• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4999-5003
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• 2016

The testicular cancer (TCa) incidence is increasing in many countries, with age-standardized incidence rates up to 7.8/100,000 men in the Western world, although reductions in mortality and increasingly high cure rates are being witnessed at the same time. In Africa, where rates are lower, presentation is often late and morbidity and mortality high. Given this scenario, awareness of testicular cancer and practice of testicular self-examination among future first response doctors is very important. This study was conducted to determine knowledge and attitude to testicular cancer, and practice of testicular self-examination (TSE) among final (6th) year medical students. In addition, the effect of an intervention in the form of a single PowerPoint(R) lecture, lasting 40 minutes with image content on testicular cancer and testicular self examination was assessed. Pre and post intervention administration of a self-administered structured pre tested questionnaire was performed on 151 medical students, 101 of whom returned answers (response rate of 66.8%). In the TC domain, there was a high level of awareness of testicular cancer, but poor knowledge of the age group most affected, with significant improvement post intervention (p<0.001). Notable also was the poor awareness of the potential curability of TC, this also being improved following the intervention (p<0.001). A poor level of awareness and practice of testicular self-examination pre-intervention was found considering the nature of the study group..Respondents had surprisingly weak/poor responses to the question "How important to men's health is regular testicular self-examination?" Answers to the questions "Do you think it is worthwhile to examine your testis regularly?" and "Would you be interested in more information on testicular cancer and testicular self-examination?" were also suboptimal, but improved post intervention p<0.001, p<0.001 and p=0.037. Age, gender and marital status were without specific influence. In conclusion, this study showed poor levels of knowledge regarding epidemiology of TCa and its potential curability when detected early. There was also a poor awareness of, practice of, and poor attitudes to TSE. The significant improvement in these parameters post intervention indicates value in educational intervention. We recommend inclusion of TCa coverage and TSE teaching in the secondary school curriculum (targeting adolescents). Greater emphasis should also be given to testicular cancer in the curricula of medical schools and other training institutions for health care personnel.

• 한국의료질향상학회지
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• 제8권1호
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• pp.44-55
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• 2001

Background : This study aimed at identifying the effect of the standardized protocol on lowering the incidence of the ventilator associated pneumonia(VAP). Methods : The standard protocol focusing on decreasing VAP was made and applied at 5 ICUs (Medical ICU, surgical ICU, Respiratory ICU, Neonatal ICU, Pediatric ICU) in a university affiliated tertiary hospital, from April 1, 2000 to Oct 31, 2000. The protocol involved 3 parts : hand washing, the suctioning method and ventilator circuit management. All the nursing personnel received intensive education which was consisted of lecture, video film and demonstration. 176 nurses reported the performance of handwashing pre and post intervention. And randomly selected 15 nurses were observed by charge nurse and the handwashing practice was analyzed pre and post intervention. The incidence of VAP was compared with the former year incidence. Results : The self reported frequency of hand washing increased. In the direct observation of handwashing, the frequency, time, thoroughness of hand washing during 8 hours day duty was found to be improved. The frequency was increased from 1.1 time to 4.1 times; the time was improved from 1.7 seconds to 5.7 seconds and the thoroughness of the washing practice was from 0.2 times to 3.0 times respectively (p<0.001). The incidence of VAP decreased from at a rate of 15.63 number of case per 1,000 ventilator-day (April 1~August 31, 1999) to 7.23 number of case per 1,000 ventilator-days(April 1~Oct 31, 2000)(P<0.001). Conclusion : We developed the protocols which included hand washing, the suctioning method, and ventilator circuit management. Through the implementation of the protocol, the performance of hand washing improved and the VAP incidence rate in ICU was decreased.

• 디지털융복합연구
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• 제16권3호
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• pp.345-351
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• 2018

병원행정직 근무자들의 조직헌신, A형행동유형 및 우울과 직무소진 간의 관련성을 파악하고 직무소진에 미치는 융복합적 영향을 조사하였다. 조사대상은 임의로 선정된 J지역 9개 종합병원의 재직자 201명으로 하였으며, 자료수집은 2017년 7월 3일부터 2017년 7월 29일까지 구조화된 무기명 자기기입식 설문지를 통해 이루어졌다. 직무소진은 A형행동유형 및 우울과는 양의, 조직헌신과는 음의 상관관계를 보였다. 공분산구조분석 결과, 우울은 조직헌신 및 A형행동유형보다 직무소진에 더 큰 영향을 미쳤으며, A형행동유형 및 우울이 높아질수록, 조직헌신이 낮아질수록 직무소진을 증가시키는 효과가 있는 것으로 나타났다. 이러한 결과를 볼 때, 병원행정직의 직무소진과 관련된 조직헌신, A형행동유형 및 우울을 관리하는 노력이 필요하다. 분석결과는 병원행정직의 직무소진을 낮추는 조직인사관리에 활용될 수 있다. 추후연구에서는 병원행정직의 직무소진에 영향을 미치는 추가요인에 대한 분석이 필요하다.

