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프로포폴에 대한 의료인의 지식, 태도, 실천 및 일반인의 인식정도 (Knowledge, Attitudes and Practices in Health Care Professionals and Awareness in the Public toward Propofol)

  • 류언나;하은호;조진영
    • 한국산학기술학회논문지
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    • 제14권1호
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    • pp.275-284
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    • 2013
  • 본 연구는 프로포폴에 대한 의료인의 지식, 태도, 실천 정도를 알아보고, 일반인이 인지하고 있는 프로포폴에 대한 인식 정도를 파악하기 위한 서술적 조사 연구이다. 연구대상은 의사 및 간호사 359명과 외래 및 건강검진실에서 내시경 검사를 받기 위해 방문한 일반인 682명을 대상으로 실시하였다. 수집된 자료는 t-test, ANOVA, 상관분석으로 분석하였고 다중비교방법으로는 Scheffe 검정을 이용하였다. 연구결과 프로포폴에 대한 의료인의 지식은 평균 7.16, 태도는 3.26, 실천은 3.95 등으로 나타났다. 프로포폴에 대한 의료인의 태도는 간호사가 의사보다 높았고(p=.001), 실천은 의사가 간호사보다 높게 나타났으며(p=.025) 일반인의 53.4%가 프로포폴 약물이름을 들어본 적이 없다고 응답하였다. 이상의 연구결과를 통해 프로포폴의 올바른 사용, 현실성 있는 철저한 관리 및 교육을 위한 맞춤형 간호중재를 개발할 수 있을 것으로 사료된다.

서울지역 초등학생들의 보건의사소통 요구도 특성 : 학교 건강관련 행사를 중심으로 (School child health communication activity needs in Seoul : Focused on school-based health fairs)

  • 박경옥
    • 한국학교ㆍ지역보건교육학회지
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    • 제6권
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    • pp.75-87
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    • 2005
  • The purpose of this study was to describe elementary school students' health communication needs based on school-based health fairs by students' demographic characteristics and school health education experiences. A self-administered survey was conducted to a total of 851 fifth-grade students in 8 elementary schools in Seoul. For survey participant sampling, Seoul area was divided into four districts: north, south, east, and west, and two elementary schools were selected from each district by the stratified convenient sampling process. Three class 5th-grade students in each selected school finished the survey. Questionnaires and survey instruction letters were delivered to vice-principals in the designated schools and the vice-principals managed the survey process. The survey Questionnaire included demographic characteristics (sex, parent's marital status, parents' educational status, famil financial status, the person whom was with after school, and daily computer hour), health education experiences (health education at school, and school health education satisfaction), and health communication types. The health communication types were reorganized into eight types based on comprehensive literature review on health fairs (or child and adolescence. The health communication types were 'health exam and advice fair,''health promotion advertising and campaign,' 'health-related exhibition and experience fair,' 'profession visit-in-school education,' 'health-related VCR or movie festival,' 'health-related institute visits,' 'internet health counseling,' and 'telephone health counseling.' Regarding demographic characteristics, sex, family financial status, and academic performance were significant factors related to health communication need scores (p <.05). Girl, high level of family financial status, and excellent academic performance score were related to high score of health communication need. In terms of school health education experience, taking regular class for health education and satisfaction with school health education were linked to higher health communication need scores. This result discusses that experience and satisfaction with school health education largely contribute to building participants' health communication concepts and needs.

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Indoor Physical Activity Reduces All-Cause and Cardiovascular Disease Mortality Among Elderly Women

