• 한국의료질향상학회지
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• 제26권2호
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• pp.104-112
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• 2020

This study was done to investigate the independent organizations established for patient safety, related policies, and the duties of experts in other countries. Australia established an organization called the Commission in 2006, the United Kingdom established the National Patients Safety Agency in 2001, and the United States assigned its work to the Agency for Healthcare Research and Quality in 2005. This was done by law in all three countries. The experts for patient safety were mainly called the "patent safety and quality coordinator", and although there was no qualification system for carrying out patient safety work, all three countries had licenses in the health care field or required more than 4-5 years of practical experience. The main duties were planning on patient safety and quality of healthcare service, data collection and analysis, and education, etc. and for this, competencies such as communication, leadership, and teamwork were required.

• 한국수처리학회지
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• 제26권6호
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• pp.133-142
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• 2018

Increasing localized torrential rainfall caused by abnormal climate are making higher damage to human and property through urban inundation So The need of preventive measures is being highlighted. In this study, the methodology for calculating flood depth in domestic water map using an interpolation method in order to utilizing the results of flood analysis provided only in the form of a report is suggested. In the Incheon Metropolitan City S area as the test-bed, the flood depth was calculated using the interpolating the actual flood analysis by image and verification was performed. Verification results showed that the error rate was 5.2% for the maximum flooding depth, and that the water depth value was compared to 10 random points, which showed a difference of less than 0.030 m. Also, as the results of the flood analysis were presented in various ways, the flood depth was extracted from the image of the result of the flood analysis, which changed the presentation method, and then compared and analyzed. The results of this study could be available for the use of basic data from the research on the urban penetration of domestic consumption and for decision-making of policy.

• 한국병원경영학회지
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• 제27권1호
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• pp.1-10
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• 2022

Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

• 한국치위생학회지
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• 제21권6호
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• pp.741-750
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• 2021

Objectives: To provide basic data for oral health policy by identifying the differences in oral health behaviors and conditions among middle-aged people in their 40s and 50s and relating these to their health-related quality of life, and to identify factors affecting health-related quality of life. Methods: In this study, secondary data from the National Health and Nutrition Examination Survey were used. Data were gathered from 8,127 participants, of which 2,353 were middle-aged (40-59 years old). Covariance analysis was performed using a complex sample general linear model to investigate the changes in the subjects' health-related quality of life (EQ-5D) according to their general characteristics, oral health behaviors, and oral health status. Results: Oral health behavior was not significantly related to health-related quality of life. In contrast, a higher oral health status (chewing function) was associated with better health-related quality of life. Conclusions: In conclusion, this study suggested a close relationship between oral health status (chewing function) and health-related quality of life. Therefore, it is necessary to recognize the importance of oral health in improving the health-related quality of life of middle-aged people in their 40s and 50s, as well as in informing oral health policies and preventive measures for individuals and communities.

• 한국IT서비스학회지
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• 제20권5호
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• pp.137-146
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• 2021

Recently, public participation in government policy design has been further expanded and public services perceived by users are expanding. At this time, the role of the digital government and the direction of the service to be pursued are user-centered, and above all, it is necessary to focus on the keywords of pre-emptive, preventive, and customized. In order to propose service quality improvement in the public sector, service user-centered classification and monitoring are integrated and the usability of government documents is improved. It is necessary to identify the needs of whether to provide a path for public participation. In the post-corona era, people are accessing quarantine information from the digital government every day. The government should proactively respond to the acceleration of digital transformation and the non-face-to-face demands of the people who experience non-face-to-face daily life. In order to evolve into a smart organization along with the innovation promotion plan and to provide customized services, it is necessary to use existing guides for institutional and technical improvement, along with new technology and data-based analysis, to strive for change management. The government should seek counter-measures that have advanced one step ahead by incorporating new high-tech IT with user-centered necessary services. This study aims to derive improvement plans to provide user-centered digital government service design when designing public services and collecting public opinions. Based on the e-government development model research and the existing research on user-centered service design in the public sector, institutional and technical measures are provided for the improvement of digital government service design.

• 한국보건간호학회지
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• 제36권1호
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• pp.75-89
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• 2022

Purpose: Domestic violence is an important issue encountered in nurses' home visitation programs. This study analyzed the types of domestic violence and associated interventions provided by nurses in a prenatal and early childhood home visitation program in Korea. Methods: For 24 families who experienced domestic violence in the Seoul Healthy First Step Project, registration information and home visit nursing records were analyzed through directed qualitative content analysis. Results: Physical violence was found in all 24 cases, followed by emotional violence, coercive control, financial abuse, and sexual violence. Twenty-two interventions derived from existing nurse-family partnership (NFP) program strategies were identified in the nursing practices of the Seoul Healthy First Step Project. Conclusion: In a prenatal and early childhood nurses' home visitation program in Korea, various approaches and interventions were provided to nurses to address domestic violence. However, differences in the level of interventions provided by nurses were found, implying a need to educate and support nurses to address domestic violence in-home visitation programs.

