• 디지털융복합연구
• /
• 제12권8호
• /
• pp.369-376
• /
• 2014

죽음교육의 주체이자 대상인 의료진의 죽음에 대한 스트레스 정도와 수용방식을'병원 공간을 중심으로'분석하여 죽음교육에 활용하고자, 2014년 4월부터 동년 4월30일까지 대전지역 일반인 281명을 대상으로 조사했다. 분석 결과 죽음교육의 필요성에 대해, 죽음교육을 받은 경우 더 중요하다고 생각하였다. 환자가 회불 불가상태인 경우 의료진은 누구에게 알리는가의 물음에 전체적으로는 보호자가 가장 높았으며, 임종하기 적합한 장소로는 살던집이 가장 많았고, 의료기관, 사회복지시설 순으로 나타났다. 이상과 같은 결과를 활용하면 죽음이라는 현상을 이해하고 다룸에 있어 보건의료적 시각과 인문학적 시각, 사회적 시각을 동시에 수용하여 일반인에게 적용할 수 있는 죽음 교육 프로그램 개발을 위한 연구로 죽음준비프로그램을 대중화 일반화를 위한 기초자료로써 의의가 있다고 할 수 있다.

• 한국환경보건학회지
• /
• 제38권2호
• /
• pp.105-117
• /
• 2012

Objectives: This study aimed to assess the concentration of perfluorooctanoic acid (PFOA) and perfluorooctanesulfonate (PFOS) in blood and factors controlling their exposure among Koreans. Methods: Study subjects were selected to include 718 members of the general population residing in five metropolitan cities and the Gangwon Province area from August 2008 to January 2009. A questionnaire was administered to investigate lifestyle, socio-demographic characteristics, and other related factors. Blood samples were collected and extracted using solid-phase extraction and anion-exchange methods, and quantified by high-performance liquid chromatograph (HPLC, Agilent 1200 Series) coupled with a Triple Quad LC-MS/MS system (Agilent 6410). Results: Geometric mean concentrations of PFOA and PFOS in the blood were measured as 1.82 and 6.06 ng/ml, respectively. Mean PFOA and PFOS concentrations generally increased with age in both genders. Blood PFOA concentration was significantly different according to such variables as age, family income, residential district, and province. Blood PFOS concentration was significantly different by such variables as gender, age, lifestyle factors such as regular exercise, alcohol consumption, and smoking status. Also, family income, hazardous facilities, job classification, and province contributed significantly to differences in blood PFOS concentration levels. Conclusions: Blood PFOA and PFOS concentrations in Koreans were similar with those found in Japan, the USA, and Germany, but less than those in Australia. PFOA and PFOS exposure seems to be affected by a variety of factors in Korea. Therefore, investigation is required for each factor to assess the relative contribution of different variables.

• 한국융합학회논문지
• /
• 제8권1호
• /
• pp.71-76
• /
• 2017

본 연구는 다중이용시설등의 실내공기질 관리법에 의해 시행되고 있는 의료기관의 실내공기질을 조사하여 관리실태를 파악하고 장소에 따라 나타나는 차이를 융합적으로 분석하여 세부적 관리방안을 제시하기 위한 목적으로 실시하였다. 부산광역시에 소재하는 의료기관 153개를 대상으로 직접 방문조사하여 미세먼지($PM_{10}$), 이산화탄소($CO_2$), 포름알데하이드(HCHO), 총부유세균(TAB), 일산화탄소(CO)를 조사하였다. 연구결과를 살펴보면, 전체적 산출평균은 유지기준을 초과하지 않았으나, 항목별 최대값은 $PM_{10}$이 91%, $CO_2$가 97%, HCHO가 96%, TAB가 99%에 해당하여 기준에 매우 근접하는 것을 확인하였다. 또한, 유동인구와 관련하여 측정 장소를 다르게 하여 측정한 결과는 각 특징에 따라 서로 다른 값을 보였다. $PM_{10}$은 로비에서 $61.80{\pm}9.66{\mu}g/m^2$, $CO_2$는 복도에서 $632.08{\pm}112.86ppm$으로 가장 높게 나타났다. 반면, HCHO는 입원실이 $21.88{\pm}17.03{\mu}g/m^2$으로 가장 높은 것으로 나타났다. TAB와 CO는 복도에서 각각 $634.08{\pm}46.41 CFU/m^2$와 $0.81{\pm}0.66ppm$으로 가장 높았다. 5곳의 측정결과 유의한 차이는 없었다. 결과적으로 의료기관 실내공기는 불특정 다수인들이 수시로 출입가능하며 환자들이 주로 생활하는 시설적 특징을 충분히 고려하여 보다 세밀하고 체계적인 관리가 이루어져야 한다.

