• 재활간호학회지
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• 제4권1호
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• pp.58-72
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• 2001

A Cerebrovascular accident(CVA), or Stroke is a medical emergency that occurred when the blood supply to the brain is interrupted or blocked. The stroke causes physical function disorder due to hemiparalysis and emotional disorder. Also the stroke patients experience helplessness, powerlessness, sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The purpose of this study is to identify the correlation between perceived social support and hope of stroke survivors. The subjects for this study were 100 out-patients with stroke in one general hospital and oriental medicine hospital located in Mokpo. The data were analysed by frequency, t-test, ANOVA. Duncan test, Pearson's correlation, using the SPSS WIN 9.0 program. Data were collected from July 11 to September 9, 2000, using a structured questionnaire. The instruments used for this study : The social support scale developed by Park, Ji-won(1985) and the hope scale developed by Miller(1988). The results were as follows. 1. It was found that the higher the degree of perceived social support, the higher the degree of hope(r=.726, p=.000). Therefore hypothesis was supported. 2. The mean score of perceived social support was 77.8(SD=21.0) with a score range from 27.0 to 104.0. 3. The mean score of perceived hope was 117.0(SD=25.7) with a score range from 57.0 to 160.0. 4. The level of social support depending on general characteristics were significantly different in variables such as marital status(t=3.131, p=.010). degree of income satisfaction(F=16.027, p=.000). 5. The level of hope depending on general characteristics were significantly different in variables such as marital status(t=2.681, p=.040). current job(t=-2.055, p=.043) degree of income, satisfaction(F=11.363, p=.000). For these subjects, there was a significant relationship between social support and hope. The stroke survivors need social support to inspire their hope. Nurses should plan interventions to enhance social support for patients with stroke. The above results may be used as the basic data to seek more efficient way of elevating nursing practice and rehabilitation for the patients with stroke.

• 정보처리학회논문지D
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• 제8D권5호
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• pp.533-542
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• 2001

본 논문에서는 이동 컴퓨팅 환경에서 발생하는 실시간 이동 트랜잭션을 처리하기 위한 트랜잭션 관리자의 스케줄링 기법을 제안한다. 제안된 스케줄링 기법은 기존은 종료시한만 고려하던 방법과는 달리 이동 호스트 때문에 발생하는 실시간 데이터의 유효성도 함께 고려하여 트랜잭션의 실행여부를 판단한다. 그 후, 트랜잭션의 중요도와 종료시한을 고려한 우선순위 큐에 최적의 실행 윈도우를 생성하여 스케줄링하고, 실행될 트랜잭션을 선택할 때 이동 호스트와의 접속 단절을 고려한다. 따라서 제안된 기법은 실시간 데이터의 유효성 제약조건 위반에 따른 트랜잭션의 철회 후 재시작을 감소시키며, 종료시한을 만족시키는 실시간 이동 트랜잭션의 중요도의 합을 최대로 하는 장점을 가진다 또한 제안된 기법은 성능 평가를 통해서 기존의 기법에 비하여 실시간 이동 트랜잭션의 종료시한 만족 비율이 20% 정도 향상됨을 보였다. 이 기법은 이동 통신, 응급 재난 구조 시스템등에서 발생하는 실시간 이동 트랜잭션의 관리자의 스케줄링 기법으로 적합하다.

• 대한간호학회지
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• 제13권3호
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• pp.1-33
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• 1983

The role and function of nursing care nowadays, tend to acquire sophisicated technology because specialization has expended due to increase of the medical population and the improvement of national health standards. To implement nursing care independently as a professional nurse, the apprehension of specific knowledge and skill should be acquired during basic nursing education. So it is important for nursing education not only to include theory and actual techniques, but also to strengthen the practical training in the actual clinical setting. This study was carried out with the following objectives; 1. To survey the detailed content and frequency of actual nursing students display during their clinical training. 2. To investigate the detailed content and frequency of actual nursing behavior which students display in each clinical a area. 3. To identify the motive for selection of nursing as their major and to determine the degree of self confidence, extent of knowledge and recognition of nursing responsibility. 4. To observe the relationship between actual nursing behavior and each of the following; 1) Motive for selecting nursing as a major 2) Self confidence 3) Knowledge of nursing care 4) Recognition of nursing responsibility The conclusions of this study were as follows; 1. Among the detailed nursing behavior which junior nursing college students carry out in clinical training; taking respiration's showed the highest frequency, and taking body temperatures, blood pressures, and pulses and making beds were next in frequency in this order. 2. In detailed nursing behaviors according to clinical area; taking vital signs showed the highest frequency in the emergency room, pediatric ward, orthopedic ward, general surgical ward and internal medicine ward. However, in the operating room, assisting with endotracheal tube insertion and sterile techniques were showen to have the highest frequencies. In nursery, umbilical cord care and the measurement of body weight were the highest in frequency In neurosurgical ward, the measurement of vital signs, changing position and tracheostomy care were the highest in frequency. In obstetric and gynecological ward and in the delivery room, checking duration, intensity and frequency of contractions was the highest in frequency. 3. In regard to the motive for majoring in nursing, the aptitude and interest of the student had the highest percentage(32.86%), and self-confidence in nursing activities (M=3.36), knowledge in nursing activities.(M=3. 09), and the recognition of the nursing activity (M= 3.76) wire in the middle range. 4. When the detailed nursing behaviors were compared with motive, self confidence, knowledge and recognition, it was found that when the nursing behavior was difficult and regarding much endeavor although the motive was high, the frequency of the nursing behavior was rather low. But in the cases in which there was much self confidence and a high level of skill was required, nursing behavior was carried more frequently. When there was muck self confidence and skill was not required, the frequency of nursing behavior was rather low. In the cases of a high level of knowledge, the frequency of nursing behavior was low and when recognition for nursing behavior was given the frequency of nursing behavior was low.

