• 근관절건강학회지
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• 제19권2호
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• pp.197-209
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• 2012

Purpose: This study was aimed to revise Personal Power of Health Care (PPHC) scale which was developed to measure the personal power and competence for health care. Methods: Research phases designed for this study were literature review, scale development, and discussion with experts and pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 25 items with 7 dimensions and tested to 592 adults ranged from 20 to 59 aged living in S and W city. Results: From factor analysis, 7 dimensions were identified and named as follows: Health-perception, Health problem identifying and solving, Socio-economical involvement, Sociocultural relationship, Self-regulation, Spiritual wellbeing, and Health policy participation. The total explained variance was 54.69%. The reliability was .817 of Cronbach's alpha. The PCHC scale was significantly different from gender, religion, education level, monthly income, and presence of family disease, but not different from age and job. Also, there were significant correlations among Health Promotion Lifestyles Profile II, WHO QOL-BREF and self-efficacy. Conclusion: This PCHC scale is reliable and valid to measure personal competence of health care.

• 한국보건간호학회지
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• 제24권2호
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• pp.237-248
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• 2010

Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

• 한국학교보건학회지
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• 제22권1호
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• pp.67-72
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• 2009

Purpose: The purpose of this study was to examine the relationship between the toothpaste squeezing methods and the amount of toothpaste that the daycare teachers apply for the children in order to prevent the overuse of fluoride-containing toothpaste among children, and to understand their educational experiences on oral health and their awareness of the right amount of toothpaste used. Methods: The subjects in this study were 87 teachers at 16 different daycare centers in the city of Sokcho, Gangwon Province. They were interviewed to find out whether they had ever received oral health education and whether they were cognizant of the right amount of toothpaste to be used. And a transverse technique and a pea-sized squeezing technique were selected to look for connections between their toothpaste squeezing methods and the amount of toothpaste used by them. Results: 89.7 percent of the daycare teachers investigated taught to preschoolers how to do toothbrushing after they took meals and had a snack. 36.8 percent of the daycare teachers had children squeeze toothpaste on their own. The amount of toothpaste applied by the daycare teachers at a time was 0.58ｇ. When they utilized two other squeezing methods, transverse technique and pea-sized squeezing technique, they used each 0.38 g (p<0.005) and 0.38 g (p=0.405) of toothpaste. Conclusion: To prevent children from being overly exposed to fluoride-containing toothpaste, daycare teachers should learn about the right amount of toothpaste to be used when oral health education is provided, and the transverse technique should be recommended to ensure the use of the proper amount of toothpaste.

• 근관절건강학회지
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• 제14권2호
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• pp.109-117
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• 2007

Purpose: The purpose of the study was to identify the effect of a self-exercise program on low back pain, abdominal-back muscle strength and waist flexibility in hospital nurses. Method: An experimental research design was employed. 43 subjects (20 in the experimental group and 23 in the control group) who worked in a general hospital in W city agreed to participate in this study. The intervention had 6 sessions with self-exercise program including flexion and extension demonstrated by a trained research assistant. A Visual Analog Scale was used to measure the subjective pain severity. Abdominal-back muscle strength was measured with a back strength dynamometer, while waist flexibility was gauged by the standing of the subject's upper body. Analysis included descriptive statistics, $x^2$ test, t-test and ANOVA. Result: The experimental group exhibited significantly decreased low back pain, an increase in abdominal-back muscle strength, and increased waist flexibility after 6 sessions. The experimental group were not significantly increased in abdominal-back muscle strength than the control group. Conclusion: These results suggest that further research is needed to replicate for verification of clinical validity with the methodological rigors, and to utilize the self-exercise program for care and prevention of low back pain.

• 근관절건강학회지
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• 제15권1호
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• pp.62-72
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• 2008

Purpose: There has been a need to integrating the self-help program for arthritis with the Tai Chi for arthritis(SHTCA). The purpose of this study was to develop and to examine the effect of SHTCA for arthritis applying the nine movement Tai Chi. Method: This study was designed the pre-post test, quasi-experimental design. A total 47 participants were recruited in W-city in Korea, an experimental group(26) and a control group(21) at pre-test, but after the eight weeks the composition of the groups were changed to 22 experimental group and 15 control group. The experimental group participated in the SHTCA once a week for eight weeks. SHTCA program consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and the nine movements of Tai Chi exercise. The measures used to examine the effect of the SHTCA were shoulder flexibility, back flexibility, grasping power, balance, abdominal obesity rates, perception of health status, and EQ-5D standardized five dimensions, mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Results: At The completion of the eight weeks of SHTCA applying the nine movement Tai Chi, the experimental group reported a significance in a number of variables compared to those of the control group: the right shoulder flexibility(p=.018), left shoulder flexibility(p=.031), right grasping power(p=.014), left grasping power(p=.024), the perception of health status(p=.005) and abdominal obesity rates(p=.027). Conclusion: This SHTCA applying the nine movement Tai Chi would be helpful on right shoulder flexibility, left shoulder flexibility, right grasping power, left grasping power, abdominal obesity rates and the perception of health status for arthritis patients.

