• Title/Summary/Keyword: Health Professionals

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Development and Evaluation Frameworks for PBL/S-PBL Packages: in the case of the Dept. in Allied Health Professionals and Nursing (PBL/S-PBL 패키지 평가도구 개발 및 평가 : 보건계열(학)과와 간호(학)과를 중심으로)

  • Yang, Jeong-Hwa;Kim, Soo-Jin;Kim, Hyo-Sil;Lim, Jin-Hyung;Chae, Soo-Gyung
    • Journal of radiological science and technology
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    • v.33 no.3
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    • pp.203-211
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    • 2010
  • The purpose of this study is meant to develop an evaluation framework for PBL and S-PBL package, as well as verify reliability and propriety of developed framework. To achieve the purpose, existing researches and related documents were considered, and composed basic questionnaire which fits to the basic frame of the framework, 3 categories 15 items for PBL/S-PBL. Verifying its contents propriety, examined by 9 experts who professors in college and made 14 items for PBL, 15 items for S-PBL. To verify construct validity of basic frameworks, carried out factor analysis. Final evaluation framework questionnaire were 15 items selected, its PBL for 3 items in motivating, 7 items in integrity, 4 items in systematic and total 14 items, S-PBL for 4 items in motivating, 6 items in integrity, 5 items in systematic and total 15 items, and was verify to have adequate reliability with Cronbach's $\alpha$ is 0.9112 in PBL, 0.9166 of S-PBL.

Problems of the Legal System Related to the Regulation of Radiation Safety for Diagnosis (진단용 방사선 안전관련 법령의 법체계상 문제점)

  • Lim, Chang-Seon;Moon, Heung-Ahn
    • The Korean Society of Law and Medicine
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    • v.14 no.2
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    • pp.119-142
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    • 2013
  • It is not easy to regulate the amount of radiation used for the medical purpose as there usually is more good than harm to the patient's health and life caused by the medical exposure to the radiation. However, the rapid increase of the use of diagnostic radiation involves a high possibility of increasing the radiation hazard exposure. Therefore, it is imperative to implement effective regulations in order to secure the safety of diagnostic radiation. The one and only rule we currently have for the diagnostic radiation is "Medicine Act" with only one clause dedicated to regulate the safety management that does not include any rules for the medical radiation. A set of inclusive rules for the whole medical radiation inclusive of diagnