• Title/Summary/Keyword: Safety care activities

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Clinical Usefulness of Critical Patient Severity Classification System(CPSCS) and Glasgow coma scale(GCS) for Neurological Patients in Intensive care units(ICU) (Glasgow coma scale의 임상적 유용성 평가 - 중환자 중증도 분류도구 -)

  • Kim, Hee-Jeong;Kim, Jee-Hee;Roh, Sang-Gyun
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2012.04a
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    • pp.190-193
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    • 2012
  • The tools that classify the severity of patients based on the prediction of mortality include APACHE, SAPS, and MPM. Theses tools rely crucially on the evaluation of patients' general clinical status on the first date of their admission to ICU. Nursing activities are one of the most crucial factors influencing on the quality of treatment that patients receive and one of the contributing factors for their prognosis and safety. The purpose of this study was to identify the goodness-of-fit of CPSCS of critical patient severity classification system(CPSCS) and Glasgow coma scale(GCS) and the clinical usefulness of its death rate prediction. Data were collected from the medical records of 187 neurological patients who were admitted to the ICU of C University Hospital. The data were analyzed through $x^2$ test, t-test, Mann-Whitney, Kruskal-Wallis, goodness-of-fit test, and ROC curve. In accordance with patients' general and clinical characteristics, patient mortality turned out to be statistically different depending on ICU stay, endotracheal intubation, central venous catheter, and severity by CPSCS. Homer-Lemeshow goodness-of-fit tests were CPSCS and GCS and the results of the discrimination test using the ROC curve were $CPSCS_0$,.734, $GCS_0$,.583, $CPSCS_{24}$,.734, $GCS_{24}$,.612, $CPSCS_{48}$,.591, $GCS_{48}$,.646, $CPSCS_{72}$,.622, and $GCS_{72}$,.623. Logistic regression analysis showed that each point on the CPSCS score signifies1.034 higher likelihood of dying. Applied to neurologically ill patients, early CPSCS scores can be regarded as a useful tool.

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Preference of Cohousing according to Sense of Community in Housing Life (주생활 공동체 의식에 따른 코하우징 선호도)

  • Kwak, Yu-Mi;Choi, Jung-Sin;Kwak, In-Sook
    • Journal of the Korean housing association
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    • v.18 no.4
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    • pp.37-48
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    • 2007
  • Purpose of this study is to investigate influence on preference of cohousing (eg. intention to spread and intention to move in cohousing) according to sense of community, especially in housing life by married people residing in Seoul and its outskirts. Research method used for this study was a social survey. Respondents were 214 people by accidential sampling. The collected data were analyzed by SPSS 12.0 program using frequency, mean, average, T-test, one-way Anova, Duncan's Multiple Range test and Chi-square test. Findings of this study were as follows. Most respondents took part in interactive activities with colleagues from the same occupation. They Focused on the issues about health, leisure and hobby. The respondents mainly wanted to have interaction for changing recycling materials and education programs for children and juveniles. Degree of ideal relationships with neighbors, they think, were greeting and chatting as well as communication about issues on child-care, education for children, offense-prevention and safety. Although respondents were interested in community life and in interaction with their neighbors, they did not build up communal society due to lack of a sense of belonging in their living areas. While respondents showed positive response about preference of cohousing, there were difference between intention to spread of cohousing and intention to move in cohousing. As a result of this study, the stronger sense of community in housing life meant the more interests in thoughts to spread and to move in cohousing. Therefore, in order to increase sense of community in cohousing, the plan of various communication programs that enables frequent interaction among neighbors is needed. Also, in order to spread cohousing in Korea, promotion of cohousing community and cognitions about it are the most needed.

Characteristics of Space Design and Design Elements of Aging Simulation Centers (국내 노인생애체험전시관의 공간디자인 특성 연구)

  • Kim, Young-Jo;Lee, Yun-Hee;Shin, Hwa-Kyung
    • Korean Institute of Interior Design Journal
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    • v.17 no.2
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    • pp.111-121
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    • 2008
  • In recent years, Korean population aged 65 and over has grown faster(7.2% in 2000, 14.4% projected in 2018 and 20.0% in 2026) than the other age groups and average life expectancy has increased from 65.8 years in 1980 to 75.9 years in 2000. The Aging Simulation Center(ASC) was built for people to give educational chance for further understanding of the elderly and the environment for the aged. People are able to recognize the changes including hearing loss, vision changes, and changes in the ability to touch and move after experiencing the simulated daily life of older persons. In general, ASC is composed of residential setting area and exhibition area of daily commodities for the elderly and care person. Currently, there are four ASCs in Korea. The purpose of this study is to evaluate the characteristics of space design and design elements of ASCs and to suggest design implementation for better residential environment for the elderly. For the research purpose, design characteristics such as floor plans and spatial design elements of three ASCs were analyzed and compared. As a whole, space design of three ASCs was almost same without distinguished characteristics. The major finding of this study indicates that the ASC is considerably helpful environment to understand aging. However, some of design elements such as lighting should be supplemented for safety issue. It is recommended for future design of ASC to include exterior space including outdoor stairs, paths and roads and so on. In addition, reception and preparation area should be arranged with universally designed furniture.

