• 제목/요약/키워드: Public Control Point

검색결과 210건 처리시간 0.028초

지지적 간호중재가 응급실 환자의 불안반응에 미치는 효과 (The Effect of Supportive Nursing Intervention on Patient's Response of Anxiety during Emergency Room Staying)

  • 윤정원;박영숙;박청자
    • 한국보건간호학회지
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    • 제14권1호
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    • pp.100-113
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    • 2000
  • The purpose of this study is to examine the effect of supportive nursing intervention on patient's response of anxiety in emergency room as the suspected experimental research sequentially designed for the unequal control group. This study collected the data from 100 patients including 50 patients of experimental group and 50 patients of control group in emergency room of the only one university hospital from July 12. to September 30, 1999. This study used questionnaires that Kim, Jung Taek and Shin. Dong Kyun revised the measurement of STAI(State-Trait Anxiety Inventory) of Spielberger(1972) to measure their anxiety with using physical. spiritual. and informative support of the supportive nursing intervention, and measured blood pressure. pulse and respiration by physiological response of anxiety. After then. this study analyzed the frequency and percentage by using SPSS 7.5 program, $x^2-test$, t-test and ANCOVA. The results are as follows: First hypothesis : the point of STAI of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=22.943, p=.000). Second hypothesis : the sistolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=42.603. p=.000). Third hypothesis. the diastolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F= 18.482, p=.000). Fourth hypothesis: the pulse of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. Fifth hypothesis : The respiration of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. In the above-mentioned result. the supportive nursing intervention was considered to be useful intervention that raised the effect on patient's response of anxiety during emergency room staying.

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Heaviness of Smoking Index, Number of Cigarettes Smoked and the Fagerstrom Test for Nicotine Dependence Among Adult Male Malaysians

  • Lim, K.H.;Idzwan, M. Feisul;Sumarni, M.G.;Kee, C.C.;Amal, N.M.;Lim, K.K.;Gurpreet, K.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.343-346
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    • 2012
  • Two methods of identifying smokers with high nicotine dependence, the heaviness of smoking index (HSI) and number of cigarettes per day (CPD) were compared with the Fagerstrom test for nicotine dependence (FTND). The HSI, CPD and the FTND were administered to 316 adult Malaysian male, daily smokers aged between 25-64 years old in the Malaysian NCD Surveillance-1 Survey using a two-stage stratified random sampling of enumeration blocks and living quarters, via an interview based on a validated questionnaire. The cut-off point for classification of high nicotine dependence on the HSI was a score of four or higher, and for the heavy smoking category, smoking more than 20 cigarettes per day. Classification using each method was compared with classification by the FTND (score of six or more) as the reference standard. Sensitivity, specificity and kappa statistics for concordance between both measures and the FTND were evaluated. The HSI gave a similar prevalence rate of high nicotine dependence as the FTND. There was substantial agreement between the HSI and the FTND (kappa=0.63.), with moderate sensitivity (69.8%) and high specificity (92.5%). However, prevalence of high nicotine dependence using the CPD was 7% lower than the FTND. The heavy smoking category also showed fair agreement with the FTND (kappa=0.45) and moderate sensitivity (67.0%), but specificity was high (86.9%). The findings indicate that the HSI can be used as an alternative to the FTND in screening for high nicotine dependence among daily smokers in large population-based studies, while CPD may not be a suitable alternative to the FTND.

An Evaluation of a New Quantitative Point-of Care Diagnostic to Measure Glucose-6-phosphate Dehydrogenase Activity

  • Bahk, Young Yil;Ahn, Seong Kyu;Jeon, Heung Jin;Na, Byoung-Kuk;Lee, Sung-Keun;Shin, Ho-Joon
    • Parasites, Hosts and Diseases
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    • 제60권4호
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    • pp.281-288
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    • 2022
  • Malaria continues to be one of the most crucial infectious burdens in endemic areas worldwide, as well as for travelers visiting malaria transmission regions. It has been reported that 8-aminoquinolines are effective against the Plasmodium species, particularly primaquine, for anti-hypnozoite therapy in P. vivax malaria. However, primaquine causes acute hemolytic anemia in individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency. Therefore, G6PD deficiency testing should precede hypnozoite elimination with 8-aminoquinoline. Several point-of-care devices have been developed to detect G6PD deficiency. The aim of the present study was to evaluate the performance of a novel, quantitative G6PD diagnostics based on a metagenomic blue fluorescent protein (mBFP). We comparatively evaluated the sensitivity and specificity of the G6PD diagnostic modality with standard methods using 120 human whole blood samples. The G6PD deficiency was spectrophotometrically confirmed. The performance of the G6PD quantitative test kit was compared with that of a licensed control medical device, the G6PD strip. The G6PD quantitative test kit had a sensitivity of 95% (95% confidence interval (CI): 89.3-100%) and a specificity of 100% (95% CI: 94.3-100%). This study shows that the novel diagnostic G6PD quantitative test kit could be a cost-effective and time-efficient, and universally mandated screening tool for G6PD deficiency.

A Study of the 3D Unmanned Remote Surveying for the Curved Semi-Shield Tunneling

  • Lee, Jin-Yi;Jun, Jong-Woo
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.1791-1796
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    • 2005
  • Semi-shield tunneling is one of the propulsion construction methods used to lay pipes underground between two pits named 'entrance' and 'destination', respectively. Usually a simple composition, such as 'a fiducial target at the entrance+a total station (TS)+a target on the machine', is used to confirm the planned course. However, unavoidable curved sections are present in small-sized pipe lines, which are laid after implementation of a road system, for public works such as waterworks, sewer, electrical power, and gas and communication networks. Therefore, if the planned course has a curved section, it is difficult to survey the course with the abovementioned simple composition. This difficulty could be solved by using the multiple total stations (MTS), which attaches the cross type linear LED target to oneself. The MTS are disposed to where each TS can detect the LED target at the other TS or the base point or the machine. And the accurate relative positions between each MTS and target are calculated from measured data. This research proposes the relative and absolute coordinate calculation algorithm by using three MTS to measure a curved course with 20m curvature at 30m maximum distance, and verifies the algorithm experimentally.

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수학적 모델을 이용한 신종인플루엔자 환자 예측 및 대응 전략 평가 (Mathematical Modeling of the Novel Influenza A (H1N1) Virus and Evaluation of the Epidemic Response Strategies in the Republic of Korea)

  • 서민아;이지현;지혜진;김영근;강대용;허남욱;하경화;이동한;김창수
    • Journal of Preventive Medicine and Public Health
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    • 제43권2호
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    • pp.109-116
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    • 2010
  • Objectives: The pandemic of novel influenza A (H1N1) virus has required decision-makers to act in the face of the substantial uncertainties. In this study, we evaluated the potential impact of the pandemic response strategies in the Republic of Korea using a mathematical model. Methods: We developed a deterministic model of a pandemic (H1N1) 2009 in a structured population using the demographic data from the Korean population and the epidemiological feature of the pandemic (H1N1) 2009. To estimate the parameter values for the deterministic model, we used the available data from the previous studies on pandemic influenza. The pandemic response strategies of the Republic of Korea for novel influenza A (H1N1) virus such as school closure, mass vaccination (70% of population in 30 days), and a policy for anti-viral drug (treatment or prophylaxis) were applied to the deterministic model. Results: The effect of two-week school closure on the attack rate was low regardless of the timing of the intervention. The earlier vaccination showed the effect of greater delays in reaching the peak of outbreaks. When it was no vaccination, vaccination at initiation of outbreak, vaccination 90 days after the initiation of outbreak and vaccination at the epidemic peak point, the total number of clinical cases for 400 days were 20.8 million, 4.4 million, 4.7 million and 12.6 million, respectively. The pandemic response strategies of the Republic of Korea delayed the peak of outbreaks (about 40 days) and decreased the number of cumulative clinical cases (8 million). Conclusions: Rapid vaccination was the most important factor to control the spread of pandemic influenza, and the response strategies of the Republic of Korea were shown to delay the spread of pandemic influenza in this deterministic model.

