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대전지역 학교급식 영양사의 위생 및 HACCP 직무관련 수행도 평가

  • 김영옥;이선영
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1081-1082
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    • 2003
  • 교육인적자원부에서는 학교급식의 안전성 확보를 위하여 1999년에 특별정책 연구를 실시하여 학교급식 HACCP 일반모델을 개발 보급하고 2001년부터는 규모가 큰 학교에서 조리실이 설치된 모든 급식학교로 점진적으로 적용을 확대하였다. 그럼에도 불구하고 학교급식에서 식중독 사고는 증가 추세에 있으므로 학교급식에서의 HACCP 시스템을 재진단하고 수행도가 낮은 중점관리점의 문제점을 짚어내는 것이 필요하다. 따라서 본 연구에서는 대전지역의 초, 중, 고등학교 영양사 153명을 대상으로 위생관리 직무 수행도와 HACCP의 일부 CCP (중점관리점)수행도, HACCP에 대한 인지도, 급식시설현황 등에 대하여 조사하고 변인간의 관련성을 분석하였다. 조사 대상자는 초등학교 영양사 56.5%, 중학교 영양사 25.5%, 고등학교 영양사 17.6%이었으며 4년제 대학 졸업자가 51.0%로 가장 많았고 연령은 30-34세가 36.6%, 35-40세가 21.6%로 30대가 대부분이었다. 근무경력은 평균 5.8년이었으며 영양사 1인당 담당하는 평균 학생수는 1,163명, 조리종사원 1인당 배식 아동수는 평균 124명이었다. 배식방법은 교실배식이 56.2%, 식당배식 34.6%, 교실과 식당의 혼합형태가 9.2%로 교실배식이 차지하는 비율이 많았고 직영급식이 90.2%로 대부분을 차지하였다. 위생관리 영역의 수행도는 개인위생관리 부문이 가장 높았고 기기설비 위생관리, 저장관리, 교차오염관리, 시간관리, 온도관리 순으로 나타났으며, 특히 온도관리 수행도는 낮은 것으로 나타났다. 식당배식을 실시하는 학교의 온도관리 수행도가 다른 그룹에 비해 높았고 직영급식의 시간관리수행도가 위탁급식 보다 높았다. 영양사의 연령과 근무경력이 증가할수록 모든 위생관리영역에서 수행도가 높아지는 경향을 보였다. CCP별 수행정도 평가에서는 ‘운반 및 배식과정(CCP7)’이 가장 높은 수행도를 나타냈고 그 다음으로는 ‘검수’, ‘식품취급 및 조리과정’, ‘식품접촉 표면 세척 및 소독과정’, ‘식단의 구성’, ‘생채소 및 과일의 소독’, ‘잠재적으로 위험한 식단의 관리’ 순으로 나타났다. ‘운반 및 배식과정의 수행도’는 식당배식이 유의적으로 높은 점수를 보였고 CCP8(식품접촉표면의 세척 및 소독)를 제외한 모든 영역에서 직영급식이 위탁급식에 비해 높은 유의성을 나타내었다. 또한 근무경력과 연령이 많을수록 모든 CCP영역에서 높은 수행도를 보였다. CCP1과 CCP2의 수행도가 낮은 주된 이유로 ‘CCP1과 CCP2의 관리기준이 이해하기 어렵다’이었다. 학교 급식관리 영양사의 HACCP시스템에 대한 지식 및 이해 정도를 조사한 결과 HACCP 인지도 점수의 평균은 총 100점 만점에 전체 평균 점수는 74.9점이었다 CCP별 점수분포는 CCP7의 인지도 점수가 가장 높았고 CCP6, CCP1, CCP5, CCP3, CCP8, CCP2의 순으로 절차 낮아졌다. 정규직의 HACCP인지도 점수가 위탁직 보다 높았으며 근무경력에서도 경력이 3년 미만인 경우가 가장 낮고 8년 이상인 경우가 가장 높은 점수를 보였다. 급식시설면은 보온보냉시설을 갖춘 학교가 온도관리 부문에서 갖추지 않은 학교보다 높은 수행도를 나타냈고, 전처리실과 손 소독기가 있는 학교는 교차오염관리 부문에서 높은 수행도를 보였다.

