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천식 아동 및 청소년에서 원격모니터링 중재의 효과: 체계적 문헌고찰 및 메타분석 (Effectiveness of Telemonitoring Intervention in Children and Adolescents with Asthma: A Systematic Review and Meta-Analysis)

  • 정유진;김지민;박동아
    • 대한간호학회지
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    • 제48권4호
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    • pp.389-406
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    • 2018
  • Purpose: This review aimed to evaluate the effectiveness of telemonitoring (TM) in the management of children and adolescents with asthma. Methods: We searched Ovid-MEDLINE, Ovid-EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and 5 domestic databases to identify randomized controlled trials (RCTs) published through December 2017. Two reviewers independently selected relevant studies, assessed methodological quality and extracted data. We performed a meta-analysis of TM versus usual care and summarized the intervention characteristics of included studies. Results: Of the 3,095 articles identified, 8 RCTs (9 articles) were included in this review. The type of TM intervention of included studies was varying across studies (transmitted data, transmission frequency, data review, etc.). The pooled asthma control score was not significantly different between TM and usual care (standardized mean difference 0.04, 95% confidence interval (CI) -0.20~0.28). Another pooled analysis demonstrated no statistically significant difference in asthma exacerbation between TM and usual care (odds ratio 0.95, 95% CI 0.43~2.09). Overall, the pooled results from these studies revealed that TM did not lead to clinically significant improvements in health outcomes, but some studies in our analysis suggested that TM increased patient medication adherence and intervention adherence. Conclusion: The current evidence base does not demonstrate any differences between TM intervention and usual care, but TM intervention might be considered a promising strategy for the delivery of self-management support for children and adolescents with asthma. Further well-designed studies are needed to assess the effects on clinical outcomes.

혁신성장기반 공공 연구자 중심의 기술창업 활성화 정책연구 (A Study on Technology Entrepreneurship Policy Focused on Innovative Growth)

  • 윤정근;권재철;최선희
    • 산경연구논집
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    • 제10권2호
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    • pp.51-64
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    • 2019
  • Purpose - Research on the ability of domestic public institutions to conduct business is being conducted. Research on government support policy for public technology projects, emphasizes technology creation. Public agencies are encouraging evolutionary barriers at the stage of realistic business. This paper presents the policy possibilities by presenting policies and strategies based on corporate public policy. Research design, data, and methodology - In this study, we surveyed the actual state of public technology commercialization based on the data on state of technology commercialization of public institutions. We collected and analyzed the literature data to enhance the competitiveness of technology commercialization by identifying success cases of public technology commercialization. In Korea, there are not many research papers that provide policy alternatives for technical commercialization of public research institutes. Therefore, in this paper, we review various government policies and check the status of technology commercialization to increase its value. Results - As a result of this study, it is suggested that various policy development is necessary for the commercialization of public technology, because it is important to increase the value of technology users, suppliers, investors and customers through various network activation. In particular, it is necessary to establish differentiated Korean public technology commercialization model for the proliferation of public technology commercialization by presenting methodical model of technical commercialization. Conclusions - Through this study, it is important to raise the competitiveness of domestic public technology commercialization, to create economic value, and to improve the performance of technology commercialization. Therefore, it is necessary to contribute to the creation of research achievement, research method of excellent technology, and method of commercializing technology, and to create achievement of technical commercialization in the future. In addition, from the viewpoint of commercialization of technology, strategies for creating value through utilization of public technology should be prepared, and a plan for mutual prosperity among domestic companies should be prepared. Policy alternatives of various public technology commercialization to build national competitiveness have been developed, and various examples of performance for the performance of public technology commercialization should be derived.

