중·고등학생들의 보건교육 요구도 조사연구

문기내,남철현,김귀희,위광복,박경옥,이미경,심규범,장영진 慶山大學校 保健福祉硏究所 2003 保健福祉硏究 Vol.8 No.-

This study was conducted to examine middleㆍhigh school 720 students in seven regions of middleㆍsmall city and town, Myon for 2 months from March 2 through April 30, 2002 in order to realize a side of school health education in middleㆍhigh school and health education need as well as health education specialist in school in the future. The results of this study can be summarized as follows. 1. Health condition is now 'normal' is 51.0%, 'good' is 45.0%, 'not good' is 4.1% and health condition of children is good as much as education level of mother is higher. 2. Experience to learn health education in school for one year recently is 'no' is 39.6%, 'don't know' is 32.6%, 'yes' is 27.8% and it represents health education in school doesn't work well and experience to learn health education is lower and lower in town and Myon. 3. Health education ways to work in school now are 'Movie, Video, Slide' is 40.7%, 'education as groups of nurse-teacher' is 38.6%, 'to distribute health education material and book' is 7.7%, 'education by setting an example' is 3.4%, 'the others' is 9.7%. 4. Time of appropriate health education for one time is 'about a hour' is 56.7%, 'about 30 minute' is 33.8%, 'about two hour' is 7.6%, it represents this situation is because of what students' time is lack and burden about a curriculum in an education administratin and school classed of a focused school score. 5. The average score of satisfaction of health education in school is 16.99±0.58, 'men' is 1.79±0.60, 'women' is 1.61±0.55 as the distinction of sex, satisfaction level of men is higher than women. 6. Learning route about health information is 'through mass media' is 59.9%. 'through family, friend' is 15.0% 'health education lecture' is 7.2%, 'printing media' is 6.1%, 'medical institution' is 5.6%, 'the others' is 5.1%, 'public health center' is 1.0%, 'through mass media' is the highest percent as each 59.1% and 60.6% in all of men and women. 7. The most efficient education way of health education is 'movie, video, slide' is 32.6%, 'health education specialist who works school' is 21.9%, 'school health education by nurse-teacher' is 16.0%, 'way through mass communication' is 11.6%. 8. The appropriate health education specialist in the future is 'health education specialist who has qualifications' is the highest as 64.5%, 'nurse-teacher' is 12.4%, 'medical personnel(doctor, a physician of oriental medicine etc.,)' is 11.0%, 'staff in public health center' is 7.2%, people in other regions(health and medical professor etc.,) is 7.0%, it represents school health education is not actual and is formal now in second hand. 9. The most necessary health education program is 'program of stress solution' is the highest as 24.9%, 'program of no smoking' is 22.7%, 'sexual education program' is 19.8%, 'school violence program' is 8.8%, 'isolate from their friends prevention program' is 8.0%, solution program of stress which gives student by school score was very necessary. Therefore, school health education is formal and inefficient because school education focuses on an entrance exam, so middleㆍhigh school students decrease concern and interest about health education. Furthermore, reliance is gotten down about nurse-teacher who takes charge of school health, a charged person of school health education wants more chargeable health education staff. And a solution program of stress that gives students by school score was very necessary. According to active concern and planned, systematic school health education is necessary to give right health knowledge, health maintenanceㆍpromotion and setting of appropriate health education specialist is very urgent.

상아질 표면처리방법이 compomer의 전단결합 강도에 미치는 영향에 관한 연구

문주훈,조영곤,김수미 大韓齒科保存學會 1998 Restorative Dentistry & Endodontics Vol.23 No.2

정상성인의 외측대퇴피부신경 체감각 유발전위 검사

문성식,박미영 영남대학교 기초/임상의학연구소 2001 Yeungnam University Journal of Medicine Vol.18 No.1

