• Title/Summary/Keyword: Examination stress

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Dental Hygienist's Job Perception of Some Prospective Graduates (일부 치위생학과 졸업예정자의 치과위생사 직무에 대한 인식)

  • Hwang, Soo-Jeong;Bae, Soo-Myoung;Yu, Ji-Su;Han, Yang-Keum
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.1
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    • pp.25-36
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    • 2020
  • Introduction: The legal duties of Korean dental hygienists are different from the actual tasks. These factors cause dental hygienists to experience work stress. Therefore, it is necessary to investigate what tasks the dental hygienist expects to perform. Methods: This study examined the perception of dental hygienists' work on 158 prospective graduates of the 3rd-year and 4th-year course of dental hygiene. The questionnaire about the dental hygienist's duties was prepared based on the job description of dental hygienists by the Korea Health Personnel Licensing Examination Institute. Results: More than 84% said that all of the work in the second job description was possible as dental hygienists. subjects responded that the following items were not dental hygienists' duties: treatment plan based on medical history and dental history, treatment plan based on an intraoral and extraoral examination, treatment plan based on the results of teeth and periodontal examination, analysis of oral health data in community, planning of oral health promotion in community, planing of water fluoridation, reading of radiography, root planing, physical treatment on head and neck, using an ultrasonic device on head and neck, dealing with laser devices, making a temporary crown, suture and stitch-out, and intramuscular injection. Conclusions: Most graduates of dental hygiene departments have recognized that the tasks described in the second job description are dental hygienists' work; therefore, it is necessary to improve the gap between expected work and legal work.

Assessing the Validity of the Preclinical Objective Structured Clinical Examination Using Messick's Validity Framework (Messick의 타당도 틀을 활용한 임상실습 전 실기시험의 타당도 평가)

  • Lee, Hye-Yoon;Yune, So-Jung;Lee, Sang-Yeoup;Im, Sunju
    • Korean Medical Education Review
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    • v.23 no.3
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    • pp.185-193
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    • 2021
  • Students must be familiar with clinical skills before starting clinical practice to ensure patients' safety and enable efficient learning. However, performance is mainly tested in the third or fourth years of medical school, and studies using the validity framework have not been reported in Korea. We analyzed the validity of a performance test conducted among second-year students classified into content, response process, internal structure, relationships with other variables, and consequences according to Messick's framework. As results of the analysis, content validity was secured by developing cases according to a pre-determined blueprint. The quality of the response process was controlled by training and calibrating raters. The internal structure showed that (1) reliability by generalizability theory was acceptable (coefficients of 0.724 and 0.786, respectively, for day 1 and day 2), and (2) the relevant domains had proper correlations, while the clinical performance examination (CPX) and objective structured clinical examination (OSCE) showed weaker relationships. OSCE/CPX scores were correlated with other variables, especially grade point average and oral structured exam scores. The consequences of this assessment were (1) making students learn clinical skills and study themselves, while causing too much stress for students due to lack of motivation; (2) reminding educators of the need to apply practical teaching methods and to give feedback on the test results; and (3) providing an opportunity for faculty to consider developing support programs. It is necessary to develop the blueprint more precisely according to students' level and to verify the validity of the response process with statistical methods.

Correlation of Health-Related Habits, Eating Habits, and Nutrients Intakes According to Depression in Elderly Men and Women : Analysis of the 2016~2018 Korean National Health and Nutrition Examination Survey (남녀노인의 우울에 따른 건강 관련 습관, 식습관 및 영양소 섭취량 -2016~2018 국민건강영양조사 자료 분석-)

