• 제목/요약/키워드: absence of care

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노인요양시설 거주노인의 활동공간 이용행동 및 점유행태 (A Study of the Residents' Use and Occupancy-Behavior in the Activity Areas of the Senior Nursing Facilities)

  • 이민아
    • 가정과삶의질연구
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    • 제27권5호
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    • pp.77-90
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    • 2009
  • The purpose of this study was to investigate the residents' use and occupancy-behavior in the activity areas of the senior nursing facilities, and to provide basic information to establish the appropriate physical elements for planning the activity areas. For the study, the observations in five facilities were conducted for one day, from 10 a.m. to 4 p.m by four researchers. The results of the study are summarized as follows: First, most of the using behaviors in the activity areas were the doing nothing or sleeping. The meals and program services were provided in only one activity area of the floor and it showed that the unit care system was perfunctorily conducted at those facilities. In the representative activity area, its openness was the main physical element influencing the spatial using frequency, while the accessibility and the openness in the sub-activity area were most important. The seating arrangements having comers were helpful for residents' interactions. Second, while facility programs and meals were provided in the specific activity area, there was no residents' occupancy in other activity areas at the same time. There were interactions including residents' conversations and watching/observations in non-designated activity areas such as the nursing stations and near corridors. But the residents' interactions and self-regulations were blocked by absence of territoriality, monotonous spatial compositions and furniture arrangements, insecurity of residents' privacy, wide or narrow areas, and isolated spatial type. Based on the results at the above, basic guidelines for planning the activity areas of senior nursing facilities can be proposed as follows: First, the isolated type and the sight interception should be avoided in representative activity areas. It should be partitioned with couple of areas through the appropriate furniture arrangements, and be prepared semi-private spaces in non-designated areas such as nursing station for the interactions among the residents and the staff. Second, in activity areas for small group, the isolated type is not also good for the residents' accessibility. The residents' privacy should be confirmed through the various spatial compositions, and enough areas need to be sure for the diverse furniture arrangements.

비수분산 특수 제형 화장품에 대한 방부력 시험 비교 연구 (Comparison of Preservative Efficacy Tests for Water Non-dispersible Cosmetic Formulations)

  • 김용현;박성하;박병준;신계호;강학희
    • 대한화장품학회지
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    • 제47권1호
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    • pp.9-21
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    • 2021
  • 본 연구에서는 수분산 제형에 사용되는 방부력 시험법과 PCPC (personal care products council) 가이드라인 대체시험법, direct contact membrane method 및 surface mold test 사이의 차이점을 연구하여 비수분산 특수 제형 방부력 시험 진행 시 고려되어야 하는 사항에 대해 알아보고자 한다. 우리는 스틱 및 프레스트 파우더에에 대한 시험법 비교 시 대체 시험법을 사용했을 때 개선된 수준으로 방부력 시험 결과를 확인할 수 있었다. 하지만 W/S 에멀젼과 루즈 파우더의 경우, 기존 시험법이나 대체 시험법간 결과 개선 차이가 크지 않았음을 확인하였다. 각각의 제품에 대해 방부시스템 존재 시와 부재 시 결과들을 확인했을 때, 시험법별로 차이가 발생함을 알 수 있었다. 결과적으로, 비수분산 특수 제형에 대한 방부력을 측정할 때 기존 및 대체 시험법을 병행 사용하여 개선된 수준의 결과를 얻을 수 있었다. 또한 본 연구를 통해 스틱 및 프레스 파우더의 경우, 소비자 사용방식을 적용하는 방식의 방부력 시험법을 적용하였을 때, 보다 더 유효성 있는 결과를 도출해 낼 수 있었다.

