• 한국산학기술학회논문지
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• 제17권6호
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• pp.147-156
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• 2016

본 연구는 대사증후군 환자의 건강관리를 위한 기초자료를 제공하고자 대사증후군 환자의 호전과 그 관련된 요인을 파악하였다. 2013년 1월부터 2014년 12월까지 대학병원 종합검진센터에서 2년 연속 검진 받은 만 20세 이상 성인 중 2013년 검진에서 대사증후군 진단을 받은 280명을 대상으로 하였다. 자료 분석은 SPSS WIN18.0을 이용하여 평균과 표준편차, t-검정, ${\chi}^2$ 검정, 로지스틱 회귀분석을 하였다. 연구결과 호전군의 대사증후군 구성요소는 기준년도(2013년)의 3개에서, 추적년도(2014년)에 2개로 감소된 비율이 60.6%로 가장 높았다. 호전군은 기준년도에 비해 추적년도에 허리둘레, 수축기 혈압, 중성지방의 감소 및 고밀도 지단백 콜레스테롤 증가가 유의한 차이를 보였다. 대사증후군 호전군과 유지군 간에는 음주, 운동, 열량, 지방, 당질 섭취 및 지질저하제 복용에서 유의한 차이를 보였다. 로지스틱 회귀분석에서 대사증후군 호전에는 운동, 열량섭취, 당뇨병 복용 유지가 유의한 영향력을 보였다. 본 연구의 결과 대사증후군 관리를 위해서는 운동증가, 식생활개선을 위한 중재프로그램 제공이 필요하며, 이를 지속적으로 관리하기 위한 보건교육 강화가 요구되었다.

• 한국직업건강간호학회지
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• 제11권2호
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• pp.108-120
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• 2002

This study analyzed the managerial efficiency of 11 organizations, the branch centers of a occupational health service organization in Korea, using the Data Envelopment Analysis (DEA) method. The DEA is a good method for evaluating health services since it can handle multiple inputs and outputs simultaneously, and also identify the sources and amount of inefficiency. The author approached this study using two efficient models: the monetary value model and the real value model. The DEA method based on the monetary value model included cost factors, while the real value model excluded cost factors. The input variables used were manpower of physicians, medical technicians, nurses, industrial hygienists and administrators; labor, maintenance, and material expenses. The output variables used were the number of medical examinations, workplace evaluations, group health management services and income from each service. The major results were as follows: First, in the monetary value model, 6 out of 11 organizations (54.6%) showed an efficiency score of 1.0, which means that they have been operating in very efficient ways. However, 5 organizations (46.4%) showed themselves to be relatively inefficient. Second, in the real value model, 7 out of 11 organizations (63.4%) showed an efficiency score of 1.0, which means they have been operating efficiently, while 4 organizations (46.4%) showed themselves to be relatively inefficient. Third, the reliability of DEA method were analyzed by comparing the results of the monetary value model and real value model. The results of 8 out of 11 organizations were same in terms of being efficient or not. Thus, the DEA could be a valid application method for occupational health service organizations. Fourth, the organizations that displayed common inefficiency in both the monetary value model and in the real value model 3, 9, and 10, were also considered to be managed inefficiency from expertise opinion. In summary, this study evaluated the efficiency of occupational health service organizations applying the DEA method with different variables, and found that the results of analysis could be valid in terms of both modeling and expert sense. In the future, the DEA method will be used as a useful tool to identify and evaluate the efficiency of occupational health service organizations through more applications and refinements.

• 대한토목학회논문집
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• 제40권4호
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• pp.429-435
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• 2020

북한은 2017년 6차 핵실험 이후 스스로 핵 무력의 완성을 선언하였다. 한반도 비핵화를 위한 국내외의 노력에도 불구하고 그 해결전망은 밝지 않다. 북한의 WMD위협을 억제하기 위한 정치·외교적 노력과 함께 유사시 예상되는 '재앙적 상황'에 대비한 사후관리 능력의 강화가 요구된다. 이에 따라 본 연구는 CBRN 위협에 대비한 사후관리 강화방안을 제시하기 위해 수행되었다. 연구모델은 국가 차원의 재난관리 계획발전모델 중 미 국토안보부가 채택하여 활용 중인 THIRA 프로세스를 일부 보완하여 활용하였다. 한국의 사후관리 체계는 재난에 대비한 위험관리와 위기관리를 포괄한다. 이 체계는 전·평시 CBRN의 확산 또는 사용의 억제, 위협의 대응, 예상피해 최소화 등을 목적으로 민·관·군 통합방위작전의 형태로 수행된다. 예방단계에는 CBRN의 개념과 사후관리 절차를 국가관리체계 속에 반영, 통합경보체계의 보완, 대피시설의 준비 그리고 통합훈련체계의 구축 등이 요구된다. 대비단계에는 관련 법규와 매뉴얼의 정비, 정부 조직의 정비와 수행절차의 발전, 통합대응이 가능한 현장 지원체계의 구축, 그리고 주기적인 훈련 등이 필수적이다. 대응단계에는 응급처치와 구호를 위한 의료지원체계의 정상가동, 제염시설의 설치 및 운영, 그리고 피해평가 및 통제지침의 발전이 중요하다. 복구단계에서는 안정화 평가 기준 및 절차의 발전, 피해복구에 필요한 자원의 확보 및 운용, 그리고 지역방위군과 향토예비군, 민방위가 연계된 지역피해복구 역량 강화가 필요하다.