  • Park, Kyung-Ae
    • Journal of the Korean Dietetic Association
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    • v.28 no.4
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    • pp.247-266
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    • 2022
  • This study examines the sociodemographic and anthropometric data, health-related and dietary habits, and nutrient intakes according to depression levels in men and women aged over 65 years. A total of 2,938 subjects were analyzed from the 2016~2018 Korean National Health and Examination Survey. Statistical analyses for complex samples were applied using the SPSS software package. Based on the health questionnaire-9, the subjects were applied into two groups. The percentage of depression in women was significantly higher than in men (P<0.001). The factors associated with men's depression were marital status (P<0.05), household income (P<0.001), occupation (P<0.01), and body mass index (P<0.01). Women's depression was found to be significantly associated with household income (P<0.001), education level (P<0.01), basic living allowance (P<0.001), and body weight status (P<0.01). Perceived health status, stress level, quality of life, not feeling very well for the last two weeks, and activity restriction (P<0.001, respectively) were significant health-related habits associated with depression in both sexes. Diabetes (P<0.05) amongst men and hypertriglyceridemia (P<0.01) in women were significant factors associated with depression. Frequency of meals and eating meals together were significant dietary habits associated with depression by sex. Significant associations between improper nutrient intake and depression were also derived for both sexes; 7 nutrients were identified in men and 10 in women. Our results indicate that different factors are associated with depression in the elderly based on sex. Hence, sex-based health promotion programs are required to prevent the onset of depression among the elderly.

Factors Influencing Depression in Workers with Diabetes Mellitus-using the Korean National Health and Nutrition Examination Survey- (당뇨병 근로자의 우울 영향요인: 국민건강영양조사를 바탕으로)

  • Jang, Eun-Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.477-488
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    • 2022
  • The purpose of this study is to identify the factors influencing the depression in workers with diabetes mellitus. Using data from the Korean National Health and Nutrition Examination Survey (KNHANES). 685 workers with diabetes mellitus who were ≥30 years of age were enrolled. Depression was evaluated on the basis of PHQ-9 levels. Data were analyzed by complex sample linear regression using SPSS/WIN 23.0. The factors influencing depression included gender, age, household type, household income level, education level, type of employment (p>.05). The additional factors included stress perception level, weekly walking days (p>.05). Therefore, it is necessary to prepare systematic programs for depression and a support system for health promotion plan for diabetes mellitus in work places and throughout society. In addition, research on depression management program development is needed.

Analytical Examination of Ductile Crack Initiation with Strength Mismatch under Dynamic Loading - Criterion for Ductile Crack Initiation Effect of Strength Mismatch and Dynamic Loading (Report 2) - (동적하중하에서의 강도적 불균질재의 연성크랙 발생한계의 해석적 검토 - 강도적 불균질 및 동적부하의 영향에 의한 연성크랙 발생조건 (제 2 보) -)

  • ;Mitsuru Ohata;Masahito Mochizuki;;Masao Toyoda
    • Journal of Welding and Joining
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    • v.21 no.7
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    • pp.49-58
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    • 2003
  • It has been well known that ductile fracture of steel is accelerated by triaxiality stresses. The characteristics of ductile crack initiation in steels are evaluate quantitatively using two-parameter criterion based on equivalent plastic strain and stress triaxiality. Recently, the characteristics of critical crack initiation of steels are quantitatively estimated using the two-parameter, that is, equivalent plastic strain and stress triaxiality, criterion. This study is paid to the fundamental clarification of the effect of geometrical heterogeneity and strength mismatching, which can elevate plastic constraint due to heterogeneous plastic straining, and loading rate on critical condition to initiate ductile crack using two-parameter. Then, the crack initiation testing were conducted under static and dynamic loading. To evaluate the stress/strain state in the specimens especially under dynamic loading, thermal elastic-plastic dynamic FE-analysis considering the temperature rise was used. The result showed that the critical global strain to initiate ductile fracture in specimens with strength mismatch under various loading rate cu be estimated based on the local criterion, that is two-parameter criterion obtained on homogeneous specimens under static tension, by mean of FE-analysis taken into account accurately both strength mismatch and dynamic loading effects on stress/strain behavior.

