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대유행인플루엔자 대비를 위한 의료기관-바탕 탁상훈련 : 고안 및 평가
설희윤,김지량,권보란,목정하,이선희,곽임수,정진우,김정수,고옥배,조은희,김성순,신상숙,이상원 대한감염학회 2008 감염과 화학요법 Vol.40 No.2
목적 : 의료기관의 범유행 인플루엔자에 대한 효과적인 대비를 위한 훈련방법으로서 의료기관-바탕 탁상훈련 (hospital based tabletop exercise)의 유용성과 순응도를 평가하기 위해서 시행되었다. 재료 및 방법 : 탁상 훈련은 부산대학교 병원에서 시행되었으며 병원의 주요의사결정권자 및 주요부서 대표자, 실무자 42명이 지휘부, 진료부, 지원부 3그룹으로 나뉘어 훈련에 참가하였다 탁상훈련의 시나리오는 의료기관의 자체 훈련을 위해서 고안하였으며 현재 동남아에서 유행하고 있는 H5N1 인플루엔자가 국내에 처음으로 유입되어 확산되는 과정에서 의료기관에서 발생할 수 있는 상황을 3가지 모듈로 구성하였다. 훈련 평가는 훈련 전후에 각각 익명의 설문조사를 시행하였다. 결과 : 훈련에 초청된 참여자 42명 중 37명(88%)이 실제 당일 훈련에 참여하였다. 훈련에 참여한 37명의 직원 중에서 훈련 전 시행한 설문에 27명(73%)이 응답하였다. 훈련 전 정가에서는 훈련을 통해 획득하고 싶은 지식이나 기술의 우선 순위를 물었으며, 참여자들이 가장 중요하다고 생각하는 항목은 대유행인플루엔자 바이러스에 대한 지식 향상 22%, 병원 각 부서가 취해야 할 계획 및 의사소통과 관련된 지식 향상 19%, 지역사회 병원들 간의 상호협력을 향상시킬 전략 계발이 19%이었다. 그룹토의 동안에는 환자의 조기 발견 이후 대응에 대한 토론이 많았지만, 구체적인 부분이 미흡하였고, 대유행 인플루엔자에 대한 기본적인 이해가 부족하였다. 훈련에 참여한 37명의 직원 중에서 훈련 후 시행한 설문에 21명(57%)이 응답하였다. 훈련 후 평가에서 탁상훈련의 전반적인 만족도에 대한 질문에서 81%가 만족하였다고 답변을 하였고, 새로운 것을 배우는데 유용했는가 대한 질문에도 86%가 유용했다고 답변하였다. 결론 : 탁상훈련은 의료기관의 대유행인플루엔자 대비에 효과적인 훈련방법이라고 생각되며 훈련을 통해 의료기관 내의 여러 부서들이 각 의료기관의 특성에 맞는 현실적이고 실제적인 대비 계획을 수립하는데 도움을 줄 것으로 기대된다. 그러나 향후 토른 촉진, 구체적인 결과에 도달을 유도할 수 있는 질문, 끼워넣기 개발, 적절한 시간 등에 대한 연구가 필요할 것으로 생각된다. Background : To evaluate the usefulness and compliance of a hospital-based tabletop exercise in setting of pandemic influenza in hospitals. Materials and Methods : Tabletop exercise was held in Pusan National University Hospital and forty two hospital employees were invited to participate in the exercise. The scenario for hospital-based tabletop exercise was designed. It consisted of three modules, which simulated the influx and outbreak of H5N1 influenza that was epidemic in Southeast Asia. Pre-, post-exercise surveys were completed by anonymous questions. Results : Thirty-seven (88%) of 42 invited participants attended exercise. AII members of the administration group and the ancillary services group participated. But, only 77% members of the clinical services group participated. In pre-exercise survey, priorities of eight goals regarding skills and knowledge during exercise were inquired., The highest priorities pointed out by the respondents were "Increase the knowledge of pandemic influenza" (22%), "Development of strategies for optimal communication among employees within specific department" (19%) and "Development of strategies for improved coordination between facilities within the health system" (19%). Twenty-one (57%) of participants completed the post-exercise surveys. At post-exercise surveys, 81% of the participants stated that the tabletop exercise was extremely or very useful, 86% of the participants also stated that it increased their knowledge of pandemic influenza. Conclusion : Tabletop exercise is an effective modality for increasing pandemic influenza preparedness in hospitals, and this method is useful for guiding preparedness activities within the hospital environment. Further studies to determine the appropriate method of discussion, questionnaire, duration of exercise and injection are needed.
