• 제목/요약/키워드: physical knowledge

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서울시 축산물(식육)판매업소의 원산지 표시실태 및 위생상태 모니터링 (Monitoring Country-of-origin Labels and Sanitation on the Meat Markets in Seoul, Korea)

  • 박정민;구효정;정종연;장은재;서형주;강덕호;김천제;김진만
    • 한국축산식품학회지
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    • 제27권2호
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    • pp.185-189
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    • 2007
  • 본 연구는 서울시 전제 25개 구를 대상으로 축산물(식육)을 판매하는 영업소를 대형 중형 소형영업소로 구분하여 축산물의 항목 표시 실태 및 위생상태를 점검 파악하기 위하여, 축산물(식육) 판매업소의 위생적 관리와 표시규정의 준수 여부를 중심으로 분석하였다. 서울시 25개 구를 각 구별로 비교 분석하기 위해, 1개 구마다 12개의 영업장을 조사대상으로 선정하여, 총 300개의 영업장을 조사하였고, 또한 이들 25개 구를 서울시 강남지역과 강북지역으로 구분하여 비교 분석하였다. 본 연구에서 영업소의 규모는 대규모의 할인점이나 백화점, 대형 도매점 등의 300평 이상의 대규모 영업소가 16%였고, 중간 규모의 100-300평 사이의 중형영업소가 18%로 나타났다. 100평 이하의 소형 영업소는 66%로 가장 많은 부분을 차지하고 있는 것으로 조사되었다. 표시여부에 관한 규정의 준수는 비포장육과 포장육 모두 대체적으로. 잘 이루어지고 있었으나, 비포장육의 등급별 용도표시 항목과 포장육의 조리방법 표시, 보관방법의 표시 항목은 아직 일부 영업자에게 그 필요성이 인식되지 않고 있는 것을 알 수 있었다. 표시여부에 관한 규정의 준수와는 달리 위생과 관련한 항목에서는 저조한 적합률을 나타내었다. 특히 작업 중과 작업 완료 후의 위생적 조치는 여러 지역에서 잘 이루어지지 않고 있었다. 칼, 칼갈이, 도마 등의 기구류나 기계류가 상온에 그대로 방치되는 경우가 많았으며 위생에 관련한 복장 상태 역시 대부분의 구에서 잘 지켜지지 않고 있었다. 관련 항목의 전반적인 적합률이 매우 낮은 것을 보았을 때 복장에서 유발될 수 있는 식육의 오염에 대한 개념이 많이 부족한 것을 알 수 있었다. 식육의 보관 온도에 관한 규정 준수 또한 문제점이 있는 것으로 조사되었으며 냉장육과 냉동육의 정확한 보관온도를 대부분의 영업자나 종업원들은 알지 못하는 경우가 많았다. 또한, 냉장육의 냉장보관의 경우에는 대체로 잘 지켜지고 있지만, 냉동육의 경우 냉동보관은 잘 지켜지고 있지 않는 사례가 많아 영업자에게 식육의 보관에 대한 적절한 교육과 홍보가 절실히 필요하다는 것을 알 수 있었다. 서울시의 각 구별 축산물(식육)판매업소의 실태를 조사하는 과정에서 중 소형 영업소의 영업자나 종업인은 축산물 판매에 필요한 정보를 표지판에 기재하여 소비자에게 알리기 보다는 구두로 설명하는 경우가 많았다. 농림부 등 관계 당국에서는 식육에 대한 지식이 부족한 소비자에게 그 정보를 정확히 전달하지 않는 축산물 판매업소의 영업자나 종업원은 법을 위반하고 있는 것이라는 교육 및 홍보가 절실히 필요하다고 사료된다. 위의 결과로 볼 때 식품안전성을 확보하기 위해서는 식품위생과 안전성, 식품표시에 대한 홍보와 교육이 지속적으로 이루어져 소비자들의 식품안전에 대한 인식과 신뢰도를 높여야 하며 또한, 축산물(식육) 판매업소의 위생상태에 관련하여 부적합한 대부분의 영업소의 영업자나 종업인의 식육에 대한 위생교육 또한 시급한 문제임을 본 연구를 통해 알 수 있었다.

