• 대한간호학회지
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• 제28권2호
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• pp.233-243
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• 1998

This study was performed to compare the transcultural differences on perimenstrual discomforts, menstrual attitudes and sex role acceptance between Korean and American college students. The subjects, 2557 nursing students were selected from 13 universities all around Korea, and 4 universities in the eastern, western, and middle areas of the United States. The data were collected using the MDQ (Menstrual Distress Questionnaire by Moos), the MAQ(Menstrual Attitude Questionnaire), and the Sex Role Acceptance Scale, the subjects answered the MDQ for three points (premenstrual, menstrual, intermenstrual based on their recollections) between July, 1996 and April, 1997. The findings are as follows : 1. There were significant differences in the age of menarche, duration of menstruation, and menstrual cycle between the Koreans and the Americans. 2. As for sex role acceptance, Americans more frequently denied the traditional female role than did Koreans. 3. There were significant differences between the two groups on five categories of menstrual attitude (menstruation is a phenomena that weakens women physically and psychologically, menstruation is a bothersome phenomena, menstruation is a natural phenomena, menstruation onset is a predictable phenomena, and menstruation is a phenomena that does not influence womens' behaviors non is expected to). 4. For the menstrual discomfort scores, there were significant differences between the two groups on all six categories of the MDQ(pain, attention deficit, behavioral changes, AMS response, water retention, and negative emotion) for the three points (premenstrual, menstrual, intermenstrual period). 5. The most common complaints for the Korean women were pain during the perimenstrual period and fatigue during the intermenstrual period. In contrast, for the Americans the most common complaint was negative emotions during the perimenstrual period, but less pain than the Koreans, and a similarity to Koreans during the intermenstrual period. 6. Regularity of the menstrual cycle was positively correlated with age of menarche, menstrual cycle, and duration of menstruation. 7 For the interrelationship between of Perimenstrual discomforts, menstrual attitudes, and sex role acceptance, there were significant correlations for both group as follows : First, the MA category "menstruation is a bothering phenomena" was negatively correlated with sex role acceptance, second, the MA category "menstruation is a phenomena that weakens the women physically and psychologically" was positively correlated with the MA category "menstruation onset is a predictable phenomena." For the further research, it is recommended that efficient nursing intervention programs for perimenstrual discomforts, be developed and qualitative research to demonstrate the cultural differences as the feminism view point be done.

• 한국융합학회논문지
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• 제7권6호
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• pp.317-325
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• 2016

본 연구의 목적은 30세 이상의 보건소 건강교실에 자발적으로 참여한 여성을 대상으로 대사증후군 개선을 위한 운동과 영양 프로그램으로서 교육 중재프로그램의 제공 효과를 검증하는 것이다. 서울시 동북부 지역에 위치한 보건소 비만클리닉 참여자 400명 중 12주간의 비만 클리닉 프로그램을 이수한 120명의 여성을 대상으로 하였다. 운동 및 영양 프로그램으로 구성된 건강교실 프로그램을 매주 1일, 운동과 영양 각 1시간씩 12주간 실시하여 보건소 건강교실 참여자의 대사증후군 위험요인에 미치는 영향을 평가하였다. 중재 전, 후의 대사증후군 위험인자와 형태요인 변화량과 변화율 분석을 통하여 대사증후군과 질병발병 위험율의 개선 여부를 검증하였다. 주1회, 회당 2시간, 12주간의 건강교실 프로그램 제공을 통해 참가자들의 허리둘레(p<.001), 수축기혈압(p<.001), 이완기혈압(p<.001), 체질량지수(p<.001) 감소를 확인하였다. 또한 50대 이후 연령대에 비해 50대 이전 연령대에서 체중(p<.01), 허리둘레(p<.05), BMI(p<.01), 지방량(p<.05)가 더 많이 감소하였다.