Social Distancing and Public Health Guidelines at Workplaces in Korea: Responses to Coronavirus Disease-19

  • Kim, Eun-A
    • Safety and Health at Work
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    • 제11권3호
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    • pp.275-283
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    • 2020
  • Background: In the absence of a vaccine or treatment, the most pragmatic strategies against an infectious disease pandemic are extensive early detection testing and social distancing. This study aimed to summarize public and workplace responses to Coronavirus Disease-19 (COVID-19) and show how the Korean system has operated during the COVID-19 pandemic. Method: Daily briefings from the Korean Center for Disease Control and the Central Disaster Management Headquarters were assembled from January 20 to May 15, 2020. Results: By May 15, 2020, 11,018 COVID-19 cases were identified, of which 15.7% occurred in workplaces such as health-care facilities, call centers, sports clubs, coin karaoke, and nightlife destinations. When the first confirmed case was diagnosed, the Korean Center for Disease Control and Central Disaster Management Headquarters responded quickly, emphasizing early detection with numerous tests and a social distancing policy. This slowed the spread of infection without intensive containment, shut down, or mitigation interventions. After entering the public health blue alert level, a business continuity plan was distributed. After entering the orange level, the Ministry of Employment and Labor developed workplace guidelines for COVID-19 consisting of social distancing, flexible working schedules, early identification of workers with suspected infections, and disinfection of workplaces. Owing to the intensive workplace social distancing policy, workplaces remained safe with only small sporadic group infections. Conclusion: The workplace social distancing policy with timely implementation of specific guidelines was a key to preventing a large outbreak of COVID-19 in Korean workplaces. However, sporadic incidents of COVID-19 are still ongoing, and risk assessment in vulnerable workplaces should be continued.

신증후군 청소년의 간호문제에 관한 탐색적 연구 (An Exploratory Study of Nursing Problems in Adolescents with Nephrotic Syndrome)

  • 강창희
    • 대한간호학회지
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    • 제22권4호
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    • pp.604-619
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    • 1992
  • This study was designed to investigate the problems facecl by adolescents who have nephrotic syndrome and who have struggled with their disease over a long time. Information obtained from this study can be utilized as basic data in planning nursing care for these adolescents. The subjects in this study were 13 adolescents who were being treated in the pediatric OPD of one general hospital in Seoul. The treatment period ranged from 2 to 15 years. The tool for this study was constructed after asking patients with nephrotic syndrome about their problems using anunstructured questionalire. Problem items which were observed during nursing cared in the pediatric unit. were also inclucled. Ten problem items were constructed on the basis of Moonlcy's problem check list and two additional items related to diet and physical activity were added to the list. The results of this study can be summerized as follows : adolescents with Nephrotic Syndrome. 1) have a vague knowledge about their illness and have distorted concepts. 2) feel social isolation within their peer group because of their changed appearance, limited physical activity and special diet regimen. 3) have problesm in heterosexual relationship because of short height in boys and changes in body propotions in girls. 4) think that their personality has changed due to illness. In most cases(8) changes were in a negative direct ion but in two cases they were positive. 5) have problems with scholastic achievement due to physical weakness and school absence. 6) who are in late adolescentce are more realistic and plan for their future taking into consideration their prognosis much more so than do patients who are in early adolescence. 7) have problems in their peer relationships. 8) have limitation their enjoy ment of leisure time. 9) have some conflict with their siblings. 10) think religion is significant and it has and influence on their life.

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Association between body mass index and hepatitis B antibody seropositivity in children

