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      • KCI등재

        초·중·고등학교 학생, 학부모, 일반교사의 보건교육 요구

        윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

        Purpose : The purpose of this study was to identify needs of health education of the students, parents, general teachers, and health teacher of the elementary, middle, and high schools. Method : 279 schools of elementary, middle, and high school were sampled nonproportionally during the period from June 28 to July 26, 2004 . The data were collected by the questionnaire from 1,888 students, 1,876 parents, 1,695 general teachers, 279 health teachers. A frequency, % and χ2-test were used to analysis by SAS program. Result : 1. It showed that 98.1% of elementary school students, 92.3% of middle school students, 89.6% of high school students answered that they need health education. The most of students, parents, and general teachers had high interests in health education. 2. In the case of students, main causes of needs of health education was 'to prevent diseases or accidents''. But parents answered that it was 'to build up a healthier behavior'. General teachers answered that it was 'more effective systematic and continuous health education'. 3. Over 80% of students, parents, and general teachers about the question of who qualified person is to teach health education as a regular class responded that health teacher is available. Especially 93% of elementary school students answered like that. 4. The most of students, parents, and general teachers answered that health education in the classroom is favorable 1 to 2 hours per week. Conclusion : As results of the study , the majority of students, parents, general teachers agreed needs of health education. Therefore, on the basis of this study, systematic and continuous health education is necessary. Additionally the establishment of independent health subject is required certainly.

      • 항갑상선제로 치료한 그레이브스병 환자의 관해예측인자

        남일송,윤여일,김선규,김용현,이주영,목지오,윤석기,김철희,김영선,변동원,서교일,유명희 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

        Background: Most cases of Graves' disease have been treated by antithyroid drugs in Korea. The major drawbacks of antithyroid drugs are the relative high rate of relapse and the inconvinience of long term therapy. Measurement of TBII and TRH stimulation test have been considered as the most reliable tests predicting relapse, but the predictive power is not high enough to use in clinical situation. This study was performed to find good prognostic indicators in Graves' disease patients after the discontinuation of antithyroid drug therapy. Subjects and methods : We restrospectively evaluated 96 patients with Graves' disease who showed normal TRH test at the end of antithyroid drug therapy and were followed for more than one year. Serum T3, T4, T3/T4 ratio, TBII, Anti-TPO Ab and TGAb levels were measured at the time of diagnosis and at the end of therapy. Two to three months after withdrawal of antithyroid medication, serum TSH and free T3 responses to TRH were examined. These parameters were compared between the relapse group and the remission group. Results : Among the 96 patients, 22 patients(22.9%) relapsed(Group Ⅱ) and 74 patients(77.1%) remained in remmision(Group Ⅰ). No significant difference was observed between the relapse and the remission group in clinical parameters, serum T3, T4, TSH, T3/T4 ratio, TBⅡ and Anti-TPO Ab determined before and after treatment. Serum TSH and free T3 levels measured after TRH stimulation were also similar in both groups. Serum TGAb levels determined at the end of treatment were significantly higher in the remission group(p<0.05). Relapse following the discontinuation of therapy occured within 24 months in 72.7% of the relapsed cases. After 24 months, relapse rate was reduced significantly. Conclusion : These results suggest that high serum TGAb levels could be a favorable prognostic indicator for the long term remission of Graves' disease treated with antithyroid drugs, and may suggest that Hashimoto's thyroiditis is combined with Graves' disease in those patients.