• 대한기계학회논문집A
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• 제36권6호
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• pp.599-608
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• 2012

일체형 원자로의 안전주입 노즐 이종금속 용접부의 잔류응력에 대한 레이저 피닝의 효과를 고찰하기 위해 상용 프로그램인 ABAQUS를 이용하여 implicit 동적 유한요소 해석을 통해 연구를 수행하였다. implicit 동적 유한요소 해석은 기존의 실험 결과와의 비교에 따르면 레이저 피닝을 통한 잔류응력 이완에 대해 타당하다고 확인된다. 한편 내부 보수용접이 수행된 이종금속 용접부에 대해 해석이 수행되며 그 결과는 축방향 및 원환 잔류응력 모두 내부 보수용접에 기인하여 노즐의 내표면에서 인장임을 나타낸다. 또한 용접 잔류응력 이완에 대한 최대 충격 압력, 압력 지속 시간, 스폿 직경 및 피닝 방향과 같은 여러 변수의 효과를 고찰하기 위해 변수 해석 또한 수행하였다. 결과적으로, 레이저 피닝은 내표면 근처 영역의 잔류응력을 주로 이완시키는 예방정비 효과가 있음을 확인하였다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 한국도로학회논문집
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• 제17권1호
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• pp.17-24
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• 2015

PURPOSES : Recently, crack, rutting, and stripping problems from the surface of asphalt pavements in National highway are observed and they affect the drivers to feel uncomfortable on the road. Surface treatments are recommended to use in distressed pavements due to cost-effective, and improvement of surface performance. The purpose of this study is to evaluate the performance of micro-surfacing and polymer slurry seal treatments for distressed asphalt pavements. METHODS : Surface conditions and friction resistance are evaluated for asphalt pavements treated with micro-surfacing and polymer slurry seal mixes in National highway 30 line and 34 line. Visual observation is conducted and surface performance is measured by PES (Performance Evaluation Surveyor) in terms of crack ratio, rutting and IRI(International Roughness Index). BPN(British Pendulum Number) is measured by BPT(British Pendulum Tester) to evaluate the friction resistance in the field. RESULTS : The surface evaluation results are presented for asphalt pavement treated with micro-surfacing and polymer slurry seal treatments in National highway 30 line and 34 line. Based on the visual observation, micro-surfacing and polymer slurry seal treatments show better improvements in terms of cracks and stripping. Based on the surface conditions measured by PES vehicle, the surface performance of micro-surfacing treatments improves from 53.3% to 54.2% and the surface performance of polymer slurry seal treatments improves from 21.6% to 59.7%. However, the friction resistance of both micro-surfacing and polymer slurry seal treatments decreases from 2.5% to 6.7%. Further, it should be verified to produce the surface exposed with aggregates during the construction process of both treatment methods in the field. CONCLUSIONS : Based on the performance evaluation results in the filed, the surface performance of asphalt pavement treated with micro-surfacing and polymer slurry seal treatments improves from 21.6% to 59.7%. While, the friction resistance of asphalt pavement treated with micro-surfacing and polymer slurry seal treatments does not improve. It can be concluded that current micro-surfacing and polymer slurry seal treatments would improve surface performance but would not improve the friction resistance.

• 한국화재소방학회논문지
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• 제23권4호
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• pp.67-72
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• 2009

소방산업이 발전하려면 소방법의 제도적인 면에서 무엇이 바뀌어야 하며, 현재 소방산업에 종사하고 있는 소방인의 생각 또한 무엇이 변해야 하는지를 연구하고 국민들이 안정된 생활을 할 수 있도록 객관적인 입장에서 예방소방업무에 대한 인식을 하여야 할 것이다. 소방시설업중 설계업은 건축물의 신축시 가장 기본이 되는 소방시설업으로 소방공사업, 소방감리업, 유지관리업까지 필수적으로 따라 다니는 법적으로 중요한 사항이다. 본 연구는 소방산업이 국민의 생명과 복리증진에 기여하고 국민들이 이해하며 관심을 가지는 소방산업이 될 수 있도록 소방산업 중 소방시설설계업의 문제점을 파악하여 그 발전방향을 제시하였으며, 소방시설설계업의 소방정책에 대한 개선방안으로 일반소방시설설계업의 법적인 제도에서 기계분야와 전기분야로 구분되어 설계전문성이 결여되므로 제도적으로 통합하여 국민안전에 기여하여야 할 것이다.

