• 제목/요약/키워드: Day Care Center

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요중 1-OH-pyrene을 이용한 PAH환경근로자들의 노출평가 및 위생조치에 의한 총 노출량 감소효과 (Exposure Assessment and Effect of Hygienic Measures for Reducing Total Exposure for Workers Exposed to Polycyclic Aromatic Hydrocarbons by Using 1-OH-pyrene in Urine)

  • 이송권;남철현;노병의;이영세;조기현
    • 한국산업보건학회지
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    • 제7권2호
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    • pp.264-278
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    • 1997
  • The average level of coke oven emissions in the work site was $0.04mg/m^3$, which was below the permissible exposure level($0.2mg/m^3$). The average level of 1-OH-pyrene in the urine of the wokers was $0.745{\mu}mol/mol$ creatinine which is far below the BEI($2.3{\mu}mol/mol$ creatinine). Correlation between airborne COE in working environment and urinary 1-OH-pyrene concentration was statistically significant. These results explain that exposure level by biological monitoring is much higher than that by environmental monitoring. The effect of hygienic measures for reducing internal exposure to polycyclic aromatic hydrocarbons was studied in 25 coke-oven workers. Their 1-OH-pyrene levels increased by $0.77{\mu}mol/mol$ creatinine, while working with ordinary protective measures. The average levels of the same workers with extra hygienic measures increased by $0.34{\mu}mol/mol$ creatinine. The average increase of the urinary 1-OH-pyrene concentration over the 5-day work week was 56.3%($0.43{\mu}mol/mol$ creatinine) lower when extra hygienic measures were taken(p=0.0001).

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The development of a community-based medical education program in Korea

  • Yoo, Jung Eun;Hwang, Seo Eun;Lee, Gyeongsil;Kim, Seung Jae;Park, Sang Min;Lee, Jong-Koo;Lee, Seung-Hee;Yoon, Hyun Bae;Lee, Ji Eun
    • Korean journal of medical education
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    • 제30권4호
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    • pp.309-315
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    • 2018
  • Purpose: The introduction of community-based medical education would help improve the quality of primary care. This paper suggests learning objectives and an educational program for community-based medical education. Methods: The educational program was developed in a 1-day consensus workshop. Twenty experts, including faculty members from family medicine department of a college of medicine in Seoul and community-based preceptors, participated in the program. A needs-assessment survey was conducted among community-based preceptors before the workshop. Through this workshop, we derived learning objectives and a standardized curriculum for community-based medical education. Results: In the questionnaire before the workshop, community-based preceptors voiced concerns over the program's potential costs and the time required for teaching. The learning objectives and educational programs derived from the workshop's consensus were consistent with the characteristics of the primary care. Based on the results of this workshop, the joint expert team developed a standard educational program on two core topics: clinical teaching and mentoring. Conclusion: From this curriculum development process, participants could construct a more standardized curriculum for community-based medical education. Future studies are needed to evaluate the long-term outcomes of these educational programs, such as the learners' satisfaction and achievement.

노인 당뇨병 환자의 구강관리 및 주관적 구강건강에 관한 융합연구: 포커스그룹 면담 (Convergence Research on Oral Care and Subjective Oral Health of Elderly with Diabetes: Focus Group Interview)

  • 소권섭;박신숙;강경희
    • 한국융합학회논문지
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    • 제11권2호
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    • pp.69-73
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    • 2020
  • 본 연구는 65세 이상 노인 중 당뇨병 진단을 받은 자를 대상으로 당뇨병과 구강건강과의 관련성 및 구강관리 실태를 분석하여 당뇨 환자를 위한 구강제품개발에 필요한 기초자료를 마련하고자 하였다. D시의 노인복지관을 방문한 당뇨병 진단을 받은 65세 이상 노인 8명을 연구대상자로 하여 4명을 한 그룹으로 하고 그룹 당 약 40분의 면담을 진행하였다. 연구결과 '당뇨와 구강건강', '구강 내 불편감', '구강관리방법', '치과방문', '구강관리를 위한 요구'의 5개의 핵심 주제가 도출되었다. 연구대상자의 대부분이 당뇨와 구강건강의 관련성에 대하여는 처음 들어본다고 대답하였고, 구강건강관리는 하루 3~4회 치약을 사용하여 잇솔질을 하고, 치과방문은 구강에 문제가 생겼을 때만 방문한다고 대답하였다. 구강관리에 필요하다고 생각하는 부분은 당뇨환자 맞춤 구강관리교육과 치약 등 다양한 관리제품들이 개발되었으면 좋을 것 같다고 대답하였다. 본 연구결과를 볼 때 향후 노인 당뇨 환자의 맞춤형 구강건강관리 프로그램개발 및 구강제품개발이 필요할 것으로 생각된다.

