• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.5 no.1
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• pp.27-38
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• 1999

This evaluation was made through 1219 persons who had attended the lecture organized by O.M.T.( Orthopeadic Manual Therapy ) during the period of January to December 1998 in Seoul and in other 11 cities. The result of evaluation is summarized as follows : 1. With regard to general satisfaction with lecture, it was evaluated as 'more than good 'by 919 person(75.6%) for Preparation for lecture of lecturer' and by 969 person (71.4%) for 'Teaching Method'. Statistically, the significance was largely given to 'Couse and Preparation for Lecture of Lecturer' and 'Preparation for Lecture as per each Lecturer' (P< 0.001). 2. With regard to understanding of lecture, it was evaluated as 'more then good' by 675 persons(55.4%) for 'Appropriate Degree of Lecture Difficulties'. Statistically, the significance was largely given to 'Appropriateness of Teaching Courses and Degree of Lecture Difficulties' (P< 0.001). Degree of Lecture Difficulties' (P< 0.001). 3. With regard to satisfaction with lecture's performance, it was evaluated as 'more than good' by 969 persons (87.7%) for 'Lecturer's Zeal for Teaching" and by 751 persons(61.6%) for 'Suitability of Textbook'. Statistically, the significance was largely given to 'Sex Distinction and Lectuer's Zeal for Teaching' (P< 0.001) and 'Lecturer and Suitability of Textbook' (P< 0.001). 4. With regard to teaching environment, it was evaluated as 'more than good' by 464 persons(38.2%) for 'Appropriateness of Teaching Environment' and by 751 persons(61.8%) for 'provision of Appropriate Audio-Visual Aids for Teaching', Statistically, the significance was largely given to 'place and Appropriateness of audio-visual aids for Teaching' (P< 0.001). 5. With regard to parctical use of lecture, it was evaluated as 'more than good' by 805 persons(67.5%) for 'Usefulness to clinical demonstration' and by 873 person(71.7%) for 'Attitude towards study'. With the result of evaluation made as in the above, we are able to see that the education of orthopedic physical therapy which is organized by Orthpedic Physical Therapy Society of Korea, is being successfully conducted and evaluated by its members, and furthermore the staff of this society has to make his best endeavoures for the growth of this society and for the development of this education.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.32-45
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• 2000

Background : Critical pathway is an optional sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to minimize delays and resource utilization, and to maximize quality of care; abbreviated versions of case management plans that show critical outcome and key incidents that occur in a predictable and timely fashion to achieve an appropriate length of stay. This study is to develop a critical pathway for vaginal delivery and cesarean section to assess the degree of contentment of the patients and medical personnel and to implement clinical application to see how we could meet the need to guide patients to achieve continuum of care. Method : Critical pathways were developed for normal vaginal delivery and casarean section. LOS(length of stay) target for vaginal delivery was 1 day after delivery & 5 days after C-section. It was distributed to the mother at the OPD and explained thoroughly. It was applied when patients got into the Labor & Delivery Floor. We applied total of 42 patients (30 normal deliveries & 12 C-sections) from February to March, 2000. We performed patient satisfaction survey to all 42 patients, 24 nurses, and 7 residents for internal customer satisfaction. Results : Twenty six patients out of 42 responded to the survey. Twenty one patients out of 26 answered satisfactory. Eighty four percent of 21 respondents replied Critical pathway worked very well. Treatment column got the most compliance. Eleven out of 31 employees thought critical pathway is very helpful for the patient care. Eighteen people didn't see any difference. In their opinion, treatment got the least compliance, which is the contrary to patients opinion. Fifty eight percent of respondents thought that critical pathway can expedite early discharge. Conclusion : Patient satisfaction was higher than we expected but we still need to revise the form. It is recommended to analyze the cost and variance check in the future.

• Journal of Chest Surgery
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• v.41 no.4
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• pp.469-475
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• 2008

Background: Video-assisted thoracic sympathicotomy is a definitive minimally invasive treatment for axillary hyperhidrosis. Different techniques exist for controlling axillary hyperhidrosis, but they are temporary and expensive. We compared the results after using two different levels of sympathicotomy for treating axillary hyperhidrosis: T3-T4 and T4. Material and Method: Between June 2002 and May 2007, 30 patients with isolated axillary hyperhidrosis underwent either T3-T4 or T4 thoracoscopic sympathicotomy in the Department of Thoracic & Cardiovascular Surgery at Wonkwang University Hospital. The patients were divided into two groups. Group I (n=15) was composed of patients who underwent T3-T4 sympathicotomy (thermal ablation), and Group II (n=15) was composed of patients who underwent T4 sympathicotomy (thermal ablation). The procedures were bilateral and simultaneous, involving the use of two 2-mm trocars and a 0-degree 2-mm thoracoscope under general anesthesia with single endotracheal intubation. Outcome parameters included satisfaction rate of treatment, degree of compensatory sweating, and postoperative complications. Patients were interviewed by telephone regarding satisfaction and compensatory hyperhidrosis. Result: There were no differences in age between group I and group II. The mean follow-up for the T3-T4 group was $38.7{\pm}2.3$ months, and the mean follow-up for the T4 group was $18.7{\pm}3.6$ months. The immediate therapeutic success rate (within 2 weeks postoperative) was 100% in both groups, and there were no recurrences in either group during the long-term follow-up period. The satisfaction rate was higher (93.3%) in the T4 group than in the T3-T4 group (53.3%), and the incidence of compensatory hyperhidrosis was lower in the T4 group (6.7%) than in the T3-T4 group (46.7%). Postoperative complications included one mild pneumothorax and two instances of intercostal neuralgia. Digital infrared thermographic imaging (DITI) correlated well with postoperative satisfaction. Conclusion: Both techniques proved effective for controlling isolated axillary hyperhidrosis. The T4 group had a higher satisfaction rate and lower severity of compensatory hyperhidrosis. Hence, thermal ablation of the lower interganglionic fibers of the third thoracic sympathetic ganglion on the fourth rib is a more practical and minimally invasive treatment than is the T3-T4 surgical method, according to the degree of compensatory sweating in isolated axillary hyperhidrosis.

