• 대한영양사협회학술지
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• 제12권4호
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• pp.313-328
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• 2006

This study was objectively performed to identify dietitians' job in the elderly health-care facilities, to assess facilities and dietitian's demographic characteristics, and to determine performance and importance of dietitian's job including the demand of therapeutic diet development. Survey was conducted by mail and samples were the dietitians working in 376 facilities which capacity is over 50 members from nationwide 583 the elderly health-care facilities. Returned questionnaire was 102 and used for statistic analysis. The distributions of the elderly health-care facilities showed 39 the elderly nursing facilities(38.2%), 32 skilled nursing facilities (32.4%), 13 geriatrics hospital facilities(12.7%) and 9 the elderly cost nursing facilities(8.8%). 60.0 percent of the samples showed its menu price as 1,000 to 1,500 won. A cycle-menu program was in-use at the 79.0% facilities, but only 7.1% facilities have been introduced a selected menu system. 92.9% facilities employed only one dietitian. In the demographic characteristics of dietitian only 14.7% dietitian had a clinical dietitian license and 51.5% of respondents answered at least 1 to 3 months internship program is needed. Job activities of the dietitian in the elderly health-care foodservice were identified as 45 activities with 9 dimensions. Job performance score evaluated dietitian oneself was 4.71 of 7 points. The average importance score that the dietitian evaluated their own job was 5.66 points of 7. The job activities shown higher importance but lower performance were therapeutic diet development for in-patients, menu development suitable for taste of the elderly, and leadership. Job performance score by characteristics of dietitian and their elderly health-care facilities was significantly associated with experience of dietitian in elderly health-care (F=4.480, p<0.05), education of dietitian(F=2.659, p<0.01), number of dietitian(F=2.245, p<0.05), and number of employee in foodservice(F=2.607, p<0.05). Most common diseases of the aged was proved as hypertension(81.7%), diabetes mellitus(71.4%), and dementia(65.0%). The therapeutic diets frequently provided were diabetes mellitus diet, dysphagia diet, low sodium diet, high fiber diet, and high protein diet, in order. For those reasons, dietitian in the elderly health care emphasized that the information about therapeutic diet development such as diabetes mellitus diet, dysphagia diet, low sodium diet and hypertension diet must be continuously developed and provided. The result from this study can be applicable to enlarge and enrich job activities of dietitian in elderly health-care foodservice.

• 한국조경학회지
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• 제45권1호
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• pp.1-15
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• 2017

본 연구는 일제강점기에 계획된 부산 도시공원 32개소를 대상으로 도시의 성장과 발전에 따른 공원의 변화과정을 고찰했다. 특히, 도시공원의 변화과정을 도시계획적 관점에서 검토하기 위해 부산시에서 편찬된 도시계획사 관련 서적, 부산시보 고시공고, 도시공원 유원지 녹지현황 내부 자료, 결재문서 등을 조사 분석했다. 그 결과, 일제강점기 일본 거류지역 일본인에 의해 조성된 대정공원, 고관공원, 용두산공원은 시가지 공원계획 이전부터 공원으로 이용되었으며, 이러한 공원을 포함한 1944년 법적으로 명시한 32개소의 공원은 방재기능을 고려하여 계획되었다. 해방이후, 한국전쟁의 혼란한 시기와 도시계획 재정비로 인해 공원부지는 무허가 건축물 난립, 주택건설, 상업지, 공공청사 및 학교 건립 등으로 이용되었으며, 그에 반해 도심지에 위치한 도로공원과 대부분의 소공원은 폐지되었다. 하지만, 그린부산 정책과 더불어 일제강점기 당시 도심 외곽에 계획된 미집행 공원은 도시 성장으로 도심지에 위치한 주요 공원으로 자리 잡아, 쾌적한 도시형성을 위한 공원사업으로 연지공원, 양정공원, 당곡공원이 조성되고 있다. 이렇게 일제강점기에 계획된 32개소의 공원은 부산 도시형성 과정의 시대상을 반영하여 폐지 또는 조성되었다. 폐지된 공원은 개발압력에 토지매입 효율성이 낮다고 판단된 공원이며, 조성되고 있는 공원은 개발이 용이하지 못했던 위치에 입지한 공원이다. 따라서, 공원이 사회공통자본으로 인정받기 위해서는 공원 부지의 토지매입 여건에 대한 충분한 검토가 필요한 것으로 밝혀졌다.

