자료포락분석(DEA)를 이용한 보건의료의 효율성 측정

김남송,박홍섭,김은진,김설화,김정숙,김현아,김경숙,신지혜,최은정,양은진,유선미,유수진 圓光大學校 醫科學硏究所 2007 圓光醫科學 Vol.22 No.1

영도구의 생식보건사업 성과분석 : 남자중학생을 대상으로 한 성교육 효과 분석을 중심으로 the Effects of Sex Education on Middle School Students

남은우,강혜숙,박성빈,최재임,민체류 고신대학교 영도발전연구소 2001 영도연구 Vol.3 No.-

The purpose of this study was to reduce the sexual problems of middle school students in Youngco-Gu, Busan. The survey was conducted by content analysis which was related with reproductive healty services such as budget, manpower, etc. This study was also conducted with sex education as the object and to measure the effects of sex education. Questionnaires from 203 students(7th-9th graders) in a male middle school were surveyed on Sept. 12-14, 2001. The statistical analysis used were t-test, paired t-test, one-way ANOVA and χ^2 test by using SPSS/PC+ WIN 8.0 program. The results of this study are summarized as follows: First, 66.2% of the students among the subjects had a religion, and of those 50% were buddhists, 34.4% christians, 9.5% catholic. Religion of sexual related matters showed no significant effect. Of these students 68.1% showed medium interest in sexual related matters, 18% little interest or none and 13.5% high interest. 8th graders seemed to show more interest in sexual related matters than other grades. 41.8% of Students seemed to get information on sexual matters from friends and 27.1% from the internet. 30.9% of the respondents talked about their boy/girl friends with their parents compared to 43.3% who chose to talk to their friends about their sexual related problems. Second, 56.7% logged into lascivious-sites on the internet. Of those who logged onto lascivious-sites 46.1% logged in once or twice a month, 31.9% once or twice a week, and 2.7% logged in daily, 69.2% Felt curiosity, 23.4% felt indecent and 7.5% felt like engaging in a sexual act after visiting one of these sites. Third, the effects of sex education on experimental groups of 7th graders showed a 2.1 point increase(p<0.1), 4 point increase for 8th graders(p<.001), and 9th graders increased by 3.3 points(p<.001). Therefore this showed that it was advantageous for students to have sex education. Fourth, the effects of sex education on the students attitude showed only a little more improvement than before in the controlled groups whereas the experimental groups showed a large increase in good attitude in a good direction. Therefore, the experimental groups showed better results in sexual attitude compared to the controlled groups(p<.01).

부산 영도구 지역 교회의 사회봉사 활동 분석 : 의료봉사 및 건강교육을 중심으로 Health Service and Health Education Program

남은우,강혜숙 高神大學校保健科學硏究所 1998 보건과학연구소보 Vol.8 No.-

A church should be displayed leadership in order to improve community health which induces practicing community service activities. The purpose of this study is an analysis of community health service activity through the churches based on the cognition of pastors about service realty on human service and health education. This study was used 43 churches in Youngdo-gu, Pusan, Korea Questionnairs for the study were sent by mail to pastors and collected first on July 28, 1998 (collecting rate 23%), after that were remailed to the churches which were not replied of the survey. Total collected Questionnairs from the churches were 24 Questionnaires(collecting rate 56%) until August 10, 1998. The main results are following as; 1) The service programs of 24 churches in Youngdo area were helping poor neighborhood 95.8%, financial support for poor people 87.5%, the support of handicaps and children in charge of a family were 70.8%, health service 29.1%, and hospice 16.6%. 2) The health service programs were needed 78.2% of the pastors (absolute necessary 47.8%; necessary 30.4%). Also, the health education program practice through the churches showed high rating opinion 95.8% which were absolute necessary 25% and necessary 70.8%. 3) The items of health education program for the practice from the churches in future were mental health programs for teenagers(100.0%), sex education for juvenile and aging health education(81%), Preventive education for chronical disease(61.9%), environmental sanitation education(38.1%), children health education(28.6%), and infant and young children health education(23.8%). As the results, the pastors showed strong intention as high necessity of health education for community and empowerment of various health walfare program practice although the activities of the services have been lack for the community.