  • Kwon, Yoowon;Jeong, Su Jin
    • Clinical and Experimental Pediatrics
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    • 제62권11호
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    • pp.416-421
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    • 2019
  • Background: The seropositivity rate of hepatitis B surface antigen (anti-HBs) antibodies is known to be ≥95% after hepatitis B virus vaccination during infancy. However, a low level or absence of anti-HBs in healthy children is discovered in many cases. Recent studies in adults reported that a reduced anti-HBs production rate is related to obesity. Purpose: To investigate whether body mass index (BMI) affects anti-HBs levels in healthy children following 3 serial dose vaccinations in infancy. Methods: We recruited 1,200 healthy volunteers aged 3, 5, 7, or 10 years from 4-day care centers and 4 elementary schools. All subjects completed a questionnaire including body weight, height, and vaccine type received. Levels of serum hepatitis B surface antigen (HBsAg) and anti-HBs in all subjects were analyzed using electrochemiluminescence immunoassay. The standardized scores (z score) for each sex and age were obtained using the lambda-mu-sigma method in the 2017 Korean National Growth Charts for children and adolescents. Results: Our subjects (n=1,200) comprised 750 males (62.5%) and 450 females (37.5%). The overall anti-HBs seropositivity rate was 57.9% (695 of 1,200). We identified significant differences in mean BMI values between seronegative and seropositive groups (17.45 vs. 16.62, respectively; P<0.001). The anti-HBs titer was significantly decreased as the BMI z score increased adjusting for age and sex (B=-15.725; standard error=5.494; P=0.004). The probability of anti-HBs seropositivity based on BMI z score was decreased to an OR of 0.820 after the control for confounding variables (95% confidence interval, 0.728-0.923; P=0.001). Conclusion: There was a significant association between anti-HBs titer and BMI z score after adjustment for age and sex. Our results indicate that BMI is a potential factor affecting anti-HBs titer in healthy children.

초등학생 구강보건교육 수행여부에 따른 구강보건지식, 태도, 실천도 비교 (Comparison of Oral Health Knowledge, Attitude and Practice according to Elementary School Students' Oral Health Education)

  • 노은미
    • 융합정보논문지
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    • 제9권11호
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    • pp.241-246
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    • 2019
  • 본 연구는 반복적이고 지속적인 구강보건교육이 초등학생의 구강보건지식, 태도, 행동에 미치는 효과를 확인하기 위해 실시하였으며, 1학년 때부터 3년간 년2회 구강보건교육을 반복적으로 시행한 129명과 구강보건교육을 미시행한 111명을 최종 분석하였다. 구강보건교육실시 유무에 따른 구강보건지식, 구강보건행동 점수에서는 3년간 구강보건교육을 반복적이고 지속적으로 실시한 학교가 실시하지 않은 학교보다 높은 수준을 보여 유의미한 차이를 나타내었고(p<0.01), 구강보건태도는 구강보건교육 실시학교에서 약간 점수가 높았으나 유의한 차이는 없었다. 초등학생의 반복적이고 지속적인 구강보건교육이 구강보건지식과 행동 변화에 많은 영향을 주므로 치위생전문가가 상주하여 지속적인 구강건강관리를 할 수 있다면 그 효과는 더욱 증대될 것이다.

침상의 인체감지를 위한 원격 스마트 제어 시스템에 관한 연구 (Study on Remote Smart Control System for Human Detection on Bed)

  • 박승환;심우정;정진택;김영서
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.63-69
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    • 2017
  • 본 연구는 침상의 인체 위치와 생체신호를 검출할 수 있는 스마트 침상제어시스템의 개발에 관한 것이다. 침상제어 시스템의 메인 제어보드는 인체 감지부, 모터 구동부, MCU로 구성된다. 여기서, 침상의 인체존재 확인의 신뢰성을 높이기 위해 맴브레인 센서에 의한 인체위치 검출부와 EMFI 센서의 생체신호 검출부를 인체감지부로 결합하였다. 또한 검출된 두 신호를 원격으로 앱 모드의 응용 프로그램에 연결하여, 침상위 인체정보를 모니터링할 수 있는 앱모드의 활용이 가능하도록 하였다. 본 연구에서 블루투스 통신에 의해 침상 인체 정보를 모니터링하는 원격 기능은 병원 및 요양기관의 낙상 및 침상부재사고 예방기법으로 활용될 수 있을 것이다.

우리나라 40세 이상의 노인성 안질환과 구강건강행태와의 관련성: 국민건강영양조사 제7기 2차년도(2017) 자료를 이용하여 (Relation between age-related eye disease and oral health behavior: Using the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), 2017)

  • 우경지
    • 디지털융복합연구
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    • 제19권10호
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    • pp.535-543
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    • 2021
  • 노인성 안질환과 구강질환은 비가역적 손상을 일으키기 때문에 삶의 질에 큰 영향을 미친다. 따라서 나이관련황반변성(AMD) 및 녹내장과 같은 노인성 안질환과 구강건강행태와의 관련성을 확인하고자 하였다. 제7기 2차년도(2017) 국민건강영양조사 자료를 이용하여 AMD 및 녹내장과 구강건강행태를 분석하였다. 녹내장과 AMD 유병자와 녹내장과 AMD 미보유자를 비교하기 위해 교차분석을 실시하였고, 복합로지스틱 회귀분석을 통해 AMD 및 녹내장과 구강건강행태와의 위험비를 확인하였다. 황반변성 및 녹내장의 유무에 따라 연령, 학력, 구강위생용품 사용, 발음불편 호소에서 통계적으로 유의한 차이가 있었다. 또한 녹내장 유무는 성별에서도 차이가 있었다. 구강건강행태와 노인성 안질환과의 일부 변수에서 유의한 연관성이 있었다. 구강건강행태는 AMD 및 녹내장 질환을 예방하는 데 위험 요인으로 작용할 수 있으므로 구강건강행태에 대한 인식도가 더욱 높아져야 할 것이다.

치과위생사의 근무환경 연구 -근무기관·경력·지역을 중심으로- (A study on work environments for dental hygienists: - focusing on kind of workplace. career and service area)

  • 류정숙;김영남;한경순
    • 한국치위생학회지
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    • 제7권2호
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    • pp.135-151
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    • 2007
  • The purpose of this study was to examine the work environments of dental hygienists, to find out about what problems there were with their work environments and ultimately to help improve their work environments. It's basically intended to pave the way for furthering the welfare and interests of dental hygienists. The subjects in this study were dental hygienists who were selected by random sampling from among the members of Korean Dental Hygienists Association. Approximately 20 percent of the members each were selected from every region across the nation, and their work environments were investigated in consideration of the kind of their workplaces, service area, career and field of duties. As for the demographic characteristics of the dental hygienists investigated, there were differences between those who worked in the field of health care and the clinical workers. More of the former were older and married, and the former was ahead of the latter in career and education as well. Regarding working hours and leave of absence by kind of workplace, the number of regular average holidays was different according to their place of employment. Dental hospitals(6.66 days) and dental clinics(6.81 days) gave their employees less days off on the whole, whereas public dental clinics(19.29 days) granted the dental hygienists the longest leave of absence. Also, there was a broad gap in the number of regular average holidays among different regions in the nation. The dental hygienists who worked in Gangweon province enjoyed the longest holidays(10.88 days), while those on Jeju Island took the shortest vacation(4.46 days). Concerning monthly mean pay by place of employment, those who worked in public dental clinics were paid the best, and the dental hospital employees received the smallest pay. Their monthly mean pay significantly varied with the kind of their workplaces. As to connections between service area and pay level in the event of the dental hygienists with a four-year career, those who served in Seoul were paid the best(1,820,800 won), followed by Gyeonggi province(1,795,800 won), Gyeongsang province(1,604,200 won), metropolitan cities(1,424,800), Gangweon province(1,300,000 won) and Jeolla province(1,016,700 won). In regard to the starting pay in the different areas, the starting pay was largest in Seoul(1,501,800 won) and smallest in Jeolla province(904,000 won). Concerning work environments by place of employment, the dental hygienists in public dental clinics, general hospitals and university hospitals were far older than the others, and the career of the former was much larger than that of the latter. As to the number of regular leave of absence, public dental clinics, general hospitals and university hospitals were different from dental hospitals and clinics in that regard as well. Concerning monthly pay, public dental clinics paid their employees the best, and dental hospitals and clinics were ahead in terms of pay raise. But the reason seemed that public dental clinics and general hospitals increased the pay of their employees based on a fixed wage system and according to a fixed rate at the same time. As for relations between career and work environments, the pay of the dental hygienists differed with their career. The amount and rate of pay raise were largest for those whose career was between four years and less than six years, and smallest for those whose career was between seven years and less than nine years. The above-mentioned findings of the study suggested that in order to give dental hygienists better treatment, pay and welfare benefits should urgently be improved, and that it's required to take actions to boost their job satisfaction. Besides, they should be given more chances to receive education or to take training courses in pursuit of self-development, and how to narrow gaps in work environments among different regions or fields should carefully be considered.

