• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.179-194
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• 1991

Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.

• Journal of Preventive Medicine and Public Health
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• 제44권6호
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• pp.267-274
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• 2011

Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.

• 한국콘텐츠학회논문지
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• 제18권7호
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• pp.272-281
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• 2018

본 연구는 학습 튜터링 프로그램이 대인관계와 주도적 학습력 및 학업적 자기효능감에 미치는 영향을 분석하는데 그 목적이 있다. 연구 목적에 따라 설정한 연구 문제는 학습 튜터링 프로그램이 대인관계, 주도적 학습력, 학업적 자기효능감에 영향을 미치는가를 알아보기 위해 프로그램 실시 전, 후 대인관계, 자기주도 학습력, 학업적 자기효능감에 변화가 있는가를 살펴보고자, 2017년 9월 18일부터 11월 17일까지 한 학기동안 학습 튜터링 프로그램에 참여한 재학생 214명을 대상으로 자기기입식 설문지법을 통해 자료를 수집하였으며 다음과 같은 결론을 얻었다. 튜터링 프로그램 참여 후 자기주도 학습력과 개인학습성향은 튜터링 프로그램 참여 전보다 다소 감소됨을 보였고, 대인관계와 학업적 자기효능감은 향상됨을 보였다. 성별에 따라서도 튜터링 프로그램 전, 후 가장 크게 향상된 부분은 대인관계이고, 학년과 참여 동기에서도 가장 향상된 부분은 대인관계이었으며, 그 다음으로는 학업적 자기효능감인 것으로 나타났다. 다시 말하면 튜터링 프로그램을 시행하여 가장 크게 변화되고, 효과를 나타내는 부분이 대인관계와 학업적 자기효능감이라 말할 수 있는 결과를 보였다. 결국, 대인관계 및 학업적 자기효능감의 향상은 학생들의 학교적응뿐만 아니라 학업수준까지 향상시켜 결국에는 중도탈락을 예방하여 대학 기관의 안정적 운영과 질적 경쟁력 제고에 기여할 수 있는 우수한 학습 프로그램이라 판단한다.

• 해양환경안전학회지
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• 제24권6호
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• pp.796-802
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• 2018

선박의 유체 저장 탱크 내부의 적재용량에 의한 선박 운동 고유 특성의 변화는 많은 실험 과 연구를 통해 밝혀졌다. 또한 이러한 현상에 의한 선박 운동 특성 변화를 최소화하기 위한 장치는 지속적으로 연구 및 개발되고 있으며, 특히 횡동요 운동에 대한 저감효과에 대한 부분이 주를 이루고 있다. 본 연구에서는 이러한 장치 중 하나인 저장탱크 내부의 격벽에 의한 횡동요 저감장치의 길이 변화에 따른 간극의 변화에 의한 선박 운동의 변화를 수치 시뮬레이션 하였다. 본 연구를 위해 경계요소법 기반의 부유체 운동 프로그램과 입자법 기반의 전산유체역학 프로그램이 동적 연성된 프로그램을 사용하였으며, 동적 연성된 프로그램은 동일 실험과의 비교를 통해 검증하였다. 검증된 프로그램은 격벽의 길이를 달리하여 간극에 변화를 준 다양한 경우에 대해 수치 시뮬레이션을 수행하였다. 그 결과 액체 저장률의 변화 및 액체 탱크 내부의 격벽에 의한 간극의 차이에 의해 선박 운동 특성이 변화함을 응답 진폭 함수의 비교를 통해 확인하였다. 주목할 만한 결과로써 적재용량에 따라 변화하는 선박의 운동 특성이 간극을 조정함으로써 동일한 선박 특성을 가지게 됨을 확인하였으며, 이는 격벽에 의한 간극의 조종을 통한 선박 운동 제어가 가능함을 보여준다. 추후 격벽의 수 및 각기 다른 길이를 가진 격벽에 의한 연구를 수행하여 격벽 길이 조정을 통한 선박 운동 특성 제어에 대한 연구를 수행할 계획이다.

