• 한국임상약학회지
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• 제27권1호
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• pp.9-14
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• 2017

Background: Pharmacy curriculum change was made from a 4-year program to a 2+4 year program in year 2009 in Korea. The change has resulted in more educational exposures on patient-centered practice environments for about 1,400 hours in the last year of the professional pharmacy program. When the Middle East Respiratory Syndrome (MERS) outbreak hit Seoul and suburban areas and propagated to other provinces in Korea, emergency response to avoid student infection in the pharmacy practice sites became an urgent issue. While other health professional programs such as medicine and nursing had activated emergency preparedness manuals, timely and clear guidelines were not disseminated to all pharmacy programs and protective measures largely relied on individual pharmacy program. Methods: A survey was developed by the Committee on Pharmacy Practice Experience Programs in the Korean College of Clinical Pharmacy to document the status of pharmacy programs during the Korea MERS outbreak in 2015. The 10-question survey was distributed to the pharmacy practice experience coordinators to 34 out of 35 pharmacy schools in Korea by emails. Results: Our findings showed that 82.4% of the program coordinators (28/34) responded to the survey, 96.4% of the programs did not have emergency preparedness manuals, administrative meetings were held in 89.3% of the pharmacy programs, the rotation schedules were modified or withheld in 53.6% of schools, and the changes were mostly observed from the programs classified as MERS outbreak regions. Conclusion: Further needs in establishing the emergency preparedness manual should be explored for pharmacy education stakeholders.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1699-1705
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• 2015

Background: Medication errors in oncology may cause severe clinical problems due to low therapeutic indices and high toxicity of chemotherapeutic agents. We aimed to investigate unintentional medication errors and underlying factors during chemotherapy preparation and administration based on a systematic survey conducted to reflect oncology nurses experience. Materials and Methods: This study was conducted in 18 adult chemotherapy units with volunteer participation of 206 nurses. A survey developed by primary investigators and medication errors (MAEs) defined preventable errors during prescription of medication, ordering, preparation or administration. The survey consisted of 4 parts: demographic features of nurses; workload of chemotherapy units; errors and their estimated monthly number during chemotherapy preparation and administration; and evaluation of the possible factors responsible from ME. The survey was conducted by face to face interview and data analyses were performed with descriptive statistics. Chi-square or Fisher exact tests were used for a comparative analysis of categorical data. Results: Some 83.4% of the 210 nurses reported one or more than one error during chemotherapy preparation and administration. Prescribing or ordering wrong doses by physicians (65.7%) and noncompliance with administration sequences during chemotherapy administration (50.5%) were the most common errors. The most common estimated average monthly error was not following the administration sequence of the chemotherapeutic agents (4.1 times/month, range 1-20). The most important underlying reasons for medication errors were heavy workload (49.7%) and insufficient number of staff (36.5%). Conclusions: Our findings suggest that the probability of medication error is very high during chemotherapy preparation and administration, the most common involving prescribing and ordering errors. Further studies must address the strategies to minimize medication error in chemotherapy receiving patients, determine sufficient protective measures and establishing multistep control mechanisms.

• 한국환경보건학회지
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• 제46권1호
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• pp.1-10
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• 2020

