• 제목/요약/키워드: Preventive possibility

검색결과 260건 처리시간 0.017초

의료공급체계 구조의 개혁방향에 대한 조직이론적 시각 (An Organization Theory Perspective on the Structural Reform of the Health Care Delivery System)

  • 한달선
    • 보건행정학회지
    • /
    • 제28권3호
    • /
    • pp.197-201
    • /
    • 2018
  • There is a general consensus that many health care problems are attributable to the structural defects of the health care delivery system in Korea. The basic policy aimed to address these problems is to reform the delivery system so as that it incorporates two core principles: (1) stratification of medical care institutions into primary, secondary, and tertiary care providers according to the capability to perform specialized and complex services; (2) patients seeking care starting from the primary care provider and, if necessary, to be referred to the other provider step by step. This policy has been consistently pursued for about 30 years, but the achievement is far from success. Thus it is believed that the feasibility of the policy should be questioned. Starting from this question, based upon the observation of the current structure of the delivery system and its expected changes, the reform policy was discussed focusing on the assessment of its feasibility from both practical and theoretical viewpoints. The discussion leads to cast doubt on the policy for its possibility of making planned changes and producing expected desirable effects. Therefore it is advisable to investigate a wide range of alternative strategies and models for improving health care delivery.

Changes of Allergenicity and Conformational Structure of Egg Ovomucoid by Gamma Irradiation in the Basic Condition

  • Kang, Kun-Og;Lee, Ju-Woon;Jo, Cheo-Run;Yook, Hong-Sun;Byun, Myung-Woo
    • Preventive Nutrition and Food Science
    • /
    • 제7권1호
    • /
    • pp.52-56
    • /
    • 2002
  • This study was conducted to evaluate the possibility of gamma radiation for reducing egg allergies through the observation of conformational and allergenic changes of egg ovomucoid (OM) in basic pH conditions. An OM solution of 2.0 mg/mL was individually prepared with different pH conditions, pH 7.0, 9.0 or 10.0, and was irradiated with the absorbed dose of 10 kGy. Irradiated OM solutions were tested by Ci-ELISA formatted with egg-hypersensitive patients'IgE. Binding abilities of IgE to OM in irradiated solution decreased with the increase of pH. Turbidity of the solution highly increased by irradiation and the increase of pH. A yellowish color was observed in the irradiated OM solution of basic condition. Coagulation of OM by irradiation decreased with the increase of pH, when observed by SDS-PAGE.

Research Ethics of Plagiarism of Adult Learners

  • Hwang, Hee-Joong;Chae, Soo-Joon
    • 동아시아경상학회지
    • /
    • 제5권3호
    • /
    • pp.41-47
    • /
    • 2017
  • Purpose - Adult learners are easily exposed to the risk of plagiarizing others' writings when writing papers or reports. Therefore, this study investigates the research ethics of adult learners and suggests alternatives for research ethics standards in online lifelong education system. The purpose of this study is to investigate the causes of violation of research ethics and preventive measures (education program) for adult learners. Research design, data, methodology - Before establishing a research ethics education plan, it is confirmed through the empirical investigation of adult learners in undergraduate. In this study, 30 questionnaires of 5-point Likert scale were used to examine the level of consciousness of adult learners related to research ethics. Results - First, the experience of participating in ethics education and the presence of prior knowledge did not affect the prevention of research ethics violation. Second, adult learners did not learn about research ethics in the pre- college education environment and they frequently engaged in research ethics violation without guilt or consciousness. Third, the students who experienced the research ethics violation (plagiarism) were more willing to know and use the plagiarism search program. Fourth, Opinions differed according to age as to the need to enforce research ethics compliance. Conclusions - Universities should clearly and easily announce and monitor plagiarism criteria or guidelines. When adult learners are relieved of the anxiety about the possibility of violation of research ethics, a developmental and original research atmosphere will be created.

Growth of Stahylococcus aureus with Defective Siderophore Production in Human Peritoneal Dialysate Solution

  • Park, Ra-Young;Sun, Hui-Yu;Choi, Mi-Hwa;Bae, Young-Hoon;Shin, Sung-Heui-
    • Journal of Microbiology
    • /
    • 제43권1호
    • /
    • pp.54-61
    • /
    • 2005
  • In this study, we attempted to determine the effects of iron-availability and the activity of the bacterial iron-uptake system (IUS) on the growth of Staphylococcus aureus in human peritoneal dialysate (HPD) solution. A streptonigrin-resistant S. aureus (SRSA) strain, isolated from S. aureus ATCC 6538, exhibited defective siderophore production, thereby resulting in ineffective uptake of iron from low iron-saturated transferrin. The growth of both strains was stimulated in HPD solution supplemented with FeCl_3 and holotransferrin, but growth was inhibited in HPD solution which had been supplemented with apotransferrin and dipyridyl. The SRSA strain grew less robustly than did its parental strain in both iron-supplemented HPD solution and regular HPD solution. These results indicate that iron-availability and siderophore-mediated IUS activity in particular, the ability to produce siderophores and thus capture iron from low iron-saturated transferrin play critical roles in the growth of S. aureus in HPD solution. Our results also indicated that the possibility of using iron chelators as therapeutic or preventive agents warrants further evaluation.

