• 제목/요약/키워드: public health nursing

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반정량 식품섭취빈도조사의 응답에 관한 인지면접연구 (Response Experiences with a Semi-Quantitative Food Frequency Questionnaire : A Qualitative Study using Cognitive Interview)

  • 이경실;이명선;정효지;백희영
    • Journal of Nutrition and Health
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    • 제40권6호
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    • pp.566-575
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    • 2007
  • The purpose of this research was to understand how individuals reflect on the frequency and quantity of foods that they consume. Participants selected 5 males and 15 females aged 30 years or older were first interviewed on the frequency of their food consumption. Then based on this data, they were given a cognitive interview using the method of verbal proving. The individual cognitive interviews were recorded with consent while being conducted after complete approval by the Seoul National University Institution Review Board. The recorded material was evaluated using a thematic analysis after transcribing them into text. By analyzing stages of reflection, the major barriers to make the device difficult are revealed: 1) More difficulty in remembering events over the course of a full year due to diversification in the types of food that people consume 2) difficulty calculating the average for seasonal foods 3) difficulty estimating the amount of consumption from the photos presented 4) difficulty estimating amount of consumption from the quantity presented 5) difficulty processing foods that people think are healthy and foods are unhealthy simultaneously 6) difficulty having to consider foods where target food goes in as an ingredient; 7) difficulties arising from having to increase frequency when the amount consumed is higher than the quantity that is presented 8) difficulty having to combine the frequency and quantity of each food item when numerous foods are clustered into one category. These findings show that the less participants were involved in cooking, the more diverse their eating habits were, and the more they tried to adhere to rules of filling out the questionnaire, the more it was difficult for them to come up with an answer to the question being asked. It therefore seems necessary to construct a Food Frequency questionnaire that is attentive to these problems that arise from the recall stages.

반하후박탕(半夏厚朴湯) 추출물이 생쥐에 유발된 심리적 스트레스에 미치는 영향 (Effects of Banhahubak-tang Extract on Psychological Stress)

  • 임세현;정현윤;원호영;김형우;최창원;정향숙;김영균;조수인
    • 대한본초학회지
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    • 제27권4호
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    • pp.81-88
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    • 2012
  • Objective : Banhahubak-tang is indicated for globus hystericus, marked by a subjective sensation as if something stuffed in the throat, chest distress, cough or vomiting, greasy whitish, taut and smooth pulse. In this study, the effects of Banhahubak-Tang extract (BHTe) were tested for anti-stress action. Methods : BHTe was extracted by pure water using electronic extractor and then fed to ICR male mice ($20{\pm}2g$) orally with the dose of 100mg/kg/day for five days. Mice were exposed to sociopsychological stress by restraining and seeing foot shock stressed mice for one hour for five days. Results : BHTe administered group showed a tendency of decreasing of serum corticosterone secretion when compared with control group, and BHTe administration also significantly up-regulated noradrenaline secretions in the dorsal cortex of brain. Lipid peroxidation of the brain tissues of mice were tested by measuring malondialdehyde, but BHTe showed no significant change. The elevated plus-maze test was designed to detect the effect of anxiolytic drugs, and BHTe administered group showed a significant increase of latency time. Conclusions : These results suggest that BHTe can effectively rid the psychological stress and it's related diseases.

Current Status of Infection Prevention and Control Programs for Emergency Medical Personnel in the Republic of Korea

  • Oh, Hyang Soon;Uhm, Dong Choon
    • Journal of Preventive Medicine and Public Health
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    • 제48권6호
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    • pp.330-341
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    • 2015
  • Objectives: Emergency medical personnel (EMPs) are pre-hospital emergency responders who are at risk of exposure to infections and may also serve as a source for the transmission of infections. However, few studies of infection control have specifically addressed EMPs in the Republic of Korea (hereafter Korea). The goal of this study was to assess the current status of infection prevention and control programs (IPCPs) for EMPs in Korea. Methods: A cross-sectional survey was conducted to quantitatively assess the resources and activities of IPCPs. A total of 907 EMPs in five metropolitan cities completed a structured questionnaire from September 2014 to January 2015. The data were analyzed using descriptive statistics, multi-response analysis, and the chi-square test. Results: The mean age of the participants was $34.8{\pm}15.1years$. IPCPs were found to have weaknesses with regard to the following resources: the assignment of infection control personnel (ICP) (79.5%), hand hygiene resources such as waterless antiseptics (79.3%), the use of paper towels (38.9%), personal protective equipment such as face shields (46.9%), and safety containers for sharps and a separated space for the disposal of infectious waste (10.1%). Likewise, the following activities were found to be inadequately incorporated into the workflow of EMPs: education about infection control (77.5%), post-exposure management (35.9%), and the decontamination of items and spaces after use (88.4%). ICP were found to have a significant effect on the resources and activities of IPCPs (p<0.001). The resources and activities of IPCPs were found to be significantly different among the five cities (p<0.001). Conclusions: IPCPs for EMPs showed some limitations in their resources and activities. IPCPs should be actively supported, and specific IPCP activities for EMPs should be developed.

음성인식기술의 노인간병 적용을 위한 정책연구 (A policy study for the voice recognition technology based on elderly health care)

  • 조병철;전수영;김갑년;육현승
    • 디지털융복합연구
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    • 제16권2호
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    • pp.9-17
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    • 2018
  • 본 연구는 음성인식기술이 급격한 고령화를 맞고 있는 우리 사회의 노인문제 해결을 위해 어떻게 활용될 수 있는지를 목표로 삼았다. 국내에서도 본격적으로 고령자들을 위한 공공지원서비스나 민간간병 서비스 등이 확대될 것으로 예상된다. 이 때 음성인식기술은 미디어인터페이스에 익숙하지 못한 노인들에게 다양하게 활용될 수 있다. 이를 위해 본 연구진은 국내의 음성인식기술의 활용가능성과 일본 방문시 노인 간병에서 음성인식기술을 통해 이룬 성과를 조사했다. 특히 간병인들이 보고서를 작성할 때 음성인식기술을 이용해 수기로 작성하던 보고를 대체하여 업무시간을 크게 축소한 바 있는데, 이러한 방법은 국내에서도 쉽게 정책적으로 실행될 수 있다고 판단했으며, 음성인식기술이 탑재된 로봇의 개발을 통해 노인부양의 사회적 비용을 줄여야 한다는 결론 역시 도달했다. 아울러 음성인식기술이 다양한 정서인식기능의 인공지능기반 프로그램과 결합을 통한 다양한 정책이 도모되어야 한다는 사실 역시 제안할 수 있게 되었다.

민간의료보험 도입 활성화 방안도출을 위한 지역별 인식 비교 분석 -서울경기와 대구경북 지역을 중심으로- (Analyses on the Use Pattern of a General Hospital - With Cases of Seoul-KyungKi and DaeGu-KyungBuk Area-)

  • 박인숙;강창렬
    • 보건의료산업학회지
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    • 제3권2호
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    • pp.65-75
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    • 2009
  • This study aims at deriving any useful information necessary to strengthen the competitiveness for growth through empirical analyses on a general hospital located in a province in order to countermeasure the opening and competition of medical markets. The characteristics of user were identified on the basis of disease groups under KCD in the research method. In addition, the analysis on the expenses of diagnosis and treatment was divided into the treatment progress and degree of hospital resource utilization. And the regression was carried out to identify the impacts of characteristics of inpatient users on the degree of hospital resource utilization. As a result of major research, the inpatient users of the general hospital located in the provincial area in consideration of inpatient users were formed around the inpatient disease groups representative for Korea. And it was understood that most of residents within a distance of 40 minute by the public transportation were using. Although there are restrictions that the analyses were carried out for a general hospital in a province, the findings of this study can be considered a generalized model for the management of provincial general hospitals when we consider the current circumstance that the diagnosis and treatment are carried out by provincial medical institutions primarily for patients in general within the province, along with implications that any general hospital in Korea should be equipped with the facilities, equipments and human resources under the Medical Treatment Act.