고등학생의 건강 및 삶의 질에 대한 진단적 연구 - PRECEDE 모형을 근간으로 - (A Diagnostic Study on High School Students' Health and Quality of Life - Based on the PRECEDE model -)

  • 유재순;홍여신
    • 한국간호교육학회지
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    • 제3권
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    • pp.78-98
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    • 1997
  • Health education, as the most fundamental concept for national health promotion, alms for developing the self-care ability of the general public. High school days are regarded as the period when most important physical, mental and social developments occur, and most health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw in that health-related subjects are divided and taught under various subjects areas at school. In order to achieve the goal of school health education, it is essential to make a systematic assessment of the learner's concerns connected with his health and life, and the factors affecting them. So far, most of the research projects that had been carried out for improving high school health education were limited in their concerns to a particular aspect of health. Even though some had been done in view of comprehensive school health education, they failed to Include a health assessment of the learner. Therefore, in this study the high school students' concerns related to health and life were investigated in the first place on the basis of the PRECEDE model, developed by Green and others for the purpose of a comprehensive diagnostic research on high school health education. This study was done in two steps : one was the basic study for developing research instrument and the other was the main one. The former was conducted at five high schools in Seoul and Cheongju for 2 months-beginning in March, 1996. The students were asked to respond to questions related to their health and lives in unstructured open-ended question forms. On the basis of analysis of the basic study, the diagnostic instruments for the quality of life, health problems, health behavior and educational factors were constructed to be used for the collection of data for main study. An expert panel and the pilot study were used to improve content validity and reliability of the instruments. The reliability of the instruments was measured at between .7697 and .9611 by the Cronbach $\alpha$. The data for this study were collected from the sample consisted of the junior and senior classes of twenty general and vocational high schools in Seoul and Cheongju for two months period beginning in July, 1996. In analyzing the data, both t-test and $X^2$-test were done by using SAS-$PC^+$ Program to compare data between the sexes of the high school students and the types of high school. A canonical correlation analysis was carried out to determine the relationships among the diagnostic variables, and a multivariate multiple regression analysis was conducted by using LISREL 8.03 to ascertain the influences of variables on the high school students' health and quality of life. The results were as follows : 1) The findings of the hypothesis tests (1) The canonical correlation between the educational diagnosis variables and behavioral, epidemiological, social diagnosis variables was .7221, which was significant at the level of p<.001. (2) The canonical correlation between the educational diagnosis variables and the behavior variables was .6851, which also was significant (p<.001). (3) The canonical correlation between the behavioral diagnosis variables and the epidemiological variables was 4295, which was significant (p<.001). (4) The canonical correlation between the epidemiological diagnosis variables and the social variables was .6005, which was also significant (p<.001). Therefore, the relationship between each diagnosis variable suggested by the PRECEDE model had been experimentally proven to be valid, supporting the conceptual framework of the study as appropriate for assessing the multi-dimensional factors affecting high school students' health and quality of life. Health behavior self-efficacy, the level of parents' interest and knowledge of health, and the level of the perception of school health education, all of which are the educational diagnostic variables, are the most influential variables in students' health and quality of life. In particular, health behavior self-efficacy, a causative factor, was one of the main influential variables in their health and quality of life. Other diagnostic variables suggested in the steps of the PRECEDE model were found to have reciprocal relations rather than a unidirectional causative relationship. The significance of this research is that it has diagnosed the needs of high school health education by the learner-centered assessment of variety of factors related to the health and the life of the students. This research findings suggest an integrated system of school health education to be contrived to enhance the effectiveness of the education by strengthening the influential factors such as self-efficacy to improve the health and quality of the lives of high school students.

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공업계열 고등학교 역할과 기능의 우선 순위에 관한 공업교육 전문가 인식 (A research on priority of the role and function of industrial high school recognized by industrial education specialist)

  • 오승균;김진수
    • 대한공업교육학회지
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    • 제33권2호
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    • pp.97-119
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    • 2008
  • 이 연구의 목적은 공업교육 전문가들이 인식하고 있는 지식기반사회에서 공업계열 고등학교의 역할과 기능에 대한 현재와 향후에 대한 학년별 우선 순위 요인을 구명하는 데 있다. 이 연구는 교수, 연구원, 행정가, 공업계열 교사 등 26명의 공업교육 전문가를 대상으로 3라운드에 걸쳐 델파이 조사 연구로 이루어졌다. 공업계열 고등학교의 역할은 현재는 취업교육, 진학교육을 동시에 추구하는 것이 타당한 것으로 타났으나, 향후에는 취업교육, 진학교육, 창업교육, 평생교육 등의 역할을 해야 하는 것으로 나타났다. 첫째, '취업교육' 역할에 대한 기능으로서는 현재는 3학년 위주의 신체적 기능 교육이 강조되고 있지만, 향후에는 현재와 역순으로 '직업기초능력', '일의 가치와 태도', '직업진로교육', '취업상담 및 직업 고용정보 제공', '산업체와 연계한 맞춤형 교육', '현장체험 및 현장실습 교육', '자격증 취득 교육' 등으로 저학년부터 정의적인 능력과 태도 교육을 강조해야 하는 것으로 나타났다. 둘째, '진학교육' 역할에 대한 기능으로서는 현재는 3학년 중심으로 강조하는 것으로 나타났지만, 향후는 '전공분야의 지식, 태도, 기능'을 겸비하고 대학진학을 위한 준비교육을 1학년부터 강조하는 것으로 나타났다. 셋째, '창업교육' 역할에 대한 기능 영역으로서는 '창업관련 동아리 활동 지원', '창업 마인드 및 리더십 교육', '창업지원 교육', '창업 컨설팅' 등이 현재보다는 향후에 2, 3학년 순으로 강조하는 것으로 나타났다. 넷째, '평생교육' 역할에 대한 기능 영역으로서는 평생교육의 개념상 학년별 검증은 유의미하지 않으므로 검증에서 제외하였으나 '재취업자 교육', '재직자 재교육', '교양 및 여가 취미 프로그램', '평생직업능력개발 프로그램' 등과 같이 범주화하였다. 이상과 같이 지식기반사회에서의 공업계열 고등학교의 역할과 그 역할을 수행하는 데 필요한 기능 요인의 우선순위를 구명되었으므로, 향후 공업교육기관에서 국가수준, 지역수준, 학교수준의 교육과정 개발 시 적극 적용되어야한다. 또한 역할의 하위 영역인 기능 요인 영역의 구체적인 요인 분석은 후속 연구로 진행되어야 한다.

벨지움의 중등학교 지리교육 내용과 교사양성제도 - 프랑코폰 공동체를 사례로 - (The Secondary School Education of Geography and the System of Teacher Training in Belgium - Focused on the Case of Francophone Community -)

  • 곽철홍
    • 한국지역지리학회지
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    • 제6권3호
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    • pp.101-115
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    • 2000
  • 본 연구는 벨지움의 프랑코폰 공동체를 사례로 중등학교 지리교육의 내용과 교사양성의 실태를 일반 교육체제의 범주에서 고찰하였다. 중등학교 제1단계에서는 주당 2시간씩 환경교육을 학습하는 데 그 내용은 생활주변의 지리적 지식을 관찰 정리하는 것이고, 제2단계에서는 주당 1시간씩 세계지리를 학습하며 특히 유럽과 러시아에 큰 비중을 둔다. 제3단계에서는 자연지리와 인문지리를 계통적으로 학습한다. 교실수업에서 사용하는 공식적인 교과서는 없고 교사가 텍스트를 준비하여 학습에 임하고 있으며 학생 중심의 탐구식 수업이 보편적으로 이루어지고 있다. 하급중등교사는 교육전문학교에서 복수전공교사로 양성되는데 지리교사는 생물 화학 지리교사 또는 역사 사회 지리교사의 유형으로 양성되며, 상급중등교사는 종합대학의 교직과정부에서 단일전공교사로 양성된다. 중등학교 현직교사를 공식적인 실습지도교사로 임용하고 교생들의 책임수업과 평가를 합리적으로 관리하는 등 교육실습이 효과적으로 이루어지고 있으며, 학과 교수들은 교사자격 취득을 위한 심사에서 합격기준을 강화함으로써 교사의 질적 향상에 크게 기여하는 것으로 생각된다. 이러한 내용들의 상당 부분은 우리나라의 지리교육과 교사양성에서 참고할 가치가 있다고 생각한다.

