Though the attending system was first implemented in 2003 to facilitate the efficient utilization of medical resources and specialties, only a few hospitals and physicians are participated in that system. The purpose of this study was to investigate the actual facts which related to operation of attending system and propose a basic information to revitalized of the attending system in Korea. The data were collected between August 1 and October 30, 2005 from 25 hospitals and 42 attending physicians who were in part of the attending system. Medical institutions were unwilling to participate despite the advantages of the attending system with respect to the utilization of medical resources and improvement in the quality of medical services. The primary reason for this was the lack of understanding among physicians about the attending system and the difficulty(lack of time) encountered by the attending physicians in administering care to patients hospitalized in the attending hospitals. Moreover insufficient reimbursement for rendered medical services constituted another important reason. In conclusion, we can state that the establishment of a committee is required to discuss the issues surrounding the attending system and to control the growing disparity between the viewpoints of hospitals and physicians. Regardless, there is a need to develop economical incentives for medical institutes. The attending system served as a useful policy in promoting the medical service system and bringing about an improvement in the management of medical institutes.
In this paper, attendance in distance learning courses of a cyber university has been surveyed in an effort to verify the effectiveness of distance learning. Based on survey data from 4,749 distance learning participants, major attending place, major reasons for attending online class, fidelity to online classes, attending time per week, perceived educational effectiveness, perceived and relative seriousness of problems, and other variables have been evaluated. The results indicate that perceptional seriousness of the investigated problems is not statistically important. The findings indicate that, among operational problems, self willingness and cheating are the most remarkable. In contrast, the relative seriousness of traditionally recognized problems such as H/W availability and network speed among environmental problems is least remarkable. An analysis of demographic differences such as sex, employment, and school year in terms of seriousness of problems is also performed. The results reveal the existence of statistically significant differences according to sex, employment, and school year with regard to almost all elements of environment, actual current conditions, and seriousness of problems, with the exception of some elements such as attending place and perceived fidelity.
The objectives of this study were to evaluate personal exposure estimated using a time activity pattern and microenvironmental model. The study was carried out for 44 children attending a primary school nearby the lines (school A) and 125 children attending a school away from 154 kV power lines (school B). For children attending school A, the estimated personal level was a little weak correlated with the measured level($Pearson\;r\;=0.34{\sim}0.35$). For children attending school B, the correlation was very low ($Pearson\;r\;=\;0.09{\sim}0.16$) using the TW A Model II, otherwise, TWA Model II-I which considered the average residential MF level according to the distance from the power line and home explained $39{\sim}53%$ of the correlation in MF personal exposures. The estimated personal exposure level was very well represented by the measured exposure level using TWA Model II-2 which consisted on spot and 24 h stationary measurements at subject's home ($Pearson\;r\;=\;0.65{\sim}0.85$). In conclusion, personal magnetic field expsoure estimated using a TWA Model II-2 should be provided for a reasonable estimate of measured exposure in schoolchildren living near the power line.
The objectives of this study were to analyze and compare 24 hrs personal exposure levels of MF at microenvironments such as home, school, educational institute, internet pc game room, transportation, and other places according to time activity patterns using various metrics for children attending the primary schools located near and away from the power lines, and to characterize the major microenvironments and impact factors attributed personal exposure level. The study was carried out for 44 children attending a primary school away from the lines(school A) and 125 children attending a school away from 154 kV power lines(school B), all who aged 12 years and were 6 grade, from July 2003 to December 2003. All participants filled in a questionnaire about characteristics, residence, use of electrical appliances and others. Children wore a small satchel in which EMDEX II and Lite (Enertech, Co. Ltd) and a diary of activity list for period of registration in 20 minutes blocks. All statistical calculations were made with the SAS System, Releas 6.12. The summary of results was presented below. First, about the characteristics of subjects, there no differences between two groups. The subject almost spent about 56 % of their time at home and about 20~25 % of their time at school. Fifty percent of children spent 2 hours at private educational institutes. Second, the personal exposure measurements of children in school B was statistically higher than those of children in school A by various metrics such as arithmetic mean, geometric mean, percentile(5, 25, 50, 75, 95), maximum, rate of change metric, constant field metric. The arithmetic and geometric mean magnetic fields during the time the children were at school B were 0.98 and $0.86{\mu}T$ and were about 23 times higher than those of children were at school A. In conclusion, the significant major determinants of personal exposure level is the distance from the power line to microenvironments.
This study was carried out to identify factors related to breakfasts in elementary, middle and high school students. This study was surveyed by questionnaires and data was analyzed by SPSS program. Exploratory analysis was conducted according to three school student groups (elementary children, middle school students, and high school students). The subjects were 1,886 school students (female 893, male 959) of 51 schools in the nationwide region. The distribution of subjects was elementary school children 544, middle school students 661 and high school students 681. The results are summarized as follows. Only sixty percent of the subjects had breakfast regularly. About one fourth of the subjects had the habit of skipping breakfast or eating it 2$\sim$3 times per week. Frequency of having breakfast and reasions of skipping breakfast were significantly different according to school student groups (p < 0.001 respectively). The rate of skipping breakfast was $14.4\%$ in elementary school, $16.1\%$ in middle school, and $25.0\%$ in high school. The main reason for skipping breakfast was 'not delicious or poor appetite' in elementary school ($42.5\%$), but 'busy' in middle ($50.2\%$) and high school ($61.1\%$). There was no significant difference in frequency of having breakfast according to living areas (rural and urban). There were not significant differences between frequency of having breakfast and BMI and degree of satisfaction on body weight. But there were significant difference in frequency of having breakfast according to economical status (p < 0.05). There were significant differences in degree of school performance according to frequency of having breakfast (p < 0.001) There was significant relationship between the time of attending school and the frequency of having breakfast. But there were significant relationships between frequency of having breakfast and time of rising. These findings suggested that the time of rising was controlled by having enough time that students eat breakfast. And mother (or person who prepares meals) must have more concerns about preparing breakfast for children and students.
This study focuses on time management behavior, which differs in (1) the characteristics of schools and (2) the experience of education about time management. Also, this study examines the effect of time management behavior on life satisfaction of vocational and non-vocational high school students, and also those who attend life-long education schools. The study sample consists of 367 teen-age high school students in Seoul. The result of this study demonstrates that the experience of education about time management has a great effect on time management behavior. Students experiencing education about time management have higher scores in time management behavior than those who lack such experience. It also shows a close relationship between time management behavior and life satisfaction in non-vocational high school students and those attending life-long education schools.
The prevalence of obesity by measuring the amount of body fat and its related factors were investigated in 315 high school girls living in Seoul. Average body fat amount and body fat percentage measured by the body impedance analysis were 14.2$\pm$5.2kg and 25.9$\pm$7.0% respectively. Mean body mass index(BMI) was 2.1$\pm$2.7kg/m2 and 6.7% of the subjects showed over 25kg/m2 Correlative analysis reveal that the body fat percentage was significantly correlated to both relative body weight and BMI(r=0.66, P<0.01, r=0.68, P<0.01) Relative body weight of the subjects showed positive correlation to those of their mother and father. It was shown that many students skipped breakfast often and did not have a pleasant meal with enough time. There was no relationship between adiposity and dietary nutrient or energy intake. When subgroups of the subjects attending a non-vocational high school and those attending a vocational or technical school were compared obesity was more prevalent in the former. Therefore the burden caused by preparing the university entrance examination seems to play an important role in fat deposition.
This study sought to analyze the need for nutritional education to enhance the selection of desirable foods by adolescents. A total of 480 high school students in Incheon were surveyed and their responses were analyzed for the recognition of nutrition labeling and their consumption of processed foods and snacks. Almost all the students (93.1%) recognized nutrition labeling, but 54.6% rarely checked the nutrition labeling. The nutrients recognized as important in the nutrition label of processed foods were total fat/saturated fat/trans fat (3.75 out of 5), calories (3.68), and sodium (3.67) in that order. The recognition of the importance of calories was significantly higher in female students compared to male students (3.78 vs. 3.58, P<0.05). The information identified as important were the date of manufacture and expiration (4.21 out of 5), price (4.14), and the nutrition label (3.15). The preference for processed foods was highest in the order of beverages (4.03 out of 5), noodles (4.02), and frozen desserts (3.97), and the preference of females for processed foods was significantly higher than males (P<0.001). The time when snacks were most frequently consumed were before going to the academy (21.0%), after school (19.4%), and after attending private institutes (15.0%). The main reasons for using processed foods as snacks were taste (44.4%), 'no time to eat a meal' (26.4%), and low price (17.7%). In conclusion, while students mostly recognized nutrition labeling, the actual usage rate was low, and snacks were selected and consumed instead of meals for reasons such as attending academic institutes after school. Thus, to encourage the choice of proper processed foods and snacks for adolescents, practical nutrition education using nutrition labeling is needed.
Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents' adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.
The purpose of this study was to determine how often toddlers and preschoolers in kindergartens have accidents and what factors affect the accident rate. The study population consisted of 150 children who were attending at nursery schools and 150 children who were attending at kindergartens. The data was collected from ten nursery schools and five kindergartens from five districts in Daegu. The questionnaires were distributed to teachers of participating nursery schools and kindergartens to be completed using nursing care records in the institutions and by interviewing children's parents about all of the accidents happened in a previous year. Data were collected during the period of August 1 through 31, 2002. The results of the study are as follow: 1. Among 300 children, 282 had 506 accidental injuries during the study period. 2. The month, the day and the time with the highest accident rate were April. Monday, and between 2 and 4 o'clock in the afternoon, respectively. 3. Locations where the injury took place most included nursery schools or kindergartens, around the homes of the children, and inside the home. 4. Most accidents were occurred due to lack of carefulness of the children, and the most prevalent forms of injury was abrasions. 5. Most frequently injured part of the body was legs of the children. 6. Most injuries were healed within three days and required first aid measures to disinfect the wound. Mostly, these were performed by family members at home. Some children go to the hospital to suture the open wound. Most frequent type of complication was scar formation and the cost of the treatment ranged from 9,000 to 30,000 won. 7. Children's age. sex, birth order. personality. type of family composition. type of residency. father's occupation, father's age, and mother's age were significantly related to the frequency of injury among children. Children who were in nursery schools and kindergartens need their assessment for accident involving condition according to seasons, time. place. This study provided a very useful and important data to prepare accident prevention education program and accident prevention strategies, and to develop Injury Surveillance System.
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