• 한국학교ㆍ지역보건교육학회지
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• 제25권2호
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• pp.59-70
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• 2024

목적: 국가별 감염병 대응 역량을 분석하여 이를 바탕으로 우리나라의 감염병 관리 대응에 대한 개선점을 찾아보고자 한다. 방법: 본 연구에서는 첫 번째로 2022년 WHO가 공개한 전 세계 96개국 SPAR 점수로 코로나19 감염병 대응 역량을 국가별로 분석하였다. 둘째, Our World in Data와 글로벌보건안보지수(GHSI)를 활용하여 각국의 구체적인 코로나19 방역 성과를 분석하였다. 결과: 첫째, 2021년 1월 24일의 방역강도 지수는 동남아시아 지부 방역이 67.6으로 가장 높아 강한 방역대책을 가지고 있었고, 아프리카 지부는 44.5로 가장 낮았다. 2022년 12월 31일의 방역강도 지수는 유럽이 11.6으로 대폭 낮아졌다. 둘째, SPAR 지표가 인구 백만명당 총환자수에 미친 영향 요인은 국가 실험실(C4)로 p=.027이고, 인구 백만명당 총사망수에 미친 영향 요인은 감염 예방과 관리(C9) p=.005, 위험 의사소통 및 지역사회 참여(C10) p=.040이었다. 1인당 GDP의 영향 요인은 감염 예방과 관리(C9) p=.009이고, GHSI에 미친 영향 요인은 감염 예방과 관리(C9) p=.002이었다. 결론: 이상의 연구결과로 감염병 역량 정도를 각 국가가 자체평가한 결과인 SPAR가 코로나19의 누적 환자수를 낮추거나 방역강도를 결정하는 것과 연관성을 발견하기 어려웠지만 사망율과 GHSI, 국민소득 등과는 일정 부분 영향을 받은 것으로 판단이 된다. 향후 우리나라의 감염병 관리 대응에 대한 개선점은 향후 미지의 신종감염병이 발생했을 때를 대비하여 JEE 혹은 GHSI 등과 같은 보다 과학적이고 신뢰성 높은 데이터를 중심으로 대응역량을 분석하여 사회·경제적 비용 감소 효과를 절감할 수 있는 방역대책 수립이 필요하다. 이를 기초로 공중보건학적 국가 위기에 대응하여 전문가 그룹을 중심으로 한 콘트롤타워의 주도적인 의사결정과 효과적 보건 의사소통도 요구된다.

• 디지털융복합연구
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• 제16권5호
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• pp.373-383
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• 2018

본 연구는 중년여성의 갱년기 극복력에 영향을 미치는 복합적 요인을 확인하기 위하여 시도하였다. 대상자는 국내 전북지역의 친목 및 종교 활동에 참여하는 중년 여성 227명이다. 측정도구는 자기 효능감, 가족지지, 사회적지지, 폐경기 적응정도, 극복력에 관한 설문지를 이용하였다. 자료분석은 SPSS/WIN 23.0 통계프로그램을 이용하여 기술통계, Pearson's correlation coefficients, Multiple regression으로 분석하였다. 연구결과, 규칙적인 운동(${\beta}=-.15$, p<.01), 자기 효능감(${\beta}=.29$, p=<.001)과 사회적 지지(${\beta}=.29$, p<.001), 갱년기 적응정도(${\beta}=.17$, p<.01)가 영향요인으로 이들 변인들은 극복력에 대해 35.3%(F=18.65,p=<.001)의 설명력을 나타냈다. 따라서 갱년기에 있는 중년여성들에게 자기 효능감 강화와 사회적 지지가 포함된 간호중재를 통해 갱년기 위기를 긍정적인 방향으로 극복할 수 있도록 계획 할 수 있기를 제언한다.

• Journal of Preventive Medicine and Public Health
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• 제49권4호
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• pp.240-248
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• 2016

Objectives: Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) adversely impacts food security in households of people living with HIV/AIDS (PLWHA). Little research has focused on food insecurity among PLWHA in India. The purpose of this study was to identify the prevalence of and factors relating to food security in households of PLWHA in the Siliguri subdivision of Darjeeling, West Bengal, India. Methods: A cross-sectional community-based study was carried out among 173 PLWHA residing in Siliguri and registered at the Anti-retroviral Therapy Centre of North Bengal Medical College & Hospital. Data was collected at the household level with interviews of PLWHA using a food security survey instrument. We analyzed the associations using logistic regression. Results: The prevalence of household food security among the participants was 50.9% (88/173). Five years or more of schooling, higher socioeconomic class and males were found to be significantly associated with a higher likelihood of food security. A later stage of the disease and the presence of other family members with HIV/AIDS were significantly associated with a lower likelihood of food security. The major coping strategies to deal with food insecurity in the acute phase HIV infection included borrowing money (56.1%), followed by spousal support, loans from microfinance institutions, banks, or money lenders, borrowing food, or selling agricultural products. Conclusions: The present study revealed that only about half of households with PLWHA were food secure. Prior interventions relating to periods of food and economic crisis as well as strategies for sustaining food security and economic status are needed in this area.

