• 제목/요약/키워드: Organization Control

검색결과 1,568건 처리시간 0.024초

Spatial Distribution of the Population at Risk of Cholangiocarcinoma in Chum Phaung District, Nakhon Ratchasima Province of Thailand

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Loyd, Ryan A;Matrakool, Likit;Sangkudloa, Amnat;Kaewthani, Sarochinee;Khemplila, Kritsakorn;Eaksanti, Thawatchai;Phatisena, Tanida;Kujapun, Jirawoot;Norkaew, Jun;Joosiri, Apinya;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권2호
    • /
    • pp.719-722
    • /
    • 2016
  • Background: Cholangiocarcinoma (CCA) is a serious health problem in Thailand, particularly in northeastern and northern regions, but epidemiological studies are scarce and the spatial distribution of CCA remains to be determined. A database for the population at risk is required for monitoring, surveillance and organization of home health care. This study aim was to geo-visually display the distribution of CCA in northeast Thailand, using a geographic information system and Google Earth. Materials and Methods: A cross-sectional survey was carried out in 9 sub-districts and 133 villages in Chum Phuang district, Nakhon Ratchasima province during June and October 2015. Data on demography, and the population at risk for CCA were combined with the points of villages, sub-district boundaries, district boundaries, and points of hospitals in districts, then fed into a geographical information system. After the conversion, all of the data were imported into Google Earth for geo-visualization. Results: A total of 11,960 from 83,096 population were included in this study. Females and male were 52.5%, and 47.8%, the age group 41-50 years old 33.3%. Individual risk for CCA was identifed and classified by using the Korat CCA verbal screening test as low (92.8%), followed by high risk (6.74%), and no (0.49%), respectively. Gender ($X^2$-test=1143.63, p-value= 0.001), age group ($X^2$-test==211.36, p-value=0.0001), and sub-district ($X^2$-test=1471.858, p-value=0.0001) were significantly associated with CCA risk. Spatial distribution of the population at risk for CCA in Chum Phuang district was viewed with Google Earth. Geo-visual display followed Layer 1: District, Layer 2: Sub-district, Layer 3: Number of low risk in village, Layer 4: Number of high risk in village, and Layer 5: Hospital in Chum Phuang District and their related catchment areas. Conclusions: We present the first risk geo-visual display of CCA in this rural community, which is important for spatial targeting of control efforts. Risk appears to be strongly associated with gender, age group, and sub-district. Therefor, spatial distribution is suitable for the use in the further monitoring, surveillance, and home health care for CCA.

피부미용사의 전문직업성 연구 (A Study on the Professionalism of Estheticians)

  • 양현옥;곽희영
    • 한국산학기술학회논문지
    • /
    • 제10권6호
    • /
    • pp.1380-1388
    • /
    • 2009
  • 피부미용사들의 전문직업성에 대한 인식을 밝혀보고자 2009년 4월 1일부터 4월 20일까지 전라북도 군산시와 전주시의 피부미용사 290명을 대상으로 설문조사한 결과는 다음과 같다. 첫째, 변인별 전문직업성은 연령, 학력, 현 근무지 근무 연수에 따른 전문직업성은 통계적으로는 유의미한 차이를 보이지 않았지만, 삶의 만족도, 직무만족도별 전문직업성은 통계적으로 유의미한 차이를 보였다. 삶의 만족도에 따른 전문직업성은 삶에 대해 만족하는 피부미용사가 그렇지 않은 피부미용사보다 높았고(t =2.77, p<.01), 직무만족도에 따른 전문직업성은 직무에 대해 만족하는 피부미용사가 가장 긍정적이었고, 보통인 피부미용사가 불만족하는 피부미용사보다 높지 않았다(F= 6.06, p<.01). 둘째, 전문 직업성의 하위요인간의 상관관계 분석 결과, 자율성 (r=.595, p<.001), 전문조직의 활용(r=.428, p<.001), 직업에 대한 소명의식(r=.492, p<.001)과는 통계적으로 유의미한 정적 상관관계를 보였으며, 서비스에 대한 신념 (r=-.634, p<.001), 자기규제에 대한 신념 (r=-.485, p<.001)과는 통계적으로 유의미한 부적 상관관계를 보였다.