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허준(許浚)의 자연관(自然觀) - 『동의보감(東醫寶鑑)』을 중심으로 - (Heojun's Outlook on Nature)

  • 박성규;김수중;김남일
    • 한국의사학회지
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    • 제18권2호
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    • pp.197-227
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    • 2005
  • Heojun was the top scientist on Medicine in the 16th and 17th centuries and wrote the Dongeubogam describing the top-level medical theory and technology. So far, his outlook on nature has been disregarded even though his medicine is still effective. Through this study, I would like to know if his outlook on nature as well as his medicine is still effective. The conclusions are as follows: 1. According to his output, the origin of the universe started from the spinning of One Gi(一氣) which is quite different from Hawking's theory. Hawking assumed that the origin of the universe started from the Big-bang and will end to the Big-crunch. However, the current report on the origin of a star is quite similar to Heojun's theory and we acknowledge that his view on the origin of the universe is still effective. 2. According to his output, the universe repeats expanding and contracting forever while Hawking assumed it will come to the end, the Big-crunch, based on the expanding universe theory. Some scientists assists that Hawking's assumption should have some contradictions. Now, we acknowledge that Heojun's universal cycling theory which corresponds with modern physical theories is still effective, which would lead to a new environmental movement. 3. His view on the structure of the universe is quite different from the output of the current science, which results from his thought that the nature should be reviewed from the point of human's view. His view on the structure will be able to be updated based on the output of the current science. 4. The universe analogy started from the East Asian area as well as the Greek and Roman area in the ancient. The idea has disappeared since the scientific revolution era in the West while the idea has been deepened and abundant in the East and has become one of the major philosophical bases. Heojun emphasized its importance from the beginning of his book. 5. The nation analogy has been popular all times and places. According to his output, governing a country is like controlling one's body. 6. According to Needham's output, the universe analogy and the nation analogy were based on the ancient developed alchemy. And Harper assumed that Taiosm was based on the macrobiotic hygiene which was developed by the ancient developed alchemists. We acknowledge that xian(仙) cult, macrobiotic hygiene, medicine, alchemy and the ancient philosophy started from our ancients. Heojun's output restored our ancient tradition by combining the macrobiotic hygiene and philosophy with medicine. 7. Roughly predicting yearly weather would be unacceptable by the current scientist but Heojun's yearly weather forecast is still used in the clinic and seems effective to prepare from any epidemic disease. 8. 'Day and Night' and Four seasons are the most important factors to the macrobiotic hygiene according to the Dongeubogam. The new environmental movements should be based on the most important factors, otherwise the human beings as well as the environment would fail to survive. 9. Wind, Coldness, Heat, Humidity, Dryness and Fire represents weather. The six weather factors represent one of six phases of a year which is decided by the areal factors. Heojun preferred the six factors generated in the body itself to them from the outside. He thought a human being was a universe and the six factors generated in the body responded to the factors of the outside. 10. According to his output, Heat and Humidity are the most important factors which make a human being ill. 11. Life span, disease, food, and dwelling are dependent upon the geographical feature, according to Heojun's output. In addition, one's appearance and his five viscera and the six entrails depend on the food as well as the geographical feature. 12. Heath is related with the environment and they effects upon each other. If one is weak, he will be deeply effected by the nature. On the other hand, if one is strong, he will effect on the nature. That's why people live together. 13. According to Heojun's work, the society is an important factor comprising the environment. During a peaceful era, the society becomes stable and human beings are stable as well while they will be on fire during a chaotic era. 14. Medicine deals with human beings who live in the nature, so any medical book cannot be excellent unless it has any description on the nature. Heojun's outlook on the nature turned out to be logical and suitable even from the point of the current view and it is still effective as if his clinical knowledge and technology are still effective. Something unsuitable may be substituted with the output of the current science.

