Keon-Yeop Kim

Factors Affecting Job Satisfaction, Organizational Attachment and Job Leaving Attitude of General Hospital Employees by Job Category

Abstract The purpose of this research is to provide basic data to find a solution for the problem related with job satisfaction, organizational attachment, and intention to change their occupations by job category. The collection was done by self-administered questionnaire conducted by 360 employees from Nursing Division, Medical-support Department, and General Affair for 20 days since August. 15 in 2008. According to the result, for Nursing Division, intention to change their career is still high due to opportunity of external employment although their job-satisfaction or the attachment to the job is high. For Medical-support Department, intention to change their career is low compared with work-satisfaction or the attachment to the job is high. However, there are still intentions to change due to opportunity of external employment and excessive quantity of duty. General affair has the lowest work-satisfaction and the highest attachment to the job. However, intention of change is the highest than the others because of their negative-mind.

A Study on the Relationship between Body Composition, Exercise Status, Fitness Status and Bone Mineral Density in Some Rural Residents

Abstract This study was performed to be used as basic data to preventive the osteoporosis of a rural community people, after finding out the bone mineral density and a state of health, that of exercise, body composition and basic physical strength of the rural community adult. the subject for 143 adults of a rural community, the relation between bone mineral density and a state of health, that of exercise, body measurement and basic physical strength was studied. The research results were as follows. 1. In survey subjects, the more the age increased(p<0.01) and the lower the educational level was, the lower bone mineral density was(p<0.05). 2. Bone mineral density was significantly lower in those who had chronic diseases than those who didnt (p<0.05). 3. Bone mineral density was significantly higher in those who had much weight, BMI, body fat mass, and fat-free mass than those who didnt(p<0.01). 4. Bone mineral density was significantly high in those who exercised in the past, whose basal metabolism was high, and whose muscle mass was much(p<0.05). 5. Bone mineral density was high in those who had much grasping power and a number of sit-ups and push-ups (p<0.01). 6. As a result of Multiple Regression Analysis in which BMD was a dependent variable, the more the age increased, the more the score of bone density decreased when they had chronic diseases. And the exercise of the past affected the increase of bone mineral density.

The Related Factors of Atopic Dermatitis Severity in Elementary School Students

Abstract This study was conducted to provide the basic data for the health management of the primary school, by finding and analyzing the factors affecting the degrees of atopic dermatitis symptoms severeness. The subjects of our study were collected 273 pupils mothers, whose children are undergoing through the atopic symptoms. The investigation process took the entire month of the November in 2006. The result of the older the pupils, the severer their symptoms(p<0.05). The longer the period(p<0.01), the more widely spread over the body, and the severer the symptoms(p<0.01). In the dietary habit, the more meat they eat, the severer the symptom(p<0.05). and in relation to the eating the food outside home, the more frequently they eat the fast-food, the severer the symptom. In the multiple logistic regression analysis, using the degrees of atopic dermatitis symptoms severeness as the dependent variables. it is discovered that the longer infection period they have and the more frequently they have the fast-food, the severer the symptom of the atopic dermatitis. The parents love for the child, the monthly cost for the management of the infection, and the parents feeling toward the child, can have a greate influence on the physical health, the feelings and the relation with the friends of the infected child, when the child shows the symptoms of scratching his skin. The conclusions of When all the results above are put together, the dietary habit of eating the meals mostly prepared with the meat should be corrected, and the education to form the pupils right dietary habit, such as, putting the limit on the fast-food, must be made, in order to prevent the symptom of the atopic dermatitis from getting worse. And by the recognizing the atopic dermatitis as the family health problem, the comprehensive family health management, including the mother should be made. Key Words : Atopic dermatitis, Family health management, Primary school, Pupils

Evaluation on the Accuracy of Vaccination Card for National Immunization Program in a 2005 Population-Based Survey in Nonsan, Korea

