• 제목/요약/키워드: Primary survey

검색결과 1,659건 처리시간 0.028초

산업간호사의 의료행위 직무지침서 활용 및 의료행위직무 수행실태 (A Survey on the Occupational Health Nursing Activities for primary care)

  • 윤순녕;김순례;김영임;송영숙;안정혜;전경자;조동란;김정희
    • 한국직업건강간호학회지
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    • 제9권1호
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    • pp.5-17
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    • 2000
  • The occupational health nursing guideline for primary care was developed by the Korean Academic Society of occupational health nursing and the organization for occupational health nurses (currently known as the Korean Association of Occupational Health Nurses) in 1993. Since then, there have been many changes in the health care environment and job performance of occupational health nurses. Appropriate revisions are necessary of the guidelinea based on this background. The purpose of this study was to describe the use of the occupational health nursing guideline for primary care and to analyze the characteristics of primary care activities by occupational health nurses. The questionnaire was mailed to 150 occupational health nurses(OHNs) with the response rate of 64%. The results can be summarized as follows; 1. 65.6% of OHNs have been using the guideline for primary care and 75.9% of them agreed that the guideline was be helpful for their job. 2. Common symptom care, emergency care and chronic illness care were more frequently implemented than occupational disease care by OHNs. In manufacturing industries, emergency care was more frequently implemented than chronic illness care in contrast to the service industries. 3. Most frequent common symptoms treated by OHNs were indigestion, diarrhea, abdominal pain, headache, and coughing. In the case of chronic illness, OHNs more frequently treated diseases of the gastro-intestinal system, skin and sensory organs, and the respiratory system. Emergency care for bruises, burn, and abrasions was more frequently provided. VDT syndrome was the most common occupational disease cared by OHNs in manufacturing and service industries. 4. OHNs prescribed the medicine for external application more frequently than internal medicine. Remedy for colds, analgesics, vitamins, and digestives were more frequently used. From these results, we suggest that the guideline should be revised to emphasize the activities consisting problem finding such as health assessment, physical examinations, monitoring and screening, and to renew the drug list in the range of over- the counter medication (OTC). In the future, the guideline will include the strategies for the role as the case manager.

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자연발생 또는 백신접종후 생긴 HBsAg에 대한 항체의 지속성과 Anamnestic Response (Persistence and Anamnestic Response of Antibody to HBsAg Induced by Natural Immunization or Vaccine Treatment)

  • 정환국;선희식;정규원;노재철;김부성
    • Journal of Preventive Medicine and Public Health
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    • 제20권2호
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    • pp.280-286
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    • 1987
  • For evaluating the boosting (anamnestic) effects of the most recent commercially produced plasma derived heat-inactivated hepatitis B vaccine (A. Co.), 117 adults with naturally acquired antibody to hepatitis B surface antigen (anti-HBs) were selected at random. In addition, out of case immunized at zero and 1 month, and boosted at 6 months (primary boosting) by conventional vaccine (B. Co), inactivated by pepsin digestion and formalin treatment, 11 cases who showed elevated titer after primary boosting were also submitted to the study. The results were as follows: 1) Out of the 117 subjects with naturally acquired anti-HBs, 6(5.1%) showed isolated anti-HBs and the titers were below 10 ratio units (RU). Negative seroconversion was seen in 4(3.4%) of the 117 cases at 12 months after the screening and, of these cases, 3 showed isolated anti-HBs and the titers were below 10 RU. 2) Eighty-three percent of the cases with naturally acquired isolated anti-HBs below 10 RU did not respond to a booster injection with 3 us dose of A. Co. vaccine at all, but 90% of the other subjects responded. 3) The anti-HBs titers of all the 11 cases who showed a rise of more than 10 RU (increased GMT, 28.04) at one month after primary booster injection by $20{\mu}g$ dose of B. Co. vaccine decreased at 19 months after the primary booster. And 3 subjects (27.3%) of the 11 reached negative seroconversion. All of the 11 cases, who had secondary booster injection with $3{\mu}g$ dose of A. Co. vaccine at 19 months after primary boosting, showed increased anti-HBs titer at least 20 RU or more (increased GMT, 57. 72) at one month after the boosting. According to the above results in the anti-HBs screening survey for the purpose of immunization with hepatitis B vaccine, subjects with isolated anti-HBs below 10 RU should be regarded as being in an unimmunized state. In cases who are in risk circumstances, immunized primarily with a $20{\mu}g$ dose of B. Co. vaccine, a secondary booster injection should be given within 2 years after initiation of primary immunization and a $3{\mu}g$ booster dose of A. Co. vaccine can be reliably used.

