• 제목/요약/키워드: carefulness

검색결과 35건 처리시간 0.025초

입원 어린이의 병상활동과 어머니의 반응 및 요구 (An Analysis on the Daily Activities of Hospitalized Chilldren and the Responses of Their Mothers.)

  • 오가실;조갑출;구정아
    • 대한간호
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    • 제35권3호
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    • pp.77-97
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    • 1996
  • This study was descriptive survey research. The main purpose of this study is to examine the daily activity of hospitalized children from two month years old to twelve years old and to identify needs or responses of mother who has hospitalized children. The subjects for the study were 179 mothers who have hospitalized children at pediatric ward two hospitals attached to a university in Seoul. The data was collected by two researchers and two assistants using structured open questionnaire for interview. The data was analyzed by using SPSS/PC. The results of the study were as follows ; 1. The daily activity of hospitalized children was mainly play activity except for treatment or nursing activity. It was limited activity at sickbed and various according to developmental stage of children. 2. The common responses of mothers on intravenous injection. blood sampling and fretful children were heartache. crying. empathy and guilty feeling. 3. The responses of mothers on disease progress were comfort. aspiration. anxiety. gloominess. critique and a serene state of mind. 4. The responses of mothers on medical personnel were kindness. carefulness. comfort. satisfaction. calmness and unkindness. 5. The responses of mothers on another hospitalized children were mainly empathy and sympathy. 6. The responses of mothers on patient clothes were comfort and deny. 7. The responses of mothers on residence with child were comfort. inevitable duty. laborious. exhaust. annoyance and worried about another family member. 8. The requirements of mothers were mainly convenience facility and play place. The results of this study indicate that hospital life were indifferent growth and development of children. Nurses need to identify hospitalized children and mothers have hospital adjustment problems and intervene as soon as possible to promote normal growth and development of theses children.

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느린 간호의 개념 분석 (A Concept Analysis of Slow Nursing)

  • 우현미;박정숙
    • 한국융합학회논문지
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    • 제11권5호
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    • pp.381-389
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    • 2020
  • 환자 특히 노인환자들은 자신의 특성과 속도에 적합한 간호를 필요로 하는 데 비해, 우리나라 현실에서는 '빠른 간호'가 강조되는 실정이다. 이에 본 연구는 한국에서의 '느린 간호'의 속성을 파악하고자 한다. Walker & Avant의 방법을 사용하여 문헌고찰을 통해 '느린 간호'에 대한 개념분석을 실시하였다. 2000~2019년 Pubmed, Riss, NDSL, DBPIA, Google scholar에서 '느린', '느림', '느린 간호', '느린 처방'을 핵심단어로 하여 문헌을 찾고 개념분석을 실시한 결과, '느린 간호'의 속성으로 '대상자의 속도 존중', '주의 깊음', '과정 중 안위', '참여', 그리고 '삶의 의미 숙고'가 나타났다. 이러한 '느린 간호'의 속성을 중심으로 모델사례를 도출하였다. '느린 간호'의 선행 요인은 환자의 기능 저하, 심리적 처짐, 무관심, 치료에 대한 두려움, 삶의 의지 부족으로 나타났으며, 느린 간호로 인해 나타나는 결과로는 잠재 능력 발견, 자신감 회복, 건강증진, 의료진과의 의사소통 향상, 신뢰감 및 자아통합감이 도출되었다. 향후 '느린 간호'의 속성을 이용한 측정도구를 개발하여 대상자 간호와 연구에 이바지하기를 기대한다.

의료사고에서의 형사책임 -원내감염사고의 해결을 향하여- (The Criminal Liability of Physicians in the Case of Medical Accidents)

  • 우츠미 토모코
    • 의료법학
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    • 제19권2호
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    • pp.3-40
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    • 2018
  • 예전부터 일본에서 의료사고가 형사사건으로 취급되는 경우는 드물었다. 하지만 요코하마시립대학병원과 같은 중대한 의료과오가 발생한 이후 검사가 의료과오를 기소하는 태도를 보이고 있다. 의료사고는 의료관계자간 역할분담의 형태가 과실 인정에서 중요한 하나의 요소가 된다. 요코하마시립병원사건에서는 환자의 동일성확인에 관하여 의료관계자 사이에 역할분담이 확립되지 않은 경우에는 관계자 전원이 환자의 동일성을 확인하여야 할 의무가 있다고 하였다. 또 사이타마 의과대학병원사건에서는 치료에 신중할 필요가 있는 중대한 증례에 관해서는 그 증례를 담당하는 주치의 뿐 만 아니라 대학병원의 과장도 치료방침에 관하여 확인할 의무가 있다고 하였다. 현립 오오노병원사건에서 무죄판결이 내려진 이후는 형사소추에 신중을 기할 필요가 있다는 목소리가 강해지고 있다. 이러한 상황 속에서 후생노동성은 의료사고방지를 위해 의료사고조사제도를 도입하여 의료사고에 제3자기관에 의한 검증의 강화를 도모하고 있다.