  • Park, So-Young;Lee, Joong-Yub;Kang, Dong-Yoon;Rhee, Chul-Woo;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • 제45권1호
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    • pp.21-28
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    • 2012
  • Objectives: The aim of this study was to investigate whether a medium to high degree of total physical activity and indoor physical activity were associated with reduced all-cause and cardiovascular mortality among elderly Korean women. Methods: A prospective cohort study was done to evaluate the association between physical activity and mortality. The cohort was made up of elderly (${\geq}65$ years of age) subjects. Baseline information was collected with a self-administered questionnaire and linked to death certificates retrieved from a database. Cox proportional hazard models were used to estimate the hazard ratios (HRs) with 95% confidence interval (CI) levels. Results: Women who did not suffer from stroke, cancer, or ischemic heart disease were followed for a median of 8 years (n=5079). A total of 1798 all-cause deaths were recorded, of which 607 (33.8%) were due to cardiovascular disease. The group with the highest level of total physical activity and indoor physical activity was significantly associated to a reduced all-cause mortality (HR, 0.60; 95% CI, 0.51 to 0.71 and HR, 0.58; 95% CI, 0.50 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Additionally, the group with the highest level of total physical activity and indoor physical activity was significantly associated to a lower cardiovascular disease mortality (HR, 0.53; 95% CI, 0.40 to 0.71 and HR, 0.51; 95% CI, 0.39 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Conclusions: Our study showed that regular indoor physical activity among elderly Korean women has healthy benefits.

수학과 단계형 수준별 교육과정 편성.운영에 관한 연구 (A Study of Formation & Application of step-wise level curriculum of Mathematics)

  • 최택영;함석돈
    • 한국수학교육학회지시리즈A:수학교육
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    • 제40권2호
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    • pp.179-194
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    • 2001
  • The seventh curriculum put into operation gradually from first-year student in 2000 academic years of elementary school is subject to form and apply a step-wise level curriculum. Mathematics(correspond to junior high school course from 7th school year to 9th school year) should apply a step-wise level curriculum from 7th school year in 2001 academic years. Accordingly, mathematics teachers must diagnose actual conditions of educations, distribution tables of test results, step-wise teaching-studying programs etc. They also make proper plans suitable for actual situations of each school, prepare appropriate teaching materials and aids. I investigated preceding studies planned for preparation of putting into operation of a step-wise level curriculum. It showed that most of the studies were conducted at schools of medium or large scale and studies conducted at schools of small scale was rare. There were 113 small scale middle schools out of total 297 middle schools in Kyongsangbuk-do area in 2000. In this situation, I felt necessities of modeling of a step-wise level curriculum suitable for small scale schools. In this study, I modeled a step-wise level curriculum suitable for small scale middle schools, applied this model to 44 students in M middle school. I modeled two types of curriculum. One is a step-wise level curriculum that execute special supplementation process to students who do not complete 7-가 step successfully. The other is a step-wise level curriculum which is a regular model for a step-wise level of 7-나 step. I carried out an academic achievement test and intimacy test about mathematics before and after the application of the model. In this study, I found out that this model was very effective in academic achievement of students and helpful to declined students in scholarship. In the intimacy test, It was found out that most of the students gained confidence in mathematics, felt less anxiety, formed positive self consciousness. Therefore, I think that this model will be helpful to the application of the seventh step-wise level curriculum.

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성인의 공복혈당 수치에 따른 치주건강의 관련성 (Relationship between Impaired Fasting Glucose and Periodontal Health among Adults)

  • 진혜정;김혜영
    • 한국산학기술학회논문지
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    • 제12권11호
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    • pp.5034-5042
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    • 2011
  • 이 연구는 국가자료인 2009년도 국민건강영양조사 자료를 이용하여 19세 이상의 성인의 혈당조절 수치에 따른 치주상태의 관련성을 평가하고자 하였다. 분석 시 공복 시 혈당이 100 mg/dl 미만이면 정상군, 100-125 mg/dl인 경우 공복혈당장애군, 126 mg/dl 이상일 경우 당뇨군으로 분류하여 치주상태를 평가하였다. 연구대상자 7,062명 중 치주질환을 가진 대상자는 정상군 27%, 공복혈당장애군 41.2%, 당뇨군 43.6%로 나타났다. 혼란변수을 보정한 결과 공복혈당장애군과 당뇨군은 정상군에 비해 치주질환 위험비가 각각 1.35, 1.27으로 나타났다(p<0.05). 이상의 결론을 종합하였을 때 당뇨를 가진 사람 뿐만 아니라 공복혈당 수치가 높으면 치주질환을 야기하는 위험인자로 작용할 수 있다는 사실을 인지하고 정기적인 치과 방문을 통해 구강건강을 유지해야 할 것이다.