• 치위생과학회지
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• 제14권4호
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• pp.433-441
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• 2014

치위생과정을 임상에서 활용하고 정착시키기 위한 방안을 모색하고자 SEM을 이용하여 치과위생사 업무 자율성과 치위생과정의 임상적용 기대효과 및 장애요인이 임상적용 의향에 미치는 효과를 분석하고, 치위생과정에 대한 태도가 임상적용 의향에 미치는 매개효과를 검증한 결과는 다음과 같다. 가설적 모형은 ${\chi}^2=421.67$, GFI=0.858, CFI=0.915, TLI=0.896, RMR=0.039, RMSEA=0.099로 적합한 것으로 나타났다. SEM을 검증한 결과, 치과위생사 업무 자율성(${\beta}=0.398$, p<0.05)과 치위생과정 기대효과(${\beta}=0.363$, p<0.01)는 치위생과정 태도에 정(+)의 방향으로, 치위생과정 태도(${\beta}=0.678$, p<0.05)는 임상적용 의향에 정(+)의 방향으로 영향을 미치는 것으로 나타났다. 치과위생사 업무 자율성(${\beta}=0.269$, p<0.05)과 기대효과(${\beta}=0.246$, p<0.01)는 치위생과정 태도를 매개로 임상적용 의향에 간접적인 영향을 미치는 것으로 확인되었다. 위의 결과로 치과위생사의 업무 자율성, 치위생과정에 대한 기대효과와 태도는 임상적용 의향에 영향을 미치는 중요한 요인임을 확인하였다. 따라서 치위생과정을 임상에 정착시키기 위해서는 치과위생사 역량을 제고하여 업무 자율성을 확보해야 하며, 치위생과정에 대한 경영적 효과와 가치에 대한 객관적인 검증이 이루어져야 한다.

• 생물정신의학
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• 제24권2호
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• pp.59-67
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• 2017

Shift workers experience a disruption in the circadian sleep-wake rhythm, which brings upon adverse health effects such as fatigue, insomnia and decreased sleep quality. Moreover, shift work has deleterious effects on both work productivity and safety. In this review, we present a brief overview of the current literature on the consequences of shift work, especially focusing on attention-associated cognitive decline and related behavioral changes. We searched two electronic databases, PubMed and RISS, using key search terms related to cognitive domains, deleterious effects, and shift work. Twenty studies were eligible for the final review. The consequences of shift work can be classified into the following three categories extracted from the literature review : 1) work accidents ; 2) commuting accidents such as car accidents that occur on the way to and from work ; and 3) attendance management at work (i.e., absenteeism, tardiness, and unscheduled early departure). These cognitive and behavioral consequences of shift work were also found to be associated with sleep disorders in shift workers. Thus, improvements in the shift work system are necessary in order to enhance workers' health conditions, work productivity, and safety.

• 대한장애인치과학회지
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• 제12권1호
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• pp.20-26
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• 2016

저자 들은 뺑소니 차량에 다발성 손상을 입고 응급실로 내원된 정신지체 장애환자에서, 초기 평가와 관리의 단계에서부터 다발성 외상환자 진료우선 순위에 따라 먼저 경척수를 안정시키고, 구강출혈부 지혈위한 구개횡단 강선결찰술과 비강출혈부 바셀린 거즈 전색 압박술 및 구강주위 개방 창상내 습윤거즈 전색 압박술 등을 신속하게 시행하여 기도폐쇄를 방지하고서, 임상 병리검사와 방사선 사진검사를 시행한 다음에, 기관내 삽관술, 비위장관 삽입술, 전신상태 모니터링 장비 활용, 수액 약물요법 등을 시행하였고, 보호자와 뒤늦게 연락이 되어서 체계적인 관련의학과적 관리를 장기간 시행해서, 비교적 양호한 예후를 관찰할 수 있었다.