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건설공사 표준시장단가 핵심공종 도출 및 중점관리방안 (Identification of Primary Activity and Management Plan for Construction Standard Unit Price)

  • 김정훈;백승호
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.589-601
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    • 2020
  • 건설공사의 적정한 공사비산정을 위하여 건설공사의 실적을 토대로 하는 표준시장단가가 작성되고 있으며, 공공건설공사의 예정가격 작성을 위한 기초자료로 활용되고 있다. 현재 표준시장단가는 건설현장 시장상황 및 시공상황을 고려하여 산출되고, 보정기준을 마련하기 위하여 중장기 정비계획을 수립하여 공종별 시공실태 및 시장가격 변화에 대한 현장조사를 수행하고 있다. 그러나 중장기계획 정비가 5년 이상으로 장기화되고, 일시적 정비로는 중요도가 높고 단가변동성이 큰 핵심공종들에 대한 지속적인 관리가 어려운 문제점이 발생되고 있다. 이에 본 연구는 표준시장단가 적기 개정을 통한 적정공사비 확보를 위하여 표준시장단가 핵심공종을 도출하고, 중점관리방안을 제시하였다. 중요도 및 단가변동성 분석을 통하여 35개 조사그룹에 해당하는 242개 핵심공종들을 도출하였으며, 공종들의 중요 수준을 고려하여 중점관리방안을 제시하였다. 제시된 핵심공종 및 중점관리방안을 통하여 중요 공종들의 적기 개정이 가능할 것으로 판단된다. 또한 향후 중장기계획 재수립시 핵심공종에 대한 지속적인 관리방안을 수립하여, 공사비산정기준의 적절성을 적시적재에 반영할 수 있도록 기반을 마련하였다.

초등수학 도형영역에 제시된 정의에 관한 교사의 인식과 오류 (Teachers' conceptual errors related to the definitions in the area of geometry of elementary school mathematics)

  • 최근배;오숙경
    • 한국수학교육학회지시리즈A:수학교육
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    • 제47권2호
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    • pp.197-219
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    • 2008
  • Unlike ordinary situations, deifinitions play a very important role in mathematics education in schools. Mathematical concepts have been mainly acquired by given definitions. However, according to didactical intentions, mathematics education in schools has employed mathematical concepts and definitions with less strict forms than those in pure mathematics. This research mainly discusses definitions used in geometry (promising) course in primary schools to cope with possibilities of creating misconception due to this didactical transformation. After analyzing problems with potential misconceptions, a survey was conducted $\underline{with}$ 80 primary school teachers in Jeju to investigate their recognitions in meaning of mathematical concepts in geometry and attitudes toward teaching. Most of the respondents answered they taught their students while they knew well about mathematical definitions in geometry but the respondents sometimes confused mathematical concepts of polygons and circles. Also, they were aware of problems in current mathematics textbooks which have explained figures in small topics (classes). Here, several suggestions are proposed as follows from analyzing teachers' recognitions and researches in mathematical viewpoints of definitions (promising) in geometric figures which have been adopted by current mathematics textbooks in primary schools from the seventh educational curriculum. First, when primary school students in their detailed operational stage studying figures, they tend to experience $\underline{a}$ collision between concept images acquired from activities to find out promising and concept images formed through promising. Therefore, a teaching method is required to lessen possibility of misconceptions. That is, there should be a communication method between defining conceptual definitions and Images. Second, we need to consider how geometric figures and their elements in primary school textbooks are connected with fundamental terminologies laying the foundation for geometrical definitions and more logical approaches should be adopted. Third, the consistency with studying geometric figures should be considered. Fourth, sorting activities about problems in coined words related to figures and way and time of their introductions should be emphasized. In primary schools mathematics curriculum, geometry has played a crucial role in increasing mathematical ways of thoughts. Hence, being introduced by parts from viewpoints of relational understanding should be emphasized more in textbooks and teachers should teach students after restructuring this. Mathematics teachers should help their students not only learn conceptual definitions of geometric figures in their courses well but also advance to rigid mathematical definitions. Therefore, that's why mathematics teachers should know meanings of concepts clearly and accurately.

