보건소 중심 모유수유 증진 프로그램 운영의 효과

유재순 忠州大學校 2008 한국교통대학교 논문집 Vol.43 No.-

Purpose: The purpose of this study was to investigate the effects of community based breast feeding promotion program during prenatal and postpartum period. Method: This quasi-experimental study was designed with a one-group pre-post test. The subjects of this study were pregnant women participating a prenatal breast feeding education program in public health center in Chungbuk province and breast feeding monitoring in weeks 1~2, 3~4, 7~8, 11~12 of postpartum period by staff's phone counseling, home visiting and entering health center. The total number of mothers participate in this study was 44. The data were collected from March to December, 2006. Result: After the program, the scores in breast feeding knowledge, belief and attitude, confidence at post-test were significantly higher(t=-3.239, p=.002; t=-2.214, p=.032; t=-5.500,p=.000). Complete breast feeding rate within 1~2 week after birth was 63.6%. Complete breast feeding rate within 3~4 weeks, 70.5% and 7~8 weeks, 70.5% and 11~12 weeks, 68.2%. Conclusion: This program may be useful intervention to increase breast feeding knowledge, belief and attitude, confidence at prenatal period and breast feeding prevalence at postpartum period. In this study I could identify several positive effects of breast feeding promotion program during prenatal and postpartum period by public health center.

유아체육활동에서 나타나는 안전사고의 현황

유재경,이순례 한국유아체육학회 2003 한국유아체육학회지 Vol.4 No.-

본 연구는 경기도내 유치원의 유아체육교사를 대상으로 체육활동시 안천사고실태, 안전사고 요인, 유아체육교사의 안전사고 예방인식 및 예방행동, 안전사고와 관련된 연수현황을 살 펴보기 위해 설문조사를 하였다. 설문지 조사 결과, 유아체육교사 대부분이 유아체육활동시 안전사고를 경험하고 있었고, 유아체육활동시 안전사고 주요한 발생요인이 아동측면에 있었 다. 유아체육교사들은 유아의 안전사고에 대 해 높은 관심을 갖고 있었고, 대부분 안전사 교 예방교육을 실시하고 있었다. 안전사고 관 련된 교육과 연수를 받지 않은 교사는 30.6% 이었고, 안전사고 관련 교육이나 연수가 대부 분의 안전사고 예방을 할 수 있다고 보았다. The main purpose of this study was to examine safety accidents during physical activity time with young children. Specially, the purposes were: 1) to examine the rates of safety accidents during physical activity time; 2) to investigate the causes of safety accidents; 3) to examine early childhood physical teachers' perception and practices regarding safety precautions; 4) to investiate early childhood physical teachers' education for safety. Results of this study can be summarized as follows: First, most early childhood physical teacher(79.5%) experienced safety accidents. Second, the major cause of safety accidents was children's factor(57.1%). Third, early childhood physical teacher had high level of perception and practices regarding safety education for young children. Fourth, 36% of early childhood physical teachers had not any kind of education for safety. Early childhood physical teachers believed that teacher education for safety could pevent safety accidents.

중학생의 건강위해 행위 및 관련요인에 대한 진단적 연구 : PRECEDE 모형을 근간으로 Based on the PRECEDE model

유재순 韓國學校保健學會 2002 韓國學校保健學會誌 Vol.15 No.1

The middle school students' health hazard behaviors, health education needs, related to health hazard behaviors and life, were investigated on the basis of the PRECEDE model, for the purpose of a diagnostic research on health education. The data for this study were collected from the sample consisted of the middle school in Chongju for two weeks period in December, 2001. In analyzing the data, t-test, one-way ANOVA and χ^2-test were done by using SPSS 10.1 for window to compare data between the sexes of the students and grades of the students. A Pearson's correlation analysis was carried out to determine the relationships among the diagnostic variables. The Pearson's correlation between health behavior and life satisfaction was .52, which was significant at the level of P〈.01. The Pearson's correlation between drug use behavior and mental health was .40, which was significant at the level of P〈.01. The relationships between each diagnosis variable suggested by the PRECEDE model had been experimentally proven to be valid, supporting the conceptual framework of the study as appropriate for assessing the students' health and health education needs. The significance of this research is that it has diagnosed the needs of middle school health education by assessment of factors related to health hazard behaviors and meantal health of the students. The research findings suggest an integrated system of school health education to be contrieved to enhance the effectiveness of the education by strengthening the related factors such as parents' interest to improve the health of middle school students

