• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8473-8477
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• 2016

Background: High risk human papilloma virus (HPV) types 16 and 18 have been proven as central causes of cervical cancer and safety and immunogenicity of HPV vaccines are sufficiently established. Knowledge and practices of HPV vaccination among medical and paramedical students is vital as these may strongly determine intention to recommend vaccination to others in the future. The present study was therefore undertaken to assess the knowledge, attitude and practices regarding cervical cancer screening and HPV vaccination among medical and paramedical students and to analyze factors influencing them. Materials and Methods: The present cross sectional study, conducted in a tertiary care teaching hospital in south India, included undergraduate students aged 18 years and above, belonging to medical, dental and nursing streams, after informed written consent. Results: Out of 957 participants, only 430 (44.9%) displayed good knowledge and only 65 (6.8%) had received HPV vaccination. Among the unvaccinated, 433 (48.54%), were not willing to take the vaccine. Concerns regarding the efficacy (30.5%), safety (26.1%) and cost of the vaccine (21.7%) were responsible for this. Age, gender, family history of malignancy and mother's education had no influence on knowledge. Compared to medical students, nursing students had better knowledge (OR-1.49, 95% CI 0.96 to 2.3, p = 0.072) and students of dentistry had poor knowledge (OR-0.50 95% CI 0.36 to 0.70, p<0.001). Conclusions: The knowledge and uptake of HPV vaccination among medical and paramedical students in India is poor. Targeted health education interventions may have huge positive impact not only on the acceptance of vaccination among them, but also on their intention to recommend the vaccine in future.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.16-26
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• 2016

Background: Deficiencies in the ability to maintain balance are common in elderly. Augmented feedback such as knowledge of results (KR) can accelerate learning and mastering a motor skill in older people. Objects: We designed this study to examine whether one session of Wii-Fit game with self-regulated KR is effective for elderly people, and to compare the effect of two different timings of self-regulated KR conditions. Methods: Thirty-nine community-dwelling elders, not living in hospice care or a nursing home, participated in this study. During acquisition, two groups of volunteers were trained in 10 blocks of a dynamic balancing task under the following 2 conditions, respectively: (a) a pre-trial self-regulated KR ($n_1=18$), or (b) a post-trial self-regulated KR ($n_2=21$). Immediate retention tests and delayed retention tests of balancing performance were administered in 15 minutes and 24 hours following acquisition period, respectively. Results: In both groups, significant improvements of balancing performances scores were observed during the acquisition period. Regardless of the group, mean of balancing performance scores on retention tests were well-maintained from the final session. There were no significant differences between groups in balancing performance scores during the acquisition period (p>.05); however, the post-trial self-regulated KR group exhibited significantly higher balancing performance scores in both the immediate retention test and delayed retention test than that of the pre-trial self-regulated KR group (p<.05). Conclusion: Therefore, subjects who regulated their feedback after a dynamic balancing task, during the acquisition period, experienced more efficient motor learning during the retention period than did subjects who regulated their feedback before a dynamic balancing task. Accordingly, in case of presenting the KR of motor learning in clinical settings to elders who reduced dynamic balance abilities, the requesting time of KR is imperative according to self-estimation processes as well as types of KR and practice.

• 농촌지도와개발
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• 제12권1호
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• pp.29-44
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• 2005

The objectives of this study were: a) to analyze the upbringing policy for woman farmers in Korea, b) to find out the needs for the policy related to women's roles in decision making of farming activities, and c) to promote the programs in agricultural system for supporting rural women according to their role types and needs. This study was based on a literature review and discussions with the panel of experts witness and professionals including rural women. The major findings and conclusions from this study were as follows: 1 ) First of all, the policy for upbringing woman farmers had been improved. however, policy measures were still inadequate and were plenty of room for development. 2) Government policies were not focussed directly to meet the actual needs of rural women according to their various roles. 3) More government efforts should be enhanced to modify the policy and social system for rural women, and should be organized into the practical programs after careful considerations on the status of woman farmers according to their role types. 4) The five-year upbringing plan for woman farmers should be expanded to include strengthening economic power, widening woman farmers' influence. development of intellectual capacity and strengthening of self-enlightenment better health care and welfare services. and providing equal opportunities for women farmers.

