GIS 공간분석 기술을 이용한 국내 고병원성 조류인플루엔자 발생 고위험지역 분류

박선일,정원화,이광녕 한국임상수의학회 2019 한국임상수의학회지 Vol.36 No.1

Highly pathogenic avian influenza (HPAI) is among the top infectious disease priorities in Korea and the leading cause of economic loss in relevant poultry industry. An understanding of the spatial epidemiology of HPAI outbreak is essential in assessing and managing the risk of the infection. Though previous studies have reported the majority of outbreaks occurred clustered in what are preferred to as densely populated poultry regions, especially in southwest coast of Korea, little is known about the spatial distribution of risk areas vulnerable to HPAI occurrence based on geographic information system (GIS). The main aim of the present study was to develop a GIS-based risk index model for defining potential high-risk areas of HPAI outbreaks and to explore spatial distribution in relative risk index for each 252 Si-Gun-Gu (administrative unit) in Korea. The risk index was derived incorporating seven GIS database associated with risk factors of HPAI in a standardized five-score scale. Scale 1 and 5 for each database represent the lowest and the highest risk of HPAI respectively. Our model showed that Jeollabuk-do, Chungcheongnamdo, Jeollanam-do and Chungcheongbuk-do regions will have the highest relative risk from HPAI. Areas with risk index value over 4.0 were Naju, Jeongeup, Anseong, Cheonan, Kochang, Iksan, Kyeongju and Kimje, indicating that Korea is at risk of HPAI introduction. Management and control of HPAI becomes difficult once the virus are established in domestic poultry populations; therefore, early detection and development of nationwide monitoring system through targeted surveillance of high-risk spots are priorities for preventing the future outbreaks.

간호 대학생의 학업적 효능감, 자신감이 창의적 문제해결 능력에 미치는 영향

박선일 사단법인 한국융합기술연구학회 2022 아시아태평양융합연구교류논문지 Vol.8 No.9

본 연구는 간호 대학생의 학업적 효능감, 자신감, 창의적 문제해결 능력의 정도를 파악하고, 창의적 문제해결 능력에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 연구의 대상은 J도와 K시 소재 2개 대학의 간호학과 재학생으로 193명이다. 자료수집 기간은 2021년 11월 1일부터 20일까지이며 자가보고 형식의 구조화된 설문지로 자료를 수집하였다. 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 학업적 자기효능감은 입학동기, 기본간호학 실습에 대한 흥미, 자율실습 참여태도에서 통계적으로 유의한 차이가 있었다. 자신감은 입학동기, 기본간호학 이론 수업에 대한 흥미, 자율실습 참여 태도에서 통계적으로 유의한 차이가 있었다. 창의적 문제해결 능력은 성별 종교, 입학동기, 기본간호학 이론 수업에 대한 흥미, 자율실습 참여태도, 기본간호학 실습 수업에 대한 참여 태도, 자율실습연습 시간에서 통계적으로 유의한 차이가 있었다. 회귀분석결과 창의적 문제해결능력에 가장 주요한 예측 요인은 학업적 자기효능감, 자신감, 자율실습 참여 태도, 입학동기인 것으로 나타났다. 기본간호학 실습교육에서 창의적 문제해결 능력을 발휘 할 수 있도록 기본적인 학업수행의 자세와 기술을 위한 능동적인 학습능력 배양을 위한 수업설계와 수행 자신감 향상을 위한 자율실습과 같은 반복학습의 기회를 충실히 제공하여 다양한 간호의 상황에 따라 적절한 간호를 수행하여 임상수행에 필요한 간호실무 수행을 증진시킬 수 있는 것으로 보인다.

Analysis of changes in social awareness in livestock stamping out using newspaper articles

박선일,배선학 한국예방수의학회 2020 예방수의학회지 Vol.44 No.1

The purpose of this study was to find the change in social awareness in livestock stamping out over time. We used the text data mining method for this study. The data used in this analysis comprised approximately 5,600 newspaper articles. The data were sourced using the keywords 'livestock stamping out' 2010-2017, and classified into two-year intervals. The analysis showed a change in perspective on livestock disease and prevention activities over time. Additionally, it was confirmed that problems related to 'ethics' were continuously raised during the entire period. Prevention activities cannot succeed without the support and participation of people. Thus, the results of this study can be used to establish and implement livestock disease prevention policies.

