 식도암으로 확진 된 후 방사선 치료를 받은 총 246명을 대상으로 하였다. 이 결과를 미국 59개 병원에서 식도암 환자 414명을 연구한 PCS 결과(Suntharalingam)와 비교 하였다. 또 일본의 76개 병원에서 수술과 방사선치료를 받았거나 수술, 방사선 치료, 항암제치료를 함께 받은 수술 군 환자 220명(Gomi), 수술을 받지 않고 방사선 치료만 시행하였거나 방사선 치료와 항암제치료를 함께 시행한 비 수술 군 환자 385명(Murakami)을 대상으로 시행한 PCS 결과와 비교 분석하였다. 결과: 환자들의 평균 연령은 일본의 비 수술 군이 가장 높았다(71세). 한국과 일본은 남성의 발생 빈도가 월등히 높았지만(9:1) 미국은 여성의 발생률이 23.1%였다. 한국과 일본은 편평상피세포암이 압도적으로 많았지만(한국 96.3%, 일본 98%) 미국은 선암이 더 많은 양상을 보였다(49.6%). 병기결정을 위한 검사는 식도 내시경, 흉부 컴퓨터 단층촬영, 식도조영술을 가장 많이 사용하였고 미국과 일본은 복부 컴퓨터단층촬영을 복부 초음파보다 더 자주 시행하였다. 치료방침을 분석한 결과 방사선 단독치료의 비율은 한국이 23.2%, 일본이 39%인데 반해 미국은 9.5%에 불과하였다. 수술과 방사선 및 항암치료를 병용한 빈도는 미국(32.8%)과 일본(49.5%)이 한국(11.8%)보다 높았다. 식도암 치료에 있어서 항암제 치료는 미국이 가장 높은 빈도로 사용되어졌고(89%) 동시항암방사선 치료도의 빈도도 미국이 가장 높았다(97%). 항암치료제는 3개국 모두에서 cisplatin과 5-FU를 가장 선호하였다. 방사선 조사량은 한국 55.8 Gy, 미국 50.4 Gy였고 일본은 수술 군(48 Gy)과 비 수술 군(60 Gy)이 현격한 차이를 보였다. 결론: 한국, 미국, 일본에서 시행된 식도암 환자의 PCS 결과를 분석하여 환자 및 종양의 특징, 진단 및 치료 방침에 다소간의 상이점을 발견하였다. 그러나 방사선 조사량과 조사야 수, 방사선치료 에너지의 종류 등 방사선 기술적인 부분은 3개국 모두에서 큰 차이를 보이지 않았다.

누항도(陋巷圖)와 누항록(陋巷錄)을 통해 본 이만부의 공간철학과 식산정사의 원형경관 (A Study on Lee, Man-Bu's Thought of Space and Siksanjeongsa with Special Reference of Prototype Landscape Analyzing Nuhangdo(陋巷圖) and Nuhangnok(陋巷錄))

  • 강병선;이승연;신상섭;노재현
    • 한국전통조경학회지
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    • 제39권2호
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    • pp.15-28
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    • 2021
  • 경상북도 민속문화재 제76호로 지정된 '천운정사(天雲精舍)'는 식산 이만부가 1700년에 건립한 식산정사이다. 본 연구에서는 식산정사와 관련한 이만부의 생애와 은일관을 알아보고, 그의 정사경영의 결과물인 「누항록」과 《누항도》를 분석해 정사의 풍수적 입지와 영역성 및 원형경관을 추정하고, 은거한 선비가 자신의 공간에 담고자 했던 철학을 고찰하여 다음의 결과를 도출하였다. 첫째, 식산 이만부는 조선 후기 대표적 은둔형 유학자이다. 정사의 이름이자 이만부의 호인 '식산'은 마을의 뒷산(主山)에서 연유한 것으로 그는 생각(思), 몸(躬), 말(言), 사귐(交) 네 가지를 쉬고자 했다. 다난했던 숙종년간 남인 집안의 이만부는 '식산'이라는 호를 통해 은둔하고자 하는 그의 의지를 표상하였다. 둘째, 이만부는 식산정사의 입지, 공간구조, 건축물 및 조경시설물, 수목, 주변경관, 이용행태 등을 「누항록」에 기록하였고, 《누항도》화첩을 남겨 원형에 가까운 식산정사 복원 가능성이 비교적 높다. 셋째, 이만부는 외노곡이 밖에서 보면 사면이 두로 막혀있으나 안으로 들어서면 아늑하고 깊숙하며 멀리까지 내다보인다는 풍수적 지리관을 언급하고 있으며, 노곡마을 전체를 일컬어 식산정사라 했는데 이는 명명을 통해 의미를 부여하고 영역을 형성·확장하였음을 알 수 있다. 넷째, 식산정사의 공간구성은 연식공간, 교육공간, 후원공간, 휴식공간, 채원 및 약초밭으로 구분할 수 있다. 당과 루, 연지로 구성된 연식공간은 개인적 공간으로 호연지기, 천인합일의 흥취, 군자의 도리, 인을 생각하는 이만부의 거처이자 강학을 베풀던 공간이다. 다섯째, 양정재 영역은 교육공간으로서 양정재는 주역 몽괘에서 취한 이름으로 어린 학생들의 학문과 덕이 크고 밝게 성장하기를 기원한 이름이다. 여섯째, 간지정, 고반대, 세한단 등으로 구성된 후원공간은 식산정사 가장 안쪽의 숲이 우거진 곳을 정리하고 자연 입석과 고송을 병풍삼아 작은 정자를 지을 축대를 쌓은 곳으로, 멈춤의 미덕과 은자의 여유, 군자의 지조 등에 관한 뜻을 담고 있다. 일곱째, 식산정사 담장 밖 동쪽 시내 건너 고목이 우거진 곳에 단을 조성하여 영귀사라 하고 괴석을 쌓고 화초를 심어 휴식의 장소로 삼았다. 여덟째, 조선시대 선비들처럼 채소와 약초의 효능을 상세히 알고 있던 이만부는 정사 내에 채원과 약초밭을 가꾸었다. 아홉째, 식산 이만부는 식산정사의 각 공간별 건축물과 조경시설물에 대한 명명을 통한 의미 부여와 고사(古事)를 따른 식재를 통해 자신의 정사에 성리학적 이상향을 실현했음을 알 수 있다.