• Title/Summary/Keyword: Counselling

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A Study about the Medical Communication Proficiency of Korean Traditional Medical Students Using Standardized Patients with Hwa-Byoung (표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구)

  • Kim, Kyeong-Ok;Kim, Hee-Kyung;An, Hyo-Ja;Shin, Heon-Tae
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.163-179
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    • 2013
  • Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

The Present State of E-Business according to the Establishment Year and the Sales Approach of Dongdaemun Clothing Market (동대문(東大門) 의류시장(衣類市場)의 설립년도(設立年度)와 판매방식(販賣方式)의 차이(差異)에 따른 전자상거래(電子商去來) 현황(現況))

  • Park, Hea-Ryung;Park, Mi-Ryung
    • Journal of Fashion Business
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    • v.6 no.5
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    • pp.125-135
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    • 2002
  • The purpose of this study was to investigate the present state of e-business according to the establishment year and the sales approach of Dongdaemun clothing market and to present problems according to e-business activation of it and its developmental direction. The subjects for this study were selected out of Dongdaemun clothing markets being considered as more fashion-oriented markets and were divided into two categories both according to the establishment year and according to the sales approach. As a result, Dongdaemun clothing markets are mainly divided into traditional wholesale market, eastern wholesale & retail market, and western retail market and having dealings with each other according to the market's characteristics. The utility percentage of on-line e-business according to the establishment year and the sales approach showed that traditional wholesale market was 42%, eastern wholesale & retail market 0.75%, and western retail market 11%. This result indicated that the utility percentage of traditional wholesale market showed much higher than eastern wholesale & retail market and western retail market. This would be because the structural characteristics of clothing market delayed the utility of e-business. For the problems on the utility of on-line e-business through counselling, traditional wholesale market showed much higher than wholesale & retail market and retail market because it had little problems on design imitation in retail market due to export by order and mass production. The problems of low utility of on-line e-business in Dongdaemun clothing market would result from well-timed on-line update according to rapid goods cycle, constant satisfaction for additional order, standardization of size and quality, and inexpensive internet purchase despite of express expense.

Study on Nutrition Education and Perception of Nutrition Teachers and Dietitians in Gyeongnam Area (경남지역 영양(교)사의 영양교육 실태와 인식에 관한 연구)

  • Cheong, Hyo-Sook;Lee, Jung-Suk
    • Korean journal of food and cookery science
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    • v.28 no.3
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    • pp.229-240
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    • 2012
  • This study is about the current nutrition education by nutrition teachers and dietitians, and their perception of nutrition education. This study was conducted to discover problems in nutrition education and to set a right direction for such education. A total of 216 nutrition teachers and dietitians, in Gyeongnam, were examined. The results were as follows. Exactly 95.4% of the subjects provided nutrition education to their students. They provided indirect nutrition education(69.9%), direct/indirect nutrition education(26.7%) and direct nutrition education(3.4%). 'Nutrition Counselling Room' was the most common means of direct nutrition education, while 'handout' was mostly used as indirect education. 'Desirable food & dietary habits' were the most included curriculum for indirect/direct nutrition education. The reasons for not providing direct nutrition education were 'because of heavy workload'(34.2%) and 'a lack of class hour for direct education'(29.6%). Exactly 52.8% of the subjects said they would actively promote direct nutrition education if they were given a chance. Exactly 83.3% of the subjects responded nutrition education should begin 'during the kindergarten year'. Exactly 64.4% of them said 'establishment of independent nutrition subject' was the most effective nutrition education. Exactly 58.8% of them responded educational curriculum should include 'desirable food & dietary habits'. Exactly 41.2% of them said 'establishment of a systematic educational program' was necessary to launch direct nutrition education. About the effect of nutrition education on changes in students' food & dietary habits, 2.27 scores out of 5 were earned in average. In other words, many nutrition teachers and dietitians believed that the current nutrition education had little effect on students' food & dietary habits.

Impact of Admission Diagnosis on the Smoking Cessation Rate: A Brief Report From a Multi-centre Inpatient Smoking Cessation Programme in Singapore

