Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.10
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pp.4669-4675
/
2012
Smoking among adolescents is a major public health problem. This study was performed to determine the association between cigarette smoking and depression Symptoms of high school students. Data were drawn from the Korea Youth Risk Behavior Web-based Survey 2009. Subjects were 36,657 high school students living in the community. Adjusting for covariates (sex, school year, school education, economics, school record, hours of sleep per day, self-reported stress, self reported happiness, self-reported health status, suicidal thinking), smoker(OR=1.43, 95% CI: 1.35-1.50), 10~19 cigarettes per day(OR=1.48, 95% CI: 1.22-1.79) and more than 20 cigarettes per day(OR=2.05, 95% CI: 1.59-2.64) were independent risk factors for depression Symptoms. It was found that cigarette smoking is a independent factor related to adolescent depression. Adolescent smoking cessation is needed to management of adolescent depression.
The purpose of this study was to investigate the elementary school teacher's status and recognition of nutrition education (NE) in Incheon. A cross-sectional study was carried out using a self-administered questionnaire and subjects were 147 elementary school teachers. The results are as follows. Only 9.5% of the teachers had training in NE and 71.4% of the teachers with training increased concern about NE after training. As for experience of NE, 61.6% of the teachers experienced NE and more than half of them gave NE less than twice per month. There was a significant difference in reason for not giving NE between subgroups by teaching career; 57.7% of the teachers with career more than 10 years did not give NE due to too much other work. As for existence of nutrition educator in school, 48.9% of the teachers recognized its existence and 91.3% of them answered that dietitians have done NE. For correction of unbalanced diet, good table manner, and nutrition and growth, 97.9% of the teachers answered that NE is necessary in elementary school. As for proper time to start NE, 57.5% of the teachers answered kindergarten and 39,7% answered lower grade of elementary school. As for effective type for NE, 47.3% of the teachers answered NE as a part of other subject and 28.1 % answered NE as a separate subject. Also 69.8% of the teachers answered dietitian as suitable person for NE. As for newly establishing a NE subject, 37.9% of the teachers disagreed and as for most effective method for NE, 73.3% answered NE linked with school lunch program. Most of teachers recognized elementary school students' eating habit problem severe and change of their eating habit such as various food choice, no plate waste and good table manner after school lunch program. Therefore, it should be nationally supported that a standardized NE program is developed and coordinated among teachers, school lunch dietitian as NE specialist, family and community for elementary students' health and well-being.
Hong Sung-Tae;Chai Jong-Yil;Choi Min-Ho;Huh Sun;Rim Han-Jong;Lee Soon-Hyung
Parasites, Hosts and Diseases
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v.44
no.3
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pp.177-185
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2006
Soil-transmitted helminths (STH), namely Ascaris, Trichuris and hookworms (Ancylostoma and Necator), present a global health problem to about a half of the earth's population. In the Republic of Korea, STH were highly prevalent and were considered a high priority target for national control. To promote the control, a non-governmental organization named Korea Association for Parasite Eradication (currently Korea Association of Health Promotion) was founded in 1964, and mass fecal examination followed by selective mass chemotherapy with anthelmintics was performed twice a year from 1969 to 1995 targeting whole nationwide schoolchildren. Meanwhile, decreasing patterns of national STH infections have been monitored by 7 times' quinquennial national surveys targeting general population. In 1971, the overall intestinal helminth egg positive rate was 84.3% (Ascaris 58.2%, Trichuris 65.4%, and hookworms 10.7%), which became 63.2% in 1976, 41.1% in 1981, 12.9% in 1986, 3.8% in 1992, 2.4% in 1997, and 4.3% (Ascaris 0.03%, Trichuris 0.02%, and hookworms 0%) in 2004. During the control period, national economy rapidly developed, and living standards including environment, sanitation, and agricultural technology greatly improved, which undoubtedly boosted the STH control effects. Our experience indicates that social driving force to establish an eligible national control system to conduct repeated mass chemotherapy, together with improvement of environment and sanitation, is important for initiating and achieving STH control in a developing community.
