• 보건교육건강증진학회지
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• 제5권2호
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• pp.26-40
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• 1988

This survey was conducted to find out the present status of health education program being provided in primary schools focusing its planning, operation, contents and attitude of school nurses in September, 1988. Total 413 school nurses who are presently working in Seoul city was surveyed by mail and 167 school nurses who responded to the questionnaire were finally ana lysed. The following results were obtained. 1. The general charcteristics of the school nurses′ surveyed. As for age distribution, 30-40 age group was 60.4％ the highest and the mean age was 30. 13. As for educational attainment, junior nursing college was 71.9％. 68.3％ of the surveyed was married and 43.1％ of them has 5-10 years of working experiences. As for schools where school nurses are presently working, 31.7％ has 2,000-3,000 students, 22.8％ has 50-60 classes and 5 schools have more than 80 classes. 2. Planning of a school health education School health education was planned every semester in 55.7％, which was the highest. As for utilization status of the materials for planning of a school health education as a referance, 86.8％ of the total respondants utilized the guidelines published by Seoul city School nurses′ Association, and the administrative guidelines for school health, textbooks, school health statistics and articles related to school health in order. It was tried whether the number of referances being utilized was related to the working experiences. It was found that the shorter the experiances, the more materials were utilized. It was answered that teaching plan for health education was prepared by school-nurses themselves (95.2％), and was differentiated as three levels as the first and second grades, the third and fourth grades, and the fifth and sixth grades 3. The contents of the school health education 16 subjects offered to 6 grades of students were surveyed as follows. As for fifth and sixth grades, contents on growth and development was most widely provided as 54.5％, and 68.9％, respectively. And the next to this subject, dental health education was also frequently offered to the second, third and fourth grades as 50.9％, 68.9％, and 47.3％, respctively. 4. The operation of school health education Health education provided by school nurses was conducted formallu in 36.6％, and formally of informally accordin to grades in 43.9％. It was answered that 50.3％ of the surveyed school had started health education from 1987, when the plan for activation of school health was ordered from. Educational Committee. Teaching hours of school nurses was 6 in 32.9％, which was the highest. The lesson was provided for class unit in 77.2％, and sex education was sometimes offered to male and female students separately. As for support of health personnels out of school for health education, 79.0％ did not receive any support. If there were any aids out of school, 62.9％ received them from other related agencies and 74.3％ anwered that it was once in a semester. As for expenses for health education, 57.3％ did not input any expenses alloted to school health program as a whole. As audio-visual materials, slides were utulized most frequently and models, and charts in order. 5. Awareness of school nurses on the operation of school health education School nurses evaluated their educational quality as a health educator subjectively, 60-70％ of them answered to be average in 4 domains such as knowledge, educational skill, ability to prepare teaching plan, and cooperation. As for the awareness on the support and cooperation of the higher institutions, 46.4％ -61.8％ answered that "so and so" toward Ministry of Education and Ministry of Affairs, and 13-37％ "not supportive" Teachers of the corresponding schools were answered to be "so and so" in 55.9％-56.7％, and "very supportive" in 33.34％. There was a significant difference in formality of the lesson according to the support of the superintendent.

• Journal of Ecology and Environment
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• 제29권3호
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• pp.237-245
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• 2006