Background: Meralgia paresthetica(MP) which is characterized by paresthesias and sensory impairment without motor weakness in the anterolateral aspects of the thigh is produced by compression of the lateral femoral cutaneous nerve(LFCN). Even though the diagnosis of MP is mostly based on the clinical symptoms, electrophysiologic study is mandatory to confirm the disease objectively. It has been known that Somatosensory evoked potential(SSEP) study of LFCN is a simple and very useful method to evaluate MP, so we studied SSEP of LFCN in normal adults and offer normal values. Materials and Methods: Thirty six normal adults(23 males and 13 females) ages from 21 to 73 years old(mean±SD:42.06±15.74) were studied SSEP of LFCN bilaterally. The stimulation site was anterolateral aspect of thighs and the recording site was Cz'. Results : The mean values(msec±SD) of LP0, SP0, LN1 and SN1 of all subjects were 35.10(±2.42), 33.80(±2.4), 43.68(±1.88) and 42.16(±2.12) and the mean values(msec±SD) of DP0, DN1 and DA(μV±SD) were 1.30(±1.14),1.52(±1.38) and 0.32(±0.33). Conclusion: For the diagnosis of MP, comparison of latency difference between both sides is more reliable than simple value of latency itself because of individual differences of body types. According to our results, the latency difference should be less than 2 msec and the amplitude difference was less than 1.6 times in normal adults.

韓國 看護大學 敎育課程에 對한 硏究

文姬子,金潤喜,趙潔子,趙美映,姜賢淑 慶熙大學校 1982 論文集 Vol.11 No.-

The changes of social issues and nursing concepts require the expansion of nursing needs and nursing role, therefore it is keenly demanded the necessity of the research for new curriculum development in nursing. So to make a contribution to the development of nursing education in Korea, we made a comparative study of nursing curriculum of each universities which have baccalaureate program and put them into operation at present; they are 10 Korean universities, 5 American universities and 4 Japanese Universities. Thus by researching the differences among them. We acquired the conclusions as followings. The purpose of Nursing education In case of Korean parts, the contents of those aims must be explained more clearly and more in detail than another results of research. There also has to be made the statements upon the scientific researching methodology in scholarly respect, or the self-development in individual respect, or the lasting endeavour for studies in professional respect. We must put an emphasis upon the statement and education of the direct nursing provider, or the primary health care manager at hospital and community, who is one of the important aims of modern nursing education. The substance of nursing curriculum. 1) Total credits for completion and the comparison of curriculums, classified by the field. The scope of total credits of each nation, according to Colleges ranges; Korea: 140-163, U.S.A.: 121-187, Japan: 13-158 Compared with those of U.S.A. and Japan, the average credits of Korea is higher. Classified by the field, the credits alloted to major courses are 73.3% and liberal courses, only 26%, which shows that it does not satisfy the current educational trend that emphasizes the liberal course. 2) The comparison of curriculums, classified by a school year. In case of Korea, the total credits are evenly assigned to all grades, but the freshman taken the concentration of liberal courses (81.2%). Among the major courses are preponderant the Nursing Supportive subjects in the sophomore and the nursing major ones in the junior and senior. 3) Curriculums classified by the subject. (1) As compared with those of Japan and U.S.A. Korean students are less free in chosing subjects their own way all over the curriculums. It is, therefore, required that the range of the optionals be widened for the open and flexible education. (2) We can find all of three nations (Korea, Japan, U.S.A.) neglect the sphere of the behavioral sciences among the fundamental nursing subjects. In the field of social sciences, among Korea, Japan, and U.S.A., top ranks Japan that tends of the interested in social well-being. In Korea only two universities have this subjects. (3) Nursing major subjects. Defficulties in comparing them lie in the gulfs of the title of subjects, and the structural differences of the formation of curriculums among nations. In case of Korea, although there are a few differences of the number of credit of subjects among colleges, she has uniform aspects for U.S.A., which says that there are no characteristics and self-control each colleges has in Korea. We can notice that the subjects each Korean university shares are also doubled with those of the national examination for nursing qualification. Japan differs from Korea in that subjects are more differentiated and students are provided with more chances to make a choice through the system of subjects and the texture of a curriculum are similar to those of Korea. In case of Korea, therefore, the unification of fundamental subjects (especially in the medical field) and clinical practices is required. (4) The course for teaching profession is taken as either the required or optional just in Korea (80%) and Japan (75%). The number of subjects and total credits of teaching courses is different according to the colleges of Korea and Japan. As for the contents of subjects Korea deals with theory and Japan, the practical thing with which students can adjust themselves to the spot of society. As a result of that, in case of Korea, demanded are the entire review and research upon the purpose of establishing a curriculum, its relation to the total credits and the choice of substance of subjects etc. 4) The patterns of organization in curriculum development. Most of the patterns of organization, classified by clinic subject pivot upon disease and subjests are not mutually unified in case of Korea and Japan. Though the patterns of organization of subjects if formally unified, that of curriculums is not substantially or wholy synthesized, while in case of U.S.A. the unification of the patterns of organization entire curriculum as well as the mutual unification of subjects is attained and each college runs a characteristic curriculum, since the application of nursing theory and the model of a curriculum are different according to college. The prevention of disease, the promoting health and the disease system is patterned, centering around the healthy and their families. Therefore, in case of Korea, it is urgent to unify the curriculum of nursing education for the efficiency of the future oriented nursing education, and it is also imminent to develop the new pattern of a nursing curriculum suited for our own social demand and situation. And we need the continuous studies and search for the method of application in order to development the new curriculum. The comparison of a curriculum with the purpose of nursing education. The substances of subjects are not consistently in accord with the aims of nursing education each college states in Korea, Japan and U.S.A. Especially in case of Korea, the most statements upon the purpose of education are in the social dimension, but the most subjects have the academic dimension. In Korea it is stringent to examine and study the choice of the contents of education in terms of learning, profession, individual and society.