  • See, Jason Jia Hao;See, Kay Choong
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.5
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    • pp.381-386
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    • 2020
  • Objectives: Few studies have been published regarding the relevance of the admission diagnosis to the smoking cessation rate. We studied smoking cessation rates in relation to admission diagnoses in our inpatient smoking cessation programmes. Methods: This retrospective study included all patients recruited into our inpatient smoking cessation programmes at 2 institutions in Singapore between June 2008 and December 2016. Patients were given individualized intensive counselling and were followed up via phone interviews for up to 6-month to assess their smoking status. Multivariable logistic regression was used to analyse potential associations between admission diagnoses and 6-month abstinence. Results: A total of 7194 patients were included in this study. The mean age was 54.1 years, and 93.2% were male. In total, 1778 patients (24.7%) were abstinent at the 6-month follow-up call. Patients who quit smoking tended to be of Chinese ethnicity, have initiated smoking at a later age, be better educated, and have lower Fagerström Test of Nicotine Dependence scores. After adjusting for these factors, patients with a cardiovascular admission diagnosis had a significantly higher probability of quitting tobacco use than patients with a respiratory or other diagnosis. Conclusions: In patients acutely admitted to the hospital, a diagnosis of cardiovascular disease was associated with the highest quit rate. Smoking cessation interventions need to be incorporated into all cardiovascular disease treatment pathways to leverage the patient's motivation and to improve the quit rate. In addition, patients in groups with lower quit rates may benefit from more intensive programmes to increase the rate of successful cessation.

A Study on the Obesity and Stress of Elementary School Children in the Kangnung Area (초등학생의 소아 비만 발생과 스트레스 요인에 관한 연구)

  • 김은경;박태선;김미경
    • Korean Journal of Community Nutrition
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    • v.6 no.5
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    • pp.715-725
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    • 2001
  • This study was carried to estimate the prevalence of obesity and to investigate the relationship between stress and obesity in children. The subjects were 508 children, who were randomly selected from the fifth and sixth grade at nine elementary schools in Kangnung. The height, body weight, waist and hip circumferences and body fat(%) were measured and the levels of stress were assessed by a questionnaire consisting of the following 3 domains ; 4 items for personal factors, 11 for home, and 18 for school. The prevalence of obesity in male and female children greatly varied by the indices from 2.5% and 1.7% when judged by BMI, 9.5% and 4.0% by obesity index, and 29.7% and 34.4% by body fat(%). The stress scores from personal(47.1%) and school (47.9%) factors were higher than the stress score from home(38.5%). The stress score from personal factors of female children is significantly higher than that of male children, but the stress score from home of female children is significantly lower than that of male children. The personal stress score and the total stress score of obese female children were significantly higher than those of non-obese female children. In male children, the obesity index(%) or body fat(%) have a significant positive correlation with the stress scores from over-expectation of parents, a lack of conversation with family, examinations, discontent about school, teacher's partiality to students, and sexual curiosity. The female children have a significantly positive correlation of obesity index (%) or body fat(%) with stress scores from appearance, quarrels of parents, and inferiority complex to brothers or sisters. These results suggested that counselling and education about not only balanced diet but also the strategies for actively coping with stress are needed to prevent and treat childhood obesity.

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Health Care Utilization and Its Determinants of Public Officials with Detected Diseases through Periodic Health Examination Program In Health Insurance (일개 시지역 공무원 건강진단 유소견자의 의료이용양상과 결정요인)

  • Moon, Sang-Youn;Park, Jae-Yong;Kam, Sin;Han, Chang-Hyun
    • Health Policy and Management
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    • v.10 no.3
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    • pp.1-18
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    • 2000
  • This study was conducted to find medical care utilization pattern and to examine the affecting factors on medical facilities utilization using Andersen's medical care service behavioral model. Three hundreds and five public officials with detected disease through the health examination in 1998 were surveyed using self-administered questionnaire. And 230 data were available and analyzed. The results of this study were summarized as follows: Among variables of predisposing factors, knowledge for disease, confidence about periodic health examination program in health insurance, and the attitude toward medical utilization in the usual showed significant relations with the medical utilization. Other variables were not related with the medical utilization. Variables of enabling factors did not show significant relations with the medical utilization. Recognition of family members for detected disease had significant relations with the medical utilization. Among variables of need factors, absence caused by detected disease was significantly related with the medical utilization. The number of non-occupational diseases detected, but untreated people were 75(32.6%) of total subjects, mainly because detected diseases seemed insignificant to them. With multiple logistic regression analysis, the significant variables having an effect on the medical facilities utilization were 'knowledge for disease', 'attitude toward medical utilization in the usual', 'recognition of family members for detected disease' and 'experience of absence caused by detected disease'. On considerations of above findings, counselling for detected disease and its treatment, health education for individuals and program for family support promotion are needed for health management of public officials with diseases detected in health examination.

