• Journal of Nutrition and Health
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• 제50권6호
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• pp.655-663
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• 2017

본 연구는 전국 4권역 (수도권, 충청 강원권, 경상권, 전라권) 10개 지역의 가정, 단체급식소와 외식 음식 중 고나트륨 한식 대표 음식 16종, 총 480개 음식의 나트륨 함량을 분석하여, 나트륨 저감화 방향을 제시하고, 나트륨 함량 기준치 설정을 위한 기초자료로 활용하고자 하였다. 음식군별 100 g 당 나트륨 함량은 가정식, 단체급식, 외식 모두 김치류와 조림류에서 가장 높았고 (p < 0.001), 고나트륨 한식 대표 음식 100 g 당 나트륨 함량은 멸치볶음(1,896.6 mg)이 가장 높았고, 그 다음으로 우엉 연근조림(820.6 mg)과 양파장아찌 (809.3 mg)였다 (p < 0.001). 그러나 1인분 나트륨 함량은 가정식에서는 돼지갈비찜/찜닭(1,429.6 mg)이 가장 높았고 (p < 0.001), 단체급식에서는 비빔밥 (1,074.1 mg)과 돼지갈비찜/찜닭 (838.8 mg)이 가장 높았으며 (p < 0.001), 외식에서는 육개장 (3,273.2 mg)과 동태찌개 (2,930.2 mg)의 1인분 나트륨 함량이 가장 높았다 (p < 0.001). 외식의 국 찌개 탕류의 100 g 당 나트륨 함량 및 1인분 나트륨 함량은 가정식과 단체급식 음식보다 유의하게 높았다 (p < 0.01, p < 0.001). 이상의 결과 100 g 당 나트륨 함량은 김치류와 조림류에서 가장 높은 것으로 나타났으며, 1인분 나트륨 함량은 비빔밥, 국 찌개 탕류와 찜류 등 장류를 이용한 음식에서 높은 것으로 나타났고, 외식의 국 찌개 탕류의 나트륨 함량이 가정식과 단체급식에 비하여 높은 것으로 나타났다. 따라서 본 연구는 나트륨 저감화의 방향이 장류 및 김치류의 저염화가 우선시 되어야 하며, 외식의 국물류의 염도를 낮추고, 1인분량을 줄이려는 노력이 필요함을 시사한다. 본 연구의 전국 가정식, 단체급식, 외식 음식 고나트륨 한식 대표음식의 나트륨 함량 분석 결과는 추후 나트륨 저감화 기준치를 제시하기 위한 기초자료로 활용될 수 있을 것으로 사료된다.

• 한국응용과학기술학회지
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• 제35권2호
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• pp.357-366
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• 2018

본 연구는 가정용 냉장고를 대상으로 냉동실과 냉장실의 설정온도를 각기 달리할 경우 냉동실과 냉장실 고내의 온도를 실측하여 냉장고 식품 보관 온도분포를 추정하고자 한다. 또한, 각 실의 설정온도를 중심으로 상하로 온도차가 얼마나 큰가를 파악하고, 설정온도로 회복하는데 소요되는 시간을 파악하고자 한다. 그리고 설정된 온도로 회복하기 위해 소비하는 전력량을 측정함으로서 가정용 냉장고의 최적 설정조건을 제시하고자 한다. 그 결과, 냉동실 온도가 $-18^{\circ}C$를 실현한 조건은 Case 3, Case 6, Case 8, Case 9로 냉동실 조건보다는 냉장실의 설정온도를 저온으로 할 경우에만 냉동실의 온도가 적정온도를 나타냈다. 이 조건에서 냉장실의 온도는 최저 $-1.1^{\circ}C$, Case 6은 $-1.5^{\circ}C$, Case 8은 $-1.1^{\circ}C$, Case 9는 $-0.8^{\circ}C$로 영하의 온도를 보였다. 또한 각 케이스의 운전시작 10시간 동안 누적소비전력량은 Case 4를 제외하고는 냉동실 및 냉장실의 설정온도가 낮을수록 컸으며, Case 4는 운전시작이 13:30분에 시작되었기에 09시경에 운전을 시작한 다른 조건보다는 낮시간의 환경온도가 높은 이유로 전력소비가 크다는 것을 확인하였다.

