• Journal of Nutrition and Health
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• 제44권2호
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• pp.171-180
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• 2011

식품으로부터의 유해물질 노출 평가를 위해 개발한 식생활 조사지의 신뢰도와 타당도를 평가하고자 216명을 대상으로 식생활 조사를 2회 반복 실시하여 비교하였고, 3일 식사기록 결과와도 비교하였다. 1) 식품 구매 시 주로 사용하는 용기에 대해 동일한 응답을 한 비율은 전체 식품 평균 73.5%였다. 상대적으로 포장 용기가 다양하지 않은 식품에 대한 구매 용기 응답 일치도가 높게 나타났으며, 판매 시 다양한 포장 용기를 사용하는 식품에 대한 구매 용기 응답 일치도는 낮게 나타났다. 2) 식품 보관 시 주로 사용하는 용기에 대한 응답 일치도는 평균 71.9%였다. 가공된 식품을 구매하여 보관하는 식품에 대한 보관 용기 일치도가 높았으며, 조리 후 보관을 하는 식품에 대한 용기 일치도는 낮게 나타났다. 3) 주로 사용하는 조리방법에 대한 응답의 일치도는 평균 83.0%였다. 조리방법이 다양한 식품들에 대한 일치도가 낮게 나타났으며, 조리하지 않고 그대로 먹는 식품에 대한 일치도가 높게 나타났다. 4) 식품섭취빈도조사를 2회 실시하였을 때, 평균 상관계수가 0.71 (range: 0.50~0.83)이었고, 2차 식품섭취빈도조사와 식사기록법의 식품 섭취 횟수의 평균 상관계수는 0.21(range: 0.04~0.48)이었다. 5) 식품섭취빈도조사와 식사기록법으로 산출된 각 식품군별 식품 섭취 횟수를 사분위수로 나누었을 때 모든 식품군의 일치 및 근접 일치도의 합은 50% 이상이었다. 6) 본 연구에서 개발한 조사지는 식생활 항목의 신뢰도가 높고, 섭취빈도의 순위를 분류하는 타당도가 높으므로, 대규모 역학조사에서 질적인 노출수준 평가에 활용할 수 있을 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제34권3호
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• pp.228-236
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• 2001

Objectives : To propose a feasible, valid and appropriate study designs and epidemiologic methods for evaluating the adverse health effects of Agent Orange-chemical defoliants used in Vietnam- in Korea. Methods : A literature study was peformed on Agent Orange, herbicides, pesticides and dioxins. The study subjects, study design, exposure assessment and health outcomes assessment were examined in each study. The potential data sources for the study subjects, study design, exposure assessment and health outcomes assessment in Korea were investigated. Results and Conclusion : In earlier Korean studies, research subjects for studying the effects of Agent Orange were identified from the patients or persons who claimed to have Agent Orange-related diseases due to the difficulties in identifying the entire population of Vietnam veterans in Korea. In this study, an attempt was made to identify the total number of Vietnam veterans in Korea. As a result, the addresses of 20,000 Vietnam veterans were obtained. It is proposed that a retrospective cohort design on a sample of the total number of Vietnam veterans is a feasible and appropriate study design. Self report questionnaires and military records were proposed to assess the exposure level. It is believed that measuring the plasma or tissue TCDD should be used only for a validation study assessing the level of exposure. For the health outcomes assessment, it is possible to obtain the mortality, cancer frequency, physical examination, screening and medical insurance record data.

• 기록학연구
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• 제60호
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• pp.49-88
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• 2019

오늘날 시민사회 영역은 국가와 시장이 가진 기능을 비판하고 감시하는 기능뿐만 아니라 정부와 공공 부문을 보완해 공공 서비스의 적극적 생산자 역할까지도 수행하고 있다. 공공 기록관리 영역도 시민 참여도가 점차 확대되는 추세다. 기록관리의 핵심 영역인 평가 및 선별의 경우 그 어느 영역보다도 시민참여에 대한 논의가 본격화되고 있다. 평가의 시민참여 패러다임으로 등장한 '능동적 평가(proactive appraisal)' 개념은 우리에게 시민 스스로가 공공기록의 평가 주체이자 더 이상 평가 체제에서 소외돼서는 곤란하다는 점을 일깨우고 있다. 문제는 국내 시민력의 성장과 제도적 참여 논의가 빠르게 확산되는 것에 반해, 공공기록 영역에서 시민 참여는 좀처럼 찾아보기 힘들다는데 있다. 이 글은 국내 기록 평가 과정의 시민 부재와 기능주의에 기댄 경직성을 타개하기 위해서, 영국, 캐나다, 호주의 선진 사례 분석을 통해 공공 기록 영역에서 '시민참여 평가'를 구현하려는 제도적 기반과 실무 차원의 다양한 방법론의 적용 사례들을 살핀다. 본 논문은 오늘날 위기에 처한 국내 공공기록의 평가제도가 이러한 능동적 시민참여의 사례 적용을 통해 크게 회복될 수 있다는 점을 강조한다. 무엇보다 본 연구는 해외 선진 사례의 분석과 함께 기록관리 현장에 시민참여가 반영될 수 있는 개념적 평가 모형을 제시한다. 구체적으로는 능동적 시민참여를 반영한 '평가도큐멘테이션' 모델과 '거버넌스 기반 평가'의 모형을 제시하는데 집중하고 있다. 본 연구는 이들 시민참여형 평가 모델을 향후 국내에 안착해 '시민참여 평가'에 대한 본격적인 논의를 시급히 이끌 것을 제안한다.

