• 제목/요약/키워드: Control practice

검색결과 2,783건 처리시간 0.026초

포괄적치면세마처치 사례연구 (A study on the comprehensive oral prophylaxis care at G university)

  • 이은숙;박정란;최미숙
    • 한국치위생학회지
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    • 제9권2호
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    • pp.165-178
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    • 2009
  • The purpose of this study was to provide basic information for improving oral health and dental hygiene through comprehensive dental hygiene care. The subjects in this study were 54 patients who had been treated for 4 weeks in clinic of the Dental Hygiene Department of G University under comprehensive dental hygiene control and care and measured their oral condition, intensity of oral malodor, Simplified Oral Hygiene Index (S-OHI), and Modified Personal Hygiene Performance Index (PHP-M), and surveyed their oral health behavior and oral health consciousness. The results of the study were as follows: 1. The intensity of malodor decreased by 16.49ppb from 75.33ppb on the first visit to 50.84ppb on the last visit when the comprehensive dental hygiene care had been finished. 2. As to change in S-OHI according to gender between the first visit and the last visit for comprehensive dental hygiene care, S-OHI decreased from 2.89 on the first visit to 1.16 on the last visit, and the difference was statistically highly significant. 3. As to change in PHP-M index by tooth according to gender and age between the first visit and the last visit, PHP-M index of the first 6 teeth decreased very significantly from 0.50 on the first visit to 0.34 on the last visit. 4. As a whole, significant improvement was observed in every tooth. According to gender and age, PHP-M index for Tooth No. 26, 36 and 32 decreased significantly in men and women, and those aged under 30 and those aged 30 or over, but for Tooth No. 13 and 15 and 44 it decreased significantly only in men and those aged 30 or over, and for Tooth No. 44 only in men. As presented above, the oral health behavior and oral health consciousness of the visitors to the oral prophylaxis practice room are very important, and it is necessary to enhance their interest in and knowledge of how to improve oral health. Furthermore, comprehensive dental hygiene care required for improving the visitors' oral health.

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전염병관리 전문요원 교육과정 개발을 위한 교육요구 사정 (Educational Need Assessment for Developing Curriculum for Field Epidemiology Specialist Training Program on Infectious Disease)

  • 박노례;정인숙;김영택;정은경;전진호;송미숙;이인숙;조성일;천병철
    • 보건행정학회지
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    • 제12권2호
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    • pp.76-91
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    • 2002
  • 본 연구는 국가의 위기관리 차원에서 실시되는 보건소 전염병 관리 능력 함양을 위한 교육과정 개발에 앞서 교육 요구도를 파악하기 위하여 시도된 것이다. 전국 242개 보건소에서 실제 전염병 관리 업무나 관련 업무를 담당하는 직원 484명을 대상으로 일반적 특성(3문항)외에, 전염병 감시체계의 효율적 운영(12문항), 역학조사(11문항), 환자관리 및 방역조치(9문항), 예방접종률 제고(14문항), 관리(15문항), 교육 및 홍보(8문항) 등 7개 영역으로 구성한 설문지를 배부하였는데 300명이 응답하여 62.0%의 응답률을 보였다. 4점 만점 척도에서 전채적으로 2.10점에서 2.31점으로 교육 요구도가 있음을 알 수 있었고, 가장 교육요구도가 높게 나타난 영역은 관리영역(2.31점)이며, 가장 낮은 영역은 전염병 감시체계의 효율적 운영(2.10점)이었다. 직종간 영역별 교육요구도에 가장 큰 차이를 보인 것으로는 예방접종률 제고, 환자 관리 및 역학조사, 그리고 환자관리 및 방역조치이며, 전염병관리 업무의 근무연한과 하부영역별 교육 요구도는 역상관성이 있는 것으로 나타났다. 이러한 연구결과를 고려할 때 이번 교육과정에서는 지식 제공은 최소화하고 기존 지식을 활용하여 실제 문제에 직면하였을 때 어떻게 효과적으로 문제를 해결해 나갈 것인가에 초점을 두며, 전염병 감시, 역학조사, 예방접종 사업 등을 통해 얻어지는 자료를 처리하거나 분석하여 효과적으로 활용하고 평가하는 기술을 습득하는데 역점을 두어야 할 것이다.