To evaluate the quality of drinking water and contamination sources in a rural community, this study was carried out on the summer of 2003 at Shin-Dong Myun, Chun-Cheon, Gang-Won province. Seventy three drinking water samples were collected from three different types of water supply systems. Sources of contamination were identified and the public perception of water quality area were evaluated. The findings of this study are as follows; Drinking water was mainly obtained from Local Water and Simple Piped Water Supply Systems, and pollution sources varied over the study area. Most of residents (>63%) were satisfied with the quality of drinking water and could not identify any contamination sources. Corresponding to this perception, measured water quality parameters generally met the Drinking Water Quality Standards (>64%). However, approximately 35.6% of samples exceeded the regulation for Nㅒ$_3$$^{-}$$_{-}$N, coliform, and general bacteria. The water quality was significantly different among the three water supply systems, and between the potentially contaminated areas and the rest of the areas (p<0.05). In the potentially contaminated areas, the levels of coliform and general bacteria contamination were significantly higher than the rest of the areas (p<0.05). The coliform and general bacteria values of Simple Piped Water were significantly higher than Own Piped Water's, and the NO$_3$$^{-}$$_{-}$N values of Own Piped Water were significantly higher than those of water's (p<0.05). Based on this study, NO$_3$$^{-}$$_{-}$N, coliform, and general bacteria were identified as a major problem of drinking water. To regularly manage drinking water supply systems, to identify contamination sources, and to add drainage systems are required in the study area.
Lim, Ok-Jeong;Lee, Ok Sang;Yun, Hye-Sul;Choe, Kevin Kyungsik;Lim, Sung Cil
YAKHAK HOEJI
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v.57
no.2
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pp.101-109
/
2013
Depressive disorders are the most common psychiatric problem in the elderly. Most depression treatment guidelines emphasize treatment with antidepressant medication and recommend that benzodiazepine use be minimized for limited period, particularly to elderly patients. In order to evaluate appropriate use of antidepressants and benzodiazepine, retrospective review of prescriptions was performed. The study population are older than 65 years who had been newly diagnosed with major depressive disorder in specialty mental health at a community general hospital from January $1^{st}$, 2007 to October $31^{th}$, 2012 (N=373). Initial antidepressant accounted for 89.5% with SSRI, and escitalopram accounted for 60.9% of SSRI group. 79% or more of the patients were prescribed the recommended dosage. The maintenance rate for 4 weeks of initial antidepressant was 48% and 6 weeks was 39%. Treatment-discontinuation rate was 68% at 3 month. Alprazolam (short acting benzodiazepine) was prescribed the most, followed by clonazepam (long acting benzodiazepine) and then diazepam. 55% of patients received a duplicated prescription for short acting plus long acting benzodiazepine. 61% of patients used long acting benzodiazepines. Prescribed dosages of benzodiazepines were commonly within a recommended range, while no one was prescribed a appropriate period (up to 2 weeks) except for the early discontinued patients. Appropriate use of zolpidem was only 16.2%. The depressed elderly treated in specialty mental health mostly received long-term treatment with benzodiazepines in combination with antidepressants, guideline recommendations was not followed. Multidisciplinary interventions like audit and feedback of benzodiazepine use are needed and education for the elderly is needed to properly maintain antidepressant treatment.
Purpose: Japan established the convalescent rehabilitation wards, corresponding to Korea's rehabilitation medical institutions, in 2000 and developed it into the present system through continuous revisions. This study sought to analyze the issues and tasks faced by Japan segregated by the period of revision of convalescent rehabilitation ward-related medical fee regulations, through a literature review and further aimed to explore the direction of development of domestic rehabilitation medical institutions. Methods: Ten revisions of the medical fee regulations were classified into three stages based on quality evaluation: (1) the quantitative expansion stage (2000-2006); (2) quality evaluation introduction stage (2008-2014); and (3) quality evaluation maturity stage (2016-2020). Results: The following issues and tasks emerged: (1) For the quantitative expansion stage; insufficient rehabilitation within the ward, insufficient after-hour rehabilitation, insufficient connection with acute-stage hospitals and maintenance facilities, and the low ratio of specialists. (2) For the quality evaluation introduction stage; disparity in the manpower between institutions, the necessity of a 365-day rehabilitation system, avoidance of critical patients, and the problem that an increase in the amount of rehabilitation did not lead to a qualitative improvement. 3) For the quality evaluation maturity stage; cream-skimming issues in selecting patients, inappropriate evaluation of rehabilitation effects, and the necessity of follow-up measures after discharge. Conclusion: It is worth referring to the established regulations in Japan, and concurrently it is necessary to strengthen the evaluation of the structures, processes, and results when operating and evaluating rehabilitation medical institutions in Korea taking into account the side effects that could be identified in Japan.
