• 제목/요약/키워드: Analysis of appropriateness

검색결과 691건 처리시간 0.031초

Study of Novel Markers for Early Diagnosis of Cardiovascular Diseases

  • Kang Jae Heon;Han Jung Soon;Kim Kyung A;Song Hong Ji
    • Journal of Community Nutrition
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    • 제6권3호
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    • pp.155-163
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    • 2004
  • In our country, cardiovascular disease (CVD) and Coronary heart diseases (CHD) are the leading causes of death. It is well known that CHD is multifactorial, involving environmental factors such as diet, level of exercise and cigarette smoking, and inherited factors. According to the statistical data in 2003, the cause of death with the highest mortality was including hypertension, ischemic heart disease and atherosclerosis, which accounted for $24.7\%$ of total mortality. In spite of, there have been few study reports on the change of biochemical markers and mechanisms concerned. The development of biochemical markers is required for an early diagnosis and treatment of cardiovascular diseases that are related with dietary habits of Korean people enjoying mixtures of traditional dietary style and westernized food-styles. Therefore, the most efficient cost-saving biochemical marker was established in this study, through analysis of biochemical markers related with dietary habits which are susceptibly being changed in association to cardiovascular diseases from the pre-disease phase, and through reanalysis and assessment of early diagnosis of and preventive effects of diagnosis of cardiovascular diseases by demographical character including sex, age, and socioeconomic level with use of biochemical markers that are identified and selected among the parameters in consideration of the effectiveness and appropriateness of early diagnosis of diseases. The appropriateness of biochemical markers was reviewed by professionals (medical, pharmaceutical area and food/ nutrition area) and CRP(C-Reactive Protein) and was identified to be possible in Korea. It is thought that these biochemical markers may be used as the basic data for early diagnosis and prevention of cardiovascular diseases (CVD) which may be used for Korean people.

근골격계부담작업 유해요인조사 제도에 대한 전문가 의견 조사 (Survey on Experts' Opinion for the Legal Examination of WMSDs Risk Factors)

  • 이인석;박재희;정화식;기도형;김현주;노상철
    • 한국안전학회지
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    • 제24권4호
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    • pp.90-95
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    • 2009
  • The purpose of this study is to investigate industrial safety and health experts' opinions on the examination system of WMSDs(work related musculoskeletal disorders) risk factors. For doing this, a questionnaire study and two FGIs(focused group interview) were conducted. A questionnaire with open questions about the examination system was developed, and sent to 42 experts consented bye-mail. Of the experts, 24 experts responded, whose data were used in the analysis. The FGIs were performed for the persons in charge of industrial safety and health in industries and ergonomists. The questionnaire study revealed that most experts(91.3%) agreed with legalization of employers' duty for preventing WMSDs, necessity of the 11 tasks designated by Ministry of Labor, the examination system and ergonomics program, and pertinency for the examination system classification of periodic and occasional one. However, more than half experts disagreed with timeliness and appropriateness of the legal system. This was validated by the low approval rates for appropriateness of the 11 tasks, methods of the examination, charge person in the examination and ergonomics program. FGIs showed that it was desirable for the examination system to be legalized, and that the system was generally properly performed. It was suggested that the system be partially revised with reflecting problems disclosed during its enforcement rather than whole revision. It is expected that when revising relevant legal system, the results of this study would be used as valuable data.

간이식 수술 전후 예방적 항생제 ampicillin/sulbactam의 적절성 평가 (Appropriateness of Ampicillin/sulbactam as Prophylactic Antibiotics in Liver Transplantation)

