• Title/Summary/Keyword: 기관명

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The Clinical Effectiveness of the Bonfils Intubation Fibrescope in Difficult Tracheal Intubation (기관내 삽관이 힘든 경우에서 Bonfils Intubation Fibrescope 사용의 임상적인 효과)

  • Lee, Deok-Hee;Kwon, Il-Chi
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.154-161
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    • 2007
  • Background : This study was undertaken to evaluate the effectiveness of the Bonfils intubation fibrescope for cases of difficult tracheal intubation. Materials and Methods : For patients with an ASA physical status 1 or 2 betwen the ages of 20-90, direct laryngoscopy was performed and the layngoscopic view graded according to the Cormack and Lehane classification. Forty patients with Cormack and Lehane grade 3 or 4 were intubated using the Bonfils intubation fibrescope. During intubation, the success rates for tracheal intubation, overall time to intubation, number of attempts and adverse effects were recorded. The Thyromental and sternomental distances were recorded after the orotracheal intubation. Results : The success rates were significantly higher in Cormack and Lehane grade 3 (96.9%) patients compared to grade 4 (50%) (P<0.01). The time to intubation was significantly faster in patients with grade 3 compared to grade 4 (20 (10-49[7-300]) sec vs. 180 (31-300[10-300]) sec, P=0.01). The number of cases with a $SpO_2$<90% was significantly lower in patients with grade 3 (3.1%) compared to grade 4 (50%) (P<0.01). Conclusion : In patients with Cormack and Lehane grade 3, tracheal intubation using the Bonfils intubation fibrescope appears to be an effective technique for the management of a difficult intubation. However, the Bonfils intubation fibrescope can not always be used for the management of a difficult intubation in grade 4 patients; for these patients other effective instruments should be considered for difficult intubations.

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The Analisis on the Relationship between Maternal Self-Efficacy and Young Children's Ego-Resilience on their Children's Adjustment to Educational Institutions (어머니의 양육효능감, 유아의 자아탄력성 및 유아교육기관적응과의 관계 분석)

  • Kim, So-Young;Kim, Seong-Hyuk;An, Mi-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.397-406
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    • 2016
  • The purpose of this descriptive study was to identify the relationship between maternal self-efficacy and young children's ego-resilience on their children's adjustment to educational institutions. The study population consisted of 162 young children's mothers and teachers from seven kindergartens in A city. Data were collected from June 1 to June 30, 2016. The questionnaire consisted of 73 items about maternal self-efficacy, children's ego-resilience and children's preschool adjustment. The collected data were analyzed by frequency, descriptive methods and Pearson's correlation coefficient using SPSS/WIN 22.0 version. The study results were as follows. First, maternal self-efficacy was weakly positively(+) correlated with the activeness of children's preschool adjustment. Second, children's ego-resilience was significantly positively(+) correlated with children's preschool adjustment. Third, regarding the relationship between maternal self-efficacy and young children's ego-resilience on their children's adjustment to educational institutions, maternal self-efficacy was weakly positively(+) correlated with children's ego-resilience and children's preschool adjustment, while children's ego-resilience was strongly positively(+) correlated with maternal self-efficacy and children's preschool adjustment. In conclusion, this study finding of a positive(+) relationship between maternal self-efficacy and young children's ego-resilience on their children's adjustment to educational institutions indicates that children's ego-resilience is a reliable predictor of children's preschool adjustment. These study results imply that children's ego-resilience is strongly influenced by children's preschool adjustment.

The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea (국내 의료기관의 의료관련감염 관리 실태)

  • Jeong, Sun-Young;Kim, Og Son;Lee, Ji-Young
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.353-366
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    • 2014
  • The purpose was to describe the state of healthcare-associated infection(HAI) control. Data were collected from 134 hospitals. The questionnaire developed by Kang[8] were modified. The mean of hospital beds was 556.4, 26.9% of hospitals were less than 300 beds. 99.3% of hospitals had infection control committee(ICC). ICC met 3.4 times a year. 54.5% of hospitals had one infection control practitioner(ICP). 95.5% of ICPs were nurse, 48.7% of ICPs had more than master's degree. Hospital experience of ICPs was 13.5 years. ICP experience was 3.2 years. 30.8% of ICPs worked for less than 1 year. All hospitals investigated HAI, 75.4% performed improvement activities. There are significant differences in existence of ICD, negative pressure room, computer program, numbers of ICPs according to hospital size. Manpower, organization, and facilities lacked in less than 300 beds. This conclusions will give baseline data to establish infection control system, manpower and practice in small-medium hospitals.

