• 제목/요약/키워드: Workers

검색결과 11,110건 처리시간 0.042초

퇴비화 시설과 매립장에서 배양 가능한 공기중 미생물의 분포 및 특성 (Distribution and Characteristics of Culturable Airborne Microorganisms in Composting Facility and Landfill)

  • 이보라;차민주;정춘수;김종설
    • 미생물학회지
    • /
    • 제48권1호
    • /
    • pp.8-15
    • /
    • 2012
  • 퇴비화 시설과 매립장에서 발생하는 bioaerosol은 작업자 및 주민에게 건강상 위해의 요인이 될 수 있다. 이들 시설에서 공기 중 세균과 진균의 농도 수준을 파악하기 위해 울산시에 위치한 퇴비화 시설과 매립장에서 계절별로 bioaerosol 시료를 포집하였다. 공기중 세균의 농도는 퇴비화 시설에서 평균 $6.5{\times}10^3\;(1.5{\times}10^2-1.5{\times}10^4)\;MPN/m^3$, 퇴비화 시설 출입구에서 평균 $3.9{\times}10^3\;(6.0{\times}10^1-9.3{\times}10^3)\;MPN/m^3$이었는데, 이는 대조군 지점보다 각각 460배와 280배 더 높은 수준이었다. 대장균군 세균은 퇴비화 시설과 출입구에서 모두 검출되었다. 매립장에서 공기중 세균 농도는 평균 $4.9{\times}10^2\;(1.7{\times}10^2-1.0{\times}10^3)\;MPN/m^3$이었고, 퇴비화 시설과 매립장에서 100 m 정도 떨어진 매립장 주차장에서는 평균 $3.7{\times}10^2\;(4.8{\times}10^1-1.3{\times}10^3)\;MPN/m^3$이었으며, 이는 대조군 지점에 비해 각각 35배와 26배 더 높은 수준이었다. 공기중 세균을 분리하여 잠정적으로 동정한 결과 퇴비화 시설에서는 Pseudomonas luteola, 대조군 지점에서는 Micrococcus sp.가 우점하였다. 채취 지점별 공기중 진균의 농도는 평균 $4.8{\times}10^2-7.9{\times}10^2\;MPN/m^3$이었으며, 대조군 지점에 비해 2.1-3.4배 더 높은 수준이었다. 공기중 진균의 경우 Cladosporium, Alternaria, Penicillium의 3속은 모든 지점에서 검출되었으며, Aspergillus 속은 퇴비화 시설의 bioaerosol에서만 확인되었다.

사각죽조성(四角竹造成)에 관(關)한 연구(硏究) (Research on Methods of Developing Quadrangular Culm of Bamboos)