Association of serum carotenoid, retinol, and tocopherol concentrations with the progression of Parkinson's Disease

  • Kim, Ji Hyun;Hwang, Jinah;Shim, Eugene;Chung, Eun-Jung;Jang, Sung Hee;Koh, Seong-Beom
    • Nutrition Research and Practice
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    • 제11권2호
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    • pp.114-120
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    • 2017
  • BACKGROUND/OBJECTIVES: A pivotal role of oxidative stress has been emphasized in the pathogenesis as well as in the disease progression of Parkinson's disease (PD). We aimed at investigating serum levels of antioxidant vitamins and elucidating whether they could be associated with the pathogenesis and progression of PD. MATERIALS/METHODS: Serum levels of retinol, ${\alpha}$- and ${\gamma}$-tocopherols, ${\alpha}$- and ${\beta}$-carotenes, lutein, lycopene, zeaxanthin and ${\beta}$-cryptoxanthin were measured and compared between 104 patients with idiopathic PD and 52 healthy controls matched for age and gender. In order to examine the relationship between antioxidant vitamins and the disease progression, multiple group comparisons were performed among the early PD (Hoehn and Yahr stage I and II, N = 47), advanced PD (stage III and IV, N = 57) and control groups. Separate correlation analyses were performed between the measured antioxidant vitamins and clinical variables, such as Hoehn and Yahr stage and Unified Parkinson's Disease Rating Scale (UPDRS) motor score. RESULTS: Compared to controls, PD patients had lower levels of ${\alpha}$- and ${\beta}$-carotenes and lycopene. ${\alpha}$-carotene, ${\beta}$-carotene and lycopene levels were significantly reduced in advanced PD patients relative to early PD patients and were negatively correlated with Hoehn and Yahr stage and UPDRS motor score in PD patients. No significant differences were found in serum levels of retinol, ${\alpha}$- and ${\gamma}$-tocopherols, and other carotenoids between PD patients and controls. No significant correlations were found between these vitamin levels and clinical variables in PD patients. CONCLUSTIONS: We found that serum levels of some carotenoids, ${\alpha}$-carotene, ${\beta}$-carotene and lycopene, were lower in PD patients, and that these carotenoids inversely correlated with clinical variables representing disease progression. Our findings suggest that decreases in serum ${\alpha}$-carotene, ${\beta}$-carotene and lycopene may be associated with the pathogenesis as well as progression of PD.

위해성평가에 근거한 농산물 중 22종 농약의 잔류허용기준설정 (Establishment of 22 Pesticide MRLs in Agricultural Products based on Risk Assessment)

  • 정형욱;하용근;임무혁;신지은;도정아;오재호;조재호;권기성;박선희
    • 한국환경농학회지
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    • 제30권2호
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    • pp.166-172
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    • 2011
  • 본 연구를 통해 신규농약인 isotianil의 쌀에 대한 잔류허용기준과, 기준이 확대되는 21종 농약에 대해 26개의 농약잔류허용기준을 제시하였다. Iisotianil의 쌀에 대한 MRL은 0.1 mg/kg으로 설정하였고, ADI대비 TMDI의 비율 1.54%로 안전한 수준으로 판단된다. 기준이 확대되는 21종의 농약의 경우 dinotefuran, idoxacarb, trifumizole을 제외한 나머지 농약은 ADI대비 TMDI의 비율이 50% 미만으로 안전성에 문제가 없는 수준으로 판단된다. Trifumizole은 재평가를 통해 미등록된 작물의 기준을 폐지하면, 현재의 ADI대비 TMDI 비율 절반 수준인 30% 미만으로 감소될 것으로 예측된다.

