• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.604-615
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• 1998

Although previous studies revealed the association of physical activity with mortality rate, it is unclear whether there is a linear trend between physical activity and mortality rate. In this study, the association of physical activity with the risk of all-cause mortality was analysed using Cox's proportional hazard model for a cohort of 14,204 healthy Korean men aged 40-59 years followed up for 4 years(Jan. 1993-Dec. 1996). Physical activity and other life style were surveyed by a postal questionnaire in December 1992. Total of 14,204 subjects were grouped into quartiles by physical activity. Using death certificate data, 123 deaths were identified. The second most active quartile had a lowest mortality .ate with relative risk of 0.44(95% C.I. : 0.23-0.84) compared with most sedentary quartile, showing a J-shape pattern of physical activity-mortality curve. By examining the difference in proportion of cause of the death between most active quartile and the other quartiles, there was no significant difference of proportional mortality from cardiovascular deaths, cerebrovascular deaths or deaths from trauma. The covariates were stratified into two group between which the trend of RR was compared to test the effect modification. There was no remarkable effect modification by alcohol intake, smoking, body mass index, calorie consumption, percent fat consumption. In conclusion, moderate activity was found to have more protective effect on all-cause mortality than vigorous activity and that the J-shape pattern of physical activity-mortality curve was not due to the difference of mortality pattern or effect modification by alcohol intake, smoking, body mass index, calorie consumption and percent fat consumption.

• 보건행정학회지
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• 제9권3호
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• pp.129-148
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• 1999

This study was performed to investigate contents of affairs and job satisfaction of sanitary officials at sanitary department and health center. and to assess attitude about transfer of sanitary affairs control to health center and to devise Improving program of sanitary affairs. Four-hundred and fifty-five sanitary officials were sent a postal questionnaire and eighty-four percent completed and returned the questionnaire (382 persons). The major results are as follows: The major sanitary affairs performed by sanitary officials were permission and filing of restaurant business (15.1%), supervision and regulation of that (14.4%). Sanitary officials answered that supervision and regulation of insanitary and/or subquality foods, planning of food sanitary administration, and permission and filing of restaurant business were their important affairs. They replied that the most serious problem of sanitary affairs was 'lack of contribution to the public health' (40.9%), 'putting first in supervision' (26.4%), and 'lack of personnels' ( 19.1 %), and the most important thing to improve sanitary affairs was the substantial inherent affairs. And they indicated that the agency to be desired for sanitary affairs control was the sanitary department (51.6%), the health center (25.4%), For the degree of satisfaction in affairs, 29.1% of sanitary officials felt proud, 59.6% felt overwork, 59.3% hoped transferring to other worksite and the major reason of transferring was lack of promotion opportunity in officials of sanitary department. disciplinary punishment and social corrupt view in officials at health center. The 41.1 % of sanitary officials at sanitary department didn't know that sanitary affairs had been stated as affairs of the health center in Community Health Act. After transferring affairs control to the health center, 14.4% of them felt more proud of affairs but 20.0% less proud. 23.2% more satisfactory but 22.4% more dissatisfactory. and 64.8% answered that sanitary affairs did not change. The results indicate that sanitary affairs should be changed to supervise and control insanitary and/or subquality foods, so that they play an important role at health promotion, and make sanitary officials feel proud at their own work.

• 한국조경학회지
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• 제41권5호
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• pp.9-18
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• 2013

본 연구는 도시공원 공간적 분포의 문제점을 도시공원 서비스권역과 주소별 주민등록 데이터를 사용한 분석을 통해 밝히고자 하였다. 도시공원 중 "도시공원 및 녹지 등에 관한 법률"에 의해 지정된 "거주자의 보건 휴양 및 정서생활의 향상에 이바지 하기 위해 설치"된 근린공원을 대상으로 하였다. 연구 방법은 크게 1) 근린공원 서비스권역 분석, 2) 근린공원 서비스권역 내 외 인구분석, 3) 기존 연구와의 비교 검토로 구분하여 분석하였다. 기존 연구들에서 나타났던 거주민 분석의 한계를 개선하고자 차별성을 두어, 각 주소별로 등록된 거주민 주민등록 데이터를 활용하여 실제 거주하는 주민수를 적용하였다. 근린공원 서비스권역 또한 기존에 주로 사용되었던 직선거리를 적용한 버퍼분석이 아닌 보행로, 새주소길 등을 적용한 네트워크 분석을 이용하였다. 이상의 과정을 통하여 도출한 결과, 근린공원 서비스권역 면적은 전체면적의 7.99%의 비율을 보였으며, 전체 주거지역 중 근린공원 서비스권역 면적은 31.23%의 비율을 보였다. 근린공원 서비스권역 내에 거주하는 인구는 대구광역시 인구의 43.03%만이 거주하고 있는 것으로 나타나, 전체 인구 반 이상의 인구가 서비스권역 외에 거주하는 것으로 나타났다. 마지막으로 기존 연구방법과의 비교 검토 결과는 근린공원 서비스권역 및 서비스권역 내 외 인구 수치에서 큰 차이를 보였다.