영도지역 남녀 중ㆍ고교 학생들의 성지식에 관한 연구

강혜숙,남은우,박성빈,최재임 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-

The purpose of this study was to grasp the sex knowledge in middle and high school students in Youngdo-Gu, Busan, and to provide some basic data for the needs and the direction of sex education for the teenagers. The survey was conducted by using questionnaires in two middle schools and two high schools in Youngdo-Gu. The questionnaires were took back after record by the respondents. The survey was conducted at September 15∼17, 2000 and a total of 791 were completed. The respondents were 200 (25.3%) males and 199 (25.2%) females in middle schools and 196 (24.8%) males and 196 (24.8%) females in high schools. For the statistical analysis, χ2-test, t-test and one-way ANOVA were used by using SPSS/PC+ WIN 8.0 program. The conclusions based on the results obtained from this study are as follows: 1) An attitude of the sexual matters showed that boys, students and non-christians were more progressive than girls, parents and christians, respectively (p<0.01). 2) The sexual agonies of students were in order of having a date 36.2%, sexual drive 11.1%, sexual intercourse 8.8%, masturbation 8.6% and sexual abuse 6.7%. 3) The points for sexual knowledges appeared 40.6 points out of 100 points from boys and 42.3 points from girls in middle schools, and 57.3 points from boys and 66.1 points from girls in high schools. Therefore, the girls had much knowledges on sexuality than those of the boys. There were a significant differences of knowledge on sexuality between boys and girls (p<0.001). Over 60% of both boys and girls had not enough knowledges on sexually transmitted diseases (STDs). 4) Satisfaction of sex education was common or unsatisfied as over 90% of respondents. The reasons were a textbook-like general information (50%) and nothing practically to help (29%). 5) The students wanted sex education for the practice in future life such as male and female relationship with etiquette(23%); and pregnancy and delivery (17%) in middle school students, and contraceptive and abortion (34%) and preventive STDs (18%). There was not enough to understand whole adolescent in Youngdo area because the study subjects were only public middle and hight school students in Youngdo-Gu, Busan. Conclusively, it is necessary to educate to give right information of sexuality to the adolescents in Youngdo, and to have systematically sex education from the kindergartens to the high schools by long range sex educational program. Also, a proper program for integrated sex education is necessary to build healthful sexual consciousness and worth in cooperation with sex educators, universities and health centers.

동일한 국제예후지표(International Prognostic Index)를 나타내는 미만성 대형 B-세포 림프종에서 Bcl-2와 p16의 임상적 중요성

박상은,박수진,곽승근,박남숙,천재민,윤환중,조덕연,김삼용,김진만 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

