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      • KCI등재후보

        영상자료를 활용한 장애이해 교육프로그램이 일반유아의 장애유아에 대한 태도에 미치는 영향

        박화연,김경숙 한국어린이미디어학회 2009 어린이미디어연구 Vol.8 No.2

        본 연구는 장애관련 주제의 비디오테이프를 활용하여 장애이해 교육프로그램을 실시하고 일반유아의 장애유아에 대한 태도 및 장애유아에 대한 견해에 미치는 영향을 알아보고자 하였다. G광역시에 소재하고 있는 3개의 병설유치원에 소속된 유아 56명으로 1일 180분씩 4주 동안 프로그램을 실시 하였다. 본 연구의 결과 첫째, 유아들은 장애이해프로그램에 참여한 후 장애또래에 대해 보다 수용적인 태도를 보였으며 둘째, 장애인에 대한 지식과 이해의 폭이 넓어지고 장애또래와 상호작용하려는 의지가 개선되었다.

      • KCI등재
      • KCI등재

        단체급식소에서 제공되는 시금치 나물과 깻잎 나물의 생산단계 및 보관단계에 따른 리보플라빈 함량 변화 (Ⅱ)

        김혜영,박화연 한국조리과학회 2004 한국식품조리과학회지 Vol.20 No.1

        The retention rate of riboflavin in two cooked vegetable salads (spinach salad and sesame leaf salad) were examined at every cooking stage, holding temperature and holding time, with various cooking methods, and a better food preparation method developed. The riboflavin contents of the samples were analyzed by HPLC, with fluoresence detection. The changes in the pH and water contents of the samples were measured during the holding stage at various temperatures and times. There were significant differences in the riboflavin contents during the various prepamtion and cooking processes, such as trimming, washing, boiling and parching etc. The retention rates of the riboflavin with the various holding methods and cooking temperature were also significantly different. The boiling process caused large losses of riboflavin: in the cases of spinach salad and sesame leaf salad these were 78% and 52% respectively. The pH and water contents showed faster change during 0-6 hours than during 6-12 hours.

      • KCI등재

        Association Between the Awareness of Dyslipidemia and Health Behavior for Control of Lipid Levels Among Korean Adults with Dyslipidemia

        조인영,박화연,이기헌,배우경,정세영,주혜진,송재경,한종수 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.2

        Background: Dyslipidemia is a major risk factor contributing to cardiovascular disease and its prevalence is steadi-ly rising. Although screening tests are readily accessible, dyslipidemia remains undertreated. Evaluating health be-havior patterns after diagnosis may help improve lifestyle interventions for the management of dyslipidemia.Methods: Data from the fifth Korean National Health and Nutrition Examination Survey 2010–2012 were used. A total of 6,624 dyslipidemia patients over 20 years old were included according to National Cholesterol Education Program-Adult Treatment Panel III guidelines. Logistic regression analysis was completed using a weighted meth-od to determine whether awareness of dyslipidemia was associated with health behavior. Health behavior was di-vided into two categories: behavioral factors (smoking, alcohol consumption, exercise) and nutritional factors (ad-equate intake of fiber, carbohydrate, fat, protein).Results: There were no significant differences in health behavior among dyslipidemia patients according to aware-ness after adjustment for covariates, diabetes and hypertension. Awareness in women was associated with de-creased smoking (odds ratio [OR], 0.55; 95% confidence interval [CI], 0.32 to 0.94), but when adjusted for diabetes and hypertension the result was not significant (OR, 0.61; 95% CI, 0.35 to 1.06). The same pattern applied to intake of carbohydrate in men (OR, 1.28; 95% CI, 0.99 to 1.67) and protein in women (OR, 1.22; 95% CI, 0.98 to 1.50). In subgroup analysis, awareness of dyslipidemia in men without hypertension or diabetes was associated with ade-quate intake of carbohydrate (OR, 1.70; 95% CI, 1.06 to 2.72).Conclusion: Increasing awareness alone may not be enough to improve healthy behavior in patients with dyslipid-emia. Efforts including patient education and counseling through a multi-team approach may be required.

      • KCI등재

        Comparison of the Marginal Utility and Disease Burden of Hearing Loss and Other Chronic Diseases

        권오덕,정세영,박화연,백수경,조수환,조상진 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.6

        Background: Compared with other chronic diseases, hearing loss is generally overlooked from the perspective of disease burden. However, hearing loss is emerging as an important issue in the current society. The objective of this study was to investigate disease burdens and marginal utilities associated with hearing loss and other chronic diseases. Methods: This study analyzed the cross-sectional data of 32,986 participants aged 19 years and older who completed the Korea National Health and Nutrition Examination Surveys between 2009 and 2013. Additionally, this study used the pure tone audiometric test, European Quality of Life-Five Dimensions Questionnaire, and chronic disease status. The data were analyzed using a multiple linear regression method. Results: The data of 23,297 people who underwent a pure tone audiogram and completed the European Quality of Life-Five Dimensions Questionnaire were used in this analysis. The marginal utility of hearing loss ranked fifth among nine chronic diseases. The estimated loss of quality-adjusted life years associated with hearing loss was -93.69 years per 100,000 people, which is similar to other chronic diseases. Conclusion: This study assessed the marginal utilities and public burdens of hearing loss and eight chronic diseases in a South Korean population. Although the values may vary depending on country and race, this study may provide an indispensable foundation for more detailed studies on hearing loss.

