• Title/Summary/Keyword: Manuals

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The Physical Restraint Use in Hospital Nursing Situation (병원 간호현장에서의 억제대 사용실태에 관한 연구)

  • 김기숙;김진희;이선희;차혜경;신수정;지성애
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.60-71
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    • 2000
  • This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers. Results of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

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Development and Effectiveness of STEAM Outreach Program based on Mathematics (수학을 기반으로 하는 STEAM 아웃리치 프로그램 개발과 효과성)

  • Hwang, Sunwook;Kim, Namjun;Son, Jeongsuk;Song, Wonhee;Lee, Kapjung;Choi, Seongja;Lew, Kyounghoon
    • Communications of Mathematical Education
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    • v.31 no.4
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    • pp.389-407
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    • 2017
  • Many researches related to STEAM education have been actively conducted for developing elementary and secondary school students' comprehensive and logical thinking ability in relation to creativity education in Korea. Each sub factor of STEAM education requires creative thinking with the ability to be merged together to solve problems as integrated or combined forms in the fields of Science, Technology, Engineering, Arts, and Mathematics. Also, these STEAM activities and experiences should be carried out at various places outside the classroom in school. Although various educational programs to enhance mathematical creativity have been emphasized for elementary and secondary school students, recent tendency to focus on classroom learning in the school makes it difficult to develop creative thinking ability of students. This research is mainly based on the result of the project "Development and Administration of STEAM Outreach Program in 2016" supported by KOFAC(Korea Foundation for the Achievement of Science & Creativity). The purpose of this research is to develop a STEAM outreach program including students' activity books, teachers' manuals and administration manual that can maximize STEAM-related interest of students, and to provide a chance for elementary and secondary school students to experience creative thinking based on sub factors of STEAM. The STEAM competency total score and the perception of convergence education were significantly increased for all students participating this program, but some sub factors showed different result by school levels. The STEAM outreach program developed by this study is designed to emphasize STEAM education especially 'based on' mathematics in order to provide students with the opportunity to experience more interest in the field of mathematics and will be able to provide an interesting creative STEAM outreach program that utilizes a variety of activities which, we expect, would help students to consider their career in the future.

Impact of the Type of Dental Treatment on the Dental Fear of Adolescents in South Gyeongsang Province (경남지역 청소년들의 치과진료형태가 치과공포감에 미치는 영향)

  • Kwon, Soo-Jin;Choi, Yu-Jin
    • The Journal of the Korea Contents Association
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    • v.10 no.2
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    • pp.277-285
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    • 2010
  • The purpose of this study was to examine the influential relationship between the type of dental treatment and the dental fear of teens in a bid to seek ways of relieving adolescents of dental anxiety and fear. The subjects were teenaged students in South Gyeongsang Province. After a survey was conducted for eight days from December 2 to 9, 2009, the answer sheets from 420 students were analyzed. The findings of the study were as follows: When a correlation analysis was employed to look for connections between dental treatment experiences and dental fear, the components of dental treatment experiences had a significant correlation to those of dental fear. As a result of making a regression analysis, overall dental fear was under the significant influence of prosthodontic treatment experiences, and avoidance of dentistry was significantly affected by conservative treatment experiences. Oral and maxillofacial treatment experiences had a significant impact on physiologic response, and dental stimulus was significantly affected by prosthodontic treatment experiences. Therefore dental institutions should direct their efforts into the development of manuals geared toward different types of treatment and different patients in order for adolescents to receive dental treatment without any anxiety or fear, to get a regular dental checkup, to receive more preventive treatment, to promote their oral health and ultimately to lead a healthy life.

A study on the treatment of external water pressure for the water pressure tunnel at the structural analysis of concrete lining (압력도수터널 콘크리트 라이닝 구조 계산시 외수압 처리에 관한 연구)

  • Lee, Hyeon-Sub;Lee, Young-Joon;Seo, Seung-Woo;Hwang, Young-Chul
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.17 no.6
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    • pp.653-664
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    • 2015
  • When the structural analysis is performed for the concrete lining of the water pressure tunnel, many parameters are considered such as relaxed ground loads, internal water pressure, external water pressure, the shrinkage of the concrete lining, grouting pressure, etc. But, there are no standards and manuals for the structural analysis for the concrete lining of the water pressure tunnel. Above all, the external water pressure has an much effect on the stability of tunnel. So, in case that permeability of ground is large, the external water pressure should be decreased by installation of weep hole, or reinforced ground by ground improvement grouting should be pressed by the external water pressure instead. But, when weep hole is installed to reduce the external water pressure, the many problems may me occurred. Thus, reasonable approach for treatment of the external water pressure is necessary if weep hole is not installed. Therefore, the purpose of this study is to analyze design cases and studies for treatment of the external water pressure in performing structural analysis for the concrete lining of the water pressure tunnel, and to find reasonable method for tunnel lining modeling which is the treatment of the external water pressure according to permeability of ground and consequently the design of ground improvement grouting.