• 한국보건간호학회지
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• 제17권1호
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• pp.83-95
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• 2003

The purpose of this study was to provide basic data for nursing interventions to promote rehabilitation motivation by identifying the influencing factors of motivating rehabilitation intention in patients with spinal cord injury. The data were collected using self-reported questionnaires and questionnaires by postal mail services, from September 1 through the October 6, 2002. A total of 148 questionnaires were completed and returned. The instrument developed by Han, Hye Sook(2001) was used to measure the rehabilitation motivation, and depression, family support, participation of self-help group, self-esteem, and self-efficacy were measured to test the variables influencing the rehabilitation motivation. Using SPSS WIN 10.0, descriptive statistics, t-test, one-way ANOVA. Turkey inspection, Pearson's correlation coefficient, and stepwise multiple regression analysis was conducted. The results of the study are as follows: The rehabilitation motivation score ranged from 30 to 100, and the average was $76.78(\pm12.40)$. In terms of the types of motivation, mean task-oriented motivation score was $23.28(\pm3.39)$, change-oriented motivation $22.25(pm3.16)$, obligatory motivation $9.90(\pm2.02)$, external motivation $9.85(\pm1.89)$, and mean amotivation score was $11.50(\pm1.94)$. The scores for the rehabilitation motivation was significantly associated with the time elapsed since injury, economic status, and the degrees of disability. Significant correlations were found between the rehabilitation motivation and the time elapsed since injury(r=-0.222, p=0.007), self-efficacy(r=0.204, p=0.013), depression(r=-0.210, p=0.010). and the economic status(r=-0.189, p=0.022). The variables that can predict the rehabilitation motivation included the time elapsed since injury, and self-efficacy. These variables accounted for $12.8\%$ of the variance of the rehabilitation motivation. In conclusion, the factors influencing the rehabilitation motivation in patients with spinal cord injury were found to be the time elapsed since injury, self-efficacy, depression, and the economic status of the patient, Accordingly, nursing interventions which could alleviate patients' depression and enhance self-efficacy should be designed to motivate rehabilitation. Before planning nursing interventions for patients with spinal cord injury, needs assessment should be conducted including the assessment of patients' economic status and time elapsed since injury.

• 여성건강간호학회지
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• 제7권4호
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• pp.536-546
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• 2001

The purposes of this descriptive study were to identify the prevalence rate of urinary incontinence(UI) and the differences in frequency of incontinent and normal women by general characteristics, obstetrical history, and the conditional events for urinary incontinence of the elderly women in a community. By the results of this study, it is intended to provide nursing practice guidelines for incontinent women. The research design of this study was a preliminary descriptive study. The 173 subjects were 55 years old and over, and resided in a small city area. Data were collected from June 20 to July 20, 2001, by an interview or a self-report with questionaire. The questionaire was composed of items of general characteristics, obstetrical characteristics, and conditions of UI by the modified Henderickon's Stress Incontinence Scale(1981). The results were summariezed as follows: 1. The UI prevalence rate of the sample was 64.2%. Of the incontinent women, 31.5% had experienced UI for a period of three to five years, and 84.7% had never treated or managed their UI. Frequency of UI was once or twice times per month(46.8%). 2. The total mean of UI on the scale in the incontinent women was 25.50 of 85, ranging from 18 to 41. 3. The most frequent condition of UI was coughing, followed by laughing, sneezing, heavy exercise, and preparation of urination in descending order. 4. There were significant differences in age, education, social activity, and urinary difficulty between the incontinent women and the normal women. 5. There were significant differences in frequency of spontaneous abortion, age of menopause between the incontinent women and the normal women. 6. There were no significant differences in number of delivery, frequency of artificial abortion, age of the last delivery, and postal health management between the incontinent women and the normal women. In conclusion, the incidence of UI in this study was high, but there were no effective treatments or management. It is suggested to provide the adult women with knowledge about UI, and to educate preventive behavior and control skill of urinary incontinence. Also episodes of urinary incontinence were high in the situation of sudden increase of abdominal pressure. This data can be used for the prevention strategy of urinary incontinence, In future research it is recommended to identify comprehensive factors related to urinary incontinence including psychosocial factors, and effective strategies of urinary incontinence.

