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The Korean government had enacted 'Special Regulation on the Safe Maintenance of Facilities' and carried out regular safety inspections since the mid-1990s, consequently establishing and enforcing an effective maintenance and management system. And throughout this entire process, the government searched for new methods to increase the overall effectiveness of the system. Nevertheless, the reality is that our society remains structurally unprepared to implement a commercial mindset that views the concept of "safety" as a product that can be traded in the open market based on supply and demand. Therefore, the government should establish mid to long-term plans to implement such a system in successive stages.

Purpose: This study was conducted to build a decision tree model composed of factors that predict whether or not the elderly population underwent health or cancer screening using the 2021 community health survey.Methods: This study included 74,434 and 74,417 subjects who answered for experience of health checkup or cancer screening, respectively. This study used Chi-squared test, independent t-tests, and decision tree analysis to analyze the data.Results: Regarding the health checkup, 78.1% of women received a health checkup, and among women, those aged 65-74 years who were not recipients of the basic livelihood service showed the highest participation rate of 85.0%. In case of men, those who were married and had no problems in daily activity showed the highest participation rate of 81.4%. In the case of cancer screening, for women, those who were 65-74 years old and were nonrecipients of basic livelihood benefits showed the highest participation rate of 75.3%. For men, the cancer screening rate was the highest at 74.3% in those who had no problems with mobility and were married.Conclusion: It was found that the general and health characteristics of the elderly had a great influence on the health checkup and cancer screening. In order to develop a more improved screening system, screening rates and effects should be continuously observed and studied.

PURPOSE: This study examined women's attitudes toward the use of physical therapy in the treatment process after breast cancer surgery and the degree of interest in this application. Path analysis was conducted to discover the approaches to improve awareness of the necessity of physical therapy intervention after breast cancer surgery. METHODS: This study was a cross-sectional survey of 230 women aged 20 years and over with no history of breast cancer. The measurement tool used in this study was a structured questionnaire, composed of 17 items in five fields: five items on the demographic characteristics, four items related to health checkups, four items involving the viewpoints on breast cancer, one item related to the interest in breast cancer, and four items related to physical therapy after surgery. RESULTS: Women's attitudes toward regular health checkups were major factors in the prevention and treatment of breast cancer. In addition, those with higher levels of interest in breast cancer showed stronger interest in using physical therapy after breast cancer surgery. CONCLUSION: Women believe that breast cancer can be prevented through the health checkups implemented by the government. Therefore, there is a need to utilize public relations to promote methods for the self-diagnosis of breast cancer in the health checkup system and the use of physical therapy after breast cancer surgery.

본 연구는 건강검진 수검자를 대상으로 노화에 대한 기대, 우울, 건강증진 생활양식을 조사하고 건강증진 생활양식의 영향요인을 파악하기 위한 서술적 상관관계 연구이다. 연구대상은 편의표집에 의해 선정된 G 광역시 M건강검진센터를 내원한 건강검진 수검자인 143명이었다. 자료수집은 2016년 7월 5일부터 21일까지 자기기입 방식의 구조화된 설문지를 이용하여 이루어졌다. 수집된 자료는 서술적 통계, t-test, ANOVA, 상관분석(Pearson's correlation), 위계적 회귀분석(Hierarchical regression)으로 분석되었다. 그 결과, 건강증진 생활양식은 노화에 대한 기대와 정적 상관관계를 보였고, 우울과는 부적 상관관계를 보였다. 위계적 회귀분석에 따른 건강증진 생활양식의 영향요인은 학력, 지각된 건강상태, 건강관리시설 이동시간, 노화에 대한 기대, 우울이었다. 일반적 특성을 통제한 상태에서 노화에 대한 기대, 우울의 독립변인을 추가할수록 건강증진 생활양식의 수행 수준을 보다 잘 설명하였으며, 최종 모델의 설명력은 27.0%로 산출 되었다. 따라서 건강증진 생활양식을 향상시키기 위해서는 신체적인 접근 외에, 인지적(지식, 노화에 대한 기대), 심리적 요인(우울)을 함께 고려할 필요가 있다.