• Journal of Korean Academy of Nursing
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• v.6 no.1
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• pp.12-22
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• 1976

Amongst varieties of clinical nursing role, the administration of medication is often highlighted as of prime importance. In order to attain data for the improvement of teaching strategies of medication, diagnostic evaluation of the knowledge level is a necessity. This study was performed from August through December 1975. 449 registered nurses, randomly sampled from general hospitals:16 of Seoul and 7 of Taegu and Pusan, were tested through 54 test questionaries based on 4 practical dimensions of administration of medication. Results are as follows ; 1. Status of respondents: Length of clinical experiences; the average length revealed to be 2 years and 7 months, 72% revealed to have had less than 3 years of experience; 38.6%-less than 1 year, 19 .2%-over 1 year and less than 2 years, and 14, 2%-over 2 years and less than 3 years. Type of Nursing education received ; 9.4% revealed to have graduated technical high school of nursing, 67.5o/o the 3 year diploma school and 21, 7% the baccalaureate degree program. The knowledge Level; Degree of self-satisfaction on knowledge level revealed that;27, 4% responded to "more or less satisfied", 48.8% "more or less un-satisfied" and 19.8% to "not satisfied". The average level of basic knowledge revealed to be moderate by 66.95 points. The level of knowledge of 4 questionnaire categories revealed that; drug action category by average of 66.5 points, methodology category by 65.4 Points, safety measure category by 71.4 points and terminology and concepts category by 64.6 points, Questionnaire items which revealed high points are of;6 of drug action category, 4 of methodology, 4 of safety measure, and 3 of terminology. The items of low points are: 8 of drug action, 3 of methodology, 3 of safety measure and 5 of terminolology categories. 3. The type of nursing education revealed to have no significant influence on the level of knowledge on the administration of medication. 4. The length of clinical experience revealed to have no significant influence on the level of knowledge. 5. 75. l% responded that the actual practice of medication modes are "similar" to that included in the fundamentals of nursing course. 6. In-service education on medication; 54.0% revealed to have some incidental in-service education on medication while 34.0% receive programmed in- service education. 61.8% revealed to have expressed the need of systemic In-service education as one of the means for improvement of medication. 32.7% revealed to obtain information concerning medicine by reading commercial publications on drug package, while only 20.9% by reading specific information channel.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.4
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• pp.571-583
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• 2003

Purpose: This study was aimed by presenting basic data of nurses' manpower management on studying about estimative variables and provability assumption whether it is desire or no on the transfer of nurses' duty post. Method: The study was designed retrospective survey and the subjects of this study consisted of 508 nurses who have engages in the K-university hospital. Data were analyzed by SPSS windows for 11.0, by logistic regression. Result: The status on clinical specific variables were verified on estimative variable about whether it is desire or no on the transfer of nurses' post of duty that staff nurses was 3.95 times when set the standard over the charge nurses, and unsatisfied nurses than satisfied nurses on the place of duty at present was 1.4 times. On the low domains of duty's satisfied degree was verified on predictive variable about whether it is desire or no on the transfer of nurses' post of duty that nurses of low feeling of satisfaction about personal relationship was 1.19 times, unsatisfied nurses about hospital management was 2.01 times verified on desiring transfer to other places. Conclusion: The suitability of estimative model whether it is desire or no on the transfer of nurses' post of duty explainable by the variable of the status, the feeling of satisfaction on post of duty, the personal relationship the hospital management and estimative probability was 80.9%.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.2
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• pp.125-134
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• 2022

