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      • Copper-T 피임효과에 관한 연구

        예민 충남대학교 의과대학 지역사회의학연구소 1974 충남의대잡지 Vol.1 No.1

        This paper showed that studied on the effect of Copper-T contraceptive about 528 rural women who resided in five Myun of Youngchun country for one year from April, 1972 to March, 1973. The results obtained were as follows: 1) The effect of Copper-T contraceptive was 99.7% it was better than other contraceptives except oral pill. 2) Among the women inserted Copper-T 200, the expulsion was 5.9% and the removal was 23.%. The total of termination was more or less lower than Lippes' loop but higher than Kim's result. 3) The side effect was 45.2%, it was similar to Lippes' loop but higher than Kim's result and U.S.A. 4) The continuation rate was 79.4% within six months after insertion and 71.3%, 10 months.

      • 대구지방 교통사고의 발생양상

        예민,박래준 慶北大學校 1983 論文集 Vol.36 No.-

        This study reviewed 10,325 traffic accidents occurred the Taegu city and its vicinity during the calendar year of 1982 to identify the problems involved in the traffic accidents. The data were obtained from the Taegu Branch of Korea Motor vehicle Insurance company which covers Taegu City, Yeongcheon city, Yeongcheon County, Koryeong Cunty, Dalseong County, Kunwi County and Cheongdo County. The results obtained were as follows. The heavy cargo trucks over 10tons had the highest accident rate (128.7/100cars). The accidents by bus produced more victims, 1.22 per accidents, than other type of car, 1.03 per passenger car accident and 1.01 per truck. Monthly distribution of the accidents showed an increasing trend from July and accidents occurred between 6 and 9 P.M and least in the early morning, 3-6 A.M. The accident took place on the lane in 43.7% and followed by in order of the cross street and ally. The drivers involved in the accident were usually in their 2nd decade of age (24.1%), their driving careers were between 4 and 6 years, and they had 1st class driver's license in 65.0%. In 91.3% of accidents it was driver's fault and 45.7% of the drivers involved in the accident were under the influence of alcohol. Most of the accident victims were male (64.2%) and 30.1% of them were company employee, 21.4% merchant, and 20.7% students. Most of the accident victims (74.8%) had contusion and abrasion, 8.7% became permanently crippled, and 2.7% were fatal. Among 291 fatal cases, 50.2% died on the spot, 40.5% during transportation to a hospital, and 9.3% during treatment. The mean duration of treatment of victims was 32 days.

      • 農村에 있어서 分娩介助要員의 奉仕에 依한 母子保健과 家族計劃에 關한 硏究

        芮旻海 충남대학교 의과대학 지역사회의학연구소 1975 충남의대잡지 Vol.2 No.1

        This study was conducted to effectiveness of service by maternity aids concerning maternal and child health in improving simultaneously infant mortality, contraception and vital registration among expectant mothers in rural Korea, where there is less apportunity for maternal and child health care. It is unrealistic to expect to solve this problem in rural Korea through professional persons considering the situation of medical facilities and the socioeconomic condition of residents. So, we intended to adopt a system of services by maternity aids who were educated formally among indigenous women. After the women were trained in maternal and child health, contraception, and registration for a short period, they were assigned as a maternity aids to each village to help with various activities concerning maternal and child health, for example, registration of pregnant women, home visiting to check for complications, supplying of delivery kits, attendance at delivery, persuasion of contraception, and invitation for registration and so on. Mean-while, four resarchers called on the maternity aids to collect materials concerning vital events, maternal child health, contraception and registration, and to give further instruction and supervision as the program proceeded. A. Changes of women's attitude by services of maternity aid. Now, we examined to what extent such a service system to expectant mothers affected a change in attitude of women residing in the study area as compared to women of the control area. 1) In the birth and death places, there were no changes between last and present infants, in study or control area. In regard to attendants at delivery, there were no changes except for a small percentage of attendance (8%) by maternity aid in study area. But, I expect that more maternity aids could be used as attendants at delivery if they would be trained further and if there was more explanation to the residents about such a service. 3) Considering the rate of utilization of sterilized delivery kit, I am sure that more than 90 percent would be used if the delivery kit were supplied in the proper time. There were significant differences in rates between the study and the control areas. 4) Taking into consideration the utilization rate of the clinic for prenatal care and well baby care, if such facilities were installed, it would probably be well utilized. 5) In the contraception, the rate of approval was as high as 89 percent in study area as compared to 82 percent in the control area. 6) Considering the rate of pre-and post-partum acceptance on contraception were as much as 70 percent or more, if motivation to use contraception was given to them adequately, the government could reach the goals for family planning as planned. 8) In the vital registration, the rate of birth registration in the study area was some what improved compared to that of the control area, while the rate of death registration was not changed at all. Taking into account the fact that the rate of confirmation of vital events by maternity aids was remarkably high, if the registra tion system changed to a "notification" system instead of formal registration ststem, it would be improved significantly compared to present system. B. Effect of the project Thus, with changes in the residents' attitude, was there a reduction in the infant death rate? 1) It is very difficult problem to compare the mortality of infants between last and present infants, because many women don't want to answer accurately about their dead children especially the infants that died within a few days after birth. In this study the data of present death comes from the maternity aides who followed up every pregnancy they had recorded to see what had happened. They seem to have very reliable information on what happened in first few weeks with follow up visits to check out later changes. From these calculaton, when we compared the rate of infant death between last and present infant, there was remarkable reduction of death rate for present infant compare to that of last children, namely, the former was 30, while the latter 42. The figure is the lowest rate that I have ever heard. As the quality of data we could assess by comparing the causes of death. In the current death rate by communicable disease was much lower compare to the last child especially, tetanus cases and pneumonia. 2) Next, how many respondents used contraception after birth because of frequent contact with the maternity aid. In the registered cases, the respondents showed a tendency to practice contraception at an earlier age and with a small number of children. In a comparison of the rate of contraception between the study and the control area, the rate in the former was significantly higher than that of the latter. What is more, the proportion favoring smaller numbers of children and younger women rose in the study area as compared to the control area. 3) Regarding vital registration, though the rate of registration was gradually improved by efforts of maternity aid, would be better to change the registration system. 4) In the crude birth rate, the rate in the study area was 22.2 while in the control area was 26.5. Natural increase rate showed 15.4 in the study area, while control area was 19.1. 5) In assessment of the efficiency of the maternity aids judging by the cost-effect viewpoint, the workers in the Medium area seemed to be more efficiency than those of other areas.