As the world's aging population increases, the aging problem in China, which has a huge population, has reached a serious situation. Therefore, this study intends to present the CCRC model of smart home care. Seven application factors of CCRC of smart home care and problems of CCRC of smart home care in China were derived through theoretical review and case analysis. Based on this, this study presented a value proposition for the 7 application elements of smart home care CCRC tailored to China's aging status and future technology demand. First, it improves the environmental atmosphere and increases the comfort of the spatial environment. Second, we value the physical and environmental safety of the elderly. Third, online convenience services are provided. Fourth, we guarantee the health and psychological health of the elderly. Fifth, it increases the efficiency of responding to unexpected situations. Sixth, predict the physical condition and surrounding environment of the elderly. Seventh, add more recreational rides. Through this, we expect to improve the quality of life by providing a safe and comfortable smart service environment for the elderly.
Purpose: This study intended to identify personality factors and related problematic behaviors of adolescents who drink alcohol in order to provide basic data for developing nursing programs. Methods: The data were collected from October to December 2002 from 1.080 high school students in Seoul. The Revised Cloninger's Tri-dimensional Personality Questionnaire (TPQ) was used to measure their personalities. The alcohol expectancy was measured using the tool revised by Cho (1999) and stress levels were measure using a stress tool revised Cho (1998). The data were analyzed with SPSS Windows using Chi square test. independent t-test. and logistic regression analysis. Results: 1. The percentage of fathers who drank was 79.8%. mothers. 54.3%. and friends. 54.3%. The alcohol expectancy averaged 6.36 while the stress levels were 132.79. 2. It was found that there are significant differences (p<.001) in problematic drinking behaviors according to the following variables: second year high school students among all grade variables, more monthly pocket money for the amount of money variables, the group of students who smoked in the case of the variable related to smoking, spending more time using the Internet for the Internet use variable, and having friends who drink 65.6% for the friend variable. The alcohol expectancy scale of those students who showed problematic drinking behaviors was higher than that of those who did not. There are four family-related stress subscales, and there was a significant difference among them (p<.05). Among the personal characteristics, the group who displayed problematic drinking behaviors seeks new experiences and reward dependence more than the group who did not exhibit those behaviors, and there were significant differences between the two groups (p<.001). 3. When the socio-demographic and drinking-related factors were controlled, the tendency of seeking new experiences increased the risk of problematic behaviors 1.07 times (p<.05). Compared to the non smoking group, the smoking group was found to have a 5.06 time (p<.001) greater risk of displaying problematic drinking behaviors. In comparison with the non drinking group, the drinking group was also found to have a 5.31 time (p<.001) greater risk of exhibiting problematic drinking behaviors. The group with high alcohol expectancy scores was significantly different from the group with the no alcohol expectancy, showing a 1.26 time (p<.00l) greater risk of problematic drinking behaviors. Conclusions: Based on these results, the problematic drinking behaviors were connected with alcohol expectancies, friends and personality types. Therefore, we should develop an alcoholic prevention program for adolescence considering the above results.