  • 정현배
    • 한국산림과학회지
    • /
    • 제10권1호
    • /
    • pp.7-16
    • /
    • 1970
  • 한국(韓國)에 산(產)하는 죽종(竹種)은 19종(種)이 분포(分布)되고 있으나 이중(中) 유용종(有用種)은 수종(樹種)에 불과(不過)하며 그 중(中)에서도 Phyllostachys속(屬)이 주(主)로 해태(海苔)의 생산원재(生產原材) 또는 죽세가공품(竹細加工品)의 재료(材料)로서 다각도(多角度)로 사용(使用)되고 있어 69년도(年度)에만도 전라(全羅) 남도(南道)에서 가공품(加工品)을 생산(生產)하여 10여국(餘國)에 2억(億)4백만(百萬)원의 외화(外貨)를 벌어 들였다. 동남아(東南亞)의 특산(特產)인 죽류(竹類)는 문화(文化)의 발달속도(發達速度)에 따라 가공품(加工品)의 생산기술(生產技術)이 향상(向上)되고 재료(材料)의 생산(生產)이 증가(增加)되면 국가(國家)의 산업발전(產業發展)에 도움이 되리라 믿어 본인(本人)은 원형(圓形)으로만 사용(使用)하던 죽(竹)을 사각(四角)으로 조성(造成)하여 거기에 아름다운 무늬를 삽입하여 죽세가공품(竹細加工品) 생산(生產)에 또는 건축(建築)에 있어서 실내(室內)장식등에 크게 사용(使用)될 수 있으리라 믿어 이 시험(試驗)에 착수(着手)하였든 바 그 결과(結果)로서 죽순(竹筍)의 목통직경(目通直經)은 클수록 성적(成積)이 좋아 직경(直經) 7.5cm는 72%의 성공율(成功率)을 나타냈으며(Fig. 5참조(參照)) 죽순(竹筍)의 길이는 30cm정도(程度)의 것이 100%의 사각죽(四角竹)이 완성(完成)되었다(Fig. 6참조(參照)). 고정(固定)되어가는 강도(强度)의 변화(變化)는 기일(期日)이 지날수록 강(强)하여져갔으며 우기(雨期)와 Lux의 차(差)에는 별지장(別支障)이 없었다(Fig. 7. 8참조(參照)). 임의(任意)로 죽재(竹材)를 생장당시(生長當時)에 구부리기 위(爲)한 굴곡시험(屈曲試驗)은 90도(度)까지는 구부릴 수 있었다.(Fig. 10) 약품처리(藥品處理)에 의(依)한 무늬삽입 시험에 있어서는 약품(藥品)의 종류(種類)와 배합방법(配合方法)(Table. 2)에 따라서 Fig. 12. 13. 14와 같이 무늬에 차이(差異)가 생겼으나 착색(着色)과 삽입에는 완전(完全)히 성공(成功)하였다. 이 결과(結果)에 따라 앞으로 사각죽(四角竹)을 다량생산(多量生產)하면 가공품제작(加工品製作)에 크게 이용(利用)되어 국가산업발전(國家產業發展)에 이바지 되리라 믿는다.

  • PDF

컴퓨터 및 스마트폰 사용이 근골격계질환으로 인한 업무능력 저하에 미치는 영향 : 근골격계 질환의 매개효과 (The Effect of using Computer & Smart-phone on Decreased Work Efficiency due to Musculoskeletal Disorders ; Mediating Effect of Perceived Musculoskeletal Disorders)

  • 박종호
    • 유통과학연구
    • /
    • 제14권3호
    • /
    • pp.55-62
    • /
    • 2016
  • Purpose - Average using time of smart-phone for Korean people is 3 hours 39 minutes and most people who are using a computer at home and their workplace can be affected over force to neck and shoulder due to unstable body posture. musculoskeletal disorders which caused by unstable body posture can affect strongly to decrease work efficiency. So this research is designed to measure the effect of using computer & smart-phone on decreased work efficiency due to musculoskeletal disorders and mediating effect between decreased work efficiency and musculoskeletal disorders. Research Design, Data, and Methodology - The author has developed a questionnaire with 6 hypothesis on the basis of previous research result with 5 constructs. The questionnaires were also made by interview and E-mail. 300 copies of questionnaires were distributed and 282 questionnaire were used for the analysis as valid data responses. SPSS ver.21.0 were used and made Cronbach's α and reliability test, correlation, Baron & Kenny 3 step mediated regression analysis. Result - Cronbach's α shows 0.770~0.954 and C.R. is 0.963~0.997 which is higher than 0.7. and AVE was 0.867~0.933. So the data are all acceptable condition. Using for a long time of a computer & smart-phone has a positive effect on musculoskeletal disorders. This means, it can cause musculoskeletal disorders if people use a computer & smart-phone for a long time due to unstable body posture. And musculoskeletal disorders can effect strongly decrease work efficiency. This study also found out that a long time of using computer can cause musculoskeletal disorders rather than using smart-phone a long time. To check mediate effect of musculoskeletal disorders between using a computer & smart-phone and Decreased Work Efficiency, author used 3-step mediated regression analysis of Baron & Kenny (1986). Using a computer for a long time mediate partially and using a smart-phone for a long time mediate completely. This means that using a smart-phone a long time is not the actual reason to decrease work efficiency. But using level of smart-phone is increasing rapidly day by day. So we need to make additional research about this matter seriously. Conclusion - Nowadays, people can not live on without a computer & smart-phone even a moment. But, using a computer for a long time will affect to cause musculoskeletal disorders and it will effect strongly to decrease work efficiency. Before, we thought over that musculoskeletal disorders were diseases of elder people. But, we found out from this study that musculoskeletal disorders can be happen to any people, even children, or workers in heavy industry or engaged in brain work. So we need to be careful when we use a computer for a long time. People also need to be careful to keep correct body posture when using both a computer and smart-phone since a smart-phone became more popular and using time level became longer. Due to increased income and living standard of people, physical growth of young people is so rapid. But the physical environment of society is not suitable for them since it can not follow up the speed of growth. Suitable work table is very important to prevent musculoskeletal disorder which can affect decrease work efficiency. For a person, a society or country, increased productivity is very important since it can directly connected to the job satisfaction. Education and reeducation for the people is also important, but to teach them how to keep good condition of health will be more important since it can increase the quality of work efficiency and quality of life. Computer and Smart-phone is one the best invention of modern society, but it can cause mental and physical disease which can affect decrease work efficiency and productivity. So it is necessary to observe attentively for the situation continually.

