• 보건의료생명과학 논문지
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• 제11권2호
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• pp.457-464
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• 2023

본 연구의 목적은 집단회상 프로그램이 노인의 자아존중감향상과 우울감소에 효과적인지를 분석하는데 있다. 연구대상은 N시에 소재하는 노인복지관을 이용하는 65세 이상 남녀 노인 20명을 대상으로 하였다. 실험군(n=10)과 통제군(n=10)으로 무선 할당 하였다. 프로그램 효과를 검증하기 위한 측정 도구에는 자아존중감, 한국형 우울 척도(GDS-K)를 사용하였다. 실험집단은 주 1회 총 10회기에 걸쳐 80분씩 실시하였다. 실험집단에는 집단상담 프로그램을 실시하였으며, 같은 기간 동안 통제집단에 대해서는 아무런 조치를 취하지 않았다. 본 프로그램의 효과를 검증하기 위하여 SPSS 21.0 통계 프로그램을 사용하여 집단별 사전·사후검사의 평균과 표준편차를 산출하고 독립표본 T 검정을 실시하였다. 연구 결과 프로그램을 실시한 실험 집단이 통제 집단보다 자아존중감이 유의미하게 향상되었고, 우울감은 유의미하게 감소하였다. 이러한 결과를 중심으로 연구의 의의와 한계점에 대해 논의하였다.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.95-100
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• 2016

Objective: The purpose of this study was to investigate effects of hand grip strength on the muscle activation of shoulder joint in breast cancer patients. Design: Cross-sectional study. Methods: Ten breast cancer patients who agreed to active participation were included. These patients were operated with either conservative surgery or segmental mastectomy, and then were treated with radiation therapy and chemotherapy. The activity of the upper trapezius, lower trapezius, supraspinatus and serratus anterior muscle were measured using surface electrodes during 4 hand gripping tasks (lowered their arms in standing position, 0%, 30%, and 50% of maximum voluntary contraction) in the scapular abduction plane. Results: The results were analyzed using a one-way repeated measures ANOVA. There was a significant difference in the lower trapezius and supraspinatus muscles according to grip strength, lower trapezius and supraspinatus muscles showed significantly difference according to grip strength (p<0.05). The result of the muscle activation according to hand strength (0%, 30%, and 50%) it showed a significant difference between the upper trapezius and supraspinatus in 0% grip strength (p<0.05). In addition, it did not show a significant difference between muscles in 30%, 50% hand strength. Conclusions: This study showed an increase in shoulder muscle activation with increasing hand grip strength with the upper trapezius muscle being more activated than other muscles in 0% grip strength. The finding of this study suggests usefulness for development of preventative measures and rehabilitation strategies for increasing shoulder motor function in patients with breast cancer.

• Physical Therapy Rehabilitation Science
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• 제2권2호
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• pp.99-103
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• 2013

Objective: Clinical measures that quantify upper extremity function are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the relationship between the Unified Parkinson's Disease Rating Scale (UPDRS)-Motor Exam and upper extremity performance as a quantifying clinical tool of upper extremity function in persons with Parkinson's disease. Design: Cross-sectional study. Methods: Thirty-two idiopathic Parkinson's Disease persons participated in this study. To investigate the relationship between the UPDRS-motor exam, Box and Block test (BBT), and Action Research Arm Test (ARAT) by two physical therapists. The examination took up to 1 hour, and the participants were invited to rest between each clinical measure in order to minimize the effects of fatigue. Clinical measures were assessed while the subjects were in the "on" phase of their medication cycle, generally 1-3 hour after taking their anti-Parkinson's medications. Results: In more affected side, the UPDRS-motor exam was significantly negative correlated with the BBT (p<0.05) but it was not significantly correlated with the ARAT. In less affected side, only positively correlation was significantly shown between BBT and ARAT (p<0.05). On the other hand, between BBT and ARAT were not significantly correlated with the UPDRS-motor exam. Conclusions: The UPDRS-motor exam is effective tool which was significantly correlated with manual dexterity in more affected upper extremity. But The UPDRS-motor exam is not effective tool in less affected upper extremity.

• 한국가금학회지
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• 제45권1호
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• pp.1-15
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• 2018

Salmonella infections in livestock industry cause various problems such as worsening animal welfare and productivity, damaging consumer confidence in the food safety of animal products. Chicken meat and eggs are known as major source of pathogen causing human foodborne infections. Therefore food safety concerns have prompted the poultry producers and governments to introduce the strategy and regulation to control these pathogens. Salmonella can persist for long periods of time in a wide range of spaces including feed bin, feed processing facilities, poultry farm, slaughterhouse, processing plants, etc. For the effective and constant Salmonella control, combination of pre-harvest, harvest and post-harvest measures should be considered comprehensively. The control measures would be most effective at farm level where the contamination initiates. Transmission of pathogen from feed origin to the live poultry and finally to the products was proven already. To control bacteria in the feed ingredients and formula feed, thermal processing, irradiation or chemical treatment may be applied. Chemical treatments to inhibit Salmonella in the feed involve the use of products containing organic acids, formaldehyde, or a combination of such compounds. However, recontamination which might occur during storage and transport process and/or by other various factors should always be under control and eliminated. Feed additives used to control Salmonella in birds' gastrointestinal track can be of various types, including prebiotics, probiotics, organic acids and bacteriophages. Although their mode of action varies, they ultimately inhibit the colonization of Salmonella in the gut and improve the performance of birds. This review describes the strategies that could be adapted to the management of feedstuffs and the use of feed additives in pre-harvest stage to control Salmonella contamination in poultry farming.