The Influence of the Annealing of Corn Starch on the formation and Characteristics of Enzyme-resistant Starch

  • Yoon, Ji-Young;Lee, Young-Eun
    • Preventive Nutrition and Food Science
    • /
    • 제4권4호
    • /
    • pp.215-220
    • /
    • 1999
  • The Physical properties of corn starch were investigated by scanning electron microscopy, X-ray diffractometry and differential scanning calorimetry during the formation of enzyme-resistant starch(RS). Samples were studied in their native states and after annealing at 50, 55, 60 and 65℃ in excess water(starch : water=1:3) for 48hr. Starch granules became smaller and more rounded after annealing than in their native state. Annealing did not change the X-ray profile of native corn starch. After autoclaving-cooling cycles, native starch lost most of its crystallinity but annealed ones showed some of their crystallinity left as diffuse or poor B-type, which didn't relate to increasing Rs yields. During formation of RS, however, both native and annealed starches changed their X-ray profile from A-type to poor B-type of retrograded amylose. Annealing caused an increase in gelatinization temperature and enthalpy, but a narrowing of gelatinization temperature range. Only starch annealed at 65℃, however, showed a decrease in enthalpy even though its gelatinization temperature increased, which appeared to be due to the partial gelatinization in the amorphous region during annealing. Peak height index(PHI), the ratio of ΔH to Ti-To, increased by annealing. PHI values, therefore, showed the possibility as an indicator to predict RS yield which cannot be differentiated by differential scanning calorimetry and X-ray diffraction data.

  • PDF

Effect of Different Salt Concentrations and Temperatures on the Lactic Acid Fermentation of Radish Juice

  • Kim, Soon-Dong;Kim, Mee-Kyung;Ku, Yeun-Soo
    • Preventive Nutrition and Food Science
    • /
    • 제4권4호
    • /
    • pp.236-240
    • /
    • 1999
  • The characteristics of natural lactic acid fermentation of radish juice were investigated at different salt concentrations (0~2%) and temperatures (10~3$0^{\circ}C$). Major lactic acid bacteria isolated from the radish juice fermented at 2% slat concentration were Leuconostoc mesenteroides, Lactobacillus plantarum, and Lactobacillus brevis. The percentage of lactic acid bacteria against total microbe in the fermented radish juice was over 80% at 0~1% salt concentrations, suggesting the possibility of fermentation even at low salt concentration, but was still active even at 1$0^{\circ}C$. The time to reach pH 4.0 during fermentation of juice of 1% salt concentration was 281~301 hrs at 1$0^{\circ}C$ and 50-73 hrs at 3$0^{\circ}C$. The concentrations of sucrose and glucose in the fermented juice were low at high temperatures and were the lowest at a 1.0% salt concentration. However, the content of mannitol showed the opposite trend. Although sour taste, ripened taste, and acidic odor of the fermented juice showed no significant differences among various temperatures and salt concentrations, sensory values of ripened taste and sour acidic were high at high temperatures. The overall quality was the best at 1.0% salt concentration, irrespective of the temperature.

  • PDF

세계 전통의학 동향과 주요 한의학 R&D 분야에 관한 연구 (A Study on the Trend of World Traditional Medicine and Key Area of Traditional Korean Medicine(TKM) R&D)

  • 송성환;최지애
    • 한국한의학연구원논문집
    • /
    • 제16권1호
    • /
    • pp.101-109
    • /
    • 2010
  • The medical and healthy paradigm is changing by various reasons such as improving of life quality, the limit of western medicine, demographic changes and so on. And the demand, interest and market size of traditional medicine(TM) and complementary and alternative medicine(CAM) are increasing continuously and there is a good traditional medicine called TKM(Traditional Korean Medicine) in Korea. TKM have differentiated characteristics like nature-friendly, systematic, preventive and personalized medicine from western medicine. TKM with these characteristics have possibility to increase national competitiveness and contribute to growth of economy. At this time, it is necessary to select key area of TKM R&D to increase competitiveness of TKM and to create new growth engine. In this paper, we suggest key area of TKM R&D through SWOT analysis, the analysis of world traditional medicine and expert's counsel. As a result, 3 key area and 10 specific fields of TKM R&D was selected, which they are 'the standardization for TKM technology and technique', 'the development of generic technology based on TKM' and 'the establishment of infrastructure for TKM information and material'. This study may contribute to make plan for TKM research and policy such as TKM middle and long term plan and TKM promotion plan.

