• Title/Summary/Keyword: WHO programme

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임상가를 위한 특집 4 - CBCT 검사법의 정도관리 및 선량 (Radiation Doses and Quality Assurance in Cone Beam CT(CBCT))

  • 최용석;김규태;황의환
    • 대한치과의사협회지
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    • 제52권3호
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    • pp.153-163
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    • 2014
  • 3-dimensional information for anatomic stucture plays a role as integral part in clinical aspect of dental practice. CBCT(cone beam computed tomography) has been accepted as useful diagnostic tool offering Volume data and images for evaluating teeth and jaws in lower radiation dose than conventional CT. CBCT equipment is essential for the quality assurance of it to ensure continued satisfactory performance and result of adequate images. Dental practitioner and oral and maxillofacial radiologist should have a responsibility and critical thinking to deliver this technology to patients in a responsible way, so that diaganostic value is maximised and radiation doses kept as low as resonably achievable. CBCT imaging modality should be used only after a review of the patient's health and imaging history and the completion of a thorough clinical examination. Clinical guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances Dental practitioners should prescribe CBCT imaging only when they expect that the diagnostic yield will benefit patient care, enhance patient safety or improve clinical outcomes significantly. Knowledge of patient dose is essential for clinicians who are making the decision regarding the justification of the exposure. There are some limitation in the measurement of patient dose in CBCT for the approval and adaptation of conventinal methodolgy in CT. It is also important to ensure that doses are optimised and in line with any national and international guidelines. The higher radiation doses of CBCT compared with conventional radiography, mean that high standards must be maintained. The Quality Assurance(QA) programme should entail surveys and checks that are performed according to a regular timetable. QA programme should be maintained by staff to ensure adherence to the programme and to raise its importance among staff.

고령 편마비 환자에 대한 호흡운동 적용의 효과 (The Efficacy of Respiratory Exercise Programs in the Elderly Persons with Hemiplegia)

  • 김수민
    • PNF and Movement
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    • 제5권2호
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    • pp.63-71
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    • 2007
  • Objective : Respiratory muscle weakness and decreased chest mobility has been suggested to result from the deconditioning that accompanied activity level in chronic elderly stokes. The benefits of respiratory exercise programmes on exercise capacity and muscle strength in hemiplegia. This study aimed to determine the effects of selective inspiratory and expiratory muscles training and chest mobility exercise on patients with strokes to establish if an improved exercise capacity can be obtained in patients that are not limited in their daily activities. Methods & Intervention : Twelve patients were assigned to the intensive respiratory exercise group participated in a measures design that evaluated the subjects with pre-treatment and post-treatment. Thirteen subjects who were assigned to a control group received training with breathing exercise and resistance exercise of skeletal muscles. The subjects performed spirometry then undertook a 6-week programme of respiratory muscle and chest mobility training. Training for the two groups was carried out 2 times a week for 6 weeks. Measurements and Results : Spirometry(Forced Vital Capacity: FVC and Closed Circuit Spiromety: CCS) and thoracic mobility were measured before and after the 6 weeks. The experimental group improved significantly compared to control group in FVC, $FEV_1$, MVV, IRV and ERV, and upper chest wall expansion(p<0.05). No significant improvement was seen in thoracic mobility or lung function in control group(p>0.05). Conclusion : The major findings in this study were that a intensive 6week exercise programme of resistive breathing and chest mobility in patients with hemiplegia led to an increase in lung capacity. The resistive breathing exercise programme used here resulted in a significant increase in the chest excursion during breathing.

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UNESCO와 과학문헌정보활동(科學文獻情報活動)

  • Lorch, Walter T.
    • 정보관리연구
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    • 제2권3호
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    • pp.2-4
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    • 1964
  • Scientific documentation is one of the three preconditions for scientific research and its technical application in the industrialization process. To solve the documentation problems on an international level, UNESCO promotes abstracting, standardization of terminology and of scientifc publications, automatic information processing and translating. Moreover, UNESCO has helped to establish since 1950, on the request of interested national governments, 12 documentation centers within the framework of United Nations Technical Assistance Programme by providing experts, fellowships and equipment. Some data on these documentation centers and a comparison of their features should be of interest for all those who wish to set up new documentation centers or to improve already existing ones.

