• Journal of Preventive Medicine and Public Health
• /
• 제7권2호
• /
• pp.333-342
• /
• 1974

In September 1974, a survey was conducted towards 900 women respondents, each representing a household, residing in 18 selected Myuns(townships) of 18 Guns(counties) in Kyunggi-Do. Fifty households were selected randomly in each Myun and the sample Myuns were also randomly selected from the 18 Guns home-visiting interviews were carried out by Myun level maternal and child health workers with questionnair forms designed to measure the maternal and child health status at each household. Major findings obtained from this survey can be summarized as follows: 1. Of the women responents who were investigated in this survey, 13.1% of them were comprised in the illiterates, indicating no difference in literacy rate from that in most urban areas. 2. Most(93.8%) of the respondents were found to have married at ages of 20-24 years old. 3. Most(85.8%) of the respondents were found to have delivered their first babies at ages of 20-24, while only 13.4% had their first babies at 25-29. 4. About 22% of the respondents had 2 children, while 19% and another 19% had 2 and 4 children, respectively. 5. A great majority of the respondents (78%) experienced not a single death of a child within the family, while about 17% experienced death of one child. 0.7% of the women experienced deaths of 4 or more children. 6. 18% and 17% of the women experienced 4 and 3 pregnancies, respectively, and 12% of them experienced 7 or more pregnancies. 7. About 29% of the women experienced an induced abortion at least once. Nearly 2% of them were found to have experience of 4 or more induced abortions. 8. One half (51%) of the women were found to have received prenatal guidances in the latest pregnancies by (Ub(town) and Myun (township) level maternal and child health workers at least once or more times. 9. 52% women received professional prenatal care in the latest pregnancies: 24% at hospitals or clinics and 20% at health centers. 10. Most (89%) of the last-born children were delivered at home, while only 8.7% were delivered at hospital or clinics. 11. Materials used at delivery comprise vinyl (40%), cement bags (32%) ana gauzed or absorbent cottons (19%). 12. The largest preportion of the attendants at delivery comprises mothers in-law (48). Only 24% were found to be attended by either doctors, midwives or maternal and child health workers. 13. In most (90%) of the deliveries scissors were used to cut the umbilicus. But most (7%) of them used unsterilized scissors, 6 while only 20% of them used sterilized ones. 14. About 68% of the last-born babies were breast-fed for 12 months or more. Those who weaned during 6-12 months were 21%. 15. During 12 months after birth, 65% of the last-born babies were breast-fed, while 24% were given a combination of breast milk and cooked rice. 16. About nine out of the 10 births were found to be registered. 17. 71% of babies received BCG vaccination, while 79% and 56% received samllpox and DPT vaccinations, respectively within a year after birth. Those who were vaccinated against poliomyelitis were about 50%. 18. About 87% of the respondents recogninized the existence of government-sponsored maternal and child health guidance program.

• 농촌의학ㆍ지역보건
• /
• 제43권3호
• /
• pp.180-190
• /
• 2018

본 연구는 농촌지역 경증 치매노인의 삶의 질을 측정하고, 이들의 인구사회학적 특성, 주관적 건강인식, 동반질환, 의존성, 수면, 우울 등 대상자의 삶의 질에 관련된 요인들을 살펴본 상관연구로써, 대상자의 삶의 질 향상을 위한 여러 대안들을 위한 기초자료를 제공하고자 본 연구를 시행하였다. 본 연구의 대상자는 본 연구의 수행에 동의한 충청북도 ${\bigcirc}{\bigcirc}$군 보건소에 등록된 65세 이상의 경증 치매노인으로, 대상자로부터 동의서를 받은 후 설문지를 이용하여 자료 수집을 하였다. 본 연구결과 농촌지역 경증 치매노인의 주관적 건강인식과 의존성, 수면, 우울이 삶의 질과 상관성을 보이는 것으로 나타났고, 우울은 삶의 질의 변인으로써 54%를 설명하는 것으로 나타났다. 결론적으로 삶의 질에 유의한 예측변수는 우울이었다. 위의 결과로 다음과 같은 제언을 하고자 한다. 첫째, 대상자의 삶의 질에 영향을 미치는 우울의 원인을 파악하고, 그에 따른 지원정책을 분류하여 제공할 필요가 있다고 생각된다. 둘째, 대상자의 우울이 삶의 질에 영향을 주는 것으로 볼 때, 치매노인들의 정신적 건강상태에 따른 의료적 환경과 접근에 있어서 보다 더 용이한 환경이 되도록 보건소와 병원, 노인전문요양시설간의 지역사회내의 연계체계 구축을 통해 통합적 정신건강서비스를 제공할 필요가 있다고 생각된다. 특히 지역 간 보건의료자원의 불균형이 심한 농촌지역의 특성을 고려하여 보건소를 기점으로 보건지소나 보건진료소와 같은 공공보건의료체계를 포괄적이고 효율적으로 보강할 것을 제언한다. 셋째, 본 연구는 일개 농촌지역에 국한되어 선정 기준에 맞는 대상자들만 연구에 포함시켰기 때문에 연구결과를 우리나라 전체 경증 치매노인에게 일반화시키는데 제한적이므로 연구지역을 확대할 것을 제언한다. 또한 경증치매 노인을 위해 개발되는 간결한 검증된 도구의 사용이 필요하다고 본다. 넷째, 경증 치매노인이 평균적으로 어느 정도의 우울을 동반하는지에 대한 후속 연구를 통해 치매정도를 고려한 인지향상 프로그램 외에 우울의 정도에 따른 개별화된 예방 중재 프로그램이 개발되어 장기적인 효과를 확인할 것을 제언한다.

