• 대한소아치과학회지
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• 제25권3호
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• pp.506-512
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• 1998

심신장애자, 심한 불안과 공포가 있는 경우, 너무 어려서 의사소통이 되지 않는 환자 등, 일반적인 행동조절방법이 가능하지 않은 경우에 전신마취를 고려하게 된다. 이런 환자들은 대부분 소아 치과에서 치료하게 되므로 소아치과의사의 역할이 중요하다. 전신마취하에 시행되는 치과치료를 고려할 때, 환자의 전신적 건강상태, 환자의 현재 구강 형태, 필요한 치과치료의 종류, 책임감 있는 보호자의 유무에 따라서 입원없이 행해지는 외래환자수술을 고려할 수 있다. 전신마취하에 치과치료를 시행하고자 할 때, 치과의사나 보호자의 편의를 위해서 사용되어져서는 안되며, 적절한 환자 선택하에 시행된다면, 보통의 방법으로 치과치료를 받기 어려운 장애아동에게 유리한 치료가 될 수 있다.

• 한국농촌건축학회논문집
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• 제26권2호
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• pp.47-56
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• 2024

Through an examination of future societal development, it was found that the demographic structure is gradually aging, thus placing higher demands on elderly welfare centers. This study conducted surveys on three elderly day care centers in the entire region, aiming to enhance the pivotal role of elderly day care centers in the welfare facilities for the elderly. The current usage status, interior architectu/ral evaluations, and questionnaire surveys of these centers were analysed. The results of investigation into the architectural environment of the elderly day care centers showed that in terms of physical environment, smaller-scale centers did not lag behind larger ones in internal facilities, but larger-scale centers excelled in spatial utilization. Furthermore, the results of questionnaire survey results revealed correlations between family relationships, health status, level of assistance required, and satisfaction with facility usage, while no correlation was found between usage time, health status, and satisfaction with facility usage. This study conducted basic investigations such as architectural and physical surveys, and questionnaire surveys on elderly day care centers. Based on the survey results, future design practices should continuously explore and innovate to meet the needs of an aging society, further improve the community care system, provide more comprehensive and meticulous services for the elderly, and lay the foundation for enhancing the quality of life for the elderly and providing comfortable services.

• 한국보육지원학회지
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• 제15권5호
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• pp.113-138
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• 2019

Objective: This study aimed to determine the effect of a teacher professional learning environment at workplace day care centers on the professionalism of beginning teachers and also to verify the mediating effects of the beginning teachers'work task motivation on that relationship. Methods: The participants were 129 new teachers currently employed at workplace day care centers. The Current Status for Professional Competence was used to measure the teachers' professionalism. The Professional Learning Environment Inventory assesses the professional learning environment of day care centers. To measure the work task motivation, the Work Tasks Motivation Scale for Teachers was used. Results: Firstly, positive relationships were identified between a professional learning environment and their intrinsic motivation and identified motivation. However, there were also negative relationships between the professional learning environment and their introjected motivation and amotivation. Secondly, this study partially verified the mediating effects of the beginning teachers'work task motivation on the relationship between the professional learning environment and teachers' professionalism. Conclusion/Implications: The relationship between the professional learning environment and the professionalism of beginning teachers was mediated by the teachers'own intrinsic motivations, identified motivations, and amotivation.

• 보건행정학회지
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• 제9권1호
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• 대한가정학회지
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• 제24권2호
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• pp.37-50
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• 1986

