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박혜경(HeyKyung Park),이민재(MinJae Lee),윤지선(JiSun Youn) 한국색채학회 2015 한국색채학회 논문집 Vol.29 No.1
초등학교는 성장기 아동들이 사회적으로 처음 적응하게 되는 교육공간으로서 학생들의 정서적 발달과 더불어 인격 형성이 이루어지는 생활의 장소이다. 최근 아이들에게 있어서 지나친 교육열로 인한 경쟁심이나 폭력, 따돌림, 성문제 등 다양한 정신건강 문제가 사회적으로 부각되고 있는 상황에서 이들에 대한 예방교육이 보건실을 중심으로 이루어지고 있다. 또한 초등학생들은 아동으로서 쉽게 질병에 노출될 수 있으므로, 이러한 예방 교육과 함께 상담을 통한 보건교육의 중요성은 보다 높아지고 있는 실정이며, 이를 인식한 교육부는 2003년부터 전국의 각 학교를 대상으로 ‘보건실 현대화 사업’을 추진하고 있다. 본 연구는 초등학교 보건실의 중요도가 높아지고 ‘보건실 현대화사업’이 지속되고 있는 시점에서 보건실 색채 개선을 위한 기초연구로 진행되었으며, ‘보건실 현대화사업’이 진행된 보건실의 색채 현황 및 특성 파악을 목적으로 한다. 우선, 학교보건 및 보건실의 현황과 아동 색채선호 경향에 대한 문헌조사와 문헌고찰을 통해 보건실 색채 환경에 대한 이론적 배경을 도출하였다. 다음 단계로서 2014년 8월초에서 9월초까지 부산지역 ‘보건실 현대화사업’의 수혜 대상 10개 초등학교 보건실을 방문하여 사진촬영, 기록, 현장측색 등 현장조사를 실시하여 환경색채 적용 현황을 조사하였다. 마지막 단계로 측색된 총 89개 환경색채에 대하여 색표계 및 배색에 의한 분석, IRI(Image Research Institute) 색채 이미지스케일 분석을 실시하여 보건실 색채환경의 특성을 도출하였다. 본 연구의 결과는 향후, 초등학생을 대상으로 하는 보건실 색채선호도 조사를 위한 기초자료로 활용될 것이며, 초등학교 보건실 관련 시설계획 및 리모델링 시, 색채계획의 참고자료로 활용될 수 있을 것으로 기대된다. Elementary school is where the social adaptation occurs for the first time as an educational space and is a place of life where the student"s emotional development and formation of personality are formed. However, various psychological and mental health problems of today are emerging socially like violence, shunting, sexual problems, and so on to the children. As an effort to solve this situation, the health sector of Korean ministry of education and human resources development is performing the health sector modernization business since 2003 till now. ‘health sector modernization business" is a study about increasing the importance of health care rooms in elementary school by improving the interior colors. The research aims to identify the color characteristics of the health care rooms. First, the current status of the school health and health rooms was comprehended through the survey and consideration of the literature as the theoretical basis and criteria about the survey and analysis of the color environment of the health rooms was derived. Second, as the basic data for this study, the application status of the environmental color to the health rooms of the 10 beneficiary elementary schools in Busan area of the health room modernization business was surveyed. The site survey was performed between August 2014 through September. The site coloring has performed the manufactured colors, auxiliary colors and emphasis colors using the spectrum coloring machine(Minolta Spectrophotometer CM-2600D). Lastly, analysis of the color system of the preferred color, brightness and chroma about the total 89 environment colors collected from the field study. And, the color systemic analysis and the image vocabulary analysis based on IRI(Image Research Institute) color image scale were performed. The purpose of this study is to comprehend the environmental colors of the health rooms of elementary schools and enhance the psychological approach which enhances the use rate of the health rooms by children by using appropriate environmental colors.
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단일기관에서 전산을 통해 수집된 자발적 소아 약물유해반응 보고사례의 분석
박근미 ( Geun-mi Park ),박주현 ( Joo Hyun Park ),정주원 ( Joo Won Jung ),한혜원 ( Hye Won Han ),김재연 ( Jae Youn Kim ),이은 ( Eun Lee ),조현주 ( Hyun-ju Cho ),김영호 ( Yeongho Kim ),윤지선 ( Jisun Yoon ),유진호 ( Jinho Yu ),김태범 대한천식알레르기학회(구 대한알레르기학회) 2016 Allergy Asthma & Respiratory Disease Vol.4 No.5
Purpose: The incidence of adverse drug reactions (ADRs) is increasing. However, studies on the prevalence of ADRs in children are rare. The aim of this study was to investigate the causative drugs and clinical features of ADRs for children in a tertiary university hospital of Korea. Methods: We retrospectively collected ADRs by a computerized self-reporting system in Asan Medical Center. ADRs of children under the age 18 were collected from January 2005 to August 2015, and we analyzed only ADRs containing current symptoms among total ADR data. Results: A total of 1,408 ADR cases were reported, There were 764 male (54.3%) and 644 female patients (45.7%), and the mean age was 11.5±5.8 years (range, 0.18 years). Antibiotics (n=479, 34.0%) were the most common causative drugs, followed by tramadol (n=173, 12.3%), nonsteroidal anti-inflammatory agents (NSAIDs) and acetylsalicylic acid (n=103, 7.3%), narcotics (n=91, 6.5%), antineoplastics (n=87, 6.2%), and sedatives (n=82, 5.8%). The most common clinical features were skin manifestations (n=500, 34.4%). Gastrointestinal symptoms (n=435, 29.9%) were the second most common clinical features, followed by neuropsychiatric symptoms (n=155, 10.7%) and respiratory symptoms (n=123, 8.5%). Among antibiotics, glycopeptides (n=110, 23.0%), third-generation cephalosporins (n=83, 17.3%), and penicillin/ß-lactamase inhibitors (n=60, 12.7%) were the most frequently reported causative drugs. Conclusion: Antibiotics were the most reported common causative drugs of ADRs in children, followed by tramadol, NSAID, and narcortics. Compared with adults, the prevalence of contrast medium-induced ADR was lower in children with a higher prevalence of sedative-associated ADR. Greater attention to possible ADRs in children is needed among medical personnel. (Allergy Asthma Respir Dis 2016:4:354-359)
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