양봉농가 표준 경영과 마케팅 진단표 개발 (The Development of Beekeeping Farm Management and Marketing Standard Diagnostic Checklist)

  • 이철휘;송전의;장현동;최칠구;김웅;최재혁;허무열;권세혁;황수연
    • 유통과학연구
    • /
    • 제13권10호
    • /
    • pp.115-122
    • /
    • 2015
  • Purpose - This study was conducted to develop a beekeeping farm management standard checklist. This is essential to increase the competitive power of beekeeping farmers. Checklists in relation to crops and livestock were established by the Rural Development Administration in the 2000s. To date, 60 checklists have been created by crop and livestock experts. However, other farmers outside the 60 checklists are increasing. Therefore, extra development is required for these farmers. This study was conducted to meet farmers' requirements. The special farming dealt with in this study is beekeeping. Such checklists were not developed due to the small number of beekeeping farmers. However, these days, a number of such farmers are emerging. Research design, data, and methodology - Many related experts participated in this study. This study was conducted in four stages. First, a basic outline of beekeeping was created by surveying many kinds of beekeeping experts. The draft of the beekeeping checklist was created by a secondary advisory council. This draft was then sent to 14 beekeeping experts to confirm whether or not it was suitable as a management checklist. For collecting the experts' opinions, a direct visit survey was done through an arranged questionnaire. Additionally, a basic management checklist blueprint was reviewed by many experts. In the third stage, a Delphi survey method was utilized with a special Delphi questionnaire. In this stage, experts who participated in the first and second stages were excluded. As there were uncertain answers among them, a second Delphi survey was done. As a result of this survey, all answers were agreed among them. Results - From the results of this survey, four subjects in the management accomplishment index were determined. These are farming scale, average product per beehive, the sale price of honey (1kg), and the number of bee plates in the beehive. In the case of the management checklist content, five items were determined. These are beekeeping farming facilities, the environment around the farm land and general management, the product management of the beekeeping harvest, the management of the disease and pest, and farming management. This checklist will be utilized for beekeeping farmers to implement in a management situation. Conclusions - These days, the number of beekeeping farmers is increasing. The management checklist for beekeeping farmers will be used to improve their farming situation and marketing. Beekeeping farmers can understand their management by reviewing their checklist. After checking, the situation of management can be analyzed. Farmers can supplement weaknesses with expert advice. This checklist will be used by agricultural technique extension workers for farming management consulting. This checklist has to be complemented by a change in the management of the environment. This checklist will be delivered to beekeeping farmers after a verification survey is done. The result of the checklist score will be utilized for a benchmarking service to be implemented for beekeeping farmers to utilize.

