• 보건교육건강증진학회지
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• 제23권5호
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• pp.29-46
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• 2006

Purpose: Since 1994, Asian Health Services, the Korean American Community Advisory Board, and the Center for Family and Community Health (University of California at Berkeley) have conducted periodic, population-based surveys on Korean American community health in Alameda County, California. The present study examines changes in health care access and utilization between 1994 and 2002 among Korean American adults in Alameda County, California. Method: We reanalyzed data from the 1994 and 2002 Korean Health Surveys. The primary variables of interest, health care access and utilization, were operationalized in terms of health insurance coverage, routine check-ups, a usual source of health care and reported barriers to health care. The frequency distribution of each indicator was calculated and its standard error was estimated using SUDAAN. The differences between 1994 and 2002 were examined with chi-square test. Results: Compared to 1994, Korean Americans in Alameda County were more likely to have health insurance coverage in 2002 (74.0% vs. 82.7%). Korean Americans in Alameda County were more likely to have received a recent (prior two years) routine health checkup in 2002 (50.4% vs. 57.2%). Health checkups increased over time for males, for adults with more than 12 years of education, and for employed adults. Also, compared to 1994, employed adults were more likely to have a usual source of health care in 2002 (66.5% vs. 78.4%). In both 1994 and 2002, high cost (58.0% vs. 47.8%) was the most commonly cited barrier to health care, and the next most frequently cited barriers were language (29.2% vs. 27.7%) and no time (29.2% vs. 30.3%). Conclusion: To improve health care utilization and health conditions, it is important to investigate factors related to health care and to monitor changing trends. Ongoing surveillance of health-related factors can contribute to the development of health education programs to reduce morbidity and mortality due to chronic disease, and thereby lead to improvements in health status among Korean Americans.

• 대한간호학회지
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• 제19권1호
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• pp.24-39
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• 1989

This study was conducted to investigate the present situation and problems related to the use of nursing diagnosis in practice. The data were obtained from 332 subjects (27 director of nursing service, 302 staff nurses) who worked in university hospitals in Korea from July through August 1988 using a mailed questionnaire. Data were analyzed by frequency, X$^2$ test and t-test. The findings were as follows ; 1, Clinical use of nursing diagnosis by directors of nursing service and staff nurses. 1) The majority of the nursing departments (88.9%) conducted group education on nursing diagnosis during the last 5 years and 81.5% of them kept a record format for nursing diagnosis : 88.9% of them had had prior experience with the nursing diagnosis. 2) Most of nurses (97.0%) had received education on nursing diagnosis. 2. Factors related to the clinical use of nursing diagnosis in nursing service departments and by staff nurses. 1) The one factor related to the use of nursing diagnosis in the nursing service department was the existence of a record. 2) Factors related to the use of nursing diagnosis by the staff nurses were the organization style of the nursing service department, group education during the last 5 years, existence of a record, the attitude of the director of nursing service, and prior experience of the use of the nursing diagnosis as characteristics of nursing service department and educational experience of nursing diagnosis as a character of nurse. 3. Problems with the use of nursing diagnosis. 1) The primary problem was the lack of time and personnel (mean : 3.757) ; the second problem was the lack of knowledge and will to use nursing diagnosis in practice by the staff nurses(mean : 3.546). 2) There was no significant difference in problems expressed by the director of nursing services and the nurses. The majority of nurses who worked in the university hospitals expressed interest in and concern about the use of nursing diagnosis. Most of the nurses had had education about on nursing diagnosis but use in practice was limited. The primary problem was lack of time and manpower. Strategies for improving use of the nursing diagnosis in practice : 1) Strengthening the education about nursing diagnosis and a holistic approach to understanding human beings. 2) Develop protocols for the use of nursing diagnosis. 3) Eliminate the language barrier regarding nursing diagnosis by translation into in Korean. 4) Decentralization of the nursing service to promote accountability by individual nurses for use of nursing diagnosis.

• Child Health Nursing Research
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• 제20권4호
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• pp.314-321
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• 2014