보안운영체제 환경에서의 신뢰채널 지원을 위한 모듈의 설계 및 구현 (The Design and Implementation of Module supporting Trusted Channel in Secure Operating System Environment)

  • 유준석;임재덕;나재훈;손승원
    • 정보보호학회논문지
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    • 제14권3호
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    • pp.3-12
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    • 2004
  • 보안운영체제는 운영체제에 내재된 보안상의 결함으로 인하여 발생할 수 있는 각종 해킹으로부터 시스템을 보호하기 위해서 기존 운영체제에 다양한 보안기능을 추가한 운영체제이다. 보안운영체제는 시스템 보안을 목적으로 고안되었으나 전체 시스템의 안전을 위해서는 네트워크 측면에서의 보안이 필수적이다. 이를 위해서 IPsec이나 SSL과 같은 네트워크 보안 프로토콜들이 개발되어 사용되고 있으나 정책이나 키 관리에 많은 주의를 필요로 하고 보안운영체제의 특성을 반영하기 어렵다. 본 논문에서는 보안운영체제 사이에서 안전한 통신을 제공하기 위한 간단한 신뢰채널 메커니즘을 소개한다. 본 신뢰채널은 네트워크 트래픽에 대해 기밀성과 인증 서비스를 제공하며, 보안운영체제에 사용되는 특정 보안정보를 전달할 수 있는 구조를 가진다. IP 계층의 커널 수준에서 구현된 신뢰채널은 단순한 처리구조를 통하여 신뢰채널 처리과정에서 발생할 수 있는 오버헤드를 줄일 수 있다.

브랜드 수산물이 소비자 태도를 매개로 구매의도에 미치는 영향 (A Study of the Seafood Brand Influence on Purchase Intention focus on the Mediating Effects of Attitude)

  • 장영수;이유진
    • 수산경영론집
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    • 제42권1호
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    • pp.97-112
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    • 2011
  • Today, the consumer is more careful in buying goods, invests more time in collecting relevant information to avoid any potential danger, and restricts from potential impulse buying. To react this consumer's carefulness, the seafood brands provide much information including the origin labeling system, the traceability, the food's safety & hygiene. Also the branding by region or company is pursued. Like that, a seafood brand's importance is increased, but there lack few researches dealing how current consumer's attitude influences on real purchase behavior, and how the attitude works consumer purchase decision. Therefore, this study researched the brand's influence on the consumer's attitude and purchase intention. For this purpose, this study targeted the salty mackerel and the dried yellow corvina because they are already branded and sold in some popularity, and researched how a brand's popularity, its image, and its recognized quality could effect on the consumer's attitude and purchase intention. As the result, it was appeared that a seafood brand's popularity didn't directly effect on the consumer's purchase intention, but indirectly influenced through the consumer's attitude as a parameter. From this result, improving a seafood brand's popularity needs some time to form the consumer's positive attitude and to lead to consumer purchase intention of seafood brand. So, it is thought that various promotion activities for seafood consumption must be continually performed rather than some temporary special events. Consumers showed more positive attitude on familiar seafood based on a product's original place and the freshness. Also they had better feeling about some seafood with their speciality images rather than the same kinds of products produced in other regions. This attitude temporarily led to purchase intention. Therefore, it is important that the branding strategy development should start from some seafood familiar to us in traditional food culture and food habit, but should delivery the reliance and the freshness in accurately indicating their origins, and should emphasize their differences as specialities. Consumers showed some positive attitudes on the seafood featuring the hygiene, the safety, continual good quality, and their attitudes led to their purchase intentions in temporary. The seafood product reflecting these results the best is the marketing activities on some Andong salty mackerel products acquired HACCP certification. it is thought that a seafood's branding strategy should be established on distinctive branding strategies using reliable certification mark like HACCP based on the hygiene, the safety, and the quality.