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밀 품질평가 현황과 검사제도 (Current Wheat Quality Criteria and Inspection Systems of Major Wheat Producing Countries)

  • 이춘기;남중현;강문석;구본철;김재철;박광근;박문웅;김용호
    • 한국작물학회지
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    • 제47권
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    • pp.63-94
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    • 2002
  • On the purpose to suggest an advanced scheme in assessing the domestic wheat quality, this paper reviewed the inspection systems of wheat in major wheat producing countries as well as the quality criteria which are being used in wheat grading and classification. Most wheat producing countries are adopting both classifications of class and grade to provide an objective evaluation and an official certification to their wheat. There are two main purposes in the wheat classification. The first objectives of classification is to match the wheat with market requirements to maximize market opportunities and returns to growers. The second is to ensure that payments to glowers aye made on the basis of the quality and condition of the grain delivered. Wheat classes has been assigned based on the combination of cultivation area, seed-coat color, kernel and varietal characteristics that are distinctive. Most reputable wheat marketers also employ a similar approach, whereby varieties of a particular type are grouped together, designed by seed coat colour, grain hardness, physical dough properties, and sometimes more precise specification such as starch quality, all of which are genetically inherited characteristics. This classification in simplistic terms is the categorization of a wheat variety into a commercial type or style of wheat that is recognizable for its end use capabilities. All varieties registered in a class are required to have a similar end-use performance that the shipment be consistent in processing quality, cargo to cargo and year to year, Grain inspectors have historically determined wheat classes according to visual kernel characteristics associated with traditional wheat varieties. As well, any new wheat variety must not conflict with the visual distinguishability rule that is used to separate wheats of different classes. Some varieties may possess characteristics of two or more classes. Therefore, knowledge of distinct varietal characteristics is necessary in making class determinations. The grading system sets maximum tolerance levels for a range of characteristics that ensure functionality and freedom from deleterious factors. Tests for the grading of wheat include such factors as plumpness, soundness, cleanliness, purity of type and general condition. Plumpness is measured by test weight. Soundness is indicated by the absence or presence of musty, sour or commercially objectionable foreign odors and by the percentage of damaged kernels that ave present in the wheat. Cleanliness is measured by determining the presence of foreign material after dockage has been removed. Purity of class is measured by classification of wheats in the test sample and by limitation for admixtures of different classes of wheat. Moisture does not influence the numerical grade. However, it is determined on all shipments and reported on the official certificate. U.S. wheat is divided into eight classes based on color, kernel Hardness and varietal characteristics. The classes are Durum, Hard Red Spring, Hard Red Winter, Soft Red Winter, Hard White, soft White, Unclassed and Mixed. Among them, Hard Red Spring wheat, Durum wheat, and Soft White wheat are further divided into three subclasses, respectively. Each class or subclass is divided into five U.S. numerical grades and U.S. Sample grade. Special grades are provided to emphasize special qualities or conditions affecting the value of wheat and are added to and made a part of the grade designation. Canadian wheat is also divided into fourteen classes based on cultivation area, color, kernel hardness and varietal characteristics. The classes have 2-5 numerical grades, a feed grade and sample grades depending on class and grading tolerance. The Canadian grading system is based mainly on visual evaluation, and it works based on the kernel visual distinguishability concept. The Australian wheat is classified based on geographical and quality differentiation. The wheat grown in Australia is predominantly white grained. There are commonly up to 20 different segregations of wheat in a given season. Each variety grown is assigned a category and a growing areas. The state governments in Australia, in cooperation with the Australian Wheat Board(AWB), issue receival standards and dockage schedules annually that list grade specifications and tolerances for Australian wheat. AWB is managing "Golden Rewards" which is designed to provide pricing accuracy and market signals for Australia's grain growers. Continuous payment scales for protein content from 6 to 16% and screenings levels from 0 to 10% based on varietal classification are presented by the Golden Rewards, and the active payment scales and prices can change with market movements.movements.

여학생의 초경에 관한 조사 연구 (서울시내 여자중학생을 대상으로) (A study on the menarche of middle school girls in Seoul)

