• 산업융합연구
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• 제20권12호
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• pp.107-115
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• 2022

본 연구는 COVID-19 이후 보건계열과 비보건계열 대학생의 간호사의 이미지에 영향을 미치는 요인을 파악하고자 시도되었다. 연구는 수도권 4개 대학의 보건계열 133명과 비보건계열 123명의 대학생을 대상으로 2021년 11월 15일부터 2021년 11년 28일까지 수집하였다. 본 자료는 SPSS 22.0 Program 이용하여 기술통계, 상관관계 및 다중회귀분석으로 분석하였다. 연구결과, 일반적 특성 중 보건계열 대학생의 1학년 여부가 간호사이미지에 대해 통계적으로 유의미한 차이를 나타내었다(t=2.82, p=.006). 대학생의 간호사이미지는 보건계열과 비보건계열 모두 대중매체 이미지, 전공만족도와 양의 상관관계를 나타내었다. 보건계열 대학생은 대중매체 이미지, 전공만족도, 1학년 여부가 간호사 이미지에 영향을 미치고(F=40.42, p<.001) 비보건계열 대학생은 대중매체 이미지만 간호사 이미지에 영향을 미치는 것으로 나타났다(F=20.13, p<.001). 간호사 이미지의 제고를 위해 뉴미디어를 통한 대중매체와의 접촉을 강화하고 이에 대한 지속적인 관심을 가지고 체계적으로 접근하는 것이 필요하다.

• Environmental Analysis Health and Toxicology
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• 제29권
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• pp.10.1-10.6
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• 2014

Objectives Cigarette smoking had been recorded as the main cause of impaired endothelium-dependent vasodilation in smokers by reducing nitric oxide (NO), a production of endothelial nitric oxide synthase (eNOS). However, the mechanism of NO impairment via eNOS activity is unclear until now. In this study, cell passage is suggested to be a relevant factor to eNOS expression under cigarette smoking stress. Methods Bovine aortic endothelial cells (BAECs) were chosen as the research subject with passages ranking from 6 to 9 (6P to 9P). After exposure of cigarette smoking extract (CSE) solution, MTT assay and Western blot method were performed to check the cell viability as well as eNOS protein concentration. In these experiments, four concentrations of CSE at 0.5, 1, 2, and 4% were selected for treatment. Results Our results showed that cells almost died at 4% of CSE. Besides, eNOS protein mass had a linear decrease under the increase of CSE concentration. In addition, the effect of CSE on eNOS expression was dissimilar between different passages. Conclusions This study indicated that CSE had effect on both cell viability and eNOS expression. Besides, a reduction in protein mass was matched with the decrease of cell viability due to CSE tress. Last but not least, the response of eNOS protein to different concentration of CSE at different passages was disparate, making the hypothesis about cell passage related inhibition of eNOS caused by CSE solution.

• 보건교육건강증진학회지
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• 제16권1호
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• pp.101-126
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• 1999

As the WTO system launches through the agreement of Uruguay Round, the Government has to revise the office regulations or reform the system. Also, Integrating and Coordinating the like affair in health care (i. e., children's home, industry health, school health, health manpower, the administration of health center, the administration on food hygiene, health environmental education, and so on.) which is now scattered into some government departments like the Ministry of Labor, the Ministry of Education, the Ministry of Home Affairs, the Ministry of Agriculture, and the Ministry of Environment, the Government has to prevent unspecialty, inefficiency, inconsistency, and uneconomy. The Government has to review and adopt above suggested the Proposal 1),2),3),4) of the Health Centers on the basis of the local autonomy law and it will help the successive settlement of the local autonomy system in Korea. According to the suggested proposal, the Central Government mainly takes charge of the Macro affairs as hardware, and transfer the Micro affairs as software into the Local Governments to attempt the appropriate functional allocation. To achieve it successfully, the Central Government also has to do the financial support, manpower training and technical support, allocation of health care resources, direction and control, research and development and the health care plan on the macro level. Local Governments which divided into the wide local government and basic local government also have to do their best for health improvement of the community societies like plan of health care program, implementation of health care service program, taking charge of the affairs of health insurance, activation of community residents' participation and security of health care resources etc. To achieve this goal, the Government have to be more active and reformative, the related social and health agencies and educational agencies have to cooperate and support for the goals, and especially, the community residents have to participate actively and voluntarily, When all these conditions promote, local health care administration will be developed, and health level of community residents will be secured. And going one step forward, the country and people will be more healthy