• 동의생리병리학회지
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• 제26권4호
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• pp.572-576
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• 2012

In this research, we examined the courses of the colleges of Korean medicine in Korea to find out how well the education on medical ethics is being conducted so that we could make good use of our findings as basic material to make arrangements to develop ethics education in Korean medicine. In the same research, we conducted a survey to find detailed information on the current state of ethics education and its actual application at 12 colleges of Korean medicine in Korea. As a result, 8 colleges out of 12 included medical ethics in their courses. They were among the subjects in the first year or second year of a preparatory program. Most of them were classified as requirements while some of them were classified as electives in humanities or liberal arts. As ethical issues in the medical community become more diversified and important, it is imperative that health care providers maintain firm ethics. As the need for medical ethics and ethics education is getting larger, ethics education at colleges of oriental medicine is becoming a more important focus. Therefore, it is necessary to expand ethics education at the colleges of Korean medicine in Korea and set a precedent for studying ethics in Korean medicine based on that.

• 한국콘텐츠학회논문지
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• 제11권10호
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• pp.324-332
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• 2011

현장에서 직접 대상자의 가정을 방문하여 요구사정에서부터 중재, 평가에 이르기까지 간호제공의 전 과정을 수행해야 하는 방문간호사의 업무수행 능력을 제고의 관점에서 의사결정 유형과 셀프리더십 그리고 의사소통 능력간의 관련성을 분석하였다. 방문간호사들의 의사결정 유형과 의사소통 능력과 셀프리더십은 모두 상관관계가 있었으며 서로 유기적인 관계가 있음을 확인하였다. 방문간호사의 의사결정 유형은 합리적 유형이 가장 많은 것으로 나타났으며, 이와 관련하여 셀프리더십 정도와 의사소통 능력 측면에서도 합리적 의사결정 유형에서 가장 높은 점수를 나타냈다. 합리적 의사결정 유형은 의사결정 유형 중 가장 바람직한 것으로 논의되어 온 바 방문간호사가 높은 문제해결 능력을 가지고 있음을 실증적으로 보여준 사례로 해석할 수 있다.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2844-2851
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• 2013

본 연구는 현장실무중심 간호학 교육과정 개선을 위하여 일 지역 병원 간호사와 간호관리자가 인식하는 간호핵심역량에 대한 중요도와 만족도를 파악하기 위한 서술적 조사연구이다. 자료는 2012년 12월 1일부터 15일까지 K 지역에 소재한 중소병원 간호사와 간호관리자 136명을 대상으로 수집하였다. 자료분석은 SAS/WIN 9.1 version 프로그램을 이용하여 빈도, 백분율, t-test, ANOVA와 Duncan test를 시행하였다. 간호핵심역량에 대한 중요도는 근무경력, 근무부서, 직위, 채용기준 등에 따라 유의한 차이가 없었으나, 만족도는 중환자실 근무자가 유의하게 가장 높았다(F=0.54, p=0.01). 간호핵심역량에 대한 중요도와 만족도 차이는 간호사(t=12.64, p<0.0001), 간호관리자(t=6.20, p<0.0001) 두 집단내에서 모두 유의하게 나타났으나 두 집단간에는 유의한 차이가 없었다. 간호핵심역량 중 간호사는 전문지식 역량을, 간호관리자는 인성 역량을 가장 중요한 것으로 인식하였다. 또한 인성 역량은 두 집단에서 가장 만족한 것으로, 외국어 활용능력 역량은 가장 만족하지 않은 것으로 나타났다. 결론적으로 산업체와 교육계에서는 간호사들의 전문직역량을 증진시키고 간호학생들의 인성과 외국어 능력 등을 포함한 교양교육의 강화를 위한 작업을 서로 밀접하게 수행할 필요가 있다.

• 한국산학기술학회논문지
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• 제9권2호
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• pp.515-522
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• 2008