하수처리오니 알칼리 안정화 처리시설에서의 암모니아 발생특성 (Characteristics of Ammonia in Alkaline Stabilization Facility of Sludge from Sewage Treatment Plant)

  • 김용준;정다위;정미정;유혜영;윤철우;신선경
    • 유기물자원화
    • /
    • 제24권3호
    • /
    • pp.23-33
    • /
    • 2016
  • 본 연구는 하수처리시설의 유기성슬러지가 알칼리 안정화 처리시설을 거쳐 발생되는 암모니아의 특성을 조사하였다. 암모니아 검지관을 통해 알칼리 안정화 처리시설의 혼합 및 양생 공정에서 87.78 ppm($66.62mg/m^3$) ~ 1,933 ppm($1,467.01mg/m^3$) 으로 높은 농도의 암모니아가 검출 되었다. 이는 하수처리오니의 질소산화물이 생석회와 혼합되며 암모니아로 변환되는 것으로 예상된다. 일부 시설에서는 황화수소, 메틸메르캅단이 비교적 높은 농도로 검출되었으나, 대부분의 시설에서는 암모니아를 제외한 악취 물질은 검출되지 않았다. 공정 중 암모니아의 농도는 일반적으로 혼합 > 양생 > 반출 > 저장 > 건조 > 입고 순으로 높게 나타났다. 현재 운영 중인 5개 알칼리 안정화 처리시설에서 발생된 악취 물질들은 황산과 차아염소산 등을 사용하여 습식처리하는 것으로 조사되었다. 각 시설은 1 ppm($0.76mg/m^3$), 50 ppm($37.95mg/m^3$) 또는 100 ppm($75.89mg/m^3$)으로 방출되도록 설계되었으나 설계 기준을 만족하지 못하는 것으로 나타났다. 암모니아의 경우, 일부 알칼리 안정화 처리시설은 노동부가 정한 노출기준을 초과하는 것으로 조사되었다. 이것은 향후 근로자의 안전을 위해 적절한 환기가 필요함을 의미하고 있다. 또한, 암모니아를 포함한 악취물질이 시설의 부지경계선에서 검지관으로 검출되지 않았으나, 현재의 운전상태로 볼 때, 미량의 악취물질이 존재할 것으로 판단된다.

병동형 호스피스 대상자를 위한 전인적 호스피스 간호중재 프로그램의 개발 (Development of Wholistic Hospice Nursing Intervention Program for In-patient of Hospice Palliative Care Unit)

  • 강은실;최성은;강성년
    • 호스피스학술지
    • /
    • 제7권1호
    • /
    • pp.29-45
    • /
    • 2007
  • People in the end of life and their families suffer in their physical disease and other aspects as a whole person. They need hospice care to palliate their total suffering in physical, emotional, social and also spiritual aspect through professional hospice team. To care their whole personal needs, hospice team must be a multi-discipline team which consists of medical doctors, nurses, social workers, pastors and volunteers. Recently those who die in hospice palliative care unit have trend to increase more than in home year by year. So it is necessary to develop the nursing intervention program to be performed by multi-discipline team approach for in-patient of hospice palliative care unit. The purposes of this study were to develop of wholistic hospice nursing intervention program for inpatient of hospice palliative care unit. The subjects of study were collected from 30 patients those who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The period of data collection was from December 15, 2003 to March 15, 2004. The result were as follows : 1. The result of Wholistic Hospice Nursing Program's development was as follow : A Wholistic Hospice Nursing Program was developed by me in this study is one of the service program for hospice palliative care unit. It was named as ‘Rainbow Program’ to be approached easily by hospice patients. The purposes of it are to improve the quality of life of the terminal patients with their dignity, to help them live in abundant and meaningful in their lives, to care them in peaceful in dying process with understanding them in whole personal, and also to palliate the grief and suffering of the bereaved. It was provided by hospice professionals(nurses, medical doctors, social worker, pastors, art therapists) and volunteers those who were educated in hospice for multi-diciplinary team approach to collaborate with each role play I 20-30 minuters of each through visiting their rooms individually and a place of hospice palliative care unit of S hospital in P city. The subjects of it were the terminal patients those who admitted hospice palliative care unit and their familes. with agreement in hospice palliative care in their terminal disease. The characteristics of it were multi-disciplinary team approach, whole personal care, individual care and total care according to their needs in their condition. The contents of it were pain control, symptom control, counseling patient, counseling family, hair cutting, hair shampooing, bed bath, recreation, taking a walk, event of culture(screen, recital, festival of praises, exhibition and so on), pastoral counseling, ritual service in bed, praying, service in bed, sing a worship praise, listening to the music, sharing remembrance of life, individual visiting music service(sing and praying), meditation Bible, art therapies(dance and drawing), social worker's counselling, confessing and sharing love and thanksgiving. The experimental group subjects participated in Wholistic Hospice Nursing Program which takes 120 minutes per session, total 10 sessions(total 1,200 minutes) altogether. In conclusion, this Wholistic Hospice Nursing Intervention can be used actively for whole personal well-being of the patients in hospice palliative in hospice palliative care unit and also applied in hospice practice as an useful model of multi-disciplinary team approach by hospice professionals.