In Korea, malignant lymphoma is a common cancer, comprising about 2.7% of all malignant neoplasm. Diffuse large B cell lymphoma is the most common lymphoma, representing about 50% of all Non-Hodgkin's lymphoma. Diffuse large B-cell lymphoma is usually considered as heterogeneous group of neoplasms rather than a single clinicopathological entity. Clinical prognostic systems, including the International Prognostic Index (IPI), although useful to assess overall prognosis, embrace patients with heterogeneous prognoses. But International Prognostic Index scoring system is not sufficiently predict the prognosis. It is likely that the prognostic assessment of patients with diffuse large B-cell lymphomamight be improved by using biological features. Bcl-2 protein and p16 protein expression is recognized as useful biologic markers predicting the prognosis of patients with diffuse large B-cell lymphoma. To determine the clinical significance and prognostic value of bcl-2 and p16 proteins expression patterns, we studied 18 patients with de novo DLBL, whose archival pathology specimen were available for immunohistochemistry studies, atChungnam National University Hospital from September 1992 to December 2000. Archival specimens from each patient were immunostained with respective antibodies for bcl-2, p16. The results are as follows; 1) The median age was 54(rage : 37-69). There were 12 male patients(66.7%) and 6 female patients(33.3%) The 'B' symptom was abscentin all patients. The stages were as follows : Ⅰ, 2 patient(11.1%), Ⅱ, 10 patient(55.6%), Ⅲ, 4patient(22.2%) and Ⅳ, 2patient(11.1%). 3 patients(16.8%) had the elevated LDH level, 14 patients(77.8%) had the normal LDH level and 1 patients(5.6%) was not identified the LDH level. 2 patients(11.1%) had the bulky disease and 16 patients(88.7%) had no bulky diease. The distribution of ECOG status were O, 2 patients(11.1%c), 1, 14patients(77.8%) and 2, 2patients(11.1%). 2) Theimmunohistochemistry results are as follows bcl-2:+,10 patients(55.6%), bcl-2:-, 8patinets(44.4%), p16:+,3 patients(16.7%), p16:-, 15patients(83.3%) 3) After a median follow UP durations of 67 months, the median survival time was 57 months with a rage of 7-100+ months. 5-years overall survival rates was 44% by Kaplan-Meier method. 4) Reduced overall survival was demonstrated in the patients who expressed bcl-2 protein(P=0.0174). 5-year overall survivial rate was 12%(bcl-2 expression) versus 88%(no bcl-2 expression) 5) Among diffuse large B-cell lymphoma patients with IPI score 0-1, reduced overall survival was demonstrated with bcl-2 expression(P=0.023). 5-year overall survival rate was 18%(bcl-2 expression group) versus 100%(no bcl-2 expressiongroup) 6) Median survival durtation of diffuse large B-cell lymphoma patients negative for p16 expression was 57 months whereas p16 postive patients' median survival duration was not reached(P=0.4478). In diffuse large B-cell lymphoma patients with identical IPI scores, bcl-2 expression had additional prognostic value.