Objectives: This study intends to evaluate the ecological risk of lead (Pb), arsenic (As), and their compounds according to the 2010 action plan on inventory and management for national priority chemicals and provide calculations of risks to the environment. By doing so, we aim to inform risk management measures for the target chemicals. Methods: We conducted species sensitivity distribution (SSD) analysis using the collected ecotoxicity data and obtained predicted no effect concentrations (PNECs) for the in-water environment using a hazardous concentration of 5% (HC5) protective of most species (95%) in the environment. Based on the calculated PNECs for aquatic organisms, PNEC values for soil and sediment were calculated using the partition coefficient. We also calculated predicted exposure concentration (PEC) from nation-wide environmental monitoring data and then the hazard quotient (HQ) was calculated using PNEC for environmental media. Results: Ecological toxicity data was categorized into five groups and five species for Pb and four groups and four species for As. Based on the HC5 values from SSD analysis, the PNEC value for aquatic organisms was calculated as 0.40 ㎍/L for Pb and 0.13 ㎍/L for As. PNEC values for soil and sediment calculated using a partition coefficient were 77.36 and 350.50 mg/kg for Pb and 24.20 and 112.75 mg/kg for As. The analysis of national environmental monitoring data showed that PEC values in water were 0.284 ㎍/L for Pb and 0.024 ㎍/L for As, while those in soil and sediment were respectively 45.9 and 44 mg/kg for Pb, and 11.40 and 19.80 mg/kg for As. Conclusions: HQs of Pb and As were 0.70 and 0.18 in water, while those in soil and sediment were 0.59 and 0.13 for Pb and 0.47 and 0.18 for As. With HQs <1 of lead and arsenic in the environment, their ecological risk levels are found to be low.

• 품질경영학회지
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• 제46권2호
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• pp.301-310
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• 2018

Purpose: The purpose of this study is to investigate the effect of work intensity on fit factor and affective quality of the dustproof Background: Among the victims who suffer pneumoconiosis due to the inhalation of toxic substances or the lack of oxygen during the work, the proportion of the victims is larger than the other causes. Wearing a respirator may prevent pneumoconiosis, but it can be hazardous to workers because of the leakage through filters, cartridges, exhaust valves, broken parts, and face-to-face contact. Despite leakage through the contact area between the mask and the face has various causes such as the wearer's activity, sweat accumulation, facial shape, etc., There is a lack of relevant research and regulation compared to developed countries that have already institutionalized the law 30 years ago and give the right to sell through a test Method: The work intensity was adjusted by walking or running at 6km/h and 11km/h on the treadmill, and tasks were defined with reference to the test procedure and the exercise sequence applied in the face leakage test of the dustproof mask. And fit factor was measured objectively using 'Respirator Fit Tester 8038' which measures fit factor calculated by dividing the number of dust present outside the mask by inside the mask. In addition, affective quality was classified by the ease of use, ease of breathing, and ease of wearing, and was measured using the 5-point likert scale questionnaire. Results: There was a significant difference in fit factor, ease of breathing, and wearing convenience according to work intensity and no significant difference in ease of use(${\alpha}=0.01$). And when the work intensity was high, fit factor, ease of breathing, and wearing convenience were all lower than when the work intensity was low. Conclusion: In Korea, it is necessary to consider consideration of the work intensity when testing the leakage rate of the face part for safety certification of the respiratory protective equipment, When developing a mask, it should be possible to maintain high adhesion even under intense, active situation and high temperature conditions by selecting materials, improving the wearing style, and expanding the adjustable range.

• 시큐리티연구
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• 제41호
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• pp.327-356
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• 2014

지방자치의 궁극적인 목적은 지역사회의 주인인 주민의 복리증진이다. 주민의 복리증진은 주민의 생명과 재산의 보호로부터 시작된다. 이러한 보호활동의 대부분은 경찰의 기능이다. 따라서 주민의 복리증진을 위해서는 지역의 자율성을 바탕으로 하는 자치경찰이 개념적으로 전제가 되어야 한다. 지역사회에 뿌리를 두고 지역사회를 위하여 활동하는 자치경찰활동은 경찰과 지역사회를 재결합시켜주는 것이며, 지역의 문제해결을 중심으로 이루어지는 자치경찰활동은 범죄와 무질서, 범죄에 대한 두려움을 감소시킬 뿐만 아니라 지역주민을 동반자로 인식하며 지역사회의 전반적인 삶의 질을 개선시키기 위한 지역주민 자체의 노력의 표현이다. 자치경찰이 전면적으로 도입될 경우 정부와 지방자치단체에서는 그동안 준비해 온 여러가지 대안들을 면밀히 검토 분석하여 최적의 대안을 마련하여 시행착오를 줄이는 것이 무엇보다 중요하다. 최우선적으로는 자치경찰을 도입하려는 이유가 무엇인지 정확하게 파악해야 한다. 즉, 자치경찰의 도입은 중앙정부와 지방정부, 국가경찰과 자치경찰, 여당과 야당, 광역자치단체와 기초자치단체 간의 보이지 않는 주도권 다툼이 아니라 지방자치시대를 맞아 진정으로 지역주민들의 '안전'과 '삶의 질 향상'에 있음을 직시해야 한다.