• 보건행정학회지
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• 제3권2호
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• pp.100-129
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• 1993

This study is designed to find out some intra-clinic factors affecting the content of practice provided by primary care physicians in Korea, and proposed factors in this study are characteristcs of each private clinc --- physician-related variables(age, sex, specialty), bfed-related variables for inpatient care, laboratory-related variables for precise diagnosis. We have tried to estimate the difference of disease entities cared by each primary care physician according to above factors by analyzin gdisease data claimed during one month(April, 1992) to National Federation of Medical Insurance. The diagnosis codes by ICD-9 in the research disease data were reclassified to 'diagnosis clusters' by virtue of clinical similarities for effective analyses. We have converted frequent-tsing ICD-9 codes to 86 diagnosis clusters, which incorporated 97.4 percents of all ambulatory visits to private clinics. This result means proposed diagnosis-cluster method is effective tool for analysis of the content of ambulatory medical care carried out by primary care physicians. Comparisons and analyses of multiple diagnosis-clusters made on the basis of presented factors were done and the results were as follows; - Major factors affecting the difference between diagnosis-cluster pattern by each variables were phyusician's age, sex, specialty and bed counts of each private clinic for inpatient care and the size of laboratories of each clinic. - Middle aged(30th to 40th) group physicians are providing more comprehensive care than 20th or above 50th aged groups. Male physicians are more adequate for comprehensive care than female physicians, because woman-doctors are providing narrow-spectrum care. The content of practice of obstetricians and gynecologists shows much difference from primary medical practice, and they cannot be included in primary care physician, this study suggested. Pediatricians are also providing short-spectum acre, and nearly all visits to pediatricians were incorporated only 2-3 diagnosis-clusters. General surgeons' practices are very similar to general practioners' or family physicians' practices, the means they are providing primary care rather than special surgical care. And small number of beds(under 5 beds) and only basic(2-3 sorts of)diagnostic apparatuses are sufficient for primary physicians' clinic to carry out primary care. In conclusion, to reinforce primary care department in Korea, there must be support with health policy to expand office-based primary care practice-- with small number of beds for inpatient care and only basic laboratories-- provided by general practitioner of family physician.

• 한국제4기학회:학술대회논문집
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• 한국제4기학회 2005년도 추계학술대회
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• pp.48-54
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• 2005

남한의 동남해안가를 따라 단구지형이 잘 발달하여 있으며, 해안단구는 해안충적면(AP,$4{\sim}5m$), 저위단구면(LT, $8{\sim}25m$), 중위단구면(MT, $36{\sim}55m$), 고위단구면(HT, $63{\sim}86m$), 고고위단구면(uHT, above 90m)과 같이5개 주단구면들로 구분된다. 해안단구 중에서 고도 약 8m 에서 20m 부근에 저위단구퇴적층이 잘 발달하여 있다. 이들 퇴적층은 저위2면(LT2)과 저위3면(LT3)에 분포하는 유기니질층 내에 포함된 화산재 산출 특성과 사질층에 대한 광여기루미네선스(OSL) 연대측정을 실시하였다. 연구결과 , LT2면은 해양산소동위체시기(MIS)로 볼 때, MIS 5d 혹은 5e 에 해당하며, LT3면은 MIS 5a 로 해석된다. 특히 LT2퇴적층의 형성은 최종간빙기 최성기의 해침작용과 관련되어 형성되었다.

• 여성건강간호학회지
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• 제4권2호
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• pp.187-202
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• 1998