  • PDF

물리치료사의 근무실태와 직무만족 및 직장애착 (Working Conditions, Job Satisfaction and Organizational Commitment of Physical Therapists)

  • 안소윤;김원중;허영배
    • The Journal of Korean Physical Therapy
    • /
    • 제14권4호
    • /
    • pp.308-322
    • /
    • 2002
  • The main objective of this paper is to examine the working conditions of physical therapists and to investigate the level of job satisfaction and organizational commitment under different working conditions. A survey was conducted through structured questionnaire for the physical therapists working in Busan area, and data from 175 therapists were utilized in the final analysis. Survey items included general characteristics of the therapists(sex, age, education, marital status, religion, income, career years, etc.), their working conditions(kinds of organizations they work in, location of PT room, weekly working hours, average number of patients, number of co-workers, equipments/facilities, etc.), and organizational effectiveness measured in terms of job satisfaction and organizational commitment. Major results are as follows: 1) As for the general characteristics of the surveyed physical therapists, male(51.4$\%$) slightly exceeded female(48.6$\%$) and majority(more than 90$\%$) was 20-39 in age. Also, there were more single(57.7$\%$) than married(42.3$\%$), and 54.9$\%$ of the respondents had religion while 45.1$\%$ did not. In terms of the ranks in their organizations, only a few of them(6.9$\%$) were managers, and monthly salary mostly ranged from $\₩$1,000,000 to $\₩$2,500,000. More than half of them worked in various kinds of hospitals, with the remaining in health centers or social welfare institutions. 2) In regard to the working conditions of the respondents, 19.4$\%$ of PT rooms were located in basement areas while the remaining 80.6$\%$ in first to third floors. 34.3$\%$ of them treated 15 patients or less per day, whereas 25.1$\%$ treated 31 patients or more. Also, 52$\%$ recorded physical therapy charts periodically. As for the equipments and facilities, 25.1$\%$ felt 'sufficient' and 40$\%$'insufficient.' 3) The respondents provided various kinds of suggestions for the improvement of their working conditions, where the most important were 'salary raise' and 'reduction of working hours.' In addition, their requests to the PT Association included 'permission of opening of independent practice,' 'permission of legal specialty,' and 'vitalization of the Association.' 4) The comparative analysis of job satisfaction and organizational commitment among different characteristics of the respondents revealed that there was no significant difference between male and female, but in terms of age, the group of 40 or older was highest in both aspects. Besides, therapists who had 15 or more years of hospital career reported higher job satisfaction and organizational commitment than the others. It was also found that the level of organizational commitment increased as the rank of the respondents got higher. There were no significant differences in terms of marital status and religion. 5) Comparison with regard to working conditions showed that therapists employed in university hospitals, health centers and social welfare institutions felt higher job satisfaction and organizational commitment than those in community hospitals and clinics. Also, respondents who worked in basement areas had significantly lower job satisfaction than otherwise. The length of weekly working hours did not really affect the level of job satisfaction, but it was important to maintain 'regular working hours' for the hospitals to improve the employees' organizational commitment. As for the number of patients per day, 'medium level' (21-25 patients) had highest scores in both aspects. And, finally, sufficiency of equipments and facilities was found to be important for the improvement of organizational commitment.

