• 제목/요약/키워드: Ministry of Health

검색결과 1,921건 처리시간 0.03초

가정간호 교육요구도 조사 연구 (Education Needs for Home Care Nurse)

  • 김조자;강규숙;백희정
    • 기본간호학회지
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    • 제6권2호
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    • pp.228-239
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    • 1999
  • In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

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최근 37년간 우리나라 주요도시의 고온일을 대상으로 한 상대습도의 경년변화 (Long-term Relative Humidity Changes on High Temperature Days of Major Cities in Korea for the Recent 37 Years)

  • 박명희;이준수;서영상;한인성;배헌균;김해동
    • 한국환경과학회지
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    • 제22권12호
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    • pp.1671-1681
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    • 2013
  • The study selected 10 regions among major Korean cities. Then the study classified the yearly change of relative humidity of those regions for 37 years based on 1996 (from 1974 to 2011) aimed at high temperature days, and examined them by stage regarding daily maximum temperature. For large cities and small cities, in general relative humidity had been likely to increase at high temperatures of $30^{\circ}C$ or over before 1996, whereas it has decreased since 1996. For suburban areas, relative humidity had been prone to diminish before 1996, whereas it has been likely to either increase since 1996 or rarely some of the cities have not shown any change. The increasing tendency of relative humidity before 1996 in large cities and small cities is believed to be because of an increase of the latent heat of vaporization by the supply of steam from cooling towers established in downtown areas. Meanwhile, the decreasing tendency from 1996 is concluded to be caused by the change from counter-current circular cooling towers, which produce a great quantity of steam including arsenic acid, to cross-flow cooling towers, which produce hardly any steam containing arsenic acid. This change was in accordance with the modification and pursuit of an urban planning law that ordered cooling towers that had been installed on rooftops be installed in the basement of buildings in consideration of a "Green network creation" project by the Ministry of Environment, urban beautification, concerns since 1996 over building collapses, and according to an argument that steam containing arsenic acid could be harmful to human health owing to chemicals contained in the water in the cooling tower in summer.

분만전후의 어미쥐의 영양부족이 새끼쥐의 뇌성장발육과 조성에 미치는 영향 (Effect of Maternal Undernutrition on the Growth and Composition of Young Rat Brain)

  • 장경자;최혜미
    • Journal of Nutrition and Health
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    • 제14권2호
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    • pp.105-116
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    • 1981
  • 분만전후 4주동안 Sqraque Dawley 암컷 쥐에게 양적으로 식이를 제한했다. 임의로 먹인 control group의 1일평균성취량의 1/2의 시중사로를 식이제한 group에게 주었다. Deficient I group에서는 분만후부터 이유시까지 식이제한을 했고, deficient II group에서는 임신 15일부터 이유시까지 계속 식이제한을 했다. 식이제한 group의 체중과 뇌무게는 control group의 새끼쥐보다 유의적으로 낮았지만, 체중에 대한 뇌무게의 비는 control group보다 높았다. 이유시에는 두 식이제한 group사이에서 체중과 뇌무게의 유의적인 차가 나타났다. 뇌의 DNA, RNA 및 단백질함량은 control group보다 식이제한 group에서 유의적으로 낮았지만 RNA/DNA, 뇌무게/DNA 및 단백질/DNA은 control group보다 식이제한 group에서 높았다. 이것은 새끼쥐뇌에서 세포분열이 세포의 크기성장보다 이 기간중의 어미쥐의 식이제한에 의해 더욱 심한 영향을 받았음을 시사해준다. 뇌의 DNA와 RNA는 두식이제한 group간에 유의적인 차를 나타내지만, 단백질의 경우는 유의적인 차를 나타내지 않았다.

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Effects of Molasses at Different Levels in Concentrate Supplement on Milk Yield of Dairy Cows Grazing Setaria Grass (Setaria Sphacelata) Pasture in Fiji