• 한국비블리아학회지
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• 제30권2호
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• pp.117-144
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• 2019

현 시대는 고령화 사회, 삶의 질에 대한 국민의 관심증대, 의료비 감소를 위한 국가의 관심 증대 등으로 건강정보에 대한 관심이 전반적으로 증가된 상황이다. 이에 문헌정보학계의 연구노력, 도서관계의 건강특화서비스 제공 노력, 그리고 국가차원에서의 노력이 이루어져 왔으나, 도서관계에서의 통합적 및 체계적으로 건강관련 정보를 제공하기 위한 정책이나 전략은 명확히 제시되지 못하고 있는 실정이다. 이에 본 연구에서는 기 수행된 선행연구 및 정책연구, 그리고 사례조사를 통해서 도서관에서 건강정보를 통합적으로 제공할 수 있는 방안을 제안하고자 하였다. 그 결과, 건강정보제공통합시스템 구축, 건강관련정보의 총체적 DB 구축, 건강특화 도서관 프로그램 개발 및 운영, 건강정보서비스 총괄지원센터 운영, 건강정보서비스관련 부처 및 기관 간 협력네트워크 구축을 제안하였다. 본 연구에서 제안하는 구체적인 내용은 이후 도서관이 우리나라 국민의 건강증진을 위해 서비스 개발에 기여할 수 있을 것으로 보인다.

• 대한임상검사과학회지
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• 제49권4호
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• pp.489-494
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• 2017

해부학 교육은 보건의학계열 학생들에게 가장 기본이 되는 과목이며 중요하다. 해부학 교육의 질적 개선 및 다양성을 위해서 임상병리학과, 물리치료학과, 작업치료학과 학생 130명을 대상으로 설문을 통해 기존의 해부학 교육과 카데바실습(cadaver dissection)의 만족도, 이해도, 인식을 조사하였다. 분석 결과, 해부학 수업에 대한 수업의 만족도는 성별에 따른 차이가 없었다. 또한 전공에 따른 교과서 중심의 해부학 수업에 대한 인식 차이가 없었으며, 모두 과에서 보통 이상의 만족도를 보였다. 그리고 전공에 따른 해부학 수업의 이해도의 차이 역시 없었다. 다만, 전공에 대한 만족도은 임상병리학과에서 유의하게 높았다 (p<0.05). 카데바실습 전. 후의 카데바실습에 대한 인식 분석결과 대부분의 학생들은 성별이나 고등교육 교과과정과 관계없이 카데 실습이 해부학수업에 꼭 필요하다고 인식하였고, 실습 후 카데바실습이 꼭 필요하다고 생각했으며 조사결과 모든 학생이 카데 실습 후에도 실물실습이 필요하다고 인식하였고 3~4시간이 가장 적당하다고 생각했다. 이번 결과로 해부학 교육의 다양성을 위한 학생들의 요구도가 높았으며 카테바실습 및 실물을 이용한 실습을 이용한 해부학 교육이 학습 효과가 높을 것으로 기대 된다.