  • PDF

선형가속기의 엑스선 조사에너지와 MU값의 변화가 치료실 내 공간선량률 변화에 미치는 영향 (Effect of the Space Dose Rate due to Change of X-ray Irradiation Energy and MU Value in Radiation Therapy Room)

  • 권형효;박건률;김민지;조영단;김영재
    • 한국방사선학회논문지
    • /
    • 제14권2호
    • /
    • pp.77-83
    • /
    • 2020
  • 본 논문은 방사선 조사 후 치료실 내부의 공간선량률을 엑스선 에너지 및 MU값 변화를 기준으로 측정하여 치료방사선사의 방사선 방호에 대해 연구해보고자 하였다. 선형가속기를 이용하여 6MV, 10MV, 15MV 광자선을 300MU, 600MU, 1000MU를 기준으로 치료실 내부에 방사선을 노출시킨 후 측정기를 통하여 30초 단위로 5분간 기록하고 시간별로 평균값을 산정하였으며 동일 조건으로 10회 반복 하였다. 실험결과 6MV 300MU인 경우 0.1555 μSv/h, 300sec가 경과된 시점에서는 0.157 μSv/h, 600MU은 0.152 μSv/h, 0.156 μSv/h, 1000MU에서는 0.157 μSv/h 0.152 μSv/h로 측정되었다. 10MV의 300MU는 각각 0.468 μSv/h, 0.309 μSv/h, 600MU인 경우는 0.69 μSv/h, 0.416 μSv/h이었으며 1000MU는 0.977 μSv/h, 0.478 μSv/h로 측정되었다. 15MV의 300MU는 3.02 μSv/h, 1.2 μSv/h이며 600MU에서는 5.459 μSv/h, 1.836 μSv/h 1000MU에서는 7.34 μSv/h, 2.709 μSv/h로 측정되었다. 6MV의 평균 공간선량률은 치료실 내부의 자연 공간선량률과 큰 차이가 없었으며, 10MV, 15MV 의 경우는 높은 공간선량률이 측정되었으며 시간에 따라 감약됨을 확인할 수 있었다. 따라서, 일정 시간(60초 이상)이 지난 이후 치료실 내부로 입장하는 것이 방사선 작업종사자의 피폭선량 방지에 효과적일 것이라 사료된다.

환자에게 주입된 18F-FDG 의한 선량 평가에 대한 연구 (A Study on Dose Assessment by 18F-FDG injected into Patients)

  • 김창주;김장오;정근우;신지혜;이지은;전찬희;민병인
    • 한국방사선학회논문지
    • /
    • 제14권4호
    • /
    • pp.467-475
    • /
    • 2020
  • 본 연구는 PET 검사 중 방사성의약품인 18F-FDG에 대한 선량을 평가하여 환자와 보호자의 방사선에 대한 불안감을 완화하고, 의료기관 인력 및 공간 확보 문제, 건강검진으로 인한 무분별한 검사 진행을 최소화하는 데 그 목적이 있다. 선량평가는 방사선조직가중치 중 높은 조직 세 부위인 경부(갑상선), 흉부(심장), 하복부(생식선) 위치에 열형광선량계(TLD)와 전자개인선량계(EPD)를 이용하여 측정하였다. 또한, GM 계수기와 전리함을 이용하여 공간선량률과 소변에서의 방사능을 측정하였다. 그 결과는 다음과 같다. 첫째, 개인선량계인 TLD는 경부에서 0.0425±0.0277 mSv, 흉부에서 0.0485±0.0386 mSv, 하복부에서 0.0485±0.0436 mSv 측정되었고 방사선 민감도에 따른 심부선량 차이는 거의 없었다. EPD는 경부 위치에서 직후 0.942±0.141 mSv/h, 120분 후 0.192±0.031 mSv/h로 측정되었다. 흉부 위치에서 직후 0.516±0.085 mSv/h, 120분 후 0.128±0.040 mSv/h로 측정되었다. 하복부 위치에서 직후 0.468±0.091 mSv/h, 120분 후 0.105±0.021 mSv/h로 측정되었다. GM 계수기에서 공간선량률은 직후 0.041±0.005 mSv/h, 120분 후 0.014±0.002 mSv/h로 측정되었다. 전리함을 이용한 소변 내 방사능은 60분 후 0.113±0.24 MBq/cc, 120분 후 0.063±0.13 MBq/cc로 측정되었다. 이러한 결과로 볼 때 18F-FDG를 투여하고 PET 검사가 끝나는 2시간 후 선량 재평가를 하고 귀가 시점을 정하도록 해야 하며 보호자와의 접촉도 피해야 한다. 또한, 환자와 보호자에게 충분한 설명과 함께 피폭선량 예상 값을 제공하여 무분별한 검사를 지양해야 하도록 할 필요가 있을 것으로 판단된다. 본 연구에서 실측 실험한 데이터를 통해 환자와 가족들이 방사선에 대한 불안감을 해소하기를 바라며, 방사선 종사자의 피폭관리 시스템과 제도적 개선을 통해 의료방사선 발전에 힘이 되리라 기대한다.