This study was carried out to identify the difference between educational needs and levels of satisfaction of primigravida during the antepartum period. The goal of the study was to obtain data needed to develope educational programs and to improve the nursing quality for antepartal clients. The subjects were 106 primigravida who attend antenatal clinic at 3 general hospitals in the Seoul area. The data was gathered using a questionnaire which, consist of 71 items, was developed by the researcher from May 4 to June 3, 1998. Results found are as follows : 1. The characteristics of subjects : The majority of subjects were aged 25-29 years(73.6%), college graduates(61.3%), jobless(68.9%), had no religion(38.7%), attended antenatal clinic regularly(91.5%), duration of pregnancy was 38-39 weeks(49.06%), pregnancy was planned(67%), and 42.5% have had some sort of prenatal education. 2. Over all level of educational needs was relatively high(Mn. 3.97) but the level of satisfaction was of average level(Mn. 3.01). Therefore, differences between the level of educational needs and satisfaction was significant(P=.0001). 3. The educational needs by category, the highest need was on birth preparation(Mn. 4.18), self care of the mother and infant care(Mn 4.10), health maintenance and promotion(Mn. 3.79), the lowest was care of discomfort(Mn 3.66). The level of satisfaction was higher on postpartum self care(Mn 3.15), but the lowest was infant care(Mn 2.84). Differences between educational needs and satisfaction by categories was significant(P=.0001). 4. Relationship between educational needs and levels of satisfaction among primigravida of different characteristics were as follows : 1) Educational needs of minor discomforts area were significantly high among age of 25-29(P=.0108), and over 35 years of age, was satisfied on preparation of labor & delivery, postpartum self care (P=.036, .02). 2) With regard to different level of education, middle school graduates had higher educational needs on discomfort care and postpartum self care(P=.0014, .014). College graduates have had higher educational needs on health maintenance(P=.008) and were more satisfied on preparation of birth(P=.0025) 3) With regard to whether pregnancy was planned or not, no difference was found on educational needs. But the levels of satisfaction was significantly higher in the group of planned pregnancy(discomfort care P=.0454, birth preparation P=.0256, postpartum self care P=.0092). 4) with regard to antenatal education, those who have had some sort of antenatal education, educational needs on birth preparation(P=.0345) was significantly high. And also the levels of satisfaction were significantly higher on every category(P=.0004-.0001). 5) No difference was found on educational needs or level of satisfaction by Job, religions, regularity of antenatal care and complication of pregnancy.

• 대한간호학회지
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• 제30권3호
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• pp.549-559
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• 2000

The purpose of this study was to investigate the correlation between the knowledge and educational needs related to recurrent in coronary artery bypass graft patients as a basis to provide an individual nursing education for the population. The subjects consisted of 110 patients who had coronary artery bypass graft(CABG) at Asan Medical Center in Seoul and Sechong hospital in Buchon. Data was obtained from a knowledge questionnaire and a learning needs questionnaire between November 1998 and February 1999. Data were analyzed using SAS program for Wilcoxon rank sum test and Spearman correlation coefficient. The results were as follows : 1. With regard to the 18 items to measure knowledge, the mean (median) of items 'don't know' was 4.9(4) items. The mean (median) of items answered wrong was 3.2(3) items. The number of items answered 'don't know' tend to show higher in those who had less education, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension 2. With regard to the level of knowledge by questionnaire about CABG, The most "I dont know" (59.1%) highly response was 'He has to be treated with anticoagulant drug to prevent revasculized vessel from obstructing.' The seond highest response (56.4%) was 'If you were hypotensive, the coronary attack would collapse. 'During the hospitalized day, the patient has complete bedrest.' The highest error probability was cholesterol has not to intake.', 'After surgery, the sexual life is need controlled for 1 year. 3. The mean of educational needs was 3.38. With regard to the level of learning needs by sentence about CABG, 'Food that benefit heart disease', 'Recurrence possibility of heart disease', 'Management method of operation site', 'Risk symptom that visit hospital or report immediately' were higher than other sentenses. With regard to the level of learning needs by factor 'food(5 items)', 'disease(9 items)' and 'exercise(3 items)' showed the highest than other factors. The educational needs by patients characteristics tend to show higher in males, under the age of 49, middle or high school degree, previous experience of admission with coronary artery disease, history of myocardial infarction, expierience of PTCA, history of cerebro-vascular accident, previous expierience of smoking than in their counter parts. 4. The number of items answered 'don't know', wrong and correct weren't correlated with the level educational needs. As the results, the number of items answered 'don't know' tend to show higher in those who had less educated, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension .There were higher frequency of items answered 'don't know' on anti-thrombolitic theraphy, hypotension and pain relief. Also there were higher frequency of items answered wrong on bed rest period, cholesterol intake, and sexual life. Educational needs were higher in young age group, had previous experience of procesure and history of other disease. And when we educate CABG patients, education for diet, recurrence possibility of disease, management methods of operation site and risk symptom should be emphasized.