  • Eroni, V. Tamani;Aregheore, E.M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권10호
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    • pp.1455-1463
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    • 2006
  • Effects of different levels of molasses in a concentrate supplement on milk yield of cows grazing Setaria grass pastures were investigated. Thirty Friesian cows, 6-7 years old with mean pre-experimental body weight of $428{\pm}6.5$ kg, in early stage of lactation were randomly allotted to five dietary treatments in a completely randomized design experiment that lasted for 126 days. Experimental dietary treatments were forage alone and forage/concentrate mixtures with molasses included at 0, 5, 10 or 15% levels designated as $T_1$, $T_2$, $T_3$, $T_4$ and $T_5$, respectively. The parameters studied were voluntary dry matter (DM) intake, average daily live weight change (LWC), milk yield, body condition score (BCS) and apparent nutrient digestibility coefficients. The DM and energy contents of Setaria grass were low compared to the concentrate diets. Fibre fractions-NDF, ADF, ADL, hemicellulose and cellulose; and gross energy were higher in concentrate mixtures than in the forage. Total DM intake (forage+concentrate mixtures) was significantly higher (p<0.001) in cows on the concentrate mixtures. LWC was not significantly different (p>0.05) between the cows. Average milk yields were significantly different (p<0.05) between cows. Fat corrected milk (FCM) was similar among cows in the treatments. BCS was better (p<0.001) in cows on concentrate mixtures. Digestibilities of DM, CP, NDF, ADF, ADL, OM, and energy were significantly higher (p<0.001) in cows on $T_2$, $T_3$, $T_4$ and $T_5$ than in those on $T_1$. There were no significant differences in the digestibility of DM, CP, NDF, ADF and ADL (p>0.001) in cows on concentrate mixtures. This study therefore demonstrated that lactating dairy cows in Fiji need a level of readily fermented energy source such as molasses in their diets; however, a level above 10% is not nutritionally suitable for lactating dairy cows. Based on data on production parameters-milk yield, fat corrected milk, body condition score and apparent nutrient digestibility coefficients-molasses levels that range between 5-10% are recommended, however, 10% is the best and therefore recommended for inclusion in the concentrate mixture of lactating dairy cows on a basal diet of Setaria sphacelata in Fiji.

석면 건축자재의 비산 방지를 위한 침투성 경화제 침투 효과에 관한 연구 (A Study on Penetration Effect of Penetrating Hardener for Prevention of Scattering of Asbestos Building Materials)

  • 송태협;박지선;신현규
    • 한국건설순환자원학회논문집
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    • 제6권4호
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    • pp.324-330
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    • 2018
  • 2007년 산업안전 보건법의 개정에 따라 우리나라도 유럽 및 일본과 같이 석면의 수입, 유통, 제조를 완전히 금지하였다. 이에 따라 현재의 석면의 문제는 기존에 시공된 석면 건축자재의 안전한 유지관리 및 친환경 해체, 그리고 폐기된 석면 건축자재의 안정적인 최종처리에 있다고 할 수 있다. 과거 우리나라는 매년 10만 톤의 석면을 사용하였으며, 이를 사용한 건축자재는 년간 100만 톤을 초과하였다. 이러한 석면 건축자재가 2006년까지 지속적으로 사용되었고, 이러한 자재는 향후 2044년까지 계속 유지될 것으로 환경부에서 예측한 바 있다. 석면 폐기물의 무해화 처리를 위한 사전 전처리 단계로 설치되어 있는 석면 건축자재에 침투성 경화제를 도포 하고, 해체 철거를 실시하면, 해체단계에서 석면의 비산을 억제하고, 무해화 단계에서 알칼리 공급 작용을 하여 무해화 처리 조건이 개선될 수 있다. 따라서 석면 건축자재에 침투성 경화제가 안정적으로 침투될 수 있어야 한다. 본 연구에서는 sodium silicate를 주성분으로 하는 침투성 경화제와 증류수의 희석 비율에 따른 침투 효과를 비교하고자 하였다. 시험결과 K성분의 침투에 따른 침투 깊이 평가가 가능할 것으로 판단되었으며, 증류수 희석 비율이 높을수록 침투효과는 커지는 것으로 나타났다. 본 연구를 통하여 중밀도 수준의 폐석면 건축자재의 무해화를 위한 사전 전처리 방법의 제시가 가능할 것으로 사료되며, 향후 화학적 무해화를 위한 사전 전처리를 효율적으로 하기 위해서는 침투성 경화제와 중류수의 혼합비율의 최적화가 가장 중요한 요소인 것으로 나타났다.

초음파검사에 대한 방사선사 업무범위의 법적 고찰 (A Scope of Work of Radiological Technologists for Ultrasound Examinations)

  • 임창선;진계환
    • 한국방사선학회논문지
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    • 제15권4호
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    • pp.481-490
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    • 2021
  • 한국에 초음파사 자격제도는 없다. 그러나 「의료기사 등에 관한 법률」에 방사선사가 초음파 진단기를 취급할 수 있도록 규정하고 있다. 따라서 방사선사가 초음파검사를 시행하는데 허용되는 업무 범위와 한계에 대하여 논란이 있다. 이에 한국 보건복지부의 유권해석과 행정심판 재결, 법원의 판결을 분석해 보았다. 그 결과 유권해석에서는 방사선사가 초음파영상검사를 수행할 때 의사가 방사선사의 촬영영상을 동시에 보면서 실시간으로 진단과 구체적인 지도가 이루어질 수 있다면, 물리적으로 동일한 공간에 있어야 한다는 의미로서 입회 또는 기타 의료기술을 활용한 "의사의 실시간 지도하에 방사선사의 초음파검사 및 촬영"은 가능하며, 이 경우 의사의 지도는 방사선사와 1:1로 이루어져야만 한다'고 풀이하고 있다. 행정심판에서는 초음파 관련 장비의 취급은 방사선사의 업무라고 재결하였다. 법원에서는 의사의 구체적인 지휘·감독 없이 방사선사가 단독으로 초음파검사를 시행하고, 방사선사가 초음파검사에 대하여 의학적 판단을 하는 것은 위법이라고 판결하였다. 그러나 미국, 캐나다, 호주, 일본 등에서는 초음파사(sonographer, 超音波検査士)가 의사의 처방에 따라 독자적으로 환자에 대한 초음파검사를 하고, 그 결과에 대한 예비소견을 작성하여 의사에게 전달하고 있다. 따라서 한국에서도 미국 등과 같이 초음파검사를 시행하는 방사선사가 실시간 지도를 받지 않고 의사의 처방에 따라 초음파검사를 수행할 수 있도록 제도적 개선이 요구된다.