• 대한방사선기술학회지:방사선기술과학
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• 제44권4호
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• pp.359-365
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• 2021

A heavy particle accelerator is a device that accelerates particles using high energy and is used in various fields such as medical and industrial fields as well as research. However, secondary neutrons and particle fragments are generated by the high-energy particle beam, and among them, the neutrons do not have an electric charge and directly interact with the nucleus to cause radiation of the material. Quantitative evaluation of the radioactive material produced in this way is necessary, but there are many difficulties in actual measurement during or after operation. Therefore, this study compared and evaluated the generated radioactive material in the concrete shield for protons and carbon ions of specific energy by using the simulation code FLUKA. For the evaluation of each energy of proton beam and carbon ion, the reliability of the source term was secured within 2% of the relative error with the data of the NASA Space Radiation Laboratory(NSRL), which is an internationally standardized data. In the evaluation, carbon ions exhibited higher neutron flux than protons. Afterwards, in the evaluation of radioactive materials under actual operating conditions for disposal, a large amount of short-lived beta-decay nuclides occurred immediately after the operation was terminated, and in the case of protons with a high beam speed, more radioactive products were generated than carbon ions. At this time, radionuclides of ⁴⁴Sc, ³H and ²²Na were observed at a high rate. In addition, as the cooling time elapsed, the ratio of long-lived nuclides increased. For nonparticulate radionuclides, ³H, ²²Na, and for particulate radionuclides, ⁴⁴Ti, ⁵⁵Fe, ⁶⁰Co, ¹⁵²Eu, and ¹⁵⁴Eu nuclides showed a high ratio. In this study, it is judged that it is possible to use the particle accelerator as basic data for facility maintenance, repair and dismantling through the prediction of radioactive materials in concrete according to the cooling time after operation and termination of operation.

• 한국가스학회지
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• 제24권4호
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• pp.84-92
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• 2020

대부분의 화학공장 내 설비는 유해물질을 취급하거나, 일상적으로 접할 수 있는 온도 및 압력의 범위를 벗어난 환경에서 가동되며 이러한 응력 및 환경조건으로 인하여 노후화에 취약하다. 이러한 조건에 노출된 설비는 지속적인 손상이 누적되어 고장이 발생할 가능성이 높아짐은 물론, 정비 및 교체를 하지 않는다면 사고로 이어진다. 전세계적으로 위험성기반검사(Risk Based Inspection)라는 권고지침이 통용되고 있다. 하지만 RBI는 이미 일정시간 경과한 설비에 대해서는 한계가 존재한다. 적절한 점검을 수행하는 우리나라 울산 산업단지의 노후화 실태 조사 결과, 많은 수의 설비들이 사용기간이 20년을 경과하였다. 또한, 사고가 일어난 설비 대부분이 20년 이상 운영해 왔다. 따라서 본 연구에서는 일정 사용기간이 초과된 장치를 노후설비로 분류하는 기준을 제시하였다. 또한, 이에 대하여 정량적 위험성평가를 진행하였다. 이로 인해 도출된 해당 노후설비의 위험성을 Economic index로 표현하여 손실비용을 산정하고 Risk를 감소하기 위하여 비용편익 분석 방법을 활용한 안전투자 방법을 제안하였다. 본 연구에서 제시한 정량적 위험성 평가를 이용한 노후설비의 비용편익 분석 방법을 활용하여 노후 설비의 성능 향상 및 수명 연장, 생산 효율성 및 설비 계통 신뢰도 향상, 안전관리 비용 인식 변화, 그리고 직원의 안정감 증대, 손실비용의 감소를 기대할 수 있다.

• 한국환경보건학회지
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• 제46권6호
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• pp.719-725
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• 2020

Objectives: With the growth of national interest in fine particulate matter, many complaints about pollutants emitted from air pollution emitting facilities have arisen in recent years. In particular, it is thought that a large volume of particulate pollutants are discharged from workplaces that use Solid Refuse Fuel (SRF). Therefore, particulate contaminants generated from SRF were measured and analyzed in this study in terms of respective particle sizes. Methods: In this study, particulate matter in exhaust gas was measured by applying US EPA method 201a using a cyclone. This method measures Filterable Particulate Matter (FPM), and does not consider the Condensable Particulate Matter (CPM) that forms particles in the atmosphere after being discharged as a gas in the exhaust gas. Results: The mass concentration of Total Suspended Particles (TSP) in the four SRF-using facilities was 1.16 to 11.21 mg/Sm3, indicating a very large concentration deviation of about 10 times. When the fuel input method was the continuous injection type, particulate matter larger than 10 ㎛ diameter showed the highest particle size fraction, followed by particulate matter smaller than 10 ㎛ and larger than 2.5 ㎛, and particulate matter of 2.5 ㎛ or less. Contrary to the continuous injection type, the batch injection type had the smallest particle size fraction of particulate matter larger than 10 ㎛. The overall particulate matter decreased as the operating load factor decreased from 100% to 60% at the batch input type D plant. In addition, as incomplete combustion significantly decreased, the particle size fraction also changed significantly. Both TSP and heavy metals (six items) satisfied the emissions standards. The measured value of the emission factor was 38-99% smaller than the existing emissions factor. Conclusions: In the batch injection facility, the particulate matter decreased as the operating load factor decreased, as did the particle size fraction of the particulate matter. These results will help the selection of effective methods such as reducing the operating load factor instead of adjusting the operating time during emergency reduction measures.

