• Title/Summary/Keyword: Graduate Medical School Student

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Medical Students' Perceptions and Intentions Regarding Patient Safety (의과대학 학생들의 환자안전에 대한 인식)

  • Lee, Hoo-Yeon;Lee, Sang-Gyu
    • Quality Improvement in Health Care
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    • v.24 no.1
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    • pp.23-29
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    • 2018
  • Background: The purpose of this study was to examine undergraduate medical students' perceptions and intentions regarding patient safety during clinical clerkships. Methods: Cross-sectional and self-administered questionnaire survey was conducted on 34 students from one medical school using a modified version of the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS). We assessed $4^{rd}-year$ medical students' perceptions of the cultures ('safety', 'teamwork', and 'error disclosure'), 'behavioural intentions' concerning patient safety issues and 'overall patient safety'. The overall response rate was 66.4%. Results: Among safety domains, "teamwork culture" was rated highest. "Error disclosure culture" received the lowest ratings. Regarding the error disclosure domain, only 10% of respondents reported that they have received education or training on how to disclose medical error to patients. Independent of survey domains, when students were asked "Overall, do you think your hospital is safe based on your clinical rotation?", 61.8% reported that the hospital was safe. Conclusions: Assessing students' perceptions of safety culture can provide clerkship directors and educators with information that enhances the educational environment and promotes patient safety. Discussions of medical errors, patient safety, and how best to incorporate an analysis of these issues into the existing curriculum are needed.

A study on Anwareness for Improvement of Oriental Medical Care System in Community People (한방의료개선에 대한 지역사회주민의 의식조사)

  • Bae Joo-Han;Nam Chul-Hyun;Wie Gwang-Bog
    • Journal of Society of Preventive Korean Medicine
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    • v.1 no.1
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    • pp.126-136
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    • 1997
  • To procide basic data for improvement of oriental medical care system, the questionnaire interview was carried out with community peoples, over 20 years old, selected randomly in Seoul, Pusan, Taegu and Taejon err. from 10th Mar. to 20th Apr. 1996. The result were summarized as follows: 1. In the general characteristics of subjects, the highest portion of each part was 52.4% of male, 22.4% of thirties, 37.1% of college graduates, 19.1% of married, 30.6% of town dwellers, 63.3% of muddle social class, 26.6% of housewife, 19.3% of student, 16.6% officer and 11.6% of professional technician. 2. The portion of subjects agree to open oriental clinic in western medicine hospital was 60.0%, that of disagreement was 20.1%, Among 60.0% of agreement group, the high rate was showed in female, fifties, middle school graduates, unemployed, middle social level. 3. The rate of positive responses in system of a herb specialist was 64.7%, that of negative responses was 11.6%. Among positive responses, the groups of high rate were male. twenties, above college graduates, student, middle-high social level and city dwellers. 4. In the question whether a pack of herb medicine should be included in medical insurance or not, the rate of agreement was 74.3%, that of disagreement was 4.1%. Amount agreement subjects, the high rate was showed in male, young age, high educated, city dwellers, professional technician middle social class. 5. In the cost of oriental medical care, the portion was divided by 70.3% of expensiveness,25.6% of moderate, 4.1% of low price. among 70.3% of high price, the high rate was in female, forties, agrolivestock-fishery, and town dwellers. 6. In the question what the herb doctor should do for the improvement of oriental medicine, the highest rate was 54.2% in further study. The next was 23.0% in need of western medical and 9.1% in no complain in present situation. Among 54.2% of further study, the high rate was showed in male, forties, high school graduate, profession technician, high social level, christian, married and city dwellers. 7. About institution of oriental care, 86.8% of subjects answered to need of improvement, 8.0% of them replied no problem as present. Amount 86.8% of subjects, the high rate was showed in male, twenties, above college graduate, sales, singles, high social level and city dwellers. 8. About necessity of western medical care instrument in oriental medical hospital, the rate of sightly need was 47.5%, inevitably need was 37.7%, no need was 6.3%, the Positive subjects were showed high rate in male, officer, singer, the younger age, the higher educated, better social level and city dwellers. These results might be useful information for establishing of oriental medical care policies, which open oriental medical clinic in western medical hospital, equip western medical care instrument in oriental medical hospital, improve oriental medical care instrument carry out a herb specialist system, balance the resonable medical care cost and effort for further study & research on oriental medicine to satisfy increasing need of oriental medicine.

