• 아동학회지
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• 제20권1호
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• pp.165-176
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• 1999

The purpose of this study was to investigate whether children's temperament and maternal control strategies were related to the self-control behaviors of 3-year-old children. The sample was comprised of 50 young children, ranging from 37 to 50 months of age, and their mothers. Mothers were asked to complete a questionnaire on children's temperament. Situational observation was conducted for obtaining data on maternal control strategies and for children's self-control behaviors in a resistance to temptation situation. All the subjects' activities were videotaped for 20 minutes. Differences were found in maternal control strategies and children's self-control behaviors by gender of child and by age and education of mothers. Relationships were found between children's temperament and maternal control strategies. However, children's temperament had an indirect effect on their self-control behaviors through maternal control strategies. The findings indicated that the self-control development of children in this sample were in a transitional stage.

• 한국심리학회지 : 문화 및 사회문제
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• 제12권3호
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• pp.23-47
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• 2006

본 연구에서는 연령에 따른 운전자의 운전확신수준 변화가 운전행동에 미치는 영향을 살펴보았다. 운전확신수준을 측정하기 위해 운전확신수준 설문지를 사용하였으며, 조사대상자들의 운전경력, 주행거리, 운전일수, 법규위반(음주, 과속), 교통사고경험(가해, 피해)을 함께 조사하였다. 조사대상자는 만 19세부터 만 80세까지였으며 총 1,055명이 연구에 참여하였다. 운전확신수준의 구조를 알아보고자 요인분석을 실시하였다. 각 연령(29세이하, 30-39세, 40-49세, 50-64세, 65세이상)의 운전확신수준을 비교하고, 운전확신수준과 운전행동과의 관계를 알아보았다. 그 결과, 운전확신수준은 '상황둔감성', '불안전운전', '주의집중소홀', '운전자신감'의 네 요인으로 이루어져 있었으며, 연령의 증가와 함께 운전확신수준은 감소하는 경향을 보였다. 또한, 운전확신수준은 연령과 가해교통사고, 피해교통사고, 운전기간, 음주운전, 과속운전, 운전경력 등과 상관관계를 가지고 있었다. 연구에 참여한 운전자 집단을 음주운전집단, 과속운전집단으로 나누어 운전확신수준과 운전행동의 차이를 알아보았는데, 음주운전이나 과속운전 경험이 없었던 운전자 집단과 음주운전이나 과속운전을 경험한 운전자 집단의 운전확신수준과 운전행동이 유의한 차이를 보이는 것으로 나타났다.

• 한국사회복지학
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• 제50권
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• pp.235-263
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• 2002