• 디지털융복합연구
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• 제17권9호
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• pp.301-310
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• 2019

본 연구는 생애말기케어에 대한 수혜 자격, 서비스 및 전달유형, 질 관리에 대해 검토하고 생애말기케어 시스템을 위한 서비스 질 관리 방법을 분석하는 것을 목적으로 한다. 한국의 보건복지부와 미국의 Centers for Medicare and Medicaid Services에서 발간한 문헌과 법령을 수혜 대상자, 서비스 종류 및 전달유형, 질 관리에 대해 고찰하고 비교 분석하였다. 한국은 진단명을 기준으로 의료기관에서 입원 기반 서비스를 제공하고 있으며, 질 관리는 인력, 시설, 장비에 대한 기준을 만족하는 구조적 영역에서만 이루어지고 있었다. 미국은 한국보다 수혜 대상자에 대한 기준이 넓으며, 민간 독립기관에서 가정기반 서비스를 제공하고 있었다. 질 관리는 기관 지정과 성과지표 모니터링 및 소비자 만족도와 같은 결과를 포함하여 평가해 기관 보상과 연계하고 있었다. 현 연구를 통한 국가간 차이점은 향후 국내의 정책에 반영하여, 보다 발전된 시스템 구축에 방향설정에 기여를 하였다. 따라서, 향후 생애말기케어 시스템의 서비스의 질 관리와 적절한 서비스를 제공하기 위한 다양한 국가의 시스템을 지속적으로 연구할 필요가 있고, 이러한 제도 고찰을 통한 국내 시스템을 개선하고 보강하여야 한다.

• 지역사회간호학회지
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• 제10권1호
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• pp.80-92
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• 1999

The purpose of this study was to survey appropriateness of admission and days of care for the cerebral ischemia patients as a basis to provide an effectiveness of hospitalization. The authors retrospectively reviewed the medical records of cerebral ischemia patients in two hospitals from November 1997 to February 1998. Of 194 medical records reviewed, there were 2108 medical days. I t is used a 'Appropriateness Evaluation Protocol' previously developed by Gertman and Restuccia (1981) and translated by Department of Health Management, Seoul National University and Korea Institute for Health Services Management (1993), It was found that the 'Appropriateness Evaluation Protocol' had a high inter-rater reliability(k=.92), Statistical significant was tested by using the percentage, mean, and logistic regression by SAS 6.12. The results were as follows; 1. The appropriate admissions were 87.6%, days of care 63.4%, and the average length of stay $10.9{\pm}6.7$ days. 2. The reasons of inappropriate admissions were for work-up(75.0%) and conservative care (25.0%). Major reasons of inappropriate days of care were 'cases in which the medical purpose of hospitalization has been accomplish or can be addressed in a less setting(45.0%)', and 'cases in which there is a delay in performing the work-up or treatment which required patients is hospitalized (44.4%)'. 3. Appropriate days of care were higher as ageing. Appropriate days of care were higher in patients with lower accademic back ground than those of upper college graduates, and in the patients who enter a hospital via emergency room than out-patients department. Appropriate days of care were higher in the patient with MCA infarction, and lower in the patient with cerebellar infarction than the patient with lacunar infarction. Appropriate days of care were higher in attack first than attack above second, in nomortension patients than hypertensive, and lower in groups who engaged in semi-private room and public room than private room in hospital. Appropriate days of care were higher in shorter length of stay than longer length of stay. 4. Diagnosis, admission path, and appropriate days of care explained appropriate admissions. Diagnosis, appropriate admissions, hypertension explained appropriate days of care. According to the above results, author confirms the substantial amount of inappropriate hospital bed utilization. To reduce inappropriateness, it is necessary to develop some alternative services such as home care services or nursing home with which can be replaced inpatient services and to introduce policy such as case management which includes Critical Pathway for consistent management. And, it should be followed the further study for the effectiveness.

• 패션비즈니스
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• 제3권2호
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• pp.85-90
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• 1999