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조리관련 산학실습의 필요성에 관한연구 (A Study Of The Importance Of The Placement For Students Majoring In Culinary Art)

  • 김덕환;이수진
    • 한국관광식음료학회지:관광식음료경영연구
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    • 제15권1호
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    • pp.137-158
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    • 2004
  • This study was carried out to analyze the actual situation of placement and to suggest concrete contents for the improved placement. Through literature reviews and empirical analysis, the followings are to be concluded. Firstly, the necessity of the placement are fully perceived by students and people working at culinary part in hotels. Both sides acknowledge that the placement is needed for the. better understanding of operations related to culinary art in a hotel. However, on the efficiency of the placement there is a big disagreement between them. Most of students participating placement programme have had a tendency to work with culinary staff without concrete training manuals and programmes. In addition, it was found that being exposed to different F&B outlets and kitchens is useful to get a variety of operational experiences. Secondly, as shown from the questionnaire regarding the importance of place, all the students who were asked marked more than 3.0 on the Likert Scale. Especially to the questions such as kitchen organization, job descriptions, safety and hygiene, seasonings, taste, vegetables and fruits, the average was above 3.6 which si the highest. As for the kitchen staff, the average was above 3.0, which imply that they also consider a placement important. The part showing the highest average were food safety and hygiene, dealing with kitchen equipments, appliances and knives. In conclusion, appropriate and concrete placement manuals are to be provided for students and hosting hotels in order to obtain educational accomplishments when implementing placement programme.

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QUALITY ASSURANCE IMPLEMENTATION IN THE NATIONAL CANCER CENTRE

  • Jui, Wong-Toh
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.19-22
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    • 2002
  • The importance of accurate dose delivery in radiotherapy is well documented. Studies have shown that a mere 5% deviation of the prescribed dose can produce an undesirable treatment outcome. Uncertainties in the dose delivery can arise at different stages of the radiotherapy process. Therefore, a good quality assurance programme will ensure the best possible results and consistency of the radiotherapeutic treatment. Quality assurance in any radiotherapy department involves the responsibility of a multi-disciplinary team of radiation oncologists, medical physicists and radiation technologists. This paper will focus on the physical and technical aspects of QA. The organizational structure and responsibility of the physics QA team is outlined and also included the types and frequencies of QA checks. For a QA program to be effective, action levels should be clearly defined and understood by all staff concerned. Data of the Singapore National Cancer Centre's participation over the last ten years with the IAEA / WHO Postal TLD Dose Inter-comparison programme is presented. The data obtained were within the international criteria. For a QA program to be successfully implemented, there must be a commitment by management to provide adequate staff, test equipment, machine time as well as continual training and education. This is in addition to the positive attitudes of all the staff. A quality audit is also necessary to serve as a check and balance to ensure that the QA is in order.

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외국인 근로자의 건설현장 투입시 사고위험 분석 (Accident of Foreign Worker's at Construction Sites)

  • 손기상;양학수
    • 한국안전학회지
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    • 제20권1호
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    • pp.107-112
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    • 2005
  • The purpose of this study is to propose and introduce Accidents Prevention Remedies(APRs) and their priorities especially for Accident Causing factors(ACFs) drawn by surveying and analyzing how much foreign workers in Korea have been exposed to dangers at a construction site. At frist as a result of the analysis of the questionnaire which 59 foreign industrial trainees working at the construction sites in Seoul-Kyunggi area had responsed, 12 ACFs and 11 APRs were put out by using the SPSS programme. Then, through the Analytic Hierarchy Process(AHP) about the questionnaire from 96 safety and civil engineers who have experienced in managing foreign labor at the construction sites all over the country, the APRs given their priorities of relative importances are as follows; First, it is absolutely necessary that every working order to foreign workers should be made more definitely in accordance with a concrete process schedule. Second, the owners should increase investments in improving foreign workers' welfare in order to minimize their potential human error. Third, Korean language education programme for simple technical terms should be made and executed at least.

탄력저항을 이용한 하지근력 강화 운동이 여성노인의 정적 및 동적 균형능력에 미치는 영향 (Effects of Lower Extremity Muscle Strengthening Exercise Using Elastic Resistance on Balance on Elderly Women)

  • 이한주;한상완
    • 지역사회간호학회지
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    • 제20권1호
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    • pp.59-66
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    • 2009
  • Purpose: The purpose of study was to test the effect of lower extremity muscle strengthening exercise using elastic resistance on balance on elderly women. Methods: Twenty four women who were over 65 years old were randomly assigned to either the experimental group that received the exercise programme (n=12) or to the control group (n=12) that continued normal activities except programme. Exercises included the following 7 different activities; chair squat, knee flection, extension, hip flection, extension, calf muscle raise, ankle dorsiflection. All the participants were subject to 3 tests, including One-Leg Standing Test, Functional Reaching Test, and Up & Go Test. The measurements were made before the excercise, 4 and 8 weeks after the exercise. The data were analyzed by using the two way repeated ANOVA. Results: The results were as follows; As compared with change of balance capacity between groups, a significant difference was shown in the up and go test (p<.05), but not in balance performance clinical test of OLST (p>.05) and FRT (p>.05). Conclusion: The lower extremity muscle strengthening exercise using elastic resistance for the elderly women had some positive effects on the balance. Therefore this intervention can be broadly applied to other elders for preventing falls.

