• 제목/요약/키워드: health technology assessment

검색결과 861건 처리시간 0.033초

동전을 이용한 제조사 별 디지털 방사선 영상 시스템의 자동노출제어 성능 평가 (Automatic Exposure Control Performance Evaluation of Digital Radiographic Imaging System by Manufacturer Using Coins)

  • 임세훈;성열훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권1호
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    • pp.1-9
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    • 2022
  • In this study, we proposed an image quality control for an automatic exposure control (AEC) of digital radiographic imaging system and tried to analyze the performance of the AEC by various manufacturer. The subjects of the experiment were analyzed for the AEC image quality evaluation using digital radiation generators from four manufacturer such as PHILIPS, GE Healthcare, SAMSUNG Healthcare, DK Medical Solution. We used as materials for the implementation of the image quality evaluation by coins (500 won, KOMSCO, Korea). This study evaluated the performance evaluation of the AEC as image quality and exposure dose (Milliampere-seconds; mAs). The image quality evaluation was tried visual assessment by two radiologic technologists and contrast to noise (CNR) by ImageJ. The exposure dose investigated mAs on digital radiation generators. The radiographic coin images acquired 360 images based on change in the control factors of the AEC, which were kVp, the consistency of field configuration and dominant zone, sensitivity and density. As a result, there was a significant difference in the AEC performance between manufacturer. The CNR by the AEC for each manufacturer showed a difference of up to about 1.9 times. The exposed tube current by the AEC for each manufacturer showed a difference of up to about 5.8 times. It is expected that our proposed evaluation method using coins could be applied as the AEC performance evaluation method in the future.

경남 지역 학교 급식소의 미생물학적 오염도 평가: COVID-19 이후의 위생관리 현황 조사 (Microbiological Contamination Assessment of School Cafeterias in the Gyeongnam Area: Investigation of the Status of Hygiene Management since COVID-19)

  • 손유진;남수진;이승훈;김동우;신승호;구옥경
    • 대한영양사협회학술지
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    • 제28권3호
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    • pp.205-217
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    • 2022
  • School meals are prepared based using the HACCP system, which is designed to ensure the physical and mental health of students. However, operational recommendations in school cafeterias have changed due to COVID-19 and include delays in serving time to restrict the number of meals and the installation of screens to prevent droplet transmission. Unfortunately, these changes may have detrimentally affected hygiene practices and generated new food poisoning sources. This study aimed to determine the hygiene state of school cafeterias in the Gyeongnam area from December 2020 to September 2021 based on the monitoring of total aerobic and coliform bacteria. Kitchen floors were the most contaminated areas with an average number of total aerobic bacteria of 4.3 log CFU/100 cm2, whereas counts in dining areas were relatively low at 0.1~3.5 log CFU/100 cm2. Newly installed partitioned areas had the lowest contamination level of 0.1~2.8 log CFU/100 cm2. Escherichia coli was not detected on any surface, while coliform was detected on workbenches and floors. In conclusion, hygienic practices appear to have been adequately managed in school cafeterias despite COVID-19 driven changes. Nonetheless, continuous monitoring is recommended to ensure prompt response to changing environments.

몬테카를로 방법을 이용한 임신한 여성 핵의학 종사자의 모체 장기 및 태아선량 평가 (Assessment of Maternal Organs and Fetal Doses in Pregnant Female Nuclear Medicine Practitioners Using the Monte Carlo Method)

  • 조용인
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권4호
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    • pp.331-339
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    • 2022
  • The purpose of this study was to evaluate maternal organ and fetal doses by week of pregnancy for pregnant women nuclear medicine practitioners in the nuclear medicine field. In addition, we intend to present basic data for the management of exposure doses of female nuclear medicine practitioners. In this study, phantoms of childbearing women, 3, 6, 9 months pregnant women were simulated using MCNPX(Monte Carlo N-Particle Extended) among the Monte Carlo methods. First, volume source was constructed based on 10 cm of the anterior part of the lower abdomen of the phantom, and the organ and fetal doses were evaluated for each week of the pregnant woman according to the type of radioactive isotope. Second, the organ and fetal dose of pregnant women were evaluated by increasing the distance between the source and the abdominal surface by 50 and 100 cm. As a result, 18F sources showed high organ and fetal doses in pregnant women 0 to 3 months, and the dose distribution gradually decreased in 6 to 9 months pregnant women. The distribution of organ and fetal doses for 99mTc and 123I sources showed the same tendency as that of 18F, and the overall absorbed dose distribution was relatively lower than that of 18F. Through this study, it is considered that workers in the early stages of pregnancy within 3 months will need appropriate management to minimize occupational exposure dose.

'연구실 안전' 관련 정부연구개발사업 동향 분석 (Status of Government Funded Projects for "Laboratory Safety")

  • 서지영;김혜민;배선영;박정임
    • 한국산업보건학회지
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    • 제31권4호
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    • pp.396-416
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    • 2021
  • Objectives: This study was conducted to analyze the trends of government R&D (R&D) projects related to laboratory safety over the past 20 years. Methods: We collected publications from various databases(DBs) with words such as laboratory(ies), lab(s), researcher(s), laboratory worker(s), safety, environment, hazard(s), risk(s), and so on. Selected publications were analyzed by the research funds and the number of projects according to the investment subject and research characteristics. Results: About 93% of the total R&D budget went to government policy projects, not scientific research. Second, from the perspective of 'safety management activities', most of the research is related to management and inspection at the organizational level. Issues that need to be discussed at the national level like policy governance are not included. Third, focusing on the 'safety management cycle', there were few studies related to 'prediction' or 'post-response'. Fourth, when an analysis framework combining the perspectives of 'safety management activities' and 'safety management cycle' is applied, most of the budget is spent on infrastructure such as digital management systems, whereas basic knowledge for prevention and production of evidence was very few. Conclusions: In order to prevent policy planning without policy evaluation, implementation without strategy, and evaluation without evidence, it is necessary to expand investment in empirical research on risks, research on the effectiveness of current application methods, and research on theory development. The government budget for laboratory safety-related projects should be managed separately from the R&D budget for scientific research. Although less than 5% of the budget allocated to scientific research is the total budget, an optical illusion occurs because both the project budget and the scientific research budget are counted as R&D budgets.

치위생학과 학생과 보건의료계열 학생의 교육활동과 교육성과에 대한 비교 (Comparison of educational activities and performance of dental hygiene and other healthcare students)

  • 김훈;황수정
    • 대한치위생과학회지
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    • 제5권1호
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    • pp.39-45
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    • 2022
  • Background: Dental hygienists undergo 3 or 4 years of college education, and dental hygienist education must receive continuous feedback through evaluation. The purpose of this study was to compare the educational performance of students from the Department of Dental Hygiene in 2018 with those from other departments in the healthcare field. Methods: We used data from the National Assessment of Student Engagement in Learning, conducted by the Korean Educational Development Institute in 2018. The survey data of 55 dental hygiene students and 60 healthcare students at K University were provided after excluding all identifying information. An independent t-test was used for comparisons between the Department of Dental Hygiene and other healthcare departments. Results: Regarding class-related activities, dental hygiene students were passive in presentations, discussions, and projects and had significantly lower grades in cooperative learning and challenging learning. Regarding extra-class activities, dental hygiene students had significantly lower global learning and external experiences, domestic experiences, club activities, and interactions with professors. Regarding learning outcomes, students had significantly lower grades in writing, speaking, critical and analytical thinking, data evaluation, understanding of data meaning, problem-solving ability, goal setting and execution, core content extraction, human and material resource utilization, creative convergence thinking, statistical understanding and analysis, information technology use, collaboration, sense of community, stress management, time management, and foreign language proficiency. Conclusions: Dental hygiene education requires innovation in educational methods and efforts of instructors to improve poor learning activities and outcomes.

Mediating effect of negative perceived stress on the relationship between premenstrual syndrome and emotional eating

  • Yesol Um;Jisun Lee
    • Nutrition Research and Practice
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    • 제17권2호
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    • pp.330-340
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    • 2023
  • BACKGROUND/OBJECTIVES: Emotional eating is one of the eating behaviors in which negative emotions affect eating. During the luteal phase, premenstrual syndrome (PMS) and its associated psychological and physical symptoms can appear in some women, and a few of them suffer from premenstrual dysphoric disorder (PMDD), a severe form of PMS. Some women diagnosed with PMS/PMDD experience emotional eating during the luteal phase, which may be a coping mechanism for psychological stress. This study aimed to investigate how PMS/PMDD and negatively perceived stress are related to emotional eating. SUBJECTS/METHODS: A total of 409 women aged 20 to 39 yrs with a body mass index (BMI) ranging from 18.5 to 29.9 kg/m2 participated in this study. Participants who responded to all the questions of the Shortened Premenstrual Assessment Form, Negative Perceived Stress Scale, and Emotional Eater Questionnaire were divided into a PMDD and a non-PMDD group according to the cut-off value for PMDD diagnosis. Independent t-tests and mediation analyses were performed to compare the 2 groups. RESULTS: No significant differences between the 2 groups were found in terms of BMI; however, the average values for emotional eating, PMS, and negative perceived stress of the PMDD group were significantly higher than those of the non-PMDD group. Only negative perceived stress had a significant effect on emotional eating in the non-PMDD group. In the PMDD group, PMS was statistically significant for both negative perceived stress and emotional eating mediated by negative perceived stress. Consequently, it appeared to have a partial or complete mediation depending on the independent variable for the PMDD group. CONCLUSIONS: This study highlights the importance of managing negative perceived stress to control emotional eating in PMS/PMDD for improved women's health.