Thianthrene의 진동 스펙트럼과 형태 구조 연구

유순주,주재범 한양대학교 이학기술연구소 1999 이학기술연구지 Vol.1 No.-

고체 상태의 thianthrene에 대한 적외선, 라만 스펙트럼을 측정하였으며, 스펙트럼에서 관측된 진동 밴드의 위치, 세기 등을 양자역학적인 DFT, SCF-HF 방법에 의하여 계산한 결과들과 비교, 분석 하였다. 그 결과, DFT/B3LYP 방법에 의하여 계산된 값들이 SCF-HF 방법에 의하여 계산된 결과들보다 실험적인 진동 파수 값과 세기를 정확히 재현하였다. DFT/B3LYP 방법에 의하여 계산된 thianthrene의 평면 구조와 구부러진 구조간의 에너지 차이는 22kJ/mol로써 anthracene(8 kJ/mol)이나 dibenzo-p-dioxin(0 kJ/mol)보다 매우 큰 값을 가지는데, 그 이유는 S 원자의 경우 C나 O 원자보다 HOMO의 국부화가 증가하여 P_(x)-π 분자궤도간의 결합이 감소하기 때문이다. 그 결과, thianthrene은 두벤젠 고리면의 각도가 129˚ 정도 구부러진 평형 구조로 존재한다. The solid-phase infrared and Raman spectra of thianthrene have been recorded and analyzed. The vibrational frequencies, absolute intensities, and equilibrium structure of the molecule have been also predicted using SCF-HF and DFT/B3LYP computational methods. The DFT method using Becke's threeparameter functional (B3LYP) has led to the prediction of more accurate vibrational frequencies than the conventional HF method. The energy difference, between the planar and puckered conformers,has been also calculated using the B3LYP method. The calculated barrier height of thianthrene is 22kJ/mol and this value is much higher than the barriers of anthracene (8 kJ/mol) and dibenzo-p-dioxin (0 kJ/mol). This is because the P_(x)-π molecular orbital interactions decrease with increasing localization of the HOMO on the S atoms. As a result, thianthrene has the most folded equilibrium structure with a folding angle of 129˚.

청소년기의 건강증진과 학교보건교육의 발전방향

유재순 韓國學校保健學會 1998 韓國學校保健學會誌 Vol.11 No.1

Adolescent health is considered to contribute to health promotion in the home and community in the near future as well as individual health. However, adolescent health has been neglected from education field because of competitive school education focused on the university entrance examination. That's why I suggest in this study that we should pay much more attention to adolescent health condition and try to make it better, in terms of man-power development and life-health promotion for nation development. The purposes of this study are as follows : First, to look into a variety of adolescent health problems. Second, to find out the situation and problems of current adolescent health promotion and school health education. Third, to make an effort to find, based on the current situation, various developments of adolescent health pomotion and school health education in terms of practical, political and environmental change. There are used study methods as adolescent-related, school heath-related literature review and anlysis of statistical data. The results and suggestions are as follows Teenagers have a great variety of health problems including most important physical, mental and social developments. Recently, chronic diseases, emotional problems, health-risk behaviors linked with adolescents are on increase. The complicated disorders of physical, mental. social health rather than paricular aspects of health or health-behavior problems inf1uence adolescent health problems. adolescence is regarded as the period when most health-related behaviors are formed. Therefore, adolescent health promotion would be assured by developing the ability of controlling multi-dimensional health determinants in the early stage. Health promotion is a positive concept that each individual, family and community makes real efforts to improve their health. To achive this, we need health educational, organizational, political and environmental supports. Adolescent health promotion in Korea has been systematically treated in the category of school health. Current school health services have had lots of systemic, constitutional, administrative and educational flaws. Accordingly, I'm concerned that we can afford to accept a variety of adolescent health needs. However, I would say that if were not to make those flaws better, it's certain that Korean national competitive power and the quality of the lives of most Koreans will be threatened someday. We have to develop Comprehensive School Health Crriculum(CSHC) and set up its standards to improve adolescent health. CSHC is an organizational and costant process. CSHC means an important part of overall curriculums. In addition, I could say that it's an important school health education acivity including current school health services-health care service and school health environment-. In conclusion, in order to develop CSHC, we require school nurse's role changes, establishment and management of intergrated subject of health education, striking revision of school health. law(or legislation of school health promotion law), reorganization of administration system, big changes in curriculum for school health educators.

