• Title/Summary/Keyword: 이수 관리 方法

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Investigate the Factors that Affect the Safety Performance Ability of Patients by Caregivers (노인요양시설 요양보호사의 환자안전관리에 대한 안전수행능력)

  • Kim, Eun Young
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.43-50
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    • 2021
  • The purpose of this research is to confirm the degree of awareness, knowledge and attitude for the safety management of patients in elderly care facilities, to investigate the factors that affect the safety performance of patients by nursing caregivers, and to provide basic material for the development of educational programs for strengthening performance. The research target audience was 142 nursing caregivers working in the G metropolitan city and S city elderly care facilities, and the data collected from 7/10/2020 to 7/28/2020, were analyzed with the SPSS/WIN 21.0 program. The ability of a nursing caregiver to perform patient safety is increasing as a result of higher education, higher patient safety awareness, and also more positive attitude towards patient safety. The major factors that affect the safety performance of patients by nursing caregivers were attitude toward patient safety, patient safety awareness, and the amount of participation in patient safety education. It's explanatory power was 26.9%. Based on the results of this research, we propose a study to confirm the positive effects of patient safety consciousness and attitude by confirming the education program completed by nursing caregivers and systematizing the education method and design in the education program of nursing caregivers.

A study on accuracy and application of the implant torque controller used in dental clinic (임상에서 사용하고 있는 임플란트 토크조절기의 정확도와 적용에 관한 사용실태)

  • Joo, Young-Hun;Lee, Jin-Han
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.3
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    • pp.197-205
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    • 2011
  • Purpose: This study was to evaluate the accuracy of the implant torque controller used in dental clinics and to investigate whether it was applied appropriately. Materials and methods: Fifty dentists who work in dental clinics were enrolled in this study. Dental (implant) practice career, experience frequency of implant screw loosening and fracture, education of implant torque controller application and infection control methods were included in the survey. 25 Ncm and 30 Ncm of the tightening torque applied to the implant screw were measured by 50 clinicians. After measuring the torque value by using the torque controller, the torque mean according to where education about the implant torque controller was received was analyzed with independent t-test at the significance level of 0.05. Results: The torque controller used in private dental clinics showed 4.78% error ratio. When 50 dentists applied 25 Ncm to the implant screw was $29.0{\pm}8.4$ Ncm, and that in 30 Ncm was $34.3{\pm}9.1$ Ncm. Statistical significance was found between the group that was educated about implant torque application and the group that was not educated. Conclusion: During the prosthodontic treatment with implant, there was difference between actual applied torsion force and the amount torque controller indicated. Clinicians have to not only be well-informed about the accurate usage method of the torque controller, but also keep and manage the torque controller so as to maintain continuous and accurate torque values. Through this, it is considered to achieve clinical results to minimize problems of screw loosening or fracture.

A Study on Legal and Institutional Improvement Measures for the Effective Implementation of SMS -Focusing on Aircraft Accident Investigation-

  • Yoo, Kyung-In
    • The Korean Journal of Air & Space Law and Policy
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    • v.32 no.2
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    • pp.101-127
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    • 2017
  • Even with the most advanced aviation technology benefits, aircraft accidents are constantly occurring while air passenger transportation volume is expected to double in the next 15 years. Since it is not possible to secure aviation safety only by the post aircraft accident safety action of accident investigations, it has been recognized and consensus has been formed that proactive and predictive prevention measures are necessary. In this sense, the aviation safety management system (SMS) was introduced in 2008 and has been carried out in earnest since 2011. SMS is a proactive and predictive aircraft accident preventive measure, which is a mechanism to eliminate the fundamental risk factors by approaching organizational factors beyond technological factors and human factors related to aviation safety. The methodology is to collect hazards in all the sites required for aircraft operations, to build a database, to analyze the risks, and through managing risks, to keep the risks acceptable or below. Therefore, the improper implementation of SMS indicates that the aircraft accident prevention is insufficient and it is to be directly connected with the aircraft accident. Reports of duty performance related hazards including their own errors are essential and most important in SMS. Under the policy of just culture for voluntary reporting, the guarantee of information providers' anonymity, non-punishment and non-blame should be basically secured, but to this end, under-reporting is stagnant due to lack of trust in their own organizations. It is necessary for the accountable executive(CEO) and senior management to take a leading role to foster the safety culture initiating from just culture with the safety consciousness, balancing between safety and profit for the organization. Though a Ministry of Land, Infrastructure and Transport's order, "Guidance on SMS Implementation" states the training required for the accountable executive(CEO) and senior management, it is not legally binding. Thus it is suggested that the SMS training completion certificates of accountable executive(CEO) and senior management be included in SMS approval application form that is legally required by "Korea Aviation Safety Program" in addition to other required documents such as a copy of SMS manual. Also, SMS related items are missing in the aircraft accident investigation, so that organizational factors in association with safety culture and risk management are not being investigated. This hinders from preventing future accidents, as the root cause cannot be identified. The Aircraft Accident Investigation Manuals issued by ICAO contain the SMS investigation wheres it is not included in the final report form of Annex 13 to the Convention on International Civil Aviation. In addition, the US National Transportation Safety Board(NTSB) that has been a substantial example of the aircraft accident investigation for the other accident investigation agencies worldwide does not appear to expand the scope of investigation activities further to SMS. For these reasons, it is believed that investigation agencies conducting their investigations under Annex 13 do not include SMS in the investigation items, and the aircraft accident investigators are hardly exposed to SMS investigation methods or techniques. In this respect, it is necessary to include the SMS investigation in the organization and management information of the final report format of Annex 13. In Korea as well, in the same manner, SMS item should be added to the final report format of the Operating Regulation of the Aircraft and Railway Accident Investigation Board. If such legal and institutional improvement methods are complemented, SMS will serve the purpose of aircraft accident prevention effectively and contribute to the improvement of aviation safety in the future.

