• The Korean Journal of Pain
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• v.35 no.1
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• pp.97-105
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• 2022

Background: Percutaneous transforaminal endoscopic discectomy (PTED) has been widely used in the treatment of lumbar degenerative diseases. Epidural injection of steroids can reduce the incidence and duration of postoperative pain in a short period of time. Although steroids are widely believed to reduce the effect of surgical trauma, the observation indicators are not uniform, especially the long-term effects, so the problem remains controversial. Therefore, the purpose of this paper was to evaluate the efficacy of epidural steroids following PTED. Methods: We searched PubMed, Embase, and the Cochrane Database from 1980 to June 2021 to identify randomized and non-randomized controlled trials comparing epidural steroids and saline alone following PTED. The primary outcomes included postoperative pain at least 6 months as assessed using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). The secondary outcomes included length of hospital stay and the time of return to work. Results: A total of 451 patients were included in three randomized and two non-randomized controlled trials. The primary outcomes, including VAS and ODI scores, did not differ significantly between epidural steroids following PTED and saline alone. There were no significant intergroup differences in length of hospital stay. Epidural steroids were shown to be superior in terms of the time to return to work (P < 0.001). Conclusions: Intraoperative epidural steroids did not provide significant benefits, leg pain control, improvement in ODI scores, and length of stay in the hospital, but it can enable the patient to return to work faster.

• Korean Journal of Clinical Laboratory Science
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• v.54 no.3
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• pp.224-238
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• 2022

The environment and scope of work of optometric personnel in ophthalmology are unknown. We aimed to investigate these topics using an online survey. Based on the results obtained, we also make policy proposals from the perspective of clinical laboratory technologists to the University-Association-Academy. The age distribution of the study subjects was as follows; 20s (40.7%), 30s (28.4%), 40s (23.5%), and 50s (7.4%). Women constituted 56.0% of the cohort, and careers were evenly distributed from <1 to ≥15 years. We found optometric personnel had high levels of work-related stress, frequent occupational diseases, and that their duties were wide in scope. More manpower is needed to reduce work stress and improve work satisfaction. Clinical laboratory technologists held more senior positions at 48% compared to others and the occupational distribution was closely related to the senior occupation (P<0.001). Clinical laboratory technologists were responsible for about 30 types of eye examinations, and the most frequently performed examination was the refraction test; anomaloscopic examinations took the most time (27 minutes). Taken together, clinical laboratory technologists perform various eye exams. Given the importance of clinical laboratory technologists in optometry, a multifaceted effort is required at the University-Association-Academy.

• Korean Journal of Occupational Health Nursing
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• v.28 no.1
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• pp.64-74
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• 2019

Purpose: The purpose of this study was to identify the influencing factors on burnout after analyzing the relationship among clinical nurses' various perfectionism and coping styles. Methods: A descriptive, cross-sectional study was conducted with 200 clinical nurses who had six months or more years of clinical experiences from two general hospitals located in D city. The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise regression analysis using IBM SPSS statistics 23.0 program. Results: The burnout of clinical nurses was positively correlated with socially prescribed perfectionism and negatively correlated with active coping style. Socially prescribed perfectionism was positively correlated with active coping style and passive coping style. Influencing factors on the burnout of clinical nurses were socially prescribed perfectionism (${\beta}=.37$), satisfied work unit (${\beta}=-.64$) and neutral satisfaction of work unit (${\beta}=-.27$), over 40 years of age (${\beta}=-.21$), and active coping style (${\beta}=-.14$). The model consisting of these variables explained 42% of variance of burnout in clinical nurses. Conclusion: Based on the findings of this study developing intervention programs that consider influencing factors such as perfectionism and coping styles is needed to reduce the level of burnout of clinical nurses.

• Journal of Korean society of Dental Hygiene
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• v.18 no.6
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• pp.1057-1066
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• 2018

Objectives: The purpose of this study is to provide a reference material for improving the work environment to reduce the turnover intention of clinical dental hygienists in the future by identifying the problem of the turnover phenomenon of clinical dental hygienists in Seoul and Gyeonggi-do. Methods: The method of this study used the raw data of 'A Survey on the Current Work Environment of Clinical Dental Hygienists' from August 29 to September 28, 2017, and 2,974 clinical dental hygienists in Seoul and Gyeonggi-do were finally selected as the study subjects. Results: The results showed that excessive workload, inadequate pay, and hierarchical organizational culture of a workplace were the main factors influencing the turnover intention of clinical dental hygienists, and the lack of welfare system, low wage and practical experience also affected their turnover intention. Conclusions: In order to reduce the turnover intention of clinical dental hygienists, it is important to create a working atmosphere where the members of an organization can freely share and communicate suggestions and improvements, and to pay their salary appropriate to the duties and roles of dental hygienists, and accordingly they will be able to carry out the duties with responsibility for a long time without moving to another organization.

• Journal of Digital Convergence
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• v.16 no.5
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• pp.351-359
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• 2018

The purpose of this study was to investigate the levels of emotional intelligence, and convergent nurses' work environment and to identify the effects of emotional intelligence and convergent nurses' work environment on nursing performance among clinical nurses as career-beginners. The study subject was a total of 95 clinical nurses as career-beginners that were recruited from three hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with SPSS 21.0 program were used to analyze the data. The study results had shown significant correlations of emotional intelligence, and convergent nurses' work environment and regulator of emotional and leadership had explanation power 28.0% of nursing performance. We should consider the methods to enhance regulator of personal emotional and improve leadership of administrators for nursing performance. Therefore, the results can be used as basic data to develop nursing performance improvement program and the strategies for clinical nurses as career-beginners.

• Journal of Digital Convergence
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• v.15 no.7
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• pp.191-199
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• 2017

This study aims to confirm the effects of the practical work-oriented educational program applied to the nursing students prior to the commencement of their employment on the ability of the newly recruited nurses in execution of clinical competency, critical thinking and turnover rates. It is a single-group pre-post design and non-equivalent control group design. As for the results of the research, nurses who participated in the practical work-oriented educational program prior to employment displayed an increase in their ability to execute clinical competency and critical thinking capabilities along with the reduction in their turnover rate within 1month after their employment. The results indicate that practical work-oriented educational program form the stage of nursing school years prior to employment at hospital in important and the practical work-oriented educational program attempted as a new means of management of human resources for new nurses can be used as a beneficial program at the time of the development of education programs at the hospitals ans nursing schools.

• The Journal of Korean Physical Therapy
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• v.22 no.6
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• pp.35-42
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• 2010

Purpose: To investigate the rater reliability of a Pediatric Balance Scale (PBS) for children with cerebral palsy, and to investigate possible differences among raters according to their clinical work experience and testing experience. Methods: Study participants included 18 children with spastic cerebral palsy who could walk. They were instructed by pediatric physical therapists, two of whom had ten years of clinical work experience and two who had less than one year of experience. The children's ability to achieve physical balance was videotaped for PBS items. The raters watched the tapes and evaluated each child twice. Rater reliability was analyzed using the intraclass correlation coefficient (ICC). Differences between experienced and novice raters were analyzed using a paired t-test. The statistical significance level was set to 0.05. Results: The total PBS scores averaged 45.78~48.00 and 45.72~47.67 for first and second tests. Intra-rater reliability was very high (ICC=0.89~0.99), and the repeated measurement coincidence was high (p>0.05). Inter-rater reliability was high (ICC=0.83~0.84), but there was a bit of a difference in the coincidence (p<0.05). The experienced raters' reliability and coincidence were higher than those of the novices, and there were differences in reliance and coincidence between experienced and novice raters (p<0.05). Conclusion: Inter-rater and intra-rater reliability is very high. However, rater reliability showed defferences depending on clinical work experience and testing experience. When testing pediatric patients with the PBS, the rater's clinical experience and test experience may affect the test results.

• Journal of Physiology & Pathology in Korean Medicine
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• v.18 no.3
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• pp.930-934
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• 2004

The purpose of this research is to evaluate the change of Yangdorak in women who work in three shifts and during the day. In this research, seventy women who work during the day and thirty women who work in three shifts, all of whom are working at Woo shin hyang Oriental Hospital and Kang dong gu Office, were the two subjects for it. We evaluated and compared the Yangdorak appeared in two groups and studied the relations with clinical symptoms between the two. In Yangdorak, the women who work in three shifts were evaluated low numerical value in liver meridian, heart meridian, kidney meridian compared with the women who work during the day. Based on the results above, we can state that the women who work in three shifts suffer from severe dysmenorrhea, insomnia, cold hypersensitivity.

• Journal of Digital Convergence
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• v.16 no.4
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• pp.175-184
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• 2018

This study aimed to identify the effect of emotional intelligence, nursing work environment on nursing performance in clinical nurses. Data were collected through a self-report questionnaire for 222 subjects and analyzed using descriptive statistics, t-test, ANOVA, and multiple regression with SPSS WIN 22.0 program. The results showed that nursing performance had significant correlations with emotional intelligence and nursing work environment. Also, the influencing factors on nursing performance were emotional intelligence, age, nursing satisfaction, nursing work environment, and nursing unit. These factors explained 50.0% of variance. Therefore, emotional intelligence, age, nursing satisfaction, nursing work environment, and nursing unit should be considered in developing and applying an nursing interventions program to improve the nursing performance among clinical nurses.

• Korean Journal of Occupational Health Nursing
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• v.28 no.2
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• pp.83-93
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• 2019

Purpose: Cancer patients are at a higher risk of being unemployed or facing difficulty in returning to work (RTW) than individuals without health concerns. The aim of this study is to identify and describe interventions developed specifically to assist cancer patients to RTW after treatment. Methods: A comprehensive search was conducted from September to October 2018 in different international databases: PubMed, Medline, and Embase. Studies using qualitative, quantitative, or mixed designs were included if they satisfied the following criteria: (a) described an intervention to assist cancer patients to RTW during or after treatment; (b) conducted on patients aged 18 and over and diagnosed with cancer; (c) written in English; (d) published in peer-reviewed journals. Results: Fourteen studies met the inclusion criteria. Counseling with physical activity intervention, behavioral training to reduce fatigue, and multi-disciplinary rehabilitation programs were found to be effective. Conclusion: Interventions adopting a multidisciplinary approach were effective for RTW in cancer patients. This literature review emphasizes the need for more tailored interventions based on survivors' needs and characteristics in the RTW field.