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Parish Nursing : A New Challenge for Primary Health Care (지역교회간호(Parish Nursing) - 일차건강간호를 위한 새로운 도약)

  • No, Yu-Ja;Baek, Yeong-Mi
    • The Korean Nurse
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    • v.37 no.2
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    • pp.53-62
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    • 1998
  • ursing as a profession is characterized by its holistic, mind-body-spirit approach to the patient. Also, nurses have historically been the leaders in health education and promotion. Parish nursing has a great potential for providing primary preventive health care. services as well as assisting people to access the health care system. While working in the community, parish nurses see the church as the new arena for delivering health care services. The parish nurse program was introduced by Granger Westberg in 1984. The concept of parish nursing is based on several beliefs; health is multidimensional and affects all aspects of an individual-physical, psychological, social, and spiritaul being. Parish nursing is one model in which churches can cooperatively work with health care institutions to address the needs of their parishioners. The role of the parish nurse is emphasized in four basic area: a) health education, b) health counseling, c) referal services, and d) facilitation and organization of support groups within the congregation. The parish nurse programs work chiefly in congregation or commuity where a certain language of faith is ready at hand. This means that the parish nurse works in an ecology of meanings and care which encourages the drawing on the message of God's grace, the practices and habits it encourages. The parish nurse may be involved in the church's health ministries and may work on either paid or volunteer basis; however, one of the most important qualification of the parish nurse is to have the nursing knowledge and skills to practice within the standards of Nursing Practice Act. The completion of standards of practice for professional nurses practicing as parish nurses had been identified as a priority by the HMA Executive Board (1996, HMA). In conclusion, parish nursing promotes health and healing by empowering the faith community, family, or individual to incorporate health and healing practices. There are several preconditions that should proceed to establish the foundation for successful development of the parish nursing program in Korea. First, reciprocal relationship with home health nursing should be considered. Second, correct terms and concepts of parish nursing should be studied and understood. Third, systematic study and investigation should be followed for further development of parish nursing. Fourth, strengths and weaknesses of different models should be studied to develop proper model of parish nursing for Korean situation. Finally, consensus of standardized education program and corporation with various religious communities as well as health institutions should be established. When these preconditions are met, the role of parish nursing as a new program for the promotion of holistic health will be established.

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A Study on the Influence Behaviors of the Implementation of Teachers' Curriculum: Focus on Teachers' Perceptions of Curriculum and Resistance (교사들의 교육과정 저항성에 따른 실행형태 영향요인에 관한 연구)

  • Kim, Eun Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.721-729
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    • 2018
  • As is the case with South Korea, if the authority for decision making on curricula is concentrated on the state level, the perspective of the understanding on the curricula could be said to be essential. And, such an understanding on the curricula can be important not only to the theorist of curricula but also the teachers in educational institutions. Also, there have been a number of studies to examine the awareness of the teachers on education reform. However, the studies on the resistance factor was mainly focused on the relationships with traits of individuals, covering factors such as their habits, maturity, character, and age, etc. But, it was difficult to find consistency in the results of these studies. Therefore, in this study, the researcher selected the teachers as the key factor of the execution of the curricula and examined the awareness of the teachers on education resistance and the negative views thereupon in the relationship between the knowledge, attitude, skills, and education execution, with a view to find another meaning. The subjects of this study were selected among the teachers in middle or high schools located in Gangnam, Songpa, and Joonggu districts of Seoul. The survey was conducted online with 15 institutions over three weeks from April 13 to 30, 2018. The data gathered were analyzed using SPSS 20.0 and AMOS 20.0, in order to validate the hypotheses through frequency analysis, confidence analysis, factor analysis, structural equation model, and sobel-test. The result of the analyses showed that the factors that affected execution of curricula were the skill system, knowledge system, and attitude of the teachers, in that order, with a positively significant influence. And, significant differences were identified between the factors depending on high or low resistance among teachers.