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Improvement to the Methods of Discharge Computation from Float Measurements (부자측정에 의한 유량산정방법 개선)

  • Hwang, Seok-Hwan;Kim, Chi-Young;Jung, Sung-Won;Kim, Won
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.852-857
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    • 2006
  • 하천유량자료는 이수, 치수, 수질관리 등의 목적으로 널리 사용되기 때문에 여러 가지 수문관측 자료 중 가장 중요하다고 할 수 있다. 그러나 우리나라의 유량자료는 여러 가지 한계를 가지고 있어서 수문자료로서 제대로 사용되지 못하고 있는 실정이다. 특히 홍수기 부자측정 방법에 의해 산정된 유량자료는 측정 여건, 방법, 기기 등의 한계로 인해 그 정확도가 더욱 낮다. 홍수기 부자측정 방법에 의한 유량자료의 정확도 향상을 위해서는 현장 유량측정의 정확도를 향상시키는 것이 일차적으로 필요하지만, 측정된 자료를 과학적이고 체계적인 계산과정을 통하여 유량으로 환산하는 것도 매우 중요하다. 국내의 경우 일반적으로 여름에 집중호우가 빈발하고 경사가 급한 산지하천이 많다. 그래서 홍수시 하천의 유속이 매우 빠르고 하천수내에 부유물이 많이 함유되어 있다. 이러한 요인들로 의해 대부분 홍수시 유속계를 이용한 유량측정이 불가하여 대안으로 부자를 이용하여 측정하고 있다. 그 결과 평저수시 유속계 이용시에 비해 측정 및 산정과정에서 매우 큰 오차가 발생하고 있다. 이와 같이 국내의 경우 홍수시 유량측정을 위해 부자에 전적으로 의존하는 현실임에 불구하고 부자를 이용한 유속측정 및 유량산정에 대한 연구는 매우 미흡하였다. 외국의 경우도 부자 측정에 대한 방법론이 ISO 748과 일본수문관측에 간략하게 설명되어 있고 USGS와 WMO에서는 거의 내용을 다루고 있지 않고 있다. 현재 우리나라의 경우는 ISO 748을 일부 참조하고 대부분 일본수문관측 기준에 준해 측정을 하고 있다. 자연하천임을 감안하면, 부자에 의한 유속 측정시 발생할 수 있는 여러 오차들의 경우 적절한 구간의 선택, 충분한 측선수의 확보 등과 같은 측정기준의 개선을 통하여 상당부분 제거가 가능하다. 그러나 부자를 이용해 측정된 성과를 신뢰도 높은 유량으로 산정하기 위해서는 정확한 측정과 더불어 과학적이고 표준화된 유량산정 기준과 절차가 필요하다. 본 연구에서 분석된 결과에 의하면 부자유선 모임, 홍수터 유속 미측정, 기준 흘수 미적용 등과 같은 측정 자체의 문제점을 제외하면, 부자측정 방법에 의한 유량산정시 가장 큰 오차원인은 홍수시 측정된 유속측선의 위치와 홍수 전후로 측정된 횡단면상의 위치가 일치하지 않는 점과, 대부분 두 측정 구간의 평균값을 대푯값으로 사용한다는 점이다. 본 연구는 다년간의 유량 측정 및 검증 경험과 자료를 토대로 현장에서 부자를 이용하여 측정된 측정성과를 정확도 높은 유량자료로 산정하는데 있어서의 문제점을 도출하고, 이로 인해 발생하는 오차를 추정하여 그 개선방안을 제시해 보고자한다. 더불어 보다 정확한 유량 산정을 위한 기준과 범주를 제시하고자 한다.

