• 치위생과학회지
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• 제10권5호
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• pp.387-394
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• 2010

치과위생사 근무환경의 빠른 변화와 요구되는 직무내용이 다양해짐에 따라 구강진료기관에 근무하는 치과위생사는 많은 직무스트레스에 직면해 있다. 이러한 스트레스에 의하여 구강보건인력간의 업무도 전문화, 세분화되면서 스트레스 정도도 심화되고 있어 지역사회구강진료기관의 치과위생사의 입장에서 받는 스트레스에 관한 연구가 필요한 실정이다. 따라서 치과위생사의 업무활동으로 인한 직무 스트레스 요인간의 관련성을 분석하고자 광주광역시 치과 병/의원에 근무하고 있는 치과위생사를 각 구별로 편의 추출법을 이용하여 206명을 대상으로 자기기입식 설문지법으로 조사 분석한 결과 다음과 같은 결론을 얻었다. 1. 직무 스트레스 분석결과 직장에서의 장래성과 지지(3.44), 환자와의 관계(3.41), 업무관련(3.38), 전문가의 입장(3.19), 대인관계(2.66) 순으로 나타났다. 2. 업무관련 스트레스는 20-25세(p<0.05), 치과의원(10명 미만), 미혼(p<0.05), 근무경력 1-3년, 가정경제부담이 없는 경우에서 가장 높았다. 3. 전문가의 입장관련 스트레스는 20-25세, 치과병원, 미혼, 대졸이상, 근무경력 3년-6년 경우에서 가장 높았다. 4. 환자와의 관계관련 스트레스는 20-25세, 치과의원(10명 미만), 미혼, 근무경력 1-3년미만(p<0.05), 부모와 동거하는 경우에서 높았다. 5. 대인관계 스트레스는 20-25세, 치과의원(10명 미만) 미혼, 부모와 동거하는 경우, 가정 경제 부담이 없는 경우 높았다(p<0.05). 6. 직장에서의 장래성과 지지 요인 스트레스는 20-25세, 치과의원(10명 미만), 미혼, 1-3년 근무경력, 부모와 동거하는 경우, 가정경제부담을 전적으로 하는 경우에서 높았다. 치과 병/의원에서 근무하는 치과위생사를 대상으로 직무활동에서 발생되는 스트레스를 체계적으로 감소시킬 수 있는 방법을 강구해야 한다고 사료되었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제10권2호
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• pp.244-251
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• 1999

자해행동은 정신지체에서 자주 나타나며, 특히 자폐증에서 더욱 많이 나타난다. 자해행동은 질환이라기보다는 하나의 증상군으로 다루어져왔지만, 사망률에 직접적인 영향을 줄만큼 응급인 임상적 상황이다. 본 증례는 반복적으로 머리를 때리는 자해행위를 보이는 난치성 자폐증 장애 환아가 입원한 상태에서 약물요법과 행동치료를 병행하여 치료하였기에 임상경험을 문헌고찰과 함께 보고하는 바이다. 환아는 7세된 남아로 99년 4월 20일 자해행동을 주소로 OO대학교 어린이병원 소아정신과에 내원하였으며 7월 10일까지 12주간 입원치료를 받았다. 약물치료로는 입원 4주경부터 haloperidol 0.5mg에서 1.0mg으로 증량하였고, naltrexone을 $25{\sim}50mg$을 입원기간중에 병합 투여하였다. 행동치료로는 차등강화(Differential Reinforcement of Other behavior)를 이용하여 정규적인 놀이학습을 수행하였고, 초기에 사용했던 신체적 강박을 해제하기 위해서 머리 보호대와 팔거리를 이용하였다. 현재 외래 통원치료중이며 약물은 haloperidol 0.5mg 및 naltrexone 50mg을 유지하고 있고, 환아 모를 교육하여 집에서 놀이학습을 한시간씩 수행하고 있다. 퇴원당시 자해행동은 중등도 이상 감소되었으며 외래에서도 호전된 상태를 계속 유지하고 있다.

