• Title/Summary/Keyword: 상해예방

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Health Promotion Through Healthy People 2010 ("2010년대 건강한 시민" 정책을 통한 미국의 건강증진 방향)

  • Cho, Jung H.
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2004.10a
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    • pp.17-58
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    • 2004
  • 뉴저지주 보건교육/건강 증진정책을 논하기전에 건강증진과 보건 교육사의 뜻을 먼저 기술하기로 한다. 건강증진이란 일상 사회생활과 행동과학의 응용에서 시작하며 교육의 효율적 작전 및 기술, 질병 역학 조사, 개인 및 가족단위 건강 위해 행위 절감, 사회연관 구축망 조성, 그리고 적게는 이웃, 더 나아가 조직체계 및 지역 사회의 네트웍 실시등을 실시한다. 보건교육 및 건강증진 전문가란 ' 전국 보건교육 인증 위원회(NCHEC) ' 에서 채택된 다음 7개 활동 영역에서 개인적, 그룹, 각주단위, 그리고 범 국가적 조직에서 종사하는자로 한다. 개인 및 지역사회 보건 교육 필요성 분석- 계회, 실행, 효율성 평가, 사업 진행 조정, 자문, 컴뮤니케이션 등의 활동범위를 들 수 있다. 공인 보건 교육사(CHES)란 대학 및 대학원에서 보건 교육학 소정의 필수 과목을 이수하고 학.석사 소지자로서 ' 전국 보건 교육 인증 위원회 ' 에서 그 자격을 인정 받고 공인 자격 시험에 합격한자로 한다. 합격자는 자기 성명뒤에 CHES란 칭호를 부치며 매 5년마다 75단위이상 인정된 전문 직업 보수 교육을 받아야 한다. 보건 교육사 고용 분야는 연방, 주, 지방 정부의 보건 교육사(10-15%) 및 건강 증진 전문가로 종사하며; 이들은 지역 사회 조직화, 프로그람 기획, 공공사업 마켓팅, 메디아, 컴뮤니케이션 자질을 갓추어야 하며; 상해 예방, 학교 보건, 지역 사회 영양 실태 향상, 그 외 모든 건강 증진과 질병 예방에 일익을 담당 하여; 의사, 간호사, 약사, 영양사,환경 위생사드의 전문분야종사자들괴 한팀이 되어 지역 사회 보건 사업에 기여한다. 쥬저지 보건 교육사들은 주법령 8조 '||'&'||' 보건행정 표준 시행령 ' 에 따라 포괄적 보건교육/건강증진 프로그램을 개발하여 총체적으로 조절 관장한다. 특희 ' 미국 학술원 의료 연구원 ' 에서 제정한 ' 10대 필수 공중 보건 사업 ' 에 기준을 두고; 1) 개인 및 지역사회 필수 보건 여건 분석 평가, 2) 보건 교육 이론에 따른 사업 계획 설정, 3) 교육 전략과 보건문제 발굴에 따라 일반 대중 대상 보건 교육 실행 (프로그람 기획, 연수 교육, 미디어 캠페인, 공중보건 향상책 옹호), 4) 사업 진행 과정 정리, 그 결과에 대한 영향력과 결과 평가, 5) 프로그램진행, 인사 및 예산관리 참여, 6) 근무향상을 위한 보수교육 프로그램 개발, 7) 보건 의료 업무 종사자 상호 협조성 향상 훈련, 8) 지역 사회자원 밭굴, 9) 적절한 고객 의뢰 체제 시행, 10) 위기 관리 컴뮤니케이션 체제 개발실시, 11) 일반 대중에게 공중 보건 향상 고취, 12) 각종 협력 지원금 신청서 작성 제출, 13) 문화/인종적으로 적절한 시청각 교재 발굴, 15) 질적 및 양적 보건교육/건겅증진책 연구 실시, 16) 비 보험 가담자, 저 보험자, 빈곤자, 이민자 색출 선도, 17) 관활 구역내 상재하는 각 건강증진 프로그램 밝혀 내서 불필요한 중복 회피등이다. 그 외에도 보건 교육사들은 사회 복지 단체인 미국 암 협회, 미국 심장 협회,미국 폐장 협회 등 각종 사회 복지 비영리단체 와 자선 사업 단체들과 긴밀희 협조하거나 그 단체 임직원으로서 건강 증진 사업에 종사한다. 병원 및 의료기관에선 임직원 보수 교육, 환자의 질병 예방및 건강증진 교육, 그리고 의료 사업장내 건장 증진업무에 종사한다. 건강 유지 의료 기관(HMO)에선 예방주사, 정기검진 촉진등을 통한 입원일수 절감, 응급실 사용도 절감등으로 의료비 감축, 삶의질 향상상에 종사한다. 사업장 보건 교육사는 스트레스 관리, 금연 및 흡연 중단선도, 체중 절감, 종업원 건강증진 생활화참여 유치, 컴뮤니케이션 개발, 마켓팅, 질병 예방등에 그 전문 직업적 노하우를 사업체 건강 증진 프로그램 개발에 접목한다. 뉴저지 2010년대 건강 증진책은 5대 목표 설정하여 현재 시행하고 있다. 특이한점은 2001년 9.11사태 이후 연방정부와 주정부의 상당한 예산 지원을 그랜트 지원금 형식으로 받아 연방, 주정부, 지방 정부, 의료 기관등에서 일사 불란하게 생물/화학/방사성 테러에 대비하는데 보건 교육사들은 시민 인지도 향상과 위기관리 컴뮤니케이션 영역에서 활약한다. 총체적인 보건 교육/건강 증진책은 다음 천년간 뉴저지 건강증진 백서와 미연방 정부 건강증진 2010에 준하여 설립한 뉴저지 건강 증진 2010 에 의한다. 그 모델을 보면; 1) 생활 습관 향상으로 위해 행위 절제; 적절한 영양 섭취 와 과체중화 차단 불필요한 투약 절제와 그 관리 흡연 탐익 절감, 금연, 흡연관련 신체/정신적 피해 관리/치료 습관성 약물 중독 조기발견 예방 낙상 예방 폭력, 의도적/비의도적 상해 예방 2) 심장질환, 암, 뇌졸중, 당뇨, 폐염, 인프루엔자등 주사망원인 질병 조기 발견 예방 책 마련; 독감.폐렴 예방 주사 실시 3) 보건 교육 대상과 표적 설정 특히 보건사업 참여 동반자 발굴하여 그 동참과 책임분담 책려; 주. 지방 정부기관, 의료 종사자, 의료 보험 업자, 대학 등 교육 기관, 연구 기관, 교육자, 지방 보건소, 지역 사회 비 영리단체, 종교 단체 및 교역자 등의 참여 촉구., 지역 사회 비 영리단체, 종교 단체 및 교역자 등의 참여 촉구.

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Effects of the Fall Prevention Education Program (FPEP) for Caregivers in Elderly Care Facilities on Fall-related Knowledge, Fall-related Burden, and Caring Behaviors for Fall Prevention (노인요양시설 요양보호사를 위한 낙상예방교육프로그램이 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과)

  • Kim, Minsuk;Kim, Jeong Sun
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.778-790
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    • 2013
  • The purpose of the study was to examine the effects of the Fall Prevention Education Program (FPEP) on those providing direct care in elderly care facilities regarding fall-related knowledge, fall-related burden, and caring behaviors for fall prevention. The FPEP developed in the study was implemented for 80 minutes per session and four sessions in total. Participants included a total of 47 subjects, 24 in the experimental group and 23 in the control group. The program was implemented from July 16 through August 31, 2012. Data were analyzed using ${\chi}^2$-tests, Fisher's exact probability tests, independent t-tests, and analyses of covariance using the SPSS/Win 19.0 program. According to the pre-and post-test, the experimental group participated in the program showed an increase in fall -related knowledge (t=6.71, p<.001), a decrease in fall-related burden (t=-2.31, p=.026), and an increase in caring behaviors for fall prevention (F=49.50, p<.001) as compared to the control group. The results of the study demonstrated that the FPEP developed for those providing direct care in elderly care facilities was an effective intervention for decreasing fall-related burden and increasing fall-related knowledge and caring behaviors for fall prevention.

A Study on the Analysis of Accident Cases in Laboratories (실험실의 사고사례 분석에 관한 연구)

  • Lee, Keun-Won;Lee, Jung-Suk
    • Journal of the Korean Institute of Gas
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    • v.16 no.5
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    • pp.21-27
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    • 2012
  • The loss of life and property due to accidents in the research facilities or the laboratories of the university occurs steadily and the necessity of laboratory accident prevention is proposed. Above all, the main work to laboratory accident prevention is a systematic analysis of laboratories accidents. Analyzing reports or researches on industrial accidents in Korea had been carried out but these researches or reports did not based on laboratory accidents analysis. To the establishment of the accident prevention countermeasure in laboratory, a questionnaire sheet has been developed in this study. The questionnaires to survey the accident cases were gathered by electronic mail and visit survey from the laboratories and universities. The data of accident cases from the questionnaires was analyzed and discussed on accident distribution by season, the type of accident classification, the type of occurrence, the objects that caused the accident and laboratory accident by the damage incurred etc.. These results of this study can be used as basic data to the safety security and laboratory accident prevention of the laboratory worker.