  • 김미화
    • 보건교육건강증진학회지
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    • 제1권1호
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    • pp.21-36
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    • 1983
  • It is assumed that menarche is affected not only by the biological factors such as nutrition and genetic heritage, but also it is affected by other socio-cultural environmental factors including weather, geographic location, education and level of modernization. Also recent trend of menarche in Korea indicates that a lot of discussion are being generated to the need of sex education as a part of formal school education. The purpose of this study is to develop the school health education program by determine the age of menarche, the factors relavant to time of menarche and psycho-mental state of students at the time in menarche and investigate the present state of school health education relate to menarche of adolescents. The total number of 732 girls was drown from first, second and third grades of 4 middle schools in Seoul. For the data collection the survey was conducted during the period from May 1 to May 20, 1982 by using prepared questionair. The major results are summarized as follow; 1. Mean age at menarche and the percent distribution of menarche experienced. It was observed that about 68.7% of sampled students have been experienced menarche at the time interviewed. For the each group, age at menarche is revealed that among the students about 37.8% are experienced menarche for under 12 years old group, 62.1% for 13 year-old group, 80.6% for 14 year-old group and 95.5% for over 15 years old. In sum it was found that the mean age at menarche was 12.3 years old, ranged from age at 10 as earlist the age at 15 as latest. 2. Variables associated with age at menarche. 1) There was tendency those student who belong to upper class economic status have had menarche earlier than those student who belong to lower class. Therefore, economic status is closely related to age at menarche. 2) In time of mother's education level, it is also found that those students whose mother's education levels from high school and college are experienced menarche earlier than those students whose mother's education levels from primary school and no-education. 3) However, in connection with home discipline, there was no significant relationship between age at menarche and home disciplines which are being treated "Rigid", "Moderated ", "Indifferent". 4) Degree of communication between parents and daughter about sex matters was found to be associated each others in determination of age at menarche. 5) It was found that high association between mother's menarche age and their daughter's menarche age was observed. Mother's age at menarche earlier trend to be shown also as earlier of their daughters. 6) Those students belong to "D & E" of physical substantiality index are trend to be earlier in menarche than those students in the index "A & B". 3. Psycho-mental state at the time of menarche. Out of the total students 68.2% had at least one or more than one of subjective symptoms. Shyness was shown as most higher prevalent symptom and others are fear, emotional instability, unpleasant feeling, depression, radical behavior, inferior complex and satisfaction appeared. Very few cases are appeared be guilty and stealing feeling. 4. The present status of school health education program related to menarche. As to the source of information about menarche, teacher was a main source with average index 5.88 and the other informants were mother & family member, friends, books and magagines, movies, television, and radio. For the problem solving at menarche, mother & family members were subject to discussion with an average index 6.02 as high. The others for discuss and knowledge about menarche were books, magagine, friends, teachers, and self-learning based on own experienced. The time of learning about menarche, it was learned as highest percentage with 43.2% at a 6 grades of primary school, middle school with 34.4%, 5 grade of primary school with 18.2%, and 4 grade of primary school with 4.0% respectively.

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의료사고와 의료분쟁에 대한 의료이용자들의 의식 조사 (The Thoughts of Patients on Medical Accidents and Disputes in Korea)

  • 이현실;이준협;임국환;최만규
    • 한국병원경영학회지
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    • 제11권1호
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    • pp.1-30
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    • 2006
  • According to the available data, in these days, the number of medical accidents and disputes have significantly increased since 1990 in Korea. From this aspect, a variety of approaches and efforts to solve these problems is needed before it is too late. This study intended to identify the thoughts of patients who are directly connected with medical accidents and disputes and then to consider reasonable settlement methods of the increasing disputes. For achieving the purpose of this study, the self-administerd questionnaire was conducted with 450 out-patients who visited three university hospitals, five small and medium-sized hospitals, and ten clinics in Seoul from June 13 to 17, 2005. Incomplete questionnaires were omitted and 410 respondents(91%) were included for the analysis of this study. Each section of the survey was composed of six categories such as the recognition of malpractice, a compensation system about no-fault medical accidents, the recognition of the judgement of medical accidents in court, reasonable settlement of medical accidents, reasons of lawsuit, and the need of the medical dispute settlement organization. The major results of this study were as follows. First, more than half of the respondents, 51.9 percent, worry about malpractice. And many respondents think malpractice causes their symptoms to persist or become worse, and also some respondents think that the doctor's prescription changed too frequently. Second, as for a compensation system about no-fault medical accident, 55.7 percent of the respondents insist that a proper compensation for suffering patients or their families should be provided. And also as for the responsibility of compensation, respondents think joint compensation of both the medical institution and the government is needed foremost, followed by the medical insurance company and finally by the medical institution. The government as well as the related institutions should take responsibility for malpractice accidents for which the doctor is not responsible. Third, as for the acknowledgment of medical accident judgements by the court, 32.8 percent of respondents think that it is best to compromise with a medical institution, followed by lawsuit(26.2%), the assistance of civil organization(23.2%), and a powerful physical protest(7.6%). Fourth, as for the lawsuit of medical accidents, 62.9 percent of respondents think that patients and their families would be in a disadvantageous position in relation to medical institutions and doctors mentioning the lack of professional medical and lawful knowledge, experience and know-how as the reason. So many people have given up appeals owing to the difficulties involved in defending themselves through evidence. Fifth, about a half share of the respondents indicated that the medical institution's neglect of the responsibility of medical accidents is one of the most important reasons of lawsuit. And next respondents mentioned the lack of the medical dispute settlement organization and a general distrust of medical institutions and doctors. Sixth, a majority of respondents consented to the introduction of the need of the medical dispute settlement organization, And about a half of the respondents mentioned a readiness to accept the mediation of the organization, but the rest did not express a clear opinion. It seems that conflict among the parties concerned have existed in relation to the medical dispute settlement organization and related legislation for many years. But as this study has shown, the needs of the medical dispute settlement organization is in desperate demand. Therefore, more negotiation efforts from all interest groups should be considered for the birth of the medical dispute settlement organization and related legislation.