Factors related to the Performance of Mammography Screening among Women with a Family History of Breast Cancer in Korea

  • Oh, Jin-A;Kim, Tae-Hyun;Park, Young-Ok
    • 여성건강간호학회지
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    • 제17권5호
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    • pp.439-446
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    • 2011
  • Purpose: Early diagnosis is the primary method aimed at controlling breast cancer. The purpose of this study was to analyze some factors affecting the performance of mammography screening among women with a family history of breast cancer in Korea. Methods: This study applied a descriptive design method through structured self-report questionnaires. The Care Seeking Behavior Theory provided a theoretical framework for the study. Factors measured in this study represent demographic, clinical, and psychosocial variables including anxiety, barriers, utility, habits, perception, and facilitators. A total of 212 participants, of at least 20 years old, were sampled from April 8, 2010 to March 31, 2011. The data was analyzed by logistic regression method using the Statistical Package for the Social Science 18.0 software. Results: Of the 212 participants, 122 women (57.5%) went through mammography screening. The results of the analysis showed that (a) age (Odds Ratio [OR] =1.10, p<.001), (b) facilitating influences (OR=1.83, p=.008), (c) perception of mammography importance (OR=1.92, p=.011), (d) barriers to mammography (OR=0.60, p=.031), and (e) utility of mammography (OR=2.01, p=.050) significantly affect mammography screening. Conclusion: The results underscore the impact that psychosocial variables in obtaining mammography have on adherence to screening. Women with a family history of breast cancer should be given accurate information and recommendation about mammography by healthcare provider and a regular source of healthcare.

Psychometric Evaluation of Uterine Cervical Cancer Screening Embarrassment Questionnaire among Korean Women: Complementary Use of Rasch Model

  • Cho, Eun-Jung;Chung, Bok-Yae;Lee, Kwan;Consedine, Nathan S.;Lee, Won-Kee
    • 여성건강간호학회지
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    • 제17권5호
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    • pp.463-473
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    • 2011
  • Purpose: Cervical cancer can be prevented by regular cervical screening. Embarrassment has been reported as one important barrier to cervical screening uptake. The absence of appropriate instrumentation, however, has limited our understanding of the links between embarrassment and health care outcomes. The purpose of this study was to evaluate psychometric attributes of the uterine cervical cancer screening embarrassment questionnaire. Methods: A convenience sample for field study was recruited from four gynecological clinics in Gyeongju, Korea. Within a cross-sectional descriptive design, 339 women who had cervical screening completed self-administered measures of embarrassment including a visual analogue, general medical embarrassment, dispositional embarrassment, and Pap smear related negative emotion. Results: Rasch analysis of items demonstrated the evidence of one-dimensional construct and good 7-point rating scales functioning. Factor analysis revealed that uterine cervical cancer screening embarrassment was comprised of two domains-bodily manifestations and perceiving an undesirable social face. Construct validity was demonstrated by a high subscale-to-subscale correlation. Convergent and discriminant validity was evidenced by significant correlations with a 100 mm VAS scale, general medical embarrassment, and Pap smear related negative emotion. Known-group validity was established by comparing women with high versus low trait embarrassment. Both two sub-scales and overall scale demonstrated good internal reliability. Conclusion: The Uterine uterine cervical cancer screening questionnaire is a reliable and valid instrument suited to assessing the manifestations of embarrassment during screening. The use of instrument can be extended to understand the client's embarrassment undergoing health examinations which require the exposure of their private parts.

Color Change of Esthetic Restorative Materials for Different Staining and Whitening Dentifrices