• 한국전문물리치료학회지
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• 제19권3호
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• pp.91-97
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• 2012

The primary aim of this study was to compare responsiveness of self-report by worker and therapist-scored functional capacity instrument. Self-report and therapist-scored interval-level person measures and item difficulties were compared at admission and discharge. Therapist and worker ratings were collected on 230 clients from 27 rehabilitation sites using the newly developed Occupational Rehabilitation Data Base (ORDB) functional capacity instrument. ORDB comprises several subscales measuring relevant variables of "a return-to-work model" in work-related rehabilitation clinics. The functional capacity scale deals with 10 DOT job factors. The rating scale categories were 1-severely impaired, 2-moderately impaired, 3-mildly impaired, and 4-not impaired. Only data from clients with low back pain (n=98) with complete data (both admission and discharge scores) were used for the present study. Therapists and workers completed the functional capacity instrument at admission and discharge. Rasch analysis [1-parameter item response theory model (IRT)] was applied to calibrate item difficulty and person ability measure of therapist and workers ratings. Effect sizes for therapist and self-report ratings were slightly different, .69 and .30, respectively. Therapist and worker ratings were more consistent at discharge (r=.54) than at admission (r=.32). Workers have a tendency to be more severe in their ratings (show higher item difficulties) than therapists at admission and discharge. Therapists and workers report similar magnitudes of improvement following treatment program. These findings challenge the belief that injured workers may unreliable source for monitoring therapeutic outcomes. Self-report measures have the advantage of conserving therapist time for treatment (versus evaluation). While the therapist and self-report ratings are comparable at discharge, there is less consistency at admission. Comparable therapist-worker ratings may be achieved by controlling for rating severity using IRT methodologies.

• 가정과삶의질연구
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• 제26권1호
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• pp.31-49
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• 2008

This study has been performed to explore verbal and behavioral expression of sexual desires among male elderly residents who have been living in long tenn care facilities. There are three topics covered in this study; first, in what situations and how seriously do care workers encounter expression of sexual desires of the elderly residents? Second, what kind of negative consequences do they believe those sexual behaviors will lead to? Third, how can we implement defensive measures against the sexual behaviors? In this study, twenty three care workers working full time in five retirement and care facilities were asked about their experience and perception of the above study agendas, and answers of the qualitative interview were drawn as follow; first, the elderly residents apparently show a variety of sexual harassment and provoking behaviors such as sticking to specific women, physically touching and attacking, and induce obscenely activities against female residents, care workers, and volunteer visitors. Second, their sexual behaviors are often influenced by their isolated and abandoned emotionality as well as living situation in rural areas. Third, their sexual behaviors often critically affect care work plan and facility managements by severely discouraging female care givers and community supporters. Therefore in this study, suggestions and defensive measures were made as follows: first, education and counselling programs toward female workers and volunteers need to be developed, and the programs should cover psychological and behavioral mechanism of sexuality in later life. Second, self control plans need to be empowered toward the elderly residents; in the plans, the elderly residents shall be encouraged to evaluate primary cause and proper solutions of sexual behaviors of their peering residents. Third, combination of healthy housing and care facilities for frail elderly need to be integrated in a neighboring location, so that when residents and workers encounter extreme episodes of sexuality of healthy residents in a housing facility, the problematic sexual residents are partially transferred into a neighboring care facility and thereafter other residents and cafe givers are relieved from stressful contacts with the extremely sexual residents.

• 한국지역지리학회지
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• 제17권4호
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• pp.357-380
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• 2011

