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A study on simple nursing activities for the registered nurses and nurse aides in the hospital (단순간호활동에 관한 간호사 및 간호조무사의 태도조사연구)

  • Lee Jung-Hee
    • Journal of Korean Public Health Nursing
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    • v.4 no.1
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    • pp.37-55
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    • 1990
  • Every country in the world has been trying to expand the basic health right for the peoples as W.H.O has established the goal 'health for AU' by the year of 2000. Related to this goal, our government authority has establish the policy 'the insurance of health for all' into effect from July 198\). Recently hospitalshave been making a ceaseless effort for the plan for the rationalization of its management the academic World is making it a subject of discussion by doing the secure of manpower at a resonable level and the increase of productivity by the manpower. As a result of the efforts the study was established to secure the numbers of nursing manpower at a resonable level and use the unskilled persons at the utilizing field and seek the possible area of their activity for more efficient service through the investigation of ablity of simple nursing activities of regiestered nurses and nurse aides for rational function according to the educational levels and talents. The method of study was established by the registered nurses and nurse and nurse aides(R.N 229, N.A 226) who are working in 15 hospitals with over 200 beds. This surrey was conducted from Mar 29, 1989 to April 8, 1989. The method to test the degree of importance, difficulties, and the abillity of performance of a simple nursing activities was classified into 35 activities on the basis of references on this field. The degree of importance was composed from point l(Not so important) to 5(Very important). the degree of difficulties. was composed as follows; very easy - Point 1 very difficult and complicated - Point 5. and the ability of performance was composed from point 1 to 5. The materials gathered through the survey were analyzed with frequency, mean standard deviation, percentage. t-test, Anova, pearson's coefficient of correlation, stepwise multiple regression. factor analysis, discriminant analysis. The obtained results are summarized as follows: 1. The recognition values of the simple nursing activities of each group of registered nurse and nurse aides show; The degree of importance; 4.04 and 4.26 The degree of difficulties; 2.72 and 2.94 The ability of performance; 2.07 and 2.38 The brief summary shows there are little differences between who two groups the simple nursing activities turned out to be easy and simple work. 2. Regardless of the degree of importance, and difficulties, the ability of performance the important in fluencing of the degree of the simple nursing activities between the registered nurses and nurse aides was the order of educational level, hospital career, working career in wards and ages of the registered nurses and ages and hospital creer of nurse aides. The result was that the simple nursing activities could easily be familiar through the training of their working environment and period of experience. 3. Among the 35 simple nursing activities the items capable of resonable entrusting to the nurse aides are 5 that is helping bed-bathing, 8itz Bath, using bed pan, care while delivering patient, accompaying patient when visitor's check. There wasn't and differences between RN and nurse aides in performing the above 5 items. In anywhere. so we can say obviosuly that this nursing activities should be performed under the nursing system of which chief of nurse are supposed to supervise nurse aides as a possible function to be entrusted. In view of the above mentioned results, therefore, this partial functional job of the simple nursing activities can able be entrusted to the nurse aides through the regular training course. In case of these functional activities could be entrusted under, the responsibility of registered nurse, we can able suggest to for that there are the following advantages: 1.. In the nursing activities-affairs, the qualified guarantee of the nursing services can be kept and increased or promotoed with accommodation of the required nursing service and roles being expanded presently. 2. In the productivity of the hospital manpower, therefore, we have comt to view and consider in favourly that when an automational administration times would be come in the near future time to hospital affairs as a reality, to utilize the existing nures aides is better rather than investing so as to develop the other source manpowers or seek its for the efficient business management in the operational strategy or its policy.

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Posture and Low Back Pain (일반적인 자세가 요통에 미치는 영향에 대한 고찰)

  • Jung, Mun-Boung;Lee, Geoun-Sung;Kang, Eun-Mi;Oh, Kyeong-Seok
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.207-214
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    • 1996
  • Main cause of low back pain is a poor posture. Most low back pains are due to a poor posture. The poor posture induces muscle tension and finaliy low back pain. The poor posture arehabitually trained from the childhood by the environmetal factors. In general, maintaining good posture during working and sleeping hours are the first line of defence against back pam. (1) Supine posture is the easiest posture that relaxes and fixes muscles. Supine posture is thus a starting position for on exercise. Lying down releases the weight pressures of head and shoulder and thus body can be relaxed and extended which are helpful for treating back pain. However, supine posture can increase the pressure in ribcage posture aspect and disphragram due to visceral oragans. (2) Sitting in one position for a long time results in fatigue and relaxation of spinal muscies. Finally, body strength is weakened and sitting posture will become poor. If this poor posture continues for a longer time, pain will be accompanied due to overelongation of muscle ligaments. The habitual poor posture could induce intervertebral disc distortion. If the intervertebral disc is damaged, sitting in one position or movement causes pain. (3) Abnormal lumbar curve induces the tention of abdominal muscle and paravertebral muscle groups as well as tention of lower limb muscle group connected to pelvis. For a person with weak body strength, muscle relaxation increases curvature in lumbar, chest and cervical regions. This will induce a pelvic anterior tilting of the imaginary line between A. S. I. S. and P. S. I. S. Hip joint extensor muscle acts on releasing the pelvic anterior tilting. Contrections of hamstring muscle and femoral muscle recover the imaginary line between A.S.LS. and P.S.I.S. from pelvic anterior tilting. thus, contraction of rectus abdominis muscle are required to maintain the normal lumbar curve.