• 대한지역사회영양학회지
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• 제15권4호
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• pp.525-535
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• 2010

The purpose of this study was to provide basic data for nutritional education for juveniles' desirable vegetable intake by analyzing their vegetable intake, dietary habit and nutrient intakes according to gender of middle school students in Chungnam. The average age of the subjects was 15.0, height was 162.5 cm, weight was 53.5 kg and their average BMI was $20.1kg/m^2$. The frequency of eating supper in girls was lower than that in boys. Many respondents answered that a meal-time was 10~20 minutes. Without gender difference, more than 90% respondents thought that vegetables were good for health. As for the preference of vegetable, subjects responded, "I am in the middle", "I like them", "I dislike them", "I like them very much", and "I dislike them very much" in order, without gender difference. The frequent eaten leaf vegetable was Chinese cabbage, the frequent eaten fruit vegetable was cucumber, and the frequent eaten root vegetable was radish. The favorite leaf vegetable was lettuce, the favorite fruit vegetable was corn, and the favorite root vegetable was sweet potato. The preference degrees of taro and ginger were very low. The reasons why they liked a vegetable were that it was delicious and they ate it at home often. In addition, the reason why they disliked vegetables was that they are untasty in flavor or texture and it showed that many students had a prejudice that vegetables were untasty. The intakes of plant protein, dietary fiber, ash and INQs of dietary fiber, calcium, vitamin C, folate, vitamin E in the group with high preference of vegetables were significantly higher than those of low preference group. The study results indicate that intake frequency and preference of root vegetables in juveniles are low and the major reasons of these results are taste and eating experience of vegetables. In addition, the intake amounts of dietary fiber and folate are poor in the subjects with low preference of vegetables. Therefore, families and schools should make efforts that juveniles can recognize the importance of vegetable intake and select various vegetables properly through the development of cooking methods and systematic nutrition education.

• Journal of Radiation Protection and Research
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• 제42권1호
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• pp.42-47
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• 2017

Background: One of the most urgent issues following the accident at the Fukushima Daiichi nuclear power plant (FDNPP) was the remediation of the land, in particular, for residential area contaminated by the radioactive materials discharged. In this study, the effect of decontamination on reduction of ambient dose equivalent outdoors and indoors was evaluated. The latter is essential for residents as most individuals spend a large portion of their time indoors. Materials and Methods: From December 2012 to November 2014, thirty-seven Japanese single-family detached wooden houses were investigated before and after decontamination in evacuation zones. Outdoor and indoor dose measurements (n = 84 and 114, respectively) were collected based on in situ measurements using the NaI (Tl) scintillation surveymeter. Results and Discussion: The outdoor ambient dose equivalents [$H^*(10)_{out}$] ranged from 0.61 to $3.71{\mu}Sv\;h^{-1}$ and from 0.23 to $1.32{\mu}Sv\;h^{-1}$ before and after decontamination, respectively. The indoor ambient dose equivalents [$H^*(10)_{in}$] ranged from 0.29 to $2.53{\mu}Sv\;h^{-1}$ and from 0.16 to $1.22{\mu}Sv\;h^{-1}$ before and after decontamination, respectively. The values of reduction efficiency (RE), defined as the ratio by which the radiation dose has been reduced via decontamination, were evaluated as $0.47{\pm}0.13$, $0.51{\pm}0.13$, and $0.58{\pm}0.08$ ($average{\pm}{\sigma}$) when $H^*(10)_{out}$ < $1.0{\mu}Sv\;h^{-1}$, $1.0{\mu}Sv\;h^{-1}$ < $H^*(10)_{out}$ < $2.0{\mu}Sv\;h^{-1}$, and $2.0{\mu}Sv\;h^{-1}$ < $H^*(10)_{out}$, respectively, indicating the values of RE increased as $H^*(10)_{out}$ increased. It was found that the values of RE were $0.53{\pm}0.12$ outdoors and $0.41{\pm}0.09$ indoors, respectively, indicating RE was larger outdoors than indoors. Conclusion: Indoor dose is essential as most individuals spend a large portion of their time indoors. The difference between outdoors and indoors should be considered carefully in order to estimate residents' exposure dose before their returning home.

• 한국응급구조학회지
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• 제12권3호
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• pp.55-69
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• 2008