• 인터넷정보학회논문지
• /
• 제8권3호
• /
• pp.19-32
• /
• 2007

본 논문에서는 실시간 얼굴인증 시스템의 구축을 위한 LVQ 신경망 기반의 새로운 얼굴 인식 방법을 제안한다. 기존의 연구에서 PCA, LDA 변환이 많이 적용되며 신경망을 결합한 형태가 제안되고 있지만 신경망 학습 시간이 오래 걸리는 단점을 가지고 있다. LVQ 신경망은 학습 시간이 짧고 클래스간의 분리도를 최대화할 수 있는 교사학습방법이다. 따라서, 본 논문에서 제안된 방법은 동영상으로부터 실시간으로 입력되는 얼굴영상을 PCA와 LDA변환을 순차적으로 적용하여 부분공간상의 변환된 특징벡터로부터 LVQ 신경망의 학습을 통하여 얼굴을 인식한다. 외부조명의 영향에 강건한 인식시스템을 구축하기 위하여 얼굴검출 단계에서 검출된 얼굴영역은 밝기값의 최대-최소 정규화 방법에 의해 보정된 정규화 영상을 생성한다. 정규화된 얼굴영상은 PCA와 LDA 변환을 통해 부분공간상의 특징벡터로 변환된다. 변환된 훈련 데이터로부터 LVQ 신경망의 초기 중심 벡터를 결정하고 신경망의 학습률 향상을 위해 K-Means 클러스터링 알고리즘을 적용하며, 초기 중심 벡터를 이용하여 LVQ2 학습 방법에 의해 학습된 중심벡터는 클래스의 대표 벡터가 된다. 결국 각 클래스의 대표 벡터로부터 입력 영상의 특징벡터간의 유클리디언 거리 비교법을 적용하여 얼굴 인식을 수행한다. ORL 데이터베이스를 이용한 정지 영상에 대한 인식과 실시간으로 입력되는 영상에 대한 인식 등 두 가지 형태의 영상을 기반으로 실험한 결과 두 경우에 모두 제안된 방법이 기존의 인식 방법보다 인식률에서 우수함을 입증할 수 있었다.

• 의료법학
• /
• 제14권2호
• /
• pp.119-142
• /
• 2013

It is not easy to regulate the amount of radiation used for the medical purpose as there usually is more good than harm to the patient's health and life caused by the medical exposure to the radiation. However, the rapid increase of the use of diagnostic radiation involves a high possibility of increasing the radiation hazard exposure. Therefore, it is imperative to implement effective regulations in order to secure the safety of diagnostic radiation. The one and only rule we currently have for the diagnostic radiation is "Medicine Act" with only one clause dedicated to regulate the safety management that does not include any rules for the medical radiation. A set of inclusive rules for the whole medical radiation inclusive of diagnostic radiation and therapeutic radiation need to be based on the "Medicine Act" rather than "Nuclear Safety Act" in order to protect the medical professionals, patients and the guardians of patients from the hazards of diagnostic and/or therapeutic radiation that was not used the purpose of medical treatment. If there is an administrative measure to be imposed to secure the safety of diagnostic radiation, it is considered as exertion of governmental authority of administrative agency. There must be clear and realistic legal guidelines for in-fringe on people's interests. The administrative measures for the safety management of the diagnostic radiation must be clearly and specifically based on the law and the detailed standards for the administrative measures must be dele-gated by the presidential decree or departmental ordinance. Accordingly, the restrictions imposed by the administrative measures to the "Safety Inspection Institute of Radiation along with Radiation Exposure Measuring Institutes" should have clear legal basis as well and the detailed standards for the administrative measures should be regulated by the Ministry of Health and Welfare decree instead of the notification by the Director of Korean Centers for Disease Control and Prevention. While securing the safety of radiation on one side, careful review and up-grade on our legal system for the safety management of the diagnostic radiation is required on the other side to guarantee the legality, interest balance and reliability of the administrative measures.