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박은옥,안지영,정혜선,김영임,박정영 韓國學校保健學會 1999 韓國學校保健學會誌 Vol.12 No.2
The objectives of this study are to explain the use of media materials in school health education with other related factors in elementary, middle, and high schools in Korea. The data were collected by questionnaires from June to September in 1988. The number of subjects were 294 school nurses. The PC-SAS program was used for statistical analysis such as percent distribution, chi-squared test, spearman correlation test, and logistic regression. The use of media materials in health education has become extremely common. Unfortunately, much of the early materials were of poor production quality, reflected low levels of interest, and generally did little to enhance health education programming. A recent trend in media materials is a move away from the fact filled production to a more affective, process-oriented approach. There is an obvious need for health educators to use high-quality, polished productions in order to counteract the same levels of quality used by commercial agencies that often promote "unhealthy" lifestyles. Health educators need to be aware of the advantages and disadvantages of the various forms of media. Selecting media materials should be based on more than cost, availability, and personal preference. Selection should be based on the goal of achieving behavioral objectives formulated before the review process begins. The decision to use no media materials rather than something of dubious quality will usually be the right decision. Poor-quality, outdated, or boring materials will usually have a detrimental effect on the presentation. Media materials should be viewed as vehicles to enhance learning, not products that will stand in isolation. Process of materials is an essential part of the educational process. The major results were as follows:1. The elementary schools used the materials more frequently. But the production rate of media materials was not enough. The budget was too small for a wide use of media materials in school health education. These findings suggest that all schools have to increase the budget of health education programs. 2. Computers offer an incredibly diverse set of possibilities for use in health education, ranging from complicated statistical analysis to elementary-school-level health education games. But the use rate of this material was not high. The development of related software is essential. 3. In this study, the most effective materials were films in elementary school and videotapes in middle and high school. Film tends to be a more emotive medium than videotape. The difficulties of media selection involved the small amount of extant educational materials. Media selection is a multifaceted process and should be based on a combination of sound principles. 4. The review of material use following student levels showed that the more the contents were various, the more the use rate was high. 5. Health education videotapes and overhead projectors proved the most plentiful and widest media tools. The information depicted was more likely to be current. As a means to display both text and graphic information, this instructional medium has proven to be both effective and enduring. 6. An analysis of how effective the quality of school nurse and school use of media materials shows a result that is not complete)p=0.1113). But, the budget of health education is a significant variable. The increase of the budget therefore is essential to effective use of media materials. From these results it is recommended that various media materials be developed and be wide used.
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金惠貞,李蓮淑,任春淑,鄭明姬,曺鏞旬,黃智暎 효성여자대학교 가정대학 학도호국단 1984 家政大論集 Vol.3 No.-
We measured general marital adjustment of the housewives who ilve in Daegu. We analysed marital affectional expression, cohesion, consensus and satisfaction and also analysed marital adjustment according to the level of education or length or marriage. The results are as follows; 1. The level of general marital adjustment of the urban housewives was medium. 2. According to factor analysis, the level of marital affectional expression was medium, the level of marital satisfaction and consensus was high, and the level of cohesion was low. 3. The more educated, the higher the degree of marital adjustment in general. 4. The marital adjustment was lowest in housewives whose length of marriage was 9-11 years. The second lowest were 3-5 years and 21-23 years. The highest was 15-17 years.
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Ji Sun Im,Seung Soon Jang,이영석 대한화학회 2012 Bulletin of the Korean Chemical Society Vol.33 No.9
The hydrogen storage mechanism of graphite was studied by measuring the electrical resistance change. Graphite was expanded and activated to allow for an easy hydrogen molecule approach and to enlarge the adsorption sites. A vanadium catalyst was simultaneously introduced on the graphite during the activation process. The hydrogen storage increased due to the effects of expansion, activation, and the catalyst. In addition, the electrical resistance of the prepared samples was measured during hydrogen molecule adsorption to investigate the hydrogen adsorption mechanism. It was found that the electrical resistance changed as a result of the easy hydrogen molecule approach, as well as of the adsorption process and the catalyst. It was also notable that the catalyst improved not only the hydrogen storage capacity but also the speed of hydrogen storage based on the response time. The hydrogen storage mechanism is suggested based on the effects of expansion, activation, and the catalyst.
