• 제목/요약/키워드: Safety Prevention Practice

검색결과 139건 처리시간 0.033초

생물테러리즘의 위기관리방안 (Countermeasure to the Stages of Crisis Management in the Bioterrorism)

  • 이광렬
    • 한국콘텐츠학회논문지
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    • 제9권9호
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    • pp.235-242
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    • 2009
  • 이 연구는 생물테러리즘을 위기로 인식하고 생물테러리즘을 위기관리별로 어떻게 관리할 것인가에 대한 관리방안을 연구하는데 그 목적이 있다. 9.11 테러 이후 발생한 탄저균 테러는 전 세계에 생물병원체에 의한 공포감을 인식시켜 주었으며, 그 위험성이 강조된 사례이다. 본 연구결과 생물테러리즘 위기는 4단계로 구분하여 관리할 때 완화 및 예방단계에서는 테러리즘의 기준을 정하고, 대비를 하기 위하여 테러관련 법을 제정하고, 조기발견을 위한 감시체계를 확보해야 한다. 대비단계에서는 초동조치 팀을 편성하고 교육훈련을 통해 대응하는 요령을 숙달시켜야 하며, 각종 자원을 확보해야 한다. 대응단계에서는 숙달된 초동조치팀이 즉각 투입되어 현장 정리 및 확산을 방지해야 하며, 복구단계에서는 평가체제를 구축하여 조기에 정상적인 생활로 복귀할 수 있도록 조치해야 한다.

알레르기 비염의 한의학적 관리를 위한 최신 지견 (Current update on allergic rhinitis for Korean Medicine management)

  • 정창운;조희근;김혜화;송민영
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.95-113
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    • 2016
  • Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNKI, JStage, KISTI. And in order to reflect clinical situation, we also reviewed some profession's writing for practitioners. Results : This review discussed allergic rhinitis's epidemiology, pathophysiology, diagnosis, treatment, prognosis. We found many standardized clinical practice guideline have been published in this field. And some guideline reflected accumulation of medical evidence on interventions in Korean medicine. It suggested that acupuncture, herbal medicine, herbal patch are useful to prevention and alleviate allergic symptoms. But some interventions have heterogeneity due to each nation's medical background. Conclusions : Acupuncture therapy is now recommended world widely for treating allergic rhinitis. But other interventions of Korean medicine are not well recognized in the same manner. We need more research to identify mechanism and rigorous clinical trials to clarify efficacy and safety of Korean medicine intervention.

간호과오책임 예방을 위한 웹기반 진단평가 프로그램 개발 (Development of a Web-based Diagnostic Evaluation Program for Prevention of Nurse Malpractice Liability)

  • 김기경
    • 간호행정학회지
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    • 제17권1호
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    • pp.33-43
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    • 2011
  • Purpose: This study was done to develop a web-based diagnostic evaluation program for nurses to prevent malpractice liability. Methods: A comprehensive review of the literature and 9 specialist interviews were used to search for learning goals and content for protection for nurses from malpractice. Data on needs for learning goals were collected from 56 hospital nurses who agreed to complete a self-report questionnaire. The diagnostic program was evaluated between September 2008 and August 2009 by 35 new hospital nurses using an application of the web-based program evaluation tools by Chung (2000). Results: A comprehensive review of the literature and interviews were used to search for learning goals and content. The evaluation program was composed of the 73 questions for diagnostic evaluation under 23 learning goals and 6 grand learning goals which included the principles of law, patient's rights, legal responsibility, patient's safety, regulation on nursing practice and patient's rights protection. Evaluation of the program showed that the mean for program evaluation was 3.43 (SD=.37). Conclusion: This diagnostic evaluation program could be an efficient method for teachers and learners to improve nurses' behavior in protecting the patient's rights and preventing malpractice claims.

A Study on the Development of a Caddie Education Program for Golf Club in China

  • Du, Xin-Rui;Kim, Sung-Jun;Cho, Sang-Woo
    • 한국응용과학기술학회지
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    • 제36권2호
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    • pp.479-487
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    • 2019
  • The purpose of this study is to present a caddie education program that can improve the performance of golf caddies in China by comparing and analyzing the golf caddie education programs in South Korea and China. Caddie education programs were collected from 4 golf clubs, 3 professional caddie education institutions and 8 public institutions in South Korea and 6 golf clubs and 2 professional caddie education institutions in China. The following results were obtained. Although the caddie training in China is conducted over more time and term than in South Korea, it is necessary to have an education program considering golf expertise and quality of customer service. Therefore, the caddie education program in China is composed of golf related education(golf etiquette, golf practice skill), caddie duty training(safety management, customer service and image making), and training for caddie(fitness management, injury prevention, skin care, and cost-saving etc.). In the future, the Chinese golf club industry will has a potential to develop. In order to provide a consistent and systematic education, manual training on caddie education and training on caddie master to manage caddies should be conducted.

