• 한국가정과교육학회지
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• 제25권4호
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• pp.13-27
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• 2013

본 연구는 녹색식생활 교육 프로그램 개발 및 효과적인 시행에 필요한 기초 자료를 얻기 위하여 대구 경북 지역에 있는 중학생 246명을 대상으로 설문조사하여 녹색식생활에 대한 지식, 행동 수준 및 이에 영향을 미치는 요인을 살펴보고 녹색식생활에 대한 교육내용 요구도를 분석하였다. 본 연구자료는 SPSS Windows V.21.0 프로그램을 이용하여 분석되었다. 조사대상자의 녹색식생활에 대한 지식 정답률과 녹색식생활에 대한 행동 수준은 높지 않았으며, 각 영역별 수준을 살펴보면 녹색식생활에 대한 지식에서는 건강, 환경 순이었고, 녹색식생활에 대한 행동은 건강, 환경, 배려 순으로 나타났다. 중회귀분석 결과 녹색식생활에 대한 지식에 영향을 미치는 유의한 변수는 학년이었고, 녹색식생활에 대한 행동에 영향을 미치는 변수는 월평균 용돈(6만~9만원 미만), 가정형편(중), 녹색식생활에 대한 지식이었다. 녹색식생활에 대한 교육내용 요구도에서는 정상체중을 유지하는 방법에 대한 점수가 가장 높았고 그 다음으로는 쓰레기 분리수거 방법, 환경오염을 막기 위한 방법, 건강에 유익한 식품과 식단, 우리나라의 전통 음식 순이었다. 녹색식생활에 대한 지식이 녹색식생활에 대한 행동에 정적으로 영향을 미치는 것으로 나타나서 중학생들의 녹색식생활 행동 수준을 높이기 위해서는 녹색식생활에 대한 지식을 높이도록 교육이 실시될 필요가 있는 것으로 나타났다. 또한 녹색식생활에 대한 교육내용 요구도가 모든 항목에서 대체로 높게 나타났으므로 학교에서는 학생들의 교육적 요구에 부응하는 교육내용을 개발해야 할 것으로 보인다.

• 치위생과학회지
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• 제16권2호
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• pp.165-175
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• 2016

이번 연구는 2008년도 대전시 건강증진사업단이 의뢰하여 한국갤럽조사연구소에서 각 구별 인구분포에 맞게 표본을 추출한 대전 시민 20세 이상 성인 1,013명의 건강실천행위 전화설문조사를 바탕으로 대전 시민의 인구사회학적 특성, 일반건강행위 실천, 칫솔질 횟수의 관계를 분석하였다. 그 결과 흡연은 성별, 연령대, 직업, 비만도에 따른 차이가 있고, 음주는 성별, 연령대, 수입, 직업, 비만도에 따른 차이가 있었다. 또한 신체활동은 성별, 직업에 따른 차이가 있었으며, 칫솔질 빈도는 성별, 연령대, 수입, 직업, 비만도에 따른 차이가 있었다. 로지스틱 회귀분석 결과 1일 2회 이상 칫솔질할 교차비는 남자에 비해 여자가 1.88, 20대에 비해 65세 이상이 0.51, 월수입 200만 원 미만에 비해 200만 원대가 1.58, 규칙적인 운동을 하지 않는 군을 기준으로 운동을 하는 군이 1.60이었다. 점심 후 칫솔질할 교차비는 남자에 비해 여자가 1.76, 20대에 비해 65세 이상이 0.38, 자영업자에 비해 화이트칼라가 3.12, 학생이 2.19, 무직이 1.88, 고강도 신체활동을 안하는 군을 기준으로 하는 군이 1.37, 규칙적인 운동을 안하는 군을 기준으로 하는 군이 1.45이었다. 그러므로, 대상자의 일반적 특성은 구강보건행위와 관계가 있으며 흡연, 음주, 규칙적 운동을 제외한 신체활동 등의 일반건강행위는 구강보건행위는 관계가 없다고 생각되었다. 따라서, 보건소 구강보건사업을 다른 보건사업과는 독립적으로 실행할 수 있으며, 다른 사업과의 통합사업보다는 대상자 특성에 맞는 적절한 구강보건사업이 대전 시민의 구강건강증진에 더욱 효과적일 것이라고 제안한다.

