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Dieticians' Perceived Performance Level and Obstructive Factors of HACCP System among Elementary School Food Services in Gyeongbuk Province (경북지역 초등학교 영양(교)사의 학교급식 HACCP 시스템 수행 수준 및 장애요인 인식)

  • Yang, Ji Hye;Sung, Bo Mi;Kim, Mi Hwa;Jung, Hyun Sook;Cha, Myeong Hwa;Ryu, Kyung
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.43 no.11
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    • pp.1774-1784
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    • 2014
  • The purpose of this study was to determine obstructive factors and performance level of the HACCP system among elementary schools in Gyeongbuk province. E-mail survey targeted 320 dieticians, and recovery rate was 74.1%. Consequently, 227 responses were analyzed. The questionnaire was composed of 58 items under four sections (general characteristics, dieticians' perceived HACCP performance level, dieticians' perceived CCP performance level, and obstructive factors of HACCP system implementation). The item with the highest rate of HACCP performance level was 'HACCP training for foodservice employees in schools ($4.02{\pm}0.70$)' while the lowest counterpart was 'implementation of HACCP team meeting, reporting, and maintenance ($2.74{\pm}0.99$)'. The performance level of the item 'HACCP training for foodservice employees in schools' was perceived as highest when the number of students eating school meals was greater than 1,101 (P<0.05). Moreover, CCP 4 ($4.44{\pm}0.53$) and CP 5 ($4.44{\pm}0.51$) showed the best performance, whereas CCP 1 showed the lowest performance level ($3.90{\pm}0.60$). Therefore, reinforcement of hygiene instruction in menu planning is perceived as necessary. CCP 1, CCP 6 (P<0.05), and CCP 3 (P<0.001) showed significant differences in performance based on the number of students eating school meals. Further, according to results regarding obstructive factors of HACCP system execution, 'general factor' was the most severe obstructive factor in the application of HACCP ($3.46{\pm}0.62$). Among the 'factors pertaining to dieticians', the item 'hardship of proper monitoring and micro-management due to overwhelming workload' was most influential ($3.46{\pm}0.96$). Furthermore, the item 'low budget allocation by educational offices ($3.90{\pm}0.88$)' was influential among the 'factors pertaining to school administrations'. In conclusion, the results of this research can help solve obstructive factors of elementary school food services and provide knowledge that is essential for the proper implementation of HACCP.

Stress and Coping in Parents of Cerebral Palsy Children (뇌성마비아 부모의 스트레스와 대처방안에 대한 연구)

  • Song Young-Hwa
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.49-60
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    • 1994
  • Stress is experienced when a person tries to maintain stability in the face of life change but is not able to meet the adaptive demands of change. This can be especially true for the parents who has a cerebral palsy childs who needs long term rare, where parents, are the primary source of care and responsibility. Successful coping leads to maintenance of the parents role and this has an effect on the health status of the child. This descriptive study was attempted to identify stress factors, levels and helpful coping patterns for parents who must take care of cerebral palsy children. Data were collected from 43 subjects who were parents of children diagnosed with cerebral palsy The informations gathered from March 25, 1994 to April 14, 1994 by means of structured questionnaires were analyzed. Two instruments were used to collect the data 1) Lee's stress questionnaire consisted of 33 stress factors and measured by four point Likert scale. 2) Modified Chronic Health Inventory for parents: The modified CHIP included 43 items of coping methods with four point Likert scale. The results of this study were as follows: 1) Stress items could have a maximum score of three points, for a total possible score of 132 points. The mean score for the total was 92.02 points. The item mean score was 2.85 points showing that the parents were experiencing moderate to much stress. 2) The items with the highest stress items were 16 items. The stress items with the lowest mean scores were 10 items. 3) Of the stress categories: The highest stress category was related to changes in the illness status of the child and difficulty in taking rare of the child. The second stressful category was related to the prognosis of the child's condition. The least stress was noticed to social-personal relationships and the responsibility of the care givers. 4) Items measuring coping in the parents had a maximum score of three points each with a total possible roping score of 172 points. The mean score for the total was 103,9 paints. The item mean score was 2.42 points indicating that there were responses of little helpful to moderately helpful on each coping pattern. 5) The most helpful coping items were 7 items. The least helpful coping items were 2 items. 6) Effectiveness of the coping for each patterns was examined : Understanding the illness condition from communication with parents of children with the same condition and consultation with the medical team was the most helpful coping pattern. Family's coorperation and integration and optimism were a moderately helpful coping pattern. Social support psychological stability and self esteem were the least helpful toping pattern. In conclusion, the highest stress for parents of children with cerebropalsy was found to be very stressful changes in the illness of the child and to taking care of a child who is suffering. The parents were helped by the coping methods using understanding of the illness condition through consultation with the medical learn and communication with parents in the same situation. Based on the knowledge, care could develop intervention strategies appropriate for them, help them to develop their effective coping patterns, and give support them in the process of coping with their stress.