한의학임상에 기초를 둔 천연물신약 연구과정에 대한 소고 - 역사적 근거 발굴부터 천연물신약 임상시험계획승인신청까지 - (A Proposal for Research Process of Botanical Drug based Clinical Traditional Korean Medicine - Historical Evidence-Based Medicine II -)

  • 엄석기;김세현;김경석;박상재;어완규;최원철
    • 대한한의학원전학회지
    • /
    • 제23권4호
    • /
    • pp.63-102
    • /
    • 2010
  • Purpose : To propose various types of clinical research which is feasible for botanical new drug (IND) development processes, and suggest essential steps to development of study protocol for IND. Methods : Literature-based discussions and one research group's experience is given regarding domestic act, regulation, and system. Results : In order to get an approval of IND for botanical drug in Korea there are several types of clinical research to conduct. In quality control steps for standardized medicinal herbs, case reports or case series can be conducted, and for good manufacturing practice(GMP) steps, we can conduct case reports, case series, and retrospective cohort studies. In addition, as long as we gathered good laboratory practice(GLP) data we can conduct up to quasi-experimental studies and clinical trials including investigator initiated trials. In order to conduct these studies development of study protocol is essential. First, we obtain historical evidence including target disease and indication, efficacy, safety, and endpoints by reviewing medical classics. Second, we obtain clinically and statistically important data by conducting non-clinical studies, observation studies, and quasi-experimental studies. Third, we generate research hypotheses and purposes and explore methodologies, endpoints, clinical practice guidelines, cost-effectiveness, and commercial potential. Finally, we develop study protocol with aid of biostatistician or expert in contract research organization. Discussions and conclusions : This study have obvious limitations in that most thoughts, suggestions, and proposes are from one research group's experience. Therefore, we hope to see various types of research in this topic and process from other research group as well.

국제회의 의전경호체계 개선방안 (Improvement Strategies on Protocol & Security Systems of International Conferences)

  • 주일엽
    • 시큐리티연구
    • /
    • 제49호
    • /
    • pp.67-93
    • /
    • 2016
  • 본 연구는 성공적인 국제회의로 평가받고 있는 2010년 서울 G20 정상회의, 2012년 서울 핵안보정상회의 등 국제회의 개최사례를 중심으로 의전경호체계의 현황 및 문제점을 분석하고 그 개선방안을 제시하는데 그 목적이 있다. 본 연구에서 도출한 연구결과는 다음과 같다. 첫째, 국제회의 지원법규의 정립이 필요하다. 이를 위해서는 '국제회의산업 육성에 관한 법률'에 대한 국가차원 주무부처 정립, 국제회의 지원법규의 체계에 대한 조정, 국제회의 지원조직의 일관성 유지 등이 수반되어야 한다. 둘째, 경호안전체계 관련법규 소관부처 간 이해 조정이 필요하다. 국제회의 의전경호와 밀접한 관련이 있는 경호안전체계 관련 다수 법규 간의 충돌 가능성 해소가 필요하다. 셋째, 국제회의 의전경호체계 확립을 위한 정부합동 의전편람 제작이 필요하다. 행정부, 입법부 등에 산재하여 다소 국지적이고, 일관성이 없는 의전관련 주요지침(편람)을 정부합동 의전편람 제작을 통해 국제회의 의전체계 확립을 도모해야 할 것이다. 넷째, PCO의 전문역량 배양 및 강화가 필요하다. "분야별로 PCO를 선정, 활용하여 차세대 유망 산업으로 기대되는 국제 컨벤션 대행 산업의 기반을 육성하고 해당 분야의 인력을 양성한다"는 정부 방침이 충분히 달성할 수 있도록 다양한 분야의 PCO를 발굴하여 국가 차원의 지원을 병행해야 할 것이다.