      • 高等學生들의 家族計劃에 對한 知識 및 態度에 關한 調査

        芮旻海,尹姬淑 慶北大學校 1983 論文集 Vol.36 No.-

        This study was attempted to examine the knowledge and attitude of high school and vocational high school students about family planning in Taegu area. A survey questionnaire was distributed to the students during 4 days from 26th to 29th April, 1983. 471 girls and 453 boys were tested for this study. The results obtained are as follows. Mean family size of responded students was 6.2. 98.0% of all students have heard of family planning. Boys obtained knowledge from radio and TV(33.3%), newspaper and magazine (24%), and specical encyclopedia (13.9%), while girls obtained from lecture (30.7%), radio and TV(26.0%), and newspaper and magazine (16.3%). 59.2% of all respondents had heard about family planning for the first time in middle school. 62.3% of boys and 86.0% of girls agreed to the slogan of "Stop-at Two Children." 91.2% of all respondents desired to acquire more information on family planning from family planning worker (37.2%), teacher (29.3%) and doctor (16.3%). 27.3% of boys and 64.8% of girls regarded family planning as control measure of birth and birth interval while 71.3% of boys and 34.8% of girls regarded family planning as control of number of birth only. One boy and one girl were ideal number of children was one boy and one girl in 53.9% of boys and 70.1% of girls. Mean number of wanted children was 2.5 in boys and 2.1 in girls. Mean of ideal birth interval was 2.7 yrs in all respondents. Ideal age of marriage was 27.1 yrs for boys and 25.2 yrs for girls. 62.7% of boys and 80.5% of girls agreed to practice the family planning after marriage. The contraceptive methods that boys knew of were oral pill (24.1%), condom (19.9%), and vasectomy (19.6%) and that girls knew of were oral pill (35.0%), tubal ligation (26.1%), and vasectomy (19.0%).

      • 녹도주민들의 보건 및 가족계획에 대한 태도와 인식도 조사

        예민 충남대학교 의과대학 지역사회의학연구소 1976 충남의대잡지 Vol.3 No.1

        For the remote island inhabitants health promotion and local medical services development system, NokDo island residents attitudes to and recognition of disease, family planning, pregnancy and child birth were recorded in this survey. Period of survey was August 1st 1975 to August 10th 1975. The survey was conducted by well trained surveyer by home visiting and explanation of questionnaire. Results of survey, are as follows; A. General characteristics 1) Of the total 78 respondents, 29 respondents were over 45 yrs of age. 2) Of the respondents, educational background reveals that no one has graduated from middle school and 50% have had no education. 3) 70% of respondents husbands are fisherman, while 16% were unemployed. 4) 77% of respondents monthly income is below 20,000 won, revealing great low level poverty. B. Results of pregnancy and childbirth survey 1) Average age of women at time of first marriage was revealed as 18.2 years. 2) Average number of pregnancies was 7, very high averages. 3) Induced abortion opportunities are not easily available as for women in the city, but one person has had 12 abortions. 4) Average number of living children was 4, 6 babies, average number of deadchildren was 1.7 babies, high rate. 5) The age at termination of childbearing was very young. C. Family planning attitude and knowledge 1) Knowledge of family planning is evidenced and consideration of eligible couple is evidenced in comparison with rural area women. There is very little difference in acceptors. 2) Acceptor ratio is similar. 3) Average ideal number of children was 3.4. 4) The acceptance of family planning is revealed, and main reason is economic in spite of different expressions of various reasons. D. Knowledge and attitude to disease 1) Basic causes, treatment and prevention of disease are known in the view point of public health reasonably except for a few people. 2) "Communicable disease" meaning is not understood by 24% of respondents. Most respondents had some knowledge of tuberculosis. 3) 68% of respondents has a thought that communicable disease can prevent, and its measures are vaccination, isolation and so. 4) The vaccinations in greatest number having received was smallpox and poliomyelitis. In the aspect of above results, they have a reasonable knowledge of health and family planning. However, promoted economic states, emphasized health education and the establishment of medical delivery system need for solution of health problems in the isolated islands.

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