농약의 사용과정과 중독에 관한 사회의학적 고찰 (A Socio-medical Study on the Usage and Poisoning of Pesticides)

  • 차민영;차형훈;염용태
    • 농촌의학ㆍ지역보건
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    • 제9권1호
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    • pp.18-26
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    • 1984
  • With the increase of using pesticides, pesticide poisonings become more frequent. In the previous epidemiological study on pesticide poisoning and the reports of the authorities concerned, it is carefully affirmed that pesticide poisonings are caused by farmers' ignorance and negligence in using the pesticides. But the pesticide poisoning should be taken into account in terms of the person who sprays the pesticides, its spraying process, farming style and farmers' socio-economic conditions. And based on the understanding mentioned above, preventive measures for pesticide poisoning should be established. In this socio-medical point of view, this study examined the public health problems caused by using pesticides and the treatment of pesticide poisoning, based on the interviews with farmers in a area of Kyunggi-Do about the spraying process of pesticides, poisoning experiences and its treatments. The results are as follows ; 1) The style of spraying pesticides in the target area is mostly an individual one, not cooperative one. And the subjects of spraying are householders, whose educational backgrounds are beneath notice. More than 2~5 of the subjects are women or old men of 60 years old or so. These are seen to derive from the socio-economic status of Korean agricultural families; their younger generation's moving to greater cities and their petty farming styles. 2) As for the safety measures for the spraying of pesticides, those which have nothing to do with the economic, problems such as efficient spraying and productivity, are well obeyed. On the other hand, some safety measures as the use of safety devices, and spraying time, the degree of dilution of pesticides and the spraying method In windy days, are not obeyed very well, for to keep those makes spraying difficult to do and productivity worse. These facts indicate that the safety measures for using pesticides must be directly concerned with the spraying process, farming style and farmers' socio economic status, rather than the subject's knowledge or carefulness. 3) Even In cases of poisoning they do rarely consult the doctors. This is caused by the problem of their locality and transportation since one should pass away a day even in the busiest season to consult doctors, and by their low socio-economic status. 4) The epidemiological studies on pesticide poisonings should be necessarily led to a socio-medical one which are concerned together with the spraying process of pesticides, farming style, farmer's socio-economic status and discrepancies in public health policies between agricultural communities and urban ones.

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스마트 이동객체의 App 기반 능동형 재해경보서비스 시스템 (Active Disaster Alerting Service System based on App of Smart Moving Object)

  • 한기태
    • 한국컴퓨터정보학회논문지
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    • 제16권9호
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    • pp.131-143
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    • 2011
  • 기존의 위치기반경보서비스는서버에서 각이동객체의위치를확인하는 방법을 사용함으로 인해 서버의 부하문제가 대두 되었다. 본 논문에서는 스마트 이동객체에 앱(App)을 탑재하여 필요시에만 자신의 위치정보를 가지고 서버에 접근하는 방식의 ADAS(Active Disaster Alert Service)라는 새로운 알고리듬을 제안하고, 사용자 시각화를 고려한 실시간 재해경보서비스 시스템을 구현하였다. 제안하는 방법은 App의 구동시 GPS 모듈 혹은 이동통신망에 의해 획득한 이동객체의 현재 위치좌표와 ID를 서버로 전송하면, 서버에서는 이동객체의 현재 위치좌표와 재해정보데이터베이스(Disaster Information Database: DIDB)에 등록된 재해지역 좌표들을 비교하여 현재 위치로부터 가장 가까운 거리에 존재하는 n개의 NDI(Near Disaster Information)를 얻어 클라이언트로 전송한다. App에서는 이동객체의 현재 위치좌표와 서버에서 보내온 NDI의 재해좌표들을 실시간으로 비교하여 경보수준을 위험, 주의, 안정으로 분류한 서비스를 진행하고, 구동 중에 주기적으로 서버의 DIDB에 접근하여 최신의 NDI를 얻는다. 그러므로 제안한 방법은 이동객체의 모든 이력을 서버에서 관리하는 기존 경보서비스에 비하여 서버부하 문제를 획기적으로 줄일 수 있는 방법이 될 것이다.

중환자실 입원환자 가족의 경험 (The Lived Experiences of Inpatients' Families in the Intensive Care Units)

  • 황혜남;김귀분
    • 성인간호학회지
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    • 제12권2호
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    • pp.175-183
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    • 2000
  • The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neurosurgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October, 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi; as an unit of description, which include the participants' expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows : The meanings of the lived experience of the inpatients' families in the ICU was confirmed by indepth interviews and observations including these of the participatants : (1) Psychological impact: confusion, impatience, surprise, insensibility; (2) Physical suffering: fatigue, discomfort, indigestion; (3) Psychological suffering: heartbreaking emotion, anxiety, annoyance, fear, compassion, grief; (4) Economical suffering: economical difficulties; (5) Psychological disagreement: escape from reality, personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); (6) Psychological dependency; self-reliance group support, family support, religious support; (7) Psychological acceptance; acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study, it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients' families in the ICUs.