운동종목에 따른 운동선수의 영양필요량 및 기호성에 준한 표준 식단의 컴퓨터 입력 프로그램 개발방법에 관한 연구

문수재,손경희,이동우,이영미 연세대학교 대학원 1986 延世論叢 Vol.22 No.1

본 연구는 각종 운동선수 대상의 설문조사를 기초로 하여 운동선수의 식생활 관리를 위한 전산화 프로그램을 제시하였다. 즉 1) 운동선수의 식기호를 통한 요구와 체급의 필요에 준한 각종 식단작성과 급식관리를 위한 전산화 프로그램을 작성하였다. 2) 이에 근거를 둔 영양상담 프로그램을 개발하기 위한 기초자료의 정리를 시도하였다. 기초자료 수집을 위해 실시한 16종목의 운동선수 232명을 대상으로 실시한 기호도 및 생활유형 분석조사의 결과는 대부분의 운동선수가 ① 규칙적인 생활을 하고 있었으며, 일일생활의 구성은 취침(7~8시간), 아침식사전 운동(1~1 1/2시간), 오전운동(2~3시간), 오후운동(2 1/2~3 1/2시간), 식사 및 휴식(5~7시간), 자유시간(1~3시간)으로 구성되어 있으며, ② 현재 식생활의 문제점은 단체급식시 급식시 제공되는 음식의 맛, 질적수준, 3끼 음식 분배량의 부적절성, 경기직전에 식사의 지나친 감량이나 증량을 지적하였다. ③ 조사대상으 88%가 장기적인 식사관리가 필요하다고 지적했으며, 경기력 향상을 위해 특별히 처방된 식사를 하는 선수는 전체의 43.5%로 처방식의 주종은 육류(단백질식품), 야채(비타민, 무기질식품), 그 이외 열량농축식품(지방, 캔디류)으로 구성되어 있었다. 처방식을 가지고 있는 주요 이유는 영양섭취를 개선시킴으로써 경기력 및 체력향상과 운동시에 condition조절이 가능하다는 점을 지적하였다. ④ 식품에 대한 기호성 조사에서는 대부분의 식품에 대해 극히 싫어하거나 기피하는 문제점은 없었다. 컴퓨터를 이용한 운동선수 대상의 식생활관리 프로그램 개발을 위해서 사용한 기기는 IBM-PC OA-16XT기종의 Personal computer였으며, 이 기기에서 이용가능한「Basic language」,「lotus」system, 「DBASE Ⅲ」를 이용하여 프로그램을 작성하였다. 프로그램 작성을 위해 선행한 연구로 ① 설문조사를 통하여 운동선수의 생활유형을 분석하여, 각 운동종목별 영양필요량 산출을 시도하였고, ② 한끼에 1,200Kcal를 공급할 수 있는 식단을 영양학적, 식품학적 견지에서 작성하였으며, ③ 식품별 자료처리가 용이하도록 식품교환단위의 설정 및 음식에 고유 번호를 부여하는 작업을 실시하였다. 프로그램은 ① 일일 섭취한 영양가 평가하는 프로그램 ② 운동종목, 체중, 성, 생활시간을 고려한 일일 필요 영양소량을 계산하는 프로그램 ③ 변화있고 다양한 식단작성 및 Recipe 제시 프로그램을 개발하였다.