젖소 말초혈액 림프구로부터 소백혈병 바이러스 배양 및 전자현미경적 관찰

윤순식,박중원,변재원,강문일,유한상,한홍율 韓國電子顯微鏡學會 2005 Applied microscopy Vol.35 No.1

국내 젖소의 54.2%가 BLV에 감염되어 있지만 현재까지 국내에서는 소백혈병 바이러스 (BLV) 입자를 확인한 연구 보고가 없기 때문에 BLV 항체 양성 소의 말초혈액림프구를 배양, BLV를 발현시켜 전자현미경으로 바이러스 입자를 검출하였고 배양조건에 따른 바이러스 발현율 및 발현 시간을 비교하였다. 검사 결과 전형적인 C-형 바이러스를 확인할 수 있었으며 BLV 단크론 항체를 이용한 면역염색결과 BLV 항원 양성으로 확인되었다. BLV 는 대부분 세포 외부에 분포하고 있었으며 세포질 막에서 생성, 발아되어 나오는 것도 관찰되었다. 전체 바이러스의 크기는 90~100 nm였으며 nucleocapsid는 40~60nm였다. 소태아혈청 (FBS)과 T- 및 B-림프구 분열촉진물질(mitogen)을 각각 첨가하여 배양한 결과 두 군 모두에서 BLV 발현이 확인되었다. Lipopolysaccharide 첨가군은 배양 12시간, Conconavalin A 첨가군은 배양 24시간에 각각 림프구의 10%에서 바이러스가 관찰되었다. 또한 FBS만 첨가한 군과 FBS와 mitogen을 모두 첨가하지 않은 군에서도 관찰되었으나 바이러스의 수는 적었다. 본 연구에서 확립된 BLV 배양 기법을 활용하면 BLV에 감염된 소 중 바이러스를 발현하는 소, 즉 전파능이 있는 개체를 찾아내어 우선적으로 도태할 수 있기 때문에 BLV 감염으로 인한 피해를 막는데 효과적으로 이용될 수 있을 것으로 사료된다. Many studies have been performed on the bovine leukemia virus (BLV) since bovine leukosis had been reported in 1968 in Korea. However, there was no report on the ultrastructural examination of BLV. An attempt to detect C-type viral particles in the cultured peripheral blood lymphocytes of Holstein-Friesian dairy cattle, was made to determine whether in vitro viral expression might be used as a reliable method to identify the cow which is likely to transmit BLV. In transmission electron microscopic (TEM) examination, the virus particles were found predominantly outside of the lymphocytes even though a few particles were also observed within the membrane bound cytoplasmic vacuoles. All of them were C-type particles consisting of a central, electron-dense core separated by a clear area from a limiting envelope with a unit membrane structure. Virus particles were easily detected in the lymphocyte which was cultured with medium supplemented with either T-lymphocyte mitogen (conconavalin A) or B-lymphocyte mitogen (lipopolysaccharide). Identical viral particles, although fewer, were also consistently present in the lymphocytes cultured with medium which was containing foetal bovine serum (FBS) only and which was containing neither FBS or mitogen. By contrast, no virus particle was detected in extensive examination of lymphocytes before culture. In conclusion, the BLV cultivation and detection methods established in this study could be used as a tool to identify and eliminate the cattle which can transmit the BLV.