This is a correlational study to investigate the degree of expectation regarding aging, depression and health promotion lifestyle and to identify the factors influencing health promotion lifestyle among health checkup examinee. The subjects of the study were 143 health checkup examinee who visited the M medical center located in G Metropolitan city. Data were collected from July 5 to 21, 2016 using the structured questionnaire of self-report form. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and hierarchical regression. As a result, health promoting lifestyle were correlated with expectation regarding aging positively, and with depression negatively. The factors influencing the health promotion lifestyle were education level, perceived health status, time to move to health care facilities, expectation regarding aging, and depression. With controlled general characteristics, the level of health promotion lifestyle was better explained by the addition of the independent variables of expectation regarding aging, and depression, and the explanatory power of the final model was calculated as 27.0%. Therefore, in order to improve health-promoting lifestyle, it is necessary to consider cognitive factors (knowledge, expectation regarding aging) and psychological factor (depression) besides physical approach.

본 연구는 공공데이터포털을 통해 제공되는 2023년 건강검진정보 데이터를 머신러닝으로 학습하여 성별 생물학적 연령을 예측하는 판별 인공지능을 개발하는 것이다. 전체 데이터(100만명) 중 건강검진 결과가 측정된 330,752명(남자 179,556명, 여자 151,196명)을 머신러닝 학습 데이터로 활용했다. 연령대를 출력변수로, 키, 몸무게, 허리둘레, 수축기 혈압, 이완기 혈압, 공복 혈당, 중성지방, HDL 콜레스테롤, LDL 콜레스테롤, 헤모글로빈, 혈청 GOT, 혈청 GPT, 감마 GTP 등 26개 항목을 입력 변수로 사용하였다. 판별 인공지능 개발에는 머신러닝 알고리즘 중 딥러닝이 가능한 다층신경망을 사용하였으며, 인공지능의 성능평가에는 ROC 곡선을 사용하였다. 다층신경망으로 성별 생물학적 나이를 예측한 결과 입력변수(검강검진정보)를 학습하지 않은 학습데이터의 출력변수(연대기적 나이)의 연령분포와 입력변수를 학습한 인공지능이 예측한 출력변수(생물학적 나이)의 확률 값이 거의 비슷하게 나타났다. 인공지능 예측방법은 머신러닝 및 딥러닝을 이용하여 대용량 고차원 데이터에서 변수 간 비선형성과 복잡한 상호작용까지 포착하여 효율적으로 처리할 수 있다. 따라서, 다양한 임상 및 바이오마커 정보를 통합 분석함으로써 개인의 노화 정도를 정밀하게 파악할 수 있기 때문에, 예방 중심의 보건정책 수립에 중요한 과학적 근거를 제공할 수 있을 것이다.

This study aims to develop a discriminative artificial intelligence system that predicts gender and biological age by learning from 2023 health checkup information data provided through the public data portal using machine learning. Among the total data (1 million people), 330,752 individuals (179,556 men and 151,196 women) whose health screening results were measured were used as machine learning training data. Age group was used as the output variable, and 26 items, including height, weight, waist circumference, systolic blood pressure, diastolic blood pressure, fasting blood glucose, triglycerides, HDL cholesterol, LDL cholesterol, hemoglobin, serum GOT, serum GPT, and gamma GTP, were used as input variables. In the development of discriminatory artificial intelligence, a multilayer neural network capable of deep learning among machine learning algorithms was used, and the ROC curve was used to evaluate the performance of artificial intelligence. As a result of predicting biological age by gender using a multilayer neural network, the age distribution of the output variable (chronological age) of the training data that did not learn the input variable (health examination information) and the probability value of the output variable (biological age) predicted by the artificial intelligence that learned the input variable were almost similar. Artificial intelligence prediction methods can efficiently process large amounts of high-dimensional data by capturing nonlinearities and complex interactions between variables using machine learning and deep learning. Therefore, by integrating and analyzing various clinical and biomarker information, it is possible to precisely determine the degree of aging in an individual, thereby providing important scientific evidence for establishing prevention-oriented health policies.