• 정신신체의학
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• 제29권1호
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• pp.42-48
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• 2021

연구목적 본 연구는 우울증의 동반증상으로 알려진 인지 기능 저하가 우울증보다 선행될 수 있다는 점에 착안하여 정상인에게서 우울 증상과 불안 증상이 인지 기능에 미치는 영향을 관찰하고자 한다. 방 법 일반인 50명을 모집하여 인지 기능 및 임상 증상에 대한 평가와 임상 증상이 인지 기능에 미치는 영향을 알아보기 위해 피어슨 상관분석과 다변량 회귀분석을 시행하였다. 우울증에서 흔히 저하되는 인지 영역을 평가하는 검사 소항목간의 상관성을 알아보기 위해 위해 소항목간 상관분석을 시행하였다. 결 과 선로잇기검사(B형)는 우울 증상(r=0.300, p=0.03)과 나이(r=0.323, p=0.02)와 상관 관계를 보였고 이에 영향을 미치는 독립변수는 우울 증상(β=0.304, p=0.03)과 나이(β=0.335, p=0.01)이며 선로잇기검사(B형)에 대해 14.8%의 설명력을 보여주었다. 주관적 인지 기능 검사는 불안 증상(r=0.434, p=0.002)과 상관 관계가 있었다. 인지 기능 소항목간 상관분석에서 주관적 인지 기능검사는 주의력검사를 제외한 나머지 항목과 상관 관계가 있었다. 결 론 본 연구에서 우울 증상은 나이, 교육기간 같은 인구학적 특성 외에 독립적으로 실행기능에 기여하는 것을 알 수 있었다. 우울증에서 인지 기능 저하가 흔한 장기적인 임상 결과임을 감안할 때 인지 기능에 대한 적극적인 조기 개입과 평가가 도움이 될 것으로 기대한다.

• 한국병원경영학회지
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• 제21권3호
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• pp.11-21
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• 2016

The purpose of this study is to investigate the degree of difficulty and turnover of nurses working in the field and to derive clinical work activation and supply policy improvements. Data was collected from December, 2014 to January, 2015, from 23 hospitals, and participants were 3,887 nurses working in the field, Survey details : the difficulty of the clinical work of nurses working in hospitals, turnover intentions status and policy proposals for clinical research work enabled General characteristics, difficulties in clinical working, turnover intention and clinical work plan activation are frequency analysis. The difference between each of the variables in accordance with the general characteristics are one-way ANOVA analysis, Correlation analysis of the variables is also a Pearson correlation coefficients. 'difficulties in clinical working' was a statistically significant difference depending on the type of hospital, nursing class, number of beds, location, age, position, employment, gender, working form, working department, salary, career, and degree level. 'turnover intention' was a statistically significant difference depending on nursing rate, number of beds, region, age, position, sex, shifts, departments, annual income, and career. 'policy recommendation' was a statistically significant difference depending on type of hospital, nursing rate, age, position, employ, shifts, departments, annual income, degree level and career 'difficulties in clinical working' is 'turnover intention' (p<.001), 'policy recommendations' (p<.001) and had a significant positive correlation. and 'turnover intention' had a "policy recommendation" significant positive correlation with the relationship (p<.001) The most difficulties point of the nurses working in the field are the environment, such as shift, urgent and dangerous. Major policy proposals are improve treatment such as wages, and welfare.

• 한국임상약학회지
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• 제9권1호
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• pp.35-43
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• 1999

Over the last 50 years, a number of antibiotic agents have been developed and clinically used in the area of infectious diseases. Due to antimicrobial resistance problems and increasing health care costs, the rational use of antibiotics has been required. As a drug of choice to treat infections caused by MRSA, vancomycin has been extensively prescribed since the late 1970's. Recently, reports of vancomycin-resistant organisms such as VRE and VRSA have been increased to draw medical concerns. The objectives of this study were to evaluate the rational use of vancomycin and the appropriateness of the Restrictional Program of Antibiotic Utilization (RPAU) which has been operated at Samsung Medical Center. A retrospective chart review was performed in 132 hospitalized patients treated with vancomycin in the surgery departments from. January to June 1998. The guidelines of ASHP and HICPAC for vancomycin were modified and used as our criteria to determine the vancomycin DUE. In one hundred out of the patients, uses of vancomycin were approved by the Department of Infectious Diseases (DID) based on the RPAU. Vancomycin was appropriately used in $62.5\%$ of the 100 patients according to the criteria of justification of use, while $60.0\%,\;60.0\%,\;79.0\%,\;and\;51.0\%$ of the patients showed appropriate according to those of lab reports such as applicable culture obtained, pretreatment SCr, WBC and serum drug concentration monitoring, respectively. Although the rest 32 patients were not approved to receive vancomycin by the DID, twenty two percent continued receiving vancomycin treatment. This might result from the fact that the RPAU was started not before the use of antibiotics but in the middle of antimicrobial therapy. Continual education should be provide to the related health professionals and the RPAU should be simultaneously modified in order to increase the rate of appropriate uses of antibiotics.