      • 제2형 당뇨병 환자에서 체내 총항산화능 측정의 의의

        윤여일,윤석기,김선규,김용현,남일송,차건영,황의원,김영선 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

        Background: The diabetic patients are at significantly increased risk of developing vascular disease. It's etiology may involve oxidative damage by free radiacals and protection againse such damage can be offered by antioxidants. We investigated that oxidative stress as assessed by measurement of total antioxidant status may play a role in development of diabetes mellitus. Method: We measured total antioxiant status using merchandised kit, glycated hemeglobin(HbA1c) in 46 type 2 diabetes mellitus patients and 50 healthy matched control subjects. Result: The total antioxidant status(TAS) was 2.10(±0.04) mmol/L in uncontrolled type 2 DM patients, 2.60(±0.03) in controlled type 2 DM patients and 2.70(±0.16) in healthy control subjects. TAS was significantly lower(P<0.05) in uncontrolled type 2 DM patients, but no significant association between in controlled type 2 DM patients and healthy control subjects. The TAS was 2.00(±0.17) mmol/L in complicated type 2 DM patients and 2.10(±0.29) uncomplicated type 2 DM patients. There was no significant associations between complicated type 2 DM patients and uncomplicated type 2 DM patients. Conclusion: Poor glycemic control is associated with reduced TAS in type 2 DM patients. TAS was thought indirect index that predict glycemic control of type 2 DM patients.

      • KCI등재

        초·중·고등학교 학생·학부모·일반교사의 보건교육 영역별 요구도와 보건교육

        윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

        Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through x^(2)­test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teacher. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC that those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

      • K대학 치위생과 재학생의 학과만족도 조사 연구

        송윤신,권순복,안금선,김영남,김수화,차민주 경복대학 2003 京福論叢 Vol.7 No.-

        경기 K대학 치위생과 재학생들의 대학 진학시 학과선택 요인을 알아보고, 학과 만족도를 분석하여 치위생과 학과 경쟁력을 높이고 학생지도의 기초자료를 제공하고자 한다. 치위생과 입학 결정시 영향을 준 요인으로는 전반적으로 본인이 가장 높게 나타났으나 학년별로는 2학년이 77.5%로 가장 높았으며, 치위생과 선택이유로는 취업보장, 주위권유, 적성·흥미 순으로 조사되었다. 치위생과 학과만족도에서 강의실환경에 대해서는 전체 조사대상자 중 9.4%가 만족하다고 응답했고, 실험·실습기자재는 36.0%가 만족한다고 응답하였으며, 학우관계에서는 74.0%, 학과지도방침 38.9%, 치과위생사 직업만족도는 79.4%가 만족하고 있었다. 특히 조사대상자 중 다른 학년보다 2학년 학생들에게서 직업만족도를 제외한 다른 항목의 만족도가 가장 높게 나타나고 있다. 직업만족도는 1학년이 85.4%로 가장 높게 조사되었다. 휴학·자퇴를 고려한 경험유무에 대한 질문에서는 있다고 응답한 학생이 47.8%이었으며, 그 이유로 1학년은 경제적이유를, 2, 3학년은 적성이라고 응답하였다. 입학결정요인과 만족도와의 관계에서는 본인이 입학을 결정했을 때 재학만족도, 직업만족도, 학과지도방침, 전임교수에 만족한다고 응답한 경우가 가장 많았으며 진로계획에서는 취업이 가장 높았다. 학우관계와 만족도와의 관계에서는 학우관계에 만족한다고 응답한 경우 재학만족도, 직업만족도, 학과지도방침에 대한 만족도가 높은 것으로 분석되었다. 구강보건교육이 치위생과 선택에 미친 영향력에 대한 조사에서는 학년별 유의성은 보이지 않았으나, 전체조사대상 중 89.5%가 영향력이 보통이상이라고 응답해 높은 비율을 차지하는 것으로 나타났다. The purpose of this study is to identify the factors affecting selection of a major and the department satisfaction for improving the competitiveness of the dental hygiene department and providing the data for students guidance. The most influential person and factor in selecting a major is the person oneself(77.5% of the second-year students responded to the question) and the percentage of employment. The reaction of satisfaction with the classroom and practice facility indicates 9.4% and 36.0% in favor. 74.0% of surveyees is satisfied with classmates. In satisfaction with a course of department and profession, 38.9% and 79.4% of respondents answer in the affirmative. The second-year students of the respondents shows higher rate than other grades in .satisfaction with items above, except the satisfaction with profession. It appears that the freshman answered the most in that question. From the survey related to the experience of thinking over temporary absence from school or voluntary resignation, 47.8% of surveyees responded they had experienced thinking about that. The freshman answered the reason is financial difficulty and the second- and third-year students selected an aptitude. In the correlation coefficient of determinants for selection of college with the department satisfaction, when the determinant is oneself, the satisfaction with being at college, profession, a course of department, and teaching staff is high. In the correlation coefficient of classmates with department satisfaction, the students responding in the affirmative on classmate satisfaction had a high degree of satisfaction with being at college, profession, and a course of department. The experience of oral health education is not statically significant by grades to select the major, but 89.5% of the students majoring dental hygiene at K-college responded over average.