A Study on the Status of Working Environment by Type of Working Processes in Manufacturing Industry of Parts and Accessories for Motor Vehicles and its Engines (경주지역 자동차 부품 제조업의 공정별 작업환경실태에 관한 연구)

  • Park, Sung-Jun;Lee, Won-Ho;Lee, Kwan;Moon, Deog-Hwan
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.15 no.2
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    • pp.90-103
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    • 2005
  • Objective: This study was carried out to assess the status of working environments, to improve the working environments, and to be helpful to prevent occupational disease. Methods: The authors measured the noise level, concentration of dust, heavy metals, organic solvents, and other chemicals at 95 industries (22 working processes) by type of working process in manufacturing industry of parts and accessories for motor vehicles and its engines from January to December 2003. Samples were measured and analyzed by regulations of Korea Ministry of Labor, manuals of National Institute for Occupational Safety and Health (NIOSH) and Occupational Safety and Health Administration (OSHA). Results: Results are as follows. 1. Major processes exceeding mean noise levels provided the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV) were shakeout [97.5 dB(A)]. shot-blast [94.2 dB(A)], pressing [92.9 dB(A)], crushing [91.2 dB(A)], and cleaning [90.6 dB(A)]. 2. Mean concentrations of dusts were not exceeded to the TLV. But concentration on some points of processes as like welding (6.50 mg/m3), foundry (5.24 mg/m3) were exceeded. 3. Mean concentrations of heavy metals were not exceeded to the TLV. 4. Mean concentrations of organic solvents and chemicals were not exceeded to the TLV. 5. Improving rate for working environment were significantly higher in industries with health manager than without (p<0.05), and by increasing the year of working environmental measurement (p<0.01). Conclusions: The results suggest that working processes of exceeding to the TLV will be needed rapid improvement of the working environment, and also the others will be needed positive management of the working environment. Health managers must be recommended to employ in the workplace, and further studies for relationship between working environment and health effects for the workers must be carried out.

The national limits and issues of disaster response and management capabilities (국가의 재난대처 및 관리능력의 한계와 문제점)

  • Gong, Bae Wan
    • Convergence Security Journal
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    • v.14 no.3_2
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    • pp.99-109
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    • 2014
  • Disaster is when, where, and how uncertainties, which might occur. Thus, for disaster response and management at the national and local governments have been made. Korea has established the Disaster and Safety Management Basic Act. Disaster Management has been made at the national level which is to prevent disasters and countries in order to protect citizens from harm and dangerous. Korean Disaster management system is well equipped with advanced countries. The Organization of national and local government are well-maintained substantially for the disaster activities and step-by-step manuals activities. Despite that uncertainty, due to the nature of the disaster, while infrequent, causing large-scale tragedy. Minimize the damage of the disaster as a disaster management efforts are needed. Normally a real disaster, a disaster situation, efforts are to be utilized efficiently, the effectiveness of the system will appear. But while the number of large-scale disasters, including the sinking of Sewol this time for the government and local governments see the response process, the system did not work and the manual existed in the cabinet. There was no Prevention and preparation activities, there was no integrated organization for the response management with expertise in the professional staff. Whenever a large disaster raised repeatedly as a problem, but there was a substantial change in formal but no improvement. It will not reduce the damage if the disaster management is not prepared for a revolutionary turning point.

Standard Manual Development for Infants and Children's Urban Railway Accident Prevention (도시철도 안전사고 예방을 위한 유아·어린이 대상 표준 매뉴얼 개발)

  • Kang, Soo-Hee;Kwon, Young-Jong;Kim, Yeon Kyu;Go, Seung-ryul
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.3
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    • pp.587-594
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    • 2016
  • Even though accidents occurred inside urban railway stations demage not only one person, but also surrounding people, it can be prevented by cautious actions. This research aims at infants and children, which can maximize the educational impacts, to develop a safety textbook which can educate safety rules and behavioral know-how to reduce the accidents occurred in urban railway stations, and at parents and teachers to gather opinions through surveys on the research's future direction. This research conducts a case study and comparison analysis on domestic and foreign safety manuals, which is organized in a book form of fairy tales educating safety rules for readers to utilize the urban railway by steps from boarding to taking off. Through a survey we conducted for parents and teachers as providing the safety textbook developed through this research, we could get the positive evaluations and gather opinions on the future research direction. The safety textbook developed in a form of fairy tale book through this research is for infants and children to use the urban railway in a safe manner, which is expected to evoke the interests and curiosity and create the educational impacts on users.