A Study of Lower Extremities Joint Moment Pattern by Stance Types in Tennis Serve (테니스 서브 스탠스 유형별 하지관절 모멘트의 패턴 연구)

  • Kim, Sung-Sup;Kim, Eui-Hwan;Kim, Euy-Jin
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.41-48
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    • 2008
  • The purpose of this study was to analyze the lower extremities joint moment pattern by two types of service motion in tennis pinpoint and platform stance. Seven skilled high school tennis players participated, and the kinematics were recorded by the Vicon motion analysis system. For the gathering and analysis of the data Workstation, Bodybuilder and polygon were used. joint moments and Ground Reaction Forces for the phases involved were analyzed with the following results. There was a different moment pattern for the lower extremities between the two serve motions. For the platform stance there was only a large dorsal flexion moment but for the pinpoint stance there were other large moments. The flexion and maximum moment of the lower extremities occurred at the point of change from back swing and to the forward swing motion. Therefore, this data provides evidence that there is a high risk of injury at this point.

The Relationships among Supervision Behaviors for Injury Prevention, Self-Efficacy, and Job Stress of Childcare Teachers for Infants (영아 보육교사의 상해예방을 위한 감독과 자기 효능감 및 직무 스트레스의 관계 연구)

  • Kim, Hye Gum
    • Human Ecology Research
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    • v.51 no.6
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    • pp.573-581
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    • 2013
  • This study examined the relationship among supervision behaviors, self-efficacy, and job stress of childcare teachers for infants. This study also investigated whether the childcare teachers' supervision behaviors affected self-efficacy and job stress and whether their self-efficacy acted as a mediating effects on job stress and supervisory behaviors. The participants were 292 childcare teachers for infants in Seoul and Gyeonggi-do. The instruments utilized were the parent supervision attributes scale, Korean occupational stress scale, and teacher self-efficacy scale. The data analyzed by means of Pearson's correlation coefficients and hierarchical regression analysis. A hierarchical multiple regression analysis, Which Baron & Kenny first proposed, was conducted. The significance of the mediation effect was verified by the Sobel test. The results were as follows: First, the childcare teachers' supervision behaviors had a positive correlation with the teachers' self-efficacy, while the teachers' supervision behaviors and self-efficacy had a negative correlation with job stress. Second, job stress appeared to have a negative on supervision behaviors. Self-efficacy appeared to have a positive effect on supervision behaviors. Third, the mediating effect of self-efficacy was verified in the relationship between supervision behaviors and job stress. The more self-efficacy the childcare teachers had, the more supervision behaviors they performed. The greater their self-efficacy, the more the childcare teachers were able to control job stress. Therefore, by enhancing the self-efficacy of childcare teachers, their level of supervision behaviors should increase and their level of job stress should decrease.

Comparison of ROM and Muscle Activities According to the Skills of Surya Namaskara in Vinyasa Yoga (요가 수르야 나마스카 동작의 숙련도 차이에 따른 ROM과 근활성도 비교)

  • Hong, So-Yoen;Park, Jin;Hah, Chong-Ku
    • Korean Journal of Applied Biomechanics
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    • v.19 no.1
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    • pp.127-138
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    • 2009
  • The purpose of this study was to investigate range of motion (ROM) and muscle activities according to the skills of Surya Namaskara in Vinyasa Yoga. Six females (skilled 2, unskilled 4) of university students participated in this experiment. The research factors were ROM and muscle activities for static poses on Surya Namaskara in Vinyasa Yoga. The six infrared cameras (Oqus 300, Qualisys Inc, Sweden) and Zero Wire EMG (Aurion, Italy) were used to acquire raw data, and the Qualisys Track Manager and Noraxon (MyoResearch XP Master Edition, USA) were used to process data. The %MVIC and ROM were analyzed with Visual 3D (C-Motion Inc, USA) and Noraxon. In conclusion, ROM and %MVIC between two groups were remarkable different according to the static poses of Yoga, therefore instructors have to provide step-by-step information that was suitable to themselves (ROM and EMG of poses).

The Evaluation of Custom Foot Orthotics for Injury Prevention of Joggers (달리기 동호인들의 상해예방을 위한 맞춤형 발 보장구의 평가연구)

