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The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea (국내 의료기관의 의료관련감염 관리 실태)

  • Jeong, Sun-Young;Kim, Og Son;Lee, Ji-Young
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.353-366
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    • 2014
  • The purpose was to describe the state of healthcare-associated infection(HAI) control. Data were collected from 134 hospitals. The questionnaire developed by Kang[8] were modified. The mean of hospital beds was 556.4, 26.9% of hospitals were less than 300 beds. 99.3% of hospitals had infection control committee(ICC). ICC met 3.4 times a year. 54.5% of hospitals had one infection control practitioner(ICP). 95.5% of ICPs were nurse, 48.7% of ICPs had more than master's degree. Hospital experience of ICPs was 13.5 years. ICP experience was 3.2 years. 30.8% of ICPs worked for less than 1 year. All hospitals investigated HAI, 75.4% performed improvement activities. There are significant differences in existence of ICD, negative pressure room, computer program, numbers of ICPs according to hospital size. Manpower, organization, and facilities lacked in less than 300 beds. This conclusions will give baseline data to establish infection control system, manpower and practice in small-medium hospitals.

Finite Element Analysis for Evaluation of Viscous and Eccentricity Effects on Fluid Added Mass and Damping (유체 부가질량 및 감쇠 결정시 점성 및 편심 영향에 대한 유한요소해석)

  • 구경회;이재한
    • Journal of the Earthquake Engineering Society of Korea
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    • v.7 no.2
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    • pp.21-27
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    • 2003
  • In general, simple fluid added mass method is used for the seismic and vibration analysis of the immersed structure to consider the fluid-structure interaction effect. Actually, the structural response of the immersed structure can be affected by both the fluid added mass and damping caused by the fluid viscosity. These variables appeared as a consistent matrix form with the coupling terms. In this paper, finite element formula for the inviscid fluid case and viscous fluid case are derived from the linearized Navier Stoke's equations. Using the finite element program developed in this paper, the analyses of fluid added mass and damping for the hexagon core structure of the liquid metal reactor are carried out to investigate the effect of fluid viscosity with variation of the fluid gap and Reynolds number. From the analysis results, it is verified that the viscosity significantly affects the fluid added mass and damping as the fluid gap size decrease. From the analysis results of eccentricity effect on the fluid added mass and damping of the concentric cylinders, the fluid added mass increase as the eccentricity increases, however the fluid damping increases only when the eccentricity is very severe.

An Evaluation of Broadcaster Licensing Policy in Korea since 1990 (1990년 이후 방송사업자 인허가정책에 대한 평가)

  • Jung, In-Sook
    • Korean journal of communication and information
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    • v.18
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    • pp.199-229
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    • 2002
  • This study analyzed the trends of broadcaster licensing policy during 1990-2001 in Korea. It is to seek the answers about how the examination standards and procedures applied to broadcaster licensing has been changed for the last decade. For the purpose this study inquired six cases such as private broadcasting licence (1990 October), cable TV program provider licences(1993 July), cable TV system operator licences(1994 January), private local broadcaster licences(1994 July), satellite broadcaster licence(2000 December) and cable TV home shopping channel licences(2001 March). It examined the degree of specification and measurement of the standards based upon the government white paper; average points per item, average points per quantitative item, and average points per qualitative item etc. The government hadn't opened the standards and procedures how it licensed broadcasters until 1990 and the uncertain attitude brought distrust on the government broadcasting policy. The first white paper about broadcaster licensing was made in 1994 after cable TV broadcaster licensing was finished. The results indicated that Korean broadcasting licensing policy rapidly developed in the dimension of transparency from 'a secret room policy' to 'a sunshine policy' for the last decade. But it still needs improvement in the dimension of fairness of examination. Now one of the main distrust is the ratio that the one of qualitative examination standards are much more than the qualitative one.

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A Study on Emotional State of Preoperative Patients and Postoperative Pain (patients with abdominal surgery who received IV-PCA) (수술전 환자의 정서적 상태와 수술후 통증에 관한 연구 - IV-PCA를 부착한 수술환자 대상으로 -)

  • Kim Kyung-Hee;Chung Hae-Kyoung;Lee Hyun-Su
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.2
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    • pp.288-299
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    • 2002
  • The patients with abdominal surgery usually have acute pain. It is important for a patient's qualify of life and for good recovery after surgery to control the postoperative pain. The purpose of this study is to identify the relationship between emotional state of preoperative patients and postoperative pain. The participants in this study were the 100 patients receiving abdominal surgery who received Intravenous Patient Controlled Analgesia (IV-PCA) at the end of the operation. The data were collected using questionnaires and the period of the data collection was from March to August, 2001. The instruments used for this study were The State-Trait Anxiety Inventory (STAI) Developed by Spielberger (1972), The Center for Epidemeologic Studies-Depression (CESD) scale and Visual Analog scale (VAS). The data were analyzed using descriptive statistics. t-test, ANOVA and Pearson Correlation coefficient with the SPSS program. The results are as follows. 1. For general characteristics there were significant differences in the degree of trait anxiety according to gender (p= 0.0010), marital status (p=0.0122), religion (p=0.0040), education (p=0.0001), occupation (p=0.0002). monthly income (p=0.0001), diagnosis (p=0.0001), and operation title (p = 0.0001). 2. For general characteristics there were significant differences in the degree of state anxiety according to gender (p= 0.0023), education (P=0.0073), monthly income (p=0.0001), diagnosis (p=0.0005), and operation title (P =0.0063). 3. For general characteristics there were significant differences in the degree of depression according to gender (p= 0.0073), occupation (p=0.0469), monthly income (p=0.0001), diagnosis (p=0.012). and operation title (p =0.0033). 4. For general characteristics there were significant differences in the degree of postoperative pain according to gender (p=0.0213), marital status (p=0.0082), education (p=0.0016), occupation (p =0.0128). monthly income (p=0.0008), diagnosis (p =0.0007), and operation title (p =0.0008). 5. The relationship between trait anxiety and postoperative pain revealed a significant positive correlation (r =0.51, p =0.0001), and the relationship between state anxiety and postoperative pain revealed a significant positive correlation (r=0.50. p=0.0001) and the relationship between Depression and pain revealed a significant positive correlation (r =0.49. p =0.0001).

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An Analysis of Science Textbooks and Internet Sites Related to Diffusion and Dissolution on the View Point of Particle Theory, and Development of Computer-Assisted Instruction Program (입자론의 관점에서 본 확산과 용해 개념에 관련된 과학 교과서 및 인터넷 자료 분석과 컴퓨터 수업 보조자료의 개발)

  • Kim, Ju Hyun;Lee, Dong Jun;Kim, Sun Kyoung;Kang, Seong Joo;Paik, Seong Hey
    • Journal of the Korean Chemical Society
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    • v.44 no.6
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    • pp.611-624
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    • 2000
  • In this study we analysed 3-12 grade science textbooks, many literatures and internet sites related to diffusion and dissolution concepts. From these data, we discovered that the explanations of diffusion that used in textbooks are not considered the site of collision with mediums, and confused with dissolution, state transition and effusion. In the case of dissolution, almost analysis data were short of the explanations of interaction effect. Most of all, the focus of dissolution explanations was to solve the calculation problems rather than to understand the concept. Every internet site was poor, just as the level of showing textbook contents with computer, so the only effect of using computer was the sense of sight and hearing. Chemistry must be understood nature phenomena with a view point of particle theory, but many textbooks and Internet sites didn't represent it sufficiently. We set up the correct scientific concept and linked micro world of particle theory with macro world of nature phenomena. With a use of computer which have the advantage of representing moving things, we developed the computer-assisted instruction programs related to diffusion and dissolution with the viewpoint of particle movement.

