• 제목/요약/키워드: Health level 7

검색결과 4,371건 처리시간 0.037초

LC-MS/MS를 이용한 곡류가공품의 제랄레논 분석과 측정불확도 추정 (Analysis and Uncertainty Estimation of Zearalenone in Cereal-Based Products by LC-MS/MS)

  • 최은정;강성태;정소영;신재민;장민수;이상미;김정헌;채영주
    • 한국식품과학회지
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    • 제44권6호
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    • pp.658-665
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    • 2012
  • 본 연구는 시중 유통되고 있는 곡류가공품 중 zearalenone을 immunoaffinity column 및 LC-MS/MS를 이용해 분석하였다. 표준용액의 검량선은 1, 10, 50, 100, 250 ng/mL농도 범위에서 상관계수($r^2$) 0.999 이상으로 양호한 직선성을 보였고, 검출한계 및 정량한계는 각각 0.3, $1.0{\mu}g/kg$이었다. 회수율은 77.2-107.8%였고, RSD는 1.5-12.8이었다. Product ion 283 m/z으로 정량하여 분석한 결과 과자류 21건 중 1건(4.8%) $2.3{\mu}g/kg$, 옥수수가공품 9건 중 2건(22.2%) $1.6-8.5{\mu}g/kg$, 기타곡류가공품 14건 중 선식 1건(7.1%)에서 $3.4{\mu}g/kg$이 검출되었다. 미숫가루가 19건 중 6건(31.6%)이 검출되어, 최고 검출율을 나타냈으며, $1.1-29.7{\mu}g/kg$의 검출농도를 나타내어 다른 곡류가공품에 비해 높은 수준이었다. 총 시료 89건 중 10건에서 제랄레논이 검출되어 11.2%의 검출율을 보였고, 오염수준은 $1.1-29.7{\mu}g/kg$이었다. 검출시료 12건은 product ion 187 m/z으로 모두 제랄레논임을 확인하였다. 제랄레논을 측정하는 과정 중 불확도 인자를 파악하여 측정 불확도를 추정 한 결과 41.7, $166.7{\mu}g/kg$일때 보리차는 각각 $44.9{\pm}5.0{\mu}g/kg$(95% 신뢰수준 약 k=2), $128.7{\pm}7.9{\mu}g/kg$(95% 신뢰수준 약 k=2), 미숫가루는 각각 $30.7{\pm}5.8{\mu}g/kg$(95% 신뢰수준 약 k=2), $173.7{\pm}14.9{\mu}g/kg$(95% 신뢰수준 k=2.26), 과자는 $37.2{\pm}7.4{\mu}g/kg$(95% 신뢰수준 k=2.31), $151.0{\pm}10.4{\mu}g/kg$(95% 신뢰수준 약 k=2)를 나타내었다.

보건소 모자보건실 서비스 이용실태 및 요구도 조사 연구 (A Survey on the Utilization of Maternity and Child Health Service, and Service Requirement)

  • 조성민;김일옥
    • 부모자녀건강학회지
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    • 제6권1호
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    • pp.1-17
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    • 2003
  • Thus, I studied Health services supplied by local health centers and the requirements of the inhabitants visiting the health care facilities. The purpose of this study was to provide basic material for the establishment of Health care policy and the development of health care businesses. The target places for this study were 4 health centers; Chungrang-Gu, Nowon-Gu, Eunpyung-Gu, Songpa-Gu, with 509 mothers who were visiting the Centers. The question items of this study concerned a total of 124 health-related services provided by the Health Centers. The data was collected for a total of 92 days; July 1st~September 30th, 1999. 800 questionaries were distributed and 559 answered, 509 were analyzed finally. The collected data were processed using the SAS program to get mean, standard deviation, percentage. Open questions were made to reveal the opinions of mothers using the health care center. The results were as follows : 1. Among the participants of the study, 49.7% were 25~29 years of age, 84.3% were house wives by current occupation, 56.2% were from 4~6 person households. 52.1 were educated at a high school level, and 43.6% were educated at a collage level. 2. The highest percentage(53.6%) of the users were spontaneous in their utilization of health care center. The major reason for using the Health care center is that it is free to 65.8% of those covered and of low cost to 19.3% of those covered. 3. The satisfaction level of those using the health care center appeared to be generally high. The general average value showed up as $3.027{\pm}0.519$. 4. The level of recognition of the value of the heath care center services was high, particularly in the basic item of diagnoses of pregnancy, particularly in the basic item of diagnoses of pregnancy. However, the satisfaction level of health care education In pregnancy is low at 20~40%. In the meantime, the level of recognition in breast- feeding benefits is high at 76.8%. 5. The rate of realizing health care center's service campaign was generally low at 10~20%. 41.3 of the people knew the advertizing material of the health care centers. 32.4% of the people knew the advertizing material of the health care centers. 32.4% of the people knew the campaign of health care center for importance of breast-feeding benefits. 30.1% of the people knew the campaign for testing congenital mechanism disease. In the meantime about 50% was recognised the health care centers campaign for the importance and time of infants vaccination. 6. The need for enhancement of health care center services was shown to be high as $3.266{\pm}0.676$ as an average, chicken pox vaccination being the most highly requested at $3.565{\pm}0.587.$. 7. Among the open questions, the additional service to be provided were as follows ; increase of campaign of health care center services, furnishing advertizing books in public locations, providing shuttle bus service to the health care centers, extension of desire for preventative injections, rest and play areas for the children of the families serviced, consultation rooms, etc.