• 한국치위생학회지
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• 제19권1호
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• pp.65-78
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• 2019

Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

• 환경생물
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• 제35권4호
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• pp.684-693
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• 2017

본 연구는 강원도 원주시에 위치한 원주천의 현재의 어류상을 파악하고, 과거와 현재의 변화를 통하여 하천 건강성을 평가하고자 하였다. 현지조사는 2015년 5월부터 2016년 9월까지 총 4회 조사를 실시하였다. 조사결과 총 9과 27종 5,201개체가 출현하였으며, 피라미(Zacco platypus)가 우점하고, 돌고기(Pungtungia herzi)가 아우점한 것으로 나타났다. 한국고유종은 총 8종으로 고유종 빈도는 16.54%로 분석되었다. 군집분석 결과 평균 우점도지수는 0.72 (${\pm}0.10$), 다양도지수는 1.37 (${\pm}0.32$), 균등도지수 0.61 (${\pm}0.13$), 풍부도지수 1.70 (${\pm}0.23$)으로 분석되었다. 내성도 길드 분석 결과 중간종의 개체수 비율이 높게 나타났으며, 섭식도 길드 분석 결과 전반적으로 잡식종의 비율이 상대적으로 높게 분포하였다. 물리적 서식지 평가지수(QHEI) 분석결과 평균 121.2(${\pm}23.4$)로 양호한 서식처 환경을 나타냈으며, 어류평가지수(FAI)를 분석한 결과 대부분 A~B등급으로 하천건강성이 양호한 것으로 분석되었다. FAI와 다양한 항목 간의 상관성 분석결과 QHEI, 잡식종, 충식종, 중간종, 민감종, 우점도, 다양도, 균등도, 풍부도는 통계적으로 높은 상관성을 갖는 것으로 분석되었다.

• 한국인구학
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• 제31권2호
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• pp.133-155
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• 2008

본 연구는 강원도의 인구이동 유형과 특성을 밝히는 데 그 목적이 있다. 이를 위해 본 연구는 우선 강원도 인구분포의 변화 양상을 검토하였다. 연구결과 강원도 18개 시군 중 춘천과 원주를 제외한 시군에서 모두 인구감소를 겪고 있는 것으로 나타났다. 춘천의 경우 도청소재지와 영서북부권의 거점도시로서의 역할을 담당하고 있다는 점에서 그 이유를 찾을 수 있다. 앞으로 경춘전철 및 고속도로 건설에 따른 서울 및 수도권과의 접근성이 향상될 경우 춘천의 인구는 지속적으로 증가할 것으로 예상된다. 원주시는 교통망이 전국적으로 연결된다는 점과 최근 기업 도시, 혁신도시에 선정되면서 발전가능성이 높게 인식되면서 인구를 끌어들이고 있다. 이에 반해 강릉은 거점도시로서의 역할이 점차 약화되는 특성을 보이고 있다. 이와 함께 본 연구는 강원도의 인구이동 유형을 6개 그룹으로 분류하여 검토하였으며, 이를 다시 시기별로 분석하였다. 분석결과 $2000{\sim}2003$년 사이에는 중간거점도시가 춘천, 속초, 동해, 강릉 등 5곳 이었으나, $2004{\sim}2007$년 사이에는 원주, 춘천 등 2곳만이 중간거점도시로서의 기능을 유지하고 있는 것으로 나타났다. 속초와 동해는 서울, 경기도로 주로 옮겨가는 특성을 보였으며, 강릉은 서울, 경기와 춘천 및 원주로 동시에 유출되는 특성을 보였다. 이와 함께 분석결과는 조사기간 중 전반기에는 중간거점도시보다 수도권으로의 인구이동이 많았으나 후반기에 들어서 거점도시인 춘천, 원주로 옮겨간 인구수가 거점도시에서 수도권으로 간 인구수보다 더 많은 특징을 보였다. 이는 중간거점도시의 영향력이 점차 커지고 있음을 보여주는 것으로 이해 될 수 있다.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.61-81
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• 2002

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

• Communications for Statistical Applications and Methods
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• 제3권3호
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• pp.75-81
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• 1996

Polynomial measurement error model(MEM) with one predictor is considered. It is briefly mentioned that Chan and Mak's generalized least squares estimator(GLSE) can be derived more easily if Hermite polynomial concept is applied. It is proved that GLSE derived using new procedure is equivalent to the estimator obtained from corrected score function. Finally, much simpler proof of the asymptotic behavior of GLSE than that of Chan and Mak is provided. Much simpler formula of asymptotic covariance matrix of GLSE is a part of that proof.