강원도 평창군 일대에서 화전 후 묵밭의 식생 천이에 따른 식물량, 순 일차 생산성 및 P/B 비의 변화를 조사하였다. 초본의 지상부 식물량은 5년차 묵밭에서 3.8 ton/ha로 가장 많았다. 낙엽 건중량은 50년차 묵밭까지 증가한 다음 감소하는 포물선형 변화를 나타내었다. 천이가 진행됨에 따라 흉고 단면적은 로그 함수적으로 증가하는 경향을 나타내었다. 교목의 목본 수는 15년차 묵밭까지 빠르게 증가하다가 경과 년 수에 따라 자가 솎음질 과정을 거쳐 감소하는 경향이었다. 80년차 묵밭에서 DBH 등급에 따른 목본의 분포는 역 J 자형을 나타내었고, 우점종은 신갈나무이었다. 식물 현조량은 천이 초기와 후기 단계에서 완만한 증가를 나타내었고, 중기 단계인 $10{\sim}50$년차 묵밭에서 빠르게 증가하였다. 5, 10, 20, 50 및 80년차 묵밭의 식물 현존량은 각각 5, 14, 75, 251 및 373 ton/ha로 추정되었다. 연간 순 생산성은 초기 35년간 점진적인 증가 후 감소하여 점차 안정화하는 경향을 나타내었다. 연간 순 일차 생산성의 증가 속도는 천이 중기 단계 보다 초기 단계에서 빠르게 증가하였다. 5, 10, 20, 35, 50 및 80년차 묵밭의 순 일차 생산성은 각각 8.6, 9.3, 12.9, 15.1, 13.7 및 3.6 ton/ha/yr이었다. P/B 비율은 천이가 진행됨에 따라 지수 함수적으로 감소하는 것으로 추정되었다. 5, 10, 20, 50 및 80년차 묵밭에서 추정된 P/B 비율은 각각 0.60, 0.39, 0.19, 0.06 및 0.01이었다. 이러한 결과는 Odum(1969)이 제시한 삼림천이 과정의 생물 에너지론과 잘 부합하였다.

• 한국지구과학회지
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• 제33권3호
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• pp.259-268
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• 2012

해양에서 발달하는 강수시스템의 연직풍에 따라 변동하는 해양성 에어러솔의 입경별 특성을 알아보기 위하여 마라도에서 남서쪽으로 419 km 지점에 위치한 이어도 해양종합과학기지에서 2009년 6월 8일부터 22일까지 에어러솔수 농도와 연직풍 관측을 실시하였다. 에어러솔 수 농도와 연직풍은 레이저입자계수기와 초음파 3차원 풍향 풍속계를 이용하였으며, 지상일기도, NCEP/NCAR 재분석자료, 라디오존데 자료를 이용하여 종관상태를 분석하였다. 그 결과, 전체적으로 1.0 ${\mu}m$ 이상의 크기의 에어러솔 수 농도 분포가 강수 중에 크게 변동하였으며, 하강류에서 상승류로 연직풍이 변함에 따라 크게 증가하였다. 강수 중에는 큰 입자(1.0 ${\mu}m$ 이상)의 에어러솔 수 농도가 약 5배 증가하였고, 이때 상승류가 약 0.4 $ms^{-1}$로 나타났다. 또한 축적모드(1.0 ${\mu}m$ 미만)와 큰 입자(1.0 ${\mu}m$ 이상)의 에어러솔 수 농도는 강수 중과 비교하여 약 45%와 92%가 제거되었다. 이는 독립된 해양지역에서의 큰 입자(1.0 ${\mu}m$ 이상) 에어러솔 수 농도 증가는 수평풍 보다는 상승류에 의해 크게 영향을 받고, 강수에 의한 세정효과도 나타났다. 따라서 해양경계층 내 에어러솔의 생성 및 발달 메커니즘에 상승류의 영향이 크게 기인함을 알 수 있었다.

• 한국지구과학회지
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• 제39권3호
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• pp.241-249
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• 2018