간호사의 문화적 역량 프로그램 효과분석: 체계적 문헌고찰 및 메타분석 (The Effect of Cultural Competence Program in Nurse: A Systematic Review and Meta-analysis)

  • 최성희;모진아
    • 산업융합연구
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    • 제22권9호
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    • pp.81-92
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    • 2024
  • 본 연구의 목적은 간호사의 문화적 역량 프로그램 효과에 대한 근거를 체계적 문헌고찰과 메타분석을 시행하여 효과를 분석하는 것이다. 연구 목적을 달성하기 위하여 2022년 2월 8일까지 국내외 논문 검색 데이터베이스를 통해 문화적 역량 프로그램을 주제어로 검색된 논문을 대상으로 문헌고찰을 수행하였다. 논문의 선택 및 제외 기준에 따라 검색된 총 236편의 초록을 검토하여 최종 4편이 선정되었다. 간호사의 문화적 역량 프로그램 효과분석 결과는 문화적 역량, 문화적 인식에서는 유의하게 향상되었으나 문화적 기술, 문화적 지식과는 유의한 상관성을 확인할 수가 없었다. 본 연구 결과를 바탕으로 간호사의 문화적 역량을 증진하는 프로그램 개발에 기초자료로 제공될 것이다.

원예치료사의 직무 및 수행평가와 교육요구 분석 (Horticultural Therapy: Job Analysis, Performance Evaluation, and Educational Needs)

  • 김수연;박신애;손기철;이찬
    • 원예과학기술지
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    • 제32권6호
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    • pp.887-900
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    • 2014
  • 본 연구는 원예치료사의 직무분석과 직무수행 평가 및 미래 교육요구를 알아보고자 실시하였다. 원예치료사의 직무 분석에 적합한 방법인 데이컴 기법을 이용하여 원예치료사직무를 정리하는 데이컴 차트를 개발하였으며(연구 1), 이를 근거로 원예치료사 직무수행 평가지를 제작하여 원예치료사들의 현재 직무수행수준과 미래 요구수준을 조사하였다(연구 2). 데이컴 위원회의 데이컴 분석을 통해 원예치료사의 직무는 8개의 임무와 45개의 작업으로 분석되었다(연구 1). 분석된 결과를 임무별로 살펴보면, , , , , , , , 이다. 이들 임무는 각 5-8개의 작업으로 분석되었다. 이상의 과정을 거쳐 개발된 데이컴 차트를 근거로 원예치료사 직무수행평가지를 개발하여 원예치료사들의 현재 직무수준과 미래 요구수준을 조사하였다(연구 2). 원예치료사들의 현재 직무수준과 미래 요구수준을 조사하기 위하여 개발된 평가지는 1, 2급 원예치료사 779명에게 이메일과 우편배송을 이용하여 배부되었으며, 최종으로 회수된 총 242부(31.1%)가 분석에 이용되었다. 현재 직무수행수준에 대한 1급과 2급 원예치료사들의 평가를 살펴보면, 전체 45개 작업중 32개 작업에서 1급 원예치료사들이 2급 원예치료사들보다 현재 직무수행수준을 유의하게 높게 평가하였다. 미래 요구수준 역시, 45개 작업 중 20개 작업들에 대해서 1급 원예치료사들이 2급 원예치료사들 보다 높게 평가하였다. 또한 45개의 원예치료사 작업에 대한 교육요구를 분석하기 위하여 보리치(Borich) 공식을 이용한 결과 상위 1, 2, 3순위는 , , 로 나타났다. 본 연구의 결과는 예비 원예치료사나 현직 원예치료사들의 직무이해와 직무개선에 도움이 될 것이며, 원예치료사를 양성하는 기관은 실무중심 교육과정 개발을 위한 기초 연구 자료로 활용될 수 있을 것이다.