• 한국학교보건학회지
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• 제29권1호
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• pp.11-21
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• 2016

Purpose: The purposes of this study were to check the obesity of middle and high school students in the nation and identify factors influencing their obesity. Methods: The present study is a secondary analysis research that obtained permission to use the primitive data of 10th (2014) Online Survey on Adolescents' Health Behaviors by the Korea Centers for Disease Control and Prevention and analyzed the primitive data according to the purposes. Results: The findings show that the BMI of middle and high school students in the nation was $20.7kg/m^2$ with the obesity and non-obesity group recording $27.0kg/m^2$ and $19.9kg/m^2$, respectively. Factors influencing the obesity of adolescents include gender, grade, educational background of parent, school grades for the last 12 months, satisfaction with sleep, fast food consumption, ramen consumption, intense and muscle exercise three times a week or more, subjective sense of health, stress, suicidal ideation, and hours of Internet usage per week. Conclusion: For the management of adolescent obesity, there is a need for obesity management programs taking the characteristics of male students into consideration. The possibilities of obesity grow according to the grades, which means that both the teachers and parents should offer more guidance on weight control in upper grades. The adjustment of adolescent obesity requires psychological health management including stress and suicidal ideation as well as diet control and exercise. It is also needed to apply a stepwise obesity management program according to the hours of internet usage and dependence on the internet

• Journal of Nutrition and Health
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• 제39권8호
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• pp.808-816
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• 2006

The purpose of this study was to improve the dietary attitudes and habits of elementary students in lower classes through a 12-week practical nutrition education program called KHIDIKIDS, which was developed by Korea Health Industry Development Institute (KHIDI) in 2004 based on the 2003 Children's Dietary Guidelines of the Ministry of Health and Welfare of Korea. KHIDIKIDS has never been applied in the field, therefore, another purpose of this study was to evaluate the program in the school education and suggest the ideas for the improvement. KHIDIKIDS was applied to a class of 2nd-grade elementary students consisting of 28 children in Seoul during the fall semester of 2005, and the effect of the program was measured by using questionnaires for the students and their parents. The statistical analysis of the study was conducted by using SPSS WIN 11.5 program, and the results were as follows: The children's knowledge on nutrition was improved significantly by KHIDIKIDS education (p<.001), such that the average score on nutritional knowledge increased from 8.32 to 9.64 after education. This practical nutrition education program also improved the dietary attitudes and habits of children especially in healthy body weight, daily exercise, and having breakfast (p<.05). Parents also showed very positive responses for the nutrition education. During the application of KHIDIKIDS in the field, the followings were indicated for adjustment, First, some education content of the week was too much to be finished in a class hour and more hours need to be allocated. Second, some terminology need to be adjusted to help the students understand easily. Thirdl, the order of the's Basic Food Groups' needs to be matched with the order of each food group in the 'Food Tower' not to make children be confused. Above results showed that KHIDIKIDS was effective for the improvement of dietary attitudes and habits of lower elementary students. However, further educational effects would be achieved when the education was started from the 1st to higher grades along with the parents' participation.

• 한국비블리아학회지
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• 제30권1호
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• pp.5-27
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• 2019