목적 : 이 연구는 국가예방접종률 산출 및 조사방법론 개발을 위한 기반을 조성하기 위하여 예방접종률 파악을 위한 자료원 중 영유아 예방접종 수첩기록의 정확도를 평가하기 위하여 수행되었다. 대상 및 방법 : 연구대상은 2005년 1월 31일을 기준으로 충청남도 논산시에 주민등록상 거주하는 생후 12-35개월 영유아 전체로 하였다. 연구대상자가 거주하는 가구를 2005년 2-4월까지 방문하여 보호자의 동의를 얻어 예방접종 수첩기록을 조사하였다. 예방접종 수첩기록의 정확도를 평가하기 위하여 2005년 5-7월까지 예방접종을 시행한 의료기관 및 보건소의 접종관련 기록을 확보하여 예방접종 접종 여부 및 접종 일자의 기록 일치 여부를 확인하였다. 비교 대상 예방접종은 결핵(BCG), B형간염, 디프테리아/파상풍/백일해(DTaP), 홍역/유행성이하선염/풍진(MMR), 폴리오, 일본뇌염, 수두, 인플루엔자, B형 헤모필루스 인플루엔자 뇌수막염(Hib), A형간염, 폐구균으로 총 11종을 대상으로 하였다. 결과 : 예방접종 수첩의 예방접종 여부 및 접종 일시 기록의 정확도는 BCG는 69.5% 및 80.1%였으며, B형 간염은 1차 41.3% 및 89.7%, 2차 76.6% 및 82.1%, 3차 79.7% 및 79.0%였으며, DTaP는 1차 79.9% 및 87.5%, 2차 80.8% 및 87.3%, 3차 82.5% 및 85.1%, 4차 79.9% 및 83.5%였으며, 폴리오는 1차 79.5% 및 88.1%, 2차 79.8% 및 86.2%, 3차 82.1% 및 84.8%였으며, MMR은 83.2% 및 84.0%였으며, 일본뇌염 1차는 80.7% 및 83.1%였으며, 수두는 74.9% 및 83.7%였으며, 인플루엔자는 74.1% 및 55.3%였으며, Hib 1차는 72.7% 및 90.7%였으며, A형 간염 1차는 79.5% 및 88.4%였으며, 폐렴구균 1차는 73.2% 및 90.3%로 나타났다. 결론 : 여러 가지 연구의 제한점에도 불구하고, 예방접종 수첩의 상당한 수준의 신뢰도를 확인하였으나 수첩의 예방접종력 정확도 및 타당도에 대한 추가 연구가 필요할 것으로 판단된다.

Up-to-date or Complete Immunization Coverage and Their Related Factors

= Abstract = Objectives: Understanding the predictor of immunization status in childhood is critical issue to improve National Immunization Program (NIP). The aims of this study were to verify the status of up-to-date or complete immunization coverage and to investigate its related factors. Methods: As of 2005, according to local residence registry data, there were 2,188 children who aged 12 to 35 months in Nonsan city, Korea. We conducted household survey for aged 12 to 35 months children, using questionnaires to obtain data on the status of immunization such as BCG, DTaP (diphtheria, tetanus, and pertussis), Polio, and MMR (mump, measles, rubella). Finally 1,472 participated in the survey. The operating definitions used in this study were following; Complete immunization rate refers to the rate of children who received all immunization within recommended age intervals fully on-time; The 4:3:1 series means status of receiving the fourth diphtheria-tetanus-pertussis (4 DTP), the third Polio (3 Polio), and the first measles-mumps-rubella (1 MMR) doses. Multivariate logistic regression analyses were used to determine factors affecting complete vaccination coverage of children. Results: Immunization rates of vaccine based on the vaccination card were from 92.7% to 96.4% except 4th DTaP (79.3%). Complete immunization rate of Korea NIP was 74.0% and that of the 4:3:1 series was 77.1%. A parent as primary caregiver (OR 0.59, 95% CI 0.39-0.87 at 19-35 months of childrens age) and first-born children (OR 1.79, 95% CI 1.05-3.03 at 24-35 months of childrens age) were significantly related to complete immunization coverage of Korea NIP. And a parent as primary care giver (OR 0.58, 95% CI 0.38-0.88 at 19-35 months of childrens age) and first-born children (OR 1.94, 95% CI 1.21-3.14 at 19-35 months, OR 2.23, 95% CI 1.27-3.91 at 24-35 months of childrens age) were significantly related to complete immunization rate of 4:3:1 series. Conclusions: Government should take actions to increase complete immunization rate. In particular, intervention on the secondary caregiver and non-first-born children should be needed.