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Synthesis and characterization of mesoporous electrospun carbon fibers derived from silica template
Ji Sun Im,Jeen-Seok Jang,이영석 한국공업화학회 2009 Journal of Industrial and Engineering Chemistry Vol.15 No.6
In our study, mesoporous carbon fibers were prepared by using electrospinning and physical activation. In order to develop mesoporous structure, silica was used as a physical activation agent due to meso-size of particle. The diameter of activated carbon fibers increased and surface became rougher after physical activation. Textural properties of carbon fibers were evaluated by using surface pore structure analysis apparatus. The specific surface area increased 12 times and total pore volume increased about 57 times through physical activation using silica. The development of mesoporous structure was confirmed by pore size distribution and fraction of micropore volume. From the DFT pore size distribution, it is sure that broad meso-sized porous carbon fibers were obtained from physical activation in our experiment. The fact that fractions of micropore volume are too low showing less than 2% by the results of total pore volume and HK pore volume concedes that silica activated CFs are pretty mesoporous. Eventually activated carbon fibers having broad meso-sized pores were obtained successfully.
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Ji Sun Im,Sung Kyu Lee,Jumi Yun,이영석 한국공업화학회 2012 Journal of Industrial and Engineering Chemistry Vol.18 No.3
A complex composed of a carbon nanotube (CNT) and platinum (Pt) was prepared as a counter electrode in a dye-sensitised solar cell (DSSC). The mechanism for the improved DSSC was studied by electron transfer time and electron lifetime. The results demonstrated that the electron transfer time decreased and that the electron lifetime increased in counter electrodes. The high efficiency of the CNT–Pt complex counter electrode was obtained because of the electrical properties of CNTs and the catalytic activity of Pt. The CNT–Pt counter electrode showed the high efficiency of 88% with highly reduced Pt amount comparing with Pt electrode.
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The improved electrical conductivity of carbon nanofibers by fluorinated MWCNTs
Ji Sun Im,김상진,Phil Hyun Kang,Young-Seak Lee 한국공업화학회 2009 Journal of Industrial and Engineering Chemistry Vol.15 No.5
In order to increase the conductivity of carbon nanofiber sheet, conductive multi wall carbon nanotubes (MWCNTs) was added into the carbon fibers. The dispersion of MWCNTs into the fibers and adhesion between carbon fibers and MWCNTs were improved through fluorine modification on surface of MWCNTs. By fluorination treatment, hydrophobic functional group was introduced on the surface of MWCNTs improving the affinity on interface between two carbon materials. These nanofibers made by electrospinning method were treated at different temperature in order to investigate the effect of temperature. According to the increment of temperature, the better conductivity of carbon nanofibers sheet was obtained due to the better oriented carbon structure. Eventually, the improved conductivity of carbon nanofiber sheet was resulted showing 27 S/㎝.
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Im, Ji-Sun,Jang, Seung-Soon,Lee, Young-Seak Korean Chemical Society 2012 Bulletin of the Korean Chemical Society Vol.33 No.9
The hydrogen storage mechanism of graphite was studied by measuring the electrical resistance change. Graphite was expanded and activated to allow for an easy hydrogen molecule approach and to enlarge the adsorption sites. A vanadium catalyst was simultaneously introduced on the graphite during the activation process. The hydrogen storage increased due to the effects of expansion, activation, and the catalyst. In addition, the electrical resistance of the prepared samples was measured during hydrogen molecule adsorption to investigate the hydrogen adsorption mechanism. It was found that the electrical resistance changed as a result of the easy hydrogen molecule approach, as well as of the adsorption process and the catalyst. It was also notable that the catalyst improved not only the hydrogen storage capacity but also the speed of hydrogen storage based on the response time. The hydrogen storage mechanism is suggested based on the effects of expansion, activation, and the catalyst.
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