  • 김영애;조윤숙;김향숙;이혜숙;이남준;이광웅;서경석;이주연
    • 한국임상약학회지
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    • 제22권4호
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    • pp.324-329
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    • 2012
  • The most common complication after liver transplantation (LT) is bacterial infection. The incidence of surgical site infections (SSIs) after LT was variable from 8.8%~37%. However, there has been no confirmed guideline in use of prophylactic antibiotics after LT. Ampicillin/sulbactam has been used as main prophylactic antibiotics after LT in Seoul National University Hospital (SNUH) according to the center protocol. The purpose of this study was to determine the incidence and risk factors for SSI after LT and to evaluate the appropriateness of prophylactic antibiotics. A total of 211 patients who underwent LT between July 2008 and June 2010 at SUNH were included. During study period, ampicillin/sulbactam was selected as prophylactic antibiotics in 140 patients (66.4%). A total of 43 patients (20.4%) developed infections and the incidence of SSI was noted in 28 patients (13.2%); 10.0% in ampicillin/sulbactam group and 19.4% in other antibiotics (p=0.049). The most common pathogen of SSI was MRSA (13 episodes, 49.4%). In multivariate analysis, choledochojejunostomy (OR: 7.0; 95% CI, 2.4-20.0) and lower serum albumin (OR: 3.7; 95% CI, 1.1-12.9) were found to be risk factors of SSIs. In conclusion, the incidence of SSIs after LT in this population was similar to those in other studies. Therefore, the prophylactic antibiotics protocol in LT at SNUH seems to be appropriate.

배기팬츠의 산업패턴 비교·분석 연구 - 20대 초반 남성을 중심으로 - (A comparative analytical study of the industrial patterns of baggy pants - Focused on men in their early twenties -)

  • 김민정;장효천;박선경
    • 복식문화연구
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    • 제21권3호
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    • pp.431-439
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    • 2013
  • This study aims to give practical help to the pattern making of baggy pants produced in large quantity from industrial fields. The functionality of crotch part is a key element to decide wear sensation and comfort of pants as having direct influence on movements of legs in pattern designing of baggy pants. The industrial patterns of baggy pants in various styles that are released currently in Korea were collected and a comparative analysis was conducted on them for the thesis. First, samples of men baggy pants were collected from three different brands and compared the completion sizes. Secondly, it studied the most appropriate patterns as quantifying the appropriateness of movements through fitting tests. Finally, the study verified the differences of visual images by surveys of professional groups. The conclusions obtained from this research are as follows. In terms of aesthetic attribute among the three brands, A baggy pants, which had a small size tolerance, were the most appropriate. Meanwhile concerning the appropriateness of movement, B baggy pants were shown to be the most appropriate. This reveals explicitly the problem of aesthetic attribute and functionality, which are always in conflict during the pattern design. It is necessary to develop patterns and establish a measurement system that may satisfy both of these factors.

3차 진료기관 외래약국 투약대기시간 단축을 위한 택배 제도 도입 타당성 조사 (The study on appropriateness of adapting door-to-door delivery system for the reducong of waiting time at outpatient pharmacy department in Tertiary care hospital)

  • 송정흡
    • 한국의료질향상학회지
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    • 제3권1호
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    • pp.144-152
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    • 1996
  • Background : Because of introduction of nationwide health care system in 1989 and the improvement of socioeconomic status of population the number of outpatient visiting university hospital has good facilities and manpower has increased. So the waiting time for medical service at university hospital are lengthened. Particularly outpatients complain that waiting for prescribed drugs at pharmacy depart are long. Reducing waiting time at pharmacy depart door-to-door delivery system that the patients applying for door-to-door delivery receive prescribed drug at home without waiting at pharmacy depart were studied. The objective of this study is to analysis the opinion of outpatients for door-to-door delivery system, to study the appropriateness of adopting the system and to produce ideal model for the system. Method : Outpatients waiting drug at pharmacy depart were questioned about door-to-door delivery system. to find the factors affect utilizing the system the logistic regression was used. Result : 83.3% of the patients want to utilize the system without charging, and 72.9% of the patients want to utilized system with charging. 68.3% of patients with charging want to use this system because of long waiting time at pharmacy depart. 50% of patients who do not want to use door-to-door do not use this system because of incorrect delivery. The affecting factors to utilize the system were sex, waiting time, fee. Conclusion : The model for door to door delivery system. 1. door-to-door personnel reside in hospital and the patient want to utilize the system apply for the delivery with charging. 2. The applied drugs dispense at spare time. 3. Delivery company gathers drug at appointed time and delivers. 4. The delivery fee is 2,000-3,000 won. 5. To prevent from loss and changing the drug the name of patient on packet are printed and drug packet are sealed. 6. The company submit the confirm sheet which are written that the patient received drug correctly to hospital. 7. The delivery time of drug is reserved for the convenience of receiving.