국제 해상교통량 및 물동량이 증가함에 따라 한반도 주변해역의 선박유동량도 늘어나고 있으며 이에 따라 크고 작은 항구가 위치하고 있는 남해에서의 해양 사고도 꾸준히 발생하고 있다. 특히 선박간의 충돌 및 침몰 사고는 인적 및 물적 피해뿐만 아니라 해양환경오염을 유발하기 때문에 광역의 범위를 고해상도로 볼 수 있는 인공위성을 통한 신속한 선박탐지가 필요하다. 본 연구에서는 광학 인공위성 아리랑 2호 관측자료를 활용하여 광양만 인근해역의 각 채널별 반사도 값을 비교 분석하여 새로운 선박탐지지수를 제시하였다. 선박 분류를 위해 그 선박탐지지수의 역치를 0.1로 설정하였고, RGB 합성영상과 비교하였을 때 대다수의 선박을 탐지하였음을 보여주었다. 연구해역에 포함되어 있는 큰 규모의 선박을 선정 후, 선박 주변의 공간적 반사도 분포를 분석하였다. 그 결과 선박 북서방향에 위치한 균일한 형태의 선박그림자를 확인할 수 있었다. 이는 태양의 위치가 남동방향에 위치하고 있음을 나타내고 있으며, 실제 위성영상이 촬영된 시기의 방위각은 $144.80^{\circ}$로 영상내의 그림자의 위치를 통해 태양의 방위각을 유추할 수 있다. 그림자의 반사도는 주변 바다 및 선박에 비해 낮은 0.005 값을 나타냈고, 선수 및 선미에 따라 높이차가 달라짐을 보였다. 이는 선박의 갑판 및 구조물의 높이를 반영한 것으로 판단된다. 본 연구 결과는 연안 해상사고 발생 시 실종선박 수색기술에 고해상도 광학 인공위성 영상이 활용될 수 있음에 의의가 있다.

• 대한치과의사협회지
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• 제50권12호
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• pp.743-754
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• 2012

urpose : The purpose of this study was to evaluate the US II plus/GS II Osstem$^{(R)}$ implants through the study for the clinical success rate during the installation of the Osstem¢Á implants after bone graft. Materials and Methods : This study was researched in the 4 medical institutions: Chonnam National University, Chosun University, Bundang Seoul National University Hospital, and FM dental clinic from May, 2002 to September, 2009. Based on the total number of 60 patients whose treatment was the installation of the US II plus/GS II Osstem¢Á implants after bone graft, we evaluated success rate of implants. We analysis the distribution of patient's age and gender, edentulous area, bone type, fixture length and diameter, installation and loading time, donor site, bone graft material and method, antagonistic teeth, and survival and success rate. From these analyses we got the following results. Results : 1. In this study, the total number of patients who have been installed with US II plus implant was 27, and total of 52 implants were installed. The average age was 38.9, with 16 male, and 11 female patients. 2. The total number of patients who have been installed with GS II implant was 33, and total of 54 implants were installed. The average age was 49.7, with 24 male, and 9 female patients. 3. As for bone graft method, either autogenous bone or a mix of autogenous and heterogenous bone was used(88.4%) for US II plus. Chin, iliac, and Maxillary tuberosity were the donor sites for autogenous bone graft, and onlay method of bone graft was performed. 4. Allogenic bone or a mix of autogenous and heterogenous bone was used(77.8%) for GS II. Chin, ramus, and tibia were the donor sites for autogenous bone graft, and GBR method of bone graft was performed. 5. The duration from the installation of implants to setting of final prosthesis was average of 16 months and 10 months for US II plus and GS II respectively. Also, the final follow up period was average of 31 months and 28 months respectively. During this period, one GS II implant was removed from 1 patient due to failure of early osteointegration. 6. The survival rates were 100% and 98.1%, and success rates were 94.2% and 94.4% for US II plus and GS II implant respectively. Conclusion : On the evaluation of our clinical study, both US II plus and GS II Osstem¢Á implants showed the excellent clinical results after bone graft.

