• 한국의료질향상학회지
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• 제21권1호
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• pp.36-49
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• 2015

In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.

• 보건행정학회지
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• 제11권4호
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• pp.54-69
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• 2001

This study was conducted to assess factors associated with the degree of performance of qualify improvement(QI) activities. A mailed questionnaire survey was conducted between September 15 and October 30, 2000, with the staffs being charge of QI at each of the hospitals with 400 beds or greater. Of the 108 hospitals eligible for inclusion in our study, 79 participated, yielding a response rate of 73.1%. After excluding 12 hospitals that did not perform any QI activities, 117 responses from 67 hospitals were used for the analysis. Using the Malcolm Baldrige National Quality Award Criteria(MBNQAC), perceived performance of QI was measured in terms of the improvement of the quality of clinical practice, clinical supporting department, administrative procedure of receiving care, customer satisfaction, efficiency and standardization of work process. Factors evaluated for the association were the extent of QI implementation, compliance to 5 QI principles, participation of hospital CEOs, budget allocation, history of QI, and bed size. Path analysis was performed to assess the relationship between QI performance and these factors. Major findings of this study are as follows. Hospitals showing higher degree of QI implementation (path coefficient=0.5967, p<0.001)) and better compliance with the basic principes of QI(0.5736, p<0.05) tended to achieve better performance. Path analysis results showed that interest and participation of hospital CEOs(0.1954, p<0.05) and compliance with the basic principes of QI(0.4028, p<0.0001) indirectly affected the outcomes of QI by influencing the intermediate variable of the level of QI implementation. This study results suggest that having employees have a good orientation of the basic concept and principes of QI through relevant training be the most important requirement to achieve better outcomes from QI activities. In addition, to educate leaders of hospitals the need of active implementation of QI is important to encourage their participation and draw strong support for QI programs.

• 디지털융복합연구
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• 제11권12호
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• pp.785-791
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• 2013

본 연구는 유니버설디자인 관점에서 실버세대가 이용하는 취업정보사이트의 평가를 위해 UD-WCAG (Universal Design - Web Content Accessibility Guide) 2013을 새롭게 제시하였으며, 이를 이용하여 중앙정부와 지방정부가 실버세대의 구직과 관련한 일자리 전담수행기관으로 지정한 시니어클럽 중 사회복지법인인 운영하는 전국 13개 시니어클럽을 선정하여 웹 접근성 준수율을 평가하였다. 웹 준수율 현황 조사는 한국정보문화진흥원의 자가진단 도구를 통한 검증과 UD-WCAG 2013를 통해 이루어졌으며, 두 조사결과 지역에 따른 차이는 없는 것으로 나타났으나, 전반적인 준수율은 낮게 평가되었다. UD-WCAG 2013의 7개 대분류에서 오류에 대한 부분에서는 적절한 해결책을 제시하고 있는 것으로 나타났으나, 그 밖의 다른 부분에서는 13개 시니어클럽 전부 실버세대의 사회적, 신체적 특성에 대한 배려가 미흡한 웹사이트를 운영하고 있는 것으로 조사되었다.

• 한국건축시공학회지
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• 제15권1호
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• pp.73-79
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• 2015

산업안전보건관리비 계상기준은 1988년에 제정된 이래 건설 현장의 안전성 향상에 긍정적인 영향을 주고 있다. 기존 연구에서는 안전보건관리비의 요율이 건설 현장의 안전과 건강을 보장하기에 충분하지 않다 주장되고 있는데, 최근 조사에 의하면 다수의 건설현장에서 그나마도 준수하지 않는 것으로 나타났다. 본 연구는 안전보건관리비 기준의 준수 실태를 알아보기 위해 완성공사원가통계에서 집계된 원가비율을 공사규모와 발주자 유형별로 분석하였다. 그 결과 준수율이 발주자 유형별로 볼 때 대부분의 유형에서 실질적으로 매우 낮은 결과가 나왔다. 이는 최소한의 법적 기준마저 준수되지 않고 있음을 의미하며, 향후 산업안전보건관리비 등을 비롯한 관련 법규정의 준수를 위한 강력한 법집행이 요구된다.

• 한국항행학회논문지
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• 제19권1호
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• pp.33-40
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• 2015

A-SMGCS는 모든 기상조건에서 공항 이동지역 내 요구되는 안전수준을 확보하는 동시에 정해진 지상이동률을 유지하기 위하여 항공기와 차량에게 경로, 안내, 감시, 통제기능을 제공하는 시스템이다. 본 연구에서는 A-SMGCS 적합성 검증방안을 개발하기 위해 시스템 엔지니어링을 도입하였다. A-SMGCS 운용개념을 통해 레벨 IV급 A-SMGCS에 대한 요구사항을 정의하였으며, 기능분석과 할당을 통해 시스템 아키텍처와 시스템 규격을 도출하였다. A-SMGCS 개발을 위한 WBS와 IMS를 수립하였으며, 마지막으로 시스템에 대한 확인 및 검증을 위한 CCL과 TEMP를 개발하였다.