  • Kim, Ro-Bin
    • Korean Journal of Applied Biomechanics
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    • v.16 no.1
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    • pp.19-30
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    • 2006
  • The purpose of this study was to examine the effect of foot orthotics on the overall comfort and muscle activity during running. The subjects were 10 members from the joggers' club which consisted of 2 women and 8 men. These individuals ran on the treadmill by 4.0m/s speed with and without the custom foot orthotics. The data concerning the overall comfort was collected by a questionairre that examined the overall comfort, heel cushioning, forefoot cushioning, medio-lateral control, arch height, heel cup fit, shoe heel width, forefoot width, and shoe length The MegaWin ver. 2.1(Mega Electronics lid, Ma. Finland) was used to gain electromyography signals of the muscle activity; Tibialis anterior, medial gastronemius, lateral gastronemius, vastus lateralis, vastus medialis, biceps femoris, and rectus femoris were measured. The results of the study were as follows. 1. During running the overall comfort was higher for the foot arthotic condition than the nonorthotic condition. Among the inquiries the overall comfort showed the biggest difference comparing the two conditions. and the shoe heel width showed the highest score for contort. 2 The muscle activity of the biceps femoris, and vastus lateralis in the stance period decreased. due to the foot orthotics. The muscle activity of the vastus medialis in the swing period also decreased and the muscle activity tibialis anterior in the stance and swing stance decreased as well During running, orthotics showed positive result in foot comfort. The foot comfort related to decreased stress, muscle activity, and foot arch strain. Overall comfort and the adequate decrease of muscle activity were associated with injury prevention and the best method to prevent injury semms to be the maintenance of foot comfort.

Effects of Chitooligosaccharides on Liver Function in the Mouse (Chitooligosaccharide가 생쥐의 간 기능에 미치는 영향)

  • Kim, Se-Jae;Kang, So-Young;Park, Seung-Lim;Shin, Tae-Kyun;Ko, Young-Hwan
    • Korean Journal of Food Science and Technology
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    • v.30 no.3
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    • pp.693-696
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    • 1998
  • Chitosan is the deacetylated product of chitin. Chitosan and its derivatives have many properties that make them attractive for a wide variety of health applications. This study was performed to investigate some effects of water soluble chitooligosaccharides on liver function in the mouse. The animals given the sterol diet containing 3% cholesterol for 6 weeks showed increase in plasma cholesterol level, which were lowered by 23% when they were fed on 1% chotooligosaccharide. While there was no significant change in liver cholesterol and plasma HDL-cholesterol levels. Continuous administration of 15% ethanol via drinking water to mice for 8 weeks elicited pathological alterations such as inflammation, necrosis, accumulation of lipid droplets in the liver and increase in GPT activity, while simultaneous administration of ethanol and chitooligosaccharide prevented remarkedly ethanol-induced liver injury; there was no observable lipid droplet and GPT activity was decreased by 25% in the liver. These results suggest that chitooligosaccharide play some roles in liver function, such as reducing the plasma cholesterol level and preventing alcoholic liver disease.

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Current status of their behavioral behavior and perceptions of social workers: Focusing on residential facilities for the disabled in Gyeonggi-Do (발달장애인의 도전적 행동에 대한 현황 및 사회복지사의 인식에 대한 연구: 경기도 장애인 거주시설을 중심으로)

  • Shin, Jun-Ok
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.505-511
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    • 2021
  • The purpose of this study was to identify the current status of the challenging behaviors of the developmentally disabled living in residential facilities for the disabled in Gyeonggi-do and whether social workers in residential facilities recognize the challenging behaviors, and then to draw implications for establishing an intervention for the challenging behaviors. As a research method, a survey was conducted targeting 145 social workers in residential facilities for the disabled in Gyeonggi-do. The collected data were calculated as frequency, percentage, mean, and standard deviation using SPSS 25.0. As a result of the study, first, it was analyzed that the status of injuries related to challenging behaviors of persons with developmental disabilities was high. Second, it was analyzed that the social worker's perception of the challenging behavior of the developmentally disabled is that they are considering job change because of psychological trauma. The coping ability and ability to cope with it were excellent, and they did not achieve excellent results. Learn more about acting in a professional manner.

Data Fusion, Ensemble and Clustering for the Severity Classification of Road Traffic Accident in Korea (데이터융합, 앙상블과 클러스터링을 이용한 교통사고 심각도 분류분석)

  • 손소영;이성호
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2000.04a
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    • pp.597-600
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    • 2000
  • 계속적인 증가 추세를 보이고 있는 교통량으로 인해 환경 문제뿐 아니라 교통사고로 인한 사상자 및 물적피해가 상당량으로 집계되고 있다. 본 논문에서는 데이터융합 및 앙상블 클러스터링방법을 이용한 교통사고 심각도 분류분석방법을 제안함으로서 교통사고예방에 기여하고자 한다. 이를 위하여 신경망과 Decision-Tree기법을 이용하여 얻은 물적피해와 신체상해가 발생할 확률을 융합하는 전형적인 데이터 융합기법(템스터-쉐퍼, 베이지안 방법, 로지스틱융합방법)을 사용하였다. 또한, 분류정확도를 향상시키고자 Bootstrap 재추출 방법을 이용해 얻어진 여러 개의 분류예측 결과 중 다수의 분류결과를 선택하는 앙상블 (arcing, bagging)기법을 적용하였다. 더불어, 본 연구에서는 클러스터링 방법을 제시하고, 이 방법이 기존의 융합기법, 앙상블기법과 비교한 결과, 분류예측면에서 정확도가 향상됨을 보였다.

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