• 한국산림과학회지
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• 제42권1호
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• pp.74-82
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• 1979

우리나라 소나무 수형목(秀型木)에 대(對)한 연령별(年齡別) 수고변화(樹高變化), 유전력(遺傳力), 및 개량효과(改良効果)를 조사(調査)하였는데 그 결과(結果)를 요약(要約)하면 다음과 같다. 1. 가계별(家系別) 수고생장(樹高生長) 순위변화(順位變化)를 조사(調査)한 결과(結果) 3년생(年生)까지는 비교적(比較的) 순위변화(順位變化)가 심(甚)하게 나타나며 입지조건(立地條件)이 불리(不利)한 곳에서는 더욱 심(甚)한 변화(變化)를 나타냈다. 2. 수고유전력(樹高遺傳力)을 연령별(年齡別)로 조사(調査)한 결과(結果) 3년생(年生)은 7.2%, 4년생(年生)은 (-)값을 보였으며, 5년생(年生)은 9.4%, 6년생(年生)은 13.0%, 7년생(年生)은 8.1%, 8년생(年生)은 63.8%로 나타나 대체적(大體的)으로 연령(年齡)의 증가(增加)에 따라 증가(增加)하는 경향(傾向)을 보였다. 3. 근원경(根元徑) 및 가지 직경(直徑)의 유전력(遺傳力)은 8년생(年生)에서 각각(各各) 3.2%, 11.8%이었다. 4. 개량효과(改良効果)를 측정(測定)한 결과(結果) 8년생(年生)에서 선발강도(選拔强度)를 1/500로 볼 때 46.6%로서 가장 높은 값을 보였으므로 7년생이하(年生以下)에서는 선발(選拔)을 실시(實施)하지 않는 것이 좋을 것으로 사료(思料)된다.

• 한국지리정보학회지
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• 제20권2호
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• pp.1-16
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• 2017

본 연구는 MODIS 위성영상을 활용하여 우리나라 전역의 열섬강도를 분석하기 위하여 연구를 수행하였다. 이를 위해 도시지역을 토지피복별 분류에 따라 시가화지역, 비시가화지역으로 공간적 구분하였다. MODIS 위성영상을 활용하여 산출된 2009년 여름철 전국의 표면온도 분석 결과 전국 최고온도는 $36.0^{\circ}C$, 최저온도 $16.2^{\circ}C$, 평균 $24.3^{\circ}C$, 표준편차 $2.4^{\circ}C$로 분석되었다. 시군별 열섬현상을 분석하기 위하여 시가화지역과 비시가화지역의 평균온도의 차이를 열섬강도로 정의하였고 RST1, RST2 2가지 방법으로 산출하였다. 그 결과 RST1의 경우 열섬강도가 높은 지역이 산포되어 분포하고 있는 것으로 나타났으며, RST2의 경우 대도시지역을 주변으로 열섬강도가 높은 지역이 집중되어 있는 것으로 분석되었다. 시군별 열섬현상 분석에 효율적 방법을 보기 위하여 시가화율, 열대야일수, 폭염일수와의 상관분석을 하였다. 그 결과 RST1 방식에 의한 열섬강도는 상관성이 거의 없는 것으로 나타났으며, RST2의 경우 유의한 상관성을 나타났다. 전국 시군별 도시 지역을 대상으로 열섬현상에 대해 분석하기 위한 방법으로는 RST2 방식이 더 적합할 것으로 판단되며, 시군별 시가화율이 약 20% 이하일 경우 시가화율 증가에 따른 도시지역의 열섬강도의 증가율이 매우 높았으며, 약 20% 이상부터 열섬강도의 증가율이 점차 낮아지는 것을 확인할 수 있다. RST2 열섬강도가 $1^{\circ}C$ 증가할 경우 열대야일수와 폭염일수는 약 5일과 0.5일 증가하는 것으로 예측하였다. 이러한 분석결과는 추후 도시화율 증가에 따른 열섬강도 변화를 예측 할 수 있는 자료로서 활용될 수 있을 것으로 판단된다.