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The Perception Survey for Personal Health Information Protection of First Aid Training Courses Students - Focused of EMT students and Nursing students - (응급처치 교육과정을 배우는 학생들의 개인의료정보 보호에 대한 인식도 조사 - 응급구조과와 간호과 학생을 중심으로 -)

  • Bae, Sung-Ju;Choi, Young-Jin
    • Journal of Korean Clinical Health Science
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    • v.2 no.1
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    • pp.25-34
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    • 2014
  • Purpose. The checked of perception for the protection of personal medical information of EMT student and Nursing student. Methods. Nursing students and EMT students 200 questionnaires were collected and Frequency analysis, Chi-square test, one-way ANOVA was performed for using the Windows SPSS(ver. 12.0). Results. Most of the subjects were aware of the protection law of personal information and Infringement of the privacy of personal information will be exposed. also, Education is needed privacy(EMT students $3.84{\pm}0.96$, Nursing students $3.73{\pm}0.99$). EMT($3.99{\pm}1.00$) and Nursing($4.07{\pm}0.94$)students due to exposure to both the patient's personal information privacy was violated would get recognized. Exposure to the computerization of information privacy will be exploited in other agencies(EMT students $3.78{\pm}0.88$, Nursing students $3.95{\pm}0.94$) was called. Conclusions. For the protection of personal health information, education needs to be expanded.

Expression of Immunosuppression-Related Genes in Fetal Chorionic Villi Derived from Recurrent Spontaneous Abortion Patients (습관성 유산 환자의 융모막 조직에서의 면역억제유전자 발현 양상)

  • Shin, Ju-Mi;Kim, Jeong-Wook;Choi, Bum-Chae;Lee, Sook-Hwan;Baek, Kwang-Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.30 no.3
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    • pp.233-240
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    • 2003
  • 연구목적: 본 연구에서는 정상 환자와 습관성 유산 질환 환자에서 유래된 융모막 조직 내에서의 면역억제유전자들의 발현 양상에 대해 알아보고자 하였다. 연구재료 및 방법: 임신 6주와 8주의 습관성 유산 질환 환자와 정상 환자로부터 융모막 조직을 채취하였다 (Normal N=6; RSA N=6). 면역조직화학적 분석을 통해서 조직을 관찰하고 세포가 살아있음을 확인한 후에, 역전사 중합효소연쇄반응을 통해서 면역억제유전자인 placenta protein 14 (PP14), indoleamine 2, 3-dioxygenase (IDO) 그리고 mucin1 (MUC1) 유전자의 발현 정도를 비교하였다. GAPDH 발현에 기준한 면역억제유전자 발현을 정량 분석하여 Student's t-test를 시행하였고, p<0.05를 유의성이 있는 것으로 판정하였다. 결 과: 습관성 유산 질환 환자의 경우, 임신 6주와 8주의 융모막 조직에서의 면역억제유전자 (PP14, IDO, MUC1) 발현이 현저하게 낮은 양상을 보이고 있었다. 습관성 유산과 면역억제유전자의 발현이 통계학적으로 유의성 있는 연관성을 가지고 있다는 것이 확인되었다. 결 론: 면역억제유전자 (PP14, IDO, MUC1)의 발현이 습관성 유산 질환 환자에서 특이적으로 낮게 나타나는 것으로 보아 습관성 유산 질환의 진단과 치료 연구 방안에 이 유전자들의 발현이 이용될 수 있을 것으로 사료된다.