• 한국식품영양학회지
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• 제29권3호
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• pp.392-403
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• 2016

The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

• 한국보건간호학회지
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• 제16권1호
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• pp.176-189
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• 2002

The purpose of this study were to illustrate the various medication error types and causes and identified to related drugs to provide basic data for preventing nurses' medication error by analysing 73 cases of AJN 'medication Error' column(1993, Oct -2000, Nov). Nurses' types of medication error were classified into 7 types. The most frequent error types are wrong medication$(21.9\%)$ and the wrong dose$(21.9\%)$ together. The others are wrong $time(4.1\%)$, $omission(2.7\%)$, mechanical $error(2.7\%)$, incorrect IV $rate(1.4\%)$. wrong route $administration(1.4\%)$ in order. Nurses' causes of medication error were 9 kinds. The most frequent type is confusing between similar drug shape, color, size, name, injection devices and patient's $name(43.9\%)$ and the others are lack of knowledge about $drugs(26.8\%),\; slips(7.3\%),\; miscalculating\;dose(4.9\%)$, incorrect adjusts $devices(4.9\%)$, difficulty to read or illegible decimal $point(4.9\%),$ $abbreviation(2.4\%)$, fatigue with $overwork(2.4\%)$ and no communication with $patient(2.4\%)$ in order. Related drugs with medication error are as follows. - dose unit(IU. minims. mcg/min. mEq) : Heparin. insulin. synthetic calcitonin, some enzymes and hormones, vitamins, some antibiotics, tuberculin injection. MgSO4 injection. nitroglycerin - similar size, color and shape drug : $0.9\%$ N/S and acetic acid $0.25\%$ for irrigation. premixed 2mg lidocaine sol. and $0.9\%$ N/S, gentamycin 20mg/2mL for children and 80mg/2mL for adult, dextroamphetamine 5mg and 10mg capsule. sedatives chloral hydrate 250mg/5mL and 500mg/5mL - similar name :Aredia(pamidronate disodium) and Adriamycin(doxorubicin), Lamictal (lamotrigine) and Lamisil 250mg. Elderpryl and enalapril, cefotaxime and cefoxitin, carboplatin and cisplatin, sumatriptan and zolmitriptan, Celebrex and Celexa, Humulin and Humalog, Percodan and Percocet, Diabeta and Diabinese, Epivir and Retrovir, Xanax(alprazolam) and Zantac(ranitidine) - decimal point : low molecular weight warfarin, methotrexate - unfamiliar drug uses of familiar drug ; methotrexate. droperidol, imipramine, propranolol - number of drug name(misleading chemical name) : 6-thioguanine, 6-mercaptopurine, 5-fluorouracil - type of administration route : Oxycodone(OxyContin). - administration time : acarbose(Precose). - injection way (Z-track method): hydroxyzine - epidural cathether : LMWHs(enoxaparin, dalteparin), - ADD Vantage self contained delivery system : ceftriaxone(Rocephin)

• 디지털융복합연구
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• 제14권4호
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• pp.337-347
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• 2016

본 연구의 목적은 철도 전기 및 차량 분야 종사자의 스트레스 및 융복합적 관련 요인을 본부근무자와 현장근무자로 구분하여 파악하는 것이다. 설문은 2015년 2월 9일부터 3월 6일까지 자기기입식으로 실시하였으며 응답자 628명에 대해 PASW Statistics Ver. 18.0 이용하여 분석을 실시하였다. 연구결과, 과체중군이 전체의 94.7%로 높았고 음주횟수가 많았다. 스트레스 점수는 본부근무자 3.00점/5.00점으로 현장근무자 2.85점보다 높았다. 본부근무자의 경우에는 담배를 피운 적이 없는 군에 비해 매일 담배를 피우는 군에서 스트레스가 증가한 반면 직장생활에 만족하는 경우에는 스트레스가 감소하였다. 현장근무자의 경우에는 20대에 비해 연령층이 높은 군 및 아침을 거르는 군에서 스트레스가 증가한 반면 체형에 대한 주관적 인식이 긍정적일수록, 직장생활에 만족하는 경우에는 스트레스가 감소하였다. 따라서 이들 영향요인들을 활용하여 스트레스 취약인원을 선별해 낸 후 이들에 대해 선택과 집중을 하는 방안을 제언한다.

