• Title/Summary/Keyword: 개발 지침서

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Microbiological Hazard Analysis of Foodservice Facilities and Equipment at Kindergarten Foodservice Establishments (유치원 급식시설.설비에 대한 미생물학적 위해분석)

  • Lee, Hye-Yeon;Bae, Hyun-Joo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.38 no.10
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    • pp.1457-1465
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    • 2009
  • This study was conducted to analyze the food safety management practices and to provide data that could be used to improve food safety management at kindergarten foodservice establishments in Daegu and Gyeongbuk province. Microbiological hazard analysis was conducted from May to July, 2008 at the four foodservice establishments. A total (20 items) of foodservice facilities, cooking utensils, and equipment were tested about total plate counts, coliforms, E. coli, Staphylococcus aureus, Salmonella spp., and Listeria monocytogenes. The microbiological detected levels were higher than the critical limits for prepreparing and cooking knives, chopping boards, working tables (both prepreparing and cooking), refrigerator (inside wall), bart, basket, and tray. E. coli, Salmonella spp., and Listeria monocytogens were not detected in any samples. However, Staphylococcus aureus were detected in rubber gloves for cooking and trench in the bottom at one foodservice establishment. In conclusion, these results suggest that a prerequisite programs guideline should be provided to improve the food safety levels at kindergarten foodservice establishments and the foodservice manager must maintain proper food safety technique for foodservice facilities, cooking utensils, and equipment at kindergarten foodservice establishments to prevent cross-contamination and spread of foodborne pathogens.

Development of a Critical Pathway for Patients with Lumbar Laminectomy (요추척추궁 절제술 환자의 표준관리지침서 개발)

  • Park, Jae Jung;Park, Hyoung Sook
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.517-532
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    • 2000
  • The purpose of this study was to develop a critical pathway for case management of patients who have received Lumbar Laminectomy because of low back pain, arm and leg numbness, and radiating pain in the leg. For this study, a preliminary critical pathway was developed through a review of the literature including five critical pathways which are currently being used in the USA. In order to identify the overall service contents required by these patients, 30 cases were analyzed. These cases were taken from medical records of those with Lumbar Laminectomy between January, 1998 and December, 1998 in the department of neurosurgery at the Pusan National University Hospital in Pusan. An expert validity test was done for the preliminary critical pathway, a clinical validity test was also done using 12 patients with Lumbar Laminectomy between October 1, 1999 and January 31, 2000. After these processes, the final critical pathway was developed. The results are summarized as follows. 1. The vertical axis of the critical pathway includes the following eight items: assessment, consultation, diet, test, medication, treatment, activity, education/ discharge planning. The horizontal axis includes the time from the start of hospitalization to discharge. Analysis of the 30 medical records was done. analysis of the service contents showed the horizontal axis of the preliminary critical pathway was set from hospitalization to the 12th post operation day and the vertical axis was set to include eight items, the contents which should have occurred, according to the time frames of the horizontal axis. 2. As a result of the expert validity test, it was found that among the 233 items, 203 showed over 88% agreement and 30 of them showed less than 88% agreement, which were then revised or deleted from the critical pathway. At the preliminary meeting for the clinical validity test, the time of hospitalization on the horizontal axis was shortened to the 10th post operation day. A clinical validity test was done with 12 patients with Lumbar Laminectomy. All the cases progressed according to the critical pathway although some variances were noted in assessment, consultation, test, medication, and treatment. 3. Based on these results, a final critical pathway was determined. In conclusion, this critical pathway is partially applicable to the care of patients with Lumbar Laminectomy and needs further investigation.