Development of an e-Learning Program about Medication for New Nurses (신입간호사를 위한 투약 간호 e-Learning 프로그램 개발)

  • Sung, Young Hee;Kwon, In Gak;Hwang, Ji Won;Kim, Ji Young
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1113-1124
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    • 2005
  • Purpose: The purpose of this study was to develop an e-Learning program about medication for nurses to enhance nurses' medication performance ability and to analyze learners' responses after studying with this program. Method: For the development of the e-Learning program, the NBISD(Network Based Instructional Systems Design) model, suggested by Jung(I999) was applied as a basic model and the instruction design theory of Gagne & Briggs(1979) and ARCS theory of Keller(I983) were applied. After the operation of this program for one month to 34 new nurses, learners' responses were analyzed. Result: Learners' knowledge of medication was greatly improved after this program. In addition learners' satisfaction with the overall education program, help in field applicability, ease of screen shift and exploration, and tutor activities were high and the contents were regarded suitable for e-Learning. Many things were advantageous such as easy accessibility, easy understandability with pictures and flash animation, practical cases and feedback from a tutor. Provision of a supplementary handout and improvement of a tight time schedule were pointed out as things to be improved. Conclusion: This e-Learning program can be used effectively for medication education for registered nurses, student nurses, and new nurses.

Study on Nutrition Knowledge, Perception, and Intake Frequency of Milk and Milk Products among Middle School Students in Chuncheon Area (춘천지역 중학교 학생들의 우유와 유제품에 관한 영양지식·인식 및 섭취빈도 조사)

  • Han, Ji Min;Min, Sung Hee;Lee, Min June
    • Journal of the Korean Society of Food Culture
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    • v.31 no.3
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    • pp.205-212
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    • 2016
  • The purpose of this study was to investigate the nutrition knowledge, perception, and intake frequency of milk and milk products among middle school students as well as provide the basic data needed for increasing milk and milk product consumption. To achieve the purpose of this study, a survey with 385 students of four middle schools located in Chuncheon was conducted. The level of nutrition knowledge of milk and milk products in females was slightly higher than that in males (p<0.01). Flavored milk and ice cream were preferred the most in each category, and 'taste' influenced the selection of milk and milk products the most. The intake frequency of whole milk was the highest, and that of flavored milk was lowest among various milks. Ice cream showed the highest intake frequency while cheese showed the lowest among milk products. Male students showed higher intake frequency of milk and milk products. Groups having high level of nutrition knowledge showed the highest intake of whole milk, whereas groups having a low level of nutrition knowledge preferred processed milk, low fat or non-fat milk, and cheese the lowest.

The Factors Associated Depression and Suicidal Ideation in Adolescents (남녀 청소년의 우울 및 자살 생각과의 관련 요인)

  • Kim, Chae-Bong;Jung, Tae-Young;Hwang, Sung-Wan;Kim, Jae-Haeng
    • The Korean Journal of Health Service Management
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    • v.7 no.2
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    • pp.161-177
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    • 2013
  • This study aims to provide basic evidence for establishing prevention programs of school' mental health by identifying the factors of middle and high school student's depression and suicidal ideation related to stress of peer-relationship. For this purpose, we analyzed the data of 6,924 (who Experienced stress related to peer-relationship) among the 2012 Korean Youth Health Risk Behavior Online Survey(8th). In demographic characteristics, subjective academic achievement affects depression in the case of girls. In health-related characteristics, medical treatment by violence, drinking experience, smoking experience have an effect on depression in the case of boys. Subjective health, drinking experience, smoking experience, drug experience are the factors affecting suicidal ideation both boys and girls. In order to promote mental health of youth, school-based prevention education complementing existing realistic problems needs to be implemented.

Knowledge and Attitude toward HIV/AIDS among Professional Graduate Medical School Students (의학전문대학원 학생들의 HIV/AIDS 관련 지식 및 태도)

  • Seo, Myoung Hee;Jeong, Seok Hee;Shin, Ja Hyun;Lee, Myung In
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.255-265
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    • 2015
  • This study was done to identify the levels of knowledge and attitude toward HIV/AIDS in professional graduate medical school students. A cross-sectional survey was used, and data were collected in 2014. Participants were 97 students in South Korea. Data were analyzed using SPSS WIN 19.0 program. The mean score for HIV/AIDS knowledge was 8.91 and attitude was 7.00 out of 15. The levels of HIV/AIDS knowledge and attitude were not statistically significantly different according to participants' general characteristics. There was a statistically significant correlation between the levels of HIV/AIDS knowledge and attitude. Medical students having a high HIV/AIDS knowledge level tended more towards a positive attitude. These findings can be used in developing effective education strategies for medical students and health care providers to increase knowledge and decrease negative attitude toward HIV/AIDS.