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융합교육 내실화를 위한 교양교육과정 평가 도구 개발 (The Development of Evaluation Tool in General Education for Enriching Convergence Education)

  • 김대영;현민철;김정민
    • 한국융합학회논문지
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    • 제10권5호
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    • pp.221-228
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    • 2019
  • 대학의 교양교육은 전공교육에 비해 본래의 교육적 의의를 살리지 못하고 있다는 문제에 직면해 있다. 이 문제를 해결하기 위한 가장 시급한 단계는 바로 현재 각 대학이 편성 운영 중인 교양교육에 대한 정확한 진단에서 출발한다고 볼 수 있다. 이에 본 연구는 대학의 교양교육을 평가할 수 있는 교양교육과정 평가도구의 개발에 목적을 두고 있다. 본 연구는 기존 선행연구들이 이론적으로 교양교육과정 평가도구를 단편적으로 나열한 것에서 벗어나, 평가항목 간 상대적 중요도를 AHP 분석기법을 통해 확인함으로써 평가도구의 배점을 결정하였다. AHP 분석 결과 교양교육과정의 편성, 운영, 평가 중 편성의 영역이 가장 중요하다고 나타났으며, 후순위로는 운영과 평가 영역으로 나타났다. 전체 22개 평가 지표 중 가장 높은 가중치로 결정된 지표는 "교과목 편성의 적절성"으로 나타났으며, 2순위로 "교양교육과정 목표의 적절성"이 선정되었다.

공동주택 마감공사의 하자보수기간 현황 및 연관성 연구 (Study on the Defects of Finishing Works of Apartment Houses during Warranty Liability Period and its Correlation)

  • 이웅균;서덕석
    • 한국건축시공학회지
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    • 제17권4호
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    • pp.385-391
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    • 2017
  • 공동주택의 공종별 책임 하자 보증기간은 과학적인 분석에 근거를 두지 않고 있어. 기간의 적절성이 분쟁의 원인이 되고 있다. 이에 따라 본 연구에서는 2010~2011기준 국토교통부 하자심사 분쟁조정위원회에 접수된 하자제기건수 중 공동주택 하자 중 가장 많이 제기된 마감공사의 하자실태를 파악하여 하자보수기간의 적절성을 평가하고자 하였다. 마감공사의 하자청구건수를 분석한 결과 대부분의 공종별 하자는 2년 이후에도 나타나고 있으며, 60% 정도만이 하자담보책임기간 내에 청구되고 있는 실정이다. 공종별 하자는 상호간에 연관성을 가지고 있으며 이러한 점은 시공의 관리 차원에서 고려되어 공법의 개선이 필요한 것으로 나타났다. 공동주택의 선호도에 큰 영향을 끼치는 시공능력평가 순위와 하자발생의 상관성이 낮은 것으로 보아 실제 수행하는 전문업체의 하자관련 검증 절차가 필요한 것으로 판단된다.

단일만성질환과 복합만성질환 의료급여수급자의 사례관리요구도 비교 (Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases)

  • 안양희;서연옥;함옥경;김희경
    • 재활간호학회지
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    • 제18권2호
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    • pp.98-106
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    • 2015
  • Purpose: The purpose of this study was to compare the needs of case management between Medical aid beneficiaries with simple and multiple chronic diseases (SCD vs MCD). Methods: The study employed secondary analysis method using a cross-sectional data from 2009 case management service enrollees. Data on 35,862 beneficiaries who have chronic disease(s) were used in the description of chronic disease characteristics, and data on 20,392 beneficiaries, excluding those who have depression and/or disabilities, were used to compare the group differences. Results: Mean age was $68.8{\pm}11.63years$, and 73.3% were females. MCD group showed an older age, had more women than SCD group. Self-care ability and appropriateness of health care utilization were significantly different between the groups, but there was no difference in health-related quality of life. In subscales, there were significant differences in general health status, depression, symptom management, healthy lifestyle, hygiene and vaccination, and appropriateness of health utilization. Conclusion: Different characteristics between patients with simple and multiple chronic diseases indicate that different case management approaches are required for these groups. The study results could be used as a basis for the development of case management model tailored to the characteristics and needs of medical-aid beneficiaries.