최근 RFID, NFC, 스마트 기기 등 첨단 IT 기술의 융합을 통한 의료 서비스 및 프로세스 혁신 에 대한 관심이 커지고 있다. 본 논문에서는 이러한 첨단 IT 기술을 활용하여 스마트 건강검진 시스 템을 구축한 프로세스 혁신 사례를 제시한다. 종이 차트 및 수작업에 의존하는 기존의 비효율적인 방 식에서 탈피하여 능동형 RFID 및 스마트 기기를 사용하여 건강검진 프로세스를 혁신하였다. 병원의 경쟁력을 강화하기 위해 새롭게 개발된 스마트 건강검진 시스템은 2013년 4월부터 삼성서울병원의 건강검진 센터에서 성공적으로 활용되고 있다. 새로운 시스템 도입을 통해 고객 서비스 품질 및 고객 만족도 제고, 직원들의 업무 부하 경감, 업무 정확도 제고, 병원 경쟁력 강화 등의 효과를 보이고 있다.

Recently, more and more hospitals have become interested in the innovation of healthcare services and processes through IT convergence based on RFID, NFC, smart devices and so on. This paper presents a case of process innovation by implementing a smart health checkup system using these advanced information technologies. The existing inefficient health checkup process based on the paper chart and manual work has been innovated using the advanced information and communication technologies. The newly developed smart health checkup system has been used successfully in a tertiary university hospital named Samsung Medical Center since April 2013. The contributions of the system include improvement of service quality, enhancement of customer satisfaction, reduction in workload of staffs, improvement of work accuracy, and accordingly reinforcement of the competitiveness of the hospital.

기술창업에 대한 필요성이 증대되면서 기술을 기반으로 창업을 하려는 창업자들이 늘어나고 있다. 하지만 기술을 기반으로 창업을 진행하는데는 많은 어려움이 존재한다. 따라서 사전에 점검할 수 있는 진단지를 개발함으로서 창업자들에게 기술사업화의 성공률을 높일 수 있는 방향을 제시하고자 한다. 이를 위해서 기존의 이론적 배경을 기반으로 기술사업화의 프로세스와 이를 수행할 수 있는 역량을 도출하고 이를 시장전문가의 심층인터뷰를 통해 진단항목을 개발하였다. 개발된 항목을 104명의 한밭대 이노폴리스캠퍼스 창업아이템검증프로그램 참여자와 한밭대 창업선도대학 창업아이템사업화 참여자들을 대상으로 구조를 분석하여 다음과 같은 항목을 개발하였다. 사전자가점검단계를 창업자기업가정신, 보유기술 및 특허, 목표고객과 시장, 제품차별화, 비즈니스모델과 전략 등으로 정의하고 각 단계별로 17개의 구성개념과 58개의 진단항목을 개발하였다. 개발된 사전자가점검진단지(SCP)는 기술사업화를 진행하려는 창업자뿐만 아니라 멘토링을 실시할 경우, 창업교육 등을 실시하는데 필요한 역량에 대하여 점검할 수 있는 기초자료로 활용할 수 있을 것이다.

Technology based would-be entrepreneurs have constantly increased as coming with increasing demands for technology based startup. However, technology based startup need to go through throne field in the preparation and launching process. This paper help technology based would be entrepreneurs recognizing and pivoting all potential fatal flaws covering entrepreneurs to BM with strategies by providing self check-up lists. This paper have developed all check list based upon the previous literature reviews about technology commercialization with carrying Focused Group Interview with mentor and investor involved in the early stage of venture growth. In particular, this paper have applied these tools over 104 participants(would-be entrepreneur and entrepreneurs in the early startup) attending in Hanbat Startup Item Validation Program and Startup Leading University program. This paper developed the mega categories of list as follows: Entrepreneurship, technology and patent, target customer and market, product, BM and strategy. It also developed 17 different concept of components and 58 specific sub-lists under maga list. The research results of paper will provide solid foundation of communication with participants about checking up their state of preparation for startup as applying to mentoring for would-be entrepreneurs and to entrepreneurship education.