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일부 치위생과 학생의 B형간염 예방접종에 영향을 미치는 요인 (The Factors Affecting Hepatitis B Vaccination of Dental Hygiene Students)

  • 유지수;황수현;한양금
    • 치위생과학회지
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    • 제15권2호
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    • pp.138-144
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    • 2015
  • 본 연구는 치위생과 학생을 대상으로 B형간염에 대한 건강신념의 차이를 파악하고 HBV 예방접종에 영향을 미치는 요인을 규명함으로써 B형간염 예방에 대한 보건교육의 기초자료를 제공하고자 한다. 경상도 지역에 소재한 3개 대학에서 재학 중인 임상현장 실습을 앞 둔 2 3학년 281명을 대상으로 2013년 4월 22일부터 5월 3일까지 자기기입식 설문조사를 실시하여 수집한 자료를 분석하여 다음과 같은 결론을 얻었다. 일반적 특성 및 B형간염 관련특성에 따른 예방접종 상태를 알아본 결과 학년에 따라 예방접종주사를 맞은 경우는 3학년 129명(71.3%), 2학년 45명(45.0%)으로 3학년의 예방접종률이 높게 나타나는 것을 확인할 수 있었다(p<0.001). 과거 B형간염에 대한 교육경험에 따라 예방접종주사를 맞은 경우는 경험이 있는 경우 87명(71.3%), 경험이 없는 경우 87명(54.7%)으로 교육경험이 있는 경우 예방접종률이 높게 나타났다(p=0.017). 학년에 따른 B형간염에 걸릴 가능성이 있다고 믿는 감수성은 3학년이 2.54로 높았고, B형간염에 관한 장애감은 2학년이 3.50으로 3학년 2.88 보다 통계적으로 유의하게 높게 나타났다(p<0.05). 건강신념 중 심각성과 예방접종 간에는 유의한 양의 상관이 있었고(r=0.179, p=0.003), 장애감과 예방접종 간에도 통계적으로 유의한 음의 상관이 있어(r=-0.183, p=0.002) B형간염에 대한 심각성을 많이 느낄수록 그리고 장애감을 적게 느낄수록 예방접종 이행이 많은 경향이 있었다. B형간염 예방접종에 영향을 미치는 요인을 분석한 결과 학년에 따라서는 2학년이 3학년에 비해 예방접종 이행이 0.39배(95% CI=0.21, 0.71) 낮은 것으로 나타났다. B형간염에 대한 심각성이 1단위 높아질수록 예방접종 이행률은 1.80배(95% CI=1.29, 2.52) 증가하였으며 장애감은 1단위 높아질수록 0.61배(95% CI=0.41, 0.90) 감소하는 것으로 나타났다(p<0.05). 따라서 치위생과 학생들이 의무적으로 B형간염 예방접종을 실천하기 위해서는 1학년 때부터 교육할 수 있는 교육과정 안에 프로그램 개발이 시급하다 할 수 있으며 구체적인 교육이 필요할 것으로 생각된다. 또한 일회성 교육이 아닌 지속적인 교육으로 학년별로 매회 교육해야 할 것이며, 정확하고 철저한 교육이 되어 의무적인 B형간염 예방접종이 이루어 질 수 있도록 구체적인 방안이 모색되어야 할 것으로 생각된다.