본 연구는 소수의 이주배경 청소년이 연구자와 함께 6개월간 10권의 만화책을 읽고 그에 관하여 토론하는 독서 프로그램을 진행하면서, 독서 프로그램의 참여가 이들의 한국어 능력과 문화 적응에 어떤 영향을 미치는지 살펴보았다. 학교도서관저널 도서추천위원회에서 엮은 <어린이와 청소년에게 권하는 주제별 좋은 만화책 365권> 중 이주배경 청소년의 삶과 연관 있는 주제를 다루거나 이주배경 청소년이 높은 흥미를 보이는 만화책 열 권이 독서 프로그램의 읽기 자료로 선정되었다. 독서 프로그램 전후로 실시한 독서 능력 평가 결과, 연구 참가자들의 한국어 능력은 대체로 향상되었으며, 특히 추론력과 어휘력 부문에서 큰 상승폭을 보였다. 쓰기 영역에서는 전반적으로 비문이 줄고 문장 내에서 문법적 오류가 줄었다. 연구 참가자들은 대체로 한국 문화에 안정적으로 적응하고 있었으나, 통합적 민족정체성을 획득하지 못한 참가자의 경우 작품 속 인물과 정서적 공감대를 형성하며 문화적응의 어려움을 털어놓을 수 있었다. 본 연구의 참가자들은 만화책을 통하여 독서의 즐거움을 상기하였으며, 독서 프로그램이 끝날 때 쯤에는 이미지 없이 텍스트만으로 구성된 소설 형태의 읽기자료에까지 관심을 확장하게 되었다.

• 치위생과학회지
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• 제15권4호
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• pp.480-487
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• 2015

본 연구는 2013년 KNHANE 자료를 이용하여 우리나라 성인의 구강건강 상태와 HRQoL 관련성을 EQ5D 구성요소를 중심으로 평가하고자 하였다. 16~64세 성인 3,252명을 최종 분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 치아통증과 운동능력, 통증 및 불편은 통계적으로 유의한 관련성을 나타냈고, 저작 불편과 말하기 불편은 EQ5D 구성요소 5가지 모두 통계적으로 유의한 관련성을 나타냈다. 주관적 구강건강 인식은 자기관리, 일상활동, 통증 및 불편, 불안 및 우울과 통계적으로 유의한 관련성을 나타내어 구강건강 상태와 EQ5D 구성요소의 관련성을 확인하였다. 또한 EQ5D 구성요소에 미치는 영향을 통제변수를 보정 후 로지스틱 회귀분석으로 살펴본 결과 치아통증, 저작 불편, 말하기 불편, 주관적 구강건강 인식이 불안 및 우울에 영향을 미치는 것으로 나타났다. 구강건강 증진은 HRQoL을 향상시킬 수 있는 방안이 되므로, 구강건강의 중요성을 인식하고 예방차원의 교육 및 프로그램이 필요하다고 생각된다.

• 아동학회지
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• 제29권5호
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• pp.227-242
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• 2008

The purpose of this study was to identify the reality of the demand for parent education by mothers of adolescents based on their knowledge of raising a child, related to parenting efficacy and parenting stress. Mothers of 207 middle school adolescents completed questionnaires. Instruments included scales on demand for parent education (Lee, 1995 and Byun, 1999), parenting efficacy (Gibaud-Wallston & Wandersman, 1978), and parenting stress (Kim, 2004 Abidin, 1990). Results showed mothers high in knowledge of parenting had higher parenting efficacy and less parenting stress mothers high in maternalanxiety expressed higher demand for parenting understanding and improvement and for their children's academic adjustment; and mothers with higher maternal parenting stress expressed higher demand for parenting education.

• 한국치위생학회지
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• 제18권1호
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• pp.93-101
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• 2018

Objectives: The purpose of this study was to investigate the relationship between consumption of nutrition and periodontal diseases in the Korean menopausal women. Methods: The data used for analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2013). Subjects were 1,407 women aged over 35 years old. Data were analyzed by chi-square and t-test. Multiple regression analysis was also performed to assess the association between nutrition and periodontal diseases. Statistical significance level was set at p<0.05. Results: Using multiple logistic regression analysis after adjustment of age, education level, and BMI, we found significant relationship between intake of protein (OR: 0.31, 95%CI: 0.14-0.65), carbohydrate (OR:3.31, 95%CI 1.90-5.77) and risk for periodontitis. Conclusions: dequate intake of protein and decreased intake of carbohydrate may be recommended for prevention of periodontal diseases in the menopausal women.