Prevalence of Metabolic Syndrome and Its Associated Factors among Health Checkup Examinees in a University Hospital (종합건강검진 수검자들의 대사증후군 유병률 및 관련요인)

  • Cho, Young-Chae;Kwon, In-Sun;Park, Jae-Young;Shin, Min-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5317-5325
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    • 2012
  • The purpose of this study was to estimate the prevalence of metabolic syndrome and determine the distribution of the clustering of the metabolic risk factors, and we wanted to evaluated the related factors in urban areas. 1,388 adults of 30 years and over, not recognized as taking medicines for or having cardiovascular diseases, who underwent health package check-up at the health promotion center of a university hospital. All subjects were measured by height, weight, waist circumference, blood pressure and blood chemistry(lipid profile). As a results, the prevalence rates of metabolic syndrome of study subjects were 21.7%, and the rates of metabolic risk factors were HDL-C, blood pressure, TG, abdominal obesity and FBS in that order. And the factors such influencing on metabolic syndrome as age, BMI, smoking habits, vegetable consumption and family history of the diabetes. Consequently, it is suggested that the evaluation and intervention for lifestyle factors may be needed in order to the risk management of metabolic syndrome.

What did They Read in the Newspapers?: A New Method of Measuring Readership (독자 중심의 신문 제작과 독자의 실제 열독률)

  • Park, Jae-Yung;Jeon, Sam-Hyoung-Joon
    • Korean journal of communication and information
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    • v.35
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    • pp.211-249
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    • 2006
  • This study investigated how many and which articles readers read in daily newspapers. Distinguished from previous research that measured readers' perception of their reading habits, this study picked up readers who read the newspaper in the morning, showed them every article in the newspaper, and asked them whether they read each article. This method enhanced the accuracy of measuring subjects‘ reading behavior. According to the results, 6.2% of the readers read at least half of the articles of the general section in the newspaper. Fewer readers went over the economic section of the newspaper. It was 4.1% of the readers. There were only 1.1% of readers who did not read any article of the general section, but the rate soared to 26.5% for the economic section. Many newspaper readers did not skip the first five pages of the newspaper, however the highest readership pages were found in the national coverage located in the middle of the general section. On the other hand, few readers read the articles on pages covering culture, international issues, and people. Readership of the top stories showed some unexpected results. The top stories of national coverage located in the middle of the general section were read by more readers than the top stories of the front pages. This study also investigated the difference between young and old readers. The readers of twenties and thirties did not read as many top stories on major pages and editorials as the readers of forties and older.

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A case of subcutaneous paragonimiasis presented with pleural effusion (흉수를 동반한 피하조직 이소기생 폐흡충증)

  • Kim, Soo Young;Park, Sun Ju;Bae, Si Young;Cho, Young Kuk;Kim, Chan Jong;Woo, Young Jong;Choi, Young Youn;Ma, Jae Sook;Hwang, Tai Ju
    • Clinical and Experimental Pediatrics
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    • v.51 no.7
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    • pp.760-765
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    • 2008
  • Paragonimiasis is a parasitic infection that occurs following the ingestion of infectious Paragonimus metacercariae from crabs or crayfish. Pulmonary paragonimiasis is the most common clinical manifestation of this infection, but several ectopic paragonimiasis cases have also been reported. Among them, cases of subcutaneous paragonimiasis are rare, especially in children. We report a case of subcutaneous paragonimiasis of the right abdominal wall with pleural effusion with hepatic involvement and without abnormal pulmonary infiltration in a boy aged 2 years and 5 months. He had eaten soybean sauce-soaked freshwater crabs (kejang) 6 months prior to complaining of right abdominal wall distension. On evaluation, right pleural effusion without abnormal pulmonary infiltration was detected, as well as blood eosinophilia, an elevated serum IgE level, pleural fluid eosinophilia and a positive enzyme-linked immunosorbent assay that detected P. westermani antibody in the serum. Thoracentesis, praziquantel administration, and excision of subcutaneous lesions were performed. After treatment, the eosinophil count and serum IgE level were decreased, and the subcutaneous lesions did not recur. The frequency of paragonimiasis has decreased recently, but it is still prevalent in Korea. Paragonimiasis should be suspected if pleural fluid eosinophilia is associated with blood hypereosinophilia and a high level of serum IgE; however clinicians should obtain a thorough history of travel and food habits.

The influence of accumulated clinical experience with Soyang-type patients on the conceptualization of the Soyang pathology (소양인(少陽人) 치험례(治驗例)가 소양인(少陽人) 병리관(病理觀) 형성과정에 미친 영향에 대한 고찰)

  • Kang, Mi-Jeong;Lee, Ji-Won;Lee, Jun-Hee;Koh, Byung-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.3
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    • pp.275-284
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    • 2011
  • 1. Objective: This literary review investigates Lee Jema's clinical experiences with Soyang-type patients and their influence on his conceptualization of the Soyang physiology and pathology. 2. Methods: 1) The case reports in "Soyang constitutional type: Spleen Cold-based Exterior-Cold disease" were compared before and after the Sinchuk revision to explore the temporal change in the Sasang medical concepts. 2) The texts in Donguisusebowon (Gabo edition) and Donguisusebowon (Sasangchobongwon) were analyzed to investigate the pathological concepts appearing before the completion of the Donguisusebowon (Gabo edition). 3) The texts in Donguisusebowon (Sinchuk edition) was analyzed to investigate the pathological concepts formed between the Gabo and Sinchuk editions of Donguisusebowon. 3. Results and Conclusions: 1) Gabo edition : The Gabo edition divided the External-origin Exterior disease into Cold-dominant (Heat-moderate) and Heat-dominant (Cold-moderate) patterns and differentiated the severity of Exterior-based Exterior disease and Interior-based Interior disease into mild, moderate, severe, and critical conditions. Cold-damage Delirium disease pattern was categorized as an Interior-based Interior disease, and the treatment protocol using Baekho-tang (Baihu-tang) was established. The stool condition and bowel movement reflecting the patient's defecation habits, the prime indicator of health in the Soyang constitutional type, were emphasized on their importance. 2) Sinchuk edition: The Delirium disease pattern was moved into the Exterior-cold disease, and the treatment protocol applying Jihwangbaekho-tang (Dihuangbaihu-tang) and Hyeongbangsabaek-san (Jingfangxiebai-san), with variational usage of Gypsum, was newly established. The Seong-Jeong and basal disease patterns were suggested as important factors in treating the patients. Also, it was proposed that the symptoms and signs reflecting the condition of the life-preserving energy be assessed to understand the patient's current condition. The importance of post-acute rehabilitation and aftercare as well as the most appropriate acute-stage treatment were emphasized.

The Analysis of Self-care Knowledge, Competence, Behavior, and Quality of Life in Community Diabetes Elderly (지역사회 당뇨노인의 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질 분석)

  • Lee, Song-heun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.157-166
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    • 2017
  • This study was conducted to identify the level of diabetes self-care knowledge, confidence, behavior and quality of life in elderly people with diabetes. The participants were 205 elderly with diabetes who visited a citizen health center located in D city. Korea. The data were collected from April, 20th to August 31th, 2015, and were analyzed by the t-test and ANOVA. The results were as follows; 1) The mean scores for diabetes self-care knowledge, confidence, behavior, and quality of life were 6.99 (2.17), 71.27 (10.21), 62.78 (1.29) and 0.86, respectively. 2) There were significant differences in the self-care behavior according to the education level, duration of diabetes mellitus and subjective health, and the quality of life differeddepending on the level of subjective health(F=35.253, p=0.000). 3) Knowledge of diabetes diet was the lowest among the various aspects of diabetes self-care knowledge. Confidence for exercise was lowest, while confidence for medication and blood sugar check was highest. However, the participants exhibited good medication behavior, whereasthey did not carry out blood glucose checks in their self-care management behavior. The most uncomfortable aspect of the quality of life was found to be pain and discomfort. Based on the results of this study, it is necessary to develop guidelines and methods for dietary education reflecting the dietary habits of Koreans, and to investigatethe reasonsfor thelow performance of theblood glucose check. In addition, customized nursing interventionstaking into consideration the characteristics of elderly with diabetes need to be developed and verified.