• 한국임상수의학회지
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• 제21권2호
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• pp.87-92
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• 2004

본 연구에서는 우리나라 실정에 맞는 개 디스템퍼에 대한 예방접종 프로토콜을 마련하기 위하여, 국내에서 사용 중인 4종류의 상업용 백신과 3 가지의 예방접종 스케줄에 따른 강아지의 면역형성 능력을 비교 평가하였다. 생후 6주령에 예방접종을 실시하기 위하여 동물병원에 내원한 120두의 강아지를 4종류의 백신[C, G, K, V (또는 V3)군]과 예방접종 스케줄(2, V4 군)에 따라 20두씩 임의배치 하여 C, G, K, V(또는 3)군은 3주 간격으로 3회(6, 9, 12주), V2 군은 5회(6, 8, 10, 12, 14주), V4 군은 3회(6, 10, 14주)에 피하로 예방접종을 실시하였다. 초유를 섭취한 7마리 강아지의 모체이행 항체의 소장상태를 확인한 결과 모체이행항체는 생후 6주령에 방어수준 이하로 떨어졌다. 백신에 따른 면역형성능에서 V 백신의 면역형성 능력이 다른 백신보다 우수하였으며 백신 종류에 따라 면역형성 능력에 차이가 인정되어 사용되는 백신의 효능을 주기적으로 평가하여야 할 것으로 판단되었다. 그리고 가장 효과적인 예방접종 스케줄은 6주령에 예방접종을 시작하여 3주 간격으로 3회 접종하는 것으로 판단되었다. 그러나 예방접종을 실시한 모든 군의 대부분의 강아지는 생후 9주령까지 항체가 수준이 방어수준 이하로 나타나 개 디스템퍼의 감염을 예방하기 위하여 이 시기까지는 감영위험성이 높은 곳에 노출되는 것을 피해야 할 것으로 생각되었다.

• 지역사회간호학회지
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• 제13권4호
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• pp.743-756
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• 2002

Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

• 한국항해항만학회지
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• 제31권8호
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• pp.653-662
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• 2007

어선보험(漁船保險)은 보험(保險)의 목적(目的)인 어선(漁船)이 보험기간 내에 해상(海上)에서 발생한 해상고유(海上固有)의 위험(危險)인 침몰, 좌초, 충돌, 풍파의 이상한 작용에 의한 손해(損害)와 화재, 손상, 구조 등에 의한 사고(事故)로 인한 손해(損害)를 보상(補償)함을 목적으로 하고 있다. 따라서 이 보험(保險)은 예측할 수 없는 위험(危險)이 상존하고 있는 해상(海上)을 무대로 삶을 영위하는 어업인(漁業人)들에게는 침몰, 좌초, 충돌, 화재 등 다양한 위험(危險)에 노출될 수밖에 없는 자신 소유의 어선(漁船)에 대한 불확실한 위험(危險)에 대한 합리적인 보호대책이며 대비수단인 것이다. 그러나 사고(事故)의 발생장소가 해상(海上)이라는 특수성으로 인하여 보험자(保險者)인 수협(水協)과 해상보험(海上保險)에 익숙하지 않은 보험계약자(保險契約者)인 어업인(漁業人)들 간에 어선보험약관상(漁船保險約款上)의 담보위험(擔保危險)과 면책위험(免責危險)의 적용여부, 그 인과관계, 그리고 보상책임 여부를 둘러싼 논쟁이 일어나기도 한다. 따라서 이 논문(論文)에서는 어선보험약관(漁船保險約款)의 담보위험(擔保危險)을 합리적으로 해석규명하여 이러한 약관상(約款上)의 제반논쟁을 해소함은 물론 해상보험약관상(海上保險約款上) 담보위험(擔保危險)의 문제점을 도출하여 그에 대한 개선방안(改善方案)을 제시하고자 한다.