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싱글여성의 원가족과 사회적 관계의 경험 분석 - 인구교육의 시사점 도출을 위하여 - (Thematic Analysis of Original Family and Social Relationship for Single Women - Implications for Population Education -)

  • 왕석순;전주람;류경희
    • 한국가정과교육학회지
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    • 제29권1호
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    • pp.71-92
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    • 2017
  • 본 연구는 30-40대 싱글여성의 원가족 및 사회적 관계의 경험을 심층면접을 통해 분석하였다. 서울경기, 경상도와 전라도 지역에 거주하는 싱글여성 18명을 대상으로 반구조화된 심층 면담을 실시하였다. 연구자들은 면담의 축어록을 통해 참여자들의 원가족과 사회적 관계에서의 경험과 관련된 진술문만을 발췌하여 분석하였고, 수집한 자료들은 주제별 분석법을 적용하여, 면접 내용의 부호화 과정, 해체화 과정, 재구성 과정의 3단계로 진행하였다. 그 결과 '가족 애착', '특별한 사람들', '소원한 친인척 관계', '작은 사회생활', '만남의 상실', '무엇보다 자유를 찾아' 라는 6가지 대주제를 찾을 수 있었다. '가족 애착'이라는 대주제에서는 "돌보아지는 성인아기, 싱글생활에 대한 지지, 끈끈한 가족관계"의 3개 중주제를 찾았다. '특별한 사람들'이라는 대주제에서는 "엄마 사랑, 친구같은 언니, 사랑스러운 조카"의 3개 중주제를 찾았고, '소원한 친인척관계'는 하나의 단일 중범주를 찾을 수 있었다. 또한 '작은 사회생활'에서는 "직장에서의 인연, 지인들과의 담소, 이성과 거리두기, 싱글은 싱글끼리"의 4개 중주제를, '만남의 상실'이라는 대주제에서는 "만남보다 홀로, 귀차니즘, 벅찬 일상"의 3개 중주제를, '무엇보다 자유를 찾아'라는 대주제에서는 "애착 주의, 얽힘 주의"의 2개 중주제를 찾아서, 총 16개의 하위 범주를 찾았다. 이와 같은 주제 분석의 결과는 싱글 여성들이 나타내는 원가족과 사회적 관계에서의 독특한 경험의 특성으로 볼 수 있어서, 이같은 결과가 싱글 여성의 삶에 대한 이해의 폭을 확장시켰다고 볼 수 있다. 싱글여성들이 보이는 끈끈한 가족관계와 스스로 선택한 좁은 사회적 관계 형성의 특성을 고려하면, 생애설계교육에서는 부모와 자녀간의 건강한 애착 형성을 위한 교육과 다양한 사람들과 건강한 관계를 형성하도록 지원할 수 있는 교육내용이 중요하게 다루어져할 것으로 보인다. 즉 결혼과 가족생활에 대한 새로운 가치를 발견하도록 지원하는 인구교육에서는 좋은 부모가 되기 위한 부모교육과 다양한 인간들과 건강한 관계를 형성하도록 지원하는 교육내용이 중요한 교육내용으로 다루어져야 함을 시사하였다.