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노인요양시설 종사자들의 구강보건 지식정도와 노인구강건강관리에 대한 인지정도 연구 (Elderly Convalescence Facility Workers' Knowledge About Oral Health and Subjective Oral Health Care is the Degree of the Elderly)

  • 이연경;박정란;권선화
    • 치위생과학회지
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    • 제10권6호
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    • pp.425-430
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    • 2010
  • 본 연구는 노인요양시설 종사자들을 대상으로 구강보건지식 및 인지도를 파악하기 위하여 경기도지역 노인시설 종사자 233명을 대상으로 자기기입식 설문지를 작성하게 하여 다음과 같은 결론을 얻었다. 1. 조사대상자의 구강보건지식의 문항별 응답은 '칫솔질할 때 혀도 닦아야 한다'가 97%로 가장 높은 정답률을 보였다. 2. 구강보건행태에 따른 구강보건지식정도에서는 정기적 치과방문이 6개월마다 방문한다고 응답한 대상자가 높게 나타나 통계적으로 유의한 차이를 보였다(p<.05). 일일 칫솔질 횟수에서는 4회 이상 칫솔질을 한다고 응답한 대상자가 구강보건지식이 높게 나타났으며 통계적으로도 유의한 차이를 보였다(p<.05). 3. 구강보건 지식정도는 전체 평균은 13점 만점에 9.84점으로 전체적으로 구강보건지식수준이 높은 것으로 나타났다. 하위영역에서는 일반적인 구강보건지식이 4점 만점 중 3.69점, 노인성 구강보건지식인 6점 만점에 4.28점, 의치구강보건지식이 3점 만점에 1.86점으로서 일반적인 구강보건 지식이 가장 높은 것으로 나타났다. 4. 노인구강보건관심에 따른 구강보건지식정도는 관심이 많다고 응답한 대상자가 구강보건지식정도가 높게 나타나 통계적으로 유의한 차이를 보였다(p<.001). 5. 조사대상자의 노인구강보건관리 및 교육요구도 에서는 교육이 필요하다는 응답이 83.7%, 불필요하다는 응답이 16.3%로 나타났다. 6. 노인구강보건관리 및 교육은 치과위생사가 하는 것이 적합하다라는 응답이 57.9%로 가장 많았고 구강보건지식정도도 치과위생사가 되어야 한다고 인지한 대상자가 높은 것으로 나타났고 통계적으로도 유의한 차이를 보였다(p<.05)(Table 7). 이상의 결론을 정리해 보면 시설종사자들에게 노인구강 보건관리에 대한 일반적인 구강보건지식을 교육시킬 필요가 있으며 더불어 보다 전문적이고 체계적인 노인구강 건강관리서비스를 제공하기 위하여 치과위생사를 노인시설에 적극적으로 배치시키는 일들에 대한 적극적인 검토가 필요하다고 생각한다.

노인의 우울, 생활만족도와 건강증진행위의 관계 (Relations among Depression, Life Satisfaction and Health Promoting Behavior in the Elderly)

  • 서지혜;류현숙
    • 지역사회간호학회지
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    • 제21권2호
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    • pp.169-177
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    • 2010
  • Purpose: The purposes of this study were to examine the relations among depression, life satisfaction and health promoting behavior, and to find factors related with health promoting behavior. Methods: The subjects were 198 elderly people of over 65 living in K City and S City. Data were collected through a structured questionnaire and analyzed by SPSS/WIN 13.0. Results: Health promoting behavior was significantly different according to religion, education level, living with family, previous job, pocket money, subjectively economic level, and leisure activities. Depression was significantly different according to education level, living with family, pocket money, economic level, and leisure activities. And life satisfaction was significantly different according to religion, living with family, and pocket money. The variables that affected the degree of health promoting behavior were depression, life satisfaction and living with family, and they represented 29.7% of health promoting behavior. Conclusion: The health promoting behavior of the subjects was better than average and, at the same time, the lower depression in the health promoting behavior was the higher life satisfaction was. Therefore, in order to decrease depression and to increase life satisfaction, the development of advanced health promoting programs will be helpful to lead health life for the elderly people.