  • PDF

북한이탈주민의 범죄신고 의지에 영향을 미치는 요인에 대한 연구 - 법적 냉소주의 모형, 절차적 정당성 모형 및 법행동 모형을 중심으로 - (The Theoretical Factors of North Korean Refugees' Willingness to Report Crime: Based on the Legal Cynicism, the Procedural Justice, and the Behavior of Law Theory)

  • 홍성주;김주희;황의갑
    • 시큐리티연구
    • /
    • 제59호
    • /
    • pp.161-188
    • /
    • 2019
  • 범죄신고는 형사사법의 실효성을 높이는데 있어서 중요한 내용이기에 일반국민들을 대상으로 한 연구가 꾸준히 진행되고 있다. 그러나 우리사회 소외계층에 해당하는 북한이탈 주민들의 범죄신고에 대한 연구는 찾아보기 어렵다. 본 연구는 국내에 입국한 수도권 거주 800명의 북한이탈주민을 대상으로 한 설문조사를 기반으로 범죄피해의 신고의지에 영향을 미치는 요인을 실증적으로 살펴보았다. 법적 냉소주의 모델과 절차적 정당성 모델을 바탕으로 북한이탈주민들이 형사사법기관의 활동에 대해 느끼는 법적 냉소주의와 공정성 인식 수준이 북한이탈주민의 형사사법기관에 대한 범죄피해의 신고의지에 긍정적인 영향을 미친다는 가설을 검증하여 기대했던 결과를 확인할 수 있었다. 반면에, 도널드 블랙이 법행동 이론에서 제시한 종적분화, 횡적분화, 문화, 조직, 사회통제 등 다섯 가지 유형별로 도출한 사회조건을 기반으로 한 가설 대부분은 범죄피해의 신고의지에 유의미한 연관성이 발견되지 않거나, 상충된 결과를 보였다. 이 연구는 선행연구에서 소외되었던 북한이탈주민에 주목하여 범죄신고 의지에 영향을 미치는 요인을 살펴보았다는데 의의가 있으며 분석결과를 토대로 북한이탈주민들의 형사사법기관에 대한 신뢰도를 높이고 법적 냉소성을 감소함으로써 범죄신고 의지를 고양하는 방안에 대하여 논하였다.

신규간호사의 계획된 예비교육이 역할전이에 미치는 효과 (The Effect of Planned Indoctrination Program on Role Transition of New Graduate Nurses)

  • 유옥수;박정호
    • 간호행정학회지
    • /
    • 제4권1호
    • /
    • pp.129-150
    • /
    • 1998
  • The purpose of this study was to exame the effect of the planned indoctrination program on the role transition of new graduate nurses in one educational hospital located in Seoul. The planned in doctrination program was a 1-month program and consisted of 3 days induction and 22 days orientation- socialization. The simulated control group pretest-posttest research was designed for this study. One hundred and twenty subjects were selected from the new graduate nurses who were employed by the Seoul National Univerty Hospital. Sixty of them were assigned to the pretest, and the rest to the posttest. To collect the data on role transition, the researcher developed the instrument, measuring 3 differert areas : inducction, orientation, and socialization. The reliability of the instrument were induction area's Chronbach ${\alpha}$ .8291, orientation area's Chronbach ${\alpha}$ .9809, and soialization area's Chronbach ${\alpha}$ .8524. The data were collected from Aprial to October 1995 at three different times: (1) immediately before indoctrination program began, (2) immediately after the program ended, and (3) 2 months after the program ended. In addition to the self-report of the subjects, their superiors filled out the same instrument on role transition to compare the scores between the subjects and their superiors at 2 months after the program. T-test was utilized to test differences between the means of pre- and post-tests. The result of this study are as follows : 1. There was a significant difference in the mean scores between before and immediately after the indoctrination program (t=-12.65, P=.000). There were significant differences in all 3 areas of role transition. 2. There was a significant difference in the mean scores between immediately after and 2 months after the program (t=-2.91, P=.004), Among 3 areas of role transition, however, only in the orientation area was there significant difference (t=-3.26, P=.001). 3. There was no significant difference in total mean scores between subjects' self-report and their superiors' report 2 months after the program ended (t =.97, p= .335). Among 3 different areas, however, there was a significant difference in the induction area (t=2.41, P=.018). 4. There was significant difference in mean scores between the group Of 3-year diploma and 4-year bachelor's degree only at pretest (t=-2.56, P= .013), but not at two posttests (t=-1.08, P=.250: t=-.34, P=.733). In conclusion, the planned indoctrination program for new graduate nurses was proved to be effective on the role transition in the study. But the result in the study showed that the indoctrination program had not equal effect On 3 different areas of role transition. There were significant differences in the scores between after and 2 months after the program only in the orientation area. These suggest that indoctrination program should be developed more focusing on induction and socialization areas to help new graduate nurses have a high morale and enthusiasm for the organization. Also contineous program to facilitate induction and socialization might be necessary for them to have a successful role transition.