• 한국환경보건학회지
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• 제18권2호
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• pp.135-145
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• 1992

This study was carried out to find out some characteristic responses of biological samples under the exposure of trace metals with the considering of Sex, age, residence period and smoking. Blood, Urine and Hair were collected from 116 dwellers in the vicinity of a smelting factory. Cd, Cu, Pb and Zn concentrations were determined by flame atomic absorption spectrophotometry and the following results were found important. 1) The concentrations of trace metals in the blood were 0.010+ 0.003 $\mu$g/ml in Cd, 0.82+ 0.11 $\mu$g/ml in Cu, 0.23_+ 0.13 $\mu$g/ml in Pb and 5.78_+ 1.43 $\mu$g/ml in Zn, those in the urine were 1.7_+ 1.7 $\mu$g/l in Cd, 16.5_+ 16.0 $\mu$g/l in Cu, 24.6_+ 23.0 $\mu$g/l in Pb and 367.7_+ 283.4 $\mu$g/l in Zn, and those in the hair were 0.52_+ 0.56 $\mu$g/g in Cd, 11.00_+4.01 $\mu$g/g in Cu, 8.53_+ 7.05 $\mu$g/g in Pb and 383.23_+ 110.56 $\mu$g/g in Zn. 2) In sex, the concentrations of Zn in the blood and urine of male were higher than those of female, however, the concentrations of Cd and Zn in the hair of female were higher than those of male. 3) The concentrations of Cd, Pb and Zn in the urine showed an increasing trend by age. 4) While the concentration of Cd in the urine increased, the concentration of Pb in the hair decreased by residential period in all the samples. 5) The concentrations of Cd and Zn in the blood and that of Zn in the urine of smoking group were higher than those of non-smoking group. The concentration of Pb in the blood of smoking group and those of Cd, Pb and Zn in the urine of non-smoking group showed increasing the trend by age. The concentrations of Cd and Zn in the urine of non-smoking group, the concentration of Zn in the hair of smoking group showed increasing trend by residential period, however, the concentrations of Pb in the blood and hair and that of Zn in the hair showed decreasing trend by residential period. 6) When the correlations of the concentrations between Zn (main smelting metal) and other metals were analyzed, Zn in the blood was significantly correlated with Cu, Pb and Zn in the urine (positively) and Zn in the urine was significantly correlated with Zn in the blood, Cd, Cu and Pb in the urine, and Pb in the hair (positively). Zn in the hair was significantly correlated with Cd in the urine and Cu in the hair (positively). 7) Consequently, it was useful to note that samples of urine showed higher sensitivity under the metal exposure than those of blood and hair in individual sampling. In addition, as trace metals showed higher accumulation in the hair of the groups, sampling of hair was more highly recommended than those of urine and blood in group sampling.

• 대한간호학회지
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• 제12권1호
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• pp.1-12
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• 1982

Presently, there is increasing demand for geriatric nursing care due to increasing proportion of elderly population and extended age. And, of particular importance in deforming the effectiveness of nursing care given to the elderly is the attitude of nursing personnel toward the elderly patient. This study was intendent to investigate the attitudes of baccalaureate nursing students toward the elderly, and to investigate any possible correlation between these attitudes and the following variables: the students' levels (freshman, sophomore, junior, senior), their preferences for var-ious fields of specialization in nursing after graduation, their clinical experiences with geriatric-patients, their personal experience with elderly family members, their educational experience of the elderly's health problems and geriatric nursing, and their experience with relatives and acquaintances over 60 years of age. Therefore, the purpose of this study was to compile basic data about the attitudes of nursing students toward the elderly in order to contribute to the improvement of geriatric nursing. The subjects for this study were 259 nursing students: 163 in the College of Nursing at E-womans University., and 96 in the Department of Nursing in K. College. Data was collected from the 11th of Sep., to the 8th of Oct., 1981, using the Tuckman-Lorge Attitude Questionnaire which contained 131 items excepting 6 items. The attitudes toward the elderly was scored by the use of mean and standard deviation. The relations between attitudes toward the elderly and six independent vairables were analysed by T-test. The results which were obtained are as follows : 1. The attitude score of nursing students was M=71.67 S.D= 16.18. Nursing students agreed with 54.8% of the stereotypic statements, and they had stereotypic attitudes toward the elderly relatively. (P<0.01). 2. There was a significant difference between the attitudes of nursing students toward the elderly, and sophomores had a less stereotypic attitudes than juniors and seniors (P<0.01). 3. There was significant difference between the attitudes toward the elderly and the preferences for various fields of specialization in nursing after graduation, and nursing students those who wanted maternity fields had a more stereotypic attitudes than others (P<0.05, p<0.01). 4. There was no significant difference between the attitudes toward the elderly and the clinical experience with the geriatric patients (P>0.05). 5. There was no significant difference between the attitude3 toward the elderly and the personal experience with elderly family members (F>0.05). 6. There was no significant difference between the attitudes toward the elderly and the educational experience of the elderly's health problems and geriatric nursing (P>0.05). 7. There was no significant difference between the attitudes toward the elderly and the experience with relatives and acquaintances over 60 years of age (P>0.05).