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A Study on Evaluation of Floor Vibration for Steel Frame Modular Housing (철골 조립식주택 바닥판 진동 평가에 관한 연구)

  • Kim, Jong-Sung;Jo, Min-Joo;Kim, Seung-Hun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.1
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    • pp.104-111
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    • 2016
  • The steel frame modular housing of which the research and development has been actively carried out recently cannot be constructed through monolithic placement like the reinforced concrete deck of general structure due to the characteristics of construction method of production in the factory and assembly on the site. And floor vertical vibration and deflection caused by inhabitants' activities may become an important issue in the aspect of usability evaluation due to a decrease in the section size of member, a decrease in weight, and so on. Therefore, this study evaluated the vibration performance of deck by using formula of AISC Design Guide 11(hereinafter AISC formula) which was practically used in general for modules where a stud was and wasn't installed at the center of beam in the longitudinal direction in the modular housing to be studied, and examined the applicability of AISC formula through comparison with the results of analysis using a general-purpose analysis program. On the basis of this, a structural cause for an error to occur between analysis result and AISC formula in the deck of module in which a stud was installed was analysed, and measures for considering this were suggested. Besides, an analysis model with the variables of measures for improving the floor vibration performance of modular housing to be studied was established. And measures having excellent vibration performance and economic feasibility were suggested through vibration response analysis and economic evaluation.

A Study on the Actuality of School Safety and the Development of Safety Manual (학교안전교육의 실태분석과 안전교육매뉴얼 개발에 관한 연구)

  • Kim, Tae-Hwan
    • Journal of the Korean Society of Hazard Mitigation
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    • v.5 no.3 s.18
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    • pp.83-88
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    • 2005
  • It is necessary to hold the school safety manual because recently, the safety-related accidents occur frequently in schools. Accidents can occur inside of schools as well as out of schools, and they can be classified with human accidents, traffic accidents, fire accidents, and explosion accidents. Safety-related accidents occurring in the school are dangerous because nobody can predict them. Illegally infringing violence, targeting unspecified and a lot of people, informs the parents and persons concerned to education of danger. School safety manual, never precedented before, describes epoch-making educational methods for students' safety. It describes safety security such as refuging ways at an emergency, the way to recognize danger for elevated safety based on prevention education, the use and practice of checklist for related facilities, and the implements and facilities for school personnels and students. So, the school safety manual is an important guidance for safety education at the level of prevention from various accidents which occur inside the school as well as out of the school. It presents a variety of prompt response after an accident. At the same time, it checks facilities and dangerous factors in schools and facilities for safety, and analyzes special factors based on them. So it will present the status of safety management of existing facilities and implements, the installment of new facilities and implements, and the way to secure safety for use.

Korean Treatment Guideline on Pharmacotherapy of Co-existing Symptoms and Antipsychotics-related Side Effects in Patients with Schizophrenia ('2019 한국형 조현병 약물치료 지침서'에 따른 조현병에서 동반증상 및 부작용의 치료)

  • Yun, Je-Yeon;Lee, Jung Suk;Kang, Shi Hyun;Nam, Beomwoo;Lee, Seung Jae;Lee, Seung-Hwan;Choi, Joonho;Kim, Chan-Hyung;Chung, Young-Chul
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.21-33
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    • 2019
  • Objectives: The current study covers a secondary revision of the guidelines for the pharmacotherapy of schizophrenia issued by the Korean Medication Algorithm for Schizophrenia (KMAP-SCZ) 2001, specifically for co-existing symptoms and antipsychotics-related side-effects in schizophrenia patients. Methods: An expert consensus regarding the strategies of pharmacotherapy for positive symptoms of schizophrenia, co-existing symptoms of schizophrenia, and side-effect of antipsychotics in patients with schizophrenia was retrieved by responses obtained using a 30-item questionnaire. Results: For the co-existing symptoms, agitation could be treated with oral or intramuscular injection of benzodiazepine or antipsychotics; depressive symptoms with atypical antipsychotics and adjunctive use of antidepressant; obsessive-compulsive symptoms with selective serotonin reuptake inhibitors and antipsychotics other than clozapine and olanzapine; negative symptoms with atypical antipsychotics or antidepressants; higher risk of suicide with clozapine; comorbid substance abuse with use of naltrexone or bupropion/varenicline, respectively. For the antipsychotics-related side effects, anticholinergics (extrapyramidal symptom), propranolol and benzodiazepine (akathisia), topiramate or metformin (weight gain), change of antipsychotics to aripiprazole (hyperprolactinemia and prolonged QTc) or clozapine (tardive dyskinesia) could be used. Conclusion: Updated pharmacotherapy strategies for co-existing symptoms and antipsychotics-related side effects in schizophrenia patients as presented in KMAP-SCZ 2019 could help effective clinical decision making of psychiatrists as a preferable option.