겨울철 논의 담수처리에 따른 실지렁이류의 생육특성 (Growth Characteristics of Tubificidae spp. by Flooding during Winter in Paddy Fields)

  • 한민수;김명현;강기경;나영은;김미란;최락중;조광진
    • 한국환경복원기술학회지
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    • 제16권5호
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    • pp.19-26
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    • 2013
  • This study was carried out to provide preliminary data for increasing biodiversity in agricultural ecosystem and investigate availability of using Tubificidae spp. for environment-friendly agriculture through the survey of growth of Tubificidae spp. in flooded paddy fields during winter. We estimated the number of Tubificidae spp. in rice paddy where had been flooded during the previous winter in Ganghwa-gun, Suwon-si, and Hwaseong-si (Bongdam-eup and Paltan-myeon) between March and April from 2010 to 2012. During growing period of rice, the number of Tubificidae spp. was compared between flooded and non-flooded paddy field in Ganghwa-gun. As results, mean density of Tubificidae spp. in winter flooded paddy field was 7,235.5 $ind./m^2$ in Ganghwa-gun, 14,347.5 $ind./m^2$ in Suwon-si, 59,989.9 $ind./m^2$ in Bongdam-eup, and 2,610.6 $ind./m^2$ in Paltan-myeon. Mean density of Tubificidae spp. was the highest in flooded paddy fields of Bongdam-eup that was kept wet until rice harvest time and had shallow water. While mean density was the lowest in Paltan-myeon where had deep water and later flooded paddy field than others. In Ganghwa-gun, during growing period of rice, mean density of Tubificidae spp. in flooded paddy fields (171,109.0 $ind./m^2$) and flooded fallow paddy fields (321,084.2 $ind./m^2$) was much higher than non-flooded paddy fields (1,006.6 $ind./m^2$). Flooded paddy field during winter can help increase the number of Tubificidae spp. which can control weeds and enhance biodiversity in paddy fields for environment-friendly agriculture. Early flooding and shallow water of paddy fields could be a good agriculture practice to encourage the growth of Tubificidae spp..

기업지배구조정보가 신용재무평점에 미치는 영향 (A Study on Effects of Corporate Governance Information on Credit Financial Ratings)

  • 김동영;김동일;서병우
    • 디지털융복합연구
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    • 제13권2호
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    • pp.105-113
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    • 2015
  • 기업지배구조가 우수하면 기업경영자의 감시역할을 하고 대리비용과 정보비대칭을 감소시킨다. 기업지배구조점수가 높을수록 기업 내부통제시스템과 재무보고 체계가 잘 갖추어져 있으므로 기업 경영이 활성화되고 기업성과가 높아지므로 신용재무평점이 높아질 것이다. 이러한 전제하에 가설을 설정하고 본 연구는 기업지배구조(CGI)가 신용재무평점(CFR)에 어떠한 영향을 미치는지 실증 연구하였다. 연구결과, 기업지배구조(CGI)와 신용재무평점의 관련성은 유의한 양(+)의 영향을 미치는 것으로 나타났다, 회귀계수부호는 기대부호인 양(+)이 값이 나타났다. 이러한 결과 기업지배구조(CGI)가 우수할수록 신용재무평점의 점수가 커질 것이라는 예측과 같은 결과가 나타났다. 본 연구결과는 CGI가 우수할수록 신용재무평점이 커진다는 것이다. 본 연구는 기업의 사회적 책임, 건전한 지배구조와 감시기구를 갖춘 기업이 보다 높은 신용등급을 받을 수 있다는 유용한 지침을 실무 및 연구 분야에 제공해 줄 것으로 기대한다.

소나무림내 인위적 간섭에 따른 딱정벌레류 곤충 군집의 초기 변화에 관한 연구 (Initial Change of Coleopteran Insect Community Affected by Anthropogenic Disturbances within Pine tree Forest)