Comparison of Various Single Chemical Extraction Methods for Predicting the Bioavailability of Arsenic in Paddy Soils

  • Go, Woo-Ri;Jeong, Seon-Hee;Kunhikrishnan, Anitha;Kim, Gyeong-Jin;Yoo, Ji-Hyock;Cho, Namjun;Kim, Kwon-Rae;Kim, Kye-Hoon;Kim, Won-Il
    • 한국토양비료학회지
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    • 제47권6호
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    • pp.464-472
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    • 2014
  • The Codex Committee of Contaminants in Food (CCCF) has been discussing a new standard for arsenic (As) in rice since 2010 and a code of practice for the prevention and reduction of As contamination in rice since 2013. Therefore, our current studies focus on setting a maximum level of As in rice and paddy soil by considering bioavailability in the remediation of As contaminated soils. This study aimed to select an appropriate single chemical extractant for evaluating the mobility of As in paddy soil and the bioavailability of As to rice. Nine different extractants, such as deionized water, 0.01 M $Ca(NO_3)_2$, 0.1 M HCl, 0.2 M $C_6H_8O_7$, 0.43 M $HNO_3$, 0.43 M $CH_3COOH$, 0.5 M $KH_2PO_4$, 1 M HCl, and 1 M $NH_4NO_3$ were used in this study. Total As content in soil was also determined after aqua regia digestion. The As extractability of the was in the order of: Aqua regia > 1 M HCl > 0.5 M $KH_2PO_4$ > 0.43 M $HNO_3$ > 0.2 M $C_6H_8O_7$ > 0.1 M HCl > 0.43 M $CH_3COOH$ > deionized water > 1 M $NH_4NO_3$ > 0.01 M $Ca(NO_3)_2$. Correlation between soil extractants and As content in rice was in the order of : deionized water > 0.01 M $Ca(NO_3)_2$ > 0.43 M $CH_3COOH$ > 0.1 M HCl > 0.5 M $KH_2PO_4$ > 1 M $NH_4NO_3$ > 0.2 M $C_6H_8O_7$ > 0.43 M $HNO_3$ > 1M HCl > Aqua regia. BCF (bioconcentration factor) according to extractants was in the order of : 0.01M $Ca(NO_3)_2$ > 1 M $NH_4NO_3$ > deionized water > 0.43 M $CH_3COOH$ > 0.1 M HCl > 0.43 M $HNO_3$ > 0.2 M $C_6H_8O_7$ > 0.5 M $KH_2PO_4$ > 1 M HCl > Aqua regia. Therefore, 0.01 M $Ca(NO_3)_2$ ($r=0.78^{**}$) was proven to have the greatest potential for predicting As bioavailability in soil with higher correlation between As in rice and the extractant.

사회복지기관에 적합한 ESG경영 전략도출 및 성과관리방안 : 천안시사회복지재단을 중심으로 (ESG Management Strategy and Performance Management Plan Suitable for Social Welfare Institutions : Centered on Cheonan City Social Welfare Foundation)

  • 황규일
    • 벤처혁신연구
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    • 제6권3호
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    • pp.165-184
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    • 2023
  • 사회복지기관은 일반기업 또는 공기업 등과는 다른 목적으로 사업을 영위하는 관계로 ESG 실천항목 도출과 모형구축은 다양하고 종합적인 사회복지학적 측면의 연구를 통해 이루어져야 한다. 지금까지 국내 복지기관에서 활용할 수 있는 연구가 아직은 많지 않고 마땅한 ESG 경영활용 지표가 없는 관계로 천안시복지재단의 전략도출과 경영전략 체계수립으로 성과를 최대로 발휘하도록 하여 그 모형을 다른 복지기관에 전파하고 교육 및 훈련을 통해 선도적인 재단으로 거듭나는 것을 목적으로 추진되었다. 재단과 일선 복지기관들이 ESG 경영에 대한 이해와 기관 이미지 및 사업성과에 긍정적 영향을 미치는 실천모형 구축방안에 초점을 두고 재단의 실증분석, 중대성 이슈 분석을 통해 이슈식별과 핵심이슈를 선정하였다. 이를 바탕으로 사회복지기관의 적합한 전략도출과 전략체계수립 후 성과관리 방안을 구축하여 추진체계를 살펴보았다. 환경적·사회적 책임, 투명경영 측면, 안전관리체계 구축, 응급상황 및 예방분야, 이용자(고객)만족체계 구축, 반부패 예방과 청렴 윤리 모니터링 및 평가, 책임감 있는 공급망, 지역사회 참여 및 발전을 위해 지역사회 공헌 프로그램 실행 등 현재 우수하게 추진하는 분야와 앞으로 추진해야 할 항목을 세심하게 도출하였다. 본 연구는 천안시복지재단의 고찰을 통해 ESG경영 정착을 위해 경주하고 있는 노력을 구체적으로 제시하고자 하였다. 따라서 ESG 측정지표를 개발하기 위한 천안시복재재단의 체계적인 개발과정을 유사한 노력을 기울이는 타 기관 및 관련 연구자들이 참고하여 ESG경영을 발전시켜 나가는데 유용한 자료가 될 것으로 사료된다.