Case Study of Assisted Living Facility (ALF) as a 'Home' (집'으로서의 노인보호주택 사례연구)

  • 김영주
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2002.11a
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    • pp.137-142
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    • 2002
  • The purpose of this study was to examine the features that make residents feel “at home” in ALFs in Southwest Virginia and to suggest further policy and design guidelines for better Quality of ALFs as a “home.” For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment, and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methos of data analysis. In addition to face-to-face interviews with 25 residents and five administrators of five ALFs, observations were conducted with personal journal. Overall, the five sites selected presented homelike features showing the philosophy of assisted living which combines housing and services. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. As a whole, residents felt isolation and loneliness and they did not have active interaction with other residents because of diverse background among the residents. However, all of them had close relationships with the staff. The staff's attitude and behavior seemed to influence greatly the residents' feeling “at home.” Despite the provision of diverse activities by the facilities, many residents did not participate in the programs. Most of the residents agreed that the rule and regulations were fair. In spite of high satisfaction with the facility, many people did not think of their current dwelling as a real ‘home.’ As the biggest difference between living in their own homes and living in the ALF, people pointed out a lack of independence, freedom, and autonomy. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and care were more important to them than feeling “at home.” Among the three factors --physical, social, and organizational-- that affect the residents' perception of ALFs as a “home, ” many emphasized the importance of social factors such as relationships with the staff and residents, and social support from their family or friends.

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Family Functions Characterized by the Industrial Accident Disabled (산재장애인의 특성에 따른 가족기능정도)

  • Oh, Jin-Joo;Hyun, Hye-Jin;Lee, Hyun-Joo;Yoon, Soon-Nyung;Choi, Jeong-Myung
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.488-495
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    • 2003
  • Purpose: This study was attempted to provide the basic data in order to develop a supportive system for the family by investigation of the general and disability-related features of the industrial accident disabled and their family function. Method: Three hundred and forty six industrial accident disabled were randomly selected among those who resided in the Seoul, Incheon, and Gyeonggi areas, and who were confirmed as disabled according to its severity from the first to fourteenth grade from January, 1998 to December, 2000. The data were collected for one month from August 1 to August 31, 2001. Each study team consisted of two members out of 20 researchers and they interviewed the disabled individually by visiting their homes. Collected data were analyzed using frequency, percentages, t-test, ANOVA, and Correlation, etc. Results: The average score for family function was 102.60. The adaptability represented the highest score among the concepts dependent on the family function. The concepts were cohesion, adaptability and communication, which scored as 33.59, 35.38, 33.34, respectively. The family function was significantly different in education, marital status and subjective health status. In particular, the family function was excellent from the industrial accident disabled who had graduated from middle school, was married, and felt healthy. Depression and quality of life were other factors, which were also correlated significantly with the family function. The lower the degree of depression and the better the quality of life, the better the family function. Conclusion: The industrial accident disabled who had been in poor health or faced with difficulties in daily activities even after the therapy for the disability was completed. In particular, their family always had a great burden to care for the disabled and to take financial responsibility. Therefore, the rehabilitation program for the disabled should be family oriented.

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Social Capital Trends and the Relationship between Social Capital and COVID-19-Related Behaviors & Perceptions (시군구 수준의 사회자본 추이와 사회자본과 COVID-19 관련 행위와 인식 간의 관계)