간호조무사 자격시험 준비생에게 적용한 환자 안전 예방지도 프로그램의 효과

박선일,노은아 사단법인 한국융합기술연구학회 2023 아시아태평양융합연구교류논문지 Vol.9 No.2

The purposed of this study was to identify the effects of a patient safety prevention program to subjects preparing for the nursing assistant exam. This is a similar experimental study with a one group pretest-posttest design to determine the effect by measuring the differences in learning motivation regulation, educational achievements, and educational satisfaction before and after the program. The study subjects were 47 people who agreed to participate in the study. The program was conducted for 120 minutes once a week, for 7 weeks. The main contents are the concept of patient safety prevention, medical quality, patient safety law, types and prevention of medical accidents, practice of patient safety management (infection, communication, patient identification, medicine management, food poisoning, falls), facility and fire management. This study was conducted from March to June 2022, Data were analyzed using SPSS/WIN 22.0 version. After the patient safety prevention program, learning motivation regulation and education achievements were significantly improved. Educational satisfaction averaged 4.5 out of 5. It is intended to be used as an essential program for patient safety prevention activities. Nursing assistants a preparatory student for a qualification examination will be able to improve their ability to perform patient safety through the patient safety prevention program. 본 연구는 환자 안전 예방을 위한 주요 역할을 수행할 수 있도록 간호조무사 자격 시험을 준비하는 대상자에게 환자 안전 예방 프로그램을 적용하여 학습 동기 조절, 교육 성취 및 교육 만족도의 효과를 확인하기 위한 단일군 전후 유사 실험설계 연구이다. 본 연구의 대상자는 연구의 목적을 이해하고 참여하는 것에 동의한 47명이다. 환자 안전 예방 프로그램은 7주간 주 1회 2시간씩 실시하였다. 주요 내용은 환자 안전 예방의 이해와 개념, 의료의 질관리, 의료기관 인증평가, 환자안전법, 의료사고의 종류와 실제, 환자 안전관리의 실제(감염, 의사소통, 환자확인, 의약품관리, 식중독, 낙상), 시설 및 화재관리로 이루어져 있다. 본 연구는 2022년 3월부터 6월까지 진행 되었으며, 수집된 자료에 대한 분석은 SPSS 22.0을 이용하였다. 연구 결과 환자 안전 예방 프로그램 참여 전 보다 프로그램 참여 후 학습 동기 조절, 교육 성취의 평균 점수가 증가하였으며 통계적으로 유의한 결과를 나타내었다. 환자 안전 예방 프로그램 후 대상자에게 교육 만족도를 측정한 결과 교육 만족도 5점 만점에서 평균 4.5점이었으며 통계적으로 유의한 결과를 나타내었다. 본 연구 결과를 통하여 환자 안전 예방 프로그램이 간호조무사 시험을 준비하는 대상자에게 환자 안전 예방 활동을 충실히 수행 할 수 있는 프로그램으로 활용되어 환자 안전을 수행할 수 있는 역량을 증진시킬 수 있을 것이다

타이치 운동프로그램이 시설에 거주하는 뇌졸중 대상자의 상지기능, 기능적 독립 및 재활동기에 미치는 효과

박선일,서은희,조복희 한국운동재활학회 2012 JER Vol.8 No.4

강원도 춘천 지역 개의 비만 유병률과 위험요인에 대한 단면연구

박선일 한국임상수의학회 2014 한국임상수의학회지 Vol.31 No.1

As with humans, overweight or obesity is a major health concern in the companion animal population. A cross-sectional questionnaire-based survey of dog owners attending primary small animal veterinary practices fromdifferent areas in Chuncheon, Kangwon province, Korea was undertaken to explore the relationships between socioeconomicand other relevant risk factors associated with canine obesity. In addition, the author was to estimate theprevalence of obesity compared to published literatures for dogs. Owners were asked about dog age, neuter status,feeding habits, dog exercise, household income and owner age. The body condition score (BCS) of the dogs wasalso assessed. Multivariable binary logistic regression was used to assess the association between BCS and potentialrisk factors controlling for confounding variables, using odds ratios (OR), 95% confidence intervals (CIs). A total of275 dogs (136 males and 139 females) aged 1-12 years (mean age 5.6 ± 3.7 years) were surveyed in 2013. Of these,46.9% of dogs (n = 129) were classed as an ideal body shape (BCS = 3), 30.9% (n = 85) were overweight (BCS = 4),8.4% (n = 23) were obese (BCS = 5) and 13.8% (n = 38) were underweight (BCS = 1 or 2). Neutered males and spayedfemales had the highest prevalence of obesity (43.4% and 33.9%); intact females had the lowest prevalence of obesity(31.6%). In univariable model, risk factors associated with canine obesity are multifactorial and include owner income,owner age, age of dog, neuter status, frequency of feeding per day, frequency of snacks and consultation with veterinarianon dog’s weight. In final multivariable logistic regression model, dogs whose owners reported no consultation withveterinarians for weight management were significantly more likely to be obesity than ideal (OR = 7.6, 95% CI, 4.2-13.8; p < 0.0001). This study showed a high prevalence of obesity in domestic companion dogs. Since this was across-sectional study with small samples, the association of canine obesity with risk factors warrants more research. To the author’s best knowledge, this is the first Korean study on dog body condition and obesity.