A shroud is clothes for giving a dead person a bath and being finely dressed:though our routine clothes have been western, putting on a shroud has been kept comparatively well as a tradition of a conventional ceremony garments. This study is about the current using of dressing a shroud, and for presenting foundations of a way about dressing a shroud in order to make the most of this by everyone, therefore this research will be worthwhile to preserve the traditional custom of giving a dead person a bath and being finely dressed. 1. We must confirm the death of a person before we do Su-Si for controlling rightly a corse. Su-Si is ways of changing a clean clothes after bathing the dead person, tieing up hands, feet and ankles with a string, filling up a mouth, a nose and ears with a wad of cotton, laying down the dead person with his head toward east, and setting up a screen after covering the dead person with a bed sheet. 2. Here are processes of putting on a shroud. After the day of death, first of all, you must untie the string to control rightly a corpse, take off the clothes, and give a dead man a bath. You trim the dead person's fingernails and toenails, put them in O-nang, then put his hands and feet in five pouches, finally put feet in korean socks and wrap with Ak-su. You put a underwear in a overwear in order to put on the clothes easily, and then put on an upper garments after putting on trousers. And put on Sb-sin After you wash the dead person's face and his hair, you put gems and raw rice in his mouth, wrap head with cotton fabrics, and put hairs into five pouches, then put on a headgear which is filled with five pouches. 3. You tie up with hem cloth the dead person dressed a shroud after wrapping with Dae-ryum-km and So-ryumkm. 4. After you encoffin the dead person, you weave coffin strings with cotton fabrics in order to lift up the coffin easily, and lay down a red fabrics having white letters about the dead person's name or social position onto the coffin, then cover the coffin with a coffin cover : finally you leave the coffin at the former place and set up screen.

• 가정간호학회지
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• 제3권
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• pp.75-85
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• 1996

Nursing Intervention Classification(NIC) includes the 433 intervention lists to standardize the nursing language. Efforts to standardize and classify nursing care are important because they make explicit what has previously been implicit, assumed and unknown. NIC is a standardized language of both nurse-initiated and physician-initiated nursing treatments. Each of the 433 interventions has a label, definition and set of activities that a nurse does to carry it out. It defines the interventions performed by all nurses no matter what their setting or specialty. Principles of label, definition and activity construction were established so there is consistency across the classification. NIC was developed for following reasons; 1. Standandization of the nomen clature of nursing treatments. 2. Expansion of nursing knowledge about the links between diagnoses, treatments and outcomes. 3. Devlopment of nursing and health care information systems. 4. Teaching decision making to nursing students. 5. Determination of the costs of service provided by nurses. 6. Planning for resources needed in nursing practice settings. 7. Language to communicate the unigue function of nursing. 8. Articulation with the classification systems of other health care providers. The process of NIC development ; 1. Develop implement and evaluate an expert review process to evaluate feedback on specific interventions in NIC and to refine the interventions and classification as feedback indicates. 2. Define and validate indirect care interventions. 3. Refine, validate and publish the taxonomic grouping for the interventions. 4. Translate the classification into a coding system that can be used for computerization for articulation with other classifications and for reimbursement. 5. Construct an electronic version of NIC to help agencies in corporate the classifiaction into nursing information systems. 6. Implement and evaluate the use of the classification in a nursing information system in five different agencies. 7. Establish mechanisms to build nursing knowledge through the analysis of electronically retrievable clinical data. 8. Publish a second edition of the nursing interventions classification with taxonomic groupings and results of field testing. It is suggested that the following researches are needed to develp NIC in Korea. 1. To idenilfy the intervention lists in Korea. 2. Nursing resources to perform the nursing interventions. 3. Comparative study between Korea and U.S.A. on NIC. 4. Linkage among nursing diagnosis, nursing interventions and nursing outcomes. 5. Linkage between NIC and other health care information systems. 6. determine nursing costs on NIC.

• 대한간호학회지
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• 제30권1호
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• pp.84-97
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• 2000

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

• 한국가정과교육학회지
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• 제23권2호
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• pp.71-87
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• 2011