A nutrition survey of 128 perschool children, 4 to 6 years old, in the Saemaul Youlgok day care center, located in one uplane, overpolulated, poor area of the city of Seoul, sponsered by the Korean Red Cross Society, was undertaken between August 21 and 31, 1984, to investigate dietary and nutritional status. RESULTS: Mean values of height, weight, arm circumference, girth of chest, and head circumference ranged from 95 to 100% of KIST mean. However, 4.8~14.2% of the subjects were assessed as undernourished in terms of 'weight for height'. Mean hemoglobin vcalue was 12.1±0.7gm%, and mean hematocrit value was 38.5±2.2%; 4.1% of the subjects were proven to be anemic according to the criterion of hemoglobin established by the ICNND. Mean urinary urea nitrogen/creatinine ratio was 11.4±3.8. Regarding mean energy and nutrient intake, the following percentages had intakes below two-thirds of the 1985 RDAs: 28.8% of children, for protein; 48.8% of children, for iron; and 28.8% of children, for calcium. About 25% of children had vitamin A intake below one-third of the recommended allowance. Carbohydrate provided 71% of total energy intake; protein accounted for 13%; fat provided 16%. Energy intake was divided among breakfast, lunch, dinner and snacks in a percentage ration of 19:26:21:34. The lunch, and snacks which were served at the day care center provided 36.5~79.1% of daily energy and nutrient intake. The survey clarified that the day care feding largely supplemented the inadequate dietary intakes of these young children at home. According to factor analysis of energy and nutrient intake, there were two factor groups : the first factor group, for energy, protein, carbohydrate, iron and niacin, mainly provided by grains; and the second factor group, for calcium, vitamin A, thamin, riboflavin and ascorbic acid, provided by vegetables, fruits, milk and milk products. The survey also revealed significant correlation coefficients between family factors such as family income, educational level of parents, and number of children; and dietary or nutritional status of the subjects.

• 지역사회간호학회지
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• 제10권2호
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• pp.422-434
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• 1999

The purpose of this study was to describe the degree of satisfaction at day care center's services and the degree of relationship between each service and overall satisfaction. The data collection was performed from July 1, 1999 to July 15, 1999. And total 199 elderly clients were interviewed in Koksung-kun. The results of the study is as follows: 1. The percentage of satisfactory response at transport service was 95.2%, food supply 94.3%, bath 93.2%, hair cutting 90.8%, physical therapy 90.2%, medical treatment 89.3%. And oriental medical treatment 82.0%. 2. For question of the degree of satifaction at day care service, the distribution of answer was 75.1% in exellent. 15.5% in good, 3.6% in moderate, 3.6% in poor, 2.1% in most poor. 3. The subjective satisfaction was not significantly different by sex, age, the presence or absence of religious, educational level, the presence or absence of family and economic level. 4. A significant association between the program satisfaction and the subjective satisfaction was observed: odds ratios were 26.9 in food supply, 26.4 in luncheon supply, 17.4 in bath, and 14.5 in hair cutting. The following is suggestion based on results of this study: A service program should be developed to fit conditions of rural elderies by specifically analyzing needs of the elderly.

• 한국학교ㆍ지역보건교육학회지
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• 제19권1호
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• pp.71-83
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• 2018

Background & objectives: This study was aimed to identify the hand hygiene (HH) compliance and related factors among teachers working at child day care centers. Method: This study was done with 44 teachers working at home child day care center in Changwon. Data on hand hygiene compliance was measured using direct observation method from July to December, 2016 with structured observation sheet. Collected data was analyzed by descriptive statistics, and t-test or ANOVA using SPSS Statistics version 23.0. Result: Complete HH compliance rate was 54.0%, the highest in 'before having meals' (81.6%) and the lowest in 'after having meals' (25.8%). However, incomplete HH compliance rate was 34.5%, the highest in 'after contact with secretions' (47.8%) and the lowest in 'before having meals' (18.4%). The HH rate was related with working experience. Conclusion: The HH compliance rate among child care teachers was not satisfactory. About one quarter of child care teachers have taken hand hygiene related training. Therefore, child care teachers should be encouraged to participate in hand hygiene related education program regularly.