• Journal of Preventive Medicine and Public Health
• /
• 제2권1호
• /
• pp.77-80
• /
• 1969

In the cities nowadays, the dwelling conditions of Cackroach are provided by use of various kinds of construction material, installation of heating and cooling facilities that maintain moderate temperature, filthy sanitation, and lack of knowledge about insect as mechanical Vector. Cakroach is infectious disease Vector, and it proves to be of much importance in the public health. Considering such importance, the author has surveyed the distribution of Cackroach in the housing areas of Seoul City from May 1969 to the end of August 1969, and has come to the following conclusion: 1. House dwelling Cackroach collected in the City of Seoul are of two species, i. e. Blatella Germanica Linneaus and Periplaneta Japonica Karny. 2. Most of cackroach collected in Seoul are Blatella Germanica Linneaus and they are distributed in whole area of Seoul while that of Periplaneta Japonica Karny is distributed only in the limited area. 3. Dwelling places of Blatella Germanica Lineaus are in grog shop, Korean food restaurants, bakery shops, and patient rooms in hospitals. Many of them are found in tile kitchens and dining rooms of restaurants, and tearooms. They live in groups at older houses with much crack, warm and humid places. 4. For method of collection, the hand collection was the most effective. In trap collection during the day time, when the trap is placed at the narrow corners off the ground after confirming the dwelling places of cackroach, the match trap was more effective than the flask trap in collecting. In case of collecting during the night time, the flask trap was much more effective method than the match trap.

• Journal of Preventive Medicine and Public Health
• /
• 제32권3호
• /
• pp.269-275
• /
• 1999

Background : In April 6, 1990, a male researcher who has worked at a research unit at the Basic Research Building of Seoul National University(SNU) College of Medicine admitted to SNU Hospital due to persistent fever. He was diagnosed serologically as hemorrhagic fever with renal syndrome(HFRS). Another female researcher in the same unit was also diagnosed as HFRS at the same hospital several days later. Epidemic investigation of HFRS was conducted to determine the magnitude of the problems since these two cases were strongly suspected to have laboratory-acquired infections of HFRS. Methods : All researchers and employees working at the Basic Research Building(BRB) of SNU College of Medicine as of April 1, 1996 were recruited for the study, information on symptoms of HFRS and history of contact to experimental animals were collected by self-administered questionnaires and serological tests among study subjects were also conducted by indirect immunofluorescent antibody(IFA) to hantavirus. The experimental animals were also serologically tested for infection with hantavirus by IFA. Results : Among 218 surveyed, six researchers and an animal caretaker had hantavirus antibodies above 1:20 in IFA titer. Five of seven sero-positive subjects had antibodies above 1:640 in IFA titer and had shown clinical symptoms compatible to HFRS during Jan. 1 to Apr, 20, 1996. The sero-positive persons had handled animals more frequently than sero-negative persons (OR, 19,68; 95% Cl, 1.11-350.40) and handling animals at the animal quarter at School of Public Health(SPH) had shown consistently higher risk to get infected with hantavirus irrespective of types of animals handled (OR, 4.90-6.37). Sero-positivity of rats of the aniamal quarter at BRB was 30-60%, whereas 80% of rats at SPH tested were shown sero-positivity. Conclusion: There was a epidemic of HFRS in research units of a medical school during the period from Jan. through Apr, Further investigation is needed to determine the extent and the mode of transmission of the laboratory-acquired infection with hantavirus in other research facilities.

