• 제목/요약/키워드: Service Observation

검색결과 576건 처리시간 0.026초

Strengthening Human Immunodeficiency Virus and Tuberculosis Prevention Capacity among South African Healthcare Workers: A Mixed Methods Study of a Collaborative Occupational Health Program

  • Liautaud, Alexandre;Adu, Prince A.;Yassi, Annalee;Zungu, Muzimkhulu;Spiegel, Jerry M.;Rawat, Angeli;Bryce, Elizabeth A.;Engelbrecht, Michelle C.
    • Safety and Health at Work
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    • 제9권2호
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    • pp.172-179
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    • 2018
  • Background: Insufficient training in infection control and occupational health among healthcare workers (HCWs) in countries with high human immunodeficiency virus (HIV) and tuberculosis (TB) burdens requires attention. We examined the effectiveness of a 1-year Certificate Program in Occupational Health and Infection Control conducted in Free State Province, South Africa in an international partnership to empower HCWs to become change agents to promote workplace-based HIV and TB prevention. Methods: Questionnaires assessing reactions to the program and Knowledge, Attitudes, Skills, and Practices were collected pre-, mid-, and postprogram. Individual interviews, group project evaluations, and participant observation were also conducted. Quantitative data were analyzed using Wilcoxon signed-rank test. Qualitative data were thematically coded and analyzed using the Kirkpatrick framework. Results: Participants recruited (n = 32) were mostly female (81%) and nurses (56%). Pre-to-post-program mean scores improved in knowledge (+12%, p = 0.002) and skills/practices (+14%, p = 0.002). Preprogram attitude scores were high but did not change. Participants felt empowered and demonstrated attitudinal improvements regarding HIV, TB, infection control, and occupational health. Successful projects were indeed implemented. However, participants encountered considerable difficulties in trying to sustain improvement, due largely to lack of pre-existing knowledge and experience, combined with inadequate staffing and insufficient management support. Conclusion: Training is essential to strengthen HCWs' occupational health and infection control knowledge, attitudes, skills, and practices, and workplace-based training programs such as this can yield impressive results. However, the considerable mentorship resources required for such programs and the substantial infrastructural supports needed for implementation and sustainability of improvements in settings without pre-existing experience in such endeavors should not be underestimated.

비육유에서 발생한 기종저의 병리학적 관찰 (A case report of blackleg in a Holstein bull)

  • 황의경;김재훈;윤순식;손현주;조윤상;유한상;박경애;진영화;최상호
    • 한국수의병리학회지
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    • 제2권1호
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    • pp.53-60
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    • 1998
  • A fourteen-month-old Holstein bull from a private cattle fattening farm at Ansung county in Kyunggi Province Korea was submitted on August 2nd 1997, for examination at the Pathology Division of the National Veterinary Research Institute. The bull died within 24 hours after developing clinical signs of abrupt inertia, complete anorexia high fever(40.3℃) diffuse severe emphysematous swelling of upper part of the right hind leg lateral recumbancy and paralysis. At necropsy diffuse severe subcutaneous redness and influx of serosanguinous exudate containing gas bubbles had accumulated under the thorax right hip and upper region of right hind leg. Muscles in upper right hind leg were blackish to dark red and yellowish brown in color. Muscle bundles were dry and separated by gas bubbles and serosanguinous fluids and muscles sections from affected regions floated in water. Histopathologically muscle fibers were partially or entirely degenerated fragmented and separated by exudate and gaseous substance mixed with polymorphonuclear cells. Blood vascular walls in affected regions showed severe acute fibrinoid necrosis. Typical large rod-shaped bacteria with or without oval central to subterminal spores were frequently observed in tissue sections stained with H-E and Gram stain. The large Gram-positive anaerobic endospore-producing rods were isolated from the suspension of muscle lesions. Isolated bacteria were identified as Clostridium(CL) chauvoei and CL. sordellii by biochemical tests. This case was diagnosed as blackleg based on the typical clinical signs gross finding histopathological observation and bacteriological results. This is the first case report on blackleg associated with Cl. chauvoei and Cl. sordellii in Holstein cattle in Korea.