The Journal of Korean Society for School & Community Health Education
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v.2
no.2
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pp.89-99
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2001
This paper is based on the assumption that the sexual awareness and sexual behaviour of high school students would show the difference between an academic high school and a vocational high school. The main purpose of this paper is to provide basic information on establishing the direction of a realistic and efficient education, which leads to the desirable sex ethics eventually. To do this, a comparative study was carried out to figure out the difference between academic high school students and vocational high school students in terms of their actual awareness and behaviour of sex. I put the following two questions in order to achieve the goal of this study. First, what is the difference in sexual awareness between academic high school students and vocational high school students? Second, what is the difference in sexual behaviour between academic high school students and vocational high school students? The subjects of the survey conducted were 595 high school students in Kyunggi Province and I made the questionnaires referencing pre-studies. The SPSS program was used to get a frequency and a percentage from the results of the survey and then, by applying t-text, $x^2$ verification and interrelation, the following results were obtained. First, regarding sexual awareness, there wasn't much difference in their idea of keeping virginity before marriage between academic high school students and vocational high school students. From the results obtained by analyzing the interrelation between students and their parents and friends in terms of a will to keep virginity, it is found that there was a relevance in both academic high school and vocational high school. When they have a sex problem, it was friends that they are looking for consulting and both groups showed thesame result. But pertaining to an experience of a sex education, the comparative analysis indicated an meaningful difference. Second, as for sex behaviour, it was shown that there was a difference in the experience of going out with the other sex between academic high school students and vocational high school students as well as in the degree of physical touch. However, not much difference was shown in controlling a sex desire between the two groups. As a results of the comparative analysis of the sex experience between the two groups, there was a meaningful difference. In terms of the object of their sex experience, the majority of students in the two groups chose a friend as their first answer and there was little difference. From these results I can draw some conclusions that most of the students in both groups have a link with friends and parents in keeping their virginity. Furthermore, a meaningful difference in experiencing a sex education is presented between the two groups. With regard to the sex behaviour of high school students, a meaningful difference is shown in dating the other sex, a physical touch and a sex experience between the two groups. Consequently, we realize that there is a meaningful difference in some variants on the sexual awareness and sexual behaviour of high school students between academic high school and vocational high school.
The Journal of Korean Society for School & Community Health Education
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v.1
no.2
/
pp.87-104
/
2000
The purpose of this study was to obtain the basic data as a improvement method through the fact-revealing concerning the drinking water management of school and utilization of student. The problems of the research are as follows: First, to investigate status of management of drinking water by area and school. Second, to investigate student's utilization of drinking water by area and school. 1,400 students was selected at 45 elementary and middle-high schools located in Kang-won province, and this study was constituted of two questionnaires(for school's questionnaire and student's questionnaire). The results was analyse through the frequency analysis, $x^2$-test on the basis of the above research problem by SPSS program. The findings of this research are as follows; 1) The Management of School Drinking Water First, the source of school drinking water was mostly piped water. Inspection of water quality has been fulfilled under four times a year, in the other hands, from the result inspection, the schools which was given inadequate determination was 22.2%. Second, reservoir cleaning and hygiene inspection failed far short of the regulations. Especially, reservoir cleaning was managed by exterior consignment industry not low-level officials. Third, school water drinking was the most supplied through the type of water purifier. Water purifier has been distributed to city-located and middle-high school highly, factually the water from water purifier was served with water cup. Fourth, the selection standard of water drinking manager showed slightly differently by school, accordingly there need to develope integrated system with the respective to its effective systematic management. Fifth, water cup was mostly treated by only water clear, which is to vindicate the problems concerning hygiene management. 2) Utilization of school student on Drinking Water First, Disbelief on drinking water of school student was very high. Especially, proportion of middle-high school student's disbelief of drinking water was higher than elementary school student, also girls higher than boys. Many of student have heard to don't drink water from around people. And there were showed meaningful differences by area and school. Second, It was showed many student recognize had to utilize water purifier, boiled water. However, they have still drunken the tap water or portable water from their home. Third, Many of student showed negative response with the respective to the management conditions of drinking water in classroom, There were showed meaningful differences by area and school. From the fact-revealing of water cup management, Students mostly answered to 'only water clear' and the answer of 'None use' or 'With personal cup' was higher. Fourth, In bad experience of Drinking Water, student mostly answered to 'occasionally' and there were showed meaningful differences by school. student's disease experience with school drinking water was few and there were showed meaningful differences by area and gender.
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