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Development of Intelligent Compaction System for Efficient Quality Control (효율적 품질관리를 위한 지능형 다짐 시스템 개발)

  • Lee, Soomin;Park, Sangil;Lee, Riho;Seo, Jongwon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.38 no.5
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    • pp.751-760
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    • 2018
  • Currently, the quality measurement of the work is carried out by the supervisor's visual inspection, as the workers individually judge the number of resolutions, thickness, speed and vibration. After work, we are conducting follow-up work through traditional spot test, which is less representative. Therefore, it is impossible to check the results of the resolution, and there is always the possibility that problems will arise due to poor construction. This study demonstrates the feasibility of using the continuous compaction strength measurement method by comparing the continuous compaction strength measurement method and the conventional compaction strength measurement method after performing the compaction in the actual field scale in various test conditions. The validity is verified by analyzing the Compaction Meter Value of an Intelligent Compaction roller composed of a Global Positioning System and an accelerometer, Based on the proven results, a full range of quality can be confirmed without a single test. The quality confirmation is visualized in the compaction control program developed in this study, This enables the field manager to perform real-time quality monitoring at the same time as compaction.

Factors which Influence Quality of Life(QOL) among Asian Migrant Women in Australia a Cross-sectional Questionnaire Study (호주 이민 아시아 여성들의 삶의 질에 영향을 미치는 요소들 : 설문지를 이용한 단면연구)

  • Park, Kang-hyun;Kang, Eun-Jeong;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.1
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    • pp.11-21
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    • 2018
  • Objective : Migration can be a stressful process to people because they have to adjust a lot of things including habits, routine and cultural behavior. Also, Migrant can negatively impact on participation in daily meaningful occupations. Thus, the purpose of this research is to investigate whether participation in meaningful occupations after immigration and environmental factors impact the QOL in migrant women. Method : Migrant females who live in Australia were invited to participate in the study (n= 9). In this study, participation, environmental factors and QOL were measured using the questionnaire, which was developed by researchers. Purposive sampling was used to select the participants who were then asked to fill out a survey. Both quantitative data and qualitative data were collected. The SPSS program was used to process the quantitative data that was transcribed and coded. Result : Spearman's rank correlation coefficient shows that the total scale of QOL and the total scale of occupational engagement were significantly correlated at the 0.05 level. Conclusion : There was a significant relationship between quality of life and occupational engagements. Migrant women tend to have a lack of participation in meaning occupations thus, it seems to impact on their quality of life.

A Study on Property with Ratio of Water Mixture in Hydroponic Polyurethane Waterproofing Materials (수경화성 폴리우레탄 도막 방수재의 물 혼합비에 따른 물성변화연구)

  • Park, Jin-Sang;Park, Wan-Goo;Kim, Dong-Bum;Lee, Min-Kyu;Oh, Sang-Keun
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.3 no.4
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    • pp.348-354
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    • 2015
  • Urethane waterproofing materials which currently being used most commonly in the Korean domestic market have high applicability and construct layers without forming any joints, but under the influence of low temperature and low humidity, as well as the thickness of the applied layer, the curing time of this material may become extended in construction sites. To resolve these issues, a proposed method of using water-hardening type of polyurethane waterproofing materials are being developed. However, there currently lacks any standards or evaluation methods on determining an optimal mixture ratio of water for the water-hardening polyurethane waterproofing materials. Therefore, workers and construction workers are relying on their hands-on-skills and experience to determine this ratio and are not able to obtain a consistent performance quality out of these materials. Therefore, for the establishment of a board applicability of the water-hardening polyurethane waterproofing methods in construction sites, this study objectively analyzes the changes in the performance of these materials depending on the changes of the water mixture ratio and attempts to procure the optimal ratio on the basis of forming a provisionary standard. The study prepares mixtures of varying ratio(no water added, 5, 10, 15, 20, 25, 30, 40 and 50) and conducts comparative analysis respective mixtures' performances and their changes in the physical properties in an objective manner and proposes a provisional optimal value that can serve as a data base that can be used as a reference for future studies.