• 의료법학
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• 제17권1호
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• pp.169-208
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• 2016

의료분쟁의 해결을 위해 "의료사고 피해구제 및 의료분쟁 조정 등에 관한 법률"이 제정되어 한국의료분쟁조정중재원에서 2012. 4. 8.부터 조정 중재 절차가 시행되었는데, 최근 3개년의 평균 조정절차 개시율은 43%이하로 나타났다. 이에 한국의료분쟁조정중재원은 조정절차 개시율을 높이기 위해 특정 요건에 해당하는 경우 자동개시가 될 수 있는 방안을 고안하였고, 2016. 5. 국회 본회의를 통과하여 같은 달 30.에 공포되었다. 그러나 근본적으로 조정절차 개시율이 오른다고 하더라도, 반드시 현행과 같이 조정성립률이 오를 것이라 단정할 수 없다는 것이다. 오히려 한국의료분쟁조정중재원에서 이와 같은 수치를 높일 계획이라면, 자동개시만이 해법이 아니라 주요 보건의료기관 개설자가 참여하지 않은 근본 이유를 살피고 그에 관한 신뢰를 회복하는 게 주요 과제라할 것이다. 또한 의료인의 안정적인 진료환경을 위해, "의료사고 피해구제 및 의료분쟁 조정 등에 관한 법률" 제51조에서 형법 제268조의 죄 중 업무상과실치사와 단서 조항도 반의사불벌죄가 적용될 수 있도록 개정하여야 한다. 또한 의료기관 개설자나 보건의료인이 대불청구를 할 수 있도록 요건을 신설하는 등 그 외 의료기관의 입장에서, 한국의료분쟁조정 중재원의 조정 절차가 안정적으로 정착할 수 있도록 운영상의 미비에 관하여 제도를 보완할 수 있도록 고언(苦言)한다.

• 한국산업보건학회지
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• 제27권4호
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• pp.352-360
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• 2017

Objectives: 본 연구의 목적은 방문요양 요양보호사들의 세부업무 영역별 특성이 근골격계통증에 미치는 영향을 알아보고, 요양보호사들의 근골격계통증을 경감시키는 방안을 마련하고자 하는 것이다. Methods: 본 연구는 P시에 위치한 C, K 재가센터 소속 요양보호사 192명을 대상으로 실시하였다. 대상자들에게 근골격계통증척도와 요양보호사의 세부업무에 대한 작업부담체크리스트를 작성하게 한 후, 수집된 자료를 SPSS 21.0 프로그램을 이용하여 분석하였다. Results: 요양보호사의 근골격계통증 자각증상 정도를 보면, 허리통증과 어깨통증의 수치가 가장 높았다. 세부업무 영역별 특성이 근골격계통증에 미치는 영향을 알아본 결과, 신체수발영역의 '식사수발하기, 이동지원하기, 목욕지원하기, 체위변경하기, 건강관리영역의 '물리치료보조하기, 욕창관리하기', 시설환경 관리영역의 '청소 및 세탁물관리'가 영향을 미치는 것으로 나타났다. Conclusion: 요양보호사들은 거동이 불편한 대상자들을 이동시키거나 체위를 변경하는 동작 등 신체적으로 무리가 가중되는 환자의 비율이 높아 신체 하중을 가장 많이 받는 허리와, 어깨의 통증을 일으킬 우려가 매우 높다. 이에, 요양보호사들에게 통증이 주로 발생할 수 있는 부위의 과부하를 줄여줄 수 있는 인체역학적 자세에 대한 교육이 필요하다. 그리고 위험한 업무에 대해서는 장비 및 인력의 지원이 제공 되어야 할 것이며, 지속적으로 다각적 차원의 사회적 지원이 필요할 것이다.