• 한국직업건강간호학회지
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• 제8권2호
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• pp.193-211
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• 1999

This study was carried out to investigate the management and support system affecting to the occupational health nursing services(OHNS) provided in group occupational health agencies(GOHA). Questionnaire was developed and distributed to 82 nurses who were working in GOHA and who agreed to participate in the survey. The results were as follow: 1. OH nurses responded were mostly in the age of twenty to thirties(89%), married(73.7%), technical college graduates(88.9%), worked in hospital(85.4%) and participated more than 1 year in group occupational health services (96.3%). 2. Fifty eight point four percent of the OH nurses worked in number of workplace more than 30 to less than 60 in the OHNS form. The figure of workplaces undertaken by nurses was ranged greatly from 9 to more than 100. Number of employees who cared by nurses were mostly under 5,000 peoples in 93.3%. The types of industry was mostly manufacturing and located in the order of factory complex area, suburban, urban and others. 3. Most OH nurses(87.8%) were fully involved in the OHNS for the SSE. Their working days to visit SSE was 5 days per week(77.8%) and one day in the GOHA at 41.3%. 4. The OH documents using by nurses were found in more than 23 different types. However, they were largely summarized in the types of 'Workplace Health Management Card', 'Personal Health Counselling Card', 'Daily Health Management Report', 'Visiting List of Workplace' and 'Sick Employee List'. 5. The items of laboratory test provided by GOHA were mostly achieved in the purpose of basic health examination. They were used to be the blood pressure check(98.8%), blood sugar test (98.8%), urine sugar and protein(91.4%), SGOT and SGPT(85.3% each), cholesterol (82.9%), hepa vaccine immunization(82.9%), r-GPT(81.7%), hemoglobin(79.3%) and triglyceride(75.5%). 6. The OH nurses(92.7%) followed the work pattern to visit the GOHA before and after small-scale enterprises(SSE) visit by car driven by nurses in 74.3%. They were payed by GOHA for transportation fees in certain amounts. However, nurse is the main person(75.0%) who covers up in case of traffic accident. If the GOHA has no transportation regulation for the formal workplace visit, data showed that nurses had been responsible to take charge(31.7%). 7. The personnel manager who takes in charge for nursing services was 'nurse' in 61.7% and 41.2% worked as the final decision maker related to nursing work. The OH nurses' opinions about factors affecting to the management were classified in the four areas such as 'Nature(Quality) of health professional'. 'Content of OHNS', 'Delivery system of the GOHS', and 'Others'. The factors were indicated highly in 'Authority as health professional', 'Level of perception of director on the OH' and 'Physical work condition for OHNS'. The things that this study suggests in the recommendation would be summarized in such as the management and supporting system working for SSE in the OHNS is necessary to reform thoroughly. The reconsidered aspects might be in the matters of number of workplaces undertaken by nurses, development of effectively practical health documents, preparation for guideline of the laboratory test in the workpleces, establishment of convenient and encouraging support system and cooperation between other health professionals with respect and skill.

• Journal of Biosystems Engineering
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• 제29권1호
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• pp.1-8
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• 2004

In order to solve the shortage of roughage supply for dairy farm in Korea, winter cereal forage production after harvesting of rice in the fallow paddy field was studied. Two parts are already reported at the previous paper - One was the model development of the mechanized production, and the other was the study of feasibility of the model and its desirable direction in Korea. In this study, the model system is applied for a winter cereal wrap silage production model to practice in Kyungbook National University farm on 3ha scale for 3 years. Results of the research are summarized as follows; It takes 2 or 3 working days to process the wrap silage in middle of May in Daegu region. Also, not much particular problem can be found during the application test of mechanized wrap silage production. Field capacity and field efficiency are estimated to be 0.6-0.85㏊/h and 50-70% in mowing, 1.1∼1.7㏊/h and 52∼80% in tedding and raking, 0.6∼1.1㏊/h and 25∼45％ in baling and 0.5∼0.57㏊/h and 75∼85% in wraping, respectively. Total production cost is estimated to be 1,257won/kg-TDN in oversowing and wrap-silage harvest in 1.6㏊ working area. As a result, large scale field is recommended to produce the wrap silage in order to maximize the field capacity.