미용학원 수강생의 모발미용의식행태와 미용실 위생실태에 대한 조사연구

김은숙,남철현 慶山大學校 保健福祉硏究所 1999 保健福祉硏究 Vol.3 No.-

건강한 모발관리와 어울리는 헤어스타일과 고객만족도를 높이는 미용실 개선 매뉴얼(서비스, 접객, 청결도, 위생관리, 기술)에 대한 기초자료를 제공하여 모발미용에 대한 교육 및 프로그램개발에 도움을 주고자 대구광역시에 위치하는 미용학원에서 미용학원 수강생을 대상으로 1998년 6월 1일부터 8월 30일까지 3개월간 모발미용에 대한 의식행태를 조사한바 그 결과의 요약과 결론은 다음과 같았다. 1) 조사대상자의 일반적인 특성은 성별로는 여자가 89.2%였고 연령은 20대가 46.4%, 학력은 고졸이 48.7%, 직업은 무직 63.9%, 거지주역별로는 대도시 거주자가 76.5%, 결혼상태별로는 기혼이 51.6%, 경제상태별로 보면 중류계층이 72.9%였다. 2) 조사대상자의 모발 및 신체적 특성은 체형은 보통인편이 57.4%, 얼굴형은 달걀형이 41.3%, 모발성질은 정상모발이 44.9%, 현재의 머리모양은 스트레이트 펌형이 38.1%로 타군보다 높았다. 3) 조사대상자의 모발 화학적 시술에 관한 사항은 현재 염색을 하고 있다가 57.1%, 염색전 알레르기 반응시험 경험여부에서는 경험한 적이 없다가 92.6%, 퍼머넨트후의 모발손상 여부에 대한 의견은 손상이 된다가 86.9%, 현재 부분 탈색의 여부에서는 부분 탈색을 하고 있지 않다 72.0%로 각각 가장 높았다. 4) 조사대상자의 미용실 이용에 관한 사항은 미용실에 대한 불만으로 가고 싶지 않은 미용실은 기술이 나쁜 미용실이 47.2%, 단골 미용실을 선택하는이유로 기술이 좋다가 47.9%로 가장 높았다. 5) 미용실 위생에 대한 사항에서는 미용실에서 사용되고 있는 소도구의 위생상태의 안정성에 대한 의견으로 별로 그렇게 생각지 않는다가 52.1%, 자외선 소독기 사용하는 미용실 방문 경험 유무로 방문한적이 없다 70.3%, 미용실 포편류 청결에 대한 의견은 잘 모르겠다가 60.3%, 미용실내 환기의 충분성에 대한 의견은 잘 모르겠다 57.6%로, 미용실 손님 접대용 식기류의 살균소독 여부에 대한 의견은 잘 모르겠다가 61.0%로 각각 가장 높았다. The purpose of this study is to present basic materials about beauty shop improvement items(service, sanitary management and technics) and help education and program development about hair beauty. A survey was performed on consciousness types about hair beauty of trainees in beauty academy in Taegu area from Jun 1 till August 30, 1988. The major results and the suggestions are as follows. 1) The general characteristics of suvey objects are 'female' 89.2%, 'twenties' 46.4%, 'above college education' 42%, 'jobless' 63.9%, 'city residents' 76.5%, 'married' 51.6% and 'middle economic status' 72.9%. 2) Their hair and physical characteristics are 'average physical type' 57.4%, 'egg-type face' 41.3%, 'normal hair condition' 44.9%, 'straight perm style' 38.1% and 'originally very black hair' 30.3%. 3) The chemical steps on hair are 'hair dying' 57.1%, 'no allegic experience' 91.4%, 'hair damage after perm'87.9% and 'no partial bleach' 72.0%. 4) The dissatisfaction with beauty shops are 'unskilled technics' 47.2%. The reason of customary shop choice is 'skillful'47.9%. The visit term is '3 months' 25.7%. The cost is '20,000' wons zone' 25.7%. The purchace in beauty shops is 'good products for hair and health' 33.5%. The service during waiting is 'use if possible' 73.3%. The megazine is 'hair and make-up weekly' 42.0%. These are higher than any others. 5) On sanitary conditions of beauty shops the safety of manual equipments is 'not so safe' 52.1%. The visit on beauty shop using ultrviolet rays disinfector is 'no' 70.3%. The cleaness of towels and gowns is 'don't know well' 60.3%. The sufficient ventilation is 'don't know well' 57%. the sterilization of dishes is 'don't know well' 61.0%. In conclusion, the low knowledge makes the performance difficult though hair styles performing in beauty shops is necessary to express aesthetic senses and the importance of the smallest hair damage is perceived. Acording as that beauty shop visited by many is very important in public health, education program to help cleaness maintenance and management and beauty shop improvement plans need to be developed for community residents and beauty shops.

부산시 일개구 지역주민의 위암선별검사 수검 및 반복수검 실태 및 관련요인조사

정인숙,배은숙,천동환,전진호,이화자,박남희 韓國保健敎育.健康增進學會 2003 보건교육건강증진학회지 Vol.20 No.1

The importance of repeat screening for stomach cancer is well known to decrease deaths from stomach cancer. This study was aimed at assessing practice behaviors and to identify related factors in the aspects of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to stomach cancer screening in an urban area. Data was collected through self-administered questionnaires from 403 people aged 40 to 69 years from April 23th to May 15th, 2002. Practice behaviors were classified as :"ver"r "ver"and "peat"r "t repeat"rouped based on a recent 5 year screening history. The results were as follows: 1. Among the 403 subjects: "e ever group"as 23.8% and "e repeat group"as 4.0%. The rates of screening were 20.5% for men, 27.8% for those women, and 27.3% for aged 40-49, 24.5% for those aged 50-59, 19.0% for those aged 60-69. The rates of repeat screening were 4.0% for men, 4.1% for women, and 2.9% for those aged 40-49, 6.3% for aged 50-59, 2.5% for those aged 60-69. 2. The main factors associated with adherence to gastric cancer screening were education(post high school vs below : OR=2.44), previous cancer screening(yes vs no : OR=2.61), belief in personal health(no vs yes : OR=2.72), health status(unhealthy vs healthy : OR=3.40), possibility of cancer compared to others(low vs not low : OR=2.56), and regular exercise(yes vs no : OR=2.94). The main factor associated with adherence to gastric cancer repeat screening was other cancer screening (yes vs no : OR=6.33). Consequently, there is a need to change the recognition of the importance and necessity of stomach cancer screening in healthy conditions through health education, and to perform multiple screening tests each visit.