• The Journal of Advanced Prosthodontics
• /
• 제3권3호
• /
• pp.161-165
• /
• 2011

PURPOSE. This randomized clinical trial was conducted to assess the safety and effectiveness of the ErhBMP-2 in alveolar bone regeneration as well as preservation of the ${\beta}$-TCP bone graft material that contains ErhBMP-2. MATERIALS AND METHODS. This study involved 72 patients at the 3 study centers. The patients, who were divided into 2 groups: the experiment group who had ErhBMP-2 coated TCP/HA and the control group who had TCP/HA graft material alone transplanted immediately after tooth extraction. CT was taken before and 3 months after the transplantation and healing status was compared between the two groups. The efficacy endpoints that were used to measure the degree of bone induction included alveolar bone height and 3 measurements of bone width. The paired t test was used to determine the significance of the changes (P<.05). RESULTS. Changes in alveolar bone height were $-1.087{\pm}1.413$ mm in the control group and $-.059{\pm}0.960$ mm in the experimental group (P<.01). At 25% extraction socket length [ESL], the changes were $0.006{\pm}1.149$ mm in the control group and $1.279{\pm}1.387$ mm in the experimental group. At 50% ESL, the changes were $0.542{\pm}1.157$ mm and $1.239{\pm}1.249$ mm, respectively (P<.01 for 25% ESL, and P<.05 for 50% ESL). During the experiment, no adverse reactions to the graft material were observed. CONCLUSION. ErhBMP-2 coated ${\beta}$-TCP/HA were found to be more effective in preserving alveolar bone than conventional ${\beta}$-TCP/HA alloplastic bone graft materials.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권sup3호
• /
• pp.167-174
• /
• 2016

One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

• Parasites, Hosts and Diseases
• /
• 제52권1호
• /
• pp.1-7
• /
• 2014

Plasmodium vivax reemerged in the Republic of Korea (ROK) in 1993, and is likely to continue to affect public health. The purpose of this study was to measure levels of anti-P. vivax antibodies using indirect fluorescent antibody test (IFAT) in border areas of ROK, to determine the seroprevalence of malaria (2003-2005) and to plan effective control strategies. Blood samples of the inhabitants in Gimpo-si, Paju-si, and Yeoncheon-gun (Gyeonggi-do), and Cheorwon-gun (Gangwon-do) were collected and kept in Korea Centers for Disease Control and Prevention (KCDC). Out of a total of 1,774 serum samples tested, the overall seropositivity was 0.94% (n=17). The seropositivity was the highest in Paju-si (1.9%, 7/372), followed by Gimpo-si (1.4%, 6/425), Yeoncheon-gun (0.67%, 3/451), and Cheorwon-gun (0.19%, 1/526). The annual parasite incidence (API) in these areas gradually decreased from 2003 to 2005 (1.69, 1.09, and 0.80 in 2003, 2004, and 2005, respectively). The highest API was found in Yeoncheon-gun, followed by Cheorwon-gun, Paju-si, and Gimpo-si. The API ranking in these areas did not change over the 3 years. The seropositivity of Gimpo-si showed a strong linear relationship with the API of 2005 (r=0.9983, P=0.036). Seropositivity data obtained using IFAT may be useful for understanding malaria prevalence of relevant years, predicting future transmission of malaria, and for establishing and evaluating malaria control programs in affected areas.