• 대한치과보철학회지
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• 제46권1호
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• pp.83-91
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• 2008

문제제기 : 2007년 4월 '노인장기요양보험법'이 국회를 통과하였고 노인수발행위에 치과의사의 참여가 확정되어 2008년 7월부터 법이 시행되면서, 고령화가 급속이 진행되고 있는 한국사회에서 치과분야가 담당해야 할 역할은 커질 수밖에 없다. 목적 : 본 논문은 한국의 두 노인시설에 대한 설문조사를 바탕으로 일본의 노인요양보험법과 비교를 통해 앞으로 시행되는 노인장기요양법의 구강위생서비스의 역할 및 방향을 수립하는데 기여하고자 한다. 연구재료 및 방법 : 2005년 한국의 두 노인요양시설에서 책임 있는 직무자 또는 실제 간호의 내용을 파악하고 있는 분을 대상으로 15개 항목의 설문조사를 시행하였다. 결과 : 두 시설 모두 각각의 특징을 살려 매우 기능을 잘 하고 있었으나, 구강위생 및 이에 대한 직원의 인지도는 낮았으며 정기적인 진료나 관리는 소홀했다. 고찰 : 일본에서는 2000년 노인요양보험이 도입 후 체계화된 방법론을 기초로 시행되고 있다. 현재 '노인장기요양' 법안에 치과의사 참여가 보장된 것과 관련하여 앞으로 치과의사의 적극적인 참여가 필요하고, 시설 및 재택 방문 진료가 가능하도록 하는 법정비용을 통해 치과분야의 진료영역을 넓힐 수 있는 움직임이 필요하다고 볼 수 있다.

• 대한안전경영과학회지
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• 제22권3호
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• pp.23-29
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• 2020

As the duty to report and investigate major elevator failures has expanded due to the total amendment of the Elevator Safety Management Act in 2018, more important information on major elevator failures that have been partially identified has been collected. As of 2019, the number of elevators in Korea exceeded 700,000, making it the eighth-class elevator powerhouse in the world, but there is a trend of increasing casualties due to accidents and breakdowns. An Seung-gang-gi is a term that encompasses an elevator that moves vertically and an escalator that moves horizontally. It is an important means of transportation for most citizens that are encountered almost every day in daily life, and it is also necessary as a means of transportation that enables the construction of skyscrapers. And it seems that its importance will never diminish in the future. Major elevator failures are the main cause of dispatch when accumulating the number of 119 dispatches, and the frequency of occurrence is high. It's a shame. According to Heinrich's Law, 300 minor signs and danger phenomena precede, 29 minor accidents and 1 major accident. Accidents caused by elevators are increasing every year due to the increase in the number of installations, and the damage is threatening the valuable lives and property of users and workers in related fields due to fatal risks such as death and serious injury. Elevator safety management can achieve its purpose only when it is managed with the usual interests, awareness of safety, and full efforts of the users, workers, and the government concerned. This study was analyzed based on 2019 data notified to the Korea Elevator Safety Agency on major breakdowns improved after the revision of the Elevator Safety Management Act in 2018, and a total of 8,256 data were analyzed using the SPSS 21 version, a statistical analysis tool, to analyze the correlation with technical statistics. Proceeded. Through the analysis, it was possible to obtain preventive safety management data to prevent serious elevator safety accidents from occurring, and to derive meaningful implications that related safety management and maintenance can be effectively operated to prevent serious failures. In addition, through this analysis, we expect the development of related industries and legal and institutional improvement.

• 보건교육건강증진학회지
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• 제23권1호
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• pp.63-75
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• 2006

Objective: This study was performed to identify the related factors of change affecting the stage of change, on the assumption that there are various stages of change in the exercise behavior of workers. Method: The subjects of the study consisted of 138 workers of 10 workplaces located in Daejeon City, and data collected by using questionnaires were analyzed with SPSS/WIN 11.5 program. Results: The subjects were distributed in the stage of exercise behavior change as follows: precontemplation stage(10.9%), contemplation stage(22.5%), preparation stage(41.3%), action stage(8.7%), and maintenance stage(16.7%). Of the process of change depending on the stage of exercise behavior change, the consciousness raising(F=11.50, p=.00), dramatic relief(F=2.82, p=.02) showed significant difference in the cognitive process, and the counter conditioning(F=4.56, p=.00), reinforcement management(F=4.64, p=.00), self-liberation(F=9.46, p=.00), and stimulus control(F=13.28, p=.00) showed significant difference in the behavioral process. For decision-making depending on the stage of exercise behavior change, both the pros of decision-making(F=9.23, p=.00) and the cons of decision-making(F=2.45, p=.04) showed significant difference. Self-efficacy depending on the stage of exercise behavior change showed significant difference as F=11.50, p=.00. The related factors of change affecting the stage of exercise behavior change were the pros of decision-making, the cons of decision-making, and self-efficacy including 34.1% R-square. Conclusion: In order to change the exercise behavior of workers positively, they need to be stimulated to use the cognitive and behavioral process in the process of change properly, and to be induced to make a decision positively. And also exercise programs suitable to various characteristics of each worker as well as those of workplaces to enhance self-efficacy need to be applied after being devised. Through the further longitudinal research, it is necessary to analyze the various aspects, such as groups to select, to maintain, to stop or give up the exercise, and to avoid the change, and to study how the related factors of change affect diversity like the above.