초등학교 저학년생을 위한 이물질에 의한 완전기도폐쇄 응급처치 교육용 일러스트레이션 개발 (Development of an Educational Illustration on a Complete Airway Obstruction Maneuver for Elementary School Students Grade 1 through 3)

  • 김미선
    • 한국응급구조학회지
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    • 제10권3호
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    • pp.61-70
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    • 2006
  • Purpose: The purpose of this study is to develop a realistic illustration using watercolors on a complete airway obstruction maneuver that is at an appropriate level for elementary school students from the first grade through the third. The illustration is a series of cuts divided into specific frames designed to illustrate the method to be followed in an action or a practical skill that would otherwise be too difficult to explain in written form. Methods: The fundamental theory of the Jeong In-Sung's instruction learning program based on the WEB to construct an appropriate site of instruction learning was used after modification. In this study analysis, design, and production stages were realized. Results: 1. In Stage 1, impressions of the illustration, in sketch form, were received. In Stage 2, results of impressions from a modified illustration were received. After an appropriate level of understanding and accuracy in the practical steps for emergency maneuvers were achieved the illustrations entering Stage 3 and color was added to the sketches. 2. In Stage 3, the illustration was completed by adding color to the contents for the practical steps in the complete airway obstruction maneuver. 3. For composition evaluation, a result of 100% appropriateness was obtained for both items of harmony between illustration and subject being studied and sufficiency in quantity of illustrations. Also high results for appropriateness in items such as clarity, creating interest, illustration size, and tone preference as related to content were achieved and thus completed the production stages. Conclusion: The Complete Airway Obstruction Maneuver Illustration developed specifically for the characteristics and cognitive level of elementary school students grade 1 through grade 3 was appropriate for teaching and learning. There is a need for future research on developed illustrations aimed at elementary school students grade 1 through 3 on the complete airway obstruction maneuver. There is also a need for continued effort in developing certified evaluating tools that can judge the suitability of illustrations and developing illustrations related to emergency maneuvers for various subjects and appropriate for learner level.

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근로환경이 주관적 건강상태에 미치는 영향 (Effects of the Working Environment on Subjective Health Status)

  • 이용원
    • 한국산업보건학회지
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    • 제27권3호
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    • pp.210-220
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    • 2017
  • Objectives: This study was conducted to prepare fundamental data and prevention measures on health promotion and occupational disease, and to assess the effects of the working environment on subjective health status and absenteeism among workers using data from the third working environment survey in Korea. Methods: This study's subjects were composed of 29,711 wage workers from the 3rd working environment survey data. The dependent variables were several diseases, subjective health status and absences, and the independent variable was the working environment. The collected data were analyzed by One-Way ANOVA, Pearson's correlation and stepwise multiple analysis using the IBM SPSS(ver. 20.0) statistical package program. Results: The effecting factors for cardiovascular disease were age, working shift and emotional state. The effecting factors for anxiety and depression were years of education, working condition, duties, and emotional state. The effecting factors of insomnia were duty and emotional state. The positive effecting factors for absent days were work standing, working shift, number of night shifts, autonomy, and duties. The positive effecting factors of subjective health status were age, work standing, working years, working shift, appropriateness of working hours, leadership of superiors, duties and emotional state. Conclusions: Based on the above results, the author considers that it is necessary to improve the working environment to reduce absent days, such as by reducing of number of night shifts and giving autonomy regarding duties, and to improve the working environment for subjective health status such as by controlling the appropriateness of working hours and stability of the emotional state. In addition, this study provides fundamental data on health promotion and occupational disease among workers.