• 대한지리학회지
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• 제46권4호
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• pp.480-500
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• 2011

본 연구는 지난 10년(1995-2005년)동안 급증하고 있는 1인가구의 인구 경제 사회학적 특성에 따른 성장패턴을 기술하고, 1인가구의 다양한 특성에 따른 공간분포 특성을 분석하는데 목적을 두었다. 1인가구의 증가는 젊은 층의 결혼 지연과 독신, 중년층의 이혼율 증가와 노령화에 따른 독거노인의 증가가 복합적으로 작용하였다. 1인가구의 성별, 연령별, 혼인상태별, 교육수준에 따라 상당히 차별적인 1인가구의 성장 패턴을 보이고 있다. 1인가구의 연령, 학력, 주택소유 및 주택유형을 기준으로 하여 이들의 공간분포 패턴을 비교해보면 매우 대조적이고 불균등하게 나타나고 있다. 교육수준이 높고 자가 아파트에 거주하는 젊은 싱글족은 소수의 대도시에 집중해있는 반면에 교육수준이 낮고 단독주택을 소유하고 있는 독거노인들은 주로 농촌에 거주하고 있다. 또한 고학력의 젊은 연령층의 경우 경제적 상황에 따른 양극화 현상이 두드러지게 나타나고 있다. 특히 광역시나 대도시에는 아파트를 소유하면서 경제적으로 여유있는 삶을 살고 있는 그룹과 월세로 단독주택에 거주하는 그룹이 혼재되어 있는 것으로 나타났다. 이와 같이 1인가구들도 상당히 이질적인 특성을 갖고 있기 때문에 어떤 그룹에 속하고 있는 1인가구가 증가하고 있으며, 또 집중분포되어 있는가에 따라서 해당 지자체가 직면하게 되는 경제 사회적 문제는 상당히 다를 것이며, 이에 따른 사회복지정책도 차별화되어야 할 것이다.

• Journal of Chest Surgery
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• 제30권1호
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• pp.55-60
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• 1997

본 인제대학교 의과대학 서을 백병원 흉부외과학교실에서는 1987년 9월 부터 1995년 12월까지 원발성 종격동 종양의 진단하에 수술을 시행한 40례를 대상으로 하여 임상적 고찰을 하였다. 관찰 대상은 남자 18례와 여자 22례로 연령은 Vll에서 68세까지 였으며 평균 )4.1세였다. 종양의 진단시 증상은 흉통(12.5%), 기침(12.5%), 호흡곤란(7.5%) 경부종괴(7.5%), 흉부불쾌감(5.0%) 등이었다. 진단은 모든 예에서 단순 흉부엑스선 사진과 흉부 전산화단층촬영을 실시하였고 5례 에서는 자기공명영상을 시행하였다. 경피적 침생검은 22례에서 시행하여 16례에서 조직학적 진단을 얻었다(민감도 72.7%). 종양의 위치별 분포는 전상부 종격동 24례(60.0%), 후부 종격동 14례(35.0%), 중부 종격동 2례(5.0%)였다. 종양의 종류는 흉선종 11례(27.5%), 신경성종양 10례(25.0%), 배아세포종 7례(17.5%), 낭종 8례(20.0%), 거대 림프 절비대(Castleman's disease) 2례(5.0%), 방추세포육종 1례(2.5%) 그리고 림프종 1례(2.5%), 였다. 악성 종양은 5례로 침습성 흉선종 3례, 방추세포육종 1례, 림프종 1례였다. 치료는 양성의 모든 예와 악성종양 3례에서 완전절제하였고, 2례는 수술이 불가능하였다. 수술후 사망은 없었고 합병증은 창상피열, 성대마비, 어깨강직이 각각 1례씩 있었다.