• 의료법학
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• 제11권2호
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• pp.181-208
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• 2010

Maternity services is often perceived as a troublesome business and obstetric litigation is on the increase in Western countries. Overall, the number of claim and cost of litigation to the NHS Litigation Authority (NHSLA) from maternity services in the UK is increasing every year. Maternity services account for 60-70% of the total sum paid. This has widespread implications for both the individual practitioners and the institutions where they work, due to increasing malpractice insurance premiums. Fear of litigation is also attracting fewer medical graduates into the specialty, leading to a recruitment crisis in obstetrics and gynaecology. The litigation process can cause pain, suffering and distress to clinicians as well as to the patients and their families. Litigation in maternity services is the result of a complex of events when malpractice (presumed or real) impacts on the attitude of pregnant women and their environment. In such complexity, information is mandatory but may often be misinterpreted. If messages are not tailored to the receiver's capacity, communicating well with the pregnant patient becomes crucial. Therefore, to reduce medicallegal issues in obstetrics, increasing attention and an applicable standard of obstetric care to avoid negligence and medical errors should go along with other measures. Considering UK's experiences, NHS redress scheme make it easier to pursue small claims and birth related claims, without necessarily reducing the number of claims processed through the conventional legal system and perhaps encouraging even more of them. The task of dealing with the greater number of inquiries into their practice would inevitably create an added burden for clinicians and hospital managers. Thus further proposals are required to limit the cost of processing inflated claims and to consider whether clinicians should be given some protection from litigation alleging a failure to prevent birth related impairment.

• 한국산학기술학회논문지
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• 제12권3호
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• pp.1145-1150
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• 2011

본 연구는 발달적 위기에 놓여있는 중년여성의 피로와 스트레스 저항력 그리고 정서와의 상관관계를 알아보기 위하여 뇌신경 생리학적 지표인 뇌파측정을 이용하여 분석해 보고자 하였다. 2005년 3월부터 2009년 6월까지 한국정신과학연구소에 뇌파측정을 의뢰한 우리나라 중년여성 4402명(35세~65세)의 뇌기능 지수(긴장도, 항스트레스지수, 정서지수)를 시계열 선형분석과 상관분석으로 한 결과 중년여성의 피로, 스트레스 저항력 그리고 정서 사이에는 유의한 관계가 있었다. 또한 정서적 성향을 보면 명랑과 우울 성향에서는 명랑 성향이, 긍정과 부정적 성향에서는 긍정적 성향이, 전체적으로는 명랑하면서 긍정적인 성향이 많은 것으로 나타났다. 그러므로 중년여성들의 피로와 스트레스를 감소시켜 삶의 질을 높이는 것이 개인건강은 물론 원만한 가족의 안녕을 유지, 증진하는데 꼭 필요하다고 본다.

• 한국임상약학회지
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• 제27권4호
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• pp.238-249
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• 2017

Background: Currently establishment of public pharmaceutical companies became an issue for securing stable supply of national essential drugs in order to respond appropriately to national public health crisis. Pharmacy students as future pharmacists need to be interested in drug related issues under the discussion in our society. This study aimed to investigate perceptions of pharmacy students on the national drug supply strategy through public pharmaceutical companies. Methods: A 20-items questionnaire designed for this study was used. Pharmacy students nationwide were enrolled in July 2017. They responded to questions through on-line survey program. Data were analyzed descriptively. Results: 160 students from 26 pharmacy schools participated. 5th and 6th grade students accounted for two-thirds, and one third aspired future jobs in pharmaceutical industry. Among responders, 71.3% was unaware of current national essential drugs, 52.5% did not know the Rare and Essential Drug Center, and 91.9% was unaware of the legislation on the supply and management of essential drugs. 82.5% favored the establishment of public pharmaceutical companies. 80.6% agreed that government should intervene in pharmaceutical market for ensuring drug accessibilities, 73.8% agreed that public pharmaceutical companies make possible to reach a goal of stable supply of pharmaceuticals, and 85.1% agreed that active compulsory license by public pharmaceutical companies is necessary. Conclusion: We found that pharmacy students recognized the need for governmental control to achieve social values of pharmaceuticals. More attention and participation of the pharmacy students as well as pharmacists in the process of national debate on public pharmaceutical companies are expected.

