• 지역사회간호학회지
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• 제22권4호
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• pp.399-408
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• 2011

Purpose: This study was conducted to evaluate the effects of an education program on the knowledge of medication and prevention of depression in the elderly at a local community. Methods: This study utilized the nonequivalent control group pretest-posttest design. Thirty consecutive people were included in this study for the experimental group, and another 30 people were allocated to the control group. The program was performed once a week for 3 weeks. Data were collected from March 15 to April 30, 2010 and statistical analyses were performed by ${\chi}^2$-test and independent t-test using the SPSS/WIN 12.0 program. Results: There were statistically significant differences in the knowledge of medication, depression and medication compliance between the experimental and control groups. Conclusion: This study demonstrated that an education program for the knowledge of medication and prevention of depression in the elderly with chronic disease could improve their knowledge of medication and their medication compliance, and decrease their depression. These results suggest that education of knowledge with social psychology can be an effective and practical method of management to the elderly with chronic disease at local communities.

• 기본간호학회지
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• 제16권3호
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• pp.345-352
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• 2009

Purpose: This study was done to investigate the degree of self-care, family support and depression, and relationship among these variables for elder with diabetes mellitus. Method: Participants were 202 diabetic patients, 65 years or over, living in Seoul, Korea. Data were collected using the self-care tool for diabetic patients by Kim (1996), the family support tool for diabetic patients by Park (1984), and Korea's BDI scale by Lee (1995). Results: Of the patients, 43.1% showed HbAlc levels than higher 7%. The highest mean score was for self-care for medication compliance, and the lowest for blood glucose testing compliance. Factors affecting self-care were employment, education, HbAlc level, diabetic self-care education and complications. Factors affecting family support were living with family, diabetic self-care education, hospitalization and complications. Factors affecting depression were gender, living with family and complications. All of these factors were significant. Patients experiencing depression were 16.8% of patients. There was a significant positive correlation between self-care and family support, and significant negative correlations between self-care and depression, and family support and depression. Conclusion: For more effective management of diabetes mellitus in elders, improvement in self-care compliance, and family support are needed.

• 한국산업보건학회지
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• 제31권4호
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• pp.440-450
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• 2021

Objectives: This study aims to investigate whether working environment measurement institutions(WEMIs) are conducting safety and health education, risk assessment, and oversight of special management materials, and whether working environment measurement and special medical examinations are being conducted as prescribed in the Occupational Safety and Health Act(OSHA). Methods: In of February 2021, a questionnaire was prepared and distributed to 33 WMEIs registered with the Ministry of Employment and Labor(MoEL) in Busan and Gyeongsangnam-do Province. The responses were collected and then analyzed. Results: The findings show that 5 WEMIs(15%) complied fully with OSHA. Risk assessment was conducted by 13 WMEIs(39%) and safety education by 11 WMEIs(33%). Eighteen WMEIs(55%) conducted working environment measurement, and 29 WMEIs(88%) conducted special medical examinations. The implementation rate of the risk assessment in the health industry(85%) was higher than the one in the special technology industry(11%)(p<0.05). The implementation rate of the special medical examination in the examiners(54%) was not as high as the one in the analysts(91%)(p<0.05). Conclusions: The MoEL needs to check whether basic OSHA requirements are being observed during regular inspections by WEMIs. These findings indicate that it is necessary to prepare a plan to improve the rate of compliance with OSHA regulations.

• Journal of Platform Technology
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• 제11권1호
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• pp.23-37
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• 2023