매실(Prunus mume) 착즙액이 Yoghurt Starter의 산생성 및 증식에 미치는 영향

이은희,남은숙,박신인 한국식품영양학회 2002 韓國食品營養學會誌 Vol.15 No.1

Skim milk에 매실 착즙액을 수준별로 첨가하고 4종 (Streptococcus thermophilus, Lactobacillus acidophilus, Lactobacillus bulgaricus, Lactobacillus casei)의 젖산균을 단독균주 또는 혼합균주로 접종하여 매실 착즙액의 첨가가 젖산균의 산생성 및 생육에 미치는 영향과 저장성을 조사하였고, 매실 착즙액으로 사용한 매실의 일반 성분을 분석하였다. 매실의 일반 성분은 조회분 0.4%, 식이섬유 4.1%, 구연산 4.66%, 총당 0.264%, vitamin C 405.34mg%이었고, 매실 착즙액의 첨가는 젖산균의 증식을 촉진시켰으며 산생성도 증가하였다. 실험구 중 Str. thermophilus, Lac. acidophilus와 Lac. casei의 혼합균주에 3% 매실 착즙액을 첨가한 실험구가 가장 많은 양의 젖산 (1.23%)을 생성하였고, 가장 높은 생균수 (3.6×10^11 cfu/mL)를 나타내었다. 매실 착즙액 3% 첨가 호상 요구르트를 대조구와 함께 4℃와 20℃에서 30일 동안 저장한 결과, 세 개의 혼합균주 (Str. thermophilus, Lac. acidophilus, Lac. casei)를 사용한 호상 요구르트가 4℃에서 pH는 4.25, 생균수는 4.1×10^9 cfu/mL이었고, 20℃에서 pH는 3.76, 생균수는 8.7×10^8 cfu/mL으로 대조구인 매실 무첨가 호상 요구르트에 비하여 높은 저장성을 나타내었다. 이상의 결과로 보아 매실 착즙액을 첨가한 호상 요구르트의 제조가 가능할 것으로 사료된다. This experiment was carried out to investigate the effect of Maesil extract on the acid production and growth of yoghurt starter in the skim milk medium. The Maesil extract was added to skim milk medium for 1% to 9% and the medium was fermented by single or mixed culture of 4 types of lactic acid bacteria (Streptococcus thermophilus, Lactobacillus acidophilus, Lactobacillus bulgaricus, Lactobacillus casei). The chemical composition of Maesil, the changes in acid production (titratable acidity, pH) and number of viable cells of the medium during lactic fermentation in skim milk added with Maesil extract, and the keeping quality of curd yoghurts containing Maesil extract have determined. The composition of Maesil were 0.4% crude ash, 4.1% dietary fiber, 4.66^ citric acid, 0.264% total sugars and 405.34mg% vitamin C. The addition of Maesil extract stimulated the acid production and propagation of the lactic acid bacteria. Among the treatments tested, the addition of 3% Maesil extract with the mixed culture of Streptococcus thermophilus, Lactobacillus acidophilus and Lactobacillus casei produced the highest amount of acid (1.23%) and showed the highest number of viable cell counts (3.6×10^11 cfu/mL). When the curd yoghurts containing 3% Maesil extract with the mixed culture of the lactic acid bacteria were kept at 4℃ and 20℃ for 30 days, it was showed that the changes of titratable acidity, pH and number of viable cell counts of the lactic acid bacteria were not significantly different during storage. Therefore the keeping quality of the curd yoghurts adding 3% Maesil extract showed relatively good at the shelf-life.