• 대한간호
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• 제33권4호
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• pp.86-98
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• 1994

We have examined the development and conceptual definition of shamanism and divination through significant characteristics of various illnesses. However, the terrminology has been inconsistent and its real conceptual meaning is not well defined. Divination is a historically dominant religious practice which represents the core of Korean folk culture. Despite prevalent prejudice toward its primitive nature, we cannot deny its profound relationship to our unconscious, especially our reliance on its religious role whenever we face crisis or conflict. It is therefore appropriate to use the term divination in this context. Shamanism originated as humanity's oldest mode of communication with divine - a religion, The shaman is not a sorceress but a priestess, a healer, a spritual guide, a leader, a mystic, traditionally having a different significance from that of the contemporary diviner or "shaman". The traditional concept of illness has been profoundly altered to serve new functions: while the shamanistic view is based upon spiritual abduction, divination on the other hand invokes concepts of spiritual invasion phenomena such as spirit intrusion, taboo violations, soul loss, object instrusion, deviations from the appropriate spiritual path besiegement, and curess or predestination (the idea that the sufferer is born with his fate), We should therefore try to understand divination from a more holistic point of view, rather than attempting to fit it into the standrd medical illness. We must recognize divination as a phenomenon within our culture, since most people have a mixed conception of illness arising from a combination of divinational and modem concepts, Since divination's humanistic approach is ingrained in our people, to irresponsibly ignore the spiritual aspects of treatment would exert a negative influence on our culture, Especially now, while attraction is focused on Korean culture and its influence on every aspect of our livies, it is important for nurses to expand our horizons in order to create a way of nursing more suitable to Korean culture. Increased importance is now being given to the opinions of patients themselves about their own illness and health, so nurses should seek to understand how patients accept their illness and what particular kinds of help they expect to receive. Consequently, an understanding of traditional divinations will enable us to utilize these characteristics on the job in order to enhance nursing care.

• 한국임상약학회지
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• 제19권2호
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• pp.153-158
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• 2009

Background: Patients with chronic myeloid leukemia(CML) have different health status according to their disease conditions such as chronic phase(CP), accelerated phase(AP), blast crisis(BC), stage with MCyR(Major Cytogenetic Response); therefore, every patient has different quality of life related to their disease condition. Objectives: To measure the quality of life, this study compared and analyzed the utility weight in patients with CML. This study also evaluated the utility weight in order to view comparisons between the quality of life in a patient with CML to a patient with diabetes, which is a representative chronic disease. Methods: The disease scenario described 5 symptoms of the CP, AP, BC of the CML, the CML which gets the MCyR and the diabetes. Utility weight was developed using the EQ-5D method. All statistical data were analyzed by STATA 10.0 Results: 57 nurses(95%) out of 60 answered the questionnaire. In CP, the utility weight was 0.7946. In AP, it was 0.5301. and in BC, it was -0.2793. Survey data indicate that the worse the condition of a disease, the lower the utility weight. In case of the CML which gets the MCyR, the result was 0.7731(95% CI : 0.7384 - 0.8079). The general diabetes which has no complicating disease, the utility weight was 0.7481(95% CI : 0.6983 - 0.7978). Based on the result, it is evident that those with MCyR are not significantly different from people with general diabetes (p=0.4096) in views of the quality of life.

• 한국콘텐츠학회논문지
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• 제15권1호
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• pp.252-263
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• 2015

우리나라는 2004년부터 지금까지 OECD 국가 가운데 자살사망률 1위이며, 지속적으로 자살자 수와 자살사망률이 증가하고 있다. 효과적인 자살정책을 확인하기 위해 AHP(Analytic Hierarchy Process) 기법을 이용하여 자살예방의 주요 접근방법별 세부정책들의 우선순위를 조사하였다. 설문은 2013년 8월 23일, 26일 두 차례에 걸쳐 총 30명을 대상으로 워크숍 형식으로 실시하였다. 이중 학계는 20명(사회복지사 4명, 정신보건학자 7명, 정신의학자 5명, 임상심리학자 4명), 정책결정자는 5명, 공급자는 5명이였다. 2013년 9월 9일부터 12일까지 4일간 이메일로 사회복지분야와 임상심리분야에서 각각 5명씩 추가하여 총 40명을 대상으로 조사를 하였다. 세부 정책들의 중요도는 '자살시도자 관리,' '공공자살예방서비스 인프라 구축,' '유가족 지원사업,' '위험집단의 위기관리' 등의 정책에서 높은 것으로 나타났다.

• Journal of Dairy Science and Biotechnology
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• 제27권1호
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• pp.29-35
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• 2009

To focus attention on milk and dairy products, we celebrate World Milk Day on the first day of June. Milk is a primary source of essential nutrients for newborn mammals, including humans. Milk and its by-products have been integral to human life since domestication of the dairy cow. Even though a large portion of the population is lactase impersistent, consumption of dairy products, including liquid milk, has been increasing over the last decade in Korea. Per capita annual consumption of dairy products in Korea increased to 61.3 kg in 2008, up from 49.4 kg in 1998. However, consumption of liquid milk has only increased marginally from 30.3 kg in 1998 to 35 kg in 2008. In 2007, the price of farm milk in Korea was the highest in the world. High dairy prices are forcing major manufacturers to find alternative, less expensive sources of milk, which has led to an increase in imported dairy products. Recently, the International Dairy Federation (IDF) published a special report containing the figures for world milk production, milk processing, and consumption. Understanding the current situation with regard to world diary production and the outlook for the industry could be useful during the present world economic crisis. The authors of this brief review summarize the status of dairy production in countries throughout the world, including Korea, along with some of the data published in the IDF annual report. The authors greatly appreciate the support of IDF Korea and the IDF for generously providing the data used in this paper.