• Safety and Health at Work
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• 제2권1호
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• pp.9-16
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• 2011

The majority of people diagnosed with diabetes mellitus are in the working age group in developing countries. The interrelationship of diabetes and work, that is, diabetes affecting work and work affecting diabetes, becomes an important issue for these people. Therapeutic options for the diabetic worker have been developed, and currently include various insulins, insulin sensitizers and secretagogues, incretin mimetics and enhancers, and alpha glucosidase inhibitors. Hypoglycemia and hypoglycaemic unawareness are important and unwanted treatment side effects. The risk they pose with respect to cognitive impairment can have safety implications. The understanding of the therapeutic options in the management of diabetic workers, blood glucose awareness training, and self-monitoring blood glucose will help to mitigate this risk. Employment decisions must also take into account the extent to which the jobs performed by the worker are safety sensitive. A risk assessment matrix, based on the extent to which a job is considered safety sensitive and based on the severity of the hypoglycaemia, may assist in determining one's fitness to work. Support at the workplace, such as a provision of healthy food options and arrangements for affected workers will be helpful for such workers. Arrangements include permission to carry and consume emergency sugar, flexible meal times, selfmonitoring blood glucose when required, storage/disposal facilities for medicine such as insulin and needles, time off for medical appointments, and structured self-help programs.

• 간호행정학회지
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• 제9권1호
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• pp.129-139
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• 2003

Purpose : The purpose of this study is to investigate the actual condition and recognition about social service activity(SSA) of nurses. Methods : This is a descriptive study. The data were collected by a structured questionare from July 15 to 31, 2002. The questionares were sent to 711 nurses of 38 hospitals, and 664 cases were returned. The answer rate is 93.4%. The data were analyzed by SPSS 11.0. Results : 1. 71.0% nurses had a SSA experience during university, but only 14.2% nurses are participated in SSA now. 2. In the case of having an experience, 56.0% nurses participated in SSA under 1 year, 69.5% nurses didn't support the service costs. 3. In the case of not having experience, the main reason why they didn't participate in is to lack of opportunity. 4. 91.1% nurses recognize the necessity of SSA and 99.5% nurses agree with the necessity of operation system. 82.9% nurses approve the cooperation system among the regions. 87.2% nurses have an intension to participate in SSA when the cooperation system is set up. Conclusion : It need to set up the social service operating system among the regions, and encourage nurse to participate in the SSA.

• 대한간호학회지
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• 제47권1호
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• pp.71-85
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• 2017

Purpose: The purpose of this study was to develop a deeper understanding of the experience of mothers caring for children with epilepsy. Methods: Data were collected through individual in-depth interviews and observation from 12 mothers of children with epilepsy. Data were collected from December, 2014 to February, 2015 and analyzed using van Manen's hermeneutic phenomenological methodology to identify essential themes of their experience. Results: The essential themes that fit into the context of the 4-existential grounds of time, body, other people, and space were: Lived time-ongoing influence of the past, living in insecure present, fearful future with no answer; Lived body-bonded body, burned out state; Lived other-burden but also support, shrunken down; Lived space-narrowed range of activity, widened horizon. Conclusion: The findings in this study show in-depth understanding of the hardships of mothers who are caring for children with epilepsy. The beauty and greatness of these mothers are revealed through the analysis of various phenomenological materials such as literary and artistic work reflecting socio-cultural context, as well as vivid care experiences of mothers of children with epilepsy. This will be helpful in increasing understanding of the nature of caregivers' experience for medical professionals dealing with patients and caregivers. Also it helps to improve the understanding of the disease among the general public, followed by a more warming and caring attitude towards patients and family members. Finally, it will enhance psychological well-being and overall quality of life of the epileptic children and their families.

• 농촌의학ㆍ지역보건
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• 제15권1호
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• pp.49-55
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• 1990

Zoonoses are those diseases and infections that are naturally transmitted between vertebrate animals and man. At present, approximately 175 diseases caused by virus, rickettsia, bacteria, protozoa and helminthes as well as some of arthropods and the number is continually increasing. Although zoonoses are generally recognized as significant health problems, the actual prevalence and incidence of zoonotic infections is difficult to determine. Medical services in a rural area are scarce and ill persons may have little chance to see a physician. Furthermore, a lack of physician awareness and of appropriate diagnostic support is made often misdiagnosis. In rural Korea, parasitic disease is still important subject in the field of zoonotic infections considering its number and morbidity. Recently there was conspicuous reduction of soil-transmitted parasitic diseases (i.e. ascariasis. hookworms, trichuriasis), but clonorchiasis. intestinal trematodiases and taeniasis are a considerable problem. This is often significantly related to human behavioral patterns based on socio-economic and cultural conditions and linked with the local biologic and physical environment. The most of all parasitic zoonoses to man and animals are the food-transmitted parasitic diseases, and domestic animals such as dog, cat, pig, as well as fat and some mammals, ruminants and birds are act as reservoir hosts. In the present topics, current problems of parasitic zoonoses caused by protozoan infections (i. e. toxoplasmosis, pneumocystosis and cryptosporidiosis) which are the most common opportunistic in AIDS or immunocompromised persons, trematode infections (i.e. clonorchiasis, paragonimiasis and some intestinal tremadodiases). cestode infections such as cysticercosis and sparganosis, and some nematode infections of anisakiasis, thelaziasis and strongyloidiasis, are discussed here those on the occurrence in man and animals and the source of transmission as well as prevention and control measures in Korea.