• 대한간호학회지
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• 제17권3호
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• pp.204-217
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• 1987

It is generally accepted that the delivery of health care is undergoing many changes specially those related to acute, contagious disease care and to the increase of chronic illnesses which can not be cured but are controlable. The health care practitioner can not be soley responsible for the control of their clients' care. Because the clients will play a vital role in controlling their illnesses, long term participation by both the health care provider and the client is necessary. Since most individuals with hypertension do not experience signs or symptoms, the disease is difficult to detect and even when diagnosed, clients do not comply well with their hypertension regimens. The noncompliant client is at increased risk for compliants involving the heart, brain, kidney and other organs. In an effort to explore methods of increasing patient participation in and adherence to treatment programs for hypertension, the researcher used health contracting to promote self care. The research questions are; 1) Will the health contracting increase compliance in health behavior and reduce the blood pressure\ulcorner 2) If clients comply with their regimens will this reduce their blood pressure\ulcorner The research design utilized in this study was a quasi-experimental design. A purposive sample, was abtained from two churches in the 1. area, consisting of 64 clients with hypertension. The data was collected from the middle of January to the 1st of September 1985. Randomization was only of the two church groups into experimental and control groups. Compliance with health behavior related to the hypertensive regimen, blood pressure and body weight were measured, compared and analyzed. In the experimental group measurements were made 6 times; one month before the education program after education program when health contracting was done and 4 more times once a month for 4 months. In the control group measurements were made 3 times; one month before the education program after the education program, and once 4 months later. There was no health contracting. The data were analyzed by t-test, Pearson correlation and ANOVA according to purpose of the study. The result of this study may be summarized as follows: The result related to the hypothesis on the effect of health contracting are as follows: H$_1$; “The hypothesis that the experimental group, with a health contractual agreement will demonstrate increased compliance levels for health behavior than the control group” was supported(t＝-5.29, df＝62, p＝.000). H$_2$; “The hypothesis that the experimental group, with a health contractual agreement, will demonstrate a greater reduction in blood pressure than the control group” was supported (for systolic blood pressure t＝2.72, df＝62, p＝.009, for diastolic blood pressure t＝1.95, df＝62, p＝.050). H$_3$; The hypothesis that the greater the compliance of the client with health behavior the lower the client's blood pressure will be was partially supported (for systolic pressure r＝-.2981, p＝.008, for diastolic pressure r＝-.1720, p＝.087). From the examination of the results of this study it can be concluded that the interaction between the nurse and the client, contracting to define goals and reinforcing compliant behavior, leads to improved compliance with health care behaviors and thus to an increase in the effectiveness of nursing care. Further consideration need to be given to the inclusion of the concept of health contracting in primary nursing and to further research in this area.

• 대한간호학회지
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• 제38권6호
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• pp.822-830
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• 2008

Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

• Journal of Periodontal and Implant Science
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• 제36권1호
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• pp.27-37
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• 2006

Although the main purpose of periodontal treatment to regenerate is the complete regeneration of periodontal tissue due to periodontal disease, most of the treatment cannot meet such purpose because healing by long epithelial junction. Therefore, diverse materials of resorbable and non-resorbable have been used to regenerate the periodontal tissue. Due to high risk of exposure and necessity of secondary surgical procedure when using non-resorbable membrane, guided tissue regeneration using the resorbable membrane has gain popularity, recently. However, present resorbable membrane has the disadvantage of not having sufficient time to regenerate date to the difference of resorption rate according to surgical site. Meanwhile, other than the structure stability and facile manipulation, acellular dermal matrix has been reported to be a possible scaffold for cellular proliferation due to rapid revascularization and favorable physical properties for cellular attachment and proliferation. The purpose of this study is to estimate the influence of acellular dermal matrix on periodontal ligament, cementum and alveolar bone when acellular dermal matrix is implanted to 1-wall alveolar bone defect. 4 dogs of 12 to 16 month old irrelevant to sex , which below 15Kg of body weight, has been used in this study. ADM has been used for the material of guided tissue regeneration. The 3rd premolar of the lower jaw was extracted bilaterally and awaited for self-healing. subsequently buccal and lingual flap was elevated to form one wall intrabony defect with the depth and width of 4mm on the distal surface of 2nd premolar and the mesial surface of 4th premolar. After the removal of periodontal ligament by root planing. notch was formed on the basal position. Following the root surface treatment, while the control group had the flap sutured without any treatment on surgically induced intrabony defect. Following the root surface treatment, the flap of intrabony defect was sutured with the ADM inserted while the control group sutured without any insertion. The histologic specimen was observed after 4 and 8 weeks of treatment. The control group was partially regenerated by periodontal ligament, new cementum and new alveolar bone. the level of regeneration is not reached on the previous formed notch. but, experimental group was fully regenerated by functionally oriented periodontal ligament fiber. new cementum and new alveolar bone. In conclusion, we think that ADM seems to be used by scaffold for periodontal ligament cells and the matrix is expected to use on guided tissue regeneration.

