• 제목/요약/키워드: Worry

검색결과 374건 처리시간 0.03초

분화성 갑상선암환자의 방사성 요오드 치료시 전리함과 Geiger-Muller계수관에서 방사선량률 측정값 비교 (Comparison of the Measured Radiation Dose-rate by the Ionization Chamber and GM(Geiger-Müller) Counter After Radioactive Iodine Therapy in Differentiated Thyroid Cancer Patients)

  • 박광훈;김구환
    • 대한방사선기술학회지:방사선기술과학
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    • 제39권4호
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    • pp.565-570
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    • 2016
  • 방사성 요오드($^{131}I$) 치료는 분화성 갑상선암 환자에서 재발을 감소시키고 생존률을 증가시키나, 환자에서 방출되는 방사능으로 인하여 피폭을 야기시킬 수 있으므로 환자로부터 발생되는 방사선량률을 측정하는 것이 방사선안전관리 측면에서 중요하다. 방사성 요오드($^{131}I$) 치료시 널리 사용되는 측정기 중 전리함과 GM계수관으로 측정된 방사선량률의 감도와 측정효율을 구하였다. 방사성 요오드($^{131}I$)를 150mCi 경구투여 받은 분화성 갑상선암 환자의 상복부로부터 1 m거리에서 경과 시간에 따라 방사선량률을 측정하였다. 시간에 따른 변화를 직접적으로 비교한 결과, 고선량률에서의 감도와 측정효율은 GM계수관보다 전리함이 높게 나타났고, 통계적으로 유의하였다(p<0.05). 저선량률에서의 감도와 측정효율은 GM계수관보다 전리함이 낮게 나타났지만 통계적으로 유의한 차이를 나타내지 않았다(p>0.05). 방사성 요오드($^{131}I$) 치료시에 검 교정이 완료된 전리함과 GM계수관으로 정확하고 신속한 방사선량률을 측정하여 환자에게 설명함으로써 방사성 요오드 치료 후 퇴원하는 환자에게 환자가족 또는 주변 사람들에게 미칠 수 있는 방사선피폭을 예측하고, 불필요한 예단을 줄여줄 수 있을 것이다.

인문학자의 전자정보원 이용행태에 관한 연구 (Research on the Usage of Electronic Information Resources of the Humanities Scholars in Korea)

  • 윤정옥
    • 한국문헌정보학회지
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    • 제43권2호
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    • pp.5-28
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    • 2009
  • 이 연구의 목적은 우리나라 인문학자들의 전자정보원 이용행태를 포괄적으로 분석하고, 이를 근거로 대학도서관들이 서비스를 제공할 수 있는 방안을 제안하는 것이다. 이 연구를 위해 스물다섯 개 대학 소속 인문학 분야 교수 중 799명을 표본으로 확정한 후, 2007년 11월부터 2008년 1월 사이 우편 서베이를 실시하여, 모두 132개의 분석 가능한 설문을 수집하였다. 응답자들은 대체로 연구와 교육에 균등한 시간을 배분하며, 주로 단독연구를 수행하는 독자적 연구자들이다. 이들은 지난 일 년 간 수행한 연구를 위해 어느 정도 전자자원을 이용하였고, 대학도서관 전자 컬렉션을 정보원으로 사용하였으며, 대부분 텍스트형태의 전자자원에 의존하였다. 이들이 정기적으로 이용하는 전자정보원은 학술논문 입수 정보원을 제외하고는 개별 연구자마다 상이하여 분산되어 있었다. 인문학자들은 전자정보원의 접근과 이용편이성 등을 높이 평가하였으나, 내용의 제한 및 품질 등 문제점을 지적하였으며, 대체로 자신의 전자정보원 이용 및 검색 능력 등을 긍정적으로 평가하고 있었다. 여기에서는 대학도서관은 인문학자들을 위해 (1) 대학도서관 웹사이트의 주요한 내 외부 전자자원의 관문 역할 수행, (2) 진정한 전자자원의 관문으로서 단일경로 접근 및 통합검색 방법 제공, 및 (3) 도서관 내외부 전자자원 활용을 위한 "맞춤형" 이용교육 강화가 필요함을 제안하였다.