목적 본 연구는 사회인지진로이론에 입각하여 우리나라 고등학생의 정신 건강 및 문제행동에 영향을 미치는 요인을 규명하기 위해 수행되었다. 방법 본 연구는 2013년 11월 18일부터 29일까지, S시에 소재한 인문계 고등학교 재학생 384명(남자 186명, 여자 198명)을 대상으로 한 서술적 조사연구이다. 연구도구는 개인 배경 변인, 진로 관련 변인(진로장벽, 학습경험, 자기효능감, 결과기대, 진로미결정), 정신건강 및 문제행동에 관한 자기기입식 설문지였으며 수집된 자료는 SPSS 21.0 프로그램을 활용하여 기술통계, 상관관계 및 다중 회귀분석을 하였다. 결과 다중 회귀분석 결과, 개인적 변인으로 스트레스 인지(t=5.12, p < .001)와 평상시 건강상태(t=-4.08, p <.001), 배경적 변인으로 학업성적(t=5.46, p <.001), 진로 관련 변인에서 진로장벽(t=10.57, p <.001)이 정신 건강 및 문제행동에 유의미한 영향을 미치는 요인으로 나타났다. 결론 고등학생의 정신건강 및 문제행동의 영향요인으로 개인 배경 변인과 함께 진로장벽을 확인하였다. 특히, 진로결정은 발달과정 동안 지속적으로 영향을 받으므로 진로를 선택하는 청소년 후기에 이를 고려한 예방적, 중재적 접근이 필요하다. 본 연구결과를 토대로 청소년의 정신 건강 및 문제행동 수준을 개선하기 위한 중재 개발과 학교보건 및 실무에의 적용에 기초자료로 활용될 것을 기대한다.

• 한국응급구조학회지
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• 제9권2호
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• pp.55-78
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• 2005

The purpose of this study was to provide basic data for the improvement of the guidelines and training programs regarding the cardiopulmonary resuscitation performance of bystanders who can respond to the incidents in earlier times as the first responder of the cardiac arrest incident, by reviewing the performance of basic CPR and the influencing factors after providing 70 students of Department of Emergency Medical Technology with the CPR training. For the purpose of the study, the collected data were computerized and analyzed by SPSS-WIN program(ver. 10.1). The results for this study were as follows The duration of session between the groups in the BLS CPR were 3 minutes and 36 seconds, 2 minutes and 32 seconds respectively. The average compression number per minute were 24.3 times and 33,2 times respectively(p=.000), and the average compression rate per minute were 112 times and 122 times respectively(p=.000). The average ventilation number per minute were 3.54 times and 5.1 times respectively(p=.000). The errors in compression "Too shallow" were 20.73 times(34.6%) and 23,23 times(38,7%) out of 60 times in 4 cycles with the standard of 38 nun. In CPR performance results according to gender in the first episode, males showed better results in compression depth as 41.5 mm comparing to females average 38.2 mm(p=.015). When ventilation results were compared according to the use of FS, the average ventilation number per minute, total ventilation per minute and the average volume per episode were significantly higher when FS was not used(<.040), There was no significant difference in ventilation accuracy between two groups. According to the results, we need to improve and distribute portable barrier devices, and to be familiar with those devices. We need to enforce ventilations as well as to include compressions so that faster and more accurate CPR can be performed. Additionally, we need to exclude ventilation only cases, minimize the interference time of chest compression due to inaccurate ventilation, simplify or minimize the complicatedness of CPR performance and responding time related to breathing, provide first responders with various training programs such as initial assessment and ventilations only, or initial assessment and chest compression-only CPR and than provide advanced training with AHA BLS education including CPR for more than two people according to CPR skills and target characteristics.

• 대한지역사회영양학회지
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• 제13권6호
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• pp.818-828
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• 2008

This study was conducted to investigate actual conditions and needs on breastfeeding education for pregnant women in health centers for the development of a breastfeeding educational program. The questionnaires were mailed to 245 health centers and 148 (60.4%) questionnaires were returned. 91% of the health centers had breastfeeding education for pregnant women. 66% of them operated breastfeeding education as one part of other health programs. About 76% of supervisors and 64% of educators were the nurses. The teaching methods frequently used were lectures (30.5%), giving out booklets and leaflets (22.6%), demonstration and practice (21.5%), personal counseling (13.3%), and others. The teaching materials used were materials of outside speakers (39.7%), materials of development oneself (19.0%), materials of academic association or institute (14.8%), and others. The subjects which educators taught were the benefits of breastfeeding (16.7%), breastfeeding techniques (15.8%), caring for breasts before and after delivery (15.1%), nutritional management for lactating women (14.2%), coping strategies for the difficult situation of breastfeeding (13.3%), and others. Those were different from each other according to the educators' general characteristics. Success factors of education were increased motivation for breastfeeding (52.8%), practice (22.6%), professional's lecture (11.3%) and others. The failure factors of education were the ineffectiveness of the lecture method (69.2%), lack of education for supporters (15.4%) and lack of standardized education (15.4%). The most important barrier of education was the lack of a standardized breastfeeding educational programs (43.9%). The most effective teaching methods that educators thought were demonstration and practice (24.0%). The educators thought they need the tools and space for practice (28.2%), a standardized breastfeeding educational program (26.9%), and the human resources (24.4%) for effective education. Subjects that educators thought important for education were the breastfeeding techniques, benefits of breastfeeding, caring for breasts before and after delivery, nutritional management for lactating women, coping strategies for the difficult situation of breastfeeding, rooming system after delivery, ways to assess mother's milk quantity, introducing successful cases of breastfeeding in rank order. To promote the effectiveness of breastfeeding education, standardized breastfeeding educational programs, diverse teaching materials, space and tools, and human resources are needed.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2001년도 학술대회지
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• pp.373-378
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• 2001