IEEE 11073 표준을 위한 홈 헬스케어 융합에 대한 연구 (A Study on Home Healthcare Convergence for IEEE 11073 Standard)

  • 오암석
    • 한국정보통신학회논문지
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    • 제19권2호
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    • pp.422-427
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    • 2015
  • 의료 패러다임이 과거 치료 중심에서 예방 및 건강 관리중심으로 전환되면서 IT융합 의료서비스에 대한 요구가 증가하였고, 헬스케어서비스는 현재 급속히 보급되고 있는 스마트 기기를 바탕으로 수요자들의 일상생활에 매우 밀접하게 접근하여 자신의 의료, 건강, 그리고 복지 등을 복합적으로 관리 할 수 있는 스마트 헬스케어서비스가 대두되고 있다. 따라서 본 논문에서는 다양한 개인 건강기기의 데이터를 이용한 상호 운용성을 확보하기 위해 각 시스템 구성요소 간에 IEEE 11073 PHD(Personal Health Devices), HL7(Health Level 7) 등의 표준을 통하여 스마트 TV 환경에 따른 헬스케어서비스를 제공하기 위해 통합 게이트웨이를 설계하고 이를 기반으로 홈 헬스케어시스템을 구현하였다.

Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation

  • Renschler, Lauren A.;Terrigino, Elizabeth A.;Azim, Sabiya;Snider, Elsa;Rhodes, Darson L.;Cox, Carol C.
    • Safety and Health at Work
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    • 제7권2호
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    • pp.166-170
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    • 2016
  • A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams - focusing on both employee and management roles. They then applied the presentation information to assess their own organization's emergency preparedness level. Participants possessed significantly (p < 0.05) higher perceptions of their organization's level of emergency preparedness than non-participants. It is recommended that an assessment of organizational preparedness level supplement emergency planning educational presentations in order to immediately apply the material covered and encourage employees to become more involved in their organization's emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace's operations and risk level for emergencies should be implemented.

Analysis of Spatial Distribution of Hypertension Prevalence and Its Related Factors based on the Model of Social Determinants of Health

  • Kim, Min Jung;Park, Nam Hee
    • 지역사회간호학회지
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    • 제29권4호
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    • pp.414-428
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    • 2018
  • Purpose: The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region. Methods: This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM). Results: The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors. Conclusion: Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence.

보건진료원 직무수행에 영향을 미치는 요인에 관한 연구 - 경기도 관내 보건진료원을 중심으로 - (A Study on the Factors which influenced the Performance of Community Health Practitioners' Function -Around the CHPs in Kyonggi-province Area-)

  • 이명숙
    • 한국보건간호학회지
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    • 제3권1호
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    • pp.18-37
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    • 1989
  • This study was done in order to analyze the factors which influenced the performance level of community health practitioners' task. Interview survey was done during the period from August to October, 1986. Interviewee were 166 CHPs among total of 217 CHPs in Kyonggi province area. Multiple stepwise regression and canonical correlation analysis were used to identify major factors influenced to perform community health practitioners' task. The results of this study were summarized as follows: 1. General characteristics of CHPs 1) Personal characteristics The average age of CHPs was 37.8 years and their marital status was $77.6\%$ of married, educational back-ground was $65.3\%$ of junior college graduation. Their job career was $38.6\%$ of between 1-3 years, $33.3\%$ of between 3-5 years, $22.2\%$ of less than 1 years. Most of CHPs$(62.8\%)$ were fully satisfied with their job, $33.3\%$ were moderately, and $3.8\%$ were not satisfied. 2) Working environmental condition Only $31.7%$ of CHPs were satisfied with their working condition of primary health post, $26.6\%$ were not satisfied. Half of CHPs$(52.5\%)$ replied having good cooperation with health center, $10.1\%$ replied bad. Cooperation with health subcenter was good in $32.9\%$, and bad in $21.9%$. Cooperation with private health institutions was good in $34.2\%$, bad in $21.6%$. 2. Performance level of community health practitioners' task Among a total of 52 contents of their functions medical history taking. physical examination, referral of diagnostic laboratory work-up($(86.4\%)$, health assessment of pregnant women$(82.1\%)$, development of health information system$(79.4\%)$, supervision of health workers $(78.4\%)$, follow-up of family planning acceptors$(77.3\%)$, and follow-up of family planning acceptors' side effects$(77.3\%)$ were actively performed. Diagnosis of pregnancy$(62.1\%)$, sampling of drinking water for quality test$(52.5\%)$, making list of equipment' & supplies $(51.5\%)$, evaluation of primary health post activities $(37.6\%)$, organization of village health workers$(32.4\%)$ and management of village health workers $(30.1\%)$ were poorly performed. 3. Stepwise multiple regression analysis of job function The factors which influenced the performance level of community health practitioners' function were age, marital status, educational level, job career, job satisfaction, satisfaction of working environment of primary health post, cooperation of health center, cooperation of health center, cooperation of private health instiutions in orders. These 9 variables were able to explain job function from $25.7\%$ of program planning to $6.7\%$ of management of common disease. 4. Canonical correlation analysis between the performance of function and general characteristics of CHPs. Cooperation of private health institutions was found to be the factor influencing task performance of community organization, management of primary health post, technical supervision of health personnels. Job satisfaction of CHPs was also found to be the factor influencing task performance of family planning, management of common disease and maintenance of health information system.

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소규모 사업장 근로자에 대한 뇌.심혈관질환 예방 프로그램 적용 효과 (Effects of Cerebrovascular Disease Prevention Program Designed for Workers in Small Scale Workplaces)

  • 강혜정;문덕환
    • 한국산업보건학회지
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    • 제23권3호
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    • pp.315-322
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    • 2013
  • Objectives: This study was conducted in order to prepare fundamental data and assess the short-term effects of applying cerebrovascular disease prevention programs by the Ministry of Employment and Labor and the Korea Occupational Safety and Health Agency (KOSHA) in Korea. Methods: The number of study subjects was 2,676 workers (58.5%) who were able to evaluate the level of incidence risk at pre- and post-applications of the program, among the 4,576 total workers who were enrolled in the cerebrovascular disease prevention program during 2011. The guidelines for this prevention program were adopted from KOSHA GUIDE H-1-2010. To determine the program' effectiveness, the workers'risks for cerebrovascular disease were assessed pre- and post-application of the program. Results: The blood pressure level was significantly reduced by 4.09 mmHg for the mean systolic blood pressures and 5.47 mmHg for diastolic blood pressures, respectively. The mean level of total cholesterol and BMI were also reduced significantly by 2.07 g/dl and 0.1 $0.1kg/m^2$. The rate of smoking was decreased by 4.0% and the percentage of workers engaging in regular exercise was increased by 29.8%. The level of overall cerebrovascular disease risk was reduced among 1,451 (70.7%) of 2,052 workers at low risk and above. The level of cerebrovascular disease risk was lower in the improved group for health behavior than the unimproved group (odds ratio =1.7, p < 0.001). Conclusions: The author considers that the application of the cerebrovascular disease prevention program by the Korea Occupational Safety and Health Agency reduced cerebrovascular diseases risks among workers who were enrolled in the cerebrovascular disease prevention program and it must be accompanied by an improvement in health behavior for prevention of cerebrovascular disease.

Assessment of Semi-Quantitative Health Risks of Exposure to Harmful Chemical Agents in the Context of Carcinogenesis in the Latex Glove Manufacturing Industry

  • Yari, Saeed;Asadi, Ayda Fallah;Varmazyar, Sakineh
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.205-211
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    • 2016
  • Excessive exposure to chemicals in the workplace can cause poisoning and various diseases. Thus, for the protection of labor, it is necessary to examine the exposure of people to chemicals and risks from these materials. The purpose of this study is to evaluate semi-quantitative health risks of exposure to harmful chemical agents in the context of carcinogenesis in a latex glove manufacturing industry. In this cross-sectional study, semi-quantitative risk assessment methods provided by the Department of Occupational Health of Singapore were used and index of LD50, carcinogenesis (ACGIH and IARC) and corrosion capacity were applied to calculate the hazard rate and the biggest index was placed as the basis of risk. To calculate the exposure rate, two exposure index methods and the actual level of exposure were employed. After identifying risks, group H (high) and E (very high) classified as high-risk were considered. Of the total of 271 only 39 (15%) were at a high risk level and 3% were very high (E). These risks only was relevant to 7 materials with only sulfuric acid placed in group E and 6 other materials in group H, including nitric acid (48.3%), chromic acid (6.9%), hydrochloric acid (10.3%), ammonia (3.4%), potassium hydroxide (20.7%) and chlorine (10.3%). Overall, the average hazard rate level was estimated to be 4 and average exposure rate to be 3.5. Health risks identified in this study showed that the manufacturing industry for latex gloves has a high level of risk because of carcinogens, acids and strong alkalisand dangerous drugs. Also according to the average level of risk impact, it is better that the safety design strategy for latex gloves production industry be placed on the agenda.