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A brief survey on awareness of pharmacovigilance among ayurveda physicians in Sri Lanka

  • Perera, Pathirage Kamal;Dahanayake, Jeevani;Karunagoda, Kaumadi
    • 셀메드
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    • 제5권1호
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    • pp.3.1-3.3
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    • 2015
  • Pharmacovigilance is the study of the safety of drugs under the practical conditions of clinical usage in large communities. Aim of this study was to assess the pharmacovigilance awareness among a focus group of Ayurveda physicians in Sri Lanka who participated for their postgraduate studies. A questionnaire which was suitable for assessing the basic knowledge, attitude and the practice of pharmacovigilance was designed and submitted among group of Ayurveda physicians (n = 30) who participated for postgraduate studies in Institute of Indigenous Medicine, University of Colombo, Sri Lanka. Among participants30% of the subjects knew the term pharmacovigilance, 20% were aware of the unavailability of the National Pharmacovigilance Program for Ayurveda and Traditional Medicine in Sri Lanka, 70% believe about Adverse Drug Reactions (ADRs) may be occurred from Ayurveda medicine, 60% indicated that Most labeled counterfeit drugs, inappropriate use and standardization problems as the most important causes of ADRs associated with Ayurvedicdrugs, 70% physicians accepted their ignorance about pharmacovigilance and admitted that there was a need for better training of this subject and 90% admitted that there should be a national pharmacovigilance programme for Ayurveda medicines in Sri Lanka. We strongly suggest that there is an urgent need for a regular training and the introduce ADRs reporting system among the Ayurveda physicians. Also systematic pharmacovigilance programme is essential to build up for reliable information on the safety and effective practice of Ayurveda medicine in Sri Lanka.

건강도시사업 추진과 정책 과제 (Review and Prospective of the Heathy Cities in Korea)

  • 남은우
    • 보건교육건강증진학회지
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    • 제24권2호
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    • pp.123-134
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    • 2007
  • Since 1996, the Health Promotion Programme spearheaded by the Korean Central Government has been actively developing and recently, the Healthy City Project led by the local autonomous entities have also been actively promoted. Healthy City is one in which the health and well-being of the citizens are given the utmost importance in the decision-making of the city. While the Health Promotion Programme focuses on changing the "health behavior" of the people, the Healthy City Project, a policy to improve the existing inequality of public health services, deals with more essential health factors and requires political support as well as a new organization. The Healthy City paradigm based on the New Public Health started in England and ever since the Healthy City Model Project spearheaded by the EURO WHO began in 1986, the Alliance for Healthy Cities centered in the West Pacific region supported by the WHO in Oct 2003 was inaugurated. 19 Korean cities are full members of the Alliance for Healthy Cities and 2 laboratories are associate members. The Ministry of Health and Welfare has held the Healthy City Forum consisting of related officials, experts and representatives of civic bodies on 6 occasions since Dec 2005. The need for adequate administrative and financial support from the Central Government to the local autonomous entities governing the Healthy Cities was raised. It is hoped that this Healthy City Project will bring about the improved health conditions of the people as well as promote the equality of the public health services.

장애인 직업훈련사업의 효과성과 활성화에 관한 연구 (A Research on the Effectiveness and Activation Strategies of Vocational Training Programme for the Disabled)

  • 이성규
    • 한국사회복지학
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    • 제56권1호
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    • pp.155-179
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    • 2004
  • 본 연구는 현행 노동부와 한국장애인고용촉진공단이 주도하는 직업훈련사업의 효과성을 분석하고자 실시되었으며 장애인직업훈련시설수료생을 대상으로 설문조사를 실시하였다. 장애인 직업훈련의 효과성은 '생산성 효과'와 '취업효과'로 개념화하였고 '생산성 효과'는 자격증 취득, 자아효능감, 교육성취도 변수로 측정되었으며 분석결과 훈련시설유형, 훈련직종, 훈련기간이 주요한 요인으로 나타났다. '취업효과' 즉 훈련수료 후 취업가능성에 영향을 미치는 요인은 훈련시설로 나타나 훈련생산성보다 훈련시설의 취업노하우와 훈련생관리가 취업에 더 중요한 요인임을 예측할 수 있었다. 따라서 장애인직업 훈련사업의 효과성을 높이기 위해 프로그램과 교육자원을 공유할 수 있도록 공공, 민간, 보건복지부산하 훈련시설의 기능을 재정립하여 훈련시설 간 직업훈련 효과의 격차를 줄이고, 지역별 훈련사업을 특성화시키며, 장애인고용촉진기금의 효율적 운용을 위해 실적에 따른 지원차등화가 필요한 것으로 나타났다.

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