Purpose : Establishing multicultural acceptance is important to provide quality nursing care in various clinical settings and adapt to changing roles in different situations. The purpose of this study was to explore degree of intercultural sensitivity, cultural empathy, and multicultural acceptance, the factors influencing of multicultural acceptance of nursing students and to provide the basic data to increased multicultural acceptance. Methods : The study used a questionnaires that include general characteristics, multicultural acceptance, intercultural sensitivity, cultural empathy for nursing students. This research involved 173 nursing students in G city. The data collected from August 15, 2021 to August 30, 2021. The study was analyzed using the SPSS 23.0 program. The correlation among intercultural sensitivity, cultural empathy, and multicultural acceptance was analyzed by Pearson's correlation coefficients, and it was analyzed using multiple regression to figure out factors influencing multicultural acceptance. Results : The multicultural acceptance score was above the middle level and differed according to the academic grade (F=8.580, p<.001), major satisfaction (F=5.981, p=.003), interpersonal relations significantly (F=6.837, p=.001). Multicultural acceptance was a significant positive correlation with intercultural sensitivity (r=.544, p<.001), cultural empathy (r=.624, p<.001). As a result of regression analysis, it was confirmed that cultural empathy (β=.477, p<.001) and intercultural sensitivity (β=.212, p<.001) were factors that influence nursing students' multicultural acceptance ; this model could explain 40 %. Conclusion : Factors affecting multicultural acceptance of nursing students are cultural empathy and intercultural sensitivity. Nursing students are encouraged to have multicultural acceptance in terms of satisfaction of cultural empathy and intercultural sensitivity. Through this research requires the fellow study to determine the various factors affecting multicultural acceptance of nursing students. And it is necessary to development education and program that can enhance multicultural acceptance is required.

• The Journal of the Convergence on Culture Technology
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• v.8 no.2
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• pp.91-97
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• 2022

This study was conducted to understand the degree of personality and interpersonal relationships among dental hygiene students. The survey was conducted from April 1, 2021 to June 30, 2021. As a result of the study, personality was 3.42 points and interpersonal relationships were 3.46 points. In general, there was a statistically significant difference in both personality and interpersonal subdomains in interpersonal satisfaction and college life satisfaction (p<.05, p<.001). The more experience they had in clinical practice, the lower their scores for friendship and professorship among interpersonal relationships. Among the sub-domains of personality, morality and sociality were analyzed as having the highest positive correlation (r=.674), and in interpersonal relationships, the relationship between friends and professors was analyzed as high (r=.606). Therefore, for the holistic growth of dental hygiene students as preliminary dental hygienists and their adaptation to the dental care field, a long-term strategy and continuous educational approach are needed at the university for cultivating character and interpersonal relationships, which are the basics. In addition, various programs related to the duties of dental hygienists should be developed and methods to be applied should be sought.

• Journal of dental hygiene science
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• v.14 no.3
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• pp.325-331
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• 2014

The purpose of this study was to examine the self-perceived fatigue among 262 dental hygiene students, who have recently experienced clinical practice. In this study, a structured self-reported questionnaire was used to assess and analyze the severity of fatigue among the population. This study was performed from January to September in 2013 to effectively encompass clinical practice. The results are as follows: The self-perceived fatigue of the subjects was significantly higher in a subjective unhealthy group than a subjective healthy group (p=0.000), in a group that was unsatisfied with their program than a group that was satisfied with it (p=0.000), in a group that had dissatisfaction in clinical practice than a group that had satisfaction with it (p=0.000), in a group that had over five weekly of clinical practice than a group that didn't (p=0.000), in a group that had more than 100 patients a day than a group that didn't (p=0.000), in a group that had conflicts between fellow staff than those who didn't (p=0.000), in a group that did not exercise regularly than a group that did (p=0.016). The result of using multiple regression analysis revealed that the variable factors affecting the degree of the self-perceived fatigue were; subjective health status, satisfaction with a clinical practice, the length of clinical practice, the number of patients, and staff conflicts. These variable factors have the explanatory power of 44.5%. In conclusion, to decrease fatigue and allow students in clinical practice to perform effectively, clinical practice educators need to actively participate as a community and develop programs that will decrease the fatigue of students. In addition, in-depth research is needed on the effects of outside factors and variables affecting fatigue.

• Journal of Korean Academy of Nursing
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• v.34 no.8
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• pp.1402-1408
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• 2004

Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

• Journal of Korean Neurosurgical Society
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• v.37 no.4
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• pp.272-274
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• 2005

Objective: Surgical treatment of focal axillary hyperhidrosis is often unsatisfactory because of compensatory hyperhidrosis. The purpose of this study is to evalute the effect of decreased sweating production using 20% aluminum chloride on axillary hyperhidrosis. Methods: From February to December, 2002, 10 patients (mean age 25.2 male 2, female 8) with clinical diagnosis of axillary hyperhidrosis were treated by 20% aluminum chloride solution. Until the desired degree of symptom relief was obtained, they were educated to apply every day and thereafter, the agent would be applied as often as is necessary. We analyzed patient's satisfaction and application time at onset of desired dryness, application interval to maintain the relief of symptom and side effects. Results: Aluminum chloride solution was effective in treatment of axillary hyperhidrosis showing excellent result in 60% of patients and good in 40%. Application time at onset of desired dryness ranged from 1 to 6 days(mean 3 days). Application interval to maintain the relief of symptom ranged from 5 to 45 days(mean 12 days). There were no significant complications but just mild irritation and miliaria in seven patients. Conclusion: 20% aluminum chloride solution is the simple, safe and less expensive method for initial treatment for axillary hyperhidrosis not accompanying osmidrosis.