Developing CEDA Model for Internet-based Instructional Debate (인터넷 CEDA (Cross Examination Debate Association)토론모델 연구)

  • Cho Eun-Soon
    • Proceedings of the Korea Contents Association Conference
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    • 2005.11a
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    • pp.300-309
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    • 2005
  • The purpose of this study is to design internet CEDA (Cross Examination Debate Association) debating model for the internet-based learning. Comparing to open discussion model that is widely spreaded in regular classes, the CEDA model can enhance learner's thinking skills, logicality, analytic skills, and judgement ability. In the first study, 196 students were provided the specific CEDA model guideline and participated debate activities through the internet. The results of the students' debate were analyzed based on the evaluation criteria. The results showed that the students' evaluation scores were high overall. They favored the CEDA model over the open discussion model, and showed positive attitudes and perceptions on the CEDA internet debate activity. In the second study, another 200 students were participated in two different tutor supporting CEDA debating groups, one is advanced tutor strategy group and the other is general tutor strategy group. The results showed that the advanced tutor supporting group had significantly high scores on the cross examination and providing evidence on debating. This study finally suggests the CEDA internet model for general use. In conclusion, this study also suggests the next steps to elaborate the CEDA internet model not oかy for the university settings, but also for general school settings. The user manuals should be developed to assist instructors, students, and tutors to guide better debate activities through the internet CEDA class. Also further research should be conducted to provide various debate models and applications for the variety of learning environments, and so the schools to use the CEDA model more widely in the internet classes.

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A Trail Plan for At-Risk Walkers in Mountainous Urban Park - A Focus on Umyen Nature Park - (산지형 도시공원 내 보행약자를 위한 산책로 조성 연구 -우면산도시자연공원을 대상으로-)

  • Han, Bong-Ho;Bae, Jung-Hee;Ahn, In-Su;Lee, Kyong-Jae
    • Journal of the Korean Institute of Landscape Architecture
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    • v.36 no.6
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    • pp.22-33
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    • 2009
  • This study was undertaken to provide a basis for planning trail standards, providing rights of movement, improvement of health and the experience of nature for at-risk walkers for application to the Umyen Park site. This study researched related laws, manuals, scholastic writing and the established site, a raku-raku mountain trail in Osata, Japan. By referencing these results and similar standards, a conceptual trail plan for at-risk walkers was created. The plan suggests five points -- accessibility, convenience, social aspects, economic efficiency, and environmentally-friendliness -- and referenced an evaluation of outdoor living environments for the elderly. The planning standards are comprised of four steps that are ranked in order and are related to the selection of location, trail structure, route patterns, and equipment. Plans for trails catering to at-risk walkers in Umyen Park were then based on these standards. As a result, it was found that the mountain has both a high elevation and abundant natural resource, both of which must be taken into account during planning. This study is valuable because it is one of the first studies of trail plans for at-risk walkers made in mountainous urban parte. Subsequent research can use the standards of this study for further evaluation while future modifications must reflect changing needs and details.

Analysis of Marine Pollution Management Cause using System Dynamics (시스템 다이내믹스를 이용한 해양오염관리 유인(誘因) 분석)

  • Moon, Jung-Hwan;Ha, Min-Jae;Yun, Jong-Hwui
    • Journal of Navigation and Port Research
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    • v.39 no.1
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    • pp.23-28
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    • 2015
  • This paper is to identify the dynamic phenomenon of the marine pollution management that is connected directly or indirectly by using system dynamics analysis. The method used herein is based on system dynamics analysis that analyzed the sub-systems for marine pollution management. Furthermore designed feedback loop between system elements. And made total casual map of marine pollution management. The main results of the paper are the following : 1. It's necessary to equipments and technology development and law revision for feedback loop slump of initial measures delay in oil spill. 2. It should be come up with partnerships and new business for community corrosion non-proliferation caused by social conflicts. 3. Marine pollution management should be an obligation that must be minimized to include social conflicts in the community and national levels besides oil spill response on-site. This model confirmed the hidden cause of delay by existing response plans, manuals and programs. And oil spill response in broader sense is more important from now on. The result can be useful in the guidance of marine pollution and management.