• 한국건축시공학회지
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• 제22권1호
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• pp.57-67
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• 2022

타워크레인은 기초 단면과 비교하여 상대적으로 불안정한 상부구조를 가지고 있어 사고위험성이 매우 크다. 현재 타워크레인 안전사고 저감을 위한 노력이 활발히 이루어지는 시점에 타워크레인의 안전성 확보를 위한 예방대책 수립이 필요하다. 따라서 본 연구의 목적은 타워크레인 안전성 확보를 위한 재해사례 분석 연구이다. 본 연구를 위해 2012년 7월부터 2020년 7월까지 한국산업안전보건공단에 접수된 타워 크레인 재해사례 260건을 대상으로 분석하였다. 그 결과, 작업 공종 중에서는 인양작업이 45.3%로 가장 높게 나타났으며, 재해 형태 중에서는 추락에 의한 사고가 35.8%로 가장 많이 발생하는 것으로 나타났다. 또한, 사고 발생원인은 작업방법 불량이 38.8%로 가장 높은 것으로 확인되었다. 향후 본 연구의 결과는 타워크레인 사고예방을 위한 정책수립에 기초자료로 활용될 것이다.

• 한국치위생학회지
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• 제21권2호
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• pp.183-191
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• 2021

Objectives: The purpose of this study was to identify the factors of satisfaction with regional oral health centers for people with disabilities in Korea. Methods: A survey was conducted with 784 patients who visited regional oral health care centers in Korea. A self-developed questionnaire (29 items) was adapted with a consent form and IRB (Institutional Review Board). All collected data were analyzed for statistics using SPSS version 25.0. Results: The study participants were 452 (57.7%) male patients, 207 (26.4%) aged 20-29 years old, and mostly had physical, developmental, and mental disabilities. The patients were introduced by their acquaintances, and the major reason for visit was specific dental care for the disabled. Most patients used their cars and took half to one hour to commute. The common factor affecting the comprehensive satisfaction was the facility satisfaction. Conclusions: A more comprehensive and standardized questionnaire should be developed for the annual evaluation of all centers. This study presents the basic data that can aid to activate the operation of the four oral health care centers for the disabled, which are scheduled to be implemented in the future, as well as 10 currently operated centers.

• 한국컴퓨터정보학회논문지
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• 제26권12호
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• pp.227-235
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• 2021

본 연구는 아동기 학대경험이 있는 특성에 대해 알아보고, 성역할 태도에 영향을 미치는 요인에 대해 분석하고 사회적 지지의 조절효과를 알아보며, 아동기 학대경험의 예방적 방안 및 대안을 제시하고자 하는 목적으로 연구를 진행하였다. 본 연구는 여성가족부에서 「가정폭력방지 및 피해자보호 등에 관한 법률」에 의해 3년마다 실시하는 가정폭력실태조사를 통해 수집된 2019년도 전국 9,060 표본가구내 만 19세 이상 가구원 총 9,060명 중 참여자 여성 4,546명, 남성 4,514명을 대상으로 분석을 실시하였다. 그 결과 아동기 학대경험이 성역할 태도에 부(-)적인 영향을 미치는 것으로 나타났고, 사회적 지지의 조절효과 분석도 부(-)적인 영향을 나타나났다. 이는 향후 아동기 학대예방과 아동보호 인식개선이 생애초기부터 강화될 필요성이 있고, 아동의 부모사전교육과 사회적 지지의 수준과 충분한 방안 마련을 제언하고, 향후 연구를 위한 제시하고자 한다.

• 사물인터넷융복합논문지
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• 제8권4호
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• pp.57-63
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• 2022

본 연구의 목적은 아동학대 예방을 위한 방안 마련의 일환으로 빅데이터 분석과 머신러닝 알고리즘을 활용한 정책개발의 기초자료를 제공하는데 있다. 아동학대 예방을 위한 머신러닝 알고리즘 개발을 위한 빅데이터 분석을 위해 학술데이터베이스와 사회관계망서비스 자료를 빅데이터로 정의하고 빈도, 연관어, 감성분석을 시행하였다. 연구결과 예방적 아동학대 알고리즘은 학술빅데이터 분석에 나타난 아동학대 관련 세 주체 피해아동, 가해양육자, 정부당국의 관점에서 아동학대 예방을 위한 데이터 수집 및 공유 네트워크 시스템 마련을 통해 개발이 가능할 것이다. 또한 아동학대 피해아동의 특성에서 자아개념 저하 등으로 우울 및 불안이 나타남을 단서로 영유아 자아존중감 및 우울, 불안 검사를 제도화함으로써 가능할 것이다. 아동학대 예방을 위한 빅데이터 수집 및 분석, 알고리즘 개발 연구의 지속적 진행을 제안하며 아동학대 예방을 위한 실효적 정책 마련이 실현되어 아동학대범죄가 근절되기를 기대한다.