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실내 환경에서의 로봇 자율주행을 위한 천장영상으로부터의 이종 특징점을 이용한 단일비전 기반 자기 위치 추정 시스템 (Monocular Vision Based Localization System using Hybrid Features from Ceiling Images for Robot Navigation in an Indoor Environment)

  • 강정원;방석원;크리스토퍼 쥐 애키슨;홍영진;서진호;이정우;정명진
    • 로봇학회논문지
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    • 제6권3호
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    • pp.197-209
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    • 2011
  • This paper presents a localization system using ceiling images in a large indoor environment. For a system with low cost and complexity, we propose a single camera based system that utilizes ceiling images acquired from a camera installed to point upwards. For reliable operation, we propose a method using hybrid features which include natural landmarks in a natural scene and artificial landmarks observable in an infrared ray domain. Compared with previous works utilizing only infrared based features, our method reduces the required number of artificial features as we exploit both natural and artificial features. In addition, compared with previous works using only natural scene, our method has an advantage in the convergence speed and robustness as an observation of an artificial feature provides a crucial clue for robot pose estimation. In an experiment with challenging situations in a real environment, our method was performed impressively in terms of the robustness and accuracy. To our knowledge, our method is the first ceiling vision based localization method using features from both visible and infrared rays domains. Our system can be easily utilized with a variety of service robot applications in a large indoor environment.

SW교육 평가 방법의 적합성 및 현장 유용성에 대한 초등교사 인식 분석 (Elementary Teacher Perceptions of Evaluation Methods about Suitability and Usefulness in Software Education)

  • 김한성;전수진
    • 정보교육학회논문지
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    • 제21권3호
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    • pp.267-275
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    • 2017
  • 본 연구의 목적은 SW교육에서 활용되고 있는 다양한 평가 방법들에 대해 교사들의 인식을 분석하여 현장 유용성을 높일 수 있는 방안을 모색하는 것에 있다. 이를 위해 SW교육 평가 관련 연수 및 교육을 받은 교사들을 대상으로 설문하였다. 연구 결과, SW교육 수업에서 산출물, 포트폴리오, 관찰 평가를 사용하는 것은 Computational Thinking(CT)을 평가하기에 적절하며 현장 적용에도 유용하다는 인식이 컸다. 반면, 지필평가와 자기평가는 현장에 적용하기에는 유용하나, CT를 평가하기에는 상대적으로 부족하며, 포트폴리오, 디자인, 그리고 인터뷰 평가는 CT를 측정하기에는 적합하나 현장 적용은 어렵다고 응답했다. 끝으로, 평가 수행 시에는 평가 기준, 평가 요소, 그리고 평가 전략 순으로 어려움이 있다고 인식하였다. 본 연구에서는 이러한 결과를 기초로 SW교육 평가방법을 현장에 효과적으로 적용하기 위해 고려해야할 방안들을 제언하였다.

성인입양인의 생애사 연구 (A Study on the Life History of an Adult Adoptee)

  • 권지성;최운선;변미희;안재진
    • 한국사회복지학
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    • 제65권1호
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    • pp.83-107
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    • 2013
  • 이 연구의 목적은 성인입양인의 생애경험을 이해하고자 하는 것이다. 이러한 목적을 달성하기 위하여, 이 연구에서는 한명의 성인입양인을 대상으로 한 심층면접, 관찰, 기록물 등의 방법을 활용하여 자료를 수집하였으며, 생애사 접근을 통해 분석하였다. 자료분석 과정은 우선 연구참여자의 생애 과정을 연대기 형식으로 요약한 뒤, 인생 이야기를 구체적으로 서술하였고, 연구참여자 사례에서 나타난 의미 있는 주제들을 파악하여 기술하고 해석하였다. 또한 앞서 분석된 내용들을 검토하여 입양현장에서 고려해야 할 개입이슈들을 파악하여 논의하였다. 주제분석에서는 '옹이 신세', '나비가 되려는 애벌레', '괜찮아요. 아니, 안괜찮아요', '내가 잘못한 건 아니니까', '사랑, 삶을 이끄는 결정적 요소' 등의 주제들을 발견하여 제시하였으며, 입양 시점, 사후관리, 비밀입양과 공개입양, 뿌리찾기, 성인입양인 대상 개입 등의 개입이슈들을 검토하였다. 이러한 연구결과를 토대로 성인입양인을 지원하기 위한 정책 방향과 실천 지침들을 제언하였다.

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Evolution of Interferon-Gamma Release Assay Results and Submillisievert Chest CT Findings among Close Contacts of Active Pulmonary Tuberculosis Patients

  • Yoon, Soonho;Mihn, Do-CiC;Song, Jin-Wha;Kim, Sung A;Yim, Jae-Joon
    • Tuberculosis and Respiratory Diseases
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    • 제83권4호
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    • pp.283-288
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    • 2020
  • Background: Latent tuberculosis (TB) infection among TB contacts is diagnosed using plain chest radiography and interferon-gamma release assays (IGRAs). However, plain chest radiographs often miss active TB, and the results of IGRA could fluctuate over time. The purpose of this study was to elucidate changes in the results of the serial IGRAs and in the findings of the serial submillisievert chest computed tomography (CT) scans among the close contacts of active pulmonary TB patients. Methods: Patients age 20 or older with active pulmonary TB and their close contacts were invited to participate in this study. Two types of IGRA (QuantiFERON-TB Gold In-Tube assay [QFT-GIT] and the T-SPOT.TB test [T-SPOT]) and submillisievert chest CT scanning were performed at baseline and at 3 and 12 months after enrollment. Results: In total, 19 close contacts participated in this study. One was diagnosed with active pulmonary TB and was excluded from further analysis. At baseline, four of 18 contacts (22.2%) showed positive results for QFT-GIT and T-SPOT; there were no discordant results. During the follow-up, transient and permanent positive or negative conversions and discordant results between the two types of IGRAs were observed in some patients. Among the 17 contacts who underwent submillisievert chest CT scanning, calcified nodules were identified in seven (41.2%), noncalcified nodules in 14 (82.4%), and bronchiectasis in four (23.5%). Some nodules disappeared over time. Conclusion: The results of the QFT-GIT and T-SPOT assays and the CT images may change during 1 year of observation of close contacts of the active TB patients.

초등교사의 환경관련 수업에 대한 교사전문성 (Elementary Teachers' Professionalism for Teaching Environmental Subjects)

  • 손연아;김경란;민병미;최돈형
    • 한국초등과학교육학회지:초등과학교육
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    • 제24권2호
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    • pp.174-182
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    • 2005
  • The purpose of this study was to analyze the professionalism of elementary school teachers and to draw out factors which elementary teachers should try to improve their professionalism for environmental education. For the study, both Quantitative analysis and qualitative methodologies were applied: First, randomly selected 483 elementary teachers from Seoul and Gyeonggi self responded to 5 evaluation areas by Hungerford et al. (1994) to evaluate their environmental education professionalism through the use of five point Likert scale. Second, 2 elementary teachers' environmental classes were observed for the purpose of analyzing strengths and weaknesses in classroom instruction, and then the results of self-evaluation on environmental education professionalism and teacher professionalism as shown in the classes were compared. It was found that 483 elementary teachers including 2 teachers fer analyzing classroom instruction who performed a self-evaluation gave themselves mid-scores on the Hungerford et al.'s 5 evaluation areas. However, the result of self-evaluation did not correspond with the result of actual class observation and teacher interview. That is, the actual environmental classes conducted by 2 teachers did not seemed to reflect the evaluation areas which were the foundation of the study: the conceptual awareness, the investigation & evaluation, environmental action skills, and educational application. The results of this study can be used as the basis reference to develop teaching-learning program and in-service programs for professional development of teachers for successful application of environmental education in elementary school classes.