  • Geun-Chan Lee
    • Health Policy and Management
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    • v.33 no.3
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    • pp.338-354
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    • 2023
  • Background: The influence of social capital on the spread of coronavirus disease 2019 (COVID-19) and related behaviors and perceptions has been recognized during the COVID-19 pandemic. This study aims to analyze the trends in social capital using primary data from the Korean Community Health Survey, which is the only available source in Korea for local-level social capital analysis. It also investigates the relationship between various variables, including social capital, as factors influencing COVID-19-related behaviors and perceptions. Methods: The study analyzed the temporal trends of social capital using raw data from four community health surveys conducted in 2017, 2019, 2020, and 2021. A multilevel analysis was conducted to examine the relationship between social capital and COVID-19-related behaviors and perceptions following the onset of the COVID-19 pandemic in 2020. Results: Social capital consists of trust, bonding social capital, and bridging social capital. Within the trust sub-factor, trust in neighbors (Trust-1) declined after the COVID-19 pandemic, whereas trust in safety and general environment (Trust-2) and trust in medical services and public transportation (Trust-3) increased. Additionally, the gap between municipalities narrowed. COVID-19-related behaviors and perceptions, such as adherence to COVID-19 prevention measures, return to normal activities, and fear of COVID-19, showed improvement in 2021 compared to the previous year. Individual-level trust in neighbors was associated with reduced fear of COVID-19, while community-level trust in neighbors was associated with increased fear of COVID-19. Conclusion: Social capital plays a role in mitigating public health crises, and it is necessary to implement active policies that address the gap in social capital between metropolitan and rural areas. Strengthening risk communication regarding emerging infectious diseases such as COVID-19 is crucial.

A Study on Coumarin as a Cosmetic Ingredient (화장품 성분으로서의 Coumarin에 관한 연구)

  • Mi-Yun Yoon
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.6
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    • pp.1373-1380
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    • 2023
  • This study investigated the effects of coumarin, a flavonoid known for various physiological activities like antiviral, anticancer, and antibacterial properties, on anti-oxidants and anti-inflammatory processes, aiming to explore its application in functional cosmetics. The results are as follows: Cell toxicity experiments using RAW 264.7 cells showed no significant cytotoxicity for coumarin at any concentration, indicating its safety for skin application. Observing coumarin's antioxidant activity through DPPH radical scavenging showed concentration-dependent effectiveness, though not significantly varied with concentration. The inhibition of silica-induced ROS production in cells was concentration-dependent. Both NO production inhibition and histamine release measurements showed concentration-dependent suppression. These findings suggest that Coumarin can be effectively used as a natural ingredient in cosmetic development for its antioxidant and anti-inflammatory properties.

Development and evaluation of Pre-Parenthood Education Program for high school students based on Home Economics subject (고등학생을 위한 가정교과 기반 예비부모교육 프로그램 개발 및 평가)

  • Noh, Heui-Yeon;Cho, Jae Soon;Chae, Jung Hyun
    • Journal of Korean Home Economics Education Association
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    • v.29 no.4
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    • pp.161-193
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    • 2017
  • The purpose of this study was to develop and evaluate pre-parenthood education program(PPEP) based on Home Economics(HE) subject for high school students. The development and evaluation of PPEP based on HE subject in this study followed ADDIE model except implementation through 4 processes such as analysis, design, development, and evaluation. First, program development directions were set in three aspects such as 'general development', 'contents', and 'teaching and learning methods'. Themes of the program are 11 in total such as '1. Parenting, what is being a parent', '2. Choosing your spouse, happy marital relationship, the best gift to your children', '3. Pregnancy and birth, a moving meeting with a new life', '4. Taking care of a new born infant for 24 hours', '5. Taking care of infants, relationship with my lovely baby, attachment', '6. Taking care of young children, my child from another planet', '7. Parents and children in healthy family', '8. Parent-child relationship, wise parents to make effective interaction with their children', '9. Parents safety manager at home,', '10. Practice to take care of infants', and '11. Practice of community nurturing support service development'. In particular, learning activities of the program have major characteristics such as 1) utilization of cases including practice problems related to parenting, 2) community exchange activities utilizing learned knowledge and techniques, 3) actual life project activities utilizing learning contents related with parenting, 4) activities inducing positive changes in current life of high school students, and 5) practice activities for the necessities of life such as food, clothing and shelter supporting development of children. Second, the program was developed according to the design. Teaching-learning plans and materials for 17 classes were developed according to 11 themes. The developed plans include class flow and teacher's reference. It starts with receiving a class-related message from a virtual child at the introduction stage and ended with replying to the message by summarizing contents of the class and making a promise as a parent-to-be. That is the basic frame of class flow. Learning materials included various plans and reports necessary for learning activities and they are prepared in details so that they can be play the role of textbooks in regular curriculum. Third, evaluation of developed program was executed by a 5 point Likert scale survey on 13 HE experts on two aspects of program development process and program development results. In the evaluation of development process, mean value was 4.61 and index of content validity was 97.4%. For development results, mean value was 4.37 and index of content validity was 86.9%. These values showed that validity in the development process and results in this study was highly secured and confirmed that PPEP based on HE was appropriate and valid to enhance parent qualifications of high school learners.