• 보건행정학회지
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• 제16권3호
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• pp.86-106
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• 2006

The purpose of the study is 1) to explore clinic and hospital CEOs' satisfaction and expectation level on the affiliation with the larger size teaching hospitals, 2) to find the factors influencing the satisfaction and expectation level on the affiliation with the large hospitals. Data for analysis was collected to use self-administrative structured questionnaire on 335 CEOs of small or middle sized clinics and hospitals affiliated with large sized teaching hospitals located in Seoul and Kyung Ki Province. For the study, the researchers develop the constructs for questions on the satisfaction and the expectation of the affiliation, the attitude, knowledge on the affiliation, previous relationship of the affiliation, and selection guideline of the affiliation with exploratory factor analysis and reliability test. Through the confirmative factor analysis using AMOS 4, the researchers develop constructs based on exact relationship between constructs and questions. CEOs' expressive and unexpressive satisfaction level are 2.54 of 5 point(38.5 of 100) and 2.78 of 5 point(44.5 of 100), and the expressive and unexpressive expectation level are 2.77 of 5 point(44.3) and 3.16 of 5 point(54.0). These levels are relatively row for importance of affiliation. Expectation levels do not influence satisfaction levels. Attitude of affiliation influences expressive expectation and unexpressive satisfaction, reason for affiliation unexpressive satisfaction, and previous relationship to affiliated hospitals influence both of expressive and unexpressive satisfaction. The expressive expectation level and the expressive satisfaction level influence unexpressive expectation and unexpressive satisfaction, respectively. There is cognitive dissonance between expectation and satisfaction, therefore numbers of affiliation might be smaller or weaker in the future than present time. Many CEOs feel environmental press such as competition and the press of health insurance, but they might not think affiliation is best solution. Therefore, large hospitals try to give affiliated clinics and hospitals practical benefits to increase satisfaction and expectation levels, and they need to new affiliation form such as joint venture and joint ownership. The expectation and the satisfaction level was influenced by CEOs' gender, type of health service facilities, distances between the affiliated facility and the large mother hospital, and reason for affiliation.

• 한국학교보건학회지
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• 제1권1호
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• pp.160-177
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• 1988

This study is an analysis of the teachers' health problems that focuses on the frequencies and types of their visiting to school clinics and the management of health-related problems. The participants for this study are consisted of 1,650 teachers employed at 30 public schools in the Seoul area. Data for the study came from diagnostic records for 1986, the results of a questionaire-type survey conducted between June 20th and of the same year an from other documents recorded by school nurses. The main results of this study are as follows: 1. The teachers' health problems. a) According to health diagnosis records, 6.1 % of all teachers had a health problem. Liver-related ailments topped the list, followed by circulatory and diabetic problems. b) The survey data had 71.9 % of the respondents indicating that trey suffered from some health problem. The most frequent response concerned respiratory problems, followed by gastro-intestinal and nervous system problems. c) A check of clinic utilization records revealed that the main reasons for visiting are concerned with fatigue (30.5 %), gastro-intestinal(18.7 %) and respiratory(18.2 %) ailments. These three categories accounted for 67.4 % of total use. 2. Frequencies of their visiting to school clinics 40.5 % of the teachers indicated that they have visited the school clinic. And 62.0 % visited it with a self-diagnosed ailment and 15.3 % utilized the facility after a problem had been detected in a health examination. Clinics were visited a total of 1,458 times which breaks down to 0.9 times per month per teacher. For a patient, the figures are 2.2 times on the average with a range from 1 to 19. 3. Health management problems a) Of those respondents. 53.4 % stated that they didn't have enough time to consult about their health problems and diagnose their disease b) Also, 47.3 % of the respondents indicated that school nurses should give health counsels and health education. c) When questioned about improvements in the current system, the teachers placed importance on the prevention and management of chronic diseases (35.2 %) and pre- and posteducation concerning periodic health examinations In conclusion, the following points must be considered: First, school administrators need to pay more attention to the health problems of the teachers. Second, school nurses should be more active in managing a health program for teachers. Finally, education and training for nurses should be continually upgraded so that they can dispense proper and timely care for teachers.