결혼이주여성의 가족상담 필요성 인식 관련 요인의 탐색 (Factors related to the Awareness for the Needs of Family Counseling for Married Immigrant Women)

  • 김현수;최연실
    • 한국심리학회지:여성
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    • 제17권3호
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    • pp.435-456
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    • 2012
  • 본 연구는 결혼이주여성의 가족상담 필요성 인식에 미치는 요인들을 파악함으로써, 결혼이주여성과 다문화가족을 위한 가족상담의 지원 방향을 제시하는 데 목적이 있다. 이를 위해 보건복지부에서 실시한 2010년도 전국다문화실태조사자료를 사용하여 결혼이주여성 총 58,072명을 대상으로, 사회인구학적 변인, 한국어 능력, 사회적 지지, 가족관계 만족도, 가족상담 경험 유무를 중심으로 가족상담 필요성 인식에 미치는 요인들을 살펴보았다. 본 연구의 결과는 다음과 같다. 첫째, 결혼이주여성은 가족상담에 대해 보통 수준으로 필요성을 인식하고 있었으며, 한국어 능력 수준도 중간 수준이었다. 사회적 지지원이 한국인, 모국인 모두 2명을 넘지 않았고, 배우자, 자녀, 시부모와의 관계에 대해서는 전반적으로 만족하고 있었다. 둘째, 결혼이주여성의 출신국가에 따른 가족상담 필요성 인식에 대한 차이가 나타났다. 조선족, 중국, 일본 출신의 여성들은 가족상담 필요성 인식이 낮았고, 베트남, 필리핀, 캄보디아 등 동남아 출신 여성들은 가족상담 필요성에 대한 인식이 높게 나타났다. 셋째, 결혼이주여성들은 연령이 어리고, 본인의 학력이 높고, 배우자의 학력이 낮고, 결혼지속년수가 짧고, 자녀가 많고, 배우자 부모와 동거하고 있고, 스스로 배우자를 만나지 않았을 경우, 가족상담에 대한 필요성을 더 높게 인식하고 있었다. 또한, 한국어 능력이 낮고, 사회적 지지원으로 한국인의 수가 적고, 배우자와의 관계에 불만족하고, 자녀와의 관계에 만족하고, 상담에 대한 경험이 있는 경우 가족상담 필요성에 대한 인식이 높아지는 것으로 나타났다.

제약업계의 학사수준 신입인력 전공 선호도 연구 (Analysis of the Pharmaceutical Companies' Recruitment Preference for Bachelor's Degree Holders without Prior Experience)

  • 한아람;천인경;길미현;양유경;배승진
    • 약학회지
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    • 제58권6호
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    • pp.397-404
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    • 2014
  • The Ministry of Health and Welfare proposed the "undergraduate program specializing in pharmaceutical industry" in 2013, as part of its roadmap to assist domestic pharmaceutical companies to become the top-tier pharma companies in near future and provide skilled personnel tailored for pharmaceutical industry. However, it is not clear whether this "undergraduate program" meets the needs of pharmaceutical industry, especially when the number of pharmacy students increased from 1,200 to 1,700 per year since 2009. The purpose of this paper is to identify which educational background is preferred by pharmaceutical companies, by surveying the CEOs of domestic pharmaceutical companies and referring to recruitment advertisements shown in medical newspapers, specified by the fields within the companies. Two independent reviewers referred to recruitment session in Yakup newspaper and Dailypharm from May 2012 until January 2014, focusing on recruitments from pharmaceutical companies targeting bachelors' degree holders with no prior experience. 749 recruitments were observed during the study period, more than 90% of which were provided by domestic pharmaceutical companies, and regardless of the companies being domestic or multinational, pharmaceutical companies' preference for pharmacists was remarkable (44.3% for domestic and 65.8% for multinational), and the preference was especially high in the fields such as Medical, R&D, Market Access (regulatory affair/pricing and reimbursement), Business Development, and Marketing. Survey results showed that the need of establishing the undergraduate program specializing in pharmaceutical industry is mixed, suggesting that although there is need for the educating personnel targeting pharmaceutical industry, the undergraduate program would not be an answer due to current PEET system. Our study concludes that in the example of pharmaceutical companies' recruitments shown in medical newspapers, pharmaceutical companies prefer pharmacy major in almost all fields of the pharmaceutical companies, yet the pharmaceutical companies still perceive the gap between current bachelor's degree holders(including pharmacy majors) and the ideal personnel required for advancing to the "top-class" pharmaceutical companies.