• 동아시아식생활학회지
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• 제13권5호
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• pp.408-424
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• 2003

The purpose of this study was to analyze the nutritional status and dietary habits in predialysis patients of chronic renal failure(CRF). The patients group was composed of total 35 persons with chronic renal failure(diabetes exclusion), male 20, female 15 who were treated in the kidney internal department and the control group also composed of 35 persons, male 18, female 17 who were classified as normal by the medical examination. Their dietary habits, nutritional status and nutritional knowledge were investigated from two general hospitals in Inchon, middle of this year 2002. There were 31.4% of low weight patients (BMI below 20), 77.1% of anemia patients (serum hemoglobin below 12g/㎗), 6S.6% of hypertension patients with diastolic blood pressure over 90mmHg, 80% with systolic blood pressure over 140mmHg, 20% of hypercholesterolemia patients (serum cholesterol over 230mg/㎗), and 22.9% of hyperlipemia patients (serum triglyceride over 200mg/㎗). The cardiovascular disease seemed to be caused by the abnormality of lipid metabolism. The possibility of the bone disease was shown from patients of hyperphosphatemia (serum phosphorus over 4.7mg/㎗, 22.9%) and hypocalcemia (serum calcium below 8.4mg/㎗, 25.7%). Intake of insufficient calories which was caused by the lack of appetite affected on the nutritional status. The intake of most nutrients was not significantly different from the RDA for Koreans. Consequently, the patient groups took a lot of salt even after the diagnosis of CRF. But patients ate 6.lg of salt which were more than the recommended amount 2∼4g for patients with CRF. The patient groups, who had the experiences of nutritional counselling, had significantly higher nutritional knowledge related to CRF than control group. Unfortunately, patients could not have enough chances for nutritional counselling by the nutritionist even though they needed the nutritional informations and dietetic treatments. The continuous research is expected with regard to the detail plan for the improvement of nutritional support and the nutritional counselling because it is important to decide the requirements of nutrients for patients with kidney disease, considering the kidney function and status of nutrition.

• 성인간호학회지
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• 제20권4호
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• pp.513-525
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• 2008

Purpose: The present study was intended to measure fatigue symptoms according to the quality of sleep among nurses working for an university hospital and to reveal its related factors. Methods: The self-administered questionnaires were given to 397 nurses employed in an university hospital located in Daejeon City during the period from June 1st to July 31st, 2007. Results: The group with higher quality of sleep accounted for 78.1% of all the subjects and the one with lower quality, 21.9%. According to qualities of sleep, the fatigue symptom was determined to be significantly higher in the group with lower quality of sleep than its counterpart. On adjustment for quality of sleep, the level of fatigue symptom was significantly higher in the groups, than in each respective counterparts, who don't take regular exercises, who have few leisure time, who have lower level of subjective health status, who range ${\geq}$ 1 and < 10 years in job careers, who work in shifts, who reported that it is hard to get physical burden of work, who are satisfied with the job, who find themselves unfit to the job, who are considering quitting the job, who have higher job demand, who have lower job control, who have higher level of supervisor support, who have type A behavior pattern. Conclusion: The study results may explain that the fatigue symptom of nurses is highly associated with the quality of sleep independently of other variables and also with job-related characteristics independently of the sleep quality. In conclusion, to reduce the fatigue symptom of nurses, strategic efforts should be directed for programs to improve the quality of sleep and a proper job analysis.

• 한국전자통신학회논문지
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• 제12권4호
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• pp.715-724
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• 2017

현재 각종 스마트 기기가 발전되고 최근엔 인간의 신체에 부착되어 스마트 컴퓨팅이 가능한 Wearable Device 가 다양하게 연구되고 있다. 또한 인간의 환경적, 유전적 요인으로 인해 기미, 여드름, 아토피, 두피 트러블 등의 피부 질환들이 지속적으로 증가하고 있어 치료를 위한 개인의 의료 부담이 증가하고 있는 실정이다. 이에 따라 피부 미용과 관련된 다양한 피부 트러블을 분석하고, 관리할 수 있는 높은 휴대성과 진단 정확성을 가진 스마트폰이나 태블릿 기반의 스마트 헬스케어 이미징 시스템 개발의 필요성이 대두되고 있다. 이에 본 논문에서는 IoT를 기반으로 수분 및 UV 센서를 활용한 Wearable Device인 스마트 미밴드 H/W 및 센서정보 모니터링 S/W를 결합한 통합 시스템을 제안한다.