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A study on the impacts of infection control education on dental hygienists' perceptions for hepatitis type B and their practices to prevent infection (감염관리교육이 서울지역 치과위생사의 B형 간염에 대한 인식 및 감염방지행위 실천에 미치는 영향에 관한 연구)

  • Kim, Bo-Young;Park, Ji-Man;Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.287-297
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    • 2014
  • Purpose: The purpose of this study is to examine the impacts of infection control education on dental hygienists' perceptions for hepatitis B and their behaviors. Materials and methods: Study participants were chosen by random selection among dental hygienists working in Seoul, Korea. A total of 150 questionnaires were sent out for the survey from April 2013 to May 2013, of which 140-excluding incomplete responses-were used for the study. Chi-square tests and t-tests were used (SPSS 19.0), and post-hoc analysis was performed as well. The maximum significance level was 0.05. Results: Average 1.53 times infection control education was taken, but dental hygienists' perceptions for hepatitis B and their behaviors did not show statistical differences whether the education was done or not. Practices to prevent infection showed differences depending on categories, especially disinfection and sterilization were well performed by educated group. The most common reasons for not taking the education and noncompliance with infection prevention guidelines are lack of time and opportunity due to busy schedule. Conclusion: 1. The more highly educated, the greater number of patients per day, and the greater size of hospitals, the better infection control education was conducted. 2. Although hepatitis B is one of the most common chronic liver diseases in Korea, no significant correlation between perceptions of hepatitis B and infection control education was found. 3. Dental hygienists who received infection control education performed more efficient practices for protection against infections than those who did not.

In-Depth Interview of Parents Experienced First Infant Oral Examination (1차 영유아 구강검진을 경험한 부모의 심층면담)

  • Lee, Su-Na;Lim, Soon-Ryun
    • Journal of dental hygiene science
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    • v.17 no.6
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    • pp.543-551
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    • 2017
  • The purpose of this study is to analyze the experience of the parents who examined the first infant oral examination and to understand how to improve the practical oral examination business. In-depth interviews were held with 10 parents who did the first infant oral examination, and their children's age was less than 18 to 29 months. The following conclusions were obtained by deriving the concepts and categories of the recorded contents. First, the main reason for the unsatisfactory examination of this study was that it was formal. Parents were disappointed in the fact that they did not look at the mouth of the child at the same time as it was fast and they said because it is carried out free of charge, it is more formal than the examination for general dental treatment. Second, most of the participants questioned whether they should resume infant oral examination. Third, it appears that the tooth number or dental terminology in the result notice is difficult to understand. Fourth, the opinion on the improvement of the infant oral examinations was should provided that the oral health management information after examination and the direct oral health management method education at the examination. In addition, we identified the need for parents' oral health care education for infants. Therefore, it has been confirmed that in order for the infant oral examination and young children to be practically carried out, the problems should be improved by collecting opinions of the parents. Also it is necessary to search for efficient business management method through repeated research related to infant oral examination.

Integrated Approach for Watershed Management in an Urban Area (도시 유역 관리를 위한 통합적인 접근방법)

  • Lee, Kil-Seong;Chung, Eun-Sung;Kim, Young-Oh
    • Journal of Korea Water Resources Association
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    • v.39 no.2 s.163
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    • pp.161-178
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    • 2006
  • Heathcote (1998) identified a systematic, seven-step approach to general watershed planning and management. It consists of 1) understanding watershed components and processes, 2) identifying and ranking problems to be solved, 3) setting clear and specific goals, 4) developing a list of management options, 5) eliminating infeasible options 6) testing the effectiveness of remaining feasible options, and 7) developing the final options. In this study the first five steps of that process were applied to the Anyangcheon watershed in Korea, which experiences streamflow depletion, frequent flood damages, and poor water quality typical of highly urbanized watersheds. This study employed four indices: Potential Flood Damage(PFD), Potential Streamflow Depletion(PSD), Potential Water Quality Deterioration(PWQD) and Watershed Evaluation Index(WEI) to identify and quantify problems within the watershed. WEI is the integration index of the others. Composite programming which is a method of multi-criteria decision making is applied for the calculation of PSD, PWQD and WEI (Step 2). The primary goal of the study is to secure instreamflow in the Anyangcheon during dry seasons. The second management goals of flood damage mitigation and water quality enhancement are also set (Step 3). Management options include not only structural measures that can alter the existing conditions, but also nonstructural measures that rely on changes in human behavior or management practices (Step 4). Certain management options which are not technically, economically, and environmentally feasible, are eliminated (Step S). Therefore, this study addresses a Pre-feasibility study, which established a master plan using Steps 1 through 5.