재일한국인(在日韓國人)에 對(대)한 사회의학적조사(社會醫學的調査) (Socio-medical Surveys on the Korean Residents in Japan)

  • 김병우
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.101-117
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    • 1973
  • Socio-medical survey was carried out on six hundred and thirty Korean households in the cities of Tokyo, Osaka, Kyoto, and Nagoya in Japan from Nov. 1972 to Dec. 1972, and following results were obtained. 1. Age distribution of households showed the highest occurence in the group of 40 to 49 years of age in the both sexes. Families with five members showed highest occurence, and the average number of familial members was 5.7 persons per one household. 2. More than half of the householders were some independent enterprisers rather than to be the employees and most of the household had one familial member engaged in more or less liberal profession. 3. 19.4% of households moved into these cities from 1941 to 1945. 4. 40.5% of all the households had their own houses. The possession rate of one's own house was higher in the households which had long period of residence in Japan. 5. 83.5% of all households had various medical insurances. And the 6.2% of the household which had no insurance stated that the reason for not being affiliated was 'because to be the foreigner'. Household of shorter dwelling period had less tendency to be affiliated to the various insurances. 6. In 41.3% of all the households, average medical expenditure amounted to 1000-5000 Yen per month. And only 25.6% of household stated that they do not worry about the medical expenditure for the futures. 7. 66.3% of households were consulting to medical doctors for their sickness, such as toothache, severe coughing, profuse sputum, children's fever and stomach pain etc. 8. 59.4% of households were using the facilities of health center services. The health center service was used mainly for individual health service rather than the environmental aspect. And 19.8% of households were not aware of health center activities. 9. It was found that 23.5% of households received the screening test of the tuberculosis and adult diseases. Especially, the rate of screening test of the adult diseases showed as following ; stomach cancer, 8.9% ; hypertension, 7.9% ; diabetes mellitus, 2.1% ; and uterus cancer, 1.6%. 10. Birth control was carried out in 17.3% of households but not in 52.5%. The chief reason of birth control was 'because of poor maternal health' (40.0%) or 'should not be done' (5.4%). 11. Most of them are obtaining the knowledges and informations on family plannings. public nuisance problems and nutritions etc. by means of the mass communications, while those no preventing diseases and the environmental hygiene through the administrative organizations.

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윤리적 쟁점을 중심으로 한 보건의료정책 변화의 고찰 (A Review on the Change of Health Policy Based on Ethical Issues)

  • 이동현;김소윤;손명세
    • 보건행정학회지
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    • 제28권3호
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    • pp.222-225
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    • 2018
  • Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.

춘천지역 고등학생의 식품안전성에 대한 인식도 조사 (A Study on Perceptions toward Food Safety of High School Students in Chuncheon Area)

  • 김복란
    • 한국가정과교육학회지
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    • 제19권3호
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    • pp.119-131
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    • 2007
  • 본 연구는 춘천 지역에 소재한 고등학교 1학년 540명(남학생 264명, 여학생 276명)을 대상으로 식품 안전성에 대한 기본 인식을 알아본 것이다. 식품안전 상태에 대해서 49.4%의 학생들이 우려하고 있었으나 40.0%는 식품안전성에 대해 관심이 없는 것으로 나타났다. 식품안전에 대한 정보는 대부분이 대중매체를 통해서 접했고, 식품안전 사고의 발생이유는 식품을 생산하거나 유통시키고 판매하는 관련자들의 책임의식이 부족하기 때문이라고 인식했다. 또한 식품의 안전을 위협하는 가장 큰 요인으로는 중금속(24.8%)이 가장 높았고, 다음으로는 환경호르몬(24.4%), 식품첨가물(17.0%)이라고 하였다. 잔류농약이 가장 우려되는 식품은 채소 및 과일류이고, 농산물은 잔류농약 때문에 안전하지 못하며 92.4%의 학생들은 잔류농약이 인체에 해롭다고 인식하였다. 중금속에 의한 식품의 오염 인식도에서는 87.4%가 안전하지 못하다고 했으며 중금속에 의해 가장 우려되는 식품은 생선류로 나타났다. 또한 가공식품에 대해 가장 불안하게 여기는 요인은 식품첨가물이었고 대부분의 학생들이 식품의 포장재료나 용기에 대해 유독하다고 생각했다. 식품구입시 식품안전성을 확인하는 학생은 25.0%뿐이고, 식품을 구입할 때 식품안전성 여부를 확인한다는 학생이 식품의 안전성을 중요시하는 비율이 높았으며 식품안전성 여부를 확인하지 않는 학생은 비교적 맛을 중요시하는 것으로 나타났다.

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신문법 내 소유규제 제도의 형성과 해체에 관한 연구 (A Study on Formation and Dissolution of Ownership Restriction System within Newspaper Act)