The Effects of Mulberry Fruit on the Antioxidative Defense Systems and Oxidative Stress in the Erythrocytes of Streptozotocin-Induced Diabetic Rats

  • Hong, Jung-Hee;Ahn, Jung-Mo;Park, Sang-Won;Rhee, Soon-Jae
    • Nutritional Sciences
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    • v.7 no.3
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    • pp.127-132
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    • 2004
  • The current study examined the effects of mulberry fruit on the antioxidative defense systems and oxidative stress in the erythrocytes of diabetes-induced rats. Sprague-Dawley male rats were randomly assigned to one normal and three streptozotocin (STZ)-induced diabetic groups. 1be diabetic groups were fed a mulberry fruit-free diet (DM-group), 0.3% mulberry fruit diet (DM-F group) or 0.6% mulberry fruit diet (DM-2F group). Diabetes was induced with STZ after three weeks of the experimental diets. 1be rats were sacrificed 9 days later for examination of the antioxidative defense systems and oxidative stress in the erythrocytes. Means of cy-3-Ο-glucopyranoside, cy-3-Ο-rutinoside, rutin, isoquercitrin, quercetin, morin and dehydroquercetin contents were 230.45, 131.5, 142.5, 10.3, 5.8, 1.6 and 3.83mg per l00g dry weight, respectively, in the mulberry fruit. Mulberry fruit strengthened the antioxidative defense systems through increased activity of the antioxidant enzymes, such as glutathione peroxidase (GSH-px) and catalase (CAT), in the erythrocytes of the diabetes-induced rats. Accrdingly, mulberry fruit was found to reduce the accumulation of thiobarbituric acid reactive substance (WARS). Therefore, mulberry fruit was found to be excellent for strengthening the antioxidative defense system and reducing damaging oxidative substances in the erythrocytes of the diabetes-induced rats.

The Correlation Analysis of Low Back Pain, Stress by Event, and Fear-Avoidance Beliefs Caused by Traffic Accidents (교통사고에 의한 요통, 사건 스트레스, 공포-회피 반응 간의 관련성 분석)

  • Choi, Hee-Seung;Kim, Min-Yeong;Kim, Jin-Soo;Ro, Hae-Rin;Jung, Yoon-Gyu;Choi, Young-Il;Shin, Dong-Jae;Eom, Tae-Woong
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.203-212
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    • 2013
  • Objectives This study was to investigate the correlation of low back pain, stress by event, and fear-avoidance beliefs caused by traffic accident. Methods We investigated 103 cases of out-patient with traffic accident. The patients answered that Visual Analogue Scale (VAS), Impact of Event Scale Revised Korean Version (IES-R-K), and Fear-Avoidance Beliefs Questionnaire (FABQ) on the first medical examination. We calculated statistical significance with this data. Results VAS, IES-R-K, and FABQ scores of the female patients with the traffic accident were higher than the male patients. VAS, IES-R-K, and FABQ scores showed low significant positive correlation and showed partial correlation between IES-R-K and FABQ, controlled by VAS, had no statistical significance in this research. Conclusions More considerations on pain, stress by event, and fear avoidance belief should be needed in treatment of the traffic accident patients.

The Relationship of Self-rated Health Condition to Stress Recognition, Health Related Habits, Serum Biochemical Indices, and Nutritional Intakes in Korean Healthy Adults (건강한 성인의 주관적 건강상태와 스트레스 인지, 건강 관련 습관, 혈청 생화학 지표 및 영양 섭취와의 관계)