지역전략산업 연계 중소기업지원 인력양성정책의 효율화 방안 (A Plan of Efficiency of Human Resource Policy for Small-Medium Enterprises in Regional Strategic Industry)

  • 경종수;이상철;이상호
    • 한국산학기술학회논문지
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    • 제11권10호
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    • pp.3779-3788
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    • 2010
  • 본 연구는 지역전략산업과 연계되어 추진되고 있는 중소기업 산업인력 양성 정책의 효율화방안을 제시하고자 한다. 특히 산업인력부문의 공급측면과 수요측면을 동시에 접근함으로써 실무적.정책적 시사점을 파악하고자 하였다. 공급측면에 대해서는 지역산업인력 종사자 현황 및 전략산업별 인력공급현황, 지역전략산업 내 인력양성사업을 다루었다. 수요측면에 대해서는 지역전략산업진흥사업에 참여하고 있는 201개의 중소기업을 대상으로 인력수급현황과 산업인력 양성에 관한 기업수요에 대하여 설문조사를 실시하였다. 연구결과 전략산업별 기업수요의 특성이 다르게 나타나고 있어 전략산업별 차별적인 정책방향과 효율성 개선을 위한 시사점을 찾을 수 있었다. 이러한 결과들은 중앙정부의 산업인력 정책기조와 지역산업 현장의 기업수요를 반영하여 산업인력정책의 효율성을 증대하기 위한 시사점이 될 것이다.

Effect of Occupational Health and Safety Management System on Work-Related Accident Rate and Differences of Occupational Health and Safety Management System Awareness between Managers in South Korea's Construction Industry

  • Yoon, Seok J.;Lin, Hsing K.;Chen, Gang;Yi, Shinjea;Choi, Jeawook;Rui, Zhenhua
    • Safety and Health at Work
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    • 제4권4호
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    • pp.201-209
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    • 2013
  • Background: The study was conducted to investigate the current status of the occupational health and safety management system (OHSMS) in the construction industry and the effect of OHSMS on accident rates. Differences of awareness levels on safety issues among site general managers and occupational health and safety (OHS) managers are identified through surveys. Methods: The accident rates for the OHSMS-certified construction companies from 2006 to 2011, when the construction OHSMS became widely available, were analyzed to understand the effect of OHSMS on the work-related injury rates in the construction industry. The Korea Occupational Safety and Health Agency 18001 is the certification to these companies performing OHSMS in South Korea. The questionnaire was created to analyze the differences of OHSMS awareness between site general managers and OHS managers of construction companies. Results: The implementation of OHSMS among the top 100 construction companies in South Korea shows that the accident rate decreased by 67% and the fatal accident rate decreased by 10.3% during the period from 2006 to 2011. The survey in this study shows different OHSMS awareness levels between site general managers and OHS managers. The differences were motivation for developing OHSMS, external support needed for implementing OHSMS, problems and effectiveness of implementing OHSMS. Conclusion: Both work-related accident and fatal accident rates were found to be significantly reduced by implementing OHSMS in this study. The differences of OHSMS awareness between site general managers and OHS managers were identified through a survey. The effect of these differences on safety and other benefits warrants further research with proper data collection.

Perceptions of Research Excellence in Thailand and Japan

  • Kongsmak, Kasama;Pungpit, Punchalee;Kano, Mitsunobu R.;Komai, Shoji;Piyawattanametha, Wibool;Phanraksa, Orakanoke
    • STI Policy Review
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    • 제4권2호
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    • pp.113-135
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    • 2013
  • This paper explores how research excellence is perceived among researchers in Thailand and Japan with an aim to explore whether there are any new indicators that could later be proposed and adopted as criteria of excellence. Based on a questionnaire survey, the findings reflect ideas and viewpoints that could be found among researchers in both countries. Creative researchers are crucial to a strong national research and innovation system. Institutions should provide an environment or incentives based on research performance for their researchers to flourish and be productive. For decades, bibliometrics have been used to evaluate individual research performance for its easy approach and faster speed than a qualitative assessment would warrant. Nonetheless, there have been a number of studies on research performance evaluating systems that point out how a purely bibliometric approach is inadequate in summarizing the quality of the scientific performance. The pressures on researchers today influence their thinking and oppose their creativity. To investigate the perception of research excellence, three key research questions were set in this study: what counts as excellence, how to measure excellence, and how to support excellence. The findings confirm that traditional granting criteria that frames an idea of excellence remain valid, but they also suggest novel criteria be considered and prioritized. This paper argues that the existing evaluating system is insufficient for unleashing the curiosity and creativity of researchers and fostering excellence. In the final section, the paper discusses factors that contribute to scientific creativity that we should not overlook.

산업체 유통 GHS MSDS의 영업비밀 적용실태 및 개선방안 연구 (A study on the Application Status to Trade Secret of GHS MSDSs distributed in the Workplaces and its Improvement Measures)

  • 이권섭;이혜진;홍문기
    • 한국산업보건학회지
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    • 제26권3호
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    • pp.293-300
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    • 2016
  • Objectives: This study is designed to survey the current status of trade secrets in GHS MSDS circulated in workplaces and indicate problems in the chemical information system. According to the survey results, we suggest management plans including political improvement of the trade secret system for MSDS and technical support to workplaces following enhanced chemical communication. Methods: To review this subject, we selected 153 manufacturers and six importers working in such fields as organic chemical production. We then investigated the retention status of GHS MSDS, application of trade secrets, and the content of trade secret components in MSDSs for mixtures. Results and Conclusions: Within the results, the content of trade secret ingredients was 67.4% (single: 9.0%, mixture: 75.6%). This is an increase compared with the previous results of 45.5% in 2011. Among 59,393 GHS MSDSs, 74.5% had ingredients less than 10% trade secret components, 19.1% had 10-30%, 1.8% had 30-50%, and 4.6% had more than 50%. To settle this issue, we recommend registration or evaluation of trade secrets as implemented in advanced countries. Also, business should be required to undergo regular evaluations of application status for trade secrets in workplace GHS MSDS.

물질안전보건자료 대상물질의 유해성 분류기준 적용 연구 (Study on applying to Hazard Classification Criteria of Chemicals subject to Material Safety Data Sheets)

  • 이혜진;이나루;이인섭
    • 한국산업보건학회지
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    • 제30권3호
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    • pp.280-291
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    • 2020
  • Objectives: Hazard classification is a controversial issue in the new MSDS system in which chemical companies have to prepare and submit MSDS for chemicals that they manufacture or import to the competent authorities according to the amended Occupational Safety and Health Act. The aim of this study is to suggest how to apply and manage harmonized hazard classification criteria and results by investigating current hazard classification systems and trends. Methods: The domestic issues about different hazard classification criteria and results were investigated by reviewing the literature and business outcomes regarding KOSHA. We also checked official and unofficial reports from the UN to understand international discussion about the topic. Chemical hazard classification results from agencies providing chemical information were analyzed to compare a harmonized rate between classifications. Furthermore, a field survey of a few chemical companies was conducted. Results: Under the related competent authorities, an integrated standard proposal was developed to harmonize the domestic hazard classification criteria. Although harmonized chemical information is strongly needed, we recognized the uncertainty and difficulty of harmonized hazard classification from the UN global list project review. In practice the harmonization rate of the classification was generally low between the classification in KOSHA, MoE, and EU CLP. Among hazard classes, health hazards largely led the disharmony. The field survey revealed a change of perception that the main body of chemical information production is manufacturers. Approaches and solutions about hazard classification issues differed depending on business size, types of chemical handling, and other factors. Conclusions: We proposed reasonable ways by time and step to apply hazard classification in the new MSDS system. Chemical manufacturers should make and offer chemical information including responsible hazard classifications. The government should primarily accept these classifications, evaluate them by priority, and support or supervise workplaces in order to communicate reliable chemical information.

Asbestos and Asbestos-related Diseases in Vietnam: In reference to the International Labor Organization/World Health Organization National Asbestos Profile

  • Pham, Van Hai;Tran, Thi Ngoc Lan;Le, Giang Vinh;Movahed, Mehrnoosh;Jiang, Ying;Pham, Nguyen Ha;Ogawa, Hisashi;Takahashi, Ken
    • Safety and Health at Work
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    • 제4권2호
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    • pp.117-121
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    • 2013
  • This paper describes progress on formulating a national asbestos profile for the country of Vietnam. The Center of Asbestos Resource, Vietnam, formulated a National Profile on Asbestos-related Occupational Health, with due reference to the International Labor Organization/World Health Organization National Asbestos Profile. The Center of Asbestos Resource was established by the Vietnamese Health Environment Management Agency and the National Institute of Labor Protection, with the support of the Australian Agency for International Development, as a coordinating point for asbestos-related issues in Vietnam. Under the National Profile on Asbestos-related Occupational Health framework, the Center of Asbestos Resource succeeded in compiling relevant information for 15 of the 18 designated items outlined in the International Labor Organization/World Health Organization National Asbestos Profile, some overlaps of the information items notwithstanding. Today, Vietnam continues to import and use an average of more than 60,000 metric tons of raw asbestos per year. Information on asbestos-related diseases is limited, but the country has begun to diagnose mesothelioma cases, with the technical cooperation of Japan. As it stands, the National Profile on Asbestos-related Occupational Health needs further work and updating. However, we envisage that the National Profile on Asbestos-related Occupational Health will ultimately facilitate the smooth transition to an asbestos-free Vietnam.