Caco-2 세포 단층막 투과 실험시 교반이 약물의 투과계수에 미치는 영향

홍순선,유호정,이홍,정석재,김대덕,심창구 한국약제학회 2005 Journal of Pharmaceutical Investigation Vol.35 No.2

The unstirred water layer (UWL), which has been known to exist in the boundary of the intestinal lumen and intestinal wall, often behaves as an absorption barrier especially for lipophilic drugs. The intestinal absorption of drugs is often characterized using Caco-2 cell monolayers grown on Transwell polycarbonate membranes. The permeability (Pare) of drugs across the cell monolayer might be influenced by the agitation of the donor compartment, since the width of UWL on the surface of the cell monolayer would be reduced by the agitation. In this study, the effect of agitation of the donor compartment with 60 rpm on the permeability was measured for 12 drugs with a wide range of lipophilicity and permeability. The of mannitol, tributylmethyl ammonium, cimetidine, ranitidine, hydrocortisone, benzylpenicillin and loxoprofen was not influenced by the agitation, while the P_(app) of theophylline, propranolol, YH439, phenylpropanolarnine and testosterone was increased by the agitation. There was a significant correlation between the increase of P_(app) by agitation and the lipophilicity for the compounds having P_(app) > 2 x 10^(-5) cm/sec. No correlation was observed for the difference in P_(app) by agitation and the molecular weight, or lipophilicity of the drugs. Therefore, the agitation rate of the donor compartment in the Caco-2 cell monolayer study should be carefully controlled in order to estimate Pap, reproducibly especially for iipophilic drugs.

대학에서의 TQM 추진에 관한 연구 : S 대학의 사례를 중심으로

이재관,유한주,이영순 한국품질경영학회 2003 품질경영학회지 Vol.31 No.2

TQM which has been applied to the industry area is widely accepted to the non-for-profit area and public sector. Especially educational institution including university and college has adopted TQM as a competitive weapon in several developed countries such as United States and United Kingdom. But there is no interest in the Korean educational area except for several colleges which have got IS0 9000 certification. In this study, we analyzed several best-practiced foreign colleges which have applied TQM to improve their competitiveness. Also, we tried to explore the applicability of TQM to the Korean educational area by developing TQM model for 'S' college.