• 한국환경보건학회지
• /
• 제41권2호
• /
• pp.61-70
• /
• 2015

Objectives: The purpose of this research was to examine radon exposure in terms of the relationship between the living environment and indoor radon concentrations among vulnerable households. Methods: Nationwide, 1,129 subjects were selected using personal questionnaires for adequately understanding the living environment, installation of E-PERM radon gas detectors, and investigation of the structure of the housing. Results: The mean concentration of indoor radon for all subjects was $130.2Bq/m^3$ (GM=101.7), and a total of 438 subjects (38.8%) exceeded the recommended standards ($148Bq/m^3$) for public facilities by the Ministry of the Environment. By location, the highest concentrations ($164.3Bq/m^3$, GM=124.1) were seen in North Chungcheong Province. In the case of the Seoul/Gyeonggi Province metropolitan area, they showed $125.6Bq/m^3$ (GM=105.1) and $118.9Bq/m^3$ (GM=96.5), respectively. By type of housing, indoor radon concentrations in single-family housing were higher than in row/multi-family housing (p<0.01). Although indoor radon concentrations raised in accordance with year of construction (p<0.05), the difference between indoor radon concentrations in underground residences was not observed to be statistically significant (p=0.633). Conclusion: More studies are necessary in the future regarding the difference in indoor radon concentrations that may occur due to different of types of indoor construction, building materials, and the amount of building materials.

• 한국환경보건학회지
• /
• 제44권3호
• /
• pp.217-226
• /
• 2018

Objectives: Despite the positive effects of Off-site risk assessment (ORA) system such as prevention of chemical accidents, some problems have been constantly raised. The purpose of this study is to analyze the problems that have occurred through the implementation of the ORA system for the past three years and to suggest reasonable directions for improvement in the future. Methods: In order to identify the problems with the methodology and procedure of ORA system, we analyzed statutes, administrative rules and documents related to the ORA system. A survey of ORA reviewers in National Institute of Chemical Safety was conducted to investigate the weight of determinants considered when judging the level of total risk in ORA. Results: In this study, we found out the uncertainty of the estimation of the number of people in the impact range in the procedure of the risk assessment of individual handling facilities, the lack of quantitative risk analysis methods for environmental receptors, and the ambiguity of the criteria for the total risk. In addition to suggesting solutions to the problems mentioned above, we also, suggested a decision tree for total risk in ORA. Conclusion: We anticipate that the solutions including the systematic decision tree for total risk suggested will contribute to the smooth operation of the ORA system.

• Child Health Nursing Research
• /
• 제4권1호
• /
• pp.97-104
• /
• 1998

Burns in children result in the loss of precious life, or if the child survives, in much suffering from physical, emotional, social, and economic problems. These burn accidents to children happen in the bustle of family life and frequently without any warning. With this background information, this study was designed to identity types of burns in children and mothers' attitudes towards, and knowledge of burn prevention, in order, to not only, in still a safety consciousness regarding the seriousness of burn accidents and the strengthening prevention, but also as basic data towards the development of an educational program aimed at prevention. From May 1 to May 25 in 1997, data were collected from the mothers of children attending five day care centers and kindergartens located in Seoul, which had been selected for the study. The tools used for the study, which were developed by the researchers, surveyed the type of burns suffered by children, mothers' knowledge of burns and attitudes toward burn accidents. The data were analyzed through real numbers percentages and analysis was done using SPSS computer programs. The results of the study show that the most frequent type of burn accidents were those caused by hot water(55.4%) and these were frequently related to everyday habits that easily lead to danger. Further, the first aid treatment following a burn was weak. The majority of the mothers had not instructed their children on who to contact in the case of a fire, first aid for burns, or how to take escape in the case of a fire. This left the children in a defenseless position in case of a fire. The mothers showed a lack knowledge, on what to do when a blaze is discovered, how to put out a fire, first aid for burns, escaping from a fire and appropriate water temperature, in that 50% of the time they answered incorrectly. From this study a prevention program, HIPP (Home Injury Prevention Program) could be developed that includes fire prevention habits and first aid for burns. This program can be used with kindergarten and elementary school children for group education on fire prevention and can be used as a foundation for construction of a system of facilities and equipment to prevent fires and also prevent injury from fires.