진단검사의 특성 추정을 위한 표본크기

박선일,오태호 한국임상수의학회 2015 한국임상수의학회지 Vol.32 No.1

There has been increasing attention on sample size requirements in peer reviewed medical literatures. Accordingly, a statistically-valid sample size determination has been described for a variety of medical situations including diagnostic test accuracy studies. If the sample is too small, the estimate is too inaccurate to be useful. On the other hand, a very large sample size would yield the estimate with more accurate than required but may be costly and inefficient. Choosing the optimal sample size depends on statistical considerations, such as the desired precision, statistical power, confidence level and prevalence of disease, and non-statistical considerations, such as resources, cost and sample availability. In a previous paper (J Vet Clin 2012; 29: 68-77) we briefly described the statistical theory behind sample size calculations and provided practical methods of calculating sample size in different situations for different research purposes. This review describes how to calculate sample sizes when assessing diagnostic test performance such as sensitivity and specificity alone. Also included in this paper are tables and formulae to help researchers for designing diagnostic test studies and calculating sample size in studies evaluating test performance. For complex studies clinicians are encouraged to consult a statistician to help in the design and analysis for an accurate determination of the sample size.

중학생 대상 마음챙김 기반 인성프로그램의 효과

박선일 사단법인 한국융합기술연구학회 2021 아시아태평양융합연구교류논문지 Vol.7 No.8

이 연구의 목적은 중학생을 대상으로 마음챙김 기반 인성교육프로그램을 개발하여 적용하는 데 있다. 이러한 목적을 달성하기 위하여 문헌 연구를 통해 마음챙김 기반 중학생 대상 인성교육프로그램 틀을 도출하고 전문가로부터 타당성을 검증받았다. 연구 대상자는 42명의 학생이다. 주 1회 45시간 4회기로 인성프로그램을 실시하였고 자료수집은 프로그램 시작 전에 사전 조사하였으며, 5주 차에 사후 조사를 실시하였다. 각 변수의 측정은 해당 연구 도구를 이용하여 측정하였다. 수집된 자료는 SPSS 20.0프로그램을 이용하여 양적분석을 하였다. 자료수집을 통해 적합성 및 효과성을 검증하였다. 이러한 연구에 따른 결과는 다음과 같다. 첫째, 마음챙김 기반 중학생 인성교육프로그램 적용 내용 및 목표를 타당성 있게 개발하였다. 둘째, 학생들의 자료수집의 통하여 본 프로그램이 학생들의 자아존중감, 자기이해, 자기개방을 향상시킬 수 있음을 확인하였다. 마음챙김 기반 인성프로그램 후 자아존중감, 자기이해, 자기개방에서 모두 통계적으로 모두 증가하였다. 추후 이러한 결과를 바탕으로 청소년 시기 중학생의 자아존중감과 자기이해 및 자기 개방에 긍정적인 향상을 도모할 수 있는 인성교육프로그램으로 확장시키고자 한다.

Sucralose 첨가에 따른 참외 생쌀발효 막걸리의 품질특성

박선일,조용준,서지형,김옥미,석다나,정용진 한국식품영양학회 2014 한국식품영양학회 학술대회논문집(학술심포지움) Vol.2014 No.06

이단계표본추출을 이용한 소결핵병 유병률 추정

박선일 한국임상수의학회 2011 한국임상수의학회지 Vol.28 No.4

For a national survey in which wide geographic region or an entire country is targeted, multi-stage sampling approach is widely used to overcome the problem of simple random sampling, to consider both herd- and animallevel factors associated with disease occurrence, and to adjust clustering effect of disease in the population in the calculation of sample size. The aim of this study was to establish sample size for estimating bovine tuberculosis (TB)in Korea using stratified two-stage sampling design. The sample size was determined by taking into account the possible clustering of TB-infected animals on individual herds to increase the reliability of survey results. In this study, the country was stratified into nine provinces (administrative unit) and herd, the primary sampling unit, was considered as a cluster. For all analyses, design effect of 2, between-cluster prevalence of 50% to yield maximum sample size, and mean herd size of 65 were assumed due to lack of information available. Using a two-stage sampling scheme,the number of cattle sampled per herd was 65 cattle, regardless of confidence level, prevalence, and mean herd size examined. Number of clusters to be sampled at a 95% level of confidence was estimated to be 296, 74, 33, 19, 12,and 9 for desired precision of 0.01, 0.02, 0.03, 0.04, 0.05, and 0.06, respectively. Therefore, the total sample size with a 95% confidence level was 172,872, 43,218, 19,224, 10,818, 6,930, and 4,806 for desired precision ranging from 0.01 to 0.06. The sample size was increased with desired precision and design effect. In a situation where the number of cattle sampled per herd is fixed ranging from 5 to 40 with a 5-head interval, total sample size with a 95% confidence level was estimated to be 6,480, 10,080, 13,770, 17,280, 20.925, 24,570, 28,350, and 31,680, respectively. The percent increase in total sample size resulting from the use of intra-cluster correlation coefficient of 0.3 was 22.2, 32.1, 36.3, 39.6, 41.9, 42.9, 42,2, and 44.3%, respectively in comparison to the use of coefficient of 0.2.