Tow-stage Extraction of Milk Fat by Supercritical Carbon Dioxide

  • Sangbin Lim;Jwa, Mi-Kyung;Kwak, Hae-Soo
    • Preventive Nutrition and Food Science
    • /
    • 제2권3호
    • /
    • pp.202-206
    • /
    • 1997
  • To develop mil fat fractions with desirable physico-chemical properties, anhydrous milk fat (AMF) was fractionated by one- and two-stage extractions using supercritical $CO_2$(SC-$CO_2$). Tow-stage extraction of AMF was performed by first producing tow fractions, an extract and a residue at 4$0^{\circ}C$/241bar, which were subsequently used as the feed for an extraction at 6$0^{\circ}C$/241bar and 4$0^{\circ}C$/345bar, and separated into five and four fractions, respectively, based one extraction time. These fractions were quantified and analyzed for fatty acids and physico-chemical properties. SHort-chain (C4~C8) fatty acids in extract fractions from an extract were 200~150% compared with those of the original AF. Long-chain (C14~C18) fatty acids in extract fractions from a residue were 118~141%. The ratio of unsaturated fatty acids in the residue fraction was 131%. Melting point ranged from 22 to 43$^{\circ}C$, iodine value 21.8 to 36.9, and saponification value 255 to 221 in the extract and residue fractions. SC-$CO_2$ fractionation of AMF by two-stage extraction offers the possibility of developing ractions with discrete fatty acid compositions and physico-chemical properties such as melting point, iodine value and saponification value.

  • PDF

Theoretical Model for Accident Prevention Based on Root Cause Analysis With Graph Theory

  • Molan, Gregor;Molan, Marija
    • Safety and Health at Work
    • /
    • 제12권1호
    • /
    • pp.42-50
    • /
    • 2021
  • Introduction: Despite huge investments in new technology and transportation infrastructure, terrible accidents still remain a reality of traffic. Methods: Severe traffic accidents were analyzed from four prevailing modes of today's transportations: sea, air, railway, and road. Main root causes of all four accidents were defined with implementation of the approach, based on Flanagan's critical incident technique. In accordance with Molan's Availability Humanization model (AH model), possible preventive or humanization interventions were defined with the focus on technology, environment, organization, and human factors. Results: According to our analyses, there are significant similarities between accidents. Root causes of accidents, human behavioral patterns, and possible humanization measures were presented with rooted graphs. It is possible to create a generalized model graph, which is similar to rooted graphs, for identification of possible humanization measures, intended to prevent similar accidents in the future. Majority of proposed humanization interventions are focused on organization. Organizational interventions are effective in assurance of adequate and safe behavior. Conclusions: Formalization of root cause analysis with rooted graphs in a model offers possibility for implementation of presented methods in analysis of particular events. Implementation of proposed humanization measures in a particular analyzed situation is the basis for creation of safety culture.

다계층·복합구조의 국내 조선소를 대상으로 한 시스템분석기법 적용 방안 연구 (The Application of Systemic Analysis on Complex and Multi-layered Shipbuilding yard in Korea)

  • 배계완;김경환
    • 한국안전학회지
    • /
    • 제36권4호
    • /
    • pp.88-98
    • /
    • 2021
  • Korean industry has achieved dramatic growth in a short time through continuous technical innovations. However, safety consciousness and management have not kept pace with industry growth. The characteristics of industrial accidents in socio-technical systems have become so complicated that it has been challenging for safety professionals to implement effective preventive measures because it is difficult to determine what is happening in the complex workplace. Thus far, they have focused on technical improvements and the requirements of OSH regulations to avoid legal responsibility. Accordingly, this study has used the systemic analysis method to explain the emergence of something unexpected in complex and multi-layered business structures, which is usually related to the variabilities of humans and organizations. This study chose a shipyard where a few fatal accidents had occurred because the shipbuilding industry includes numerous variabilities, including obtaining orders, manpower supply, procurement, etc. Systemic analysis progressed using FRAM based on two accident cases related to the truss platform used in LNG vessels. The outcome shows that each function within the system has its variabilities and has become coupled or dependent on other functions, increasing the possibility of accidents. This analysis method can provide OSH professionals with practical techniques for explaining what is happening in a complex socio-technical system and how to take proper measures.