      • KCI등재

        Efficacy of Carboxymethylcellulose and Hyaluronate in Dry Eye Disease: A Systematic Review and Meta-Analysis

        송재경,이기헌,박화연,현준영,오승원,배우경,한종수,정세영,엄유진,이가혜,양지혜 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.1

        Background: The efficacy of two artificial tears, carboxymethylcellulose (CMC) and hyaluronate (HA), was com-pared in the treatment of patients with dry eye disease.Methods: We conducted a systematic review and meta-analysis on randomized controlled trials in the PubMed, Embase, Cochrane Library, and ClinicalTrials.gov databases. The efficacy was compared in terms of the mean change from baseline in tear break-up time. The meta-analysis was conducted using both random and fixed effect models. The quality of the selected studies was assessed for risk of bias.Results: Five studies were included involving 251 participants. Random effect model meta-analysis showed no sig-nificant difference between CMC and HA in treating dry eye disease (pooled standardized mean difference [SMD]=-0.452; 95% confidence interval [CI], -0.911 to 0.007; P=0.053). In contrast, fixed effect model meta-analysis revealed significant improvements in the CMC group when compared to the HA group (pooled SMD=-0.334; 95% CI, -0.588 to -0.081; P=0.010).Conclusion: The efficacy of CMC appeared to be better than that of HA in treating dry eye disease, although meta-analysis results were not statistically significant. Further research is needed to better elucidate the difference in effi-cacy between CMC and HA in treating dry eye disease.

      • 인정된 유아교육기관에 등록한 유아 부모의「발달에 적합한 실제」에 대한 인식

        강숙현,김진화,박화연 이화여자대학교 사범대학 교육과학연구소 2003 교육과학연구 Vol.34 No.2

        본 연구는 프로그램의 질적 수준에 대한 인정평가에서 인정된 유아교육기관에 등록한 유아의 부모들이 갖는 「발달에 적합한 실제」에 대한 이해 수준과 그 차이를 파악하고 각각의 특성을 분석하고자 하는데 목적이 있다. 인정된 유아교육기관에 등록한 유아 부모의 「발달에 적합한 실제」에 대한 이해수준을 분석하기 위해 공동체적 학습환경의 창조, 유아의 발달과 학습을 촉진하는 교수, 적절한 교육과정 구성, 유아발달과 학습에 대한 평가, 부모와의 상호 호혜적인 관계 형성 등의 5개 영역으로 「발달에 적합한 실제」를 개념화하여 각각에 대한 이해수준을 분석하였다. 본 연구에 사용한 「A Survey of Developmentally Appropriate Practice-R」 (Wise, 1993)는 DAP 개정판(1997)의 내용을 기초로 「발달에 적합한 실제」의 5개 주요 영역의 내용을 개념화하여 5개 하위영역으로 구성되어 있으며 각 항목에 대해서는 '4=매우 그렇다, 3=그렇다, 2=그렇지 않다, 1=전혀 그렇지 않다'의 4점 평정척도로 구성되었다. 총 24문항으로 구성된 질문지를 통해 각 항목의 내용이 적절한 내용인지 아닌지에 대한 부모의 이해수준을 파악할 수 있도록 하였다. 연구대상은 유아교육기관 인정평가제 개발을 위해 실행한 모의 인정평가과정에 참여해(5개 지역 5개 유치원) 질적 수준이 인정된 프로그램인 "ㅂ유치원"에 등록한 3-6세 유아의 부모(N=200)를 대상으로 하였으며 회수율은 62%(N=124)이다. 연구 결과 「발달에 적합한 실제」를 구성하는 요소로 제안된 5개 영역 중 "부모와의 상호 호혜적인 관계 형성"영역의 평균 평정척도 점수가 3.33으로 가장 높게 나타났으며 "유아의 발달과 학습을 촉진하는 교수"(N=3.30), "적절한 교육과정의 구성"(N=3.13), "공동체적 학습환경의 창조"(N=3.12)에 이어 "유아발달과 학습에 대한 평가"영역이 2.52로 가장 낮은 것으로 나타났다. 본 연구를 통해 부모들은 '유아교육기관과 부모들간의 상호 호혜적인 관계형성'을 가장 중요한 요소로 인식하고 있으며 특히 일상적인 의사소통과정에서 상호 신뢰감의 형성을 중요시하는 것으로 나타났다. 유아들의 발달과 학습에 대한 지식과 좋은 양육을 위한 정보를 얻기를 원하고 있으며 가족 안에서의 성장을 강조하는 것이다. 「발달에 적합한 실제」에 제안된 유아교육기관의 질적 기준과 증진을 위한 노력은 교사만이 대상이 아니며 부모와 함께 공유해야 할 지식이고 방향이므로 모든 부모들이 유아의 발달과 학습을 위한 연결로써 최상의 실제가 무엇인지를 바르게 이해, 인식, 추구하도록 지원해주어야 한다. This research examined parental understanding of Developmentally Appropriate Practice in a accredited kindergarten. The 124 parents surveyed had children enrolled in accredited kindergarten in Seoul. Five key areas of developmentally appropriate practice were examined through a rivesed DAP Survey created by Wise(1993). The revised survey grouped the 24 statements into following five dimensions: Establishing reciprocal relationships with families; Creating a caring community of learners; Teaching to enhance learning and development; Constructing appropriate curriculum; and Assessing children's learning and development. The Likert Scale scoring resulted in a mean between 1.00 - 4.00 for each statements. Scores also were averaged for each of five key dimensions. Results indicated the highest level of understanding in the dimension related to establishing reciprocal relationships with families. The dimension with the lowest level of understanding related to assessment children's learning and development. The highest mean score of individual statement was 3.58 related to 'daily communication is necessary to build trust and mutual understanding between teacher and parents'. The lowest mean score of 2.19 was related to 'in the early childhood education, letter or numerical grades are an adquate reflection of a child's ongoing learning'. The findings will be used to plan and develop parent program to increase understanding in these dimensions. For further research continued exploration on the topic of parent difference or comparison differences in early childhood centers.

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