Background: Increasing workplace health-care perception has become a major issue in the world. Most of the health-related problems are faced because of the lack of health management instruments. The level of health care can be improved through workplace health well-being regulations. The aim of the present study is to formulate a conceptual model of physical checkup. Methods: This study applied conceptual theories and figures and used secondary data from articles and relevant websites for evaluating the validity of the study. Results: Annual health checkup increases health-care awareness perception of states, organizations, employees, and their families and manages the annual health record of employees, organizations, and states. Conclusions: Health care and awareness perception of states, organizations, employees, and families improves with annual health checkup, and annual health checkup also prevents unhealthy acts.

Objectives: An increasing emphasis has been placed on the integration of clinical data and patient-generated health data(PGHD), which are generated outside of hospitals. This study explored the possibility of using standard terminologies torepresent PGHD for data integration. Methods: We chose the 2020 general health checkup questionnaire of the KoreanHealth Screening Program as a resource. We divided every component of the questionnaire into entities and values, whichwere mapped to standard terminologies?Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) version2020-07-31 and Logical Observation Identifiers Names and Codes (LOINC) version 2.68. Results: Eighty-nine items werederived from the 17 questions of the 2020 health examination questionnaire, of which 76 (85.4%) were mapped to standardterms. Fifty-two items were mapped to SNOMED CT and 24 items were mapped to LOINC. Among the items mapped toSNOMED CT, 35 were mapped to pre-coordinated expressions and 17 to post-coordinated expressions. Forty items had oneto-one relationships, and 17 items had one-to-many relationships. Conclusions: We achieved a high mapping rate (85.4%) byusing both SNOMED CT and LOINC. However, we noticed some issues while mapping the Korean general health checkupquestionnaire (i.e., lack of explanations, vague questions, and overly narrow concepts). In particular, items combining two ormore concepts into a single item were not appropriate for mapping using standard terminologies. Although it is not the casethat all items need to be expressed in standard terminology, essential items should be presented in a way suitable for mappingto standard terminology by revising the questionnaire in the future.

Background/Aims: The controlled attenuation parameter (CAP) implemented in FibroScan® is reported to be a noninvasive means of detecting steatosis (>10% steatosis). We aimed to evaluate the usefulness of CAP in detecting steatosis among health checkup examinees and to assess its correlation with ultrasonography (US). Methods: Consecutive CAP results were retrospectively collected. A total of 280 subjects were included. Results: Fatty liver was detected in 119 subjects (42.5%) by US, whereas it was detected in 160 subjects (57.1%) by the CAP. The numbers of subjects with S0:S1:S2:S3 steatosis according to the CAP value were 120:59:58:43, respectively. The mean CAP values were 203.34±28.39 dB/m for S0, 248.83±6.14 dB/m for S1, 274.33±8.53 dB/m for S2, and 322.35±22.20 dB/m for S3. CAP values were correlated with body weight (r=0.404, p<0.001), body mass index (r=0.445, p<0.001), and the fatty liver grade by US (r=0.472, p<0.001). Among the 161 subjects with normal US findings, steatosis was detected in 65 subjects (40.4%) using the CAP. Conclusions: The CAP seems to be useful for detecting very low-grade hepatic steatosis in health checkup examinees. Its role in predicting subjects with a risk of metabolic derangement needs to be evaluated.