초기 톨루엔 농도가 톨루엔-NO_(x)-공기 혼합물의 광산화 반응에 미치는 영향 : II. 입자상 물질의 생성 및 성장 II. Aerosol Formation and Growth

이영미,배귀남,이승복,김민철,문길주 한국대기환경학회 2005 한국대기환경학회지 Vol.21 No.1

An experimental investigation of the gas-phase photooxidation of toluene-NOx-air mixtures at sub-ppm concentrations has been carried out in a 6.9 ㎡, indoor smog chamber irradiated by blacklights. Measured parameters in the toluene-NO_(x) experiments included aerosol, O₃, NO, NO₂, NO_(x), CO, SO₂, toluene, and air temperature. The initial toluene concentration ranged from 225 ppb to 991 ppb and the initial concentration ratio of toluene/NOx in ppbC/ppb was in the range of 5~20. It was found that the variation of aerosol number concentration with irradiation time caused by the photooxidation of toluene-NOx-air mixtures depended on the initial toluene concentration for similar concentration ratio of toluene/NO_(x). The dependency of initial toluene concentration on the photooxidation of toluene-NO_(x)-air mixtures for toluene/NOx=5~6 seemed to be opposite to that for toluene/NO_(x)= 10~11. The maximum number concentration of aerosols formed by photooxidation and the aerosol yield depended on both initial toluene concentration and initial concentration ratio of toluene/NO_(x). In this study, the aerosol yield, defined as aerosol formed per unit toluene consumed, was found to be 0.01~0.16.

초기 톨루엔 농도가 톨루엔-NOx-공기 혼합물의 광산화 반응에 미치는 영향 : I. 가스상 물질의 변화 I. Change of Gaseous Species

이영미,배귀남,이승복,김민철,문길주 한국대기환경학회 2005 한국대기환경학회지 Vol.21 No.1

An experimental investigation of the gas-phase photooxidation of toluene-NO_(x)-air mixtures at sub-ppm concentrations has been carried out in a 6.9 ㎥, indoor smog chamber irradiated by blacklights. Measured parameters in the toluene-NOx experiments included O₃, NO, NO₂, NO_(x), CO, SO₂, toluene, and air temperature. The initial toluene concentration ranged from 225 ppb to 991 ppb and the initial concentration ratio of toluene/NOx in ppbC/ppb was in the range of 5~20. It was found that the variation of gaseous species with irradiation time caused by the photooxidation of toluene-NOx-air mixtures depended on the initial toluene concentration for similar concentration ratio of toluene/NOx. The dependency of initial toluene concentration on the photooxidation of toluene-NO_(x)-air mixtures for toluene/NOx =5~6 seemed to be opposite to that for toluene/NOx=10~11. The arriving time at maximum ozone concentration depended on both initial toluene concentration and initial concentration ratio of toluene/NOx. However, the maximum concentration of ozone formed by photooxidation depended only on the initial toluene concentration.

한국 야생고양이에서 바르토넬라 감염

이지영,강재승,김미경,황태숙,곽이경,채민병,장철순,김일권,서동범,정문현 대한감염학회 2001 감염 Vol.33 No.5

Background : Cat scratch disease (CSD) is an emerging disease worldwide and is mainly caused by Bartonella henselae, a gram-negative bacterium. The most common clinical manifestation is regional lymphadenopathy, though clinical recognition may be difficult, as atypical manifestations occur. The condition can be complicated by neuroretinitis, endocarditis, and sometimes fatal encephalopathy. The reservoir of B. henselae is the cat, and the prevalence rates of B. henselae infection in cat populations range from 4 to 70% . The prevalence of Bartonella infection in Korea has not been studied, thus, in this study Bartonella infection was investigated in cats captured in the Inchon and Ansan areas. Methods : Twenty wild cats were captured and their livers and spleens were examined by polymerase chain reaction (PCR), bacterial culture, and histopathologically, PCR used two primers : Cat (sense : 5'-GAT TCA ATT GGT TTG AA(G/A) GAG GCT-3', antisense : 5'-TCA CAT CAC CAG G(A/G)C GTA TTC-3') and Barto (sense:5'-(C/T) CT TCG TTT CTC TTT CTT CA-3', antisense : 5'-AAC CAA CTG AGC TAC AAG CC-3'). Culture was performed by inoculating sliced spleen and liver into the ECV304 cell line and bacterial growth was observed over a period of 3 weeks. If no visible bacterial growth was identified, the presence of bartonella was examined by DNA staining, indirect immunofluorescent staining, and PCR. Liver and spleen were stained with H&E and scrutinized under the light microscope. Results : Nine pairs of culture cells inoculated with liver and spleen were examined by indirect immunofluorescent staining and PCR; no positive case was found. In addition, no positive case was identified by PCR in the liver and spleen specimens of eleven cats. Spleen and liver specimens of eleven cats were examined by light microscopy and none showed granuloma. Conclusion : This preliminary study suggests that the Bartonella infection is probably uncommon in the cat population of the Inchon and Ansan areas. Further studies should be undertaken to detail the prevalence of Bartonella infection in other areas and in human. (Korean J Infect Dis 33:319∼324, 2001)