부모 기록용 아동 행동 조사표에 의한 초등학교 어린이들의 정서와 행동문제 연구

여순,홍유라,박재선,이용환,김민향 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

목적: 외견상 정상으로 간주되는 일정 지역사회 어린이들을 대상으로 문제성 정서․행동의 빈도를 알아보고, 이들 정서․행동 문제의 빈도와 사회경제적 요인들과의 관계를 알아보고자 하였다. 방법: 부산광역시의 일개 초등학교 1, 3, 5학년 어린이 700명을 대상으로 아동 행동 증상 목록표(Pediatric Symptom Checklist, PSC)로 된 설문지를 배부하였다. 설문지에는 50 항목의 행동 증상을 짧게 적고 부모가 각각의 행동 빈도에 “전혀 아님”, “가끔”및 “자주” 중 하나를 표시하도록 하였고, 아동의 건강상태, 부모 자녀간의 대화방식, 부모의 수입과 교육수준도 함께 조사하였다. 또한 일부 항목에 대해 원하는 경우, 담임선생님에 의해 이중으로 기록하게 하였다. 회수된 설문지 609매를 대상으로 빈도가 “전혀 아님”은 0, “가끔”은 1점, “자주”는 2점을 부과해 합산한 뒤 분석하였다. 결과: 피검아동 609명이 50개 문항의 행동들에서 “가끔” 또는 “자주”에 응답한 예의 빈도는 0.9-65.3%의 분포를 보였으며, 응답률에서 5%미만이 4개, 5-20%가 15개, 21-50%가 27개, 51%이상이 4개 문항이었고, 문제행동 총점들의 평균은 14.03(범위 0-43, 표준편차 8.96)점이었다. 빈도가 50%이상이었던 행동들은 “잘 울고 화내고 짜는 소리하기(총 65.2%, 남 62.75%, 여 67.9%)”, “부끄럼을 타고 남 앞에 나서기 두려움(총 60.9%, 남60.0%, 여 61.8%)”, “머리, 배, 다리가 자주 아프다(총55.8%, 남 53.1%, 여 58.8%)”, “집중하기 힘들다(총53.0% 남 55.5%, 여 50.4%)”의 4문항이었다. 성별 비교에서, 여아는 “새롭고 낯선 환경에서 겁이 많고 적응하기 힘들다”, “아무도 자신을 좋아하지 않아 희망이 없다고 느낀다”라는 두 문항에서만 남아에 비해 빈도가 높았으며(P<0.05), 문제 행동 유형별 비교시 주의산만 유 형, 공격성 유형은 남아에서, 불안은 여아에서 유의하게 높았다. 그러나 문제 행동 총점의 평균은 남녀 각각 14.44, 13.60로 유의한 차이가 없었다. 건강한 피검자 군의 총점 평균은 13.64로 이상이 있는 군의 17.29와 유의한 차이를 보였다(P=0.007). 건강한 친부모와 생활하는 피검자 군에서의 총점 평균은 13.68로 그 외 군에서의 15.92와 유의한 차이를 보였다(P=0.025). 부모자녀간의 대화방식에서 비효율적인 방법을 많이 사용하는 경우(4점이상군), 문제 행동의 총점이 16.77로서 3점 이하군의 9.48과 현저한 차이를 보였다(P<0.001). 결론: 조사 대상 어린이들의 과반수 이상은 잘 울고, 부끄러워 남앞에 나서길 두려워하며, 신체 통증을 자주 호소하고, 주의산만하다는 정서․행동의 특성을 가지고 있었다. 전체 문제 행동들의 빈도에 영향을 주는 인자로는 어린이의 외관상 건강상태, 가족 구성원의 구조, 부모의 대화습관이었고 부모의 경제력이나 학력과는 유의한 상관관계가 없었다. 문제성 정서․행동의 빈도에 가장 강력한 변인은 부모의 효율적 대화능력으로 생각되었다. Background : This study was conducted to identify the types and prevalence of emotional and behavioral problems in primary school children based on a Pediatric Symptom Checklist (PSC) which was filled out by parents. Methods : The subjects were 609 children between the age of 7 to 11 in one primary school in Busan, Korea. The PSC containing 50 behavior items were initially rated by parents and checked again by teachers in 17 items for the children whose parent consented to review. The PSC is scored by assigning 0 for never, 1 point for sometimes, and 2 point for often, and then adds the points for overall score. Parental attitudes of communication with their children were also assessed by scoring of parental responses to the questionnaire. Comparison of total behavior scores and other factors including parental competency scores were also made. Results : In each items of 50 behavioral problems, the frequency which is comprised of often true and sometimes true were widely distributed from 0.9% to 65.3%. The most common problem behavior was "crying easily and become angry"(often+sometimes: 65.2%) The next common problem behaviors were "shyness and being afraid of strange people"(60.9%), "complains of bodily aches or pains"(55.8%), "has trouble in concentrating"(53.0%), "be afraid of new situation with uneasiness"(44.5%), and "prefers to spends more time alone indoors"(43.3%) in descending order of frequency. In sexual comparison of frequency of problem behaviors, girls had significantly high frequency in two items-"be afraid of new situation with uneasiness"(P=0.018) and "no one likes him or her and has no hope" (P=0.029). On classifying 50 items into 8 behavior patterns, boys revealed higher frequencies in the behavior of inattention, impulsivity, hyperactivity and anger, aggression, antisocial activity, while girls revealed higher frequencies in the behavior of anxiety. The mean total problem scores were significantly lower in the children of healthy group (healthy 13.64 vs unhealthy 17.29, P=0.007), living with healthy biological parents (biological 13.68 vs others 15.92, P=0.025) and parents who were using less destructive communication (barrier score≤3 9.48 vs barrier score≥4 16.77, P<0.001). There was no significant correlation between the mean total problem scores and variables such as sex, grade, incomes, and educational career of mother. Conclusions : Crying easily, shyness, bodily aches, difficulty in concentrating, being afraid of new situation with uneasiness, and loneliness were commonly prevalent behaviors in the children of the primary school studied. Total problem scores were significantly higher in children with physical handicaps, children living without both biological parents, and most remarkably in children who were cared by parents with poor communication skills