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융합적 관점에서 본 대량방사선 재난에서 효율적 재난반응을 위한 오염감시기의 의학적 적용에 대한 평가: 대표적 두가지 오염감시기를 이용한 방사선외부오염환자 시뮬레이션 연구 (Evaluation on Medical Application of Survey meters in Convergence Perspective for the Efficient Disaster Responses in the Massive Radiological Disasters: A Simulation Study of Externally Contaminated Patients Using Two Representative type of Survey-Meters)

  • 김주현
    • 한국융합학회논문지
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    • 제12권3호
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    • pp.77-83
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    • 2021
  • 본 연구의 목적은 방사선 재난에서 효과적인 피폭 환자의 중등도 분류를 위하여 재난의학적 개념과 대표적인 방사선 계측기 (수 계측형 외부오염감시기와 이동형 문형 외부오염감시기) 측정기술의 융합을 통해 의학적 적용의 타당성을 구하는 것이다. 방사선 재난 상황을 위하여 모의환자를 설정하였고 모의 방사선 훈련에 참여한 12명이 12개의 모의선원이 부착된 방호복을 무작위로 입은 후의 두가지 외부오염감시기를 각각 이용하여 모의선원 중 5개의 실제 방사선 선원을 발견하는지 조사 후, 소요된 조사시간과 외부 오염환자 검출에 대한 민감도와 특이도를 구하였다. 1차 훈련에서 수 계측형 외부오염감시기로 걸린 평균 시간은 231.9 ± 116.6 초, 이동식 문형 외부오염감시기로 걸린 시간은 8.690 ± 1.667 초로 유의하게 측정한 시간이 짧았고 두 방법의 오염 검출의 민감도와 특이도는 100%로 차이가 없었다. 이동형 문형 외부오염감시기가 방사선 재난에서 의학적 적용의 타당성을 가지며 중요한 역할을 할 수 있을 것이다.

노인 주 부양자의 부양부담감, 소진감 및 삶의 질에 대한 연구 (A Study of Care Burden, Burnout, and Quality of Life among Family Caregivers for the Elderly)

  • 주경복;김귀분
    • 여성건강간호학회지
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    • 제14권4호
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    • pp.278-289
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    • 2008
  • Purpose: This study was a survey to provide basic data about nursing interventions for improving the quality of life among family caregivers for the elderly by examining their care burden, burnout, and quality of life, and by confirming the correlation between each of them. Method: The subjects were 215 people in Seoul and Gyeonggi Province who understood the purpose of this study and participated voluntarily from April 1 to June 4, 2007. Data was analyzed by the SAS program. Result: 1. Concerning primary caregivers of the elderly, it was found that their care burden was slightly high, burnout was high and quality of life was good on the whole. 2. When it comes to the correlation among care burden, burnout, and quality of life among family caregivers, it was found that burnout increases in proportion to care burden, quality of life decreases as care burden increases, and bigger burnout leads to a lower quality of life. Conclusion: The quality of life among primary caregivers should be improved by reducing their care burden and burnout. Thereby, a priority might be considered for admission to nearby, comfortable nursing homes or failing that, home visiting services, rather than family support in the home.

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SHIELD DESIGN OF CONCRETE WALL BETWEEN DECAY TANK ROOM AND PRIMARY PUMP ROOM IN TRIGA FACILITY

  • Khan, M J H;Rahman, M;Ahmed, F U;Bhuiyan, S I;Haque, A;Zulquarnain, A
    • Journal of Radiation Protection and Research
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    • 제32권4호
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    • pp.190-193
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    • 2007
  • The objective of this study is to recommend the radiation protection design parameters from the shielding point of view for concrete wall between the decay tank room and the primary pump room in TRIGA Mark-II Research Reactor Facility. The shield design for this concrete wall has been performed with the help of Point-kernel Shielding Code Micro-Shield 5.05 and this design was also validated based on the measured dose rate values with Radiation Survey Meter (G-M Counter) considering the ICRP-60 (1990) recommendations for occupational dose rate limit ($10{\mu}Sv/hr$). The recommended shield design parameters are: (i) thickness of 114.3 cm Ilmenite-Magnetite Concrete (IMC) or 129.54 cm Ordinary Reinforced Concrete (ORC) for concrete wall A (ii) thickness of 66.04 cm Ilmenite-Magnetite Concrete (IMC) or 78.74 cm Ordinary Reinforced Concrete (ORC) for concrete wall B and (iii) door thickness of 3.175 cm Mild Steel (MS) on the entrance of decay tank room. In shielding efficiency analysis, the use of I-M concrete in the design of this concrete wall shows that it reduced the dose rate by a factor of at least 3.52 times approximately compared to ordinary reinforced concrete.