본 연구는 보건복지부의 "2006년 사회복지시설평가"를 기초 자료로 하여 우리나라의 노인복지시설(무료시설인 양로, 요양 및 전문요양시설을 중심)을 대상으로 노인복지시설평가에 영향을 미치는 요인을 분석하고, 그 뜻을 해석하였다. 실증분석 결과 노인복지시설 운영요인은 모든 시설이 시설 및 환경, 조직운영 및 인사. 서비스 질, 지역사회 관계 모두 유의하게 영향을 미치는 것으로 나타났으며, 그 중 중요성을 나타내는 표준회귀계수는 서비스 질 변수가 노인복지시설평가라는 종속변수에 가장 좋은 설명력을 나타내 서비스의 질 중심으로의 개선이 요구된다. 노인복지시설 자원요인은 모든 시설에서 법인전입금은 유의하게 영향을 미치지 않는 것으로 나타났으며, 후원금은 양로시설을 제외하고 유의하게 영향을 미치는 것으로 나타났다. 그러나 정부보조금은 전문요양시설에서 유의하게 영향을 미치는 것으로 나타났으나 역의 설명력을 보이고 있어 정부보조금 지원의 효과가 없는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제35권1호
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• pp.41-48
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• 2002

Objectives : To review the drug prescription pattern of antiulcerative agents for elderly inpatients, Methods : The study population comprised inpatients of community hospitals who were members of the Korean Elderly Pharmacoepidemiologic Cohort (KEPEC), aged 65 years or over, beneficiaries of the Korea Medical Insurance Corporation (KMIC) and residing in Busan city in 1993. The drug prescription information was collected from the claims data of hospitals where the cohort members received medical care between January 1993 and December 1594. The information included personal identification, age, gender, diagnosis, drug dosage, date of hospital admission and name of medical institutions where the study subjects received drug prescriptions. The data analysis produced outcomes in terms of distribution of antiulcerative agents by class and by medical institution and trend of relative prescription, Analysis was also performed in terms of combined prescriptions of antiulceratives and drugs that could induce risk from drug interaction with antiulceratives. Results : The number of patients prescribed antiulcerative agents was 1,059 (64,9%) male and 1,724 (65.5%) female among the total inpatients. An antacid and composite agent was the most frequently prescribed antiulcerative agent (70.8%), followed by $H_2$ antagonist (16.0%), Among the potential drugs that could induce risk from drug interaction with the antiulcerative agents, diazepam was the most frequently prescribed. The proportion of diazepam co-prescription was 22.5% of the total cimetidine prescriptions and 14.5% of the fetal omeprazole prescriptions. Conclusions : Antiulcerative drugs were frequently prescribed in the elderly inpatients. The adverse drug reaction could possibly be due to drug interaction. The study results could be used as fundamental data for further drug utilization review of antiulceratiye agents.

• Tuberculosis and Respiratory Diseases
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• 제67권3호
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• pp.249-253
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• 2009

On 7 December 2007, the Hebei Spirit ran aground near Taean and released approximately 10,900 tons of oil into the sea. Crude oil on the coastal areas and fumes in the air increased the number of health problems among the local population. We report a case of respiratory failure after the oil spill clean-up work. A 66-year-old female was admitted to hospital with cough, sputum, and dyspnea of 1-month duration after the oil spill clean-up. She was diagnosed with community-acquired pneumonia and treated with empirical antibiotics. However, she had progressive respiratory failure without identification of the pathogen. Respiratory failure due to chronic inhalation of hydrocarbons from the crude oil spill clean-up was suspected. After mechanical ventilation care, she recovered from respiratory failure and was discharged. We report a case of severe respiratory toxic effects after an oil spill clean-up. We concluded that long-term hydrocarbon inhalation during the oil spill clean-up may have induced respiratory failure in this case.

• 융합정보논문지
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• 제7권4호
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• pp.27-38
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• 2017

본 연구는 국내 의료기관인증제도와 미국과 호주의 의료기관인증제도 및 국제의료질향상학회의 국제인증프로그램에 대해 비교 고찰함으로써 우리나라 의료기관인증제도의 발전을 위한 시사점을 제시하고자 시도되었다. 본 연구에서 도출된 시사점은 다음과 같다. 첫째, 환자 및 지역사회 중심의 관점 강화, 인력배치 기준 강화 등 의료기관 인증기준의 개선이 필요하다. 둘째, 의료기관인증제도를 통한 환자안전의 강화가 필요하다. 셋째, 의료기관인증제도와 임상질지표 및 환자경험평가 연계를 강화해야 한다. 넷째, 조사위원의 역량을 강화해야 한다. 다섯째, 중소병원의 인증제도 참여 활성화가 필요하다. 여섯째, 의료 질 평가 결과 공개의 강화가 요구된다. 본 연구 결과는 우리나라 의료기관인증제도의 개선을 위한 기초자료로 활용될 수 있을 것이다.