기술패권 경쟁의 패러다임 속에서 연구개발의 중요성이 높아짐에 따라 세계 각국은 연구개발에 대한 투자를 증대함과 동시에 연구개발 보호를 위해 노력을 전개하고 있다. 한국, 미국, 일본 등 기술 선도국을 중심으로 국가연구개발을 보호하기 위한 연구보안 규제를 정비하고 있으나 보안주체인 연구자와 연구기관의 컴플라이언스 부담이 여전히 높은 상황이다. 한국은 국가적 차원의 통합적이고 체계적인 연구보안 지원체계를 마련하고자 「국가연구개발혁신법」 및 동법 시행령을 제정하여 국가연구개발사업 및 과제에 관한 보안활동을 규정하고 있으나 여전히 연구기관 및 연구자의 연구보안에 대한 이해와 실천이 미흡하며, 미국, 일본 등 해외 국가 역시 연구보안 관련 규정의 내용과 시행방안의 구체성에서 한계가 있다. 본 연구에서는 연구자의 연구보안 컴플라이언스 강화를 위해 국내외 연구보안 관련 법령 및 선행연구 분석을 통해 보안관리 영역별 정보요구사항을 정리하였으며, 이를 기반으로 연구자 중심의 연구보안 정보요구사항 항목을 설계하였다. 설계된 정보요구사항은 현장에서 연구개발을 수행하는 연구자를 중심으로 관리영역과 연구개발 수행단계를 모두 고려하여 정보요구사항을 설계하였다는 점에서 의의가 있다. 설계한 정보요구사항 항목을 기반으로 연구현장에서 체계적인 보안관리 이행이 가능할 것으로 판단되며, 이를 통해 연구개발 현장에서 연구자의 보안부담을 완화하고 연구보안 컴플라이언스를 제고할 수 있을 것으로 기대한다.

• 응용통계연구
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• 제21권4호
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• pp.639-647
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• 2008

본 연구는 국민건강보험공단의 건강검진데이터, 자격 및 보험료 그리고 진료비 데이터를 활용하여 고혈압 관리를 위한 맞춤형 고혈압 사후관리모형(고혈압 진료예측모형 및 고혈압 진료순응도세분화모형)을 개발하고자 하였다. 모형 개발에는 데이터마이닝의 로지스틱 회귀모형, 의사결정나무 그리고 앙상블 모형을 활용하였다. 고혈압 진료예측모형에서는 3가지 모형 중 로지스틱 회귀모형이 가장 우수한 모형으로 채택되었으며, 고혈압 진료순응도세분화모형은 의사결정나무모형을 통해 개발되었다. 본 연구는 전국 규모의 수년간 축적된 자료를 데이터마이닝을 활용함으로써 고혈압의 진료 및 진료순응도에 이르는 고혈압 사후관리 프로세스 전반에 걸친 결과를 도출함으로써 우리나라 고혈압 사후관리체계 구축에 기여할 것으로 사료된다.

• 한국의료질향상학회지
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• 제7권1호
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• pp.60-70
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• 2000

Background : The aim of this study was to examine the effectiveness of the critical pathway to diabetic patients who were admitted in the hospital. Methods : For establishment of critical pathway for diabetic patients, we organized the multidisciplinary care team. During 5 months, 31 diabetic inpatients were applied the critical pathway and the results were compared with 11 diabetic inpatients who were treated with conventional way. We assessed the patients satisfaction, knowledge on the disease, compliance of medical regimen, length of stay(LOS) and hospital cost. We used the computer program SAS for statistical analysis. Data were summarized with mean, and analyzed using t-test repeated measures ANOVA and Wilcoxon rank sum test. Results : Length of stay(LOS) was remarkably shortened in critical pathway group compared with the conventional treatment group($7.6{\pm}1.23$ vs $12.0{\pm}4.73$, p<0.000). Although LOS was significantly shortened in critical pathway group, patients satisfaction was much higher than conventional treatment group. There were no significant difference of knowledge on the disease, compliance of medical regimen and blood glucose level between two groups at discharge. Hospital cost of each patients also significantly decreased in critical pathway group(890,000 won vs 1,280,000 won, p<0.05). Conclusion : These results showed that establishment of critical pathway for diabetic inpatients with team approach is the one of the way to improve the quality of diabetic patients management and to enhance the efficiency of hospital management.