• 영재교육연구
• /
• 제24권6호
• /
• pp.1039-1051
• /
• 2014

본 연구는 소외계층 영재의 인지적 특성인 지능과 정의적 특성인 자아존중감, 수학적 태도 그리고 과학적 태도 등이 어떠한가, 그리고 이들 변인간의 관계가 어떠한지를 알아보기 위한 것으로써 대학 영재교육원에 다니는 소외계층의 초등 저학년 147명을 대상으로 실시되었다. 연구 결과 소외계층 영재의 지능은 백분위 85점 수준, 자아존중감 75.6%, 수학적 태도 73.3%, 과학적 태도 71.3% 등의 수준으로 자아존중감이 가장 높게 나타났다. 한편 지능의 수준별 자아존중감, 수학적 태도 및 과학적 태도의 차이는 없었으며, 지능과 자아존중감과 수학적 과학적 태도간의 관계는 없는 것으로 나타났으나, 자아존중감과 수학적 태도(r=.448, p=.000), 과학적 태도(r=.522, p=.000) 그리고 수학적 태도와 과학적 태도(r=.458, p=.000) 간에는 상당히 높은 상관관계를 보였다. 이 같은 결과는 소외계층의 영재아들이 일반 영재아들보다는 낮으나 잠재적인 영재성은 상당히 높고, 정의적인 요인들 간 관계가 높아 이를 계발할 수 있는 교육적 환경의 제공이 일반아들 보다 더욱 필요함을 의미한다고 할 수 있다.

• 가정간호학회지
• /
• 제2권
• /
• pp.5-18
• /
• 1995

While the socioeonomic status of Koreas has been dramatically increasing in recent years, chronic and geriatric diseases have also been on the rise, bringing about many changes in our health care system. The basic goals of the home health care are to reduce health care costs, to increase the attrition rate in general hospitals, and to care for patients effectively and conveniontly at home. The purpose of this paper is to review and examine the current status of the home health care in Korea throughout the reports, surveys, other informations and education system of home health nurse. We identified the various types of home health care services programs, such as hospital-based home health care operated in public sector(demonstration project) and community-based home health care in health centers or in private sector, that is, Korean Nurse Association. Hospital based home heatlh care model was established as an alternative to traditional in-patiet services. Quality assurance and client satisfaction is an important measure of care received and establishment of payment and reimbursement for home health care services is important in promotng the home health care. We found out a fee-per-visit system composed of three kinds of fees : a basic service fee(16,000 Won), a travel fee(5,000 Won), and per-service fees (variables). Like fees paid for in-patient care, insureds pay 20% and insurers pay 80% of the basic and per-service fee. The travel fee is borne totally by the insured. Home health care continues to be viewed as not only the most preferred way to provide care to clients, but also the most cost effective. Home health care is that component of a continuum of comprehensive health care whereby health services are provided to individuals and families in their places of residence for the purpose of promoting, maintaining, or restoring health, or of maximizing the level of independence, while minimizing illness. Services appropriate to the needs of the individual patient and family should be planned and provided, nursing is to be a force for positive change and enhanced the nursing professionalism. Whatever type of involvement of home health care, it is essential to remember that home health care is highly service-oriented and highly touch health car deilvery system.

• 대한공간정보학회지
• /
• 제20권4호
• /
• pp.127-134
• /
• 2012

본 연구에서는 진주시지역의 소방서(5개 119안전센터, 1개 119지역대)를 대상으로 GIS의 네트워크 분석을 이용하여 진주시에 위치한 소방서의 화재진압출동시간별 서비스현황을 분석하였다. 그 결과 진주시 전체 소방서비스면적 중 출동시간 5분 이내 비율은 15.9%, 8분 이내 비율 34.7%, 20분 이내 비율 94%로 나타났으며, 20분 이상인 지역도 6%에 이른 것으로 분석되었다. 특히, 시외곽지역(진성, 지수, 사봉, 일반성, 이반성면 일대)의 소방서비스 접근 취약성을 해결하기 위하여 일반성면에 119지역대가 증설되어 운영되고 있지만 접근성은 여전히 낮은 수준에 머무르고 있다. 또한 천전 119안전센터의 경우 국가산업단지와 일반산업단지가 대규모로 조성되고 있으나 해당 지역의 소방서비스 수준을 분석해 보면 도달시간이 8분 이상 20분 이내지역이 넓게 존재하고 있었다. 이상의 진주시 소방서비스권역을 화재진압출동시간으로 분석한 결과 지방중소도시에서 도농통합에 의해 행정구역이 통합되어 관할지역이 크게 확장된 것에 비하여 소방서비스수준은 도농통합이전의 상태를 크게 벗어나지 못하고 있어서 이에 대한 개선대책이 필요하다.