• 한국문헌정보학회지
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• 제43권2호
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• pp.5-28
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• 2009

이 연구의 목적은 우리나라 인문학자들의 전자정보원 이용행태를 포괄적으로 분석하고, 이를 근거로 대학도서관들이 서비스를 제공할 수 있는 방안을 제안하는 것이다. 이 연구를 위해 스물다섯 개 대학 소속 인문학 분야 교수 중 799명을 표본으로 확정한 후, 2007년 11월부터 2008년 1월 사이 우편 서베이를 실시하여, 모두 132개의 분석 가능한 설문을 수집하였다. 응답자들은 대체로 연구와 교육에 균등한 시간을 배분하며, 주로 단독연구를 수행하는 독자적 연구자들이다. 이들은 지난 일 년 간 수행한 연구를 위해 어느 정도 전자자원을 이용하였고, 대학도서관 전자 컬렉션을 정보원으로 사용하였으며, 대부분 텍스트형태의 전자자원에 의존하였다. 이들이 정기적으로 이용하는 전자정보원은 학술논문 입수 정보원을 제외하고는 개별 연구자마다 상이하여 분산되어 있었다. 인문학자들은 전자정보원의 접근과 이용편이성 등을 높이 평가하였으나, 내용의 제한 및 품질 등 문제점을 지적하였으며, 대체로 자신의 전자정보원 이용 및 검색 능력 등을 긍정적으로 평가하고 있었다. 여기에서는 대학도서관은 인문학자들을 위해 (1) 대학도서관 웹사이트의 주요한 내 외부 전자자원의 관문 역할 수행, (2) 진정한 전자자원의 관문으로서 단일경로 접근 및 통합검색 방법 제공, 및 (3) 도서관 내외부 전자자원 활용을 위한 "맞춤형" 이용교육 강화가 필요함을 제안하였다.

• Childhood Kidney Diseases
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• 제16권2호
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• pp.95-101
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• 2012

목적: 소아의 요로감염은 적절히 관리 되지 않는 경우에 여러 문제를 일으킬 수 있어 다양한 관리 지침이 계속 개발되고 있고, 근래에는 근거 중심의 지침들이 만들어져서 진료에 적용되고 있다. 하지만 소아과 의사들의 요로감염 관리 실태에 대한 조사는 매우 드문 실정이다. 이 연구에서는 소아과 의사들의 요로감염에 대한 인식을 알아보고, 적절하게 관리가 이루어지는지를 평가하고 개선점을 찾고자 하였다. 방법: 대구시 지역의 78명의 소아청소년과 전문의들을 대상으로 요로감염의 진단, 영상검사 및 치료와 예방을 위한 환자교육을 어떻게 하는지를 설문조사로 알아보았다. 결과: 대부분의 응답자들은 발열의 원인을 찾을 수 없는 경우에 요로감염을 감별하기 위하여 소변검사를 하였다. 환자가 소변을 가릴 수 없는 경우 상당수의 응답자가 무균채뇨백을 사용하여 채뇨를 하였으며, 소변배양 검사를 하지 않는 경우도 많았다. 가장 많이 시행하는 영상검사는 초음파였다. 항생제는 입원한 경우에만 주사로 투여하고 외래 통원 시는 경구투여를 하였다. 요로감염의 중요성, 재발과 예방 등에 대한 환자 교육을 선택적으로 하고 있었다. 방광 요관역류의 관리 지침을 가지고 있는 경우는 28.6%로서 많지 않았다. 결론: 요로감염을 진단하기 위한 시도는 적절하게 이루어지고 있었으나, 무균채뇨백을 사용하여 소변배양을 하는 경우가 많아 위양성진단율이 높아져서 과잉치료가 우려되었다. 또한 영상검사를 하지 않는 경우가 많아 동반된 요로 기형의 진단이 조기에 되지 않을 수 있다는 것도 우려되었다. 근거-중심의 요로감염 관리 지침에 따른 보다 적절한 관리를 하기 위한 노력이 필요하다.