• 지역사회간호학회지
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• 제6권2호
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• pp.275-285
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• 1995

The purpose of the study is to evaluate the visiting nurses service of a public health center. Data were collectd from the 36 clients who received services from a public health center. In terms of the process evaluation, the tool is composed 4 parts, 27 items such as assessment planning, implementation, and evaluation. It was measured through the health records by 2 peer review. In terms of the outcome evaluation, the level of client satisfaction was measured by self report or interview by 2 supervisor. The result were as follows: 1. 30% of 36 health records showed narsing process was not and out of them, nursing care plann including spectific activities were rarely established or unclear. 2. The lack of systematic data collection' showed and nursing diagnosis was not adressed in health records review. 3. Client satisfaction score was 32, 97, out of maximum score 36. 4. The lack of sufficent objective data, care plan, record of client's health status change, and evaluation was founded therefore quality assurance for visiting nurses service and in-service education are required and the development of standardized record system need.

• Journal of Preventive Medicine and Public Health
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• 제46권5호
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• pp.226-236
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• 2013

Objectives: The aim of this study was to examine the levels of serum 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) and evaluate their association with age, body mass index, smoking, military record-based variables, and estimated exposure to Agent Orange in Korean Vietnam veterans. Methods: Serum levels of TCDD were analyzed in 102 Vietnam veterans. Information on age, body mass index, and smoking status were obtained from a self-reported questionnaire. The perceived exposure was assessed by a 6-item questionnaire. Two proximitybased exposures were constructed by division/brigade level and battalion/company level unit information using the Stellman exposure opportunity index model. Results: The mean and median of serum TCDD levels was 1.2 parts per trillion (ppt) and 0.9 ppt, respectively. Only 2 Vietnam veterans had elevated levels of TCDD (>10 ppt). The levels of TCDD did not tend to increase with the likelihood of exposure to Agent Orange, as estimated from either proximity-based exposure or perceived self-reported exposure. The serum TCDD levels were not significantly different according to military unit, year of first deployment, duration of deployment, military rank, age, body mass index, and smoking status. Conclusions: The average serum TCDD levels in the Korean Vietnam veterans were lower than those reported for other occupationally or environmentally exposed groups and US Vietnam veterans, and their use as an objective marker of Agent Orange exposure may have some limitations. The unit of deployment, duration of deployment, year of first deployment, military rank, perceived self-reported exposure, and proximity-based exposure to Agent Orange were not associated with TCDD levels in Korean Vietnam veterans. Age, body mass index and smoking also were not associated with TCDD levels.

• 국제학술발표논문집
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• The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
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• pp.376-381
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• 2011

In Korea Water Resources Corporation (K-Water) has seen four problems rising in four aspects of property management of approximately 1,300 buildings scattered through put to country. To solve these, ground data for repair and replacement works to be conducted for prevention will be prepared and building maintenance system (hereinafter referred to as PBMS) intended to record related repair and replacement work histories and calculate LCC of the related these items will be developed. PBMS, a web-based system, will be developed for users' convenience and data monitoring in real time. To sum up, PBMS are expected to maximize efficiency in four aspects including the establishment of repair and replacement work plans for prevention, history management, DB for predicting future work to be occurred and enable the determination of priorities by being developing into facility condition assessment systems through the results of analysis of repair and replacement histories and LCC.

• 한국보건간호학회지
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• 제28권3호
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• pp.495-508
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• 2014

Purpose: This study was conducted in order to evaluate the reliability, validity, sensitivity, and specificity of the Short Form of Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS-SF). Methods: A validation study was conducted on 207 elderly patients aged over 65 who were admitted to Bobath Memorial Hospital. Fall risk scores of BMFRAS, composed of eight subscales (age, fall history, physical activity, consciousness level, communication, fall risk factors, underlying disease, and medications) were assessed from the electronic medical record. BMFRAS-SF was derived from eight subscales of the BMFRAS representing the significance between fallers and non-fallers (fall history, physical activity, fall risk factors, underlying disease, and medications). Internal consistency reliability and interrater reliability were assessed by Cronbach's alpha and kappa coefficient. Validity was assessed by Spearman correlation analysis, factor analysis. Sensitivity, specificity, positive predictive and negative predictive values, and a receiver-operating characteristic curve (ROC) were generated. Results: Fallers had significantly higher risk scores than non-fallers in fall history, physical activity, fall risk factors, underlying disease, and medication scales. The BMFRAS-SF demonstrated acceptable Cronbach's alpha (.706) and kappa coefficients of .95. The BMFRAS-SF subscales showed good convergent validity and construct validity. The BMFRAS-SF presented good sensitivity(86.7%), specificity(67.9%), positive predictive value(42.9%) and good negative predictive value(94.8%) at a cut-off score of 5. Areas under the ROC curves were .860 for the BMFRAS and .861 for the BMFRAS-SF. Conclusion: The BMFRAS-SF was proved to be reliable and valid. It could be used for time-saving assessment and evaluation of the high risks for falls in clinical practice settings.