• 디지털융복합연구
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• 제15권2호
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• pp.225-232
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• 2017

이 연구는 근로자의 고용상태에 따라 사고 이후 사회경제적 상태에 어떠한 영향을 주는지 알아보기 위해 연구되었다. 노동패널(2001-2006) 자료를 이용하여, 2001년 근로자들의 경제활동 상태, 고용상태가 연구기간 내 어떻게 변화했는지 알아보았다. 추적관찰 동안, 경제활동 그룹에 비해 실직 그룹에서 사고로 인한 장애를 더 많이 겪은 것으로 나타났다. 더구나, 실직그룹에서 산업재해율도 가장 높았다. 고용 상태별로 보면, 일용직, 무임금 근로자들이 장애를 더 많이 겪은 것으로 나타났다. 또한 이들은 사고를 겪은 후, 비활동경제상태 또는 실직자가 되었다. 다른 근로자그룹과 비교해서 비활동경제 그룹, 실직자, 일용직, 무임금 가족근로자가 사고율도 높았는데 이는 결과적으로 이들의 사회경제적 상태를 더 악화시켰다.

• 한국산학기술학회논문지
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• 제16권6호
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• pp.4040-4047
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• 2015

본 연구는 외상 후 스트레스 장애(Post-traumatic Stress Disorder; PTSD) 발생 가능성이 높은 소방관에게 단기간 음악치료 프로그램을 적용해 외상 후 스트레스(post-traumatic stress; PTS) 수준의 변화와 음악치료 효과의 지속성을 분석하고자 하였다. 연구방법은 3개 지역의 소방관 42명을 실험군(21명)과 대조군(21명)으로 임의배정 하고 5일간 1일 2회기(120분)씩 총 10회기의 음악치료를 적용하였다. PTS 수준은 음악치료 종료 직후, 4주 후, 12주 후에 변화를 측정 하였다. 연구결과 음악치료 전 PTS 수준은 $26.52{\pm}2.32$점 이었으나 음악치료 직후 $8.90{\pm}4.55$점으로 유의하게 감소하였다(p<0.05). 사후 PTS 수준은 4주 후 $11.95{\pm}4.57$점, 12주 후 $13.76{\pm}5.62$점으로 4주 및 12주 후까지 효과가 유의하게 지속되었다(p<0.05). 이상의 결과를 통해 음악치료는 PTSD 고위험군인 소방관에게 PTS 수준을 낮추는데 효과적인 접근 방법으로 판단된다. 따라서 소방관의 정신건강 관리를 위해 음악치료가 정규적인 프로그램으로 적용된다면 현장 업무능력을 향상시키는데 기여할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제11권7호
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• pp.2475-2482
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• 2010

본 연구에서는 해부학 실습 교육과정에 해부설명회를 도입에 따른 의학전문대학원생들의 자기평가요인(만족도, 전공 연계성, 운영 적절성, 의사소통)과 학업성취도와의 상관관계를 분석하였다. 2008학년도 1학기 해부학 실습교육을 받은 의학전문대학원생들(n=57)이 일부 수업시간을 활용하여 해부설명회에 참가하였고, 보건 의료 계통의 학부생들에게 사체를 활용하여 인체 구조에 대한 설명과 토론을 마친 후 설문지와 소감문을 작성하게 하였다. 이를 바탕으로 자기 평가 요인들을 분석하였고, 2008학년도 해부학 성적과의 상관관계를 조사하였다. 설문 대상자의 일반적 특성에 따른 자기 평가 요인을 분석한 결과, 성별, 연령, 과거 경험 유무 등의 일반적 특성과 상관없이 만족도, 전공 연계성, 운영 적절성, 언어적 및 비언어적 커뮤니케이션 모두에서 높은 수치를 나타내었다. 자기 평가 요인 중 학업성취도와 높은 상관관계를 갖는 요인은 언어적 커뮤니케이션이었다(p<0.05). 또한 언어적 커뮤니케이션은 비언어적 커뮤니케이션과도 높은 상관관계를 가졌다(r=0.673, p<0.01). 결론적으로 커뮤니케이션 기법을 활용한 해부설명회의 도입은 의전원 학생들에게 심화 학습의 기회를 제공하였고 학습동기를 유발시키며, 적극적인 학습태도를 갖게 하였다. 아울러 커뮤니케이션에 대한 중요성을 깨닫게 되었고, 타 전공자와의 상호교류를 통한 학문적 이해의 폭이 확대되었음을 확인하였다. 본 연구결과를 바탕으로 진행과정에 나타난 문제점을 보완하고 개선한다면 해부학 실습의 개선 방안으로서 해부설명회의 활용가치가 충분하다고 판단되었다.

