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본 연구의 목적은 사회양극화현상 등으로 기본적 생존권마저 위협받고 있는 취약지역 빈곤아동을 대상으로 건강증진 프로그램 및 제도적 장치를 연구․개발함으로써 빈곤의 악순환에 따른 건강불평등 해소와 빈곤아동의 건강한 성장기반 조성을 도모하는 것이다. 빈곤이 아동에게 미치는 건강영향은 아동기 결식문제에서 비롯된 영양의 불균형으로 발육부진, 발달지체 등과 같은 신체발육발달의 문제, 성인기에 골다공증(칼슘부족), 위암, 뇌졸중(염분 과다섭취), 당뇨(비만)등의 문제를 일으킬 수 있으며, 특히 철분결핍성 빈혈은 인지능력의 저하와 관련된다는 보고도 있다(Pollite 등, 1985). 따라서 본 연구는 빈곤아동의 건강문제 해결을 통한 건강형평성의 확보에 궁극적인 목적으로 두고, 현재 우리나라 빈곤아동의 인구학적, 보건학적인 실태조사를 실시하고, 그 결과를 기초로 다양한 차원의 프로그램과 정책, 지원체계, 평가체계를 개발함으로써 이들의 건강문제에 대한 포괄적인 접근방안을 마련하고자 한다. The child poverty rate was about 10% in 2003 and almost 1,100,000 children were living below poverty line. Up to the 10% of all Korean children and adolescents experienced social and economic circumstances that place them at risk of poor health. Poor health outcomes have encompassed physical and cognitive growth and developmental problems, mortality, and morbidity. The purpose of this study was to determine the recent child poverty rate, to identify the major health problems and behavior and environmental health determinants of children, and to develop the health promotion program for low income children in underserved area. The ultimate goal of providing health promotion program for poor children was to improve the health equity in Korea.
Background: Acute exacerbations of chronic obstructive pulmonary disease(COPD) places signifi cant pressure on the health care system. Studies have shown that music therapy has positive effects on quality of life and increases exercise capacity of patients. Our aim is to evaluate the effects of music on exercise capacity in COPD inpatients. Method: This was a prospective, interventional study invoving patients admitted with an acute exacerbation of COPD. Patients were given a list of song options to select from. Patients will select a preferred song rated as the best motivational score, as per the Brunel Music Rating Inventory. Patients then undertook a 2-minute walking test to assess the distance walked with and without music. A dyspnoea visual analogue scale was used to record the degree of dyspnoea after each walking test. Secondary outcomes included walking time, blood pressure, heart rate, respiratory rate and oxygen saturation with and without music. Results: Seventeen patients were recruited, with a mean age of 73.9 ± 8.6 years. Nine were males and 8 were females. There was a signifi cant increase in the walking distance with music therapy, with a mean increase in distance of 7.94 metres (95% CI, 3.58 - 12.31). There was a non-signifi cant trend that patients could walk for longer with music therapy. Diastolic blood pressure were noted to increase signifi cantly with music therapy, but other physiological parameters did not show any signifi cant changes. The motivational score of the preferred song used did not lead to any signifi cant correlation with the outcome variables. Conclusion: Music therapy with a patient-preferred song may lead to signifi cant clinical benefi ts in hospital inpatients with acute exacerbation of COPD. Larger studies are warranted to provide further evidence for its potential use in routine clinical practice.