• 대한지리학회지
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• 제36권4호
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• pp.474-482
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• 2001

본 연구에서는 구조물 축조에 의한 도서지역 해수욕장의 발달과정을 전라남도 완도군 통리 해수욕장을 사례로 살펴보았다. 븐 연구의 결과를 정리하면 다음과 같다. 첫째, 연구지역의 해수욕장은 구조물의 건설로 대표되는 인위적 환경변화로 말미암아 1800년대 후반 이후 100년간 갯벌에서 비치로 새롭게 변형된 관광자원이다. 둘째, 연구지역 해수욕장의 지표 경사도는 0.96$^{\circ}$로 매우 완만하고 고도는 과거 갯벌인 간척농지의 지표면에 비해서 75cm 정도 높게 나타나고 있다. 이는 연구지역이 갯벌 지형에서 비치지형으로 변형되었음을 지시하는 것이다. 이러한 이유로 말미암아 연구지역은 우리나라에서 가장 우수한 해수욕장의 하나로 R꼽히고 있다. 셋째, 해수욕장의 표층 퇴적물은 평균 3.5$\Phi$의 입경을 나타내고 있어 다른 지역의 비치에 비해서 매우 미립질의 입경을 나타나고 있으며, 간척농지의 입경에 비해서는 상대적으로 조림질의 입도 분포를 나타내고 있다. 그리고 깊이별 입경분포는 70cm 깊이에서 급격한 변화들 나타내고 있는데, 이는 도로를 경계로 한 비치와 간척지의 고도 차이와도 일치하는 것이다. 이러한 입도분포 역시 연구지역 해수욕장의 관광자원으로서의 가치를 높여주는 것이다. 넷째, 1965년 이후 항공사진을 통하여 연구지역의 고도차이를 시기별로 분석한 결과 1970년대 이후에는 고도의 변화가 크게 나타나지 않았다. 이는 연구지역의 새로운 퇴적과정은 1970년대를 전후하여 일정 규모의 평형상태에 도달하였음을 나타내 주는 것이다. 다섯째, 이와 같은 견과를 종합할 때, 연구지역의 해수욕장은 인공 구조물 건설과 해안지역 퇴적과정의 변화에 따른 해수면 및 파고 에너지 상승효과로 말미암아 비교적 짧은 기간동안 새롭게 형성된 관광자원으로 결론지을 수 있다.따라서 최근 에 많은 관심이 모아지고 있는 자체조율(self-tuning)이 가능한 데이타베이스 관리 시스템 개발에 공헌할 것이다ive trait of the elderly, while middle-aged adults perceived it as a negative one.e 함량은 chloroform과 ethylacetate를 각각 투여한 군에서, GST 활성은 hexane과 chloroform을 각각 투여한 군에서 $CCl_4$단독 투여군과 비교하여 유의적인 증가(p<0.05)를 나타내었다. 따라서 본 실험 결과 지구자나무 분획물이 $CCl_4$로 유발된 흰쥐의 간 손상에 미치는 영향을 검토한 결과, chlornform 분획물이 간세포의 괴사와 변성에 지표가 되는 ALT와 AST 활성도의 저하효과와 간 손상에 따른 과산화 지질 함량과 SOD, Catalase, GSH-Px등의 활성 감소, glutathione함량 및 GST활성의 증가를 나타내어 생채내의 free radical에 의한 간보호 작용이 있는 생리활성 물질을 함유하고 있음이 추정되며, 아울러 이 분획물을 더욱 분리하여 물질의 구조와 반응 기전 제시와 함께 간 손상의 예방 및 치료에 도움이 될 수 있는 물질을 개발할 가치가 있다고 사료된다을 공급한 대조구에 비해 높았다. 어미의 성 성숙 및 산란은 두 번의 실험에서 대조구보다 저염분구에서 원만히 이루어졌다. 암컷 성숙 개체의 경우 1차 실험은 대조구 6마리, 저염분구 12마리였으며, 2차 실험은 대조구 5마리, 저염분구 12마리였으며, 2차 실험은 대조구 5마리, 저염분구 14마리로서 성숙유도에 있어 염분의 조절에 의한 성숙이 이루어진 것을 알 수 있다. 산란 시기는 1차 실험에서 대조구나 저염분구의 산란 개시 시점이 거의 동일한 데 비해, 2차 실험에