Background/Aims: We evaluated the prevalence and characteristics of thyroid nodules detected by thyroid ultrasound (US) at health checkups and the associated clinical parameters. Methods: A total of 72,319 subjects who underwent thyroid US at three health checkup centers in Korea from January 2004 to December 2010 were included in this study. The correlations between the presence of thyroid nodules and other clinical parameters were analyzed. Results: The prevalence of thyroid nodules and cysts was 34.2% (n = 24,757). Thyroid nodules were more prevalent in women and older age groups. Among the subjects with thyroid nodules with size information (n = 24,686), 18,833 (76.3%) had nodules measuring ≤ 1.0 cm. Women and older age groups showed higher proportion of larger nodules. Percentage of women, age, body mass index (BMI), waist circumference, body fat composition, blood pressure, and the level of fasting glucose, total cholesterol, and low density lipoprotein cholesterol were higher in the subjects with thyroid nodules compared to those without nodules. The prevalence of metabolic syndrome and overt/subclinical thyrotoxic state was higher in the subjects with thyroid nodules. In the multivariable logistic regression analysis, women, age, BMI, metabolic syndrome, and thyrotoxicosis were independently associated with the presence of thyroid nodules. Conclusions: The high prevalence of thyroid nodules in people who underwent thyroid US at a health checkup suggests that increased detection of thyroid nodules resulted in an increased prevalence in the general population. However, metabolic disturbances may also have contributed to the increase in thyroid nodule prevalence in Korea.

Purpose: We investigated correlations between the findings of oral examinations and panoramic radiography in order to determine the efficacy of using panoramic radiographs in screening examinations. Methods: This study included patients who visited dental clinics at National Health Insurance Service (NHIS) Ilsan Hospital for checkups during 2009-2015 and underwent panoramic radiographic examinations within 1 year prior to the oral examinations. Among the 48,006 patients who received checkups, 1,091 were included in this study. The data were evaluated using the Cohen kappa and interrater agreement coefficients. Accuracy, sensitivity, and specificity were calculated using data from the panoramic radiographs as true positive diagnoses. Results: The interrater agreement coefficient for occlusal caries was 28.8%, and the Cohen kappa coefficient was 0.043 between the oral and panoramic radiographic examinations. Root caries and subgingival calculus were only found on the radiographs, while gingival inflammation was found only by the oral examinations. The oral examinations had a specificity for detecting occlusal dental caries of 100%, while their sensitivity for proximal dental caries and supragingival calculus was extremely low (14.0% and 18.3%, respectively) compared to the panoramic radiographic examinations. The oral examinations showed a relatively low sensitivity of 66.2% and a specificity of 43.7% in detecting tooth loss compared with panoramic radiography. Conclusions: Panoramic radiography can provide information that is difficult to obtain in oral examinations, such as root caries, furcation involvement, and subgingival calculus, which are factors that can directly affect the survival rate of teeth. It therefore seems reasonable and necessary to add panoramic radiography to large-scale health checkup programs such as that provided by the NHIS.

Background/Aims: Elevated gamma-glutamyl transferase (GGT) levels indicate hepatic dysfunction and have been linked to an increased risk of pancreatobiliary cancers. However, this association, particularly in individuals with diabetes mellitus (DM), requires elucidation. We aimed to examine the association between elevated serum GGT levels and pancreatobiliary cancer risk in patients with diabetes. Methods: Our study included data from the National Health Insurance Service (NHIS) database for 2,459,966 adults aged >20 years diagnosed with DM between 2009 and 2012. We examined the association between serum GGT levels and pancreatobiliary cancer risk, considering DMrelated factors. Serum GGT levels were categorized into quartiles, and Cox proportional hazards analysis was performed to evaluate the association between serum GGT levels and pancreatobiliary cancer risk. Results: Over a median follow-up period of 7.2 years, 21,795 patients (0.89%) were newly diagnosed with pancreatobiliary cancer. The adjusted hazard ratio for pancreatobiliary cancer in quartiles 2?4 compared with that in quartile 1 was 1.091, 1.223, and 1.554, respectively, demonstrating a significant upward trend (p<0.001). This association remained consistent across all cancer types and was independent of the DM duration or treatment regimen. Conclusions: Elevated serum GGT levels were independently associated with an increased risk of pancreatobiliary cancer, regardless of the duration of DM or the use of oral hypoglycemic agents and insulin. While these findings suggest the potential utility of serum GGT as a biomarker for identifying individuals at higher risk of pancreatobiliary cancer within the diabetic population, further research is needed to validate its clinical applicability.