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일본(日本)의 「베이비·호텔」에 관(關)한 고찰(考察) - 동경도(東京都)의 현황(現況)을 중심(中心)으로 - (A Review on the Baby Hotel in Japan)

  • 황영자
    • 아동학회지
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    • 제2권
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    • pp.83-103
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    • 1981
  • 1. Outline of the Study A boom of baby hotels is taking place in Japan. Baby hotel means day care centers that renders services day and night for babies of working mothers. These baby hotels are thriving because many mothers welcome the system because of their needs. However, accidents occurred in a row recently and therefore baby hotel has suddenly become a social issue. According to the ministry of health welfare, there are 587 baby hotels in Japan accommodating about 10,000 children and they are mostly located around amusement centers. The reasons that these baby hotels thrive in spite of the fact that there are 22,000 day care centers in Japan are : (1) shortage of day care centers compared to the needs (2) most centers do not take in babies below 1 year. This study aims to describe the present status of the baby hotels and the background of the phenomena that made it possible for them to thrive with no permission from the government. This study mostly deals with the phenomena in Tokyo. 2. Day Care Policy in Japan and the Problems of Baby Hotels The present review deals with the problems from the following 6 dementions. (1) the shortage of day care centers (2) inadequate system for the care of babies (3) inadequate daily hours of day care centers (4) Unflexable enrollment system of day care centers (5) imperfect enfollment process & guidelines (6) lack of alternative institutions 3. Result The Ministry of Health & Welfare affered the following ways to cape with the problems of baby hotels : (1) restraint of the baby hotels (2) utilization of existing day care centers for the care of babies. In my opinion, these suggestions seem too superficial in solving the problems. I would rather suggest that the Japanese government review the whole system of child welfare administration. The Child welfare Law of Japan made a clear statement in its article 24 that, "if day care centers are not available, alternative institution for proper care of children must be sought for." My suggestions for the alternative care are : (1) public nursing rooms (2) family day care (3) extention of kindergarten hours (4) foster family care.

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요가운동이 여성노인의 심리적, 생리적 변화 및 운동능력에 미치는 영향 (Effect of a Yoga-based Exercise Program on Psychological, Physiological Factors and Physical Fitness in Elderly Women)

  • 김이순;곽이섭;조봉수
    • 생명과학회지
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    • 제16권4호
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    • pp.584-588
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    • 2006
  • 본 연구는 평소 신체활동이 부족한 여성 노인들에게 스트레칭을 포함하는 요가운동 및 레크리에이션이 여성노인의 심리적 변화, 생리적 변화 및 운동능력에 미치는 영향을 밝히고자 수행되었다. 본 연구의 결과로 규칙적인 요가 운동이 체지방, 혈압, 콜레스테롤 등을 감소시키고, 우울증의 감소와 더불어 삶의 만족도와 일상 생활도를 증가시키며, 협응성, 민첩성, 평형성 등을 포함하는 체력을 증가 시켰다. 이러한 실험결과를 바탕으로 여성노인들에 대한 과학적인 운동치료에 관한 연구가 시급히 이루어져야 할 것으로 여겨진다.

FCM 알고리즘과 퍼지 소속도를 이용한 지능형 자가 진단 시스템 (An Intelligent Self Health Diagnosis System using FCM Algorithm and Fuzzy Membership Degree)