농업경영의 가치사슬 구조에 근거한 지속가능성 연구 (A Sustainability Study Based on Farm Management Value-Chain Structure)

  • 정훈희;김사균;허승욱
    • 농촌지도와개발
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    • 제16권2호
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    • pp.363-384
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    • 2009
  • This study aimed at finding directions for Korean agriculture to establish a new paradigm of sustainable development. Various problematic issues and concerns in the environment necessitate the transformation of Korea's development paradigm from unconditional growth to "Green Growth" through new policies on green value and review of various advanced researches. In this research, the environment-friendly agriculture's problems, particularly in agribusiness were analyzed. Drawing from Michael Porter's Value Chain Analysis, this research developed a value chain model in agriculture that reflects the environment and the present situations. Future directions in the agriculture sector were also discussed. Korea realized food self-sufficiency through the green revolution in the early 1970s. However, a lot of problems have also occurred, including ground and water pollution and the destruction of ecosystems as a result of the overuse of pesticides and chemical fertilizers. In the late 1970s, the growing interest on environment-friendly agriculture led to the introduction of sustainable methods and techniques. Unfortunately however, these were not innovative enough to foster environment-friendly agriculture. Thereafter, the consumers' distrust on agricultural products has worsened and concerns about health have increased. In view of this, the Ministry of Food, Agriculture, Forestry and Fisheries introduced in December 1993 a system of Quality-Certified Products for organic and pesticide-free agri-foods. Although a fundamental step toward the sustainability of the global environment, this system was not enough to promote environment-friendly agriculture. In 2008, Korea's vision is for "Low Carbon Green Growth" to move forward while also coping with climate change. But primary sectors in a typical value chain do not consider the green value of their operations nor look at production from an environmental perspective. In order to attain sustainable development, there is a need to use less resources and energy than what is presently used in Korean agricultural and value production. The typical value chain should be transformed into a "closed-loop" such that the beginning and the end of the chain are linked together. Such structure allows the flow of materials, products and even wastes among participants in the chain in a sustained cycle. This may result in a zero-waste sustainable production without destroying the ecosystem.

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대중교통수단에서 PM10, PM2.5 및 CO2의 농도 현황과 저감기술 개발에 관한 연구 (Characteristics of PM10, PM2.5 and CO2 Concentration in Public Transportations and Development of Control Technology)

  • 박덕신;권순박;조영민;장성기;전재식;박은영
    • 한국입자에어로졸학회지
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    • 제6권1호
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    • pp.9-20
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    • 2010
  • This study examined the concentration level of the major air pollutants in public transportation. The study was conducted between February 2009 and March 2008 at Suwon-Yeosu line in Korea. $PM_{10}$ concentration level was $100{\mu}g/m^3$ on average. The $PM_{2.5}$ to PM10 ratio in transport is 0.37, which was lower than the results published by other researches. The result also demonstrated that outdoor $PM_{10}$ concentration was about 56~60% level compared to that of the cabin. $CO_2$ concentration level in the cabin was 1,359ppm, which does not exceed 2,000ppm, which is the guideline concentration level according to the Ministry of Environment. $CO_2$ concentration level in the cabin was $CO_2=23.4{\times}N+460.2$, and about 23.4ppm in $CO_2$ concentration level increased every time one passenger was added on. The experiment conducted on the train demonstrated that the average $PM_{10}$ concentration level was $100{\mu}g/m^3$ in case of the reference cabin while average $PM_{10}$ concentration level of the modified vehicle was $68{\mu}g/m^3$. Likewise, effect of the particle reduction device for the reduction of $PM_{10}$ concentration level was approximately 21%. Meanwhile there was almost no difference in the concentration level between reference and modified cabin in case of $PM_{2.5}$. Using zeolite as an adsorbent was made to reduce the $CO_2$ concentration level in the cabin. Number of passengers was factored in, to calculate the effect of the adsorption device, which demonstrated that about 36% of $CO_2$ concentration level was reduced in the modified cabin effect of the $CO_2$ reduction device. This research analyzed the current status concerning the quality of air in the public transportation and technologies were developed that reduces major air pollutants.