• 보건교육건강증진학회지
• /
• 제18권3호
• /
• pp.59-75
• /
• 2001

It is necessary to examine from primary school children's viewpoint to perception of safety as to how they cope with a condition threatening safety at the realistic world with risky environment and whether knowledge obtained through education is transmitted to action in a correct way. For this, this study explored and analyzed children's perspective to safety felt in life, their achievement of education to safety as trainees, and their perception extent to safety. As a result of it, following conclusion could be obtained. First, as for safety on their way to school and home, the lower grade they were, the more they felt safe, but the higher they were, the more they felt uneasy, which was examined that they generally had uncomfortable mind. Second, as for whether safety education was performed or not, it was indicated that safety education was generally executed, but lower graders responded that safety education was executed, but high graders responded that it was not executed. Third, as for observance of traffic rules, it was examined lower graders kept them well, but higher graders did not do so. Fourth, as for safety of play, it was indicated lower graders wore protective equipment by parents' concern, but higher graders did not wear them since they were full of confidence counting on their capability. Fifth, as for life safety, it was indicated the area most preferentially educated from parents' viewpoint was traffic safety, and the next ones were gas and fire safety. Sixth, as for fire safety, it was indicated they did not play with fire, but higher graders compared to lower ones, played with fire as the means of curiosity and play. Thus, curricula for children's safety education executed from adults' viewpoint should be established, and assessment of children's safety education should get out of the limitation of execution of safety education to habituated action by the transmission of children's knowledge. Also it is urgent to develop programs with which to perform children;'s education at the level of children, establish and operate safety education facilities for practice education that teachers and children can receive safety education through experience by building up children's safety education related entities. And it is thought that safety should not left to only children, but their safety would be kept by developing and training safety education programs to all organizations and individuals related to safety.

• 한국보건간호학회지
• /
• 제10권2호
• /
• pp.15-36
• /
• 1996

It is clear that the women's participation in social activity is dramatically increased in civilian field as well as military profession. Because of the characteristics of military nursing service, there are many difficulties. Frequent move, medical insurance, baby care. and the education are typical forms of difficulties for nurse officers in the military. The purpose of this research is to contribute to the perfect execution of nursing service. guarantee the active attitude for research and improve the combat strength by solving those private and economic problems. The method of research was analysis of question survey and the review of related literatures. The subject of research was 300 active nurse officers who work at the Army Hospitals. The survey was conducted 14 days from Oct 15 to Oct 28. The collected data was processed by computer using SPSS(Statistical Package of Social Science). Frequencies and percentages were used to examine the demographic characteristics of subject, and T-test was also used in the case of necessity. The result showed as follows; As the general characteristics of subject group; 28.7 years of average age, 73.6 months of service period, 63.4% of married. In regard of specialty; General 57.7%. Intensive Care 12.7% and Psychiatries 8.8%. The dissatisfactory factors about military welfare system were the difficulties in children education (36.9%). disadvantages on the civil medical insurance system (27.3%), and little chance of self education and development (21.5%). The problems in performing their duties were shown as dwelling instability due to frequent move (67.7%), and bring up children (14.2%). The reasons for resigning their job were shown as the instability of living status (64.2%), bring up children (18.8%) and dissatisfaction to the service (11.2%). The residential status was shown that military offered houses (45.2%), rental houses (29.3%) and own houses(14.64). The average numbers of moving residencies were; 3-4 time(34.6%), less than 2 times(33.1%), and 5-7 times(21.5%). Higher than 94.7% of the subject group spent more than 50.000 Won. In regard of education, they wanted to attend graduate school with their own expense(26.2%), computer science(20%) and Office Job Training(20%). The ways of taking care of children were mother-in-low(49.6%), mother(14.6%), and others(25%). The average expenditure per month for children were 20-30 hundred Won(44.2%), 10-20 hundred Won(25%) and 30-40 hundred Won(22.3%). The places of children care selected were public or occupational care center(56.2%), religious organization(20.8%), and other center managed by social organizations(10.4%). The result of survey for general welfare of nurse officers are as follows; By and large they seem to be satisfied with their job. however. there are some dissatisfactory factors. They are children care facilties, promotion. income. welfare facilities. disadvantage in medical insurance and civil hospitals. house purchase. unfair chances in specialty training. influence on promotion by educational status. and insufficient role for their children and husbands. As conclusion. the recommendations for improving nursing service are as follows; 1. Children care center managed by occupation 2. Dormitory system for children by military personnel 3. Equal opportunities in education according to ability 4. Reasonable moving price according to the distance and scope of family and extra allowance