  • 이용성
    • 한국언론정보학보
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    • 제56권
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    • pp.71-85
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    • 2011
  • 이 논문은 1987년 정간법 제정을 계기로 구축된 신문의 소유규제 제도가 2005년 신문법으로 전부 개정되면서 강화되었고, 2009년에 다시 개정되면서 위기에 직면하게 되는 과정을 언론법제사적 측면에서 검토한다. 1987년, 헌법 제21조 제3항의 신문기능 법정주의에 근거해서 정립된 신문의 소유규제 제도는 2005년 신문법으로 강화되었다가 2006년 신문법 헌법소원 결정에 따라 위축되기 시작한다. 2009년 신문법과 방송법이 개정되면서 신문 방송 겸영 규제, 복수신문 소유 규제 등은 존재하지 않게 되었다. 그 과정에서 야당도 신문방송의 제한적인 교차소유를 허용하였기 때문에 1987년에 형성된 신문소유 규제 제도는 해체 위기에 직면했다. 신문방송의 교차소유 허용 등의 규제완화가 미디어환경의 변화와 여론지배력의 추이 등을 장기적으로 검토하고 결정해야 할 정책적인 사안임에도 불구하고 이렇게 단기간에 도입하는 것은 위험한 일이다. 신문은 정치여론 형성에 있어서 지상파방송과 함께 강력한 미디어이다. 신문여론시장을 과점하고 있는 신문들의 여론지배력이 보도방송 영역까지 전이될 수 있다는 우려를 무시하기 어렵기 때문이다. 미디어소유 집중으로 정치적 다원주의가 위축되어 궁극적으로 민주주의가 위협받을 개연성이 있다는 점에서 신문 소유규제의 완화는 장기적인 사회적 논의가 전제되어야 할 것이다.

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야제 환아의 한의치료에 대한 질적 연구 - 주양육자의 서술을 중심으로 - (A Qualitative Study on Traditional Korean Medicine Treatment for Child Patients with Night Crying - With a Focus on Descriptions by Main Fosterers -)

  • 김혜진;전채헌;김은지;김현호;임정태;유수향
    • 대한한방소아과학회지
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    • 제32권1호
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    • pp.44-53
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    • 2018
  • Objectives This study sets out to examine treatment experiences of child patients with night crying based on the traditional Korean medicine. Also, the study traces the process in which clients chose traditional Korean medicine treatment, and proposes a possible future direction of Korean medicine treatment. Methods The investigator conducted a semi-standardized open-ended question interview with two main fosterers of a child who received traditional Korean medicine treatment for night crying, and examined two fosterers' experiences of a child with the traditional Korean medicine treatment. Their interviews were recorded with their facial expressions and acts for analysis. Collected data was analyzed based on the Grounded theory. Results The participants felt a sense of responsibility, worry, and fear for their children with night crying. They had easy access to traditional Korean medicine doctors who were in the community and had positive experiences with traditional Korean medicine treatment. They reported that some people had been forced to use traditional Korean medicine, had misunderstandings about traditional Korean medicine, and had prejudice that night crying is not a disease. They felt there was a room for improvement in terms of the high medical expenses and the absence of a cooperative system between Oriental and Western medicine. Conclusions As the first qualitative study on night crying based on the traditional Korean medicine treatment, this study proposed a future direction for traditional Korean medicine treatment for night crying in the shoes of fosterers. The findings showed that the fosterers chose traditional Korean medicine treatment for night crying child based on their feelings, accessibility and experiences with traditional Korean medicine. Fosterers felt a need for improvement of the general public's perceptions about Korean medicine treatment on night crying, and a cooperative system between Oriental and Western medicine.

DNA 교차 오염 방지 기능을 가진 돼지 인플루엔자바이러스 감별진단용 one-step multiplex RT-PCR 진단법 (One step multiplex RT-PCR preventing DNA carryover contamination for differential diagnosis of swine influenza viruses)

  • 김희정;김은미;신연경;송재영;김성희;이경기;이명헌;김영화;박준철;여상건;박최규
    • 한국동물위생학회지
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    • 제37권4호
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    • pp.263-271
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    • 2014
  • In this study, we developed a cost and time saving one-step multiplex RT-PCR for the simultaneous detection and differentiation of swine influenza viruses (SIV) and 2009 pandemic influenza H1N1 virus (pH1N1). The one-step multiplex RT-PCR using four sets of primer was confirmed to be capable of detection of all SIV subtypes and differential diagnosis of major SIV subtype H1, H3 and pH1N1 on individual or mixed viral culture samples. The sensitivity of the multiplex RT-PCR was determined to be at least $2^{-6}$ $HA/25{\mu}L$ of the presented SIVs, providing sufficient efficacy for a routine SIV monitoring in diagnostic laboratories. In addition, compared with the conventional RT-PCR methods that cannot avoid the carryover DNA contamination, the developed RT-PCR applied with the uracil DNA glycosylase (UNG) system was proven to prevent a false positive reaction by carryover contamination of the pre-amplified DNA. In conclusion, the one-step RT-PCR with UNG system could be applicable to detect and differentiate of SIV from the viral cultures without worry of carryover DNA contamination in clinical laboratories.