본 연구에서는 국내 공동주택 건설현장의 품질관리 문제점 분석 및 개선방안을 제시하고자 문헌조사와 인터뷰 및 설문조사를 실시하여 문제점을 4가지 저해요인으로 분석하고, 4가지 저해요인 중 사람(조직)에 관련된 부분을 다구찌 S/N비 이론에 따라 품질에 관한 인지도, 품질조직(품질경영), 품질교육, 품질시스템으로 구분하고 개선방안을 제시하였다. 품질에 대한 인지도에서 모든 구성원의 적극적인 참여의식이 필요하고, 최고경영자, 현장소장(경영자)이 품질을 최우선으로 인식하고 실천해야 할 것으로 나타났다. 현장은 작업 팀 단위로 자원이 할당되고, 작업 팀 구성원의 충분한 의견을 반영한 수 있을 때 품질이 개선될 수 있으므로, 정보 기술을 이용하여 부서간 업무조정으로 작업 중복 등 비효율적인 원인 등을 최소화 시켜야 하는 것으로 나타났다. 품질교육은 계층별로 실무와 관련된 교육이 수행되어야 하고, 체계적인 교육을 바탕으로 이해와 관심을 유도하도록 지속적이어야 할 것으로 나타났다. 품질시스템은 현장에서 풀질문제가 발생할 때 적극적으로 대처할 수 있어야 하며, 품질방침과 목표를 명확히 하고, 품질 활동주체 상호간의 의사소통이 원활히 이루어질 수 있도록 구축되어야 할 것으로 나타났다.

• 대한간호학회지
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• 제26권3호
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• pp.632-652
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• 1996

It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle in addition to a series of other carcinogens increases the incidence of various neoplasmic diseases. Therefore the importance of a lifestyle that minimizes such an impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is related to personal lifestyle and as there is a possibility of its recurrence, patients with stomach cancer need to lead a healthy lifestyle. Also the quality of life which patients experience is negatively affected by the side effects of treatments and the possibility of recurrence. Therefore an effective nursing intervention to enhance quality of life and encourage healthy lifestyle is needed. The purpose of this study is to provide a basis for nursing intervention strategies to promote health and thus enhance quality of life. A hypothetical model for this purpose was constructed based on Pender's Health Promotion Model and Becker's Health Belief Model, with the inclusion of some influential factors such as hope for quality of life and health promoting behavior. The aims of study were to : 1) evaluate the effectiveness of patient's cognitive-perceptual factors on health promoting behaviors and quality of life ; 2) examine the causal relationships among perceived benefit, perceived barrier, perceived susceptibility and severity, internal locus of control, perceived health status, hope, health concept, self efficacy, self esteem health promoting behaviors & quality of life ; 3) build and test a global hypothetical model. The subjects for this study were 164 patients who were being treated for stomach cancer were approached in the outpatient clinic on a University Hospital. The data from the completed questionnaires were analyzed using Linear Structural Relationships (LISREL). The results of research are as follows : 1) Hypothetical model and the modified model showed a good fit to the empirical data, revealing considerable explanational power for health promoting behaviors(54.9%) and quality of life(87.6%) 2) Self efficacy and hope had significant effects on health promoting behaviors. Of these, hope was affected indirectly through self efficacy and self esteem. 3) Perceived health status, hope and self esteem had significant direct effect on the quality of life. Of these variables, perceived health status was the most essential factor affecting general satisfaction in life. 4) Self-efficacy, as a mediating variable, was positively affected by perceived benefit and hope. 5) Self-esteem, as a mediating variable, was positively affected by perceived health status and hope. 6) Hope was the main variable affecting self efficacy, self esteem, health promoting behaviors and quality of life. The derived model in this study could effectively be used as a reference model for further study and could suggests a direction for nursing practices

• 한국조리학회지
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• 제16권4호
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• pp.15-27
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• 2010