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Some Comments on the Preparation of the CSK Standard Chemical Solutions (CSK Standard Chemical Solution 과 그에 대한 몇가지 의견)

  • Won, Chong Hun
    • 한국해양학회지
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    • v.4 no.2
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    • pp.83-86
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    • 1969
  • 해양관측의 세계적인 공통성으로 해서 염분검정법이 이미 오래 전부터 통일화 되었지만 근래에 와서는 용존산소량 정량법도 국제적인 Intercalibration을 하는 등규격화에의 기운이 나고 있다. 다시 Kuroshio 합동조사에서는 영양염의 정량에 있어 공통된 표준용액을 사용하므로써 조작상의 편리와 측정치의 신뢰성을 더욱 향상시키자는 의도에서 일본이 국제적인 영양염 표준용액의 조제 및 배포에 관한 안을 내어 1965년 Manila 회의를 거쳐 일본 상모중앙화학연구소의 관원씨가 이를 맡아 1966년부터 시작하여 1967년까지에 요오드산칼리움, 아질산염, 인산염, 규산염의 표준용액을 만들어 1968년 봄부터 시험적으로 일본국내와 동남아 수개국에 나누어 사용해 왔던 것이다. 다시 1968년 9월의 SCOR 의 영양염에 관한 Working Group 회의에서 CSK Std. Solution을 사용하여 세계각국에서 현재 사용하고 있는 영양염 분석방법의 Intercalibration을 하자는 회의가 있었고, 이것을 권고사항으로 SCOR에 보고하여 1968년 11월에 ICES가 승인하므로써 Intercalibration에 관한 원칙이 정해졌다. 동시에 Finland의 Koroleff씨와 Palmork씨가 organizer로 정해졌던 것이다. 이 보다 약간 앞서 본인이 상모중연에 가 있을 때 Std. Solution으로서 아질산염용액 만으로 각종무기질소화합물의 표준용액으로 대용한다는 것은 비합리적이므로 질산염과 암모늄염의 표준용액이 있어야 한다고 주장하여 우선 질산염용액을 추가로 만들기로 하여 1968년 11월부터 표준물질의 정제부터 시작 되었다. 1969년 1월에 Intercalibration 에 관한 구체적인 회의를 위해 Scripps 해양연구소에 관원, Wooster Rakestraw, Cieskes씨등이 모여 우선 일본상모중연에서 만들고 있는 인산염, 질산염, 아질산염, 규산염의 CSK 표준용액을 표준시료로하여 SCOR 과 ICES의 해양화학분과에서 선정한 세계 100개처에 나누어 현재 각자가 사용하고 있는 방법의 정밀도와 정확도를 check하는 소위 International intercalibration을 1969년 9월부터 시작하기로 확정을 보았고, 동시에 구체적인 지시가 있었던 것이다. 이시료를 받는 사람에게는 다만 그것의 농도범위만 알려주고 정확한 농도는 Koreleff와 관원씨만이 알고 있기로 하여 측정에 분석자의 주관이 개입되지 못하도록 했고, 분석치는 SCOR가 모아 해석하되 번호제로 하여 어떤 나라의 누구가 했다는 것은 밝히지 않기로 되어 있다. 이같은 내력으로 CSK Std. Solution이 국제적인 Intercalibration용의 표준시료로서 시험적으로 사용되기 까지는 되었으나, CSK Std. Solution 그자체에 관해서는 아직도 해결해야 할 점, 개량을 요하는 점이 많다. 이하에서는 주로 개량을 요하는 점에 관해 몇가지 언급하고자 한다.