경로연금은 급여수준이 미미하고 제도규모도 크지 않지만, 공적연금과 공공부조로부터 배제된 저소득 노령계층에게 유일한 공적소득보장제도라는 점에서 중요한 제도적 위상과 역할을 갖고 있다. 특히 공적연금이 미성숙한 현단계에서 경로연금의 역할은 더욱 중요하다. 이러한 경로연금이 지금 중요한 정책기로에 서 있다. 국가정책 차원에서 경로연금 수급자를 매년 증가하여 책정해도 실제 수급자 규모는 이에 훨씬 미치지 못하고 있는 반면, 공적소득보장의 사각지대에 놓여진 노령계층의 경제적 어려움은 여전하다. 본 논문에서는 왜 노령소득보장체계상에 욕구와 자원의 부정합(mis-matching) 문제가 심각하게 발생하고 있는지에 대해 문제의식을 가지고, 보다 근본적으로 향후 인구고령화의 가속화, 노동시장의 유연화, 가족구조의 변화 등 경제사회적 여건의 질적 변화에 부합하는 노령소득보장체계의 재편방향을 모색하는 가운데 과연 경로연금이 어떠한 방향으로 발전하는 것이 바람직할 것인가를 모색해 보고자 하였다. 본 논문에서 노령소득보장체계가 갖추어야 할 원칙적인 기본방향을 크게 다음 세 가지로 정리하였다. 보편적 개별보장(universal and individual security)의 원칙; 지속가능성(sustainability)의 원칙; 형평성(equity)의 원칙. 이러한 대원칙하에서 본 논문은 경로연금제도의 발전방향을 크게 두 가지로 제안하였다. 하나는 현행 경과적이고 한시적인 제도의 틀을 유지하면서 제도의 충실화를 기하는 방향이고, 다른 하나는 경로연금제도를 공적연금과 공공부조의 사각지대에 놓여질 노령계층의 공적소득보장제도로서의 역할을 지속하는 방향이다. 이 때 경로연금의 발전방향을 결정짓는 중요한 변수는 공적연금의 역할이다. 만일, 공적연금이 현행 1소득자 1연금 체계로 계속 운영된다면 경로연금과 같은 무갹출연금적 성격의 제도는 계속 존속할 필요가 있다. 그러나 만일 공적연금이 1인 1연금의 틀을 갖춘 기초연금과 소득비례연금으로 재편되어 기초연금이 실질적으로 전노령계층에 대한 기초보장의 역할을 담당하게 된다면, 경로연금은 본래 제도의 목적대로 공적연금 성숙기까지 한시적으로 운영되는 현행 제도의 틀을 유지하는 것이 바람직할 것이다. 즉, 공적연금이 실질적인 전국민 기초보장의 역할을 할 수 있는가의 여부에 경로연금 발전방향의 향배가 달려 있다고 하겠다.

• 한국치위생학회지
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• 제1권2호
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• pp.201-211
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• 2001

Dental caries causes the majority of tooth loss among Koreans. Korea is experiencing an increase in dental caries. And it shows a high prevalence of caries in preschool children, which contrasted with the much-improved situation in developed countries. So, it is important to control caries from preschool periods in Korea. Recently, inspections of the teeth of preschool children for evidence of dental disease became a legislative duty in Korea following Oral Health Act(2000). But, standardized oral health programs in preschool children is not yet proposed. Therefore, it is necessary to develop an community based oral health program in preschool children. The purpose of this study was to obtain basic data for the development of community based oral health program in preschool children of Sungnam city. Oral health status in primary dentition were surveyed in 862 2-6 year-old preschool children of Sungnam city by WHO criteria. From the data, df rate, percentage of preschool child ren with active caries, dft index, dt rate, percentage of preschool children with pit and fissure sealant of each age were calculated, and discussed. The obtained results were as follows : 1. The experience of dental caries in primary dentition showed a tendency to increase quickly between 2 and 3 year old children. So, the oral health program in preschool children should be developed to prevent dental caries and control their oral health under three years of age. 2. In 5 year-old children, the percentage with active caries was 60.8% and dft index was 5.06. The dt rate showed a tendency to decrease as proportion to age, but even though 6 year-old children, the dt rate was 47.7%. Therefore, the annual screening dental examination and oral health education programs at the institution for preschool children should be developed to detect and treat dental caries in primary dentition at early stage. 3. The percentage of preschool children with pit and fissure sealant at six years of age was 10.2%. So, pit and fissure sealant and professional fluoride application programs in Public Health Center should be developed to prevent dental caries. 4. Also, it is necessary to establish oral health goals in preschool children and develop water fluoridation program 10 improve and preserve oral health of preschool children in Seongnam city, effectively.