Using Implementation Science to Advance Cancer Prevention in India

  • Krishnan, Suneeta;Sivaram, Sudha;Anderson, Benjamin O.;Basu, Partha;Belinson, Jerome L;Bhatla, Neerja;D' Cruz, Anil;Dhillon, Preet K.;Gupta, Prakash C.;Joshi, Niranjan;Jhulka, PK;Kailash, Uma;Kapambwe, Sharon;Katoch, Vishwa Mohan;Kaur, Prabhdeep;Kaur, Tanvir;Mathur, Prashant;Prakash, Anshu;Sankaranarayanan, R;Selvam, Jerard M;Seth, Tulika;Shah, Keerti V;Shastri, Surendra;Siddiqi, Maqsood;Srivastava, Anurag;Trimble, Edward;Rajaraman, Preetha;Mehrotra, Ravi
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.3639-3644
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    • 2015
  • Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

근해안강망어업경영의 원가실태에 관한 연구 (A study on the cost state of the stow net Fishery)

  • 박정호
    • 수산경영론집
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    • 제9권2호
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    • pp.59-89
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    • 1978
  • The analyzed results of the actual state of stow net fishery based on the cost expended are as follows. According to the calculation of interests, the total cost of this fishery comes to ₩38,010,653 and in this account, the production cost comes to ₩35,477,198(93.3%), the material cost, 14,567,239(38.3%), the labour cost, 12,740,274(33.5%), the expenses, ₩8,169,685(21.5%), the commision and administration expenses, 2,533,455(6.7%). The expenses for this fishery are paid out as production costs, and the expenses for sale and administration expenses are the lowest of them, and the 93% of expenses are paid out as production costs. The ratio of cost element to 100% is as follow. The wages, 28.4%, fuel, 15.2%, repair, 11.6%, deprecation, 9.5%, fishing gear, 8.7%, ice, 6.1%, container(box for fish), 5.2% administration expenses, 5.2%, food, 3.5%, ship grar, 3.2%, public welfare, 1.7%, commision for sale, 1.5%, insurance for crew, 0.2%, taxes, 0.2%. This fishery is managed with the larger fishing boat than it was and so, it demands better crews with higher wages. In the former fishery, the search for fishing ground is very difficult with long navigation and great fuel consumption. when the weak fishing gears are used, the expenses for their repair and for their gears are greatly paid out. The unit costs of catches to each box come to ₩2.807(₩187 each kg). As the ratio of cost of sales comes to 86.7%and the ratio of interests comes to ₩5,850,812(13.3%), and so the net profit comes to 13.3% of total profits. According to above the ratio of cost of sales is shown as a universal validity, Asthe total expenses comes to 86.7% to the money on sales in the break-even point, the break-even point comes to ₩26,209,168 Accordingly for the profit control the account of production should be raised, and by the saving method of expenditure the break-even point should be brought down for the development of total profits.

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건강포인트제도가 건강관련 생활습관에 미치는 영향 (The Effect of Health Point System on Health-related Lifestyle)

  • 오대규;이혜숙;임준;정원;윤미경
    • 동서간호학연구지
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    • 제18권1호
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    • pp.25-30
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    • 2012
  • Purpose: The purpose of this study was to verify the influence of health point system on the lifestyle among the patients with chronic diseases listed in iCDMS, a project of the Incheon Metropolitan Center for Chronic Disease Control and Prevention. Methods: The data were collected 1,000 persons among the patients listed in iCDMS from March 16, 2009 to December 21, 2010 by telephone survey. The data were analyzed by descriptive statistics, ${\chi}^2$-test, odds ratio and logistic regression with the SPSS 18.0 program. Results: The higher the percentage of the accumulation of the points of necessary medical examinations they have, the better the lifestyle the participants practice moderation in drinking, exercise, and diet (p<.05). Also the higher the percentage e accumulative points of education and visit, the stronger the intention to improve the lifestyle such as for example, receiving the guidance of no smoking, giving up drinking, or being conscious of nutrition and obesity (p<.05). Conclusion: This study suggests that the motivation through an incentive system can increase self-care make an effect on the care of patients with chronic diseases.