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Policy-based Dynamic Channel Selection Architecture for Cognitive Radio Network (무선인지 기술 기반의 정책에 따른 동적 채널 선택 구조)

  • Na, Do-Hyun;Yoo, Sang-Jo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.6B
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    • pp.358-366
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    • 2007
  • Recently, FCC(Federal Communications Commission) has considered for that unlicensed device leases licensed devices' channel to overcome shortage of communication channels. Therefore, IEEE 802.22 WRAN(Wireless Regional Area Networks) working group progresses CR (Cognitive Radio) technique that is able to sense and adopt void channels that are not being occupied by the licensed devices. Channel selection is of the utmost importance because it can affect the whole system performance in CR network. Thus, we propose a policy-based dynamic channel selection architecture for cognitive radio network to achieve an efficient communication. We propose three kinds of method for channel selection; the first one is weighted channel selection, the second one is sequential channel selection, and the last one is combined channel selection. We can obtain the optimum channel list and allocates channels dynamically using the proposed protocol.

The status and strategy of oral health education of dental hygienist on periodontal patients (치과위생사의 치주병환자 구강보건교육 실태 및 전략 수립에 관한 연구)

  • Moon, Ae-Eun;Moon, Ha-Young
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.149-158
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    • 2011
  • Objectives : The objective of this study was to analyze cognition and status of oral health education of dental hygienists who manage the patients visiting dental clinics and to utilize the findings as continuous study data required for development of systematic oral health education program for management of peridontal disease of adults. Methods : Survey was carried out for 261 dental hygienists working in dental clinics who are performing oral health education of patients with peridontal disease living. Results : 1. In the socio-dynamic diagnosis, it was analyzed that, the younger the age is and the lower the career is, the more the work is centered around assisting medical treatment job and, the older the age is and the higher the career is, the work is centered around oral health education job. 2. In the behavioral diagnosis, it was analyzed that, as to source of knowledge acquisition, guide of dentists and senior dental hygienists was the highest and, as to education media, visual education and demonstration education were mainly used. 3. In educational diagnosis, as to the degree of knowledge about oral health education and the degree of practice, it showed that the degree of knowledge was lower than the degree of practice in peridontal disease process and oral prophylaxis as well as scaling part. 4. In both the cases of independent practice and group practice, it showed that the most frequent obstacle was insufficient educational materials and tools and it was analyzed that acquisition of new knowledge and technology is required as a matter to be improved. Conclusions : It seems to be required for the dental hygienists to develop detailed knowledge and professional technology in order to induce actions and motive of patients during oral health education of peridontal patients and to develop and produce data for efficient education of peridontal patients.

Suggestion of Risk Assessment Models for Cardiovascular Disease in the Workplace

  • Choi, Eui Rak;Jeong, Byung Yong
    • Journal of the Ergonomics Society of Korea
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    • v.33 no.4
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    • pp.289-297
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    • 2014
  • Objective: The purpose of this study is to identify the incidence risk of cardiovascular disease (CVD) in the workplace, and to suggest the prediction models for level of CVD incidence risk. Background: CVD can be caused by various factors related to personal habits such as diet and exercise, or genetics. However it can also be caused and aggravated by work, making the elimination of such risk factors at work crucial disease (KOSHA, 2013). Method: The distribution of CVD risk assessment levels of 162 workers was compared with the acquired medical examination data to discuss the necessity of assigning additional risk factors. Two alternative risk assessment models were given to enhance the accuracy of the evaluation; adjusting risk scores given in the KOSHA GUIDE H-1-2013 (alternative 1) and building a matrix of KOSHA GUIDE H-1-2013 and risk assessment results based on work condition levels (alternative 2). To verify the suggested models, medical examination results of 12 workers approved of convalescence were referred to. Results: The second alternative showed more relevance between the results and workers approved of convalescence in predicting the risk group when applied to actual heath examination data from the approved workers. The power of description of the new method for determining the risk of CVD incidence, 83.3%, is higher than that of KOSHA GUIDE H-1-2013, 25%. Conclusion: Results of this study imply that more approved workers had been from unmanaged normal groups than managed risk groups, raising the importance of CVD management. Application: The new prediction model considering working time and shift work developed in this study is expected to be a fundamental data for risk analysis and management of CVD in the workplace.

Development of The Yarn Sorting Equipment (khonhook) by Slide Way

  • Nithikarnjanatharn, Jittiwat;Rithinyo, Manote
    • International journal of advanced smart convergence
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    • v.4 no.1
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    • pp.137-144
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    • 2015
  • Development of the yarn sorting equipment (khonhook) by slide way due to the principle of engineering that cause of workers on the long of motion time. The data was collected from the weaving group Ban Nongkok village, Nakornratchasima Province, THAILAND. According to the study, the step of yarn sorting (konhook) was one of the steps that affect long of motion time. The problem was the inadequate capacity equipment. The objective of research was to study and develop the yarn sorting equipment (konhook). The fabric used in the study was 64 meters in length and 1 meter in width. Researchers studied the processes the yarn sorting (konhook) which it consists of seven sub steps, 1) the thread tube setting, 2) yarn bunching, 3) tying a knot at the end of yarn, 4) looping the yarn into a pillar, 5) sorting the yarn (konhook), 6) crossing pillars and 7) taking out the yarn. Researchers focused on studying yarn sorting process (konhook) by designing and creating a device for yarn sorting (konhook) for reducing yarn sorting (konhook) time by the original method performance indicators. The results found that the developed yarn sorting equipment (konhook) ) by slide way could reduce working time from 7.24 minutes to 6.08 minutes of the original equipment yarn sorting (konhook). This means it could make the process 16.02 % faster. This also helps reducing the distance of workers' movement from 2,234 meters to 8 meters. This is 99.64 % shorter.