• The Korean Journal of Pain
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• 제26권1호
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• pp.27-31
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• 2013

Background: Neuroplasty using a Racz catheter or epiduroscope and percutaneous endoscopic laser discectomy are performed as treatment for chronic refractory low back and/or lower extremity pain, but they are limited in that they cannot completely remove the causing pathology. Lately, epiduroscopic laser neural decompression (ELND) has been receiving attention as an alternative treatment, but there are insufficient reports of results. Hence we aimed to investigate and report the data in our hospital. Methods: Seventy-seven patients were selected who had received ELND via the anterior and posterior epidural approach through the pain clinic in our hospital from March 2011 to July 2012. Their medical records including age, diagnosis, epiduroscopic findings and degree of symptom relief were investigated. The degree of symptom relief following the procedure was categorized into 5 stages of very good (5), good (4), no change (3), bad (2), and very bad (1) at 2 weeks and 1 month after the procedure. Results: The subjects were 30 males and 47 females. Mean age was 54.6 for males and 59.6 for females, so the overall mean age was 58.1 years old, with the youngest being 23 and the oldest 88 years old. In epiduroscopic images of all patients, more than one situation of herniated disc, fibrous tissue and adhesion, or inflammation was observed. Sixty-seven patients (87.0%) showed symptom relief 2 weeks after the procedure and 63 patients (81.8%) showed relief after 1 month. Conclusions: ELND is considered to be an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, and failed back surgery syndrome which cannot be alleviated with existing non-invasive conservative treatment.

• 대한한방소아과학회지
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• 제20권3호
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• pp.105-116
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• 2006

Objectives: The purpose of this study is to investigate the present situation for oriental examination and treatment of ADHD by questionnaire. Methods : We surveied oriental clinics which publicized on internet that they run a clinic of ADHD and oriental university hospitals which had a department of Pediatrics or Neurophycholosy. Results : The number of responding that the period of actively attending upon treatment of ADHD children was less than 3 years was 9(60%). The number of responding that in these 3 months, the number of ADHD children visiting clinics were under ten was 8(53.3%). The number of responding that the average age of ADHD children visiting clinics were 7 to 10 years old were 10(66.7%). The number of responding that they assessed diagnosis of ADHD children were 7(46.7%). The number of responding that they assessed oriental medical examination to ADHD children were 9(60%). The number of responding that the most effective treatment to ADHD children was Herbal Medicine was 10(66.7%). The number of responding that the interval of treatment of ADHD was 1 to 3 months was 9(60%). Conclusions : Recently oriental medical treatments for ADHD has been attempted. Treatment methods were herbal medicine, acupuncture, parents education, etc. But further studies are needed.

• Journal of Korean Neurosurgical Society
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• 제60권6호
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• pp.684-690
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• 2017

Objective : As increasing the size of the geriatric population, the number of elderly patients, who need the surgery for painful degenerative spinal stenosis has been increasing. The geriatric population may be relatively high complications, because of age and age-associated medical conditions. However, there is a lack of studies addressing the perioperative complications and outcomes in elderly patients with posterior lumbar inter body fusion with screw augmentation (PLIF). Methods : We retrospectively reviewed the medical records and radiographic studies of geriatric patients who had spine surgery of PLIF due to spinal stenosis for 11 years. We divided into 2 groups (A; 70-75 years, B; over then 76 years) according to the age. Surgical level of each groups, hospital day and postoperative day, co-morbidities, complications, clinical outcomes were analyzed. Operative reports, hospital and outpatient clinic charts, and radiographic studies were reviewed. Results : Group A was composed of 80 patients, their mean age was 72.21 and female dominant (n=46), and their mean surgically fused level was 1.52 level. Group B was 36 patients, their mean age was 78.83 and female dominant (n=20), and their mean surgically fused level was 1.36 level. Comparing between two groups, complications, postoperative hospital stay were slightly increase in group B and co-morbidity was statistically high in group B, however clinical outcomes were similar between two groups. Conclusion : Increasing age might be an important risk factor for complications in patients undergoing PLIF, however, we would like to recommend that if the situation of spine of extreme geriatric patients need PLIF, it should be in the surgeon's consideration after careful selection and clinical judgement.