A Study of the Whitening Activities of Magnolia obovata Bark Ethyl Acetate Fractions as Cosmetic Ingredient (화장품 소재로서 후박 에틸아세테이트 분획물의 미백활성에 관한 효과)

  • Kang, Hee Cheol;Joo, Kwang Sik;Joo, Se Jin;Ha, Young Ae;Kim, Hack Soo;Cha, Mi Yeon
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.43 no.1
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    • pp.43-52
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    • 2017
  • EtOAc fractions of Magnolia obovata (M. obovata) Bark extracts were studied for the potential ingredient as a safe and effective whitening cosmetic material. The concentration of active substances honokiol was determined by HPLC. In vitro, the fractions reduced the extracellular and intracellular melanin contents in B16F10 cells in dose dependently and inhibited extracellular melanin secretion ($IC_{50}=11.05{\mu}g/mL$). The $12.5{\mu}g/mL$ treatment of maximum concentration effectively inhibited up to about 60% to the amount of extracullular melanin. Also, the $12.5{\mu}g/mL$ treatment of maximum concentration effectively inhibited up to about 59% to the amount of intracullular melanin ($IC_{50}=10.85{\mu}g/mL$). The $IC_{50}$ value of ${\alpha}-arbutin$ used as a positive control was $59.99{\mu}g/mL$. So, EtOAc fractions of M. obovata Bark extracts showed whitening effect when compared with the non-treatment group. In case of in vivo study, Cosmetic cream with EtOAc fractions of M. obovata Bark extracts was approved by Ethics committee of KDRI (IRB number: KDRI-IRB-1537). As a result in progress for skin sensitization as well as assessment of skin irritation through repeated patch test, skin allergens was identified as non sensitizing agents. Also, cosmetic cream with EtOAc fractions of M. obovata Bark extracts showed significant topical whitening effect and reliable skin safety when compared with the non-treatment group. In conclusion, EtOAc fractions of M. obovata Bark extracts may be a useful cosmetic ingredient for effective skin whitening.

A Study on the Factors affecting Health Education needs of industrial workers (근로자의 보건교육 요구도에 영향을 미치는 요인에 관한 연구)

  • 공득희;이명선
    • Korean Journal of Health Education and Promotion
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    • v.11 no.1
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    • pp.16-32
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    • 1994
  • Health Education is very important not only in school or community fields but also in industrial fields. And health education is most fundamental and enthusiastic area in industrial health. The purpose of this study was to analyze the workers' health education needs and the factors which could affect them. The subjects for this study was 855 workers selected from 57 factories in Inchon. The results were as follows: 1. For demographic variables, sex, age, educational level, and income of the workers were investigated. Most of the workers were males (80.2%). Of the respondents, 30∼39 years old were 41.3%. Approximately 62% of the workers were high school graduates. In additions, those who reported they earned 500,000∼800,000 won monthly were 41.9%. 2. Behavioral characteristics of the workers investigated in this study included smoking, drinking and physical activities. Of the respondents, 55.9% were smoking cigarettes, and 26.8% of the workers reported they drank alcohol once or twice a week. The workers who were taking any form of exercise regularly were 31.6%. 3. Occupational characteristics of the workers included working period working hours a day, medical examination, and so on. About 37.6% of the workers had worked 1∼5 years and 53.6% of the respondents were working less than 8 hours a day. More than half of the workers in this study were taking special medical examination(59.3%) and 59.6% of the respondents were working at the production line in the factories. And most of the respondents (69.0%) were mere members of the staffs. 4. For perceived health status of the respondents, 41.1% answered they were healthy. And for the level of health status, health grade 20.4% of the workers were unhealthy. 5. Health education areas the workers in this study wanted to learn were as follows: 1) Mental health 2) Worksite environment 3) Safety control 4) Disease contol. 6. Those who reported having ever received health education in the factories were 20.9%. 7. Women had more health education needs in personal health care, disease control and family health areas than men. Each age group had different health education needs in all health areas and the differences were significant statistically. 8. The workers who had received special medical examination had more health education needs in worksite environment, safety control, and disease control areas than those who had received general medical examination. The lower the satisfaction of the work and the working environment was, the higher the health education needs of worksite environment area were. 9. For the levels of health status healthy workers were more likely than unhealthy workers to have health education needs in all health areas.

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