정맥주사와 채혈시 간호사의 심리적간호가 환아의 행동불안반응과 동통인지에 미치는 영향

박인숙,문영숙,조미경,한진숙 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

This Quasi-experimental study attempted to identify the effect of psychological preparation on the behavior anxiety, pain perception of children related to IV injection and blood sampling. The subject for this study were obtained by taking a convenient sample of the 3 - 12 years children hospitalized in C University Hospital from August 4, 1994 to September 3, 1994. Subject were devided an control group , experimental group each of thirty subjects. Two instruments were used to collect the data. : Face Pain Rating Scales (FPRS) was used to measure the degree of children's pain perception about painful procedure. Procedure Behavior Check List (PBCL) was used to measure the degree of response of children's behavior anxiety. The findings were as follows. 1. The relationship between behavior anxiety, pain perception and the general characteristics of subjects is showed no statistical significant difference but in the experimental group age is showed statistical significant difference (p<.01). 2. The relationship between behavior anxiety, pain perception and the characteristics of painful events is showed no statistical significant difference. 3. In order to identify the effect of psychological preparation on the behavior anxiety of children, compared of total Mean score two groups, experimental group M : 16.767, control group M : 18.967. The difference between in the two group is showed no statistical significant difference 4. In order to identify the effect of psychological preparation on the pain perception of children, compared of total Mean score two groups, experimental group M : 2.900, control group M : 2.067. The difference between in the two group is showed no statistical significant difference. 5. The correlation between behavior anxiety and pain perception is showed statistical significant difference. Experimental group r : 0.7920 (p<.001), Control group r : 0.4288 (p<.05)

환자, 간호사, 의사가 지각하는 교육요구도와 교육제공정도에 관한 연구

박인숙,문영숙,조미경,최은숙,이경숙,정길수 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

The purpose of this study was to provide the basic data for the planning of education of patients by exploring and comparing patients', nurses' and doctors' perception of the educational needs and degree of providing education. 66 hospitalized patients undergoing chemotherapy and 44 nurses, 42 doctors assigned for the direct care were sampled in 1 university hospital in Taejon from August 30, 1993 to September 30, 1993. For the comparing patients', nurses' and doctors' perecption of the educational needs and degree of providing education, the researcher used Kims' Educational need scale which is composed of 20 item Likert type 5 point scale. Data were analyzed by means of percentile score, SPSS, t-test, ANOVA, Pearson correlation. The result were as follows 1. Comparision of total Mean score patients', nurses' and doctors' perception of the educational need ordering nurses(M=4.0465), patients (M=3.9803), doctors (M=3.8309). The difference between the three group's total Mean score is showed no statistical significant difference. 2. Comparision of total Mean score patients' educational need, patients' percetion of nurses' and doctors' degree of providing education, patients' educational need is scored 3.9803, patients' perception of nurse is scored 2.3431, patients' perception of doctor is scored 2.5022. The difference between the patients' educational need and medical teams' degree of providing education is showed statistical significant difference(P<.001). 3. Comparision of total mean score nurses' educational need is scored 4.0465, nurses' perception of nurses' degree of providing education is scored 2.9920, patients' perception of nurses' degree of providing education is scored 2.3431. The difference of between the nurses' educational need and nurses' perception of nurses' degree of providing education is showed statistical significant difference(P<.001) 4. Comparision of total mean score doctors' educational need is scored 3.8309, doctors' perception of doctors' degree of providing eduation is scored 3.1726, patients' perception of doctors' degree of providing education is scored 2.5022. The difference of between the doctors' educational need and doctors' perception of doctors' degree of providing education is showed statistical difference(P<.001).