OBJECTIVES Chronic kidney disease (CKD) is a prevalent health issue that causes the irreversible loss of functioning nephrons, end-stage renal disease, cardiovascular disease, and premature mortality. Hypertension is the leading cause of CKD. However, the effect of long-term blood pressure (BP) changes on the development of CKD is still unknown. Therefore, the current study investigated the association between BP trajectory and the future development of CKD. METHODS In this study, 246,874 individuals aged ≥40 years who underwent health examinations during the screening period (2002-2009) were evaluated. The systolic blood pressure (SBP) trajectory was determined using latent-class mixture modeling. New-onset CKD was identified during the follow-up period (2010-2019). The association between SBP trajectories and new-onset CKD was assessed. RESULTS In total, 111,900 adults (53,420 females, 51.9±6.4 years old) presented with 2 SBP trajectory classes: class 1 (n=66,935) and class 2 (n=44,965). During the follow-up period, patients with SBP trajectory class 2 had an approximately 2.1-fold increased risk of developing CKD (unadjusted hazard ratio [HR], 2.11; 95% confidence interval [CI], 1.99 to 2.25; p<0.001). In the multivariate analysis adjusted for other significant variables, SBP trajectory class 2 was significantly associated with CKD in males (HR, 1.09; 95% CI, 1.00 to 1.19; p=0.037), but not in females (HR, 1.06; 95% CI, 0.95 to 1.18; p=0.321). CONCLUSIONS An elevated longitudinal BP was associated with a higher incidence of CKD in male participants aged ≥40 years. Nevertheless, further studies are needed to validate the clinical significance of an elevated SBP trajectory on CKD development.

공동상속인들 중에 누구는 증여로, 누구는 유증으로 피상속인의 각별한 사랑을 받았으나, 누군가는 그렇지 못한 경우가 있다. 피상속인의 의사와 상관없이 상속인이 피상속인의 재산 일부를 받을 수 있도록 하는 유류분 제도는 상속인 개인의 이익을 넘어 다음 세대의 생존권 보장이라는 사회적 기능에도 관련되어 있다. 최근 판례의 입장에 따르면 유류분반환청구와 상속재산분할은 서로 독립된 절차에 따라 이루어짐에도 불구하고 구체적 상속분을 매개로 하는 견련성이 있다고 한다. 상속재산분할의 기준인 구체적 상속분이 유류분의 부족액을 계산함에 있어서도 고려되어야 하기 때문인데, 그렇다고 해서 상속재산분할을 선결 조건으로 삼을 이유는 없다. 다만, 분할의 대상이 되는 피상속인의 재산이 남아있는 한 유류분반환청구 뿐만 아니라 상속재산분할도 이루어져야 유류분권자의 유류분을 온전하게 확보할 수 있다. 그런데 유류분의 부족액을 계산하는 방식과 그 해석에 관하여 상반되는 견해가 병존하고, 전문가의 기고문이나 정부기관 사이트에서도 다소 헷갈리는 설명을 볼 수 있다. 그에 따른 혼란스러움을 조금이라도 해소해 보고자 본 연구가 시작되었다. 이를 위해 유류분 부족액의 계산에 사용되는, 같은 듯 다른 용어들을 한눈에 알기 쉽게 정리하였고 사례를 통하여 판례가 의도한 계산 방식을 명확하게 이해해 볼 수 있도록 하였다. 이제는 ‘유류분 부족액의 계산’이 아니라 ‘유류분 확보를 위한 반환청구액의 계산’으로 재해석되어야 함을 설명하였고 나아가 유류분 부족액의 계산 결과가 정확한지 여부를 상속재산분할 결과와 함께 전체적으로 검산해 볼 수 있는 방법을 제시하였다. 본 논문을 통해 수험생은 유류분 문제에 대비할 수 있고, 현장의 실무가는 유류분 부족액의 계산 공식에 대입해 보는 것에 머물지 않고 그 물리적인 의미를 파악해 봄으로써 보다 깊은 통찰력을 가지고 사건을 수행할 수 있게 되기를 기대한다.