• 보건교육건강증진학회지
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• 제14권2호
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• pp.43-57
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• 1997

Educational goals of SPH were two-fold : One was to train a health professions who should take charge of a leading roles, another were to educate the researchers of public health. There were strong demands to evaluate whether these goals had been effectively achieved through the master's course of SPH or not. According to the educational goals of SPH, public health is an applied science to be applicable to health-related fields. The curriculum of SPH has to be built under this principle and be evaluated by someone regularly. Who evaluates that? The most pertinent appraiser is the graduates of public health currently working at health-related jobs. It was the purpose of the study to let the graduates evaluate their education and the curriculum that they had undertaken during master's course at SNU. If the results of the evaluation by the graduates were not satisfactory, we should find the actual causes of low scored apraisal and reform the curriculum of SPH as the process of problem solving. During September and October 1996, a postal survey was undertaken of the 293 SNU graduates of public health who had been engaged in the health related jobs. As 198 graduates answered out of 293, the response rate was 67.6%. The questionnaire was designed to ascertain how well the SNU master's course of public health had helped their practice. The SAS package was used for statistical analysis and $x^2$-test as a test of statistical significance. Major findings of the study were summarized as follows: $\cdot$ The health related abilities consisted of three categories, which were health administration abilities composed of 14 items, health education abilities composed of 5 items, health research abilities composed of 10 items. $\cdot$ The respondents had acquired 'Worldwide trends of health policy', 'evaluation concepts of health projects', 'interpersonal relationships in professional life', and 'communication through writings' moe than other detailed items in the category of health administration abilities. $\cdot$ 'Establishment of educational and learning golas' was the most acquired item of 5 detailed items of health education abilities. $\cdot$ Respondents indicated that they had acquired ability 'to search reference', ' to understand health problems', 'to establish study plannings', and 'to collect health related data' more than other detailed items in the category of health research abilities.

• Journal of the Korean Data and Information Science Society
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• 제22권4호
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• pp.785-794
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• 2011

최근 인터넷조사에 대한 관심은 점차 증가하고 있고, 인터넷조사만을 전문적으로 대행하는 회사들도 생겨나고 있다. 모든 조사의 생명은 조사결과의 신뢰성이라 할 수 있고, 인터넷조사도 예외는 아니다. 본 연구는 익명성이 보장되지 않는 인터넷 설문조사에서 익명성 훼손이 응답에 미치는 영향을 사례를 통해 살펴보았다. 창원대학교 신입생실태조사는 수년간 신(편)입생을 대상으로 동일한 조사문항들로 실시된 종단조사로, 2009학년도 이전까지는 익명성이 보장되는 지필조사로 실시되었으나 2010학년도에는 익명성이 보장되지 않는 인터넷조사로 실시되었다. 시계열적 비교분석을 통해, 응답자들의 익명성 훼손으로 인해 응답왜곡이 발생한 조사문항들과 그렇지 않은 조사문항들의 연도별 응답항목들의 응답률 차이를 이용하여 익명성 훼손의 영향과 정도를 살펴보았다.

• 대한지역사회영양학회지
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• 제16권6호
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• pp.730-739
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• 2011

The purpose of this study was to analyze the differences between child-care facilities and kindergartens towards the need for foodservice support by Center for Child-Care Foodservice Management (CCFSM). For this study, questionnaires were sent out from August of 2008 to April of 2009 to directors of 1,478 child care facilities and 299 kindergartens in Seoul and Gyeonggi-do via postal service. A total of 267 questionnaires were usable with 203 (13.7%) of child-care facilities and 64 (21.4%) of kindergartens. Statistical data were analyzed by SPSS 15.0 for descriptive analysis and t-test. For political and administrative support, government funding for foodservice was the highest need and hiring nutritionists was significantly different by type of facility (p < 0.01). Both child-care facilities (4.29) and kindergartens (4.41) demanded the balanced menu from CCFSM. There were significant differences of "information about food material sanitation management" (p < 0.05), "hygiene safety management method according to working process" (p < 0.05), "hygiene safety management method of foodservice facilities and equipment" (p < 0.05). In education and training contents from center, "types and methods to manage foodservice facilities and equipment" for directors, "dietary education by age" for teachers, and "the rules of personal sanitation and working process" and "gas, electricity and fire prevention" for culinary workers had the highest mean score of requirements.