본 연구는 우리나라의 외국인 이주자 정책과 지원 활동이 어떤 성향을 가지고 있으며, 이러한 성향을 반영한 구체적인 정책 및 지원 프로그램들이 외국인 이주자들의 유형과 거주지역에 따라 어떻게 달리 인식되고 있는가를 고찰하고, 이들을 위해 필요한 정책의 개선 방안을 제시하고자 한다. 흔히 외국인 이주자 정책은 동화 모형, 차별적 배제 모형, 다문화 모형으로 구분되지만, 주변화의 성향이 함의된 것으로 이해된다. 또한 결혼이주자 정책은 동화 모형, 이주노동자 정책은 차별적 배제 모형, 전문직 이주자와 외국인 유학생 정책은 (거의 부재한 상태에서) 다문화주의적 성향을 가진 것으로 이해되지만, 설문조사에 의하면 외국인 이주자들은 관련 정잭에 대해 이러한 성향이 혼재된 것으로 인식하고 있다. 외국인 이주자를 위한 정책의 개선 방안으로, 첫째 동화주의, 차별적 배제주의, 그리고 주변화를 벗어날 수 있는 분배적 평등과 인정의 정의에 기초한 다문화주의, 둘째 지역사회에 기반을 두고 외국인 이주자 및 관련 기관과 단체들이 참여하는 외국인 이주자 네트워크 거버넌스의 구축, 셋째 지역 정체성 함양, 시민권의 보장, 종합적 복지 제공, 다문화교육 등 지속적이고 다문화주의적 내용들로 구성된 지원 프로그램의 개발 등이 제시된다.

• 대한토목학회논문집
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• 제31권3D호
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• pp.391-401
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• 2011

시내버스 준공영제 시행은 시내버스 운전자의 신분안정과 근무환경, 복지의 향상을 가져왔다. 이러한 혜택은 시내버스 운전자의 이직을 방지하여 시내버스 운전자들의 연령이 증가하고 있다. 시내버스 준공영제 시행 후 시내버스 교통사고 중 사망사고가 증가하는 등의 부작용이 사회적 문제로 부각되고 있다. 이러한 시내버스 준공영제로 인한 문제점을 최소화하기 위하여 시내버스 교통사고의 저감대책 마련 시 운전자의 연령 증가와 이로 인한 고령운전자의 운전행동 특성을 반영한 교통사고 저감대책 마련의 필요성이 최근 부각되고 있다. 기존의 고령운전자의 교통사고저감 대책 마련은 단순한 정책방향이 대부분이었다. 이러한 한계를 극복하기 위하여 본 연구에서는 실제교통사고 야기자인 고령운전자와 비고령운전자를 대상으로 설문조사와 함께 운전정밀적성검사를 통하여 운전행동특성을 파악하였다. 그 결과 고령운전자의 운전행동특성을 정확하게 알 수 있었다. 또한, 구조방정식을 통한 고령운전자 행동 특성 분석모형 결과를 통해 고령운전자의 교통사고 저감대책을 마련, 제시 할 수 있었다.

• 한국융합학회논문지
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• 제11권3호
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• pp.237-244
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• 2020

초고령사회에 진입한 일본은 의료 및 복지에 대한 수요증가에 대응하기 위해서 정부의 다양한 정책적 방안들이 논의되고 있다. 특히 개호인력 확보 및 인력양성을 위해 일본정부와 지자체가 1) 인프라 구축, 2) 개호복지사 수학자금 등 대출제도, 3)외국인 유학생 개호인력유입 등 다양한 방면으로 전문 인력 확보 대책을 추진하고 있다. 또한, 교육기관인 대학에서도 커뮤니티케어 교육연구센터를 설립하여 의료, 복지, 교육에 관한 전문인재 육성의 질적 향상을 도모하고, 직업교육을 통해 개호전문인력을 지속적으로 육성하고 있다. 한국도 급속한 고령화와 의료기술의 진보 등 보건의료를 둘러싼 환경이 크게 변화하면서 고령자에 대한 개호 수요가 증가할 것으로 전망되고 있다. 개호요구의 급증에 비해 노동 인구의 감소로 심각한 인력부족을 겪고 있는 일본의 선 경험에 비추어 보건인력 확보에 대한 정책방안의 논의가 이루어져 할 것이다.

• 보건행정학회지
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• 제32권3호
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• pp.304-316
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• 2022

Background: As prevention of coronavirus disease 2019 (COVID-19) transmission in healthcare settings has become a critical component in its effective management, COVID-19 specific infection prevention and control (IPC) guidelines were developed and implemented by numerous countries. Although largely based on the current evidence-base, guidelines show much heterogeneity, as they are influenced by respective health system capacities, epidemiological risk, and socioeconomic status. This study aims to analyze the variations and concurrences of these guidelines to draw policy implications for COVID-19 response and future guidelines development. Methods: The contents of the COVID-19 IPC guidelines were analyzed using the categories and codes developed based on "World Health Organization guidelines on core components." Data analysis involved reviewing, appraising and synthesizing data from guidelines, which were then arranged into categories and codes. Selection of countries was based on the country income level, availability of COVID-19 specific IPC guideline developed at a national or district level. Results: The guidelines particularly agreed on IPC measures regarding application of standard precautions and providing information to patients and visitors, monitoring and audit of IPC activities and staff illnesses, and management of built environment/equipments. The guidelines showed considerable differences in certain components, such as workplace safety measures and criteria for discontinuation of precautions. Several guidelines also contained unique features which enabled a more systematic response to COVID-19. Conclusion: The guidelines generally complied with the current evidence-based COVID-19 management but also revealed variances stemming from differences in local health system capacity. Several unique features should be considered for benchmark in future guidelines development.