According to the position of recent precedents, despite the fact that claims for return of an inherited portion and division of inherited property are carried out in accordance with independent procedures, there is perseverance through the medium of a specific inherited portion. This is because the specific inherited portion, which is the criterion for dividing the inherited property, must be considered in calculating the shortfall of the retained portion, but there is no reason to make the inherited property division a prerequisite. Now, it is explained that it should be reinterpreted as 'calculation of the amount of claim for return to secure the amount of legal reserve of inheritance' rather than 'calculation of the amount of legal reserve of inheritance', and furthermore, a method to check whether the result of calculating the amount of legal reserve of inheritance is correct together with the result of the division of the inherited property. Through this research, it is expected that examinees will be able to prepare for the legal reserve of inheritance problem, and field practitioners will be able to carry out the case with deeper insight by grasping the physical meaning rather than just substituting it into the calculation formula of the legal reserve of inheritance shortage.

Objectives: It is well-established in the public health literature that marriage relationship health is a powerful predictor of physical and mental health. Inspired by the annual health checkup model in public health, marriage relationship health checkup was developed by Cordova et al.(2001). The present study applied the marriage checkup at one of the Healthy Family and Multicultural Family Support Centers which are nationwide community-based institutions delivering Korean Healthy Family Policy to the community. Method: Sixteen married couples participated in the marriage checkup. They attended the assessment session where survey, observation of problem-solving discussion, and short interview were conducted. Then, the couples participated in the feedback session two weeks later which provided results of the checkup and some recommendations for the relationship. Results: It was found that the marriage checkup couples differentiated from the couples who sought couple therapy in their level of marital adjustment and other characteristics, such as, mental health. The marriage checkup significantly improved the couples’ understanding of relationship, knowing how to improve relationship, and self-efficacy. Participants reported high level of satisfaction with the marriage checkup at the posttest. Conclusions: This study shows that the marriage checkup is a promising program for attracting new families to the center and improving their relationship health. To fit the context of Korean Healthy Family Policy, a new operation system, ‘Family Relationship Health Management System’ in which the marriage checkup plays a pivotalrole of attracting and assessing couples/families is proposed.

연구목적: 본 연구는 가족센터에 적용할 수 있는 12∼24개월 걸음마기 대상 양육자-자녀관계검진 프로그램을 개발하고 그 효과성을 평가하여 양육자와 자녀 관계 향상을 위한 체계적 개입의 기초를 마련하고자 했다. 연구방법: 걸음마기 자녀를 둔 네 가족을 대상으로 단일대상연구의 다중기준선설계를 사용하였으며, 기준선 기간과 중재기간 동안 총 7∼8회의 성과 검사를 실시하였다. 피드백 회기 2개월 후에는 후속 면접을 추가로 실시하여 개입 효과 및 변화지속여부에 대한 구조화된 질문을 중심으로 질적평가를 실시하였다. 자료는 시각적 방법과 통계적 방법을 병행하여 분석하였다. 연구결과: 양육자-자녀관계검진 프로그램 시작 전부터 프로그램 종결 후 2개월까지의 변화(양육자 자기이해, 관계향상방법 이해, 양육 스트레스, 부모자녀 관계 질)를 종합적으로 분석한 결과, 양육자-자녀관계검진 프로그램의 긍정적 효과가 입증되었으며, 특히 양육자 자기이해와 관계향상방법 이해의 증진 효과가 컸다. 결론: 본 연구는 양육자-자녀관계검진 프로그램이 양육자의 자기이해 및 관계 향상에 도움이 되는 측정, 평가, 선별 도구이자 지역사회 기반의 가족센터에 적용할 수 있는 예방적 초단기 컨설팅 프로그램으로서의 가능성을 보여준다.