• Journal of Contemporary Eastern Asia
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• 제18권1호
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• pp.7-29
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• 2019

This study describes an approach for comparative bibliometric analysis of scientific publications related to (i) individual or several departments comprising a university, and (ii) broader integrated subject areas using multiple disciplinary schemes. It uses a custom dataset of scientific publications (ca. 15,000 articles and reviews, published during 2009-2013, and recorded in the Web of Science Core Collections) with author affiliations to the research departments, dedicated to science, technology, engineering, mathematics, and medicine (STEMM), of a comprehensive university. The dataset was subjected, at first, to the department level and discipline level analyses using the newly available KAKEN-L3 classification (based on MEXT/JSPS Grants-in-Aid system), hierarchical clustering, correspondence analysis to decipher the major departmental and disciplinary clusters, and visualization of the department-discipline relationships using two-dimensional stacked bar diagrams. The next step involved the creation of subsets covering integrated subject areas and a comparative analysis of departmental contributions to a specific area (medical, health and life science) using several disciplinary schemes: Essential Science Indicators (ESI) 22 research fields, SCOPUS 27 subject areas, OECD Frascati 38 subordinate research fields, and KAKEN-L3 66 subject categories. To illustrate the effective use of the science mapping techniques, the same subset for medical, health and life science area was subjected to network analyses for co-occurrences of keywords, bibliographic coupling of the publication sources, and co-citation of sources in the reference lists. The science mapping approach demonstrates the ways to extract information on the prolific research themes, the most frequently used journals for publishing research findings, and the knowledge base underlying the research activities covered by the publications concerned.

• 지역사회간호학회지
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• 제15권3호
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• pp.385-396
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• 2004

Purpose: Hypertension has been a major cause of death in Korea since the 1970s, and has resulted in being a significant economic burden to the finances of national health care. The Ministry of Health and Welfare made several efforts. but hypertension control programs in Korea are still non standardized and ineffective. We wanted to investigate the current hypertension control program in public health centers systematically and suggest the direction for future programs. Method: The design of this study is a cross sectional investigation. From September to October in 2002, we sent a set of questionnaires to all PHCs, and 179 centers responded (response rate = 74.0%). The instrument was developed based on components of National health systems. Results: 1) Resources: The department responsible for hypertension control programs is the Department of Health Promotion. Health Education Center, Community Health Center, Citizen's Health Center, etc. The chief personnel of those departments are nurses. but 27.4% of PHCs have no full time nurse for hypertension management programs. PHCs had a lot of teaching materials (nine types per a PHC) and most of the recommended contents were included. But, periodical evaluation and revision were not being made, 2) Management: Nurses' (13.03 9.46 in 23 score) actions for hypertension control were not qualitative, but regular training and evaluation were seldom carried out. Need assessment (25.9%) and evaluation (about 10-20%) for the hypertension control program were indicated as low. 3) Programs: Programs focused on individuals rather than community or public, and 2nd prevention rather than 1st, 3rd prevention. Conclusion: The Ministry of Health and Welfare has to construct the infrastructure for hypertension control programs. Related scholars and committees should develop and declare standardized manuals for hypertension control and the management system, as well.