• 한국콘텐츠학회논문지
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• 제14권7호
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• pp.376-385
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• 2014

본 연구는 의료소비자들이 필요로 하는 병원정보를 확인하여 의료기관의 소비자 중심 마케팅 방향을 제시하고자 하였다. 이를 위하여 의료소비자들의 병원정보 이용목적, 알고 싶은 정보의 내용, 정보획득방법, 획득한 정보의 실용성에 대해 살펴보았다. 연구결과, 병원정보 이용목적은 실질적으로 의료기관을 이용하고자 하는 목적이 90% 이상으로, 특히 '가족 친지가 아플 경우 병원선택 시'에는 58.7%이었다. 알고 싶은 정보의 내용은 병원시설 전문분야 및 특수분야의 구체적 내용이라는 응답이 이용목적과 관계없이 과반수이상이었으며, 병원정보 이용목적에 따른 정보획득을 위해 가장 많이 이용하는 방법은 '주위사람'이 과반수 전후의 비율로 가장 높았고 '인터넷'을 이용한다는 비율이 24~28% 수준이었다. 그리고 획득한 병원정보의 실용성은 병원정보 이용목적이 '가족친지가 아플 경우 병원선택 시'에 4.8%, '건강상담 또는 종합검진 위한 병원선택 시'에는 0.5%로 상당히 낮았다.

• 한국안전학회지
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• 제25권6호
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• pp.34-39
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• 2010

본 연구는 건설현장에서 사용하고 있는 타워크레인에 대한 검사기관의 검사결과를 토대로 위험성과 중요도를 미리 검토하고 분석하여, 상호간의 검사 기준에 대한 판정기준을 정립하고 검사능력을 UP-Grade 시킬 수 있는 기회로 활용하기 위한 방안으로, 적절한 평가방법을 도입하여 객관적인 평가 모텔을 제시하는데 목적이 있다. 타워크레인은 건축물 또는 구조물 등, 건설현장에 설치되어 짧게는 2~3개월부터 2년 남짓 동안 지상에서 20~150M 이상 높은 곳으로 건설자재와 중량물 등을 실어 나르는 기계장치로, 건설 현장에서는 없어서는 안될 중요한 설비이다. 그러나 설치해서 사용하는 기간이 짧고, 건설 현장의 기술자들이 타워크레인에 대한 전문 기술력이 부족하여 체계적이고 정량적인 안전관리가 이루어지지 않고 있다. 이러한 문제점을 해결하기 위해서 전문가들의 지식과 경험을 바탕을 한 지식기반기법과 타워크레인에 적용 가능한 RBI절차 연구의 일환으로 정량적 위험우선순위를 FMEA기법을 활용하여 RPN을 적용시켜 보았다. 일반적인 RBI 80/20 Rule을 적용시켜 보았을 때, 위험도가 높은 부분은 와이어로프, 권과방지장치 및 브레이크와 권상감속기 등으로 나타났다. 하지만, 아직 타워크레인에 대한 위험분석이 제대로 이루어지지 않아 미흡한 부분이 많지만, 본 연구를 시작으로 좀 더 경험과 지식이 풍부한 전문가들이 나서서 중요 정보를 공유하고 data base화 하여, 타워크레인에 대한 활발한 RBI 기법의 보완과 지속적인 연구개발이 필요하다.

• 농촌계획
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• 제22권2호
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• pp.121-129
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• 2016

A disaster can be defined in many ways based on perspectives, in addition, its types are able to classify differently by various standards. Considering the different perspectives, the disaster can be occurred by natural phenomenon that is like typhoon, earthquake, flood, and drought, and by the accident that is like collapse of facilities, traffic accidents, and environmental pollution, etc. Into the modern society, moreover, the disaster includes the damages by diffusion of epidemic and infectious disease in domestic animals. The disaster was defined by natural and man-made hazards in the past. As societies grew with changes of paradigm, social factors have been included in the concept of the disaster according to new types unexpected by new disease and scientific technology. Change the concept of social disasters, Ministry of Public Safety and Security (MPSS) has provided the regional safety index, which measures the safety level of a local government. However, this regional safety index has some limitation to use because this index provides the information for city unit which is a unit of administrative districts of urban. Since these administrative districts units are on a different level with urban and rural areas, the regional safety index provided by MPSS is not be able to direct apply to the rural areas. The purpose of this study is to determine the regional safety index targeting rural areas. To estimate the safety index, we was used for 3 indicators of the MPSS, a fire, a crime, and an infectious disease which are evaluable the regional safety index using an accessibility analysis. For determining the regional safety index using accessibility from community centers to public facilities, the safety index of fire, crime, and infectious disease used access time to fire station, police office, and medical facility, respectively. An integrated Cheongju, targeting areas in this study, is mixed region with urban and rural areas. The results of regional safety index about urban and rural areas, the safety index in rural area is relatively higher than in the urban. Neverthless the investment would be needed to improve the safety in the rural areas.