  • 노승진;손재덕;전준형;배관호;김현섭;박상욱;변봉규
    • 한국환경생태학회지
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    • 제29권4호
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    • pp.539-551
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    • 2015
  • 본 연구는 산림 내에서 수종갱신 및 천연갱신 등의 산림시업을 실시한 이후 딱정벌레류 곤충분포상의 변화 양상을 군집수준으로 조사 분석하여 종다양성이 증대되는 시업방법의 구명을 통해 산림생물다양성 보전을 위한 효과적인 관리기법을 제시하는데 필요한 기초자료를 확보하고자 수행되었다. 이를 위해 2012년, 강원도 삼척군 하장면 일대의 소나무림 갱신임지 내에서 5개의 임업시업 방법별로 처리한 후 동일지점에서 2013년 7월부터 10월까지 딱정벌레류 곤충상 조사를 실시하였다. 조사 목적상 갱신임지 유형별로 딱정벌레류를 정량조사하기 위해 45일 간격으로 린드그렌 퍼넬트랩을 이용하여 채집조사를 실시하였으며, 조사대상인 딱정벌레류의 분류군별 다양도 및 풍부도를 중심으로 분석을 실시하였다. 연구 결과, 딱정벌레류는 총 40과 156종 1,112개체가 조사되었다. 조사 초기 단계에서 각 처리방법별 뚜렷한 밀도차이는 나타나지 않았으나, 전 처리구들이 대조구에 비해 다양도 및 풍부도가 증가하는 경향을 보였고, 이 중 대상개벌을 실시한 구간에서 비교적 높은 밀도를 보이는 것으로 확인되었다.

치과대학 임상 시뮬레이션 실습실 치과용 유니트 수계의 세균 오염도 조사 (Bacterial Contamination of Dental Unit Water Systems in a Student Clinical Simulation Laboratory of College of Dentistry)

  • 윤혜영;이시영
    • 치위생과학회지
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    • 제15권2호
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    • pp.232-237
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    • 2015
  • 이 연구는 강릉원주대학교 치과대학 학생들의 임상실습을 위해 사용되고 있는 DCU에서 배출되는 물 속 종속영양세균의 수준을 평가하면서 사용빈도에 따른 세균 오염수준의 차이를 확인하고 기회 감염성 병원균의 존재를 분자생물학적 방법을 사용하여 확인하였다. 임상 실습실에서 사용되는 DCU 36개를 대상으로 초음파치석제거기에서 물 시료를 수집하여 평균 CFU/ml를 조사하고 초음파치석제거기의 한달 사용빈도에 따라 DCU를 세 집단으로 분류하여 세균오염수준을 비교하였다. 또한 수집한 물 시료에서 세균의 genomic DNA를 추출한 후 PCR 분석을 통해 기회감염성 병원균의 존재를 확인한 결과는 다음과 같다. 학생 실습에 사용한 DCU에서 수집한 물 시료의 평균 종속영양세균수준은 16,095 CFU/ml로 ADA에서 권장하는 200 CFU/ml 이하의 수준에 적합하지 않은 것을 확인하였다. 초음파 치석제거기의 한 달 사용빈도에 따라 3집단으로 나누어 CFU/ml를 조사하였을 때, 초음파치석제거기를 한 달에 1번 이상 3번 미만 사용한 DCU에서 평균 CFU/ml가 20,070 CFU/ml로 가장 높게 나타났으며, 3번 이상 사용한 유니트는 CFU/ml 평균이 8,420 CFU/ml로 가장 적게 나타났다. 3개군의 CFU/ml 차이는 통계학적으로 유의성이 있는 것을 보여주었고(p<0.05), 그 중 사용빈도가 가장 높은 군에서 유의하게 낮은 CFU/ml를 보여주었다. 치과에서 사용하는 DCU에 존재하는 기회감염성 병원균이 학생실습에 사용하는 DCU에서도 분리되었다. 36개의 genomic DNA 시료 중 1개의 시료에서 Pseudomonas species가 검출되었고, 2개의 시료에서 비결핵성 Mycobacterium species가 검출되었다. 따라서 학생실습용으로 사용되는 DCU는 학생들과 대상자에게 잠재적 감염의 원인이 될 수 있으며, 실습 전 학생들의 보호장비 착용과 실습 후 수관관리가 필요하다.