• Archives of Plastic Surgery
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• 제46권6호
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• pp.589-593
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• 2019

Post-traumatic defects of the distal third of the leg often require skipping a few steps of the well-established reconstructive ladder, due to the limited local reliable reconstructive options. In rare cases, the reconstructive plan and flap choice may encounter challenges when the patient has psychiatric illness affecting compliance with postoperative care. We describe a case of a patient with severe intellectual disability and an open fracture of the distal lower limb. After fracture management and debridement of devitalized tissues, the resultant soft tissue defect was covered with a free gracilis flap. On postoperative day 7, the patient ripped out the newly transplanted flap. The flap was too traumatized for salvage, so a contralateral free gracilis muscle flap was used. The patient showed good aesthetic and functional outcomes at a 1-year follow-up. When planning the postoperative management of patients with psychiatric illness, less complex and more robust procedures may be preferred over a long and complex surgical reconstruction requiring good compliance with postoperative care. The medical team should be aware of the risk of postoperative collapse, focus on the prevention of pain, and be wary of drug interactions. Whenever necessary, free tissue transfer should be performed despite potential compliance issues.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2003년도 춘계학술발표회
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• pp.41-58
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• 2003

A recent trend of global shipping industry adopting Port State Control (PSC) system is recognized as a proficient mechanism in preventing costal traffic accident and protecting marine environment. Disadvantages of Korean shipping companies in PSC inspection are unavoidable as Tokyo MOU imposed priority listed flag to Korea. Having stated above, appropriate research and prompt preparation in compliance with current PSC requirements for the Korean shipping companies have become an immediate need. The objectives of this study are : First, to review in understanding of PSC in overall and foundation of enforcement. Second. to study interaction of international treaties regarding PSC. Third, to compare practical compliance among the countries and to open up a case study on Korean shipping companies in adopting PSC. Last, to suggest direction to the Korean shipping companies the most proficient way in compliance with the current Tokyo MOU requirement. Korean flagged vessels have become prioritized target in PSC inspection as Tokyo MOU imposed priority listed flag to Korea due to high detention rate of its fleet. Disadvantage of a priority listed flag is a burden in its proficient fleet operation. This study suggests solutions to the disadvantages as below. : 1) Change shore management system, and provide continuous & quality education to crew members 2) Form a network in sharing PSC information among the Korean shipping companies 3) Form a centralized function in which government, Korean Shipping register and shipowners can treat problems in a prompt manner.

• 한국건설관리학회논문집
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• 제19권6호
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• pp.94-102
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• 2018

고층건물의 적법하지 않은 소방시설로 인한 화재 증가로 안전성 확보를 위한 법규 검토의 필요성이 증가하고 있지만 국내 공동주택의 경우 소방시설 화재안전규정에 대한 적법성 검토는 잘 이루어지지 않고 있다. 구조적 특성상 화재 시 인명피해의 위험이 큰 건축물임에도 검토가 미흡한 이유는 건축법과 소방법 혼재에 따른 법규 해석 오류에 있으며 이로 인한 불필요한 소방시설의 설치 및 소방시설이 누락된 상태로 이루어지는 준공검사는 막대한 경제적, 시간적 손실을 발생시킨다. 따라서 본 연구에서는 소방시설에 대하여 혼재되어 있는 법규를 한 번에 검토할 수 있는 체크리스트를 도출하고 IPA 분석을 통해 항목별 중요도와 현수준을 확인하였다. 이를 바탕으로 실무 활용성을 고려한 매뉴얼을 개발하여 건설사의 소방 준공 리스크 저감에 기여하고자 한다.

• 디지털융복합연구
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• 제18권11호
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• pp.169-176
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• 2020

정보기술의 발전에 따라 정보보안의 중요성이 갈수록 커지고 있다. 정보보안의 근본적인 방향을 제시하고 조직 구성원이 따라야 하는 규정과 지침을 다루는 보안정책은 보안관리의 핵심적인 요소이며, 조직 구성원의 보안정책 준수에 영향을 미치는 다양한 요인에 대한 연구들이 다수 수행되었다. 이들 연구는 다양한 이론적 기반으로 수행되었으며, 여러 문헌연구에 따르면 계획된 행동이론이 가장 빈번하게 사용되었다. 본 연구는 기존의 다양한 연구결과를 정량적으로 종합하는 메타분석 기법 중의 하나인 TSSEM을 적용하여 정보보안 정책준수 행동에 영향을 미치는 요인을 계획된 행동이론을 기반으로 실증분석한 연구들을 대상으로 분석하였다. 분석결과 계획된 행동이론의 행동의도를 설명하는 세가지 요인인 태도, 주관적 규범 및 인지된 행동통제 모두 유의한 영향을 미쳤으며, 구조방정식 모형의 전반적인 적합도도 만족스럽게 나타났다.