  • 김광백;김주성
    • 지능정보연구
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    • 제13권1호
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    • pp.81-90
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    • 2007
  • 본 논문에서는 전문적인 지식이 부족한 일반인들을 대상으로 자신의 건강 상태를 파악 할 수 있는 지능형 자가 진단 시스템을 제안한다. 제안된 자가 진단 시스템은 보건 복지부에 제출된 '한국인이 부담을 가지는 질병' 관련보고서를 참조하여 선정한 30가지의 질병과 각 질병에 대한 대표 증상을 이용하여 질병을 도출한다. 본 논문에서는 개선된 FCM 알고리즘을 적용하여 질병 종류를 군집화하고 각 질병의 증상과 관련된 질의 결과를 입력 벡터로 적용하여 사용자의 건강 상태를 진단한다. 기존의 방법에서는 입력 벡터와 군집 중심과의 거리를 측정한 후 거리가 가까운 5가지를 선택하기 때문에 선택된 질의와 관련 없는 질병을 도출하는 단점이 있었다. 이러한 단점을 개선하기 위해, 선택된 질의와 도출된 질병에 대한 퍼지 소속도를 이용하여 정렬한다. 정렬된 질병에서 상위 5가지를 도출한 결과, 선택된 질의와 관련된 질병만을 도출하는 것을 확인 할 수 있었다.

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The Actual Status of Elderly Orofacial-Function Improvement Program in Seoul and Gyenggi-Area

  • Lim, Do-Seon;Kim, Ju-hee;Lee, So-yeon;Jung, Im-Hee
    • 치위생과학회지
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    • 제21권4호
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    • pp.267-274
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    • 2021
  • Background: Although the orofacial-function improvement exercise (OFIE; oral exercise) was first introduced in Korea 10 years prior, it is still not covered by medical insurance, and no detailed survey on the dissemination of related programs has been conducted. Therefore, this study investigated the actual status of the education and practice of OFIE among the elderly and at elderly welfare institutions in the Seoul and Gyeonggi Provinces. Methods: Senior citizens aged more than 65 years old, public health centers (total of 69) and elderly welfare institutions (including nursing homes and elderly welfare centers, total of 56) per administrative area in the Seoul and Gyeonggi Provinces were targeted. We analyzed 200 elderly people and 93 institutions who agreed to participate in the survey. For the elderly, general characteristics, experience and route, current practice, and necessity regarding OFIE were investigated. For institutions, the history and plan of education programs on OFIE were investigated. Results: Regardless of the general characteristics, both the rate of experience and practice for OFIE were low overall; moreover, although they felt it was necessary, they had insufficient motivation for its implementation. Moreover, only a few institutions which were operating the education about OFIE regardless of the COVID-19 situation. Conclusion: Although OFIE is necessary for the elderly, its distribution remains insufficient. Therefore, further efforts are needed to expand the education and raise the awareness of oral exercise among elderly individuals and senior welfare institutions.

고혈압·당뇨병 신규 환자 발견 이후 지역사회 협력을 통한 등록관리가 치료순응도 및 혈압 및 혈당 조절에 미치는 영향 (Impact of Registration Program after Hypertensive or Diabetic Patient Detection through Community Partnership on Compliance and Blood Pressure or Blood Sugar Control)

  • 홍두호;서화정;강경희;김은주;임정수;오대규;임준
    • 농촌의학ㆍ지역보건
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    • 제33권3호
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    • pp.316-323
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    • 2008
  • = ABSTRACT = Objectives : Incheon metropolitan city has set a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005. This study examines the effects of the model on the compliance and the control of blood pressure or blood sugar level Methods : Telephone-surveys were done for 140 persons selected from 408 patients who were detected newly as hypertensive or diabetic patients at Gangwha-Gun and Seo-Gu in Incheon between January 1st and August 31th in 2006, and finally completed in 110 patients(78.6%). Survey questionnaires included socio-demographic(age, gender, and educational level), health behavioral (smoking, drinking, physical activity, and diet), and therapy-related (registration state, compliance, blood pressure or blood sugar control) variables. Odds ratio and 95% CI were derived from logistic regression model. Results : Registered group exhibited high compliance and well managed blood pressure or blood sugar level. The odds ratio of registration were 5.55(95% CI:1.83~16.89) for compliance and 3.78(95% CI:1.43~9.99) for blood pressure or blood sugar control after adjusting for age, gender, disease, and area Conclusions : It is independently related to compliance and blood pressure or blood sugar control whether the patient is registered or not. To control hypertension or diabetes mellitus in terms of compliance and control state, a community-based registration program through community partnership could be a powerful tool.