• Journal of Chest Surgery
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• 제30권11호
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• pp.1097-1104
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• 1997

객혈은 항상 환자들에게는 두려운 경험이고 담당 의사에게는 고심거리가 되고 있는데 이는 객혈 자체가 심각한 질환의 징후로 나타나는 경우가 많기 때문이다. 그러한 출혈이 있을 때에는 폐결핵이나 기관지확장 증 또는 폐암의 가능성을 즉시 생각해 보아야 하겠지만,오늘날 진보된 진단방법으로 인해 객혈환자의 감별 진단이 가능해 졌고 적절한 치료를 받을 수 있게 되었다. 본 연구는 1992년 3월부터 1997년 2월까지 6년간 서을 위생병원 흉부외과에서 객혈로 인해 응급 개흉술을 시행받은 75명의 환자를 대상으로 이루어 졌다. 환자의 연령은 19세부터 68세까지로 평균연령은 36.6세였고 가장 호발한 연령층은 30대 였다. 객혈유발의 가장 흔한 질환은 결착(44%)이었고, 병소부위를 가장 정확하게 진단할 수 있었던 검사는 객혈시의 기관지경 검사로 95%의 환자에서 병소부위를 밝힐 수 있었으며, 우중엽 및 하엽(17.3%)이 가장 흔한 병소 부위였다. 가장 많이 선택된 수술 방법은 폐엽절제술(50%)이었으며, 객혈의 재발(31.6%)이 가장 흔한 술후 합병증이었다. 수술후 환자의 예후는 82.6%에서 완전회복을 보였다. 저자들은 위의 결과를 통하여 객혈환자의 적절한 치료는 정확한 진단, 약물 보조치료와 더불어 외과적 치 료방법으로 완료됨을 알 수 있었다.

• 대한가정학회지
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• 제40권4호
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• pp.167-178
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• 2002

This study was carried out to compare the meal management attitudes among the mothers(41 years of age) who had middle school students between in industrial complex and in non-industrial complex. The subjects of each group were composed of 192 mothers Living in Ansan city in Korea, and this study was performed by self-administered questionnaire. The results of the present study were as follows: (1) Monthly family income and education level of parents were lower in industrial complex-family(ICF) than in non-industrial complex-family (NICF). The mean age of mothers and family size were similar in two groups, but the frequency of mothers employed was higher in ICF than in NICF Most mothers in ICF worked as a manual- or skilled-laborer. (2) The mothers in ICF tended to have less positive attitude in sewing balanced meals to their families than those in NICF. The score of nutritional knowledge was lower in mothers in ICF than those in NICF. (3) The percentage of expense for purchasing staple foods to total expense of foods tended to be higher in ICF than in NICF. Engel's coefficient was higher, and the frequency and expense for eating out was lower in ICF than in NICF (4) The mothers in ICF did not try to use their time and energy efficiently for meal management. (5) The mothers in ICF were less active in sewing the pleasurable meals including the provision of various cooking methods, flavors, and temperatures, to their families, than those in NICF. Above findings show that family environment such as industrial complex-families and non-industrial complex-families influences the meal management attitudes of mothers. The mothers in ICF had a less positive altitudes for scientific meal managements than those in NICF even though they had the limited resources including money, time and energy for meal management because most mothers in ICF had a job that were paid low salary and finished irregularly or late. Therefore, these results underscore the need to provide the sound nutritional education for the mothers in ICF with respect to reasonable meal management for 'optimal nutrition of family'. In addition, the government should try to make the various welfare policies to improve nutritional status of low income famines including the poor industrial complex-families.