• 대한치과보철학회지
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• 제46권3호
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• pp.238-245
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• 2008

STATEMENT OF PROBLEM: Interpoximal papilla could be re-established without immeidate support with a provisional resotration following an immdiate implant placement. PURPOSE: Successful esthetic outcomes were reported utilizing immediate provisionalization following immediate implant placements. The aim of this study was to evaluate the soft tissue esthetics around immediately placed single tooth implant restorations with or without immediate provisional restorations. METHODS: A total of ten patients, who had a hopeless maxillary anterior tooth, were enrolled in this study. Screw retained provisional restorations were delivered to the randomly chosen 5 patients (immediate provisionalization group) on the day of immediate implant placement and maintained for about 5 months. For the remaining five patients (non-immediate provisionalization group), healing abutments were delivered on the day of surgery, replaced with screw retained provisional restorations approximately 3 months afterwards, and the provisional restorations were maintained for about 3 months. Digital photographs were taken at the delivery of final restorations in order to assess following variables; mesial papilla, distal papilla, soft tissue level, soft tissue contour and facial soft tissue prominence. The variables were compared to those of the contralateral natural tooth and scored by prosthodontists, periodontists, orthodontists and dental students. RESULTS: The immediate provisionalization group marked significantly higher scores on the following variables; soft tissue level and facial soft tissue prominence. In evaluating each variable, there were no notable differences in opinion between four dentist groups. CONCLUSION: Immediate provisionalization can be a treatment option to achieve superior soft tissue esthetics around immediately placed single implant restorations rather than non-immediate provisionalization approaches.

• 한국사회복지학
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• 제60권4호
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• pp.105-129
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• 2008

본 연구는 농촌지역사회에 대한 지역아웃리치를 실천하는 사례를 대상으로 지역실행연구를 수행하였다. 재구성한 실행계획 중 지역아웃리치의 성과는 첫째, 서비스 전달체계의 변화, 둘째, 자원동원, 셋째, 주민조직화 및 옹호활동 등으로 구성하였다. 이러한 실행계획에 의한 실천결과 지역아웃리치의 절차를 지역사회 들어가기, 지역사회 뿌리내리기, 사업의 이양과 종결하기로 도출하였다. 또한 재구성된 실천결과를 분석해서 발견한 지역아웃리치의 함의는 첫째, 지역아웃리치 접근법은 사회복지 서비스 전달체계로부터 단절 고립된 농촌지역을 발견하고 그 곳에 서비스를 제공하는데 효과적이다. 둘째, 지역아웃리치 접근법은 복지 소외지역사회와 일반지역사회를 연계하는 실천이다. 셋째, 지역아웃리치 접근법은 복지 소외지역을 위한 사회자본의 재구조화를 촉진하는 함의를 지닌다. 따라서 다음과 같은 정책제언을 한다. 첫째, 농어촌이동복지관 사업 법령 제정과 전달체계 마련, 둘째, 사업의 지속성 확보를 위한 지방자치단체의 지원, 셋째, 의료 전문직 전달체계와의 연계 시급, 넷째, 농어촌 형 사회복지전달체계 마련이 시급하다.

• 한국전문물리치료학회지
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• 제22권3호
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• pp.81-90
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• 2015

This study aimed to determine the effects of Rhythmic Auditory Stimulation (RAS) using music and a metronome on the gait of stroke patients. 13 female and 15 male volunteers were randomly allocated to two groups: namely a group to receive RAS using music and a metronome group (the experimental group; $n_1=14$) and a group to receive RAS using a metronome only (the control group; $n_2=14$). The affected side was the left side in 15 subjects and the right side in 13 subjects. The mean age of the subjects was 56.6 years, and the mean onset duration of stroke was 8.6 months. Intervention was applied for 30 minutes per session, once a day, 5 times a week for 4 weeks. To measure the patients' gait improvement, we measured gait velocity, cadence, stride length, double limb support using GAITRite, body center sway angle using an accelerometer, and Timed Up-and-Go test. Functional Gait Assessment were conducted before and after the experiment. The paired t-test was used for comparisons before and after the interventions in each group. Analysis of covariance was used for comparisons between the groups after the interventions. Statistical significance was set at ${\alpha}=.05$. Within each of the two groups, significant differences in all of the dependent variables before and after the experiment (p<.05) were observed. However, in the comparison between the two groups, the experimental group showed more significant improvements in all dependent variables than the control group (p<.05). Our results also suggest that in applying RAS in stroke patients, the combination of music and a metronome is more effective than using a metronome alone in improving patients' gait.