Evaluation of hydropower dam water supply capacity (III): development and application of drought operation rule for hydropower dams in Han river (발전용댐 이수능력 평가 연구 (III): 한강수계 발전용댐 가뭄단계별 운영기준 개발 및 효과 분석)

  • Jeong, Gimoon;Kang, Doosun;Kim, Taesoon
    • Journal of Korea Water Resources Association
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    • v.55 no.7
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    • pp.531-543
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    • 2022
  • Integrated water resources management (IWRM) has focused on efficient response to various water related disasters by climate change. In particular, more flexible usage of conventional water resources infrastructures is expected to provide an eco-friendly water management. Multi-purpose dams and water supply dams are well known as water management facilities for securing and supplying water in drought season. Recently, based on the report '2021 multi-purpose use of hydropower dams in Han river', contribution of hydropower dams on water resources management is becoming more significant beyond the traditional role of hydropower generation. In drought conditions, the dams control water supply depending on the pre-defined drought stages. In the case of multi-purpose dams, an operation standard during drought has been already prepared and applied; however, for the hydropower dams, specific standards are not fully prepared yet in South Korea. In this study, a method for calculation of standard water storage and discharge reduction of hydropower dams according to drought stage is newly proposed reflecting the characteristics of hydropower dams. The proposed method was applied to the hydropower dams in Han river, where six hydropower dams are located. A case study of the historical droughts occurred in 2014-2017 demonstrated that the proposed hydropower dam operation rule could improve the water supply stability under severe drought conditions compared to the conventional operations. In the future, the role of hydropower dams for water resources management is expected to become more important, and this study can be widely used for water supply planning such as drought response using hydropower dams.

Necessity and Introduction Plan for Agrochemical Pharmacist System to Strengthen Expertise in Pest Diagnosis and Prescription (병해충 진단 및 처방의 전문성 강화를 위한 식물의약사(식물위생전문가) 제도의 필요성과 도입방안)

  • Jae Su Kim;Deok Ho Kwon;Se Jin Lee;Sueyeon Lee
    • Korean journal of applied entomology
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    • v.62 no.2
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    • pp.69-78
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    • 2023
  • The currently implemented Positive List System, sales manager training, and pesticide sales record systems focus on the safety of determined pesticide use, but the proposed agrochemical pharmacist (AP) system aims accurate diagnosis and reasonable prescription. In this study, 81% of famers claimed expert assistance for purchasing and applying pesticides, and 42~86% of sales managers insisted on the strengthening expertise in diagnosis and prescription. In the institutionalization of AP, a special implementation guideline is essential to embrace the present sales managers with long experience. Sales managers of commercial and agricultural cooperatives recognize the qualifications of agrochemical pharmacists as a strategy to differentiate themselves from competitors, and increase sales through market positioning of "pesticides prescribed by trustworthy agrochemical pharmacists", not sales managers anymore.

Development of Intelligent Compaction System for Efficient Quality Control (효율적 품질관리를 위한 지능형 다짐 시스템 개발)

  • Lee, Soomin;Park, Sangil;Lee, Riho;Seo, Jongwon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.38 no.5
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    • pp.751-760
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    • 2018
  • Currently, the quality measurement of the work is carried out by the supervisor's visual inspection, as the workers individually judge the number of resolutions, thickness, speed and vibration. After work, we are conducting follow-up work through traditional spot test, which is less representative. Therefore, it is impossible to check the results of the resolution, and there is always the possibility that problems will arise due to poor construction. This study demonstrates the feasibility of using the continuous compaction strength measurement method by comparing the continuous compaction strength measurement method and the conventional compaction strength measurement method after performing the compaction in the actual field scale in various test conditions. The validity is verified by analyzing the Compaction Meter Value of an Intelligent Compaction roller composed of a Global Positioning System and an accelerometer, Based on the proven results, a full range of quality can be confirmed without a single test. The quality confirmation is visualized in the compaction control program developed in this study, This enables the field manager to perform real-time quality monitoring at the same time as compaction.