Factors Related to Admission via Emergency Room in Korean Hospitals with an Emergency Medical Center

Objectives : The purpose of this study is to analyze the proportion of admi ssion via the emergency room(the rest is ER) in an emergency medical center and to examine the factors related to admission. Methods : This study used 2005 National Health Insurance claims data for admitted patients of 112 hospitals having emergency medical cen ters in Korea. The study sample had 2,335,610 patients. The data was classified in to emergency admission and non-emergency admission. To investigate the facto rs affecting the type of admission, the following were included as independent v ariables: type of health assurance_(national health insurance beneficiaries or me dical aid beneficiaries), demographic characteristics_ (sex, age), cause of admission_ (disease or injury), whether an operation was performed or not, DRG severity

TA Study on Maximum Oxygen Uptake according to Body Measurement and Vascular Compliance

This study was conducted to investigate the relationship between maximum oxygen uptake and its related factors including body measurement and vascular compliance. The subjects of our study were 43 males and 53 females aged 40 to 59 who were visited in military health center. The main results were that 1.the degree of obesity had significantly negative correlation to vascular compliance in male, and waist-hip ratio in female. 2. The degree of obesity, body mass index, waist-hip ratio and body fat percent had significantly negative correlation to maximum oxygen uptake in male, and waist-hip ratio & body fat percent in female. 3. Maximum heart rate had significantly positive correlation to maximum oxygen uptake in male, and vascular compliance & maximum heart rate in female. 4. In multiple regression analysis which maximum oxygen uptake was as dependent variable, body fat percent, vascular compliance and maximum heart rate were significant variables for both male and female. In conclusion, Maximum oxygen uptake of some rural people age 40 to 59 were affected by various factors such as body fat percent, vascular compliance, and maximum heart rate.

The Related Factors of Willingness to Have an Additional Childbirth of Mother with Children in an Urban-Rural Area

Objectives: This study was conducted to investigate how willingness to have an additional childbirth was related to mother`s general characteristics and various reasons for avoiding an additional childbirth. Methods: By using organized questionnaire, we had face-to-face interviews with 722 mothers who had 12 to 36 months child in a urban-rural area of Chungcheongnam-do from 14 February to 19 February in 2005. Questionnaires included general characteristics composed of age, monthly income, number of children, major carers and mother`s job status, and 6 reasons for avoiding an additional childbirth. We performed chi-square test and multiple logistic regression analysis. Results: Of 722 mothers, 66.5% had no willingness to have an additional childbirth. In the multiple logistic regression analysis, old age of mother(95% CI of OR: 1.084-1.190), two or more children(95% CI of OR: 6.97-15.602) and weak norm about need for a child(95% CI of OR: 1.633-29.352) were independent related factors with willingness to have an additional childbirth. Conclusions: In our study, 2/3 women who already had children were appeared to have no willingness to have additional childbirth. Policies about family planning and controlling birth rate should be focused on eliminating barrier to additional childbirths.

Content Analysis of the Health Counseling by the Intranet in University : 2000-2004

Objectives: The research was aimed at analyzing the contents of university intranet for systematically execution of the healthy information provision and healthy consultation services from 2000 January to 2004 December. Methods: We have analyzed 300(28.3%) the instances of accomplished health consultation cases from the whole 1,059 instances which were the replied in a university intranet. Results: According to the contents of health consultation in ICPC code, a general symptom 91 cases(30.3%) was most, muscle-skeletal system 44 cases(14.7%), and digestive system 43 cases(14.3%) in order of cases of health counselling. The symptoms and complaint with 155 cases(51.7%) were most in the distribution of the health counselling contents by 17 charter of ICPC. The most common reason of counselling by 17 charter of ICPC were as follows; questions about the symptom and diagnosis(118 cases, 39.3%), the preventive and treatment methods(91 cases, 30.0%), and medical fee(20cases, 6.7%) in order. We mainly answer on the content of health counselling were as follows; make an offer of medical information and knowledge(48.3%), recommend visit clinic or hospital(23.7%), guide to treatment(12.7%), and so on. Conclusions: This research showed that the program of health counselling may not meet completely the high quality and adequate distribution of health counselling by the intranet in a university by content analysis. The finding suggests that health counselling by intranet in a university may be used to supplement of systemic improvement on the intranet Q/A format from current lack of essential health information and security for the quality of the health counselling.