• 가정∙방문간호학회지
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• 제6권
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• pp.5-18
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• 1999

This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

• 한국보건간호학회지
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• 제6권1호
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• pp.32-45
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• 1992

An important role of community health nurses in health centers is to solve community health problems found through data collection methodology which has been used to identify the health needs of the community, diagnose the health problems and to plan health programs suitable for the health problems. Also community health nurses must be prepared to know the community health needs and to participate in the planning process. Since 1956 when the health center law was established, community health nurses have really implemented only the services which the government has asked them to do. This has kept them busy enough. But these days as society is in rapid change, community health nurses should have the flexibility to deal with the social change and demands that are unique to their community each which has different health needs and demands. So community health nurses need to identify what community health problems exist in their particular communities. The purposes of this study were as follows. 1) To explore the suitability of the health programs which the government has asked the community health nurses to do for their own communities and if these programs are not suitable, to explore the reasons why. 2) To explore the degree to which the community health nurses have the ability to identify health problems in their own communities and activate the community diagnostic process. 3) To identify the degree that the community health nurses have the ability to implement plans related to community diagnosis. 4) To find out how much data related to community health problems, the community health nurses have and how they are utilizing it. 5) To measure the community health nurses self-confidence concerning diagnostic activities for community health. The study subjects were 454 Community Health Nurses working in Health Centers in Seoul, Korea. The period of data collection was 6 days(Nov. 9th 1991-Nov. 15th 1991). A questionnaire used for data collection was composed of three different items; general characteristics, community health diagnostic activities and self-confidence in performing diagnostic activities. The results of the study are as follows. First, over one third of the respondents replied that the government required activities for their communities are not appropriate. Of these activities the most frequent reply $(51.2\%)$ indicated that many of the activities in the community were inappropriate to the actual situation. Further, $25\%$ of the replies indicated that many activities were only administratively oriented and as such not appropriate. Second, $49.8\%$ of the respondents replied that they had done general assessments and had a general idea of the health problems of their community. Effective solutions to health problems could be found with an increase in health personnel and management ability according to $41.5\%$ of the respondents. Third, to the question as to whether they had ever independently implemented a plan towards solving community diagnosed problems, $52\%$ of nurses replied 'never', $40\%$ 'occasionally' but only $7.5\%$ replied that they did it frequently. Actually there was very little done even in the basic work of collecting the necessary data. Fourth, when asked how much of basic information they had collected that might be used in community diagnosis activity, of 26 items in 5 areas, there was hardly one for which complete data had been collected. Fifteen percent did have data on the geographical aspects of their area, housing distribution and types of housing, while $17.8\%$ knew the frequency with which the health center was used. Concerning community resources, even with a list of community resources, only $12.3\%$ had data on any of these resources, and this data was incomplete. Further, information about social work institutions, and facilities was also incomplete, only $14.2\%$ of the respondents had any data and even it was incomplete; that is, in general, the nurses did not have this information. Fifth, concerning the confidence of the community health nurse in their ability to carry out community diagnoses activities, $60\%$ replied that they were very or at least nominally confident, indicating that although they were not doing community diagnostic activities they felt they could do so, as they were carrying out home visits and program planning as part of their official duties. The following recommendations are made based on the results of this study. First; since the community health nurses have a high perception of the need for community diagnostic activities and. high confidence in their ability to carry out this activity and high percentage of respondents replied that with a little training they could do this even better it is recommended that community diagnostic activity training be included in the continuing education program for community health nurses. Second, in order for the Community Health Nurses to successfully solve the health problems of their respective community they reported to a need to increase the number of health personnel, improve the facilities and the system of managing their work. Considering this, it is recommended that ways be sought to remedy these deficits.