  • Yoon, Ji Hyun;Lee, Ru Zi;Kim, Mi Joung
    • The Korean Journal of Food And Nutrition
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    • v.30 no.1
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    • pp.83-95
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    • 2017
  • This study examined the socioeconomic factors that affect self-rated health (SRH) in healthy adults, and the relationship of SRH to health-related habits, serum biochemical indices, and nutritional intakes. Subjects consisted of 1,154 healthy adults without any known disease, aged 19 to 65 years (average age of 36.7), whose information was obtained from the 2013 Korean National Health and Nutritional Examination Survey data. Of these subjects, 73 rated themselves as 'very healthy,' 460 indicated that they were 'healthy,' 568 self-identified as 'ordinary', and 53 put themselves in the 'unhealthy' category. The proportion of subjects who chose 'unhealthy' was significantly increased with higher frequencies of disruptions in their daily lives (p<0.05), regret after drinking (p<0.05), smoking (p<0.001), and higher levels of stress (p<0.001). On the other hand, the proportion of subjects reported as 'very healthy' was significantly higher with regular intense (p<0.001) or moderate physical activities (p<0.05), regular walking (p<0.05), a perception of being 'normal' in their body image (p<0.01), a decrease of body weight more than 3 kg in the past year (p<0.05), and without risk factors for metabolic syndrome (p<0.05). Serum triglyceride level was lower, and 25-(OH) vitamin D content was significantly higher, in the 'very healthy' group as compared to the 'unhealthy' group (p<0.05). Dietary fiber and vitamin C intakes were significantly higher in the 'very healthy' group than 'unhealthy' group (p<0.05). The overall results suggest that a healthy lifestyle, including regular exercise, non-smoking, good stress management, and higher intakes of fiber and vitamin C, may be potential factors that affect one's positive perception of health.

A Study on Pillar Behavior of Twin Parallel Tunnels by Numerical Approach (병렬터널 필라부 거동에 대한 수치해석 검토)

  • Byun, Yoseph;Kim, Hyungi;Lee, Sangsu;Chun, Byungsik
    • Journal of the Korean GEO-environmental Society
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    • v.11 no.8
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    • pp.49-55
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    • 2010
  • Safety estimation of the pillar between parallel tunnels are very important considering stress concentration in case the piller width is not enough to secure the stability. Pillar width needs to be determined properly because of the progressive failure-risk of pillar due to stress-concentration. In this research, the effect of element size in numerical analysis was evaluated based on that yield pillar's stability and proposed systematic analysis about pilar's stability examination. In consequence of it, element size does not give any effect on intensity stress ratio. On the other hand, the analysis using the smaller element size results in lower safety factor in strength reduction technique. In case of the weathered re.k on the main ground layer, the analysis of result was not reliable. In conclusion, the smaller element size is, the more stable factor is.

Effectiveness of Cold Stress Thermography in the Diagnosis of Complex Regional Pain Syndrome Type 1 (복합부위통증증후군 1형 환자에서 한냉부하 적외선체열촬영의 유용성 평가)

  • Park, Eun Jung;Han, Kyung Ream;Chae, Yun Jeong;Jeong, Won Ho;Kim, Chan
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.159-163
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    • 2006
  • Background: Despite the enormous amount of basic research on neuropathic pain, there is the lack of an objective diagnostic test for complex regional pain syndrome (CRPS). The aim of this study was to evaluate the usefulness of cold stress thermography in the diagnosis of CRPS. Methods: The study involved 12 patients with CRPS type 1, according to the IASP criteria, who were compared with 15 normal healthy volunteers. All subjects underwent thermographic examination under baseline conditions at $21^{\circ}C$. A cold stress test (CST; $10^{\circ}C$ water for 1 minute) was then applied to both hands below the wrists, immediate, and after 10 and 20 minutes. Results: The temperature asymmetry between the patients with CRPS and the volunteers showed significant discrimination at the baseline and after a 20 minute recovery period from the CST. Among the study subjects having temperature asymmetry of both hands of less than $1^{\circ}C$ (8 out of 12 CRPS patients and 14 out of 15 volunteer), 7 (87.5%) of the 8 CRPS patients and 3 (21%) of the 14 volunteers showed a temperature difference of more than $1^{\circ}C$ after the 20 minute recovery period. The actual temperature values during the four periods did not discriminate between the patients with CRPS and the volunteers. Conclusions: Thermography, under the CST, could be a more objective test for the diagnosis of CRPS. A temperature asymmetry greater than $1^{\circ}C$ during the 20 minute recovery period following CST provides strong diagnostic information about CRPS, with both high sensitivity and specificity.