A Case Study on the Experience of Science Teacher Participating in Peer Coaching Meetings (동료 장학 모임에 참여한 과학교사의 경험 사례 연구)

  • Chung, Haengnam;Choi, Byungsoon
    • Journal of The Korean Association For Science Education
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    • v.33 no.1
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    • pp.63-78
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    • 2013
  • Purposes of this study were to explore the process of experience that science teachers go through when participating in peer coaching meetings to improve teaching ability and to find out factors that affect each process of experience. The data were collected through recording of peer coaching meetings, videotapes of science class, and interviews. All the data were analyzed after transcription. The results of the study showed that even though Teacher K broke the ice and formed consensus among the peers by developing Content Representation (CoRe) at the beginning of the meetings, he became self-defensive rather than receptive of peers' opinions on the recorded class at the discussion session. But as the peer coaching went on, he realized that peer coaching was not about evaluation but rather on improving his teaching ability. In turn, he was able to look at his teaching in a more objective point of view and accepted suggestions from peer coaching discussion. The self-reflection of Teacher K acted as the key factor in the efforts to improve his teaching ability. He sought the concrete alternatives through the class analysis with fellow teachers and showed major changes in his teaching practice from the language habits, pronunciation, and speed of his speech to the interaction with students and class design. However, there was little change in knowledge of curriculum and assessment due to his strong orientation to improve students' grades as an academic high school teacher. Likewise, it was found that while peer coaching exert a strong influence on instructional methods and strategies of Teacher K, his strong orientation to improve students' grades hinders a balanced development of subcomponents of PCK.

Analyzing association between low-density lipoprotein reduction by statin and adherence to medication using national health insurance service-national sample cohort (NHIS-NSC) (표본코호트기반 고지혈증 약제의 저밀도 콜레스테롤 감소량 및 투약순응도 분석)

  • Kim, Kyu-Jin;Jun, Chi-Hyuck;Lee, Hyeseon;Kim, Hun-Sung
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.5
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    • pp.1027-1041
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    • 2017
  • Hyperlipidemia, the status of blood with high level of low-density lipoprotein cholesterol (LDL-C), is known as a main cause of coronary artery diseases such as myocardiac infarction or brain infarct. Statin is the representative prescription to hyperlipidemia and the effects of it depend on the patient's individual conditions such as health-caring habits or adherence to medication. The main effect of statin is reducing LDL-C, which should reach the target range based on National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) guideline. In this research, the reduction of LDL-C and attainment to patient's target range are considered effects of statin. The association between factors - individual conditions and adherence to medication of patients - and the effects of statin is analyzed with National Health Insurance Service-National Sample Cohort (NHIS-NSC).

Relationships between Knowledge, Attitudes, and Behaviors about the Dental Health and the Dental Health Conditions in Elementary Students in the Pusan Area (부산지역 초등학교 6학년 학생의 구강보건에 관한 지식, 태도, 행동과 구강건강상태간의 관계)

  • 김숙진;안숙희;김영혜;정은순
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.69-84
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    • 2004
  • This study was conducted to identify actual dental care status, levels of knowledge, attitudes, and behaviors about dental health, and dental health conditions in elementary students; and examine the relationships between the levels of knowledge, attitudes, behaviors, and dental health conditions for 427 students in their sixth grades from six elementary schools in Pusan area from November 1st to December 5th, 2002. The data was collected through a structured study questionnaire and through dental checkups by dentists and was analyzed into frequency, percentage, mean, standard deviation, t-test, one-way ANOVA and Pearson's correlation analysis using SPSS program. The main results of this study were summarized as follows: 1) The levels of knowledge, attitudes, behaviors about dental health was found to be high as mean score 18.75 points (64.7%) in knowledge, 17.86 points (59.5%) in attitudes, and 31.64 points (67.3%) in behaviors. Therefore they were found to care a lot about their dental health. The indices of dental health conditions were found to be low as mean score 0.87 pieces (3.1%) of treated teeth, 1.27 pieces (4.5%) of teeth to be treated, 7.64% of the DMFT rate and 0.43 points (7.2%) of the simplified oral hygiene index. Therefore their condition of dental health was found to be very clean. 2) The relationships among the knowledge, attitudes, and behaviors about dental health showed a weak level of positive correlations. Among the conditions of dental health, treated teeth and the DMFT rate showed a moderate level of positive correlation; and treated teeth and the simplified oral hygiene index showed weak level of positive correlation. 3) The condition of dental health of the subjects of this study was found to be good and dental care was properly done when there was participation of parents and school health educators in dental care. It tells us that dental education is required not only for children but also for their parents. As there were significant correlations between knowledge, attitudes, and behaviors about children's dental heath, school health educators should encourage students to have continuous dental care habits for lifelong dental health with repetitive education, rather than to deliver simple knowledge to students during dental health education.