• 대한정형외과스포츠의학회지
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• 제9권1호
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• pp.58-64
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• 2010

목적: 최근 교통 수단 및 레저 수단으로써 자전거 이용이 증가함에 따라 자전거 관련 수상 환자도 증가하는 추세이다. 본 저자들은 자전거 사고로 인해 입원 치료를 시행한 환자들의 사고 유형에 대해 분석하였다. 대상 및 방법: 본 연구는 2008년 01월 01일부터 2009년 05월 31일까지 자전거 주행중 사고로 인해 본원에 입원한 75명의 환자 중 추시 가능하였던 71명을 대상으로 하였다. 남자 54명 및 여자 17명이었고 평균 나이는 36.7세였다. 수상 정도, 수상 부위, 수상 기전, 수상 장소, 자전거 종류, 자전거 이용 목적, 동반 탑승 혹은 화물 적재 여부, 계절 그리고 보호구 착용 여부 등을 Injury Severity Score( ISS)를 이용하여 분석하였다. 결과: Injury Severity Score 는 1점이 11례, 4점이 41례, 5점이 2례, 9점이 13례, 13점이 1례,16점이 2례 및 29점이 1례였다. 상지 및 하지의 골절 46례중 수술적 치료를 필요로 하였던 환자는 36례였고, 이는 전체 환자의 50.7 %였으며, 척추체 골절, 안면부 손상 및 복부장기 손상으로 인해 수술적 치료를 시행한 환자는 각각 2례,8례 및 1례였다. 두부 손상은 전체 10례였는데, 이중 중환자실 치료를 필요로 할 정도로 심각한 손상은 3례로 전체 환자의 4.2%였다. 결론: 자전거 사고를 방지하기 위해서는 자전거 전용 도로 확충, 안전 교육 및 헬멧을 포함한 상지 및 하지 보호대 착용 등의 사고 예방 노력이 필요할 것으로 사료된다.

• Journal of Microbiology and Biotechnology
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• 제19권9호
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• pp.1041-1050
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• 2009

Equine respiratory disease is a common cause of poor performance and training interruptions. The higher incidence rate of infectious upper respiratory disease (IURD) in thoroughbred racehorses at the Seoul Race Park coincided with the frequent stabling season, shorter stabling periods, and younger ages in this study. Incidence rates were also correlated with significantly lower proportions of cells expressing MHC class II-, CD2 antigen-, $CD4^+$- or $CD8^+$-T lymphocyte-, and B lymphocyte in IURD patients compared with healthy control groups in the summer and fall and in 2-and-3-year-old groups. The data suggested that movement and new environments may have resulted in immunosuppression and inappropriate responses to respiratory pathogens in IURD patients. The IURD incidence decreased with age, perhaps by the acquisition of immunity, and study results suggested that immunologic protection was associated with IURD, particularly in young thoroughbred racehorses. Streptococci isolates were identified in 11 of 72 IURD horses, and 3 of these isolates were identified as Streptococcus. equi subsp. equi. S. equi subsp. zooepidemicus was isolated from 2 of 23 IURD horses in the spring (8.7%), 5 of 23 in the summer (21.7%), and 1 of 6 in winter (16.7%). S. equi subsp. zooepidemicus (5%) was also identified in 3 of 61 isolates from clinically normal horses. Racetracks should implement anti-IURD protective measures by assessing the capacity of equine immunologic protection at the Park and by limiting the introduction of specific respiratory pathogens (such as S. equi subsp. equi) by preventing the access of infected but subclinical horses with a specified respiratory pathogen-free certification system prior to Park entry.