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A Study on the Improvement of Pedestrian Facilities by the Use of Importance-Performance Analysis (중요도-만족도분석을 통한 보행자시설 개선에 관한 연구)

  • Lee, Chang Hee;Kim, Myung Soo;Jo, Kyeong Nam
    • Journal of Korean Society of Transportation
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    • v.32 no.6
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    • pp.628-637
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    • 2014
  • The purpose of this study is to investigate the actual conditions of the mobility convenience facilities for pedestrians and their perception of the facilities, and thereby provide fundamental material necessary to establish a strategy of improving mobility convenience facilities. This study tried to analyze the characteristics of the mobility convenience facilities for pedestrians. Based on previous studies and "Report of Mobility Facilities of the Mobility Handicapped", this study first chose the evaluation items related to mobility convenience facilities, and then conducted a questionnaire survey and Importance-Performance Analysis (IPA). According to the study results, first, the item that needs intensive improvement was sidewalks, and the detailed indicators for sidewalks were walking safety, convenient facilities for the disabled, and pavement in order. Secondly, the items that need to be maintained were bus and crossroad. Thirdly, the low-ranking items were under-passageway and pedestrian overpass. And lastly, the items that need to be controlled were facilities for passenger terminals and bus terminals. Based on the comprehensive IPA result, this researcher judged the actual use conditions of the mobility convenience facilities in Buyeo-gun, Chungcheongnamdo. Therefore, it was found that it would be urgent to improve the direct walking environment on sidewalks. In this aspect, for future policy decision and facility maintenance, it is desirable to put the item in priority in terms of investment and come up with an improvement strategy.

A study on estimation status and improvement plan of the repair and replacement cycle of a building (건축물 수선교체주기 산정현황과 개선방안에 관한 연구)

  • Kim, Jong-Rok;Son, Jae-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.1
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    • pp.193-198
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    • 2010
  • This study aimed at presenting the improvement plan for estimation of the repair and replacement cycle to analyze these current problems by considering the repair and replacement cycle theoretically and examining estimation status of home and abroad, and then drawing implication and problem based on brainstorming and expert opinion. The findings of a study is as follows. First, the problem is, for the domestic, that there is no clear standard of division to the cycle of repair and replacement and the repair and replacement cycle considering capability to deal with the change by construction method, development of the function of material and the number of years of progress is not being applied. That is, an estimation of economical repair and replacement cycle which considers the case that a large scale repair with the level of remodeling is done between 25 years and 35 years is necessary. For estimating the repair and replacement cycle, foreign country is providing this according to the use or the level of function of a building, but it is not the case for the domestic. A characteristic of each building should be reflected and the standard of estimation of the repair and replacement cycle to new construction material or method should be prepared to improve this. In addition, the method of classification of the subject item for the repair and replacement is necessary to be reorganized to be able to apply the standard of initial construction item of a building. Also, it is considered that a service standard which can reset the repair and replacement cycle based on status of a building with escape from the existing definite setup of the repair and replacement cycle through the management of background data of the repair and replacement is going to be necessary.