Development of a Smartphone Application for Promoting Bone Health in Korean Young Adult Women: A Pilot Study (성인초기 여성의 골건강 증진을 위한 스마트폰 앱 개발 및 적용: 예비연구)

  • Park, Young-Joo;Lee, Sook-Ja;Shin, Nah-Mee;Shin, Hyunjeong;Yoon, Sungjin;Jeon, Songi;Cho, Inhae
    • Korean Journal of Adult Nursing
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    • v.27 no.4
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    • pp.459-471
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    • 2015
  • Purpose: The purpose of this study was to develop a smartphone application and evaluate it's effectiveness and usability for promoting bone health in Korean young adult women. Methods: A smartphone application was developed covering exercise, nutrition, and health habits related to bone health. A pilot testing was conducted using a one-group pre/posttest design. A total of 22 female college students with low bone mass participated in the 8-week use of a pilot testing. Results: The "Strong bone Fit body (SbFb)" application was developed using Android platform. In the pilot testing, bone mineral density, serum CTX, and 25 (OH)Vit.D were significantly decreased. There is no significant change in serum osteocalcin and calcium. Serum phosphorus concentration, nutrient intakes (fiber, VitB6, and pantotenic acid), and all bone composition profiles were significantly increased. Bone-health knowledge was significantly increased but no change in health belief and self-efficacy. Conclusion: The results of this pilot testing suggest the effectiveness of the SbFb application to enhance and promote self-managing abilities for bone health. It can provide continuous feedback and high-quality bone health information. However, some contents and working methods of the application need to be modified and its effectiveness on bone health requires further investigations.

A Study of the Economic Structure of Baby Boomer Households and the Determinants of Economic Satisfaction in Korea (베이비부머 가계의 경제구조 및 경제적 만족도 분석)

  • Seo, Ji-Won
    • Journal of Family Resource Management and Policy Review
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    • v.16 no.1
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    • pp.41-66
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    • 2012
  • Recently, Korean baby boomers, which make up approximately 15% of the total population, have begun to retire. Their economic well being is one of Korea's most important social issues. The purpose of this study was to compare the economic structure of baby boomers' households with that of the prior generation, as well as to analyze the determinants of economic satisfaction from the perspective of "work" and "child educational burden." In addition, group comparisons were made regarding economic resource allocation between baby boomers and the prior generation and within baby boomers of different work and child educational burden statuses. Data from the 2nd wave of the Korean Longitudinal Study of Ageing (KLoSA), including baby boomers and the generation prior to the baby boomers, were used. The major findings were as follows. First, the baby boomers had a different economic structure, level of economic satisfaction, and economic resource allocation when compared to the prior generation. The economic structure of baby boomers in terms of income, expenditure, savings and assets, debts, and trust in policies significantly differed from their counterparts. Second, the determinants of economic satisfaction and the propensity of resource allocation were different depending on whether they worked or had a child educational burden, respectively. Based on these empirical results, policy implications for the future economic well being of baby boomers were provided.

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Development of Evaluation System for the Cognitive Performance of Marine Officers (항해사 인지능력 평가시스템)

  • Kim, Hong-Tae;Hong, Seoung-Kwon;Barnett, Mike
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.650-653
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    • 2009
  • Decrease in crew performance is frequently cited as a major causal factor in maritime accidents. Although considerable researches on working hours undertaken by seafarers have been conducted through interviews and record analyses, experimental studies on the effects of factors, such as high workload, shift patterns, stress, sleep deprivation, and disturbance on the cognitive performance of mariners have been limited. Other safety-critical transport industries, such as aviation and rail, have developed fatigue management tools to help managements in the work patterns of their operators. Such tools for mariners would assist shipboard crews, marine pilots, and shore managers for planning and improving work schedules. The overall aim of this paper is to determine a fatigue factor that can be applied to human performance data as a part of a software program that calculates total cognitive performance. This program enables us to establish the levels of cognitive performance in a group of marine pilots in order to test a decision-making task based on radar information. This paper addresses one of the factors that may contribute to the determination of various fatigue factors: the effects of different work patterns on the cognitive performance of a marine pilot.

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