금속연료인 과립화붕소의 입도에 따른 연료과농 고체 추진제 특성 연구 (A Study of Fuel-rich Solid Propellant Characteristic for Boron-bead Particle Size)

  • 원종웅;최성한;이원복;김준형;황갑성;박복선
    • 한국추진공학회지
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    • 제18권5호
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    • pp.12-18
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    • 2014
  • 공기흡입형 추진기관의 가스발생기에 사용하기 위한 연료과농(Fuel-rich) 고체 추진제의 특성에 대한 연구를 수행하였다. 일반적인 고체 추진제는 평균 60%이상의 산화제를 포함하는 데, 연료과농 고체 추진제를 개발히기 위해 산화제 함량을 30%내외로 낮추고 매우 높은 부피당 열량을 가지는 비정질 붕소를 입자화(Bead)하여 금속연료 함량을 증가시켜 고체 추진제의 제조 공정성 및 연소속도 특성을 확인하였다. 과립화붕소의 입도가 작을수록 추진제 제조 공정에서 초기 점도가 높아지고, 입도가 클수록 연소속도 및 압력지수가 증가하는 것을 확인할 수 있었다.

핸드드립용 커피필터 제품을 위한 닥섬유 혼합 비율에 따른 한지의 물리적 특성 및 적용 가능성 평가 (Studies on Physical Properties and Potential as Coffee Filter Application for Hanji According to Different Contents of Paper Mulberry Fibers)

  • 우현정;주용찬;박성철;임현아;이현희;최정욱;송혁환;이윤석
    • 한국포장학회지
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    • 제26권1호
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    • pp.33-39
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    • 2020
  • 본 연구에서는 닥섬유 함량에 따른 한지의 핸드드립용 커피필터로서의 적용가능성을 평가하기 위해 한지를 제조하고 실험을 실시하였다. 백색도 측정결과 목재펄프에 따른 기존 필터지와 한지간에 차이가 있었으며, 닥섬유 함량이 증가할수록 백색도가 감소하는 경향을 보였다. 닥섬유 함량이 증가할수록 닥섬유 내 장섬유에 의한 표면의 불균일성이 높아졌으며, 두께 값은 증가하고, 밀도는 감소하였다. 또한 닥섬유 함량이 증가할수록 인장강도와 습인장강도, 파열강도와 내절도는 모두 증가하였다. 특히 닥섬유 함량이 30%(w/w) 이상인 한지의 경우 기존 필터지보다 우수한 강도 값을 보여주었다. 화상분석장치를 이용한 한지필터 표면분석을 통하여 장섬유와 단섬유가 적절히 분포되어 공극을 메운 것을 확인할 수 있었다. 모든 한지필터는 식품용 기구 및 용기·포장재로서 적합 판정을 받았다. 닥섬유의 함량이 10%(w/w)인 한지 필터의 경우 기존 필터지보다 강도 값이 상대적으로 낮은 것으로 나타내어 커피 추출량 비교에서는 제외되었다. 동일한 드리퍼를 이용하여 같은 방법으로 추출한 커피의 추출수율은 유의적으로 차이가 없음을 확인하였다. 본 연구를 통해 닥섬유 함유량이 30%(w/w) 이상인 한지를 이용하여 커피를 추출했을 때, 시판 필터지와 유사한 강도와 추출속도를 가지는 것을 확인하였다. 추가적으로 한지필터를 이용하여 추출한 커피의 향미 평가를 통하여 닥섬유가 커피필터에 미치는 영향에 대한 연구가 필요할 것으로 보인다.