A Study on the Experience of Hands-on Workers' Case Management in the Organization for Preventing Prostitution (성매매방지기관 실무자의 사례관리 경험에 대한 연구)

  • Yuk, Hea-Ryeon;Nam, Mi-Ae
    • Korean Journal of Social Welfare Studies
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    • v.47 no.1
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    • pp.233-259
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    • 2016
  • The purpose of this study is to investigate the problems brought about by applying the case management of prostitution in practice, considering its special characteristics. The study is based on the actual experience and understanding of the hands-on workers toward its case management, who are working at the organization for preventing prostitution. To do this, data collected for the research is analyzed by an inductive approache. Participants are selected in the Counseling Centers for Prostitution, General Supporting Facilities, Supporting Centers for Self-help, and Youth Facilities. Three organizations in each type of the centers or facilities are respectively chosen. Twelve participants are composed of six hands-on workers in charge of the case management and six managers supervising it(called the director of the Center in some Centers). According to the analysis, the main issues of their case management experiences are divided into 5 topics and then sub-divided into 12 ones in 3 areas. Each theme of the topics is 'Steady & ordinary, not special tasks', 'Co-existence of a burden & thrilling', 'Sad, but pretending to be serene', 'Know-hows through practical experiences', 'Nevertheless, fill my future with hopes'. On the basis of the result, some policies and instructions necessary to actively revitalize the case management are suggested: expanding professional training centers based on the field, preparing government level customized-services in medical treatments and laws, creating jobs & intensifying job training, setting up various cooperative systems with local organizations via active networking, establishing super-vision systems, and so on.

Discussion on Local Archives Based on the Ideology of Educational Autonomy : Focused on the Need to Amend Article 11 of the Public Records Act (교육자치의 이념에 토대한 지방아카이브 논의 공공기록물법 제11조의 개정 필요성을 중심으로)

  • Jeong, SangMyung
    • The Korean Journal of Archival Studies
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    • no.72
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    • pp.33-89
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    • 2022
  • Recently, following the opening of the Gyeongsangnam-do Archives and the Seoul Archives, work to establish local archives management institutions in cities and provinces is being actively carried out. In this process, there is an institution directly or indirectly affected by the records management work following the emergence of metropolitan·provincial office of education records management institutions. Article 11 of the current Public Archives Act is centered on cities and provinces, such as giving only the mayor and provincial governor the duty to establish a local record management institution. When a management agency is established, only the obligation to transfer the records with a retention period of 30 years or more among the records under its jurisdiction is specified. This is not appropriate when considering that each metropolitan·provincial office of education and each metropolitan·provincial perform their own duties and roles at the metropolitan·provincial level in accordance with the Constitution and laws. Therefore, in this study, legally, institutionally and historically, the fact that metropolitan·provincial offices of education and metropolitan ·provincial are the core institutions that realize local educational autonomy and local autonomy, and are equivalent administrative agencies independently in charge of their own affairs in their respective jurisdictions. We compared and examined the need to revise Article 11 of the current Public Archives Act, which is overly composed of cities and provinces, and presented the expected effects of the establishment of local records management institutions by cities and provinces of education.

A Study on Attributes to Select the Physical Education Institutes for Preschoolers in Directors of Educational Institutes for Preschoolers (유아교육기관장의 유아체육교육기관에 대한 선택속성 연구)

  • Choo, Nayoung
    • 한국체육학회지인문사회과학편
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    • v.55 no.4
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    • pp.241-252
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    • 2016
  • The purpose of this study was to suggest rating factors of the importance and the satisfaction for selecting physical education institutes for preschoolers and to provide an implication of vitalizing physical education class for preschooler with comparative analysis between importance and satisfaction using IPA analysis. 253 directors of educational institutes for preschooler have chosen through a convenience sampling method, and 430 was used for analysis. The results were as follows. First, the instructor qualification items and the program items ranked highly positions in physical education institute for preschooler. Second, the instructor qualification items, the program items, tuition items of discount benefit and institution image items of reputation had the significant difference between importance and satisfaction. Lastly, The quadrant I is "the keep up the good work" part and includes 8 items such as the expertise of the physical education teacher for preschooler. The quadrant II is "the concentrate here" part and includes 2 items such as teaching ability of the physical education teacher for preschooler. The quadrant III is "the low priority" part and includes 6 items such as reasonable prices of tuitions.