김춘배 ( Chun Bae Kim ), 박준호 ( Jun Ho Park ), 안정숙 ( Joung Sook Ahn ), 허혜경 ( Hea Kung Hur ), 박은정 ( Eun Jung Park ), 전은표 ( Eun Po Jeon ), 지역보건연구회 ( Community Health Service Research Group ) 한국보건행정학회 2003 보건행정학회지 Vol.13 No.3
The purpose of this study was to investigate the current status of health promotion policies about antismoking, and the relationship between policy status, enforcement of smoking restrictions and perceptions of smoking behaviour among teachers. A representative sample of 173 teachers·school inspectors from 150 elementary·middle·high schools in Gangwon-do was surveyed during Gangwon-do Office of Education`s antismoking and temperance training course in 2002 (response rate 60.7%). One staff member from each school was also analyzed regarding school antismoking polices for students and teachers in several locations within and outside the school building. The results showed that 118 elementary·middle·high schools (78.7%) had an antismoking policy and more schools had a written policy on student antismoking than on teacher antismoking. Most schools (92.4%) in the sample banned smoking by students, but 52 schools (44.1%) allowed smoking by teachers in restricted areas. However, teachers reported seeing smoking sometimes in the toilets (42.7%) or the playground (40.0%) among students and sometimes in the staff room (31.3%) or about every day on school premises (52.7%) among teachers. Irrespective of the type of policy or restrictions on smoking, the association between having a ban on student/teacher smoking and teachers` perceptions of student/teacher smoking in school was not significant. In conclusion, we suggest that most schools must have explicitly an antismoking policy on both students & teachers and enforce consistently a ban in promoting a healthy school environment (smoke-free schools).
우리나라의 산업보건분야에 있어서, 오늘날 건강장해 방지를 위한 단순한 관점으로부터 새롭게 한걸음 더나아가 앞으로는 근로자의 전체 근로생활을 통하여 계속적이고 계획적인 심신양면의 건강유지증진을 지표로 삼아야 할 것이다. 이러한 배경에서 이제 우리의 산업현장에서도 건강유지증진을 위한 근로자의 자발적인 노력이에 사업주가 함께 수행하는 건강관리사업이 서서히 전파되고 있는 듯 하다. 여기에서 간략히 소개코자 하는 THP(Total health Promotion, 종합건강증진운동)는 일본에서 실시하고 있는 제도로서, 현재 우리의 사업장에도 이를 보급해 나가고자 그 제도적 뒷받침을 마련하는 시점에 와있다.
'스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.
OBJECTIVES: Previous research has found that greater income inequality is related to problematic alcohol use across a variety of geographical areas in the USA and New York City (NYC). Those studies used self-reported data to assess alcohol use. This study examined the relationship between within-neighborhood income inequality and alcohol-related emergency department (ED) visits. METHODS: The study outcome was the alcohol-related ED visit rate per 10,000 persons between 2010 and 2014, using data obtained from the New York Statewide Planning and Research Cooperative System. The main predictor of interest was income inequality, measured using the Gini coefficient from the American Community Survey (2010-2014) at the public use microdata area (PUMA) level (n=55) in NYC. Variables associated with alcohol-related ED visits in bivariate analyses were considered for inclusion in a multivariable model. RESULTS: There were 420,568 alcohol-related ED visits associated with a valid NYC address between 2010 and 2014. The overall annualized NYC alcohol-related ED visit rate was 100.7 visits per 10,000 persons. The median alcohol ED visit rate for NYC PUMAs was 88.0 visits per 10,000 persons (interquartile range [IQR], 64.5 to 133.5), and the median Gini coefficient was 0.48 (IQR, 0.45 to 0.51). In the multivariable model, a higher neighborhood Gini coefficient, a lower median age, and a lower percentage of male residents were independently associated with the alcohol-related ED visit rate. CONCLUSIONS: This study found that higher neighborhood income inequality was associated with higher neighborhood alcohol-related ED visit rates. The precise mechanism of this relationship is not understood, and further investigation is warranted to determine temporality and to assess whether the results are generalizable to other locales.
'스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.
Objectives: The aim of this study is to survey on satisfaction of primipara for group breast-feeding counseling using mobile messenger. Methods: We conducted breast-feeding group counseling using mobile messenger to people who participated in prenatal education program of public health center. After 3 months, we surveyed the behavior of breast-feeding and the level of satisfaction of group counseling. Results: All of subjects fed colostrum and breast milk for 1 month after birth. Each levels of satisfaction of group counseling before and after birth, which were measured by 5-point Likert scale, were 3.77±1.09 and 4.33±0.70, respectively. The most common reason for satisfaction of mobile counseling before birth was the reduction of fear of breast-feeing (31.6%). The most common reason for satisfaction of mobile counseling after birth was offering information about breast-feeding (27.3%). Conclusions: Breast-feeding group counseling using mobile messenger seemed to be helpful for primipara s breast-feeding. Additional studies including more subjects will be required to prove credibility and validity of the effect of group counseling.