고양이에서 난소자궁적출술 후 복강 내 Bupivacaine 투여가 통증 감소와 행동 변화에 미치는 영향 (Effects of Intraperitoneal Administration of Bupivacaine on Relief of Pain and Change of Behavior following Ovariohysterectomy in Cats)

  • 엄미영;김영기;이스캇;서의훈;장홍희;이희천;이효종;연성찬
    • 한국임상수의학회지
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    • 제26권3호
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    • pp.205-211
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    • 2009
  • Perioperative pain relief is essential in veterinary practice. However, the cat is one of the most poorly understood species regarding pain control management. Ovariohysterectomy(OHE) produces considerable postoperative pain in cats. Practitioners are often reluctant to administer analgesics due to lack of familiarity with available drugs, concern about side effects, or frustration with the need for record keeping of controlled substances. The purpose of this study was to determine if intraperitoneal administration of bupivacaine can provide relief of pain following OHE in cats. Twelve healthy female cats were randomly divided into two groups. OHE was performed under general inhalation anesthesia. Just prior to complete closure of the linea alba, 6 cats in SAL group received 0.88 ml/kg 0.9% saline, 6 cats in BUP group received 4.4 mg/kg 0.75% bupivacaine diluted to an equivalent volume with saline in the intraperitoneal space. Cats were scored at 0, 1, 2, 4, 8, 12 and 24 hours post-extubation by one observer. Cats were evaluated using a visual analogue scale(VAS) and composite pain scale(CPS) that included physiologic variables. There were no significant differences in body weight, anesthesia time, surgery time, and incision length between the two groups. Cats in the BUP group had significantly(p<0.05) lower VAS-pain scores than cats in the SAL group at 4, 8, 12 hours after surgery. Cats in the BUP group had significantly lower CPS scores than cats in the SAL group at 8, 12 hours after surgery. No adverse side effects were observed. These results support that the intraperitoneal administration of bupivacaine following OHE can be used for the prevention of postoperative pain and pain-induced behavioral changes in cats.

우리나라 특수아동(特殊兒童) 복지제도(福祉制度)에 관(關)한 고찰(考察) (A Review of Literature on the Welfare Delivery System of Exceptional Children in Korea)

  • 이소희
    • 아동학회지
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    • 제1권
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    • pp.94-106
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    • 1980
  • The issue presented in this paper are as follows: 1. Legislative actions of welfare-related law for the exceptional children. The legislative base for the evolution has been yet weak and ambigous at best for a formalization of what should be considered accepted practice and effective action in providing handicapped child and their parents educational rights and equal protection of the law. And they are under remote control of partial factor subject to social welfare law for children, and public law for education, promotion law for the exceptional child education, protection law for public aids. 2. Organization of government for the welfare services for the exceptional children. There is no sing of a push toward consolidation of effort for the welfare service of the exceptional children in this country that seeks to recapture a sense of unity, of coherence, of completeness from a reality made up of discontinuous fragments of humanitarian effora This presently that. as for the education of the exceptional child, by the section of the exceptional education in MOE (Ministry of Education), and/or as for welfare services and promotion actions, by the section of child welfare in MHSA (Ministry of Health and Social Affairs). One door type operation rooted in the specialization, and limited resources to evolve multi-purpose agencies that undertake to provide a broad range of tangible and concrete services, as well as supportive counselling and assessment, under a single management which plans and directs the allocations of resources, should be followed. 3. Facilities and recruitment of teachers for the exceptional children. In this country there are 54 facilities for special services, 56 schools for the exceptional education, and 3 colleges and equavalents that provide teacher training services leading to certification with IIO annual graduates. However, curriculum for exceptional children should be rearranged and reconstructed. Conclusion; Only as for social welfare institutions in community, this country produced a succession of specific purpose activities, over period of time, that accumulated to form the present network of hundreds of social welfare organizations and facilities Periodically major efforts were launched to revitalize or to improve the help-giving system. But they lack specialization to be effective, and the nature of multi-purpose center tends to be vague for the classified handicapped. Therefore, there, should be linkage between policy maker and community services to maintain some coherenty in preventive care, treatment, and after cares. At last, the effects of the current concept "the exceptional child" involved with their families, and their neighborhood should be considered in view of the people who consist about 25% of the total population.

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