• 한국공간구조학회논문집
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• 제11권4호
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• pp.79-88
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• 2011

근래에 들어와서 3T (Twisted, Tapered, Tilted)로 대별되는 비정형 초고층 건축물이 다수 계획되고 있다. 이러한 비정형 초고층 건물을 위해서 구조적인 효율성 및 조형성 때문에 다이어그리드 구조시스템이 현재까지 가장 널리 사용되고 있는 구조시스템 중의 하나이다. 건축적인 조형미 등의 이유로 경사진 비정형 초고층 건물에 대한 계획안이 다수 발표되고 있으며 다수의 구조물들이 다이어그리드 구조시스템을 활용하고 있다. 경사진 비정형 초고층 건물은 횡하중뿐만 아니라 자중에 의해서도 횡방향 변위가 발생한다. 따라서 정형적인 초고층 건물보다 횡방향 응답을 저감시카는 젓이 더 중요한 문제로 대두된다. 본 연구에서는 경사진 다이어그리드 비정형 초고층 건물의 지진응답을 저감시키기 위하여 스마트 TMD를 적용하였고 그 제어성능을 평가하였다. 스마트 TMD를 구성하기 위하여 MR 감쇠기를 사용하였으며 스마트 TMD는 그라운드훅 제어알고리즘을 사용하여 제어하였다. 100 층의 예제구조물에 대하여 제어를 하지 않은 경우와, 일반적인 TMD를 사용한 경우, 그리고 스마트 TMD를 사용하여 제어한 경우를 비교 검토하였다. 수지해석결과 스마트 TMD가 변위 응답 제어에는 우수한 성능을 나타냈지만 가속도응답제어에는 효과적이지 못했다.

• 동아시아식생활학회지
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• 제18권5호
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• pp.651-661
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• 2008

The mother's obesity-related stress and it's association with obesity, food intake, and physical activity in both mothers and their children were determined. Based on self-reports from 470 mothers, obesity stress of mothers were scored by using a five-point Likert scale; only low and high stress scores were used in this study. The perceptions of mothers' weights and their children's weights, mothers' Body Mass Indices (BMI), and preschoolers' Weight-Length Indices (WLI)(%) were also determined. The obesity stress of mothers was significantly associated with the mothers' BMI (high stress: $23.5{\pm}2.4$ vs. low stress: $19.6{\pm}1.7$, p<0.05), but not with their children's obesity. Mothers with a high obesity stress reported a higher percentage of family history of obesity (62.1% vs. 38.3%, p<0.001) than mothers with low obesity stress. Compared to mothers with low obesity stress, mothers with high stress had lower correct-perceptions about their weights (p<0.05) but higher correct-perceptions for their children's weights. Almost 54.5% of mothers with high stress reported watching television 2 or more extra hours per day, compared with 32.2% of mothers with low stress (p<0.05). More children of mothers with high stress had long hours of daily TV viewing than children of mothers with low stress (36.0% vs. 15.3%, $X^2=10.491$, p<0.05). Mothers with high stress reported lower intake of protein-rich foods (p=0.01) and vegetables (p=0.039), but a higher intake of snacks (p=0.009), compared to mothers with low stress. More children of mothers with high stress reported eating high fat snacks or high sugar snacks everyday, but this was not statistically significant. In conclusion, high obesity stress in mothers were greatly associated with their BMI and their inactive life style, including long TV viewing hours per day and unbalanced food intakes, which can lead their children becoming inactive and obese. Special attention is recommended for overstressed mothers and their children, especially those who enjoy long hours of TV viewing.