A Study on the Status and Direction of the Nursing Hospital Certification System (요양병원 인증제도의 현황과 방향에 대한 연구)

  • Park, Jong-won
    • Journal of Venture Innovation
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    • v.5 no.1
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    • pp.145-154
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    • 2022
  • This study briefly compares the first-cycle certification of nursing hospitals with the second-cycle certification, reviews the changes and achievements of the second-cycle certification and the third-cycle certification, and examples of challenges and solutions in the process of preparing the third-cycle certification. In this study, it is suggested as follows. First, in order to see the practical effect of certification intended by the government, the exhibition is prepared in a short period of time before certification. Second, after the implementation of the nursing hospital certification system, research on the hospital performance of the medical institution certification system is insufficient in terms of quality and quantity. Therefore, in order to see the effect on the certification system, various research support is also required so that research on this can be actively conducted. Third, design certification standard guidelines from a long-term perspective so that the standard guidelines for certification do not change significantly, and certify not only the guidelines but also individual standards and forms that can be used by medical institutions. Fourth, in the four-cycle certification, accurate and realistic guidelines for infection control and quarantine ward operation support should be developed. The importance of managing infectious diseases will be highlighted in the future due to COVID-19. Fifth, medical institutions can improve the quality of medical care in nursing hospitals and have competitiveness if their daily activities, not short-term certification preparation, are carried out in accordance with certification standards, which affects performance. Sixth, when preparing for certification, nursing hospital officials have problems in organizing documents or processing administratively in the short term as in the past. This is also based on the certification criteria for the usual business process.

Development of a Nutrition Questionnaire and Guidelines for the Korea National Health Screening Program for Infants and Children (영유아 건강검진 영양 문진 및 지침 개발)

  • Moon, Jin-Soo;Kim, Jae-Young;Chang, Soo-Hee;Choi, Kwang-Hae;Yang, Hye-Ran;Seo, Jeong-Kee;Ko, Jae-Sung;Choi, Kyung-Dan;Seo, Jeong-Wan;Chung, Hee-Jung;Eun, Baik-Lin;Hwang, Seung-Sik;Seo, Soon-Ryu;Kim, Han-Suk
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.1
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    • pp.42-55
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    • 2008
  • Purpose: A new health policy, referred to as the National Health Screening Program for Infants and Children, was launched in November 2007 by the Ministry of Health and Welfare and National Health Insurance Corporation in Korea. We have developed a nutrition-counseling program that was incorporated into this project. Methods: We reviewed the nutritional guidelines published by The Korean Pediatric Society and internationally well-known screening programs such as Bright Future in the United States. We also reviewed the recent Korean national surveys on nutritional issues, including the Korea National Health and Nutrition Examination Survey (KNHANES) and the 2005 National Survey of Physical Body and Blood Pressure in Children and Adolescents. The development of questions, pamphlets, computer programs, and manuals for doctors was carried out after several meetings of researchers and governmental officers. Results: We summarized the key nutritional issues according to age, including breastfeeding in infants, healthier complementary feeding, and prevention of iron deficiency anemia, establishment of healthier diets, as well as dietary prevention of overweight children with an emphasis on physical exercise. We have constructed a new Korean nutrition questionnaire and an anticipatory guidance program based on the primary care schedule of visits at 4, 9, 18, 30, and 60 months of age. Five to eight questions were asked at each visit and age-matched pamphlets for parents and guidelines for doctors were provided. Conclusion: We developed a nutrition-counseling program based on recent scientific evidence for Korean infants and children. Further research on this national program for screening the nutritional problems in detail and setting the therapeutic approaches may help identify areas of success as well as those that need further attention.