보육교사의 사회인구학적 변인에 따른 직무환경의 인식 차이 (The Difference of Child-Care Teachers' Perception on the Working Environment by Social and Demographic Characteristics)

  • 형근혜;박옥임;강희순
    • 한국지역사회생활과학회지
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    • 제21권3호
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    • pp.285-298
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    • 2010
  • This study aims to analyze teachers job satisfaction according to the working environment of teachers working in child-care centers and to investigate which variables of the working environment relate to job satisfaction of child-care teachers. The main results of this study were as follows. First, married teachers are more satisfied with the job itself, supervision, and colleague relations compared to teachers who are not married. Teachers with certificates are more satisfied with the job itself compared to teachers without certificates. Second, teachers's job satisfaction is significantly correlated with their salary, welfare, and colleague relations. Also teachers' job satisfaction is correlated with responsibility in the case that teachers have a good relation with their principal and child-care parents. Third, the results of this study show that teachers consider substitute teachers, vacation systems, day care systems, compliant with the ratio of teacher and children, job security, order of legal status as important. With regard to external compensation, teachers want salary increase, payment on overtime labor, flexible work-time, use of both full-time and part-time teachers, expansion of educational materials, increase on purchasing cost for textbooks and materials. To improve the quality of child-care teachers' working environment as well as their satisfaction, practical policies need to be implemented.

의미요법이 청소년 후기 말기 암환자의 생의 의미와 삶의 질에 미치는 효과 (The Effects of Logotherapy on Meaning in Life and Quality of Life of Late Adolescents with Terminal Cancer)

  • 강경아;심정숙;전대근;고명숙
    • 대한간호학회지
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    • 제39권6호
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    • pp.759-768
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    • 2009
  • Purpose: To evaluate the effects of a logotherapy program entitled 'Finding meaning in my life' for adolescents with terminal cancer. Methods: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 44 late adolescents with terminal cancer. The experimental group (n=22) participated in the 'Finding meaning in my life' program which consisted of five-day sessions for one week. The control group (n=22) received the usual nursing care. The effects were measured using adolescent meaning in life (AMIL), and quality of life (QOL) scales. The collected data were analyzed by descriptive statistics, Chi-square, and t-test using SPSS/PC 17.0 program. Results: There were significant differences in AMIL (t=3.36, p<.05) and QOL (t=2.67, p<.05) between the experimental and control groups. Conclusion: Logotherapy is effective in improving the meaning in life and quality of life of late adolescents with terminal cancer, and can be used to prevent existential distress.

어린이집 유아반 하루일과 유형과 물리적 보육환경과의 관계 탐색 (Exploring the Relationship Between Daily Routines and Physical Care Environments of Daycare Centers)

  • 황혁;나종혜
    • 아동학회지
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    • 제37권1호
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    • pp.49-60
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    • 2016
  • Objective: The purpose of the study was to explore the relationship between the daily routines and physical environments of daycare centers. Methods: A total of 20 classes at 8 different daycare centers from the metropolitan city of Daejeon were investigated. Trained observers visited each daycare center more than 3 times and collected data about daily routines using the Observational Log for Daily Routines in Daycare Centers. Also, the physical environments of each class were investigated in terms of actual size, layout of activity center, etc. Results and Conclusion: Results of the study were: first, daily routines of daycare centers could be divided into 2 distinguishable types by cluster analysis- 'free play oriented' and 'group activity oriented' Second, the amount of space each child has in a classroom differed according to the total size of the classroom. An average of 7 activity centers existed in each classroom. Third, there was a difference between free play oriented and group activity oriented groups in terms of the classroom size allocated for each child and the organization of the activity centers.

산후조리원 화재안전매뉴얼구축을 위한 안전의식 조사 및 개선방안에 관한 연구 (A Study on the Investigation of Safety Consciousness and Improvement Plan for Fire Safety Manual in Postpartum Care Center)

  • 진승현;김혜원;한지우;박성하;이병흔;권영진
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2018년도 추계 학술논문 발표대회
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    • pp.96-97
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    • 2018
  • Facilities used by senior citizens, infants, and disabled people have characteristics that make it difficult to escape on their own or require a lot of evacuation time. Therefore, to ensure safety in case of fire, clear measures for securing safety of facilities, fire response methods, and training are required in accordance with the regulations. In case of postnatal care center facilities, newborn babies and mothers reside 24 hours a day, and as they are located in high-rise and multi-use facilities, measures for fire safety are necessary, but the domestic manual lacks. Accordingly, a field survey for security of the manual revealed that the establishment of awareness and facilities on temporary waiting areas and smoke control, which are easy for evacuation and fire safety, was a problem.