Purpose : The purpose of this study was to analyze the prehospital care report prepared by EMS squads of 119 center in Gyeonggi area and to identify the status of prehospital care activities, problems and improvement possibilities of the emergency care. Method : Five hundred copies of prehospital care report prepared by EMS squads in thirty-eight 119 centers under 18 fire stations in Gyeonggi area from March to April in 2008 were randomly chosen for the analysis. Data abstracted according to the purpose of the study were input and the analysis of prehospital care activities were performed using SPSS-WIN(ver. 16) statistics package. Results : 1. Total 500 cases of prehospital emergency care activities were reviewed. By sex, females were 219 (43.8%) and males were 281 (56.2%). The places of reporting were home (57.8%). According to the type of emergency, 281 cases (56.2%) were caused by disease and 291 (43.8%) were from other causes such as traffic accidents or incidental injuries. 2 The average time needed for the 119 EMS squad to arrive at the scene after being reported was 7.29 minutes. The time used at the scene for the emergency care was 7.3 minutes in average and the time to arrive at the hospital was 25.4 minutes in average. 3. In patient evaluation, in 68% of the cases more than two vital signs were measured at one time and emergency patients were 31%, and non-emergency patients were 69%. 4. In one EMS activity, average 2.15 cases of emergency care were provided to a patient. The cases where two kinds of emergency care were given were 14.4%, which is the most frequent cases. When reviewing the details of the emergency cares given to the patient including multiple cares, trivial cards (taking it easy and giving comfort) were the most frequent one as 40.6% and the medical direction of the doctor was given in only one case out of 500 cases. 5. In patient evaluation and emergency care, vital signs were provided to emergency patients at significantly higher rate comparing to the non-emergency patients. The number of emergency care performance was significantly higher in emergency cases. In emergency dispatch, the cases that EMT (1st class) was on board was 86.2%. When comparing the cases when the 1st class EMT was on board and otherwise, the cases with the presence of 1st class EMT showed more vital signs were detected but there was no significant difference in the number of emergency cares provided. Conclusion : It seemed that the on-scene emergency care did not satisfy the expectations. So it is necessary to enforce the cooperation between the elements, the qualifications of the 119 EMS squads and to improve the prehospital working environment in order to provide the better medical service at any time.

• 한국가스학회지
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• 제19권4호
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• pp.1-7
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• 2015

국내 외에서 대기 오염에 대한 관심은 높은 편이며, 자동차 및 연료 연구자들은 깨끗한 (친환경 대체연료) 연료와 연료 품질에 맞춘 새로운 엔진 설계의 구성, 혁신적인 후처리 시스템 등의 접근을 통하여 차량의 배기가스 배출을 줄이려고 노력하고 있다. 이러한 연구는 다음과 같은 다양한 주요 이슈를 가져오게 된다. PM 배출량이 디젤과 가솔린 차량에 대해 규제해야 하는지 여부와 가솔린 및 LPG 차량이 PM 배출가스 규제에서 무시될 수 있는지 여부이다. 마지막으로 온실 가스 규제가 자동차 배출 규제를 포함하여 논의 것 등이다. 자동차의 온실 가스 및 배출가스는 경오염, 건강 악영향 등의 원인으로 많은 문제점을 일으키게 된다. 다양한 차량 시험모드 및 환경조건에 기초하여, 본 논문에서는 배출가스와 온실가스에 대한 LPG 차량의 특성을 논의하였다. 또한 본 논문은 시험 온도에 대한 배출가스 특성을 평가하였다. 이때의 시험온도는 시험모드 상의 온도와 국내 겨울철 최저온도를 기준으로 나누어서 실시하였다. 본 연구를 통해 시험모드 및 환경조건, 배출가스, 온실가스의 상관관계를 분석하고자 하였다.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7367-7376
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• 2015

본 연구는 경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과를 파악하여 여고생들에게 효율적인 자가 간호 중재로써의 활용가능성을 검증하고자 시도된 무작위 할당 대조군 전후설계이다. 자료수집기간은 2006년 3월부터 4월까지로, 보건실을 방문한 여고생에게 실험 전, 설문지에 통증척도인 도표 평정 척도(Grapic Rating Scale, GRS)와 분만어휘 평정척도(Adjective Labor Pain Rating Scale, ALPRS)를 작성하게 한 뒤 각 군에게 직경 12mm, 두께 3mm의 원형 자석에 800~1200Gauss의 자력이 있는 의료용 자석을 3시간동안 적용하였다. 설문지는 각각 자석 적용 직후 3시간과 제거 후 3시간에 설문지인 GRS와 ALPRS를 작성하게 하였다. 연구결과 경혈점에 자장요법을 적용한 실험군은 적용하지 않은 대조군보다 월경통 GRS와 ALPRS가 유의하게 감소하였다. 이상의 결과로 경혈점에 적용한 자장요법이 여고생의 월경통에 통증경감에 효과가 있는 것으로 확인되었다. 따라서 비약물요법으로서의 월경통 완화를 위한 간호중재법으로 활용할 것을 기대한다. 또한 본 연구에서 ALPRS가 월경통에 대해 타당성이 제시되었으므로 추후 연구를 통해 ALPRS의 타당도 검증을 위한 반복 연구가 필요하다. 여고생들의 월경통 경감을 위한 보완대체요법으로 적용하게 될 것을 제언한다.