유기용제에 장기간 폭로된 근로자의 정신의학적 기능과 삶의 질

김석재,강순아,유지숙,국승희,윤진상,문재동,이형영 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.5

연구목적: 본 연구는 Y공단의 제조공정에서 저농도의 유기용제(solvent)에 장기간 노출된 근로자의 정신의학적 기능과 삶의 질을 평가하고자 하였다. 방법: 총 142명의 남성근로자 중 유기용제에 폭로된 군(이하 폭로군) 82명과 폭로되지 않는 군(이하 비폭로군) 60명에게 간이정신진단검사(Symptom Checklist-90-R, SCL-90-R), 인지 및 정신운동성검사 (Critical Flicker Fusion Threshold. CFFT; Choice Reaction Time, CRT;Compensatory Tracking Task, CTT;Digit-Symbol Substitution, DDS) 및 한국판 스미스클라인 비챰 삶의 질 척도(Korean version of the SmithKline Beecham 'Quality of Life' Scale, KvSBQOL) 등을 적용하였다. 두 군간의 비교는 평가치의 평균에 대해 t-검증을 하였고 또한 연령과 학력을 공변인으로한 공변량분석(ANCOVA)을 하였다. 결과: SCL-90-R의 9개 증상 차원과 3개 전체 지표 점수는 두 군이 각각 정상범위였다. 그러나 신체화 (Somatization, SOM), 우울(Depression, DEP), 적대감(Hostility, HOS), 공포불안(Phobic anx-iety, PHOB)의 증상차원과 전체심도지수(Global Severity Index, GSI), 표출증상합계(Positive Symptom Total, PST)의 전체 지표는 폭로군이 비폭로군보다 유의하게 높았다. 인지 및 정신운동성 검사와 삶의 질은 두 군간에 유의한 차이는 없었다. 결론: 이상의 결과는 유기용제가 허용치 이하일지라도 장기간 폭로되는 경우에는 정신의학적 문제를 다소 일으킬 수 있음을 시사하였다. 중심단어:유기용제·근로자·정신건강·정신운동성 기능·삶의 질. Objectives: The aim of this study was to evaluate the psychiatric function and quality of life of the chemical workers who had been exposed to long-term, low-level organic solvents in the Y industrial complex. Method: A total of 144 male workers, of whom 82 were in the exposed group and 60 in the unexposed-control group, were evaluated by using Symptom Checklist-90-R(SCL-90-R), series of neuropsychological tests(critical flicker fusion threshold, CFFT) ; choice reaction time, CRT ; compensatory tracking task, CTT) ; digit symbol substitution test, DSS), and the Korean version of the SmithKline Beecham Quality Of Life scale(KvSBQOL). For the statistical analyses, comparisons of the means of the two groups were performed for each variable with two-tailed t-test as well as ANCOVA including age and education as covariates. Results: For the SCL-90-R, the nine symptom scales and the three global indices were clinically within normal range in both groups. However, the scores on the symptom scales of 'somatization','depression','hostility' and 'phobic anxiety', and those on the global indices of 'global severity index' and 'positive symptom total', were significantly higher in the exposed group than in the unexposed group. In terms of the neuropsychological function and the quality of life, there wes no significant difference between the two groups. Conclusion: These findings suggested that the long-term eposure to mixed organic solvents, even at the low level below the permissible exposure limit, might induce some psychiatric problems. KEY WORDS: Organic solvent·Worker·Mental health·Psychomotor function·Quality of life.