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Metadata Registry Management System for Science and Technology Information (과학기술정보를 위한 메타데이타 레지스트리 관리 시스템)

  • Jeong Dongwon;Shin Dongkil;Jeong Eunju;Kim Young-Gab;Lee Jeong Oog;Baik Doo-Kwon
    • Journal of KIISE:Computing Practices and Letters
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    • v.10 no.6
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    • pp.472-483
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    • 2004
  • Many metadata registry management systems have been developed, which are based on ISO/IEC ll179. However, they do not follow the international standard, ISO/IEC ll179 nor provide some of mandatory functions. It is difficult to a develop metadata registry management system for domestic environment because of their hidden implementations. The goals of this paper are to solve the problems of the existing systems and to develop a metadata registry management systems for accumulation of primitive technologies. This paper also shows the metadata registry building process for the science and technology information field using the developed system. This system consists of Metadata Registry Layer, Core Component Layer, Extension Layer, and Service Interface Layer. The developed metadata registry management system follows ISO/IEC ll179 and contains mandatory functions for practical use. Therefore, it can be used as a guideline for building metadata registries and a development process of metadata registry management systems. We can easily reuse its components for development of metadata registry management systems in various fields because the system is designed and implemented based on the component-based development methodology. It also decreases time and cost for developing systems.

A study on Developing Competency-based Curriculum of International Social Welfare (국제사회복지 역량중심 교육과정개발에 관한 연구)

  • Un, Sun Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.508-518
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    • 2016
  • The purpose of this study was to develop a curriculum for international social workers. Due to the changed circumstances of social welfare agencies, the demand for international social welfare and the need for suitable training for social welfare education agencies has increased. This study explored the job competency of international social welfare and suggested a competency-based curriculum for international social welfare. Researchers analyzed the social welfare NCS, social welfare curriculum and job of international development cooperation agencies and presented a combined curriculum for international development cooperation and social welfare. The findings are as follows: the core subjects of international social welfare are "Human Rights and Social Welfare", "International Social Welfare", NGOs and International Development Cooperation", "the North Korea Development Project", "International Development Cooperation and ODA", "PCM (Project Cycle Management)", "Evaluation and Monitoring", "Seminars in International Social Welfare", "International Social Welfare Practicum", "International Social Welfare Internship", "Community Welfare and Practice", "Program Planning and Evaluation for Social Welfare", "Social Welfare Ethics and Philosophy", "Skills and Techniques for Social Work Practice", "Multicultural Social Welfare", "Poverty and Social Welfare", "Social Enterprise and the Third Sector", "Social Problems", etc.

Analysis of Local Government Environmental Impact Assessment (EIA) Ordinances and Preparation of Consultation Guidelinesfor EIA - A Case of Incheon Metropolitan City - (지방자치단체 환경영향평가 조례 현황 분석과 협의 지침서 작성 방안 - 인천광역시 사례를 중심으로 -)

  • Lee, Jongook;Cho, Kyeong Doo
    • Journal of Environmental Impact Assessment
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    • v.31 no.4
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    • pp.226-240
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    • 2022
  • Local governments over a certain size in Republic of Korea may conduct Environmental Impact Assessment (EIA) considering regional characteristics if it is necessary, in accordance with Article 42 of the 「Environmental Impact Assessment Act」. However, it was investigated that the number of local government EIA operation in many local governments was less than initial expectations. In order to improve it, the status of ordinances and consultation guidelines which are different for each local government need to be compared, and the institutional issues forthe relevant local governments must be found considering regional characteristics. Furthermore, detailed regulation and guidance on the local government EIA procedure should be included in the consultation guidelines and related information need to be provided. In this study, focusing on the case of Incheon Metropolitan City, the status of local government EIA ordinances in metropolitan cities and provinces with a similar condition was investigated, and the types and scope of target projects were compared and analyzed. In addition, consultation guidelines forIncheon Metropolitan City were written, and improvements on the procedure flow and overall schedule designation derived from the process were presented. In the case of Incheon Metropolitan City, there were no detailed information officially announced regarding the regulations of the local government EIA ordinance and follow-up management, so the administrative system of the local government needed to be reinforced in this field. Meanwhile, considering the status of local environment and geography, some target project types were deemed necessary to be added: port construction projects, water resource development projects, railroad construction projects, and military facilities installation projects. The results of this study will provide useful information to local governments which want to improve their operation effectiveness by reorganizing the local government EIA system and preparing specific guidelines.