향정신성 약물치료에 대한 간호사와 환자의 지각 비교 연구 (A Study on Nurses한 and Patients한 Perceptions of Psychotropic Medication)

  • 이평숙
    • 대한간호학회지
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    • 제24권1호
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    • pp.47-57
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    • 1994
  • The purpose of this study was to examine nurses’ perceptions of medication treatment for psychiatric patients and to compare these perceptions with the perceptions held by the patients. The methodology used in this study was a descriptive design with semi-structured and open-ended interviews. This study used a convenience sample of 112 nurses who worked in, and 209 patients who were under psychiatric treatment, in four hospitals attached to a university and one national mental hospital in the city of Seoul. The collected data were analyzed by SAS, using percentages for descriptive purposes, and t-test or x$^2$ for comparing the variables. The results were as follows : 1. There was no significant differences between nurses’ and patients’ perceptions on the extent to which patients complied with their medication treatment. Generally speaking, the mean compliance scores for both nurses and patients was high(nurse : (equation omitted)=3.70, Patient : (equation omitted)=3.76). 2. There was a significant difference in nurses’ and patients’ perceptions on the reasons why patients do not take medication. The nurse group indicated that the patients did not take medication because of the “worry about side effects or habituation(49.53%)”, “boredom from long-term use of medication(26.17%)” and “distrust toward medical staff(12.15% )”, but the patient group indicated that they “did not want to be dependent on medication (25%)”, “forgot to take medication(19.7%) and “worried about side effects or habituation(15.91%). 3. As for the necessity of medication, both groups showed some different responses. Even though both groups were aware of the necessity of taking medication, the patient group(21.53%) showed a more negative response. As (or the effects of medication, both groups (nurses and patients ) showed positive responses. However, the nurse group showed a higher positive response (91.07% ) than the patient group(74.16%), 5. Both the patient and nurse group indicated that the most helpful element for the patient’s life under psychiatric treatment was interviews and conversations with therapists and nurses. However, the nurse group showed a higher response(70.15%) than the patients group(47.15%). According to the patient group, family support for the patient was another important factor for psychiatric treatment and daily struggles. In conclusion, as there were differences between the perception of nurses and patients, the nurse must consider the patients’ subjective perceptions first. They should also revaluate their false belief and prejudice concerning the patients’ perceptions. Such information can provide a base to be applied by the nurses in devloping effective mutual relationships with patients which can in turn help in compliance with medication regimen. As it was confirmed that medication was the most important factor in the patients’ recovery, a thorough education program on the therapeutic effect of medication and the necessity of their continued use after discharge is also needed.

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퇴원에 따른 만성 질환아 어머니의 반응과 환아 돌보기 지지 요구 (The Reaction and the Supporting Need for the Mother in Caring for their Chronicly III Child after Discharge)

  • 채현이
    • 가정간호학회지
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    • 제8권1호
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    • pp.50-61
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    • 2001
  • With the improvement of current medicine, the number of the chronicly ill children are increasing. The illness of the child drives all of the family to despair. especially it is a burden on the mother who takes care of the ill child. She's faced with many emergencies and feels powerless. The home care for a child is for finding a child's problems early and mediating them. The purpose of this study was to investigate the mother's reaction following their chronicly ill child's discharge and to investigate the supporting needs for caring for an ill child. The subjects of this study were mothers with a chronicly ill child being discharged from a general hospital in Seoul and the data was collected from July 20 to September 30. Data was collected by using questionnaires which were developed by the researcher. (The questionnaires were composed of the average 5 points - Likert's method). The Mother's reaction means that the higher the score, the more negative the mother's thoughts about discharge are. Supporting need for caring for ill an child means that the higher the score, the higher the demand of nursing is. The statistical analysis used the SPSS program for t-test. ANOVA, and Pearson Correlation. The results of this study were as follows: 1. The mother's reaction scores following discharge were the lowest. 19 and the highest 72 so that the total average was 43.15. The answer, 'I worry that my baby will be troubled with illness again after discharge gained the high points (3.94 of 5 points). The answer. 'The discharge of my baby makes me gloomy' gained 2.05-it was the lowest points. Their were significant differences according to religion (p=.006). salary (p=.050). the burden of the medical fee (p = .005) and caregiver (p=.027). 2. Supporting Need for caring for ill an child was the lowest 15 and the highest 67. the total average was 47.87. The answer. 'I'd be glad to get a person whom I could always get counsel about the health of my baby with' scored the high point (average 4.04 of 5). The answer. 'Caring for my baby at home makes me exhausted' gained the lowest point. 2.49. Their were significant differences according to religion (p=.019) and diagnosis (p=.019). 3. The relationship between the reaction of the mother and supporting need for caring for an ill child was a positive correlation (r=0.585). In conclusion. this study revealed that mothers weren't positive about their chronicly ill child's discharge and they wanted to get support for caring for an ill child. Through this study. I proposed that the program to support the chronicly ill child at home and home care by continuous counselling after discharge should be develop.

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