입원환자 일반촬영 이용량 및 피폭선량: 2018년 입원환자데이터 (General Radiography Imaging Usage and Effective Dose of Inpatients: Based on Data from Inpatients in 2018)

  • 길종원
    • 대한방사선기술학회지:방사선기술과학
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    • 제47권2호
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    • pp.107-116
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    • 2024
  • In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.

김밥 전문음식점 내 작업 환경에서의 Listeria spp. 오염의 변화 (Changes of Contamination Level of Listeria spp. during the Processing Environments in Kimbab Restaurants)

  • 김지연;권일경;하승열;홍종해
    • 한국식품위생안전성학회지
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    • 제20권4호
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    • pp.232-236
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    • 2005
  • 김밥은 소비자가 즐겨 찾는 대표적인 RTE식품으로 전문음식점에서의 구입 및 섭취가 증가하면서 안전성 관리의 중요성이 부각되고 있다. 본 연구는 김밥 전문음식점의 오전과 오후 시간대의 작업 조건에서 Listeria spp. 오염 변화와 관련된 사항을 분석하여, 안전성 확보를 위해서 관리되어야 할 내용을 파악하였다. 전체 264건의 시료 중 Listeria spp.는 114건($43.2\%$)이 검출되었으며, 검출된 Listeria spp. 중 Listeria innocua 95건($83.3\%$), L. murrayi 18건($15.5\%$), L. grayi($0.9\%$)이 분리되었다. 인체 유해균인 Listeria monocytogenes는 검출되지 않았다. 모든 작업 환경에서 오전보다 오후 시간대의 오염수준이 더 높았으며(P < 0.05), 김밥 제조 과정에서 작업 도구의 세척$\cdot$소독이 잘 이루어지지 않기 때문인 것으로 파악되었다. 김밥은 열처리 없이 그대로 섭취하므로 식재료 및 도구의 초기 오염 관리와 제조된 김밥의 보존 온도 관리가 중요하다. 따라서 김밥 전문음식점에서의 식재료 준비 단계에서부터 오염 발생 요인을 제거하고, 준비된 식재료의 보관 온도 준수, 도마, 칼, 장갑 등의 세척$\cdot$소독 및 교환 횟수 준수, 식재료 보관 용기가 포함된 김밥 제조대의 오염 차단 설계, 특히 식품 취급 종업원이 위생수칙을 준수하도록 위생관리 지침 및 위생 교육이 강화되어야 하겠다. 이러한 위생관리가 체계적으로 이루어지기 위해서는 김밥 전문음식점의 현실에 맞는 Good Hygienic Practices를 개발하여 보급하는 것이, 시판 김밥을 포함한 즉석조리 식품의 안전성 향상을 위해서 반드시 필요한 조치인 것으로 판단된다.

Continuous Transarterial Infusion Chemotherapy with Gemcitabine and 5-Fluorouracil for Advanced Pancreatic Carcinoma