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Development of the Expert Education Program for the Management of Mental Health Prevention (정신건강예방관리 전문직 직무교육 프로그램 개발)

  • Park, Sung-Mi;Lee, Hyo-Young;Im, Hyuk;Chae, Eun-Hee;Kim, Hye-Sook
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.219-234
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    • 2012
  • Mental health service facilities implement an effort to meet the increased mental health demands. However, no specific 'mental health expert education program' have been offered yet. This study aimed to develop of the expert education programs which are general programs(GP), and specific programs(SP) for the management of mental health prevention in 3 kinds of facilities, psychosocial rehabilitation centers, homeless facilities, and domestic violence counselling facilities. Data were gathered from the service providers by structured questionnaire, and experts related with mental health by delphi study. We surveyed the management status and present expert programs. Consequently, domains of the education programs were extracted. As results, we identified the type of provider's job & demands for education. Thus, we gained the informations for developing the expert education programs in mental health facilities. GP were composed by 3 domains and 9 programs, and SP were composed by 3 programs each facilities. This study should be helpful in expanding the government educational operations related with mental health prevention areas. Eventually, community mental health will be promoted and socio-economic burdens by mental health problems will be lessened. In addition, it will be a basic evidence for developing specialized programs in a mental health prevention system foundation.

A Study on the Factors Affecting Drop-out from the Domestic Violence Offenders' Treatment group Programs in Korea (한국 가정폭력가해자 치료프로그램의 중도탈락요인)

  • Kim, Jae-Yop;Lee, Ji-Hyun
    • Korean Journal of Social Welfare
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    • v.60 no.3
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    • pp.231-251
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    • 2008
  • The purpose of this study was to determine the factors affecting the drop-out from the domestic violence offenders' treatment group programs in Korea, on the assumption that it would be an important challenge to prevent the domestic violence offenders from dropping out from their treatment group programs in order to protect the victim women and improve effectiveness of the programs. For this purpose, the researchers sampled a total of 280 domestic violence offenders who had participated in the domestic violence offenders' treatment programs operated by 65 domestic violence counselling organizations throughout the nation. As a result, it was found that 159(56.8%) out of the 280 offenders had completed the programs, while 121(43.2%) had dropped out from the programs. As a consequence of comparing the two groups, it was disclosed that they differed significantly in terms of cohabitation with spouse and attitude toward sex role. As a result of the logistic regression analysis for the factors affecting the drop outs from the treatment group program, it was found the significant factors were employment, path of being referred to the program and attitude toward sex role.

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Effects of Husbands' Emotional abuse on Wives' Depression: Focusing on the Wives whose Husbands had Completed Batterer Intervention Program (가정폭력 치료프로그램 이수자의 정서적 폭력이 아내의 우울에 미치는 영향)

  • Chung, Yun-Kyung
    • Korean Journal of Social Welfare
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    • v.62 no.1
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    • pp.185-209
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    • 2010
  • This study aims to investigate the effect of husbands' emotional abuse on wives' depression and mediating effects of marital adjustment and coping. The subject of this study is wives of men who had completed batterer intervention programs at domestic violence counselling centers. In order to investigate the effect of emotional abuse, among the 116 questionnaires collected by wives the cases in which physical violence was reported were excluded. Ultimately, a total of 77 cases were analyzed using the Partial Least Square method of structural equation model methodology. The key findings from this study are as follows. First, the wives in this study showed a high rate of exposure to emotional abuse by their husbands although the physical violence was gone. Second, emotional abuse by husbands significantly affected depression on their wives. Third, marital adjustment was found to have a mediating effect on the relationship between the emotional abuse and the depression. Fourth, a mediating effect from passive coping was revealed; in particular, avoiding was the most powerful factor explaining the relationship between the emotional abuse and the depression. However, active coping failed to mediate the relationship between the emotional abuse and the depression.

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The Effects of Achievement Goal Orientation of Gifted and General Students on their Academic Burnout and School Happiness (영재학생과 일반학생의 성취목표지향성과 학업소진이 학교행복감에 미치는 영향)

  • Song, Young-Myung;Jung, Sung-Soo
    • Journal of Fisheries and Marine Sciences Education
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    • v.25 no.1
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    • pp.152-166
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    • 2013
  • The main purpose of this study is to see the differences of the achievement goal orientation, academic burnout, and school happiness between gifted and general students, and also to explore the effects on school happiness of their achievement goal orientation and academic burnout. To resolve the above research questions, this study used questionnaire method to 256 1st grade middle school students and 84 gifted students enrolled in Daegu metropolitan city. All data were analyzed by SPSS WIN 19.0 program. The results of this study are as follows. First, mastery goal, performance-approach goal and performance-avoidance goal of the gifted students were higher than the general students'. Second, all sub-variables of academic burnout except hostility and total score of academic burnout of the gifted students were lower than the general students. On the other hand, all sub-variables of school happiness except relationship with friends and emotional stability and total score school happiness of the gifted students were higher than the general students. Third, this study revealed that the achievement goal and academic burnout explain considerable amount of students' school happiness. In other words, the disfavor and skeptical attitude of general students for the study hinder school happiness. Lastly, this study suggest that some program or consulting need to be administerd to change the affective attitude of students into positively. And also variety of counselling program or some instructions dealing with stress for gifted students since the exhaustion of gifted students affects considerably their school happiness.