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Analysis of the perception degree on dental medical accident and dispute experience, psychological status and preventive education according to clinical career of dental hygienist (일부지역 치과위생사의 임상경력에 따른 치과 의료사고 및 분쟁 경험, 심리상태, 예방교육에 대한 인식정도 분석)

  • Yoon, Na-Na;Lee, Myung-Ju;Seong, Mi-Gyung
    • Journal of Korean Academy of Dental Administration
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    • v.5 no.1
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    • pp.13-21
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    • 2017
  • Objective: To understand the experience of medical accidents and disputes according to clinical career of dental hygienists. Methods: A self-administrated questionnaire survey was conducted from May 2012 to June 2012 targeting 313 dental hygienists in Gyeongsangnam-do, Republic of Korea. Data were analyzed by descriptive analysis, χ2-test, and one-way analysis of variance (ANOVA). Collected data were analyzed using SPSS 18.0. Results: 1) The group who had more than 6 years of clinical experience experienced complaints from patients (70.3%) and dental hygienists duty (30.7%); 2) Complaints were related to diagnosis, dental treatment instruments and materials, scaling, impression preparation, and prosthodontics. Pediatric patients had significantly more complaints compared to other patients. Overall, there were more frequent cases in the group with over 6 years of clinical career; 3) For the psychological state after experiencing patients' complaints, 'the process is difficult, but I forget after thinking it could be happen' had 160 respondents. Among them, 38.1% had clinical experience of more than 6 years, 37.5% had less than 3 years, and 24.4% had clinical career of 3~6 years; 4) About 73.6% of those had 3~6 years of clinical career answered that 'sometimes it is doubtful' on the issue of medical accidents and conflicts on prevention education of dental hygienists that 'there is a doubt about the issue of medical treatment or the occurrence of disputes'. About 60.0% of those who had less than 3 years of clinical experience answered that it was highly 'necessary but not urgent' on the necessity of preventive education, while 87.1% of those who had more than 6 years of clinical career answered that it was highly 'necessary but not urgent' on the necessity of preventive education. The difference between the two was not statistically significant. Conclusions: It is necessary and urgent to provide education related to prevention and countermeasures against malpractice disputes for dental hygienists.

Clinical Evaluation of Traumatic Sternal Fracture (외상성 흉골 골절의 임상적 평가)

  • Lee, Sung-Joo;Koo, Won-Mo;Moon, Seong-Cheol;Kim, Dae-Sig;Lee, Gun;Lim, Chang-Young;Kim, Chang-Hoe;Chae, Sung-Soo
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.291-297
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    • 1998
  • Sternal fractures, once thought of as an uncommon phenomenon, have occurred with an increasing frequency, paralleling the incidence of motor vehicle accidents. The tremendous force necessary to cause sternal fracture and this bone's prominent position overlying major intrathoracic and mediastinal structures, have important implications in the assessment and treatment of patients. This evaluation is based on the review of 72 patients of traumatic sternal fracture treated at the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital during the last 4 years from March 1993 to February 1997. The frequency was 12.2% of nonpenetrating chest trauma and average age was 43.2 years old. Automobile accidents(84%) and sternal body fractures(95.8%) with anterior displacements(19.4%) was the most common cause and fracture site. Increase of cardiac isoenzymes was more frequent and higher in sternal fracture than chest contusion but there was no relationship between the time to take normalization of them and the mode of trauma.

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Factors Affecting Hospitalized Children's Falls - Using Data in the National Hospital Discharge In-depth Injury Survey (입원 아동의 낙상영향요인 -퇴원손상심층조사 자료를 이용하여-)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.510-516
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    • 2020
  • This study investigated the characteristics and factors affecting inpatient infants, children, and adolescents who experienced falling, using NHDIS data from 2008 through 2017, The study analyzed data of 116 patients who were under 18 and who experienced injuries (KSCD, S00-S99) by falling (KSCD, W00-W19). Frequency analysis, cross-tabulations, and multiple regression analysis were conducted, using SPSS 23. There were more boys than girls, and most of the falls occurred at the ages of over one to under six years old. Most of the children had respiratory diseases, and most had open wounds or bruises due to falling. Also, most of the falls were related to the bed. In the factor analysis, age (β=.318), the main diagnosis (β=.231), and injury (β=.169) except gender affected falling. This suggests that it is necessary to conduct fall prevention education for children, considering the developmental stage characteristics and age group. It is necessary to screen the risk group such as children with a disease with relatively less restriction of activities or with a hyperactive disorder, and to develop a related manual. Hopefully, the results will be used as the basic data for fall prevention education and creating a fall prevention manual according to the characteristics of children's developmental stage for patients who need hospitalization, their caregivers, and the relevant medical team.

The Educational Needs Analysis on Child Health Care Education for Multicultural Mothers (결혼이주여성의 영유아 건강관리 교육 요구도 분석)

  • Lee, Nae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.190-198
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    • 2018
  • The purpose of this study was intended to provide baseline data to develop child health education for multicultural mothers. Participants were 30 multicultural mothers in B city multicultural family support centers and 20 persons in charge of child healthcare in B city. From Dec 2016 to Jan 2017 a self-report instrument was used to measure general characteristics, status, importance, implementation, and needs of child healthcare education. The data were analyzed through frequencies, Chi-squared test, and analysis of variance using the SPSS 20.0 program. Fifty-seven percent of transcultural mothers had not participated in child healthcare education before. There was no significant difference between importance and implementation of child healthcare education. In Borich analysis, "Safety accident prevention", "Toilet training", and "Growth and development" were in the 25th percentile. In Locus for Focus, "Safety accident prevention", "Bathing", "Baby massage", "Toilet training", and "Weaning food" were in the HH area. In comparison with importance of child healthcare education, multicultural mothers, and persons in charge of child healthcare, multicultural mothers had significantly higher scores than persons in charge of child healthcare. Therefore, in order to meet multicultural mothers' educational needs for child healthcare education, child healthcare information should be developed.

제도 운영과 수학교육과 교육과정

  • Mun, Gwon-Bae
    • Communications of Mathematical Education
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    • v.12
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    • pp.463-477
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    • 2001
  • 국가의 국가경쟁력은 학창시절 학생의 학력만큼 중요하다. 성인의 경우, 학력을 위한 노하우는 체험을 통해 터득할 수 있었다. 그러나 국가경쟁력에 관해서는 우물 안 내부관점을 벗어나기 힘들어 추진 방향과 제도 운영에 자칫 시행착오를 범하기 쉽다. 이는 사안에 대해 본질적인 접근보다 껍데기만을 쫓기 때문이었다. 이 현상을 분석하려면 관점과 보이지 않는 영역의 것들을 다룰 수 있는 수학적 사고법이 필요하며, 이 능력은 현 지식정보화 사회에서 매우 긴요하다. 그러나 현실은 여러 가지 이유로 수학적 사고법을 비롯한 기초학문을 위기로 몰아가고 있고, 안타깝지만 그 중심에 수학교육이 자리잡고 있다. 수학교육의 위기를 유발하는 요인으로 제도 운영에 관한 건이 있다. 제도 운영에서 한 변수의 변화, 예로 대입의 계열교차지원 허용 건, 교원임용고시에서 교과교육학 영역의 출제 건과 복수전공, 부전공 자격소지자에 대한 가산점 부여 건은 수학교육과 교육과정에 직, 간접적으로 영향을 미친다. 이 관계를 사범대학 수학교육과 현장의 사례를 통하여 조명하고, 그 문제점을 지적하고자 한다. 현 사범교육은 졸업이수학점 140학점 체제하에서 제 7차 교육과정에 따른 복수전공, 부전공 우대 정책을 펴고 있다. 수학교육과의 경우, 부전공 열풍이 불어 전공선택 과목이 3학년 1학기부터 폐강될 위기에 처해 있다. 교양교육의 고사 또는 전광교육이 예전보다 반으로 줄어들게 된 사범대학 실상에 비애감을 느끼게 된다. 이는 전문화된 교사 양성, 나아가 미래 국가경쟁력 향상에 심각한 저해 요소로 작용할 것이다. 복잡다단한 세상에서 최적화를 향한 개선 노력이 멈춰서는 안 된다. 현행 교원임용고시 운영상의 문제점을 공론화하고, 수학교육인의 중지를 모아야 할 긴박한 시점이다. 이를 계기로 교원임용고시의 운영개선과 수학교육과 교육과정을 한층 더 견실하게 하는 데에 이바지하고자 한다. 것이라면 후속연구로 이러한 가능성을 실험연구로 검증하고자 한다.toceros resting spores/Chaetoceroe vegetative cells도 80 cm 보다 상층에서는 높게 나타나 규조온도지수 분포와도 일치하는 경향을 보인다. 이상의 규조군집 분석 결과에 의하면, 홀로세의 후빙기동안 본 연구 지역인 동해 북동부에는 대마 난류의 유입이후 현재와 유사한 환경이 우세하게 발달했으나, 난류종 P. doliolus의 변화는 동해내에서 대마난류의 세기가 반복되었음을 지시하고 있다./3 수준으로 높다. 결론적으로 풍부한 화학물질들을 함유한 제주해류는 남해 및 동해의 생지화학적 과정들에 있어 상당히 중요함을 시사한다.다. 수조 상층수 중 Cu, Cd, As 농도는 모든 FW, SW수조에서 시간이 지남에 따라 일관성 있게 감소하였고, 제거속도는 Cu가 다른 원소에 비해 빨랐다. 제거속도는 FW 3개 수조 중 FW5&6에서 세 원소 모두 가장 느렸고, SW 3개 수조 중에서는 SW1&2에서 가장 빨랐다. SW와 FW간 제거속도 차이는 세 원소 모두 명확치 않았다 Cr은 FW에서 전반적으로 감소하는 경향을 보였지만 SW에서는 실험 초기에 감소하다 24시간 이후에는 증가 후 일정한 양상을 보였다. Pb은 FW에서 전반적으로 감소했지만 SW에서는 초기에 급격히 증가 후 다시 급격히 감소하는 양상을 보였다 Pb 또한 Cu, Cd, As와 마찬가지로 SW1&2에서 제거속도가 가장 빠르게 나타났다. FW 상층수 중 Hg는 시간에 따라 급격히 감소했고, 제거속도는 Fw5&6에서 가장 느렸다. 이러한 결과에 근거할 때 벼가 자라고 있고 이분해성 유기물이 풍부한 FW1&2, FW3&4 토양과 상층수에서는 유기물의 분해 활동이 활발하였지만, 벼가 경작되지 않는 FW5&6과 SW 에서는 유기물이 상대적으로 결핍되어 유기물의 분해활동이 적었을 것으로 판단된다

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Exploring Job Aptitude through Analyzing the Relationship between Six Types of GEOPIA and MBTI's four Function Types (도형심리검사 GEOPIA 6가지 유형과 MBTI 4기능 유형 간 관계연구를 통한 직업적성탐구)

  • Oh, Mi-Ra;Choi, Jeang-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.82-92
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    • 2019
  • The purpose of this study was to analyze the relationship and degree of agreement between the six types of Geometry Psychological Assessment (GEOPIA) and four functions of the Myers-Briggs Type Indicator (MBTI) personality test, and to investigate the appropriate level of vocational aptitude commonly recommended by each tool. A total of 377 adult men and women from Korea, aged between 19 and 70 years, were tested using GEOPIA and the MBTI. Cronbach's alpha was calculated to verify the validity and reliability of the measuring tools, and the mean and standard deviation of each variable were calculated. Also, a cross-sectional analysis was conducted to examine the relationship between GEOPIA and the MBTI. The results showed that Round/Triangle (RT) types, Round/Box (RB) types, Triangle/Box (TB) types and Box/Curve (BC) types among the GEOPIA personality types are highly related to MBTI's Sensing/Thinking (ST) types. GEOPIA RC types were related to Intuition/Feeling (NF) and Sensing/Feeling (SF) types, and TC types were highly related to Intuition/Thinking (NT) types. Based on the common characteristics of the two tests, the findings suggest appropriate levels of vocational aptitude. Through this research, it was confirmed that GEOPIA (a Korean psychology and personality test) can be used in counseling, coaching, and education, and above all, is a reliable tool for vocational psychological assessment to search for career aptitude.