• 한국환경보건학회지
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• 제32권1호
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• pp.36-45
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• 2006

The aim of this study is to examine size-based concentration and genera of airborne fungi distributed in public facilities such as hospital, kindergarten, day-care center and postpartum nurse center and to provide fundamental data in order to prevent respiratory diseases caused by exposure to airborne fungi. Culturable total and respirable concentrations of airborne fungi averaged to $382\;cfu/m^3\;and\;292\;cfu/m^3$ in hospital, $536\;cfu/m^3\;and\;347\;cfu/m^3$ in kindergarten, $334\;cfu/m^3\;and\;266\;cfu/m^3$ in day-care center, and $371\;cfu/m^3\;and\;289\;cfu/m^3$ in postpartum nurse center, respectively. The ratio of respirable to total concentration of airborne fungi in the investigated public facilities was ranged from $55\%\;to\;70\%$ but there was no significant difference among them (p>0.05). The mean I/O ratio of culturable total and respirable concentrations were 0.56 and 0.64 in hospital, 0.72 and 0.91 in kindergarten, 0.33 and 0.45 in day-care center, and 0.63 and 0.73 in postpartum nurse center, respectively. Indoor concentration of airborne fungi did not correlated significantly with indoor temperature and relative humidity (p>0.05) but had a significant positive correlation with $CO_2$ concentration (p<0.01) and surrounding condition (p<0.05). Penicillium spp., Cladosporium spp., and Aspergillus spp. were estimated to over $95\%$ of total airborne fungi identified in the investigated public facilities.

• 한국응급구조학회지
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• 제12권1호
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• pp.69-80
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• 2008

During New year's day and Thanksgiving holiday, the 1339 Information Center in Gwangju and Jeonnam received an emergency medical situation and carried out the analysis as follows ; 1. The reason for the higher phone guidance(72%) of the hospital was based on the simple query for the pain control rather than emergency care. This was explained by the unfamiliar environment of the holiday movers. Pharmaceutical guidance(12.6%) in rural area was also given during the holidays. 2. The disease counselling(2.4%) and emergency treatment instruction(First Aid)(1.6%) decreased because of the small number of request for the diseases. This explained the decrease of the disease counselling. 3. The phone calls increased 8-13 times more than usual. Five-day holidays could have more emergency patients than three-day holidays. During New year's day and Thanksgiving day, the number of received phone calls was 6,444(25.7%) and this accounted for one fourth of the total number in 2007. 4. The number of the patients increased on New year's day and Thanksgiving day because most of the medical institutions and pharmacy were off duty. 5. The patients were centered in Internal medicine and pediatrics. This showed the food-borne diseases and air-borne infection such as common cold. 6. During Thanksgiving day, ophthalmologic patients having viral keratoconjunctivitis(Apollo eye disease) increased 8 folds than in New year's day. It was estimated from the continuous epidemic of Apollo eye disease. 7. There broke out the traffic accidents, food poisoning, infectious diseases, dermatological diseases due to seasonal and environmental changes during the holiday move.

• 한국산학기술학회논문지
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• 제18권2호
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• pp.524-531
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• 2017

본 연구의 목적은 어린이집 교사들의 역할놀이에 대한 은유의 경향과 은유의 의미를 알아보는 것이다. 이를 위하여 A지역 대학 보수교육에 참여한 어린이집 교사 166명을 대상으로 문장 완성형 은유 방법을 활용하여 자료를 수집하였다. 수집한 자료는 은유분석에 관한 선행연구에 기초하여 유아교육전문가 2인이 질적 연구의 방법을 활용한 범주화의 과정을 거쳐 분석하였다. 연구결과 첫째, 역할놀이 은유의 경향은 3개 범주, 8개의 내용으로 분류되었으며, 3개 범주는 '사회성 발달', '정서발달', '발달'의 순서로 빈도가 높게 나타났다. 8개의 내용 중 '사회성 발달' 범주에서는 '모방'이 가장 빈도가 높게 나타났고 '정서발달' 범주에서는 '정서표현'이 가장 높은 빈도를 나타냈다. '발달' 범주에서는 '발달의 필수요인'이 단독내용으로 나타났다. 둘째, 역할놀이 은유의 의미는 먼저 '사회성 발달' 범주에서는 '사회적 기술', '역할체험', '모방', '사회이해'의 의미, '정서발달' 범주에서는 '상상력', '정화작용', '정서표현'의 의미, '발달' 범주에서는 '발달의 필수요인'으로 인식하고 있었다. 연구결과를 기초로 하여 유아교육기관에서 이루어지는 역할놀이의 가치와 교사의 역할에 대한 재조명이 필요함을 논의하였다.