  • PDF

서비스 무역 적자 증가의 현황과 원인에 관한연구 - 관광산업을 사례로 - (A Study on the Status and Causes of Growing Service Trade Deficit -Focused on Korean Tourism Industry-)

  • 서헌
    • 통상정보연구
    • /
    • 제9권1호
    • /
    • pp.43-64
    • /
    • 2007
  • 2006년 우리나라의 경상수지 흑자는 2005년도 대비하여 60%가 축소된 60억달러를 기록하였다. 이는 281억 달러의 흑자를 기록한 2004년에 비하면 매우 축소된 흑자규모로 그 결과는 매우 충격적인 것이다. 특히, 해외여행과 유학 및 연수등이 포함된 서비스 무역 적자는 187억을 기록하였으며, 그중 여행(유학 및 연수포함)수지 적자는 전년보다 33억달러가 증가한 129억 달러를기록하여 역대 최고 수준인 것이다. 결국, 여행수지적자가 서비스무역 수지적자의 주된이유가 된 것이다. 여행수지 적자의 주요 원인은 아웃바운드 관광객의 숫자가 인바운드 관광객의 거의 2배에 육박하여, 결국은 국외에서 한국인들이 사용한 달러가 관광수입으로 들어온 외화를 크게 앞지르면서 관광수지적자를 야기 시킨 것이다. 한편 유학 및 연수비용도 크게 성장하면서 관광수지적자의 폭을 더욱 넓힌 계기가 된 것이다. 그리하여, 지난 수년간의 관광수지적자의 원인을 분석한 결과 인바운드 관광산업의 촉진과 함께 국가의 정책적 지원이 향후 여행수지 적자의 폭을 감소시킬 뿐만 아니라, 장기적으로는 서비스무역 수지 개선이 예상되며, 이를 위해서는 민관이 긴밀한 협조를 통해 서비스무역 수지 관리에 보다 많은 시간과 노력을 기울여야 할 것 이라고 사료되는 바이다. 또한, 외래 관광객들의 느끼는 남북한 대치 상황의 개선, 즉 정치적 안정은 한국 인바운드 관광의 안정성을 가속화시키는 밑거름이 될 것이다. 결국, 여행수지 적자의 폭을 줄임으로써, 무역수지 개선을 가져온다면, 한국관광의 위상이 올라가면서 국가 경쟁력이 상승되고 국가이미지 또한 상승되어 한번에 두 마리의 토끼를 잡을 수 있는 win-win 구도가 형성되어, 한국 서비스산업 발전과 무역 발전에도 긍정적인 영향을 미칠 것으로 확신하는 바이다.

  • PDF

WHO 침구임상 지침서 개정을 위한 국제회의 보고 (Reports on 'Meeting on the Revision of Guidelines for Clinical Research on Acupuncture')

  • 박히준;서정철;김세현;김상우;안경애;임사비나;김용석;최도영;강성길
    • Journal of Acupuncture Research
    • /
    • 제22권5호
    • /
    • pp.195-199
    • /
    • 2005
  • The Working Group on the revision of Clinical Research Methodology for Acupuncture met in Seoul, Republic of Korea from 24 to 26 August 2005. The main objectives of the meeting were to review the regional publication guidelines for Clinical Research on Acupuncture, to make necessary revisions in the guidelines, to make recommendations on further collaboration and activities in the field of research on acupuncture, and to discuss scientific evidence-based approaches in the clinical research on acupuncture. Fourteen members from the eight Member States, one secretariat staff from the WHO Regional Office for the Western Pacific and ten observers from the Republic of Korea attended the meeting. The members presented their papers to review the current status of clinical research on acupuncture. The drafts of proposed revision to the previous guidelines for clinical research methodology on acupuncture were discussed extensively. The issues covered during the discussion included: the definition of the new terms; reorganization of clinical research design; revision and update of contents (e.g., control group); introduction of Institutional Review Board (IRB) on the section of ethical approval; additional outcomes including health-related quality of life (HRQOL), qualitative measures, etc. In the course of these discussions, the working group developed the revised guidelines for clinical research on acupuncture and made recommendations for promoting the dissemination of the revised guidelines.