• 대한지역사회영양학회지
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• 제13권4호
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• pp.489-498
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• 2008

This study was carried out to identify bone mineral density(BMD), body composition, lifestyle and dietary habits of young women by physical measurement and questionnaires. The study subjects, 190 young women living in Seoul, were divided into three age groups: $20{\sim}24$ years(93), $25{\sim}29$ years(44) and $30{\sim}39$ years(53). There was no significant difference in mean body muscle mass, protein, mineral, body fat and BMI among the three age groups. The rate of low weight(18%) in 20 years group was higher that of the 30 years(11.3%). The mean BMD and T-score were $0.44g/cm^2$ and -0.66. BMD and T-score of the forearm bone were significantly higher in the $30{\sim}39$ years group. But BMD and T-score of calcanues were not significantly different among the three age groups. The rate of normal, osteopenia and osteoporosis subjects by BMD were 60.5%, 38.4%, 1.1%, respectively. The rate of osteopenia in $20{\sim}24$ years group was significantly higher than the other age groups. The rate of meal irregularity was significantly higher in $20{\sim}24$ years group. The rate of women who walk and are exposed to sunlight more than 1hr per day were significantly higher in $20{\sim}24$ years group than the others. However, the score of food behaviors is significantly higher(bad) in $20{\sim}24$ years group than the others. The relationship between BMD and frequency of food intake showed significant differences in beans, broom, seaweed and rice wine. In conclusion, the risk rate of BMD was very high, 40% of the subjects, and the risk rate of BMD was higher in 20 years group than 30 years group, and the rate of low weight in 20 years group was higher than in 30 years group. The food habits and behaviors were not healthy enough. Therefore, nutrition education is needed for bone health.

• 대한지역사회영양학회지
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• 제19권2호
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• pp.122-132
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• 2014

Objectives: This study was conducted to investigate the vitamin D status and to determine the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and consumption frequencies of vitamin D rich foods in Korean adults and older adults. Methods: Subjects were 10,374 adults and 2,792 older adults participating in the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Consumption frequencies of vitamin D rich foods were estimated by using a qualitative food frequency questionnaire (FFQ). Eleven food items such as beef, egg, mackerel, tuna, yellow corvina, pollack, anchovy, mushroom, milk, yogurt, and ice cream were selected as vitamin D rich foods based on previous research. Results: The proportions of deficiency (< 12 ng/mL), inadequacy (12-20 ng/mL) and sufficiency (${\geq}20ng/mL$) of serum 25(OH)D concentrations from June to November and December to May in adults were 8.8%, 42.3%, 48.8%, and 28.2%, 52.8%, 19.1%, respectively. The proportions of deficiency, inadequacy and sufficiency of serum 25(OH)D concentrations from June to November and December to May in older adults were 10.1%, 32.4%, 57.5%, and 24.1%, 45.4%, 30.5%, respectively. The mean serum 25(OH)D concentrations in adults were positively related to the consumption frequencies of mackerel, anchovy, all fish, milk and milk dairy products. The mean serum 25(OH)D concentrations in older adults were positively related to the consumption frequencies of yellow corvina and negatively related to the consumption frequencies of ice cream. Conclusions: Our results suggest that Korean adults were more deficient in serum 25(OH)D concentrations than older adults. The consumption of vitamin D rich foods may affect vitamin D status in Korean adults. Further studies are required to confirm these findings.

• 대한지역사회영양학회지
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• 제13권2호
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• pp.207-215
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• 2008

This study was conducted to measure and evaluate the food and nutrient intakes of the people living near the nuclear plant and to investigate the relationship between the household income level and the food and nutrient intake patterns. A total of 552 cases (263 males and 289 females) were surveyed during the period from April 1 to December 21 of 2005. Dietary intake was measured by means of the 24-hour recall method. The data were analyzed using SPSS Windows (ver. 14.0). The household income level of the subjects was classified into two groups : Low income group (LIG; $\leq$2,000,000 won) and high income group (HIG; > 2,000,000). The subjects at large had less energy and nutrient intakes than did the population in town and village who participated in the 2005 National Health and Nutrition Survey. The intake of calcium, zinc, vitamin A, riboflavin, vitamin $B_6$, vitamin C, and folic acid was less than the Estimated Average Requirement in case of $50{\sim}95%$ of the subjects. The LIG consumed less beans, vegetables, fruits, meats, and beverages than did the HIG in male, while the LIG consumed less eggs and beverages than did the HIG in female. The LIG consumed less nutrients than did the HIG in male, except for carbohydrate, while the LIG consumed less nutrients including zinc, vitamin A, riboflavin, vitamin B6, vitamin C, folic acid than did the HIG in female. In addition, the LIG had higher percentage energy consumption from carbohydrate. These results suggest that higher food and nutrient intake is associated with higher income.