Study on Time-of-day Operation of Pedestrian Signal Based on Residual Pedestrians (잔류보행기반 시간대별 보행신호 운영기법 연구)

  • Chae, HeeChul;Eom, Daelyoung;Yun, Ilsoo
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.4
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    • pp.1-17
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    • 2022
  • As pedestrian deaths account for a high proportion of traffic accident deaths in Korea, interest in pedestrian safety is growing. In particular, it is necessary to develop various pedestrian-centered traffic signal operation techniques to improve the pedestrian environment at signal intersections. Therefore, in this study, a method for time-of-day operating a pedestrian signal based on residual pedestrians was studied. To this end, the pedestrian signal operation technique in response to the pedestrian demand, which is operated by extending the pedestrian signal time only during the time when the pedestrian demand and the number of remaining pedestrians increase, was applied to the field. The difference in safety according to the application of the new pedestrian signal operation technique was statistically analyzed. As a result of the analysis, the residual pedestrian rate decreased by 20% (3.3 people) before application and 8% (1.4 people) after application, and the residual pedestrian rate in the crosswalk at the time of red signal decreased by 12% (1.9 people), And it was analyzed that the position of the residual pedestrian decreased by 3.3m from 5.2m before application to 1.9m after application.

A Study on the Improvement of Filter Bubble Phenomenon by Echo Chamber in Social Media (소셜미디어에서 에코챔버에 의한 필터버블 현상 개선 방안 연구)

  • Cho, Jinhyung;Kim, Kyujung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.56-66
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    • 2022
  • Due to the recent increase in information encountered on social media, algorithm-based recommendation formats selectively provide information based on user information, which often causes a filter bubble effect by an Echo Chamber. Eco-chamber refers to a phenomenon in which beliefs are amplified or strengthened by communication only in an enclosed system, and filter bubbles refer to a phenomenon in which information providers provide customized information according to users' interests, and users encounter only filtered information. The purpose of this study is to propose a method of efficiently selecting information as a way to improve the filter bubble phenomenon by such an echo chamber. The research progress method analyzed recommended algorithms used on YouTube, Facebook and Amazon. In this study, humanities solutions such as training critical thinking skills of social media users and strengthening objective ethical standards according to self-preservation laws, and technical solutions of model-based cooperative filtering or cross-recommendation methods were presented. As a result, recommended algorithms should continue to supplement technology and develop new techniques, and humanities should make efforts to overcome cognitive dissonance and prevent users from falling into confirmation bias through critical thinking training and political communication education.

A Study on the Operation for Dynamic Bus-Only Hard Shoulder Running on Expressway (고속도로 동적 갓길버스전용차로제 운영방안에 관한 연구)

  • Eon-kyo Shin;Ju-hyun Kim
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.22 no.5
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    • pp.108-126
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    • 2023
  • In this paper, the dynamic hard shoulder running for bus only (HSRFBO) was presented to solve the traffic congestion by increase the capacity in chronic congested sections of highways, and a simulation was performed to evaluate the comparison with the current hard shoulder running for all vehicles(HSRFAV) and median bus only lane and HSR(MBOLHSR). According to the evaluation results, it was evaluated to be more advantageous in terms of traffic flow and safety than the current HSRFAV. In addition, the speed of passing buses is slightly reduced compared to the MBOHSR, but the speed of entering and exiting buses is increased and the speed of buses and cars is greatly improved. Therefore It was analyzed that the efficiency of transport personnel was also improved. In particular, it is expected that traffic flow will be stabilized as the difference in speed between passenger cars and buses will be greatly reduced, and violations of exclusive bus lanes by passenger cars will be greatly reduced. In addition, the operation time of HSR is greatly reduced, so that the original function of the shoulder lane can be maintained as much as possible. As a result, it was analyzed that the risk of accidents was significantly reduced when operating HSRFBO compared to when operating MBOHSR, and cross-conflicts with high accident severity did not occur.