The Current State of Intended Equipment for Heating in Medical Use Based on Domestic Licensed Medical Devices (국내 인·허가 온열의료기기 기술 현황 조사 및 분석)

  • Su-Ran Lim;Jung-Hwan Park;Ji-Yeun Park;Song-Yi Kim
    • Korean Journal of Acupuncture
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    • v.40 no.4
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    • pp.156-168
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    • 2023
  • Objectives : This study aimed to determine the status of thermal stimulation devices approved in Korea for medical applications over the past 10 years, and based on this, to obtain insight for future thermal treatment in Korean medical institutions. Methods : We searched the item classification list entitled "Regulations on Medical Device Items and Rating by Item" from the Ministry of Food and Drug Safety Notice No. 2021-24, 2021 (Enforced March 19, 2021; www.mfds.go.kr) for individually licensed heaters using the terms "heat" and "heating". Results : We identified 17 items of thermal stimulation product group, of which 1,308 devices were licensed by February 4, 2022, and 53.2% of them (n=696) were devices with valid permits for distribution in Korea. Among the licensed devices, heating pad systems under/overlay (electric, home use) were approved the most, but combinational stimulator (for medical use, home use; Grade 2) accounted for the highest percentage among the current valid permission. Moxibustion apparatuses were licensed separately for electrical use and non-electrical use, and occupied a low percentage of the total devices. We analyzed 307 devices that were accompanied by technical documents and found that the heat sources were wires in 145 (47.2%), infrared rays in 44 (14.3%) and ultrasonic waves in 42 (13.7%) devices. Most (83.1%) devices were used for pain relief, while other applications included beauty, cancer treatment, maintenance of infant body temperature, and healing fractures. Conclusions : Thermal stimulation devices accounted for about 0.9% of all medical devices, and among them, combinational stimulators and heating pad systems under/overlay had the most valid permits. Thermal stimulation devices using heating wires and infrared rays were the most prevalent, and most were used to relieve pain. In order to develop a range of thermal stimulation devices that can be utilized in Korean medical institutions, it is imperative that they have potential applications beyond pain management, addressing various medical purposes. To achieve this, foundational research is necessary to effectively apply diverse heat sources based on medical objectives.

Weighting Value Evaluation of Condition Assessment Item in Reinforced Earth Retaining Walls by Applying Hybrid Weighting Technique (혼합 가중치를 적용한 보강토 옹벽의 상태평가항목 가중치 평가)

  • Lee, Hyung Do;Won, Jeong-Hun;Seong, Joohyun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.21 no.5
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    • pp.83-93
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    • 2017
  • This study proposed the new weighting values and fault points of condition assessment items for reinforced earth retaining walls based on the combination the inspection data and hybrid weighting technique. Utilizing the inspection data of 161 reinforced earth retaining walls, multi regression analysis and entropy technique were applied to gain the weighting values of condition assessment items. In addition, the weighting values by AHP technique was analyzed based on the opinion of experts. By appling hybrid weighting technique to the calculated weighting values obtained by the individual technique, the new weighting values of condition assessment items were proposed, and the fault points and fault indices of reinforced earth retaining walls were proposed. Results showed that the rank of the weighting value of the condition evaluation items was fluctuated according to the multiple regression analysis, AHP technique, and entropy technique. There was no duplication of the rank of the weighting value while the current weighting value was overlapped. Specially, in the rsults of multi regression analysis, two condition assessment items were occupied 70% of the total weights. When the proposed weighting values were applied to existing reinforced earth retaining wall of 161, 16 reinforced earth retaining walls showed the increased risk rank and 31 represented the decreased risk rank.