  • Choi, EunJung;Jang, HyeonSoo;Seo, YeLim;Kim, YoungJu;Lee, GaYoung;Kim, YouLim;Hwang, Soo-Jeong
    • 치위생과학회지
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    • 제21권3호
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    • pp.178-184
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    • 2021
  • Background: As the importance of the esthetic function of teeth increases, the use of esthetic restoration materials and whitening treatment are increasing. The purpose of this study was to investigate the color change of esthetic restoration materials upon using staining and whitening toothpaste. Methods: Light curing (LC) packable composite resin, LC flowable resin, LC glass ionomer (GI), and self-curing GI specimens were colored in coffee or curry for three hours a day for seven days. After that, regular toothpaste, whitening toothpaste containing hydrogen peroxide, and whitening toothpaste containing activated charcoal were applied for three minutes three times a day for two weeks. Luminosity (L), chromaticity a (a), and chromaticity b (b) were measured using a spectrophotometer once a week. Results: In the coffee-colored group, the change in L2*a2*b2 (E2) with time was significant (p=0.004), there was no difference for different toothpaste types (p=0.646), and there was significant difference (p<0.001) for different esthetic restorative materials. The change of E2 in the curry-colored group was significant only for different esthetic restorative materials (p<0.001). In the coffee-colored group, the L, a, and b values of the light-curing GI showed greater change than other materials after staining and one week after whitening, turning dark, red, and yellow. In the curry-colored group, L did not differ for different materials and times, and a and b showed the greatest difference in light-curing GI after staining and one and two weeks after whitening. Conclusion: The use of whitening toothpaste for two weeks was not different from the use of general toothpaste in the removal of staining or whitening. Since light-curing GI is the most vulnerable to coloration, it is recommended that coloring by food chromogen should be explained in advance, before using light-curing GI for teeth restoration.

구강건강교육 전후에 구강건강행동과 계획된 행동이론 변수들과의 융합적 상관관계 연구 (Convergence correlation of oral health behavior and planned behavior theory variables before and after oral health education)

  • 김한홍;김선예
    • 한국융합학회논문지
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    • 제10권4호
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    • pp.51-56
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    • 2019
  • 이 연구는 구강건강교육 전후 구강건강행동과 계획된 행동이론변수들 및 구강건강행동의 영향요인들과의 관계를 알아보기 위해 시도되었다. 알코올전문병원에 입원한 62명의 남성환자들을 대상으로 하여 구조화된 설문지와 구강검사를 통하여 자료를 얻었고, 상관관계분석을 이용하여 해석하였다. 교육전 상관관계지수와 비교하였을 때, 구강건강 교육후 구강 건강교육그룹은 구강건강행동과 행동의도, 행위태도, 주관적 규범, 인지된 행동조절이 유의미하게 긍정적인 관계를 보였다. 교육후 변수들은 통계적으로 더욱더 높은 상관관계지수를 보였다. 그것은 구강건강교육에 의하여 상관관계가 더욱 강화되었음을 의미한다. 이는 입원한 알코올중독환자들의 구강건강을 향상시키기 위해서 구강건강교육을 체계적으로 해야 하는 근거를 제시한 것이다.

Depressive Symptoms in Newly Diagnosed Lung Carcinoma: Prevalence and Associated Risk Factors

  • Shahedah, K.K.;How, S.H.;Jamalludin, A.R.;Mohd Faiz, M.T.;Kuan, Y.C.;Ong, C.K.
    • Tuberculosis and Respiratory Diseases
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    • 제82권3호
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    • pp.217-226
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    • 2019
  • Background: Depression is a recognized complication of lung cancer underreported in developing countries such as Malaysia. Treating and identifying depression in cancer patients increases survival and quality of life. Our objectives are to study prevalence of depressive symptoms in newly diagnosed lung carcinoma, and examine the relationship of depressive symptoms with other influencing risk factors. Methods: A 2-year, cross sectional study February 2015-February 2017, was conducted at Hospital Tengku Ampuan Afzan, and Penang General Hospital. One hundred and three patients with newly diagnosed, biopsy confirmed primary lung carcinoma were recruited. Self-rated patient's identification sheet, validated Center for Epidemiologic Studies Depression (CES-D), and Dukes University Religion Index score from three different main languages were used. Results: Prevalence of current depressive symptoms (CES-D total score ${\geq}16$) is 37.9%. The result suggests prevalence of those at high risk of moderate to major depression, may need treatment. Multivariate analysis reveals those with good Eastern Cooperation Oncology Group factor (${\eta}2=0.24$, p<0.001) married (${\eta}2=0.14$, p<0.001) with intrinsic religiosity (IR) (${\eta}2=0.07$, p<0.02) are more resistant to depression. Conclusion: One in three of lung carcinoma patients, are at increased risk for depression. Clinicians should be aware that risk is highest in those with poor performance status, single, and with poor IR. We suggest routine screening of depression symptoms as it is feasible, to be performed during a regular clinic visit with immediate referral to psychiatrist when indicated.