Objectives: The caregiver-child relationship is key to the physical and mental health of children. Prevention and early intervention programs that support caregivers are a growing public health initiative. In the present study, we developed a caregiver-child relationship checkup(CRC) program and investigated its effectiveness in one of the nationwide community-based family centers. Method: A single-case, multiple-baseline design was used. Participants were 4 families with toddlers and 7∼8 data points were collected during the baseline phase and the intervention phase. After 2 months following the feedback phase, a follow-up interview was conducted and visual and statistical analyses were performed to evaluate the effectiveness of the CRC. Results: Overall, findings suggested that the CRC positively influenced caregivers, especially in heightening their self-understanding and understanding of how to improve relationships with their children. Participants also reported high levels of satisfaction with the CRC. Conclusions: These results support that the CRC can be a promising, brief prevention/intervention program for assessing and supporting caregiver-child relationships in the community-based family centers.

현재 자동차 교통사고 발생원인 중 타이어의 불량으로 인한 교통사고는 매년 급증하고 있다. 자동차 타이어의 상태를 점검하여 미연에 사고를 예방하는 캠페인이 방송매체를 통해 진행되고 있으며 이와 관련된 행사도 실시하고 있다. 기존의 타이어 측정방법은 객관적이지 못하며 전문적인 기관에 의뢰해도 사정은 마찬가지다. 운전자에게 편리하며 객관적인 타이어 상태를 측정하려는 방법은 연구되지 않는다. 본 논문에서는 운전자에게 편리하며 객관적인 타이어 상태 정보를 제공하고, 계속적으로 누적된 타이어 상태 측정데이터를 분석하여 운전자에게 유용한 타이어 상태정보를 제공하는 시스템을 설계하기 위한 연구내용을 다룬다.

Objectives : The purpose of the study is to investigate the deciding factors of regular scaling checkup in metropolitan adults. Methods : The subjects were 395 adults of 20s to 50s in Seoul and Gyeonggi province from September 25 to October 4, 2012. Data were self-reported questionnaires. Results : Female tried to receive more regular scaling checkup than male. Dental practitioners were acquainted with the dental knowledge and had more scaling checkup. Those who received dental scaling checkup tended to use dental hygiene products and visit the dentists regularly. Those who receiving good dental health services tended to visit the dental clinics more frequently. Higher knowledge and lower fear of dental treatment lead to frequent regular checkup. There were significant positive correlations between satisfaction, kindness, knowledge of scaling and regular scaling checkup. Fear to dental treatment showed the negative correlation. Conclusions : In order to increase intention degree of regular scaling checkup, it is necessary to develop programs for proper oral health behavior and to improve patient care services by dental hygienist.

Objective : The aim of this study was to identify the validity of recruiting medical checkup participants of Vietnam veterans using a mail survey, and to identify the 'Vietnam service related characteristics' and 'general characteristics' of Vietnam veterans groups, Method : In this study, a total 900 veterans were randomly selected from the list of Vietnam veterans from f964 to 1973. The veterans were classified into 5 groups, taking into consideration their registered status in the Ministry of Patriots and Veterans Affairs: the VRD (veterans who have agent orange-related diseases), VSD (veterans who have agent orange-suspected disease), VM (veterans who peformed meritorious deeds during the war), VR (veterans who were registered with the Ministry of Patriots and Veterans Affair) and OV (other veterans) groups. By means of postal surveys, the veterans' intention to participate in the medical checkup for our research, and their socioeconomic and general characteristics were investigated. 52 surveys were returned due to the subjects not residing at the listed address, and were excluded from the analysis. Result : 699 of the 848 veterans (82.4%) responded to the survey, of which 619 (88.6%) intended to participate in the medical checkup for our research. The S veterans groups all had similar ages, Vietnam service period, Agent Orange exposure, troop characteristic and wartime class, with the exception of VM, who were older, and with a greater number of officers than the other 4 groups, There was a big difference in the health statius among the Vietnam veterans group. The VM and OV were much healthier than VRD, VSD and VR groups, The socioeconomic stati of the VRD, VSD and VR groups were lower than those of the VM and OV groups. Conclusion : Although there were some limitations, the recruitment, by mail, of medical checkup participants from Vietnam veterans is a valid and feasible method. The VM and OV groups were much healthier, and with higher socioeconomic stati, than the VRD, VSD, and VR groups.