  • PDF

한방의료기기의 미국 시장 진출을 위한 심사제도 소개 (The registration and approval of Oriental Medical devices for the entry into U.S. market)

  • 오지윤;최유나;조수정;정찬영;조현석;이승덕;김갑성;김은정
    • Journal of Acupuncture Research
    • /
    • 제32권4호
    • /
    • pp.91-102
    • /
    • 2015
  • Objectives : The Oriental medical device industry is expected to continue to experience significant growth. It should increase its global market share rather than focusing on the domestic market. Countries around the world self-regulate their domestic market, so this study aims to aid in the development of a particular overseas market by introducing the U.S.(the largest market) medical device registration and approval process. Methods : For an understanding of the US medical device licensing process, we researched the relevant regulatory organization (FDA), the history, definition and classification of medical devices, the approval and 510(k) submission process related to substantial equivalence, IEC 60601-1 Edition 3, usability tests, and so on. Results : Medical devices in the United States are assigned to one of three regulatory classes: Class I, Class II and Class III, based on the level of control necessary to assure the safety and effectiveness of the device. If a company's device is classified as Class II and if it is not exempt, a 510k will be required for marketing. 1) A 510(k) is a premarket submission made to the FDA to demonstrate that the new device to be marketed is "substantially equivalent" to a legally marketed device (predicate device) 2) The IEC 60601-1 Edition 3 preparation process, which contains information related to usability, is expensive and time-consuming but a critical requirement. Conclusions : Although the U.S. market has high barriers to entry, access to this, large overseas market will encourage development of the Oriental medical device industry and commercial value enhancement is expected.

초.중학생을 위한 보건교육의 영역 및 주요개념 선정을 위한 일 연구 (A Study on the Selection of Health topic areas and major concepts for Health Education in Primary and Junior High Schools)

  • 이경자
    • 보건교육건강증진학회지
    • /
    • 제7권1호
    • /
    • pp.10-26
    • /
    • 1990
  • In Korean education, the health contents are scattered in various course subjects throughtout the primary and junior high school curriculum. So it is very difficult to provide systematic health education. The purpose of this study was to provide a guide for health education using health topic areas and major concepts that represent the scope of material that should be covered in health instruction. The steps used in selecting these health topic areas and major concepts were as follows: 1. A review of the literature related to health and health education was done to develop the rationale underlying this study. 2. Health topic areas basic to the growth and development characteristics of children, to human needs and to societal needs for healthful living were indentified. 3. The major concepts for each health topic area based on health sciences and children's growth and development levels were selected. 4. The major concepts selected were organized in sequence to guide health education from grade one to grade nine. The results of this study were as follows: 1. The identification of eleven health topic areas essential for health education. These include: personal habits and health healthy growth and development nutrition and health prevention of disease and disorders drugs and health mental health family life and health sex education accident prevention consumer health community health 2. The identification of the major concepts(generalizations) for each health topic area: 33 major concepts were identified as a guide in determining the health content of health education programs. These are 1) body cleaniness, 2) health of the sensory organs, 3) dental health, 4) exercise and rest, 5) growth and development, 6) body structure and function, 7) developmental tasks, 8) balanced nutrition, 9) eating habits, 10) food preparation and food storage, 11) sources of disease and disorders, 12) disease preventive behavior, 13) care during illness, 14) drug use and misuse, 15) drug addiction, 16) emotional responses, 17) human relationship, 18) self concept, 19) social adjustment, 20) health habits of the family, 21) interdependence of family members, 22) origin of life, 23) characteristics of man and woman, 24) sexual instinct, 25) safety behavior, 26) emergency measures, 27) criteria for selection of health products, 28) proper use of health information, 29) utilization of health and medical services, 30) environmental conservation, 31) environmental pollution, 32) population control, 33) function of public health services. 3. The organization of the concepts(generalizations) in sequence and for continuity in health instruction at the primary and junior high school level.

  • PDF