한국 청소년의 다양한 급원을 통한 비타민과 무기질 최대섭취량 평가 (Dietary maximum exposure assessment of vitamins and minerals from various sources in Korean adolescents)

  • 한지혜;이현숙;김선효
    • Journal of Nutrition and Health
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    • 제46권5호
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    • pp.447-460
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    • 2013
  • 본 연구는 전국의 1,407명의 청소년 중 일반의약품과 또는 건강기능식품 비타민 무기질 보충제를 섭취한다고 응답한 청소년 921명 중 조사지 기입과 상시 면담이 가능한 남녀 각각 30명씩 총 60명 (15~18세)을 선정해, 조사지 작성 및 직접면담을 통해 일반의약품 및 건강기능식품 비타민 무기질 보충제, 3일간의 식사, 간식 섭취 실태를 조사함으로써 비타민과 무기질 최대섭취량을 파악하고 위해도를 평가하였다. 일상식사, 일반의약품과 건강기능식품 비타민 무기질 보충제 및 강화식품 섭취를 통한 비타민과 무기질 섭취량을 산출해 평균, 97.5 백분위수 (최대섭취량) 등을 구하고 권장섭취량 및 상한섭취량과 비교하였다. 일상식사를 통한 비타민과 무기질 섭취량은 권장섭취량의 0.3~4.4배이었다. 각각의 급원에서 상한섭취량 이상을 섭취한 대상자가 있는 영양소는 식사로는 비타민 A (1.7%)와 니아신 (5.0%), 일반의약품 비타민 무기질 보충제로는 비타민 C (9.1%)와 철 (5.6%), 건강기능식품 비타민 무기질 보충제로는 니아신 (8.6%), 비타민 $B_6$ (7.5%), 엽산 (2.9%), 비타민 C (2.3%)이었다. 식사, 일반의약품과 또는 건강기능식품 비타민 무기질 보충제, 강화식품을 통한 총섭취량이 상한섭취량 이상인 대상자가 가장 많은 영양소는 니코틴산 (33.3%)이었으며, 그 다음 비타민 C (26.6%) > 비타민 A (13.3%), 철 (13.3%) > 아연 (11.7%) > 칼슘 (5.0%) > 비타민 E (1.7%), 비타민 $B_6$ (1.7%)이었다. 이런 연구 결과로 볼 때, 한국 청소년 중 일상식사를 통해 충분한 비타민과 무기질을 섭취하는 경우 비타민 무기질 보충제와 강화식품을 섭취하면 비타민과 무기질 과잉섭취로 인한 부작용이 나타날 가능성이 클 것으로 여겨진다. 앞으로 더 큰 표본을 대상으로 정확한 섭취량 평가가 이루어져 비타민과 무기질의 상한섭취량 설정 및 바른 비타민 무기질 보충제와 강화식품 섭취에 대한 근거를 마련해야 할 것이다.

양배추의 미생물 오염도 평가 및 제어 (Microbial Assessment of Wild Cabbage and its Control)

  • 조준일;김근성;박경진;하상도
    • 한국식품과학회지
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    • 제36권1호
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    • pp.162-167
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    • 2004
  • 최소 가공식품(minimally processed food)의 형태로 살균과정 없이 시장에서 유통되어 섭취되는 채소류들은 미생물 오염에 무방비로 노출되어 식품 안전상 큰 문제가 되고 있다. 본 연구에서는 국내 유통 중인 양배추를 표본으로 하여 이에 잔존하고 있는 aerobic mesophilic bactcria, total coliforms, E. coli, lactic acid bacteria, 그리고 yeasts&molds로 대표되는 미생물 오염도를 조사하였다. 또한 chemical sanitizer chlorine, ethanol, 그리고 hydrogen peroxide를 단독으로 혹은 조합하여 이들 균에 대한 살균효과를 비교하였다. 본 실험결과를 종합해 볼 때 물 세척은 초기 균수를 $0.3-1.2\;log_{10}\;CFU/g$ 감소시켰으며 chlorine(CL), ethanol(ET), hydrogen peroxide(HP) 단독처리는 물보다 살균효과가 컸으나 이들 2가지씩의 조합보다는 효과가 적었다. 이들 세 가지 조합인 CEH로 처리하였을 경우 총 호기성균은 $4\;log_{10}\;CFU/g$, 대장균은 $3\;log_{10}\;CFU/g$, 유산균은 $2\;log_{10}\;CFU/g$, 효모/곰팡이는 $1\;log_{10}\;CFU/g$ 감소로 다른 조합의 세척 방법보다 효과적인 미생물 살균효과를 보였다. 따라서 CEH 조합 살균 소독제 처리는 양배추 등 야채류의 미생물 오염을 감소시킬 수 있는 좋은 제어법으로 활용될 것으로 판단되어진다.