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도시철도 역사의 유니버설 디자인 기준요소에 관한 연구 (A Study on Universal Design Critical Factors of the Urban Railway Station)

  • 강병근;이주형;김상운;강태성;변성헌
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제20권2호
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    • pp.27-35
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    • 2014
  • Purpose: The number of the transportation poor has been steadily increased, and also the social perspective toward the disabled has been changed. Thus, Universal Design has been needed. In particular, the unknown majority of the transportation poor have frequently used the urban railway facilities which should reflect the ideals and principles of Universal Design. However, previous research has not focused on the study on critical factors of Universal Design. Based on this observation, the present study aims to find out Universal Design critical factors of urban railway station. Methods: This study explores the criteria of planning Universal Design in the urban railway station by analyzing and comparing the similar criteria used in both domestic areas and foreign countries. Result: Findings from this study are as follows. First, we found out the critical factors of Universal Design in the urban railway station by comparing and analyzing the similar criteria previously used. Second, this study also suggests the better directions toward the domestic criteria relating to the urban railway system. Third, we found the need of the universal standard as well as individually corresponding strategy. Moreover, we found the need of preparing the critical factors for the physical environments as well as the human service. Implications: The further research on findings of the planning criteria will have been continued on the basis of findings of the present study.

지진 및 지각변동 감지를 위한 정밀절대측위 솔루션 개발 (Development of Precise Point Positioning Solution for Detection of Earthquake and Crustal Movement)

  • 박준규;김민규
    • 한국산학기술학회논문지
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    • 제14권9호
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    • pp.4587-4592
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    • 2013
  • GPS는 측량, 지도제작 및 항법 이외에도 고정밀 측위에 의한 세계기준좌표계 설정, 지구 자전축의 회전계수 결정, 지진 및 지각변동 감지 등과 같은 지구과학 분야의 필수적인 방법으로 인식되고 있다. 그러나 정밀 해석결과를 얻기 위해서는 자료처리를 위한 전문지식과 비용 투자가 필요하므로, 사용자들이 손쉽게 결과를 획득할 수 있는 방안이 필요하다. 이에 본 연구에서는 비전문가도 정밀절대측위 방법으로 GPS 자료처리가 가능한 정밀절대측위 솔루션을 개발하고자 하였다. 연구를 통해 자료처리에 필요한 최소 정보만을 입력함으로써 사용자의 편의성을 크게 향상시킨 솔루션을 개발하였다. 또한 국토지리정보원에서 제공하는 위성기준점의 관측자료를 정밀절대측위로 처리하여, 지각변동 속도를 산출하고, ITRF에서 제공하는 지각변동 속도와 비교를 통해 정밀절대측위 솔루션을 이용한 지진 및 지각변동 감지가 가능함을 제시하였다.

정지궤도 해색탑재체(GOCI)의 개발 (Development of Geostationary Ocean Color Imager (GOCI))

  • 조성익;안유환;유주형;강금실;윤형식
    • 대한원격탐사학회지
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    • 제26권2호
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    • pp.157-165
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    • 2010
  • 정지궤도에서는 세계 최초로 개발된 정지궤도 해색위성(GOCI)이 2010년 6월에 발사될 예정이다. GOCI는 발사 이후 7년간 매일 주간(晝間) 8회 한반도 주변 해양의 클로로필 농도, 용존유기물 농도, 부유물질의 양 등 해양환경분석자료를 생산함으로써 한반도 주변 해양환경의 실시간 감시 임무를 수행할 계획이다. 정지궤도 해색위성의 관측 자료는 어장정보 제공 서비스 및 적조 등 해양재해 예측에 활용될 예정이며, 정지궤도 해색위성에서 산출된 해양의 일차생산력 자료는 해양 탄소순환 연구에 활용되어 해양의 기후변화를 연구하는 데 유용하게 활용될 수 있다. 본 연구에서는 정지궤도 해색위성의 개발 배경 및 사용자 요구사양, 하드웨어 구조, 센서 운용 개념에 대해 설명한다.