• Journal of Preventive Medicine and Public Health
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• 제43권3호
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• pp.245-256
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• 2010

Objectives: This study aims to compare quality indicators for the hemodialysis services between patients with health insurance and those with medical aid. Methods: This study used data from sampled hospitals that provided a hemodialysis service. A total of 2287 patients were selected, and the information for hemodialysis service has been granted from medical record reviews. A multi-level regression analysis was used to examine the differences in process and outcome indicators for hemodialysis between patients with health insurance and those with medical aid. Process indicators were defined as: frequency of hemodialysis, hemodialysis time, erythropoietin (EPO) use, measurement of hemodialysis dose at least once a month, measurement of phosphate at least once every three months, and measurement of albumin at least once every three months. Outcome indicators were defined as: hemodialysis adequacy, anemia management, blood pressure management, and calcium, phosphate and nutrition management. The total scores for outcome indicators ranged from 0 (worst) to 4 (best). Results: There was a significant difference in the measurement of hemodialysis dose at least once a month between patients with health insurance and those with medical aid (OR 0.66, 95% CI = 0.43 - 0.99). However, frequency of hemodialysis, hemodialysis time, EPO use, measurement of phosphate at least once every three months, measurement of albumin at least once every three months, hemodialysis adequacy management, Hb${\geq}$11 g/dL, blood pressure within the range of 100-140 /60-90 mmHg, calcium x phosphate${\leq}$55 $g^2/dL^2$ and albumin${\geq}$4 g/dL were not significantly different between the groups. Conclusions: There were no significant differences in outcome indicators for hemodialysis between the groups. Further studies are warranted into the mechanism that results in no differences in the outcome indicators for hemodialysis.

• 한국기록관리학회지
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• 제21권4호
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• pp.117-135
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• 2021

현재 우리나라는 비전자기록물의 보존처리 대상선정 관련 정책 수립을 위해 법정 기준에 따라 상태검사를 실시하고 공공표준을 제정하여 상태검사 절차와 내용을 실무적으로 제시하고 있으나 실질적으로 기록물 상태검사를 이행하는 국내 기록물관리기관은 제한적이다. 이에 본 연구는 종이기록물 상태검사 현황을 파악하고 국내외 유관기관 총 18개관을 대상으로 한 설문조사를 통해 상태검사 경향성을 검토하여 국내 기록물관리기관의 종이기록물 상태검사에 반영해 볼 수 있는 시사점과 개선 방안을 제시하였다. 설문조사 결과, 국내의 경우 소장 기록물 전체를 대상으로 검사를 시행하는 반면 해외는 기록물의 역사적⋅문화적 가치 외에도 취약재질, 훼손심각성과 같은 기록물 특성이나 이용도가 높은 기록물을 선별하는 상태검사를 실시하고 있다. 또한 전수조사가 아닌 표본추출을 통한 검사방식을 채택하고 있는 기관이 많았으며, 주기적 상태검사는 보다 유연하게 운영하는 것으로 나타났다. 이에 종이기록물 상태검사에 있어서 검사 대상의 선별이나 표본추출 방식을 적용하여 보다 업무 효율성을 높이는 동시에 보존기록물의 취급을 최소화하는 방향으로 제도를 개선하고, 활용 목적을 충분히 고려한 검사항목을 개편함으로써 검사 자체에 대한 부담을 줄이고 후속조치에 대한 명확한 가이드라인 제공이 필요할 것으로 보인다.

• 부모자녀건강학회지
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• 제13권2호
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• pp.63-77
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• 2010

Purpose: The purpose of this study was to develop child's health assessment tools and tailored home visiting nursing service model in a community. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors and visiting nurses in public health centers from May to December 2009, the standards of child health assessment tools, service model and education materials for visiting nurses were developed. Results: Some record forms were newly developed, including neonatal assessment, breast feeding, mother-infant interaction, oral care, vaccination and safety, and appropriate developmental screening tests in the community were selected. For systematic health care management in the community, problem list, problem criteria, health care plan, outcome criteria were also developed. Conclusion: On the demand of growing need for health promotion and early intervention for children and their association with parenting and socioeconomic status, assessment and control measures are indispensable to the promotion of child health for vulnerable population. Children's health and developmental problems, and safe circumstances can be assessed using this assessment tools, and can be used for tailored home visiting nursing care for children.