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어머니의 양육죄책감 및 양육스트레스가 양육태도에 미치는 영향 : 종일제 어린이집을 이용하는 어머니를 대상으로 (The Effects of a Mother's Guilty Conscience and Parenting Stress on Parenting Behavior)

  • 박희진;문혁준
    • 한국보육지원학회지
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    • 제8권2호
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    • pp.121-137
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    • 2012
  • 본 연구는 서울시와 경기도 소재 종일제 어린이집에 다니는 243명 유아의 어머니를 대상으로 양육죄책감과 양육스트레스가 양육태도에 미치는 영향을 파악하고자 했다. 연구의 자료분석은 SPSS 17.0 for Window를 이용하여 실시하였으며, t-test, Pearson 상관분석, 위계적 회귀분석을 실시하였다. 그 결과 첫째, 모학력과 모취업유무에 따른 어머니의 양육죄책감, 양육스트레스 및 양육태도의 차이로는, 전문대졸 이하의 학력인 어머니보다 대졸 이상의 학력인 어머니의 부정적 양육태도가 높고, 취업모가 비취업모보다 긍정적 양육태도가 더 높게 나타났다. 둘째, 어머니의 양육죄책감과 양육스트레스는 어머니의 긍정적 양육태도와는 부적 상관관계가 있는 것으로 나타났고, 부정적 양육태도와는 정적 상관관계가 있는 것으로 나타났다. 셋째, 어머니의 긍정적 양육태도와 부정적 양육태도에 가장 큰 영향력을 미치는 변인은 양육죄책감으로 나타났다.

보육교사가 지각한 의사결정 참여와 이직의도와의 관계: 조직몰입의 매개효과를 중심으로 (The Relationship between Perceived Participation in Decision Making and Turnover Intention among Early Childhood Teachers: The Mediating Effect of Organizational Commitment)

  • 최인숙
    • 한국보육지원학회지
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    • 제9권5호
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    • pp.109-129
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    • 2013
  • 본 연구는 보육교사가 지각한 어린이집 내의 의사결정 참여와 이직의도와의 관계에서 조직몰입의 매개효과를 검증하고자 하였다. 이를 위하여 경기 및 인천지역 소재 어린이집 보육교사 193명을 대상으로 설문조사를 실시한 자료를 분석에 사용하였다. 수집된 자료는 SPSS 18.0을 이용하여 다변량 분석분석을 실시하였고, Amos 18을 이용하여 경로분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 어린이집 유형에 따라 보육교사의 의사결정 참여, 조직몰입, 이직의도에서 차이가 있는 것으로 나타났는데, 국공립어린이집의 보육교사가 의사결정 참여와 조직몰입 수준에서 상대적으로 높았고 이직의도는 더 적은 것으로 나타났다. 둘째, 보육교사의 의사결정 참여와 조직몰입은 정적 상관이 있는 것으로 나타난 반면에, 의사결정 참여와 조직몰입 모두 이직의도와는 부적 상관이 있는 것으로 나타났다. 마지막으로 보육교사의 조직몰입은 의사결정 참여와 이직의도와의 관계를 완전매개하는 것으로 나타났다. 본 연구의 결과는 보육의 질을 향상시키고 보육교사의 근무여건 개선 방안 마련을 위한 근거자료로 활용될 수 있을 것이다.

Real Time Versus Photographic Assessment of Stool Consistency Using the Brussels Infant and Toddler Stool Scale: Are They Telling Us the Same?

  • Aman, Berthold Albert;Levy, Elvira Ingrid;Hofman, Benjamine;Vandenplas, Yvan;Huysentruyt, Koen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권1호
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    • pp.38-44
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    • 2021
  • Purpose: Digital communication is becoming increasingly important in clinical practice and research. The finding that stool consistency can be evaluated similarly using either "in vivo" or photographic material by health care professionals will decrease subjective interpretation by parents. The primary outcome of this study was the reliability of stool consistency scoring using the Brussels Infant and Toddler Stool Scale (BITSS) between fresh stools and their photos; the secondary outcome was the inter-rater reliability based on the fresh stools. Methods: Fresh stool samples from healthy children were collected in a day care center. These stools, and one month later the corresponding photos presented in a random order, were presented to 14 observers. Reliabilities were analyzed using absolute agreements and weighted and unweighted Cohen's κ. Results: In total, 202 samples were rated 576 times. Absolute agreement between photographic and real time assessment ranged between 71.1% and 83.3% among observers. This corresponded with substantial agreement (unweighted κ=0.70 [95% CI, 0.61-0.78]; weighted κ=0.86 [95% CI, 0.78-0.88]). The inter-observer agreement showed similar percentages of absolute agreement (81.4-82.0%) and κ-values corresponding with fair-to-moderate agreement. Conclusion: Our findings suggest that the assessment of fresh stool consistency can also reliably be done on photographic material when using the BITSS. This opens opportunities in scientific surroundings and in our daily life communication with parents and caretakers.