• Journal of Acupuncture Research
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• 제17권2호
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• pp.209-220
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• 2000

Spasticity, an abnormal increase in resting muscle tone, is one of the most common symptoms of stroke, and its management is becoming a major issue in rehabilitation. The aims of this study are to determine the effects of electroacupuncture(EA), TENS and neuromuscular electric stimulation(NMES) on spasticity, as well as the possibility of tissue comliance method as a spasticity scale. 45 stroke patients participated in a study of the effects on hemiplegic spasticity of EA, TENS and NMES. Spasticity was measured by modified Ashworth scale on the upper extremity and tissue compliance measurement, penetration mm/kg, on Susamni(LI10) area at just before and after stimulation, and 30 minutes, 1 hour, 2 hours and 24 hours after stimulation. The acupuncture points were applied to Kokchi(LI11), Susamni(LI10), Hapkok(LI4) and Oegwan(TE5) of the affected limb. The electrodes were placed unilaterally on LI11 to LI10 and TE5 to LI4. EA with biphasic wave, 60Hz, 0.4 msec pulse duration and low intensity was applied continuously for 20 minutes. TENS with high frequency, low intensity was applied. NMES was applied with spasticity program for 20 minutes. Each electric stimulation was done on extensor muscles group of forearm for 20 minutes. EA and NMES groups were found to produce a statistically significant decrease(p〈0.05) of spasticity and these effects lasted up to 30 minutes after stimulation. There was no definite correlation between the modified Ashworth scale and tissue compliance measurement. But tissure compliance method was found to be possible as a quantitative measurement on spasticity. There was no significant correlation between the effects of EA and NMES and the characteristics of patient, but significant correlation between the effects of EA and NMES and the modified Ashworth scale.

• 대한간호학회지
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• 제32권1호
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• pp.40-49
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• 2002

The purpose of this study was to investigate the influencing factors on health behavior among patients with coronary artery disease. Method: The subjects were 95 patients who visited the out-patient department of a university hospital for follow-up. The four health belief concepts (motivation, benefit, barrier, seriousness), general self-efficacy, health behaviors on medication, diet, exercise, stress management, smoking, and drinking were measured. Result: There were significant differences in the health behavior scores of subjects according to family support and the experience of surgical procedure. Subjects were found to have a high degree of compliance in taking medication. However subjects reported the lowest degree of compliance in regular exercise. In the multiple regression analysis, surgical procedure and motivation were significant predictors to explain diet. Motivation and barrier were significant predictors to explain exercise. Self-efficacy, motivation and family support were significant predictors to explain stress management. Family support and seriousness explained 16% of variance in drinking. Also, family support explained 30% of variance in smoking. Conclusion: Since predicting factors on each health behavior indicator were different, then nurses should consider these differences to construct strategy enhancing patient's recovery.

• 간호행정학회지
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• 제16권4호
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• pp.381-388
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• 2010

Purpose: The purpose of the study was to compare recipients' health behavior, attitude to using medicaid, medication compliance, and the changes in hospital cost and visit-day of in-patient and out-patient care between tele-care regions (TCR) and general care regions (GCR) in Korean medicaid. Method: The design of the study was ex-post facto comparing recipients in TCR and GCR. The sample included 625 persons in TCR and 410 persons in GCR. To collect materials, the case manager interviewed recipients of medicaid and filled out questionnaires which were analyzed through SAS/PC 9.1. Results: In studying health behavior and medication, compliance was not significant. However, the attitude to using medicaid was significantly more positive in TCR than in GCR. In out-patients, the change of hospital visit-day was not significant between TCR and GCR, but TCR showed a reduction in hospital cost compared to GCR. For in-patient recipients, GCR showed a greater reduction in changes in hospital cost and visit-day compared to TCR. Conclusions: The results of the study show that attitudes to using medicaid via telephone are positive and results are more effective than hospital visit consultation, and the cost of out-patient care could be reduced.

• 한국전자통신학회논문지
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• 제13권1호
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• pp.1-8
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• 2018

현행 무선업무 및 무선국 분류체계의 문제점을 분석하고, 일본의 전파관리 사례를 조사하여 합리적이고 효율적인 전파관리 방안을 마련하는 것이 본 연구의 내용 및 범위이다. 본 연구결과를 전파법 시행령, 무선업무 및 무선국종 분류기준 등에 관한 법제도 제개정 시 기초자료로 활용할 수 있다. 향후 새로운 무선업무/무선국의 정의 및 분류체계에 대한 상세한 해설집을 마련하여 실무에서의 정책 순응도를 높이는 한편, 무선국 허가 검사 업무의 정합성 및 효율성 제고에 기여할 수 있을 것으로 기대된다.

• 정보보호학회논문지
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• 제28권4호
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• pp.879-888
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• 2018

최근 국내외 핀테크의 발전과 더불어 모바일 결제 시장에서 생체 인식 기술을 이용한 FIDO(Fast IDentity Online)가 기존의 패스워드 방식을 대체하며 빠르게 성장하고 있다. 이러한 FIDO 인증은 민감한 생체정보를 처리해야 하므로 반드시 높은 보안성이 요구되는 신뢰할 수 있는 환경에서 처리가 이루어져야 한다. 그러나 이러한 신뢰할 수 있는 환경은 스마트폰의 특정 하드웨어에서 지원하므로 제조사에 의존적일 수밖에 없다. 이에 본 논문에서는 모바일 환경에서 특정 하드웨어가 탑재되지 않아도 보편적으로 안전하게 사용할 수 있는 컴플라이언스 기반의 생체정보의 분산 관리를 이용한 서버 기반의 인증 모델을 제안하고자 한다.