Study on the Acceptability and Effectiveness of an Oral Contraceptive Among Iud Drop-outs in Rural Korea

  • Yang, J.M.;Bang, S.;Song, S.W.;Youn, B.B.
    • Journal of Preventive Medicine and Public Health
    • /
    • 제1권1호
    • /
    • pp.51-66
    • /
    • 1968
  • During a period of about one year(November '66 to December '67), the Yonsei University College of Medicine conducted a field trial of the oral contraceptive(Ovulen) in order to study its acceptability and use-effectiveness among IUD drop-outs in Koyang county. We can summarize the outstanding findings from this investigation as follows; 1. 61.4% of the IUD drop-outs interviewed (911 women) wanted to use the pill. Most of the reasons for not wanting to use it(352 women) pertained to either use of other contraceptive methods(98) or subfecundity(150) following IUD terminations. Only 83 out of 911 women gave reasons related to the difficulty of obtaining pills. Therefore, we can state that most IUD drop-outs if still in need of a contraceptive methods are in favor of trying the pill, and especially so if this method is conveniently available. 2. The 467 women or 37% of those who terminated IUD use actually visited the clinic for medical screening, and only 11 of them or 2.4% were rejected because of pregnancy and other medical reasons such as cervical erosion, myoma, breast mass, etc. 5.5% or 25 of the 456 women who received the first cycle did not take a single pill during the study period. 3. When we defined those 431 women who accepted and took one or more tablets we found that women over age 30, with 4 or more children, and/or with a higher educational level were the best prospects for recruitment. 4. In accuracy of use, about two thirds of the users started taking the pill on the 5 th day as directed for the first three cycles, but the percentages rose sharply to about 80% in later cycles. Tardiness in starting pill use in the first cycle may have occurred partly because they had to return to the clinic monthly to get each new cycle. Among acceptors who did not quit between cycles, 80 to 90% were regular users, missing two or less tablets in each cycle. 5) More than 60% of the users felt well and sometimes lost their pre-acceptance symptoms. especially dysmenorrhea. However, 27.4% (58 women) had side effects attributable to the pill compund as nausea, vomiting, indigestion, breast tenderness, decreased lactation or breakthrough bleeding. 25.0% (53 women) also complained of medical diseases or symptoms not related to the pill, especially during the first three cycles. However, as the confidence and experience of the client and the field workers grew, the incidence of unrelated medical complaints quickly fell to a lower level in the later cycles. 6. As of the end of this study, on December 31, 1967, 49.2% (212 women) had discontinued the use of the pill for medical reasons as well as for the non medical reasons. Only one case terminated use due to a pregnancy after taking pills. The cumulative continuation rates (by the life table method), were 58.9%, 51.9%, 41.0% at the end of 3 months, 6 months and one year, respectively. These rates are lower than in the U.S. studies. Even when we add the retaking group to the first segment, the continuation rate goes up only about 5% above the first segment rates mentioned above. Possible explanations are different dosages, the newerness of the method and the use of only one point for pill distribution in the country together with a monthly return for cycle 1, 2, 3, and 4-6.

  • PDF