• 한국간호교육학회지
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• 제4권1호
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• pp.66-80
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• 1998

With the opening of healthcare market, the health care environment in Korea is anticipating a drastic change. In this Internationally open market environment, it is necessary to introduce a systematic health care plan and DRG system which offer qualitative medical services as well as reduced cost. Purpose of this study is to develop and test the critical pathway for Cesarean section patient in the way to be possible the integrated inpatient management. It was adopted the process of six phases to develop the critical pathway as the theoretical framework implemented by Johns Hopkins Hospital, Maryland, U.S.A. In the first phase, make a selection of diagnosis/procedures to develop. In the second phase, organize a development team consisted of eight expertises working in maternity nursing area. In the third phase, analyze the overall medical service offered to patient through review medical records and decided the service content and the implementation period for the Cesarean section patient. In the forth phase, make out a preliminary critical pathway after verification of expert group on content validity. In the fifth phase, validity operate to ten Cesarean section patients to test implementation in practice by using the preliminary critical pathway, In the sixth phase, defined the final critical pathway. The result of this study was as follows. 1. There were classified 8 categories as monitoring/assesment, treatment, medication, activity, diet, test, consult, education/discharge plan for vertical axis and showed hospital stayed from admission to discharge for horizontal axis of critical pathway through analysis 68 Cesarean section patients medical records. 2. After critical review 68 medical records to make out a preliminary critical pathway, hospital stays for horizontal axis were showed 6 days, mean hospital stays were 7.5 days, 2.1 days were to be taken operation after admission and 4.2 days were stayed until discharge after operation. 3. After making out a questionare in 90 items of a medical service content of eight categories and verifying the content validity of expertises, the 85 items of the preliminary critical pathway were selected by expertises agreement over 88% and modified or deleted 5 items showing agreement below 75%. 4. After verifying a validity to 10 patients for 4 weeks, hospital stays were 5.9 days. There were deleted 1 item and modified or supplemented the 9 items of the 10 items.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2009년도 춘계학술발표회
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• pp.63-68
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• 2009

경제적 성장과 주 5일 근무제 시행에 따라 국민들의 삶의 질 향상과 다양한 삶을 추구하고자 하는 가치관의 형성으로 특히 해양에서의 레저 활동의 참여가 증가하고 있다. 다양한 해양 레저 활동 중에서 스킨스쿠버다이빙의 활동이 상대적으로 가장 높은 비율을 차지하고 있지만, 이와 관련한 제도적 체계는 이를 따르지 못하고 있다. 이에 스킨스쿠버다이빙과 관련한 여러 가지 제도적 체계의 현황을 고찰하여 문제점을 확인하고 개선방안을 도출하고자 한다.

• 동서간호학연구지
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• 제2권1호
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• pp.54-61
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• 1997

This study was directed at analysing nursing practice in one oriental medicine hospital. In this study, the nurses were chosen from two units at one oriental medicine hospital. Using the worksampling method, a total of 780 series of nursing actions were collected over thirteen days. this study had two findings. First, the percentage for the amount of actual nursing practice was 79.5% which is lower than the amount of actual nursing practice in other western style general hospitals. Second, the content of nursing practice included nursing actions(43.8%), nursing management (35.5%), and education /research (0.1%), indicating that only the special care of oriental nursing and education /research were not observed in nursing practice. These findings indicate a deficit knowledge in oriental medicine and oriental nursing care by nurses in oriental medicine hospitals. Since Oriental Nursing has not been included in Nursing curriculum, there is a need for research to develop basic education in Oriental Medicine and pharmacology as well as the development of a sgstematized approach to Oriental Nursing so as to provide an appropriate background for nurses working in this field. Further research is needed to define nursing in the Oriental Medicine system.

• 생태와환경
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• 제42권1호
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• pp.85-94
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• 2009