Experimental Study on Temperature-Moisture Combined Measurement System for Slope Failure Monitoring (사면붕괴 모니터링에 사용되는 온도-함수비 복합계측시스템 개발에 관한 실험적 연구)

  • Nam, Jin-Won
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.2
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    • pp.33-39
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    • 2015
  • Recently, the event of slope failure has been occurring frequently due to rapid climate changes and broad development of infrastructures, and the research for establishment of monitoring and prevention system has been an attentive issue. The major influence factors of slope failure mechanism can be considered moisture and temperature in soil, and the slope failure can be monitored and predicted through the trend of moisture-temperature change. Therefore, the combined sensing technology for the continuous measurement of moisture-temperature with different soil depths is needed for the slope monitoring system. The various independent sensors for each item (i.e. temperature and moisture respectively) have been developed, however, the research for development of combined sensing system has been hardly carried out. In this study, the high-fidelity sensor combing temperature-moisture measurement by using the minimized current consuming temperature circuit and the microwave emission moisture sensor is developed and applied on the slope failure monitoring system. The feasibility of developed monitoring system is verified by various experimental approaches such as standard performance test, mockup test and long-term field test. As a result, the developed temperature-moisture combined measurement system is verified to be measuring and monitoring the temperature and moisture in soil accurately.

A Study on the Selection of Factors for Evaluating the Efficiency of Slope Reinforcement Using AHP (AHP 분석을 활용한 비탈면 보강공 성능평가를 위한 중요항목 도출에 관한 연구)

  • Lee, Jonghyun;Kim, Oil;Kim, Jinhwan;Kim, Wooseok;Choi, Junghae
    • The Journal of Engineering Geology
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    • v.29 no.4
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    • pp.531-539
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    • 2019
  • Various slope protect systems are applied to the slope located around the major facility to maintain stability, and the applied these systems play an important role in protecting the structure by ensuring the safety of the slope. Reinforcement techniques ensure complete safety at the time of application to the slope, but over time, it may become difficult to secure safety. In particular, the deterioration of reinforcement systems may significantly reduce the stability of the slope. Therefore, it is necessary to secure the safety of the slope by defining the necessary items for maintenance of the protect systems and verifying them by the field expert. In this study, a group of experts were formed to determine these items and select their importance among them, and based on their data, the importance of each item was selected by Analytic Hierarchy Process (AHP). The selected items are expected to play an important role in the maintenance of reinforcement systems applied to the slope based on the survey items used by experts.

A Study on the Application Ratio by the New and Renewable Energy Systems Fit for Public Medical Facilities (공공의료시설에 적합한 신재생에너지시스템의 복합적용비율에 관한 연구)

  • Hong, Jun-Ho;Lee, Yong-Ho;Cho, Young-Hum;Hwang, Jung-Ha
    • Journal of the Korean Solar Energy Society
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    • v.34 no.2
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    • pp.32-43
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    • 2014
  • This study set out to identify the importance of each factor influencing facility selection with a survey among public medical facilities under the category of public buildings and apply the importance of economy, technology and environment with the weighting factor method, thus proposing optimal application plans. The research content of each section can be summarized as follows:1) Estimated energy consumption according to the energy simulation was 65,129MWh/yr, which was 18.7% higher than that according to the calculation equation. Of the energy consumption, more than 80% was used by heating and cooling facilities and construction facilities, and 20% was used by electronics such as medical equipments and in and outdoor lighting. 2) The results of a survey on the factors influencing the importance when selecting a new and renewable energy system reveal that the upper items had a priority in economy, environment, and technology in the descending order and that the lower item shad a priority in initial investments, maintenance and repair costs=energy costs, supply reliability, energy efficiency and $CO_2$ emissions in the descending order. 3) The application alternatives were analyzed in economy, technology, and environment. As a result, a geothermal system turned out to be the most excellent one a cross all the upper and lower comparison items. Of the other systems, a solar thermal system was superior in initial investments, maintenance and repair costs, and energy efficiency, where as a photovoltaic system was superior in energy costs, supply reliability, and $CO_2$ emissions. 4) As for the mixed application ratio among economy, technology, and environment, when the percentage of a geothermal system was approximately 80% or higher in anew and renewable energy system, it was the best and most optimal application plan.

A Study on the level of Recognition and Practices of 119 Emergency Medical Technician about Infection Control (119구급대원의 감염관리에 대한 인지도와 수행도 관계 연구)

  • Yun, Hyeong-Wan;Jung, Ji-Yeon
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.3
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    • pp.99-113
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    • 2008
  • In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

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