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암파쇄굴착공법(Super wedge) 적용에 따른 소음.진동에 대한 고찰 (The Study of noise and vibration on application of the method breaking & excavating rock(Super wedge))

  • 원연호;강추원;류창하
    • 대한화약발파공학회:학술대회논문집
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    • 대한화약발파공학회 2006년도 추계학술발표회 논문집
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    • pp.167-184
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    • 2006
  • 본 연구는 굴착대상구역에 축사 및 마을주택구조물이 근접위치하고 있어 이들 시설물에 대한 피해 방지를 위해 사전 발파환경영향평가를 실시하였다. 그 결과 발파공법의 적용이 불가하여 소음과 진동저감을 위해 건교부의 발파공법분류에 의한 암파쇄굴착 공법 중, 브레이커에 의한 2차 파쇄가 없는 할암공법의 일종인 슈퍼웨찌(Super wedge) 공법을 적용하였으며, 작업 공종별로 소음전용측정기(SC-310c)와 진동전용측정기 (BLASTMATE)를 이용하여 소음과 진동의 크기를 측정하였다. 측정결과 진동을 기준하면 최근접(약 10m) 위치에서 천공, 절개, 집토 및 상차작업은 가능하나 장비이동이 고려되어야 하며, 소음을 기준하면 절개작업을 제외하고 천공, 집토 및 상차작업은 20m 이내에서도 굴착작업 자체가 어려운 것으로 나타났다. 따라서 건교부 발파공법분류에 의한 암파쇄굴착공법은 작업과정별 소음도를 감안하여 적용되어야 한다.

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마취제처리에 의한 잠아선발 연구(I) (Studies on Silkworm Selection by Use of Anesthetic(1) (The Effect of Silkworm Analysis through Anesthesia))

  • 최병희;강석권;김정일
    • 한국잠사곤충학회지
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    • 제13권2호
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    • pp.123-133
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    • 1971
  • The author is the first man who tried to use an anesthetic on insect specially for silkworm in orde to evaluate the silkworm health and silk yielding ability and the obtained results are as followings. 1. The necessary ether vapor induction for narcosis on silkworms is varied by the glowth of the silkworm which the larger worm is, the longer induction is required. For instance, it was 2∼3 minutes for the worms of third day fifth instar silkworm in case use of ether anesthetic. 2. The longer anesthetic induction for silkworms, the longer recovery needs from anesthesia. In case five minutes ether vapor induction, silkworms recovered narcosis during in 5∼130 minutes which had varied very much by the health variation. 3. The ether induction caused silkworm to vomit digestive juice from a few per cent of the worms, but the chloroform induction showed majority of the worms to vomit the digestive juice out of mouth. So, the ether was found as better anesthetic for silkworms. 4. When ether induction last more than 20∼30 minutes, the recovered silkworms can eat mulberry, but when it gets more than three hours they can not eat mulberry. And when it last more than ten minutes, the silkworm may eat mulberry leaf, but they can not spinn cocoon properly. 5. In case five minutes ether induction for silkworms on third day fifth instar, the stronger variety is, the rallier recovered from narcosis. 6. The recovering duration from narcosis varies regarding with each worm health which shows Poisson′s distribution even in a same variety silkworm. 7. The female worms recover from narcosis earlier than male worms which means the female worm is stronger than male one. 8. The later recovered silkworm from narcosis spinned more rich cocoon silk and ended with smaller pupae weight. Such a tendency showed until at some recovery duration, then the silk yield droped down on the worms recovered in more longer duration. The author (Choe) had named such a relation curve as "Silk Yield Curve against Silkworm Health." 9. The silk yield or cocoon layer ratio had varied from 13 to 27% even in a same worm varity cocoon which showed serious variation and call attention carefulness for the duplication work of a variety silkworm eggs. 10. Not always the rich silk yielding worm is the best worm during the silkworm selection and it should be considered with the silkworm health evaluation. 11. At present situation, only specific breeding expert is allowed to join in the selection service because of need many years experience by use of visual observation, but the ether anesthesia method may help such an evaluation with more accuracy and easy way even for the people in fresh on the field. 12. The effect of the narcosis on the silkworm for the next generation or hybrid worm will be reported in next publication.

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