간호조무사의 근무환경인식과 성격성향에 관한 연구 (A Study on the Working Environment Recognition and the Caracter Disposition of Nurse Aides)

  • 이선이
    • 한국보건간호학회지
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    • 제4권1호
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    • pp.57-74
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    • 1990
  • As the whole world took on the tendency to be highly industrialized, it became necessary for each field of occupation to require professional man power. Especially, since the World War n, the participation of woman power in economic activities has been continually increasing. In our country also, because of the rapid economic growth, change in the way of thinking of women as well as their participation in economic activities are increasing. Thus, woman power is being utilized in various occupational fields from simple physical labor to those that require high-professional skill. Also, continued economic development policies, by setting the establishment of welfare society as the ideology to be fulfilled, brought expansion of medical facilities in the field of public health and increase in man power in that field. As for the nursing specialists, more than 6000 have been being produced per year and as of the end of 1988, the total number of nursing specialists, reached 123, 115. Therefore, this study is done to recognize the professional knowledge and ability of nursing specialists, who take up $40\%$ of the total public-health related man power in our country, through evaluating their working environment and their disposition of character. This study, which was done from September 18th to September 30th 1989, took on the method of using formed questionnaires that had been amended and supplemented during two preparatory investigations, 322 of such questionnaires were used as an analytical material. In the formation of questionnaires, 12 questions were related to the working environment, and 26 in fortotal were related to the disposition of character, 5 for wise-disposition, 11 for activedisposition and 10 for open-disposition. The measuring method, which used 5-point-standard, allowed 5 points for affirmative recognition of the working environment, also 5 points for showing wise, active and open disposition of character and only point in opposite cases. Collected materials were analyzed, through an electronic calculation, into the average value, the standard deflection percentage, pearson corelative number and stepwise multiple regression. Summarizing the results from this study is as follows: 1. It was shown that the nursing specialists with the average of 3.07 have affirmative recognition of their working environment. The questions which drew most affirmative reaction were those concerning finance-management system such as hand, the questions that received negative reaction were those concerning communication method with the average of 2.49. Such reaction seems to have resulted from the cramming regulation by the superior authorities. Concerning the recognition of working environment in relation to employment conditions, more affirmative recognition is shown with the average of 3.14. at hospitals where injection job is not performed. The nursing specialists working at regular hospitals show more affirmative recognition than those at general hospitals, the averages being respectiely 3.16 and 3.03. 2. As for the disposition of character of the nursing specialists, active-disposition was highest with the average of 3.38, next was wise-disposition with 3.20 and the lowest was open-diposition with 2.98. Variable-wise disposition of character shows that wise-disposition and academic background are beneficially correlated by 0.12. Ative-disposition and open-disposition show correlation to the office term by respectively 0.16 and 0.21. In other words. better academic background leads to higher wise-disposition and more - experience results in higher active and open disposition. Also, the class that performs the injection job, in relation to the working environment, might cause change in the self-conceit that identify those in that class with the nurses; however, as far as professional judgment and action, in dealing with nursing job, being wise, active and open is concerned, not much effect is made. 3. The relation between the recognition of the working environment and the disposition of character is that more afirmative recognition- a nursing specialist has about her working environment, the higher the active-disposition becomes by 0.13. The degrees of the relation between recongnition of environment and wise and open dispositions show respectively 0.06 and -0.06 and -0.06. That is to say that when having more affirmative recognition of the working environment, a nursing specialist shows wise but closed disposition of character. This, howerver, didn't mean much statistically. When observing the results mentioned above, it is conspicuous that the nursing specialists, working as substitutes for the nurse at medical institutions of various sizes, get the feeling of being somewhat equal to the nurses and to some extent, fulfill their desire to accomplish their ego; however, as far as professional ability expansion if concerned. they lack wise and open dispositions. Therefore, considiering upon the results of this study, in medical institutions where the work of nursing specialists is regaded equal to that of the nurses, as a medical member who deals with human lives, it is desirable to make the nursing specialists work under the supervision of the nurses and to offer them continuous education to strengthen and improve their natural dispositions.

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