Convergence analysis of safety management for radiation workers and diagnostic radiation-generator devices of animal hospital in Korea (국내 동물병원의 진단용 방사선 발생장치 및 방사선 관계종사자 안전관리에 관한 융복합적 분석)

  • Kang, Kyoung-Mook;Suh, Tae-Young;Kim, Yong-Sang;Yun, Seon-Jong
    • Journal of the Korea Convergence Society
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    • v.11 no.4
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    • pp.55-61
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    • 2020
  • The various types of radiation-generator devices have been used in animal hospitals, and the safety for radiation workers is becoming important in Korea. This study investigated and analyzed the radiation safety management for diagnostic radiation-generator devices and radiation workers of animal hospital. The number of radiation-generator devices and radiation workers of animal hospital increased from 2,138 to 2,972 and from 2,644 and 5,733 for six years. The number of general X-ray, CT, C-arm, portable and dental X-ray in 2019 were 2,204, 58, 67, 770, and 14. The number of veterinarian, veterinary nurse, veterinary assistant, and others in 2019 were 4,236, 1,080, 404, and 13. The average exposure dose of radiation workers in 2018 were 0.21mSv in surface dose, 0.18mSv in depth doses. This study is expected to be the basic data for the safety management of radiation-generating devices and radiation workers in animal hospital.

Down syndrome in women aged more than 35 Years positive detection rates (산전선별검사를 통한 35세이상 산모 다운증후군 양성률 비교 평가)

  • Oh, Taek Min;Kim, Ga-Yeon;Lee, Young ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.314-320
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    • 2021
  • With the increasing age of motherhood in recent years, attributed to late marriages due to social or environmental factors, the Down's syndrome screening test using biochemical markers has become essential for pregnant women. The process of diagnosing Down's syndrome pregnancy in the high-risk group subjects involves chromosomal analysis, which is performed on samples obtained through invasive procedures such as chorionic biopsy or amniotic fluid. Thus, to reduce unnecessary invasive tests and lower the risk to mother and fetus, it is important to identify a screening test with low risk and high Down's syndrome detection rate. Recently, as the average age of mothers has increased, numerous inspection agencies have classified high-risk mothers as women over the age of 35 years. This study evaluated a total of 36,436 pregnant women aged between 17 to 46 years, and who requested prenatal screening at an inspection agency in Yongin in 2018. Test (13,690 people) Four tests were conducted by applying the time-resolved fluoroimmunoassay method using the direct sandwich and indirect sandwich technology, and the immunoassay method using the sandwich method. We aimed to confirm the difference in positivity rate with increasing age of the subjects. We believe that in future, data obtained from this study will be very useful for the prevention and treatment of Down's syndrome risk at varied inspection institutions, and for prospective mothers.

A Survey on Utilization of Health Center and Health Service Demand of Residents in a Urban and Rural Unified Community (일개 도시·농촌 통합지역 주민의 보건기관 이용경험과 보건서비스 요구도 조사)

  • Lim, Bu-Doll;Lee, Ju-Young
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.99-112
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    • 2000
  • This survey was conducted to assess the utilization of health center including health sub-center and community health post and the health service demand of residents in a urban and rural unified community. Officials in Up·Myun·Dong offices visited randomly sampled 4,027 households(4.6% of total households in unified City) which included 3,337 households in urban area(4.9% of total households) and 690 households in rural area(3.7% of total households) and interviewed with heads or housewives of the households in September, 1995. There were significant differences in health-related demographic characteristics including age-sex distribution, educational level, period of residence in the community and medical insurance status of the interviewees between urban and rural areas. Of the respondents, 64.8% in urban area and 55.6% in rural replied that they had utilized the health center in the past. The most common purpose for visiting the health center was to get vaccination in urban area and to get outpatient care in rural area. The top priority health center activity that needs to be reinforced was communicable disease control and over 90% of the respondents preferred to have mobile clinic and home health care service in were also highly demanded. Eighty-six percent of the urban respondents replied that a health sub-center must be established in urban area. In the rural area, 90.3% of the respondents replied that they wanted to maintain the health sub-center and 88.3% wanted to maintain the community health post. Along with the improvement of facilities and equipments of the health center by Rural Health Service Improvement Project, new health service programs must be developed to meet the demand of the community.

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An Analysis of Teacher-Child Interaction Level based on Factors of Characteristics of Institution, Teacher, and Child Group (유아교육기관, 교사 및 유아집단 특성에 따른 교사-유아 상호작용 수준 분석)

  • Park, Chang Hyun;Na, Jung
    • Korean Journal of Childcare and Education
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    • v.8 no.6
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    • pp.99-125
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    • 2012
  • Teacher-child interaction was included in kindergarten and child care center accreditation evaluation and is considered as important as teaching and learning methods in the newly implemented Nuri curriculum. The purpose of this study was to confirm the difference of levels (emotional. verbal, behavioral) for the style of the interaction between teachers and children in kindergarten and child-care centers and to analyze direct effect and interaction effect, according to institution(kindergarten, childcare center). teacher(age, educational career, academic career), and child group(child number, child age) variables. The subjects in this study were 191 teachers in kindergartens and child-care centers in G region in Seoul. The overall average of the teacher-child interaction (emotional, verbal and behavioral interactions) was significantly higher, and there were not significant differences depending on the institution type and child group. According to the results of this study, factors of teacher characteristics affected the teacher-child interaction more than child-concerned variables.