본 연구에서는 성별, 학교급별, 계열별로 청소년의 인터넷 과다 사용에 영향을 미치는 개인, 부모 및 가족관련 변인을 파악하였다. 창원시 소재 청소년들을 대상으로 설문조사를 실시하여 총 480부가 분석에 사용되었다. 자료분석 방법으로는 중다회귀 분석을 사용하였다. 연구결과는 다음과 같다. 1. 남학생 집단은 채팅과 온라인 게임을 많이 할수록, 자기통제력이 적을수록, 스트레스를 많이 받을수록 인터넷 사용이 많았고, 여학생 집단은 온라인 게임과 음란물 또는 성인관련 사이트를 많이 접할수록 인터넷 사용이 많았다. 2 중학생 집단은 온라인 게임과 프로그램 및 MP3파일 다운로드를 많이 할수록, 자가통제력과 부모의 규칙설정이 적을수록 인터넷 사용이 많았고, 고등학생 집단은 전자우편을 적게 사용할수록, 온라인 게임과 동호회/클럽활동을 많이 할수록, 자기통제력이 적을수록, 부의 인터넷 사용능력이 높을수록, 부모의 감독통제가 많을수록 인터넷 사용이 많았다. 3 인문계 고등학생 집단은 친한 친구 수가 적을수록, 전자우편을 적게 사용할수록, 온라인 게임과 동호회/클럽활동을 많이 할수록, 음란물 또는 성인관련 사이트를 많이 접할수록, 자기통제력과 모의 인터넷 사용능력이 적을수록 인터넷 사용이 많았고, 실업계 고등학생 집단은 학교성적이 높을수록, 온라인 게임을 많이 할수록, 자기통제력이 적을수록, 스트레스를 많이 받을수록, 부의 인터넷 사용능력과 부모의 감독통제가 높을수록 인터넷 사용이 많아지는 것으로 나타났다.

• 대한가정학회지
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• 제46권9호
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• pp.99-112
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• 2008

The increasing rate of obesity in school aged children has become a conspicuous social phenomenon in Korea. This has been linked to greater economic growth, increasingly westernized dietary habits, and a consumer driven society. Given that obesity can lead to social exclusion or unfavorable attention by other students in a school setting, the design of plus-size garments have become important for effective appearance management skills. This research aimed to establish a somatotype database for obese school boys, aged 10 to 12, in order to develop a sizing system for plus-size upper garments. In order to measure somatotype of average and obese school boys, five categories were recorded; height, obesity, length of trunk, thickness of neck and chest. For obese boys, subcutaneous fat thickness and position of B.P/shoulder point factors were recorded. Obesity factor was subdivided into overall and specific ones, and while the deviation of obese body types was severe compared to the average type. Obese body type showed significantly higher measurements in width, girth, thickness. This is linked to the fact that the frequency ratio of obesity increases with age. Stature and chest were chosen as control dimensions for boys' wear. As crosstabulation of stature(5cm interval) and chest girth(2, 3 and 4cm), and stature(5cm interval)/chest girth(3cm interval) sizing system showed, the most effective cover ratio and adaptability to the data distribution $25{\sim}75$ quartile. Based on the findings, 10 sizes were formulated for average body type, while 18 sizes were formulated for obese type, whose size cover ratios were 48% and 62.9%, respectively. The primary ranges of stature were $145cm{\sim}150cm$, while those of chest girth were $79{\sim}82cm$. Each size was declared as "chest-somatotype{A(average)/O(obesity)-stature". This study proposed a plus-size upper garment sizing systems for obese boys, accompanied with reference measurements for suit, casual wear and underwear. The finding showed that the two systems were totally separate and not overlapping, meaning that plus-size sizing system is essential for obese school boys. The obesity type system had more size and wider range specs.

• Journal of Preventive Medicine and Public Health
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• 제40권3호
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• pp.197-204
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• 2007

Objectives : This study was conducted to evaluate the public's awareness of the importance of hand washing and to compare perceptions on the habit of hand washing with actual hand washing behavior. Methods : Data were collected by observing 2,800 participants washing their hands after using public restrooms in seven cities nationwide and by surveying 1,000 respondents (age > 14 years) through telephone interviews using a structured questionnaire. Results : Although 94% of the survey respondents claimed to mostly or always wash their hands after using public restrooms, only 63.4% of the observed participants did wash their hands after using public restrooms. Significant factors related to increased adherence to hand washing were female gender, approximate ages of 20 to 39 years by their appearance, and the presence of other people from the observation. About 79% of the survey respondents always washed their hands after using bathrooms at home, 73% washed their hands before handling food, and 67% washed their hands upon returning to their home. However, 93.2% and 86.3% of the survey respondents did not wash their hands after coughing or sneezing and after handling money, respectively. Although most of the survey respondents (77.6%) were aware that hand washing is helpful in preventing communicable diseases, 39.6% of the survey respondents did not do so because they were 'not accustomed' to washing their hands and 30.2% thought that washing their hands is 'annoying'. Conclusions : This is the first comprehensive report on hand washing behavior and awareness of the general population in Korea. The result of this study in terms of individual behavior and awareness of hand washing are comparable with similar studies conducted in other countries. However adherence to hand washing is still low and needs to be increased. The results of this study can be used as a baseline in setting up strategies and activities to promote adherence to hand washing.