전기영동에 의한 동양란(Cymbidium spp.)의 단백질 유형비교

윤경은,홍성숙,이남희 서울여자대학교 자연과학연구소 1991 자연과학연구논문집 Vol.2 No.-

본실험은 전기영동을 이용하여 단백질과 동위효소의 유형을 비교 분석함으로 종과 품종을 구분할 수 있는가의 가능성을 조사하고 전기영동에 적합한 난의 부위와 효소의 종류를 선정코자 실시하였다. 1. 한국춘란은 부위별로 꽃봉오리, 뿌리끝, 어린잎, 성엽을 6% polyacrylamide slab gel로 단백질을 비교한 결과 부위별로 유형을 달리하였으나 band의 분리가 명확하지 않았다. 2. 10% SDS polyacrylamide slab gel에서는 band의 분리가 명확하였고 영동재료로는 어느 때나 쉽게 채취가 가능한 잎이나 뿌리를 사용하는 것이 편리하나 뿌리는 phenol 함량은 적으나 단백질 함량이 극히 낮으므로 잎을 시료로 쓰는 것이 양호한 편이었다. 3. 잎을 시료로 쓰는 경우는 엽록소, phenol의 제거가 필요하나 배양중인 rhizome을 사용하면 이러한 난점이 없이 단백질 유형이 뚜렷이 나타나, 춘란(Cymbidium goeingii), 한란(C, kanran), 죽백란(C, lancifolium)을 구분할 수 있었다. 4. Rhyzome의 esterase, peroxidase, acid phosphatase, glucose phosphate isomerase의 동위효소를 비교한 결과 단백질 유형으로는 분류가 어려웠던 춘란(Cymbidium goeringii)과 춘란복륜(Cymbidium goeringii:variated leaves)도 구분할 수 있었다. Peroxidase는 band는 여러가지로 나타났으나 esterase와 같이 band pattern이 명확지 못하였고 acid phosphatase와 glucose phosphate isomerase는 한개씩의 band만이 나타나 분류에는 적합하지 않은 효소로 생각되어졌다. The buffer soluble proteins were extracted from flower, root, young leaves, old leaves, and cultured rhizome. Different patterns of general protein were observed among the tested organs. Among the samples rhizome were the most suitable for electrophoresis to differentiate cultivars. Band patterns of general protein, esterase, peroxidase showed typical band patterns among Cymbidium goeringii, Cymbidium kanran, and Cymbidium lancifolium which have similar appearance of vegetative leaves. The isozymes of esterase, peroxidase, acid phosphatase, and glucose phosphate isomerase in cultured rhizome were analized. The well-resolved zones of esterase activity were detected. The differentiation of Cymbidium goeringii and Cymbidium goeringii : variated leaves which was hard to differentiated by general protein patterns, could be done by esterase isozyme band pattern.

GC/MS를 이용한 육두구 향미성분 분석

차은주,김남선,전명숙,이동선 서울여자대학교 자연과학연구소 2007 자연과학연구논문집 Vol.19 No.-

The characterization of the powerful flavor components of the nutmeg (Myristica fragrans) belongs to the myristiaceae was carried out by head space solid phase micro-extraction (HS-SPME) and gas chromatography ion trap mass spectrometry (GC/MS) with electron impact ionization. In HS-SPME, a bipolar carboxen/PDMS (black hub, 75 μm thickness) fiber was used. A total of 33 compounds were identified in the ground kernel of the nutmeg. Predominant volatile aroma compounds of the nutmeg were sabinene (16.04%), α-pinene (11.62%), β-pinene (9.57%), γ-terpinene (7.92%), (+)-limonene (7.44%), α-thujene (6.18%), and β-myrcene (5.33%). β-Phellandrene (4.72%), α-terpinene (4.69%), ρ-cymene (3.98%), α-copaene (3.46%), elemicin (3.18%), (-)-terpinen-4-ol (3.06%), myristicin (1.95%), terpinolene (1.91%), safrole (1.35%), α-phellandrene (1.33%), β-selinene (0.97%), 2-ρ-tolypropene (0.83%), 3-carene (0.71%), aromadendrene (0.69%), germacrene D (0.56%), methyl eugenol (0.55%), farnesene (0.40%), α-terpineol (0.28%), β-caryophyllene (0.25%), myrtenyl acetate (0.21%), sabinene hydrate (0.21%), linalool (0.14%), terpinyl acetate (0.14%), DL-camphene (0.13%), bornyl acetate (0.12%), and calamenene (0.08%) were found as minor constituents.