  • Hong, Guo-Bin;Zhou, Jing-Xing;Sun, Hua-Bin;Li, Chun-Yang;Song, Li-Qing
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2669-2673
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    • 2012
  • Purpose: Pancreatic carcinoma is one of the most malignant tumors of the alimentary system, with relatively high incidence rates. The purpose of this study was to assess the efficacy and safety of two regimens for advanced pancreatic carcinoma: continuous transarterial infusion versus systemic venous chemotherapy with gemcitabine and 5-fluorouracil. Methods: Of the 48 patients with advanced pancreatic carcinoma receiving chemotherapy with gemcitabine and 5-fluorouracil, 24 received the selective transarterial infusion, and 24 the systemic chemotherapy. For the continuous transarterial infusion group (experimental group), all patients received gemcitabine 1000 mg/$m^2$, given by 30-minute transarterial infusion, on day 1 of a 4-week cycle for 2 cycles, and a dose of 600 mg/$m^2$ 5-fluorouracil was infused on days 1~5 of a 4-week cycle for 2 cycles. For the systemic venous group (control group), gemcitabine and 5-fluorouracil were infused through a peripheral vein, a dose of 1000 mg/$m^2$ gemcitabine being administrated over 30 min on days 1 and 8 of a 4-week cycle for 2 cycles, and a dose of 600 mg/$m^2$ 5-fluorouracil was infused on days 1~5 of a 4-week cycle for 2 cycles. The effectiveness and safety were evaluated after 2 cyclesaccording to WHO criteria. Results:The objective effective rate in transarterial group was 33.3% versus 25% in the systemic group, the difference not being significant (P=0.626). Clinical benefit rates(CBR) in the transarterial and systemic groups were 83.3% and 58.3%, respectively (P=0.014). The means and medians for survival time in transarterial group were higher than those of the systemic group (P < 0.005). at the same time, the adverse effects did not significantly differ between the two groups (P > 0.05). Conclusion: Continuous transarterial infusion chemotherapy with gemcitabine and 5-fluorouracil could improve clinical benefit rate and survival time of patients with advanced pancreatic carcinoma, compared with systemic venous chemotherapy. Since adverse effects were limited in the transarterial group, the regimen of continuous transarterial infusion chemotherapy can be used more extensively in clinical practice. A CT and MRI conventional sequence can be used for efficacy evaluation after chemotherapy in pancreatic carcinoma.

근로자의 산업보건 지식과 태도에 관한 조사연구 (A Survey on the Knowledge and Attitude of Workers Concerning Occupational Health)

  • 박영식;조수열;남철현
    • 한국환경보건학회지
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    • 제18권2호
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    • pp.3-18
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    • 1992
  • This research was carried out on 1,017 production workers for four months from May to August, 1991, to search more effective management method of their health by grasping their knowledge and attitude on industrial health. The results of this study can be summarized as follows: 1. As for general characteristics, 74.2% were male and 25.8% were female among the 1,017 workers. The two largest age groups were 30~39, 38.7%. As for education level, graduation from high school was 58.6%, 61.2% were married, 35.9% owned their house, and workers who worked more than 1 year less than 5 years was 52.9%, workers who worked 8 hours a day was 46.7%, the largest group income level was 60~69 thousand won 21.2%, and the degree of satisfaction with work was ordinary, 45.6%. 2. The degree of recognition concerning occupational diseases was 92.5% at a very high rate. Causes of occupational diseases under the present work field were in order of noise, dust, heavy metal. The largest group of the counterplan for prevention was an improvement of working environment, 62.0%. 3. The major cause that threatens worker's health was poor working environment, 31.4%. As the best method for workers' health management, working environment management was pointed. 4. As for health examination result, the response that it is of use to health management was 53.8%. As for examination method and result, 42.7% responded that they are formal. The practice period was more than once every six months as the largest group, and the highest desire for improvement was that they wants an exact information of the result. 5. 49.3% of the respondents know about the measurement of working environment an the response that the measurement is necessary to improve working environment was 57.9%, and that the results from the measurement were reflected on improvement an management 57.5%. Appropriate period to take a measurement was more than once per six months, 40.2% and per three months, 29.1%. 6. As for safety and halth instruction, 34.5% were educated for both, 38.2% for only safety education and just 4.6% for only health education. 51.9% responded that they had never been educated out of work place. The period of its practice was more than once a month, 39.5% and every three months, 21.3%. 7. The importance of safety and health showed that the one is equal to the other, 59.8%, that the one is more important, 29.6%, and that other is more important, 7.6%. 67.7% said the necessity of a safety and health manager. 8. In spite of more or less health obstacle of work environment, 14.9% of the respondents wanted to overwork to gain an allowance for over-time work, 39.9% didn't, and 40.2% according to condition and state. 9. As the most important cause of industrial accident, 40.2% indicated unsafe behavior. As for the individual protective instrument, 66.1% of all the respondents said they have worn it to protect industrial diseases. 10. As for the degree of understanding of the contents in Industrial Safety and Health Law and Industrial Law of Accident Insurance, an affirmative response was respectively 49.3% and 50.8% and the sources of safety-health information were televisions and radios, 28.0%. Therefore, it is necessary that we do positive working environmental improvement, continuous management and health education's inforcement to increase their health and prevent occupational diseases.

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