A Study on Needle Stick Injuries in Health Professionals (의료인의 바늘자상 실태에 관한 연구)

  • 김영분
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.605-622
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    • 1996
  • Needle stick injury, in which blood-borne pathogens including Human Immune-Deficiency virus and hepatitis B virus are transmitted, is one of the major occupational hazards that health professionals face everyday. In order to provide basic data for the development of educational programs for health professionals aimed at preventing and effectively managing needle stick injuries, a retrospective descriptive study was carried out .The subjects of the study were 630 health professionals, 499 nurses and 131 physicians, from two university hospitals in Seoul, Korea. Data on episodes of needle stick experiences over the past is months September 1994 through August 1995, were collected between September 1 and 7, 1995. A Questionaire developed by the researcher was used. The frequencies and the percentile score for episodes of needle stick injuries were calculated using the PC-SAS program. The differences and similarities in reference to the structure, career, and specialty variables were analysed by X$^2$-tests. Results are as follows : 1. Of the sample, 521(82.7%) reported a needle stick injury, 33.4% reported 3 or more episodes of needle stick injuries. 2. The needle stick injuries occured in the following processes : process of percutaneous venepuncture for intra-venous injection and infusion(55.3%), medical examination and treatment(48.9%), per-cutaneous venepuncture for blood sampling (46.3%) and intra-muscular injection(42.2%). 3. The study showed that needle stick injuries occured before(19%), during(25%), and after (56%) client treatment. The major causes of needle stick injuries were perceived to be hastiness(82.2%) and carelessness(48.3%). Of these injuries, 91.8% occured in emergency situations. 4. Follow of care for the injury consisted of : treating the injured site immediately using disinfectants(89.7%), reviewing the clinical records of the patient involved(84.2%), immunological investigation for the status of antibodies(11.1%) and self-medication of antibiotics (10.7%). Only 16.3% of the total episodes were founded to have been reported to the administrative unit. 5. The length of clinical experience of the nurses, clinical specialty and length of clinical experience in physicians were found to have influenced the episodes of needle stick injuries ; nurses with less than 1 year and with more than 6 years of clinical experiences had significantly lower levels (X$^2$=25.04, P=.00), surgeons had significantly higher levels (X$^2$=9.89, P=.02) compared to that of internists and interns, higher(X$^2$=4.54, P=.03)than residents.

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A Study on the Nosocomial Infection in One Burn Unit (일 화상 치료실에 입원한 화상환자의 감염실태조사)

  • 김정애
    • Journal of Korean Academy of Nursing
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    • v.17 no.3
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    • pp.227-240
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    • 1987
  • Infection has assumed increased importance as a cause of death among thermally injured individuals. Decreased treatment effectiveness and an increase in mortality are the hallmarks of nosocomial infection. Infection control is a monumental task that must be achieved to reduce mortalities. This was a retrospective study to survey the epidemiological features of nosocomial infections in a burn unit and to identify the possibilities for infection control. During the past 6 year 2 month period from July, 1981 to August, 1987, 306 burn patients were treated in the burn unit of university hospital. Among of these, 290 cases were the subjects of this study. The data were collected from the patients' records after discharge. All data collected were analyzed using percent, x$^2$-test, t-test with SPSS program. The results of this study are summariged as follows: 1) Infection rate was 40%. According to site, there were 67 cases of wound infection, 60 cases of post-operative skin graft infection, 20 cases of septicemia and 20 cases of donor site infection. As far as the burn size was concerned, the infection rate for patients whose burn size ranged 61 to 70%, was shown to be 100%, followed by the infection rate of 93.8%, for patients whose burn size ranged from 41~50%. As far as the period of time over which the infection developed, 5 to 7 days showed the highest frequency. Further infection was the main cause of deaths and complications. 2) Based upon the results obained by comparing the general characteristics, between a hospital infection-group and non-hospital infection group, there was a significant defference according to age, the time of the year when the accident happened, the place of accident or length of hospital-admission. And according to the result obtained by comparing the general characteristics of the burn, there was a significant difference according to burn size, burn depth, burn type, and burn site. And also based upon the result obtained by comparing the two groups according to method of treatment, there was a significant difference according to the use of antibiotics and to the type of wound-treatment, and for the 8 different binds of treatment related to infection, there was a significant difference for all. In conclusion, age, length of hospital-admission, burn size, burn type, burn site, burn depth, type of woundtreatment and the 8 different binds of treatment, which are related to burns, were shown to be the factors which affect the infection rate in burn patients.

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