세계의 많은 기업들이 세계 시장을 목표로 다국적 경영 활동을 전개함에 따라 외식기업도 해외 시장 진출에 박차를 가하고 있다. 그러나 많은 외식기업들이 시장 조사 및 진입 전략, 마케팅, 현지화 등 경영 전략을 장악하지 못하므로 인해 실패를 거듭하고 있다. 따라서 본 연구는 해외 진출할 때 고려되는 여려 가지 요인을 종합하여 국내 외식기업의 해외 진출을 설명할 수 있는 모형을 개발하고자 하였다. 이를 통해 제조업을 중심으로 검증되어 왔던 해외 시장 진입 방식 선택에 관한 이론적 모형이 외식기업의 해외 진출을 설명할 수 있는 일반적 모형이 될 수 있는가를 검증하고, 외식기업의 해외 시장 진입 방식에 영향을 미치는 요인을 분석하고자 한다. 본 연구의 대상은 직접 투자로 해외 시장에 진출하였으며, 2008년 7월 현재 한국에 본사가 있고 해외 시장에 진출한지 2년 이상된 외식기업으로 한정하였다. 실증 분석을 위한 설문지는 자기기입식 설문 조사를 이용하였다. 실증 분석은 SPSS win 15.0을 활용하여 기술 통계분석, 타당성분석, 신뢰성분석, 카이 제곱분석, 분산분석, 상관분석, 이분형 로지스틱 회귀분석을 실시하였다. 분석 결과는 다음과 같다. 첫째, 국내 외식기업의 해외 시장에서의 진입방식 결정 모형의 설명력은 85.0%로 나타났다. 외식기업 특성 요인은 기업 규모가 작을수록, 제품 차별화 정도가 높을수록, 최고경영자의 의지가 높을수록 해외 시장에 단독 진입 방식을 선택할 가능성이 높은 것으로 파악되었다. 셋째, 현지 시장 환경 요인의 경우 수요 불확실 정도가 낮을수록, 무역 장벽이 낮을수록, 사회 문화적 거리가 가까울수록 해외 시장에 단독 진입 방식 선택할 가능성이 높은 것으로 파악되었다.

• Molecules and Cells
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• 제40권2호
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• pp.133-142
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• 2017

Previous studies have shown that bone marrow mesenchymal stromal cell (MSC) transplantation significantly improves the recovery of neurological function in a rat model of intracerebral hemorrhage. Potential repair mechanisms involve anti-inflammation, anti-apoptosis and angiogenesis. However, few studies have focused on the effects of MSCs on inducible nitric oxide synthase (iNOS) expression and subsequent peroxynitrite formation after hypertensive intracerebral hemorrhage (HICH). In this study, MSCs were transplanted intracerebrally into rats 6 hours after HICH. The modified neurological severity score and the modified limb placing test were used to measure behavioral outcomes. Blood-brain barrier disruption and neuronal loss were measured by zonula occludens-1 (ZO-1) and neuronal nucleus (NeuN) expression, respectively. Concomitant edema formation was evaluated by H&E staining and brain water content. The effect of MSCs treatment on neuroinflammation was analyzed by immunohistochemical analysis or polymerase chain reaction of CD68, Iba1, iNOS expression and subsequent peroxynitrite formation, and by an enzyme-linked immunosorbent assay of pro-inflammatory factors (IL-$1{\beta}$ and TNF-${\alpha}$). The MSCs-treated HICH group showed better performance on behavioral scores and lower brain water content compared to controls. Moreover, the MSC injection increased NeuN and ZO-1 expression measured by immunochemistry/immunofluorescence. Furthermore, MSCs reduced not only levels of CD68, Iba1 and pro-inflammatory factors, but it also inhibited iNOS expression and peroxynitrite formation in perihematomal regions. The results suggest that intracerebral administration of MSCs accelerates neurological function recovery in HICH rats. This may result from the ability of MSCs to suppress inflammation, at least in part, by inhibiting iNOS expression and subsequent peroxynitrite formation.

• 사회복지연구
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• 제40권3호
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• pp.181-211
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• 2009

본 연구는 사회인지직업이론 (Social Cognitive Career Theory)을 근거로, 동양계 미국인의 문화적응도 (levels of acculturation)와 이민 세대 (family immigration status)에 따라 주변인들의 불인정 (disapproval by significant others)으로 인한 진로선택의 어려움과 부모의 진로에 대한 관여도 (parental involvement)가 달라진다는 가설을 검증하였다. 사회조사연구로 설계되었으며 370명의 동양계 미국사회복지사의 자료를 분석하였다. 연구결과, 이민세대에 따라 진로선택에 관련하여 부모의 관여도와 주변인들의 불인정으로 인한 진로어려움이 달라지는 것으로 나타났다. 그러나 문화적응도는 부모의 진로 관여도와 주변인들의 불인정으로 인한 진로선택의 어려움에 유의미하게 영향을 미치지 않는 것으로 나타났다. 연구결과를 바탕으로 진로선택행동에 영향을 미치는 문화적 요인들을 고려한, 동양계 미국인들을 위한 진로상담에 대한 함의가 논의되었다.