용담댐 저수지에 설치된 대류식 순환장치에 대한 현장 조사 결과에 의하면 수평방향의 직접영향권은 성층 강도에 큰 영향 없이 반지름 $7{\sim}10m$에 이르는 것으로 조사 되었으며 수직방향으로는 성층강도에 따라 또는 가동기간에 따라 조금씩 달라지는 것으로 나타났다. 즉 가동시간이 길어짐에 따라 하층에서 올라온 수온이 낮은 수체는 보다 깊게 먼 곳까지 이동하는 것으로 나타났으나 성층을 깨지는 못하는 것으로 나타났다. 2008년 현장에서 실측 조사한 결과와 CFD모사 결과에 의하면 이런 조건에서 한 달을 가동하면 하층에서 올라온 수체가 대류식 장치 주변으로 수심 8 m, 지름 120 m의 수층을 이루게 되며 50일을 가동하면 수심 10 m, 지름 130m의 수층을 이루는 것으로 평가되었다. 대류식 순환장치가 설치된 지역에 대한 CFD모사를 하기 전에 이 지역의 흐름특성을 평가하였다. 대상 지역의 흐름은 연중 크게 3가지로 구분되었으며 각각의 경우 유량은 다르지만 저수지 수체의 흐름 속도는 모두 $0.05{\sim}1.5cm\;sec^{-1}$로 나타나 CFD모사시에 저수지 흐름을 고려하지 않아도 될 것으로 평가되었다. CFD를 이용한 수체거동 모사결과 순환장치로부터 3m지점에서의 유속은 $0.25m\;sec^{-1}$를 나타냈고, 5m지점에서는 $0.2m\;sec^{-1}$를 나타냈다. 현장 실측 결과와 비교시 유속은 모사 결과가 조금 크게 산정되는 것으로 나타났으나 향후 보다 많은 자료를 확보하여 비교해 보아야 할 것으로 판단되었다. 반면 영향범위는 반경방향으로 10 m지점까지는 직접영향을 받고, 그 보다 먼 지점은 간접영향권임을 나타내고 있어 이는 모사결과와 실측치 간에 일치하는 것으로 나타났다. 수면에서의 온도분포는 순환장치로부터 분출된 저온의 물이 반지름 약 10 m지점까지는 수온변화에 영향을 미치는 직접영향권인 것을 알 수 있다. 이상과 같이 모사 결과는 현장에서 실측한 것과 유사한 결과를 나타내므로 결과의 신뢰성이 높은 것으로 판단되었다.

• 유기물자원화
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• 제8권2호
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• pp.77-84
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• 2000

연속운전을 실시한 결과 전반적으로 발효 1단에서 발효 2단보다 온도가 높은 경향을 보여주었고 운전기간동안 발효 1단 $50{\sim}58.6^{\circ}C$, 발효 2단 $40.7{\sim}49.7^{\circ}C$, 발효 3단의 경우 $32.4{\sim}37.1^{\circ}C$로 온도가 거의 일정하게 유지되는 경향을 나타냈으며, 유기물함량, 함수율의 경우에 있어서도 유사한 결과를 나타내어 안정적으로 퇴비화 반응이 진행됨을 확인할 수 있었다. 생산된 퇴비의 품질을 분석한 결과, 유기물은 서서히 과정별로 분해되어 최종퇴비에서 28%를 유지했으며 pH는 잘 부숙된 퇴비에서 관찰되는 것과 같이 약알카리성을 나타냈고 생산된 퇴비의 품질에 있어 중요한 인자인 생성 퇴비내의 중금속함량은 모두 규제값 이내인 것을 확인 할 수 있었다. 결론적으로 입형다단 방식의 퇴비화 장치를 이용하여 정상운전을 실시한 결과 체류시간 14일 이내에 퇴비가 생성되었고, 퇴비의 성상 또한 부산물비료규격의 규제치를 모두 만족하는 것으로 나타났으며 동절기에도 불구하고 안정적인 퇴비화가 가능한 것으로 나타났다.

• 대한간호학회지
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• 제26권1호
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• pp.194-222
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• 1996