      • 건설공사현장의 안전관리에 관한 연구

        정남선,주승완,윤선호 서강정보대학 1999 산업과학연구 Vol.1 No.-

        To live in good health is man's earnest wish. The degree of exposure to danger is deepened with the improvement of people's standard of living. Under the current situation where there increases the national demand for safety and health improvement, the sense of responsibility for safety security should be emphasized and be practised in industrial fields, homes, schools, and offices in order to strengthen the national infrastructure for the prevention of disaster and to prevent the safety accident effectively. The frequent disasters of falling in construction fields is primarily due to the lack of safety consciousness and knowledge of both proprietors and laborers, which resulted in the qualitative lowering of work and safety accidents. To prevent disasters, safety security is required through the consolidation of standards for safety equipment and structure installment. The highest frequency of disaster is found at the processing rate of 61~100%. Therefore this study has tried to make safe and comfortable working environment, and to construct better workplace which secures the safety and health of workers by tracing the causes of accident, taking the preventive measure, analyzing the cause of disaster with the statistical date of construction related to disaster, and suggesting the improvement methods, in order to reduce the loss of lives and properties.

      • KCI등재후보

        변색 실활치에 대한 carbamide peroxide gel의 표백효과

        박선아,김선호,황윤찬,오병주,윤창,박영준,정선와,황인남,오원만 大韓齒科保存學會 2002 Restorative Dentistry & Endodontics Vol.27 No.4

        The bleaching of discolored nonvital teeth is conservative treatement that satisfy the cosmetic desire. The most common method for this treatement, walking bleaching, is using 30% hydrogen peroxide and sodium perborate. Many alternatives are suggested for preventing the external cervical root resorption that is the common complication of the nonvital teeth bleaching with 30% hydrogen peroxide. The same extent of oxidation reactions as that resulted by the bleaching with the application of 30% hydrogen peroxide and sodium perborate can also be acquired more safely by materials that contain 10% carbamide peroxide, used primarily for the bleaching of vital teeth. Therefore, this study was performed to evaluate the efficacy of 10% and 15% carbamide peroxide bleaching gel in nonvatal teeth bleaching. The internal bleaching of intentionally discolored teeth was performed in vitro with 10% carbamide peroxide (Group 1), 15% carbamide peroxide (Group 2), mixture of distilled water and sodium perborate (Group 3), and mixture of 30% hydrogen peroxide and sodium perborate (Group 4). The bleaching materials were refreshed following 3, 6, 9 and 12 days. To evaluate the bleaching effect, the color change of the crowns was measured at 1, 2, 3, 4, 7 and 15 days of bleaching using the colorimeter. The results were as follows : 1. L^* and ΔE^* values were increased with time in all bleaching agents(p<0.01). 2. There was no significant difference in L^* and ΔE^* value among bleaching agents. 3. Δ^* value higher than 3 was shown after 3 days of bleaching with 10% carbamide peroxide gel, 1 day with 15% carbamide peroxide gel, 4 days with mixture sodium perborate and distilled water and 4 days with mixture sodium perborate and 30% hydrogen peroxide, respectively. These results revealed that the use of 10% and 15% carbamide peroxide bleaching gel in non-vital teeth bleaching is as effective as mixture of distilled water and sodium perborate and mixture of 30% hydrogen peroxide and sodium perborate. Accordingly, carbamide peroxide could be used clinically to bleach discolored non-vital teeth.

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