• 한국보건간호학회지
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• 제33권1호
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• pp.109-122
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• 2019

Purpose: The purpose of this study was to understand the meaning of the driving force of life experienced by the elderly and the realistic structure of their experience. Methods: The research question was "What is the essential meaning of the driving force experienced by the elderly?". Data were collected from individual in-depth interviews between March, 2017 and May, 2017 and analyzed using Van Manen's hermeneutic phenomenological methodology to identify the essential themes of their experience. Results: Through the analysis process, 22 themes and 14 essential themes were derived. The 14 essential themes of the driving force of the life of elderly were as follows: 'Memories from the past', 'Poverty to escape', 'Hand down family's heritage', 'A body bound by marriage', 'A body necessary for old age', 'A dignified body even if they grow older', 'A body that does not want to fall', 'A fruit of my life', 'Mature real love', 'Unchanging fraternity', 'Extended family', 'An old friend with whom share my heart', 'Satisfied with the situation', and 'Expanding the breadth of life'. Conclusion: Nursing programs that assess the driving force of life supporting the elderly and supports the driving force of such a life should be developed.

• 생명과학회지
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• 제19권9호
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• pp.1304-1308
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• 2009

To investigate the infection patterns of porcine epidemic diarrhea virus (PEDV) in Korean pig farms, a total of 4,768 swine sera samples from 159 pig farms were taken twice, in June (n=82) and October (n=77) in 2007. In each farm selected for the survey, 10 samples from breeding pigs and 4 from each of the 5 age groups (30, 60, 90, 120, and 150 days) were taken, and all serum samples were tested for PEDV by the serum neutralization test. The overall seroprevalence was 62.6% (2,983/4,768), with the highest prevalence in breeding pigs (93.5%, 1,485/1,589). The prevalence showed an increasing trend with increasing age (30.8, 27.2, 44.7, 61.6, and 71.2% respectively in the 30, 60, 90, 120, and 150 days age groups) (p<0.0001 for $x^2$ trend test). The association between age and PEDV prevalence was similar in both surveys, indicating that the infection of PEDV seemed to be occurring repeatedly in the farms surveyed. This inference could also be explained by the fact that prevalence in sows was very high despite low vaccination coverage, as they are continuously exposed to PEDV in potentially infected farms for a longer period. Based on the neutralizing antibody levels in sows and growing pigs, the majority of farms (91.8%, n=146 farms) were endemically infected with PEDV, and most of pigs seemed to be intensively infected with PEDV at around early growth (41.8%) and weaning (31.5%). On the other hand, serum neutralizing antibodies were not detected in pigs older than 30 days of age in farms classified as having no PEDV infection (n=13 farms), indicating the level of maternal antibody against PEDV is decreased on a non-detectable level before the piglet is 60 days old in the field situation. The results indicated that most farms surveyed in 2007 were affected with endemic PEDV infection. Therefore, a national monitoring and control program for the endemic type PEDV infection needs further attention.

• 지역사회간호학회지
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• 제12권3호
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• pp.589-599
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• 2001

The purpose of this study was to analyze the relation amongst health status, health care costs. health service utilization among the low income elderly who were 60 years of age or older, earning a half of the average Korean family income. The cross-sectional descriptive survey research we conducted used families randomly sampled nationwide. The data were collected from July 12 to August 7, 1999 and the total sample was 1.259 household members (421 households). These were the major findings. 1. As for the health status. 72.4% of respondents fell ill in the last 1 month; 54% of respondents had chronic disease. 2. As for the health care cost. the cost of hospitalization and the medical treatment were 1.069,000 won and 226.000won. respectively. 59.3% of respondents experienced a burden from the monthly health care expenses. 3. As for the health service utilization for the last 3months. 28.5% of respondents didn't utilize the health service. In addition, 22.2% of respondents gave up a medical treatment because of economic situation (88.8%). 4. The statistically significant determinants of health service utilization are old age, female, living with a spouse, unemployed state, medicare, and more days sick. 5. It is shown conclusively that equity and efficacy of the health care policy are to be considered for lower income older adult.