Various accidents and injuries are currently occurring in Korea at increasingly high rates. Good quality emergency care service is urgently needed to cope with these various forms of accidents and injuries. In order to develop a sound emergency care system, there need to be a plan to educate and train professionals specifically in emergency care. One solution for the on going problem would be to educate and train emergency clinical nurse specialists. This study on a strategy for curriculum development for emergency clinical nurse specialist was based on the following five content areas, developed from literature related to the curriculum of emergency nursing and emergency care situation : 1. Nurses working in the emergency rooms of three university hospitals were analyzed for six days to identify categories of nursing activities. 2. Two hundreds and eleven nurses working in the emergency rooms of 12 university hospitals were surveyed to identify needs for educational content that should be included in a curriculum for the clinical nurse specialist. 3. Examination of the environment in which emergency management was provided. 4. Identification of characteristics of patients in the emergency room. 5. The role of emergency clinical nurse specialist was identified through literature, recent data, and research materials. The following curriculum was formulated using the above mentioned process. 1. The philosophy of education for emergency clinical nurse specialist was established through a realistic philosophical framework. In this frame, client, environment, health, nursing, and learning have been defined. 2. The purpose of education is framed on individual development, social structure, nursing process and responsibility along with the role and function of the emergency clinical nurse specialist. 3. The central theme was based on human, environment, health and nursing. 4. The elements of structure in the curriculum content were divided to include two major threads, I, e., vertical and horizontal : The vertical thread to consist of the client, life cycle, education, research, leadership and consultation, and the horizontal thread to consist of level of nursing (prevention to rehabilitation), and health to illness based on the health care system developed by Betty Neuman system model. 5. Behavioral objectives for education were structured according to the emergency clinical nurse specialist role and function as a master degree prepared in various emergency settings. 6. The content of the curriculum consisted of three core courses(9 credits), five major courses(15 credits), six elective courses(12 credits) and six prerequisite courses (12 credits). Thus 48 credits are required. Recommendations : 1. To promote tile quality of the emergency care system, the number of emergency professionals, has to be expanded. Further the role and function of the emergency clinical nurse specialist needs to be specified in both the medical law and the Nursing Practice Act. 2. In order to upgrade the qualification of emergency clinical nurse specialists, the course should be given as part of the graduate Program. 3. Certification should be issued through the Korean Nurses Association.

• 한국직업건강간호학회지
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• 제9권2호
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• pp.86-93
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• 2000

This study was conducted to find out the degree of tiredness, accumulated tendencies of fatigues in accordance with 3 types of circadian rhythms and 3 types of perceived fatigue signs such as physical, psychological and neurosensory aspects in before and after work at night. Samples were chosen from the 217 intensive care units nurses working in 13 general hospitals which had 3 shift rotating systems, Data were collected from November to December in 1999. Two hundreds seventeen respondents were classified by 3 circadian types such as 59 morning, 110 middle and 48 evening. Circadian type was measured by the circadian type scale which was designed by ${\ddot{O}}stberg$ and Home (1976). in order to estimate the level of tiredness, the investigator used the fatigue checklist designed by the Labor and Health Institute of Japan(1970). Analysis was done by frequency a percentages, ${\chi}^2$ test and repeated measures ANOVA test. The result of this study were as follow: 1. In the general characteristics of the subjects circadian types, moderate type had the large proportion at 50.7% and morning type had 27.2% and evening type had 22.1%. 2. According to the 3 types of fatigue signs, the highest general tendency was 'General weakness' and 'Feeling of headsore' for physically perceived sign, 'Drowsiness' for psychological sign, and 'Uncomfortableness in sight seeing' for neurosensory sign. 3. The most frequently complained fatigue were observed in physical symptoms among physical, mental, and neurosensual symptoms. The percentage of complained was higher after night work than before the work started. 4. There was not any statistical significant difference between the circadian type and the degree of physical, mental, neurosensory fatigue. 5. There was not any statistical significant difference in regarding to each date of night shift except difference between 1st and 2nd days of fatigue perceived physically. Therefore, the study concluded that the fatigue perceived by night shift nurses might be related with shift working condition rather than circadian types.

• 한국임상보건과학회지
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• 제10권1호
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• pp.1559-1568
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• 2022

Purpose: The purpose of this study was to identify Happiness index according to job satisfaction and interpersonal problems of dental hygienists in some regions Methods: The subjects of this study were dental hygienists working in dental hospitals in Busan and Gyeongnam. from 1 July 2021 to 30 August 2021 a number of total 198. The structured questionnaire was surveyed and analyzed by self- entry. The collected data were analyzed using an IBM SPSS ver. 20.0. Results: The interpersonal problem were higher in the group under 25 years of age, with, less than 1 year of experience and less than 2-4 year of experience. Happiness index were higher over than 31 year of age. the happiness index was higher in the age group 31 years or older, with more than 5 years of experience, more than 7 days of vacation, work intensity that was tolerable and difficult, and the group with an annual salary of 30 million won or more. the higher the job satisfaction, the lower the interpersonal problems, the happiness index of dental hygienists was high. Conclusions: In order to increase the happiness index of dental hygienists working at dental medical institutions, it is necessary to develop a program that can form amicable interpersonal relationships in the workplace of dental hygienists with little experience. In addition, increase the job satisfaction of dental hygienists, it is necessary to adjust the intensity of work to fit the individual's abilities and aptitudes, and to develop a work system so that dental hygienists can increase their pride in their profession by signing a reasonable salary.