• 한국산업보건학회지
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• 제28권1호
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• pp.1-17
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• 2018

Objectives: This research is part of a study to be conducted over five years starting from 2017 by the Ministry of Environment on the development of technologies to evaluate the impact of chemical accidents on the human body. Methods: For this research, a five-stage specific study method was developed. Results: In brief, the developed health risk assessment method can be summarized as follows. First, a health risk assessment system was built based on the guidelines set forth by the USA NRC/NAS. Second, based on the disease manifestation theory, the health risk assessment method was divided into 1) a carcinogenic health risk assessment method focused on all carcinogens except non-genotoxic carcinogens and 2) a non-carcinogenic health risk assessment method focused on noncarcinogens including non-genotoxic carcinogens. Third, the detailed contents of the health risk assessment method were developed in four stages(hazard identification, dose-response assessment, exposure assessment, and risk determination) through theoretical consideration of the assessment of the level of health risk related to chemical exposure. Finally, a health risk assessment methodology, classified into stages to address acute, subacute/subchronic, and chronic conditions was developed after considering the physicochemical behavior of hazardous chemicals upon implementation of countermeasures after a chemical accident. Conclusions: A method to evaluate the health risks related to toxic chemicals generated by chemical accidents was developed. This study was performed with the purpose of developing a mathematical health risk assessment method to evaluate the health effects of exposure to hazardous chemicals upon implementation of emergency countermeasures after chemical accidents.

• 대한간호
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• 제36권3호
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• pp.49-69
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• 1997

The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

• 한국학교보건학회지
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• 제24권2호
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• pp.141-154
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• 2011

Purpose: The purpose is to provide basic information for establishing improvements on performance-based pay's evaluation method of health teachers. Methods: For subjects, 200 teachers at public elementary schools and 200 health teachers at public elementary schools in Gyeonggi-do were conveniently sampled, and then surveyed through a questionnaire. The questionnaire was to recognize recognition of teachers working under the teacher's performance-based pay system, which was quoted in the questionnaire of Choi ji-hye (2005) and Lee mi-gyeong (2008). Inquiry for the recognition of teachers on evaluation of health teacher's performance-based pay system and improvements on the performance-based pay's evaluation method of health teachers were used after consultation with five incumbent health teachers and a review with the thesis director. Results: The performance-based pay's evaluation method of health teachers has the same method with general teachers in schools, so it is not fair to evaluate the performance of health teachers. The ways to improve the performance-based pay evaluation method of health teachers is as follows: first, the approval on improving 'the number of class hours' which is a detailed item of a teacher's performance evaluation criterion to 'the number of health lesson hours per week and the number of students visiting the school infirmary per week'; second, improving 'life guidance' into 'counseling results of medically-treated students, parents of students and personal hygiene guidance'; third, improving 'a teacher in charge' into 'awarding of points by being recognized as a health teacher in charge of all students and considering the economic situation of the region,; forth, improving 'difficulty of position' into 'the number of health-teacher's annual promotion task items and the treatment number of issuing and receiving of official documents', and improving the 'task difficulty' into 'importance and urgency of emergency patient management, risk level and urgency of infectious diseases and avoiding work in charge' appeared to be more than 90% respectively. Conclusion: The performance-based pay system of teachers being carried out every year should be executed by preparing fair evaluation criteria suitable for task properties and the role of health teachers with different evaluation criteria compared to general teachers.

• Journal of Microbiology and Biotechnology
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• 제31권3호
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• pp.358-367
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• 2021

The World Health Organization (WHO) has declared the coronavirus disease 2019 (COVID-19) as an international health emergency. Current diagnostic tests are based on the reverse transcription-quantitative polymerase chain reaction (RT-qPCR) method, which is the gold standard test that involves the amplification of viral RNA. However, the RT-qPCR assay has limitations in terms of sensitivity and quantification. In this study, we tested both qPCR and droplet digital PCR (ddPCR) to detect low amounts of viral RNA. The cycle threshold (CT) of the viral RNA by RT-PCR significantly varied according to the sequences of the primer and probe sets with in vitro transcript (IVT) RNA or viral RNA as templates, whereas the copy number of the viral RNA by ddPCR was effectively quantified with IVT RNA, cultured viral RNA, and RNA from clinical samples. Furthermore, the clinical samples were assayed via both methods, and the sensitivity of the ddPCR was determined to be equal to or more than that of the RT-qPCR. However, the ddPCR assay is more suitable for determining the copy number of reference materials. These findings suggest that the qPCR assay with the ddPCR defined reference materials could be used as a highly sensitive and compatible diagnostic method for viral RNA detection.