흡연 예방교육이 초등학생의 흡연관련 지식, 태도 및 건강행위 실천에 미치는 효과 (Effect of Smoking Preventive Education on Smoking-related Knowledge, Attitude, and Practice of Health Behaviors among Elementary School Children)

  • 김유자;강혜영
    • 한국학교보건학회지
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    • 제20권1호
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    • pp.1-9
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of school-based preventive education on smoking-related knowledge, attitude and practice of health behaviors among elementary school children at a rural province in Korea. Methods: The subjects were 134 among the 4th -6th graders (exp. = 67, control = 67) from two schools at J province. Education program was conducted in 5-sessions for experimental group. And study instrument for smoking-related knowledge was developed 2-point 15-items (a = .82), for attitude was 3-point 15-items (a = .79), and for practice of health behavior was also 3-point 30-items (a = .86). Data were collected by interview from May 28th to July 10th 2003 and analyzed with the frequency, percentage, x2-test and t-test using SPSS-PC program, Results: The group of having smoking experiences was 14.2% and 52.2% of the subject had smoking family members. The first motive of smoking was curiosity in 78.9% and 36.8% of them started smoking before the third grade. School-based preventive education of smoking were affirmatively effective in smoking-related knowledge (t = 4.14, p = .001), smoking-related attitude (t = 3.654, p = .001), practice of health behavior, on the other hand, was not changed significantly by the education. Conclusion: Based on these findings, the authors recommend that school-based smoking prevention education should be started from lower graders in regular curricular basis and health promotion program for primary school children should be emphasized to lead healthy behavior in collaboration with public and private health sectors in community.

'식민지적 공공설'과 8.15 해방 공간 ('Colonial Public-ness' during the Period of Japanese Forced Occupation)

  • 원용진
    • 한국언론정보학보
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    • 제47권
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    • pp.50-73
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    • 2009
  • 전통적으로 한국 언론사 논의는 언론을 수동적 존재로 파악하는 태도를 견지해왔다. 특히 해방 전후 언론 연구에서 그런 경향은 더욱 짙다. 언론을 수동적으로 대한다 함은 언론을 수단 혹은 도구로 보는 태도를 말한다. 언론사 논의는 그 같은 경향 내에서 언론을 민족 해방, 민족국가수립에 기여했는지 혹은 아닌지로 분류하고 평가하려 했다. 민족언론, 친일언론 등과 같은 친근한 구분법은 그로부터 나왔다. 최근 들어 그 같은 경향을 벗어난 연구들이 등장하고는 있다. 그러나 대체적으로 그 같은 민족주의적 시각으로부터 자유스럽지 않다. 덕택에 언론의 독자적문화, 민중들의 언론 습관, 일상 속의 언론 논의는 소홀히 다루어졌다. 이 글은 민족주의적 관점으로 언론현상을 논의할 경우 해방당시를 섬세하게 설명할 방도가 없어진다는 점에 주목하고 있다. 민족주의적 관점을 넘어선 국면 분석을 통해 새로운 언론사 분석의 가능성을 제시하고자 했다. 1945년 8월 15일이라는 해방 국면에서의 언론 상황을 점검하고 그를 통해 새롭게 대안적으로 포착해야 할 언론 단면들을 드러내고자 했다. 그 점검을 통해 해방 국면에서 제한된 형태이긴 하지만 언론이 해방의 의미를 나누었고 민중들은 그 같은 의미를 언론을 통해 받아들이는 습관을 나름으로 형성한 식민지적 공공성을 지니고 있었음을 밝히고자 했다. 그 공공성은 왜곡되고 식민지적인 것일 수밖게 없었지만 하루하루를 살아가는 당시 민중들에게는 감정적 구조를 전달해주고 있었으며 삶의 지침이 되기도 하는 영역이었다. 식민지 근대화론자들이 말하는 것처럼 일제에 의해 선사된 근대성의 공간도 아니고 민족주의자들의 주장대로 식민화된 공간만도 아닌 그 둘이 혼효된 공간이었다. 그리고 그 공간은 이후 한국 언론 문화, 관습, 언론을 받아들이는 습관 등 언론규율로 연장되었을 것이다. 혹은 새롭게 등장하는 서구적 근대성과 조우하면서 전혀 새로운 형태로 변해갔을 수도 있다. 지금의 언론 문화를 정리해내는 데 있어 식민지적 공공성에 대한 관심은 더 늦출 수 없는 중요한 지점이 아닐 수 없다.

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