전통 어린이 복식을 응용한 원피스 디자인 연구 (Study on one-piece design using traditional children's wear)

  • 김월계
    • 패션비즈니스
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    • 제14권1호
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    • pp.106-115
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    • 2010
  • This study's purpose is to, first survey the traditional children clothing, clothing which doesn't get studied mostly. Second, to choose the factor that can modernize. Third, to design the present one-piece dress. Fourth, to gather an understanding about traditional children clothing and make a chance for children to wear the clothing that has a traditional factor. Traditional children clothes have a same shape with adults' clothes they use five primary color and use a pattern of a symbolic meaning which means healthy and long life. For ordinary wears there are Chimajogori and Bajijogori and for ceremonial dresses they wore Durumagi, Sagyusam which are Po and Dangui and headdress was added. The shape was considered by the children growth condition so the Gorum got longer. The dragon, cicadas, butterfly, phoenix and lots of flower pattern was used by the difference with the class. 5 one-piece design adapted Jogori, skirt, Dangui, Sagyusam, Magoja and used the traditional fabric by mixing the five primary color and the five secondary color was used to make traditional color. This study expects for a chance of children to wear traditional Hanbok or Hanbok-adapted clothes.

보건교사의 학교보건 실무능력 인지도와 전문직 태도에 대한 조사연구 - 초.중.고등학교 보건교사를 대상으로 - (A Survey of School Health Nurses Competency and Professional Attitude)

  • 유일영;이규영;유문숙
    • 지역사회간호학회지
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    • 제13권4호
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    • pp.808-816
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    • 2002
  • Purpose: The study was aimed to assess the competency and professional attitude of school health nurses who are occupied with adolescent health, and to provide basic information for the development of continuing education programs for them to improve their competencies. Method: The self-reported questionnaire based on WHO assessment tool were used to assess the competencies of the school health nurses providing health care for adolescents. The subjects were 584 school health nurses and the data were collected from January 28 to March 5, 2002. Result: The school health nurses in middle schools showed significantly higher scores than the school health nurses in primary schools on the level of competency. The nurses were scored the highest in the area of dealing with sexual issues for the students, followed by providing them direct care and application of primary care concept to the field of school health nursing. The areas showing the lowest scores were counseling and utilization of the system. There was a significant positive correlation between competency and professional attitude of the school health nurses. Conclusion: Based on the results of this study, it is necessary to develop various continuing educational programs for school health nurses using different teaching methods such as web-based program.

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조직구성원의 지식통합 역량에 대한 선행 요인과 지식창출 효과에 관한 연구: 융합 지향 조직을 중심으로 (Antecedents of Employees' Knowledge Integration Capability and Its Effects on Knowledge Creation: Focused on Convergence-Oriented Organizations)

  • 홍진원;서우종
    • 지식경영연구
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    • 제15권4호
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    • pp.105-126
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    • 2014
  • Knowledge integration is becoming a primary function of improving organizational capabilities and performance in today's convergence paradigm. The knowledge integration capability of employees has increasingly been regarded as a critical source for developing new products and services. This study investigates the influential factors of employees' knowledge integration capability and its effects. A theoretical research model was developed based on the socio-technical perspective and information processing theory. The model includes teamwork quality, expertise, IT support, and knowledge complexity as the primary influential factors of employees' knowledge integration capability. A large-scale survey was conducted for gathering data (a total of 316 samples from 141 organizations) to test the proposed model. The test results of the hypotheses show that expertise and knowledge complexity are the significant influential factors of employees' knowledge integration capability, and also the capability has a positive effect on the knowledge creation performance of employees. Our findings contribute to the development of initiatives for promoting employees' knowledge integration capability, especially in knowledge intensive organizations focusing on convergence products and services.