A Study on the Recognition of Students of Oriental Medical School on Cooperative System between Oriental and Western Medicine (한양방 협진에 대한 한의대생들의 인식도)

  • Yoo, Wang-Keun;Kim, Kyung-Suk
    • Journal of Society of Preventive Korean Medicine
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    • v.9 no.2
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    • pp.77-91
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    • 2005
  • The purpose of this study is to examine the recognition of the student of oriental medical school on cooperative system between Oriental and Western medicine and to provide basic information for the development of oriental medicine. In order to look at the level of recognition on cooperative system between Oriental and Western medicine, from September 1st to 15th of 2005, this study had been conducted through personal interview and questionnaires to 600 students who were attending the Department of Oriental Medicine (in both prep and regular courses) in D University, located in the City of Daegu. The data has been analyzed using statistic program, the SPSS WIN 12.0. Statistical analysis tools used for this study were frequency analysis, cross-over analysis and the t-test. The results are as follows; The students of oriental medical school had relatively high level of recognition on the basic concept, interests, necessity and potential for cooperative system between Oriental and Western medicine. However, they had negative understandings on the issue of unification of the two medical systems and it's possibility in the future. The students were optimistic about possible merits of cooperative system between Oriental and Western medicine, especially in the field of rehabilitation. On the reasons for lack of development of cooperative system between Oriental and Western medicine, the students listed prejudices existing on both sides firstly, followed by their contrasting approach on human illness, lack of legal and institutional support system, the indifferences of doctors and indifferences of oriental medical doctors. In addition, students understood that the dualism existing in our current medical system is aggravating mutual distrust between the two sides, causing the confusion of patients on the choice of medical facilities, and raising their medical bills. Therefore, in order to vitalize collaboration between Oriental and Western medicine in new health care environment, the following measures should be needed decreasing the prejudices between the two medical spheres with open mind improving educational programs in Western and Oriental medical schools; promoting joint academic research or exchange programs between the schools, and increasing government effort to minimize legal and institutional restrictions cooperative system between Oriental and Western medicine.

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Effect of level D personal protective equipment on chest compression for pre-hospital arrest patients with suspected or confirmed COVID-19 : A randomized crossover simulation trial (코로나19 의심 또는 확진 환자가 병원 밖 심정지 발생 시 구조자의 개인 보호장비(PPE) 착용에 의한 가슴압박 효과 비교 : 무작위 교차 시뮬레이션 연구)

  • Hong, Seok-Hwan;Yang, Yeun Soo;Han, Sang-Kyun
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.1
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    • pp.23-36
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    • 2021
  • Purpose: The purpose of this study was to determine how the use of level D personal protective equipment (PPE) and cardiopulmonary resuscitation (CPR) feedback equipment affects chest compression (CC). Furthermore, this study provides basic data for developing Korean CPR guidelines that can be applied to patients with suspected or confirmed COVID-19. Methods: This randomized, single-blinded, crossover simulation trial included 26 student paramedics who performed 2-minute chest compressions using three different methods: Method A involved performing traditional CC for two minutes without donning level D PPE, Method B involved performing CC while donning level D PPE, and Method C involved performing CC with a CPR feedback device while donning level D PPE. Results: The use of a CPR feedback device during the 2-minute CC increased the exercise intensity of the subjects, but donning level D PPE didn't affect the quality of CC and the exercise intensity. The results of methods A and B showed changes in the quality of compression 80 seconds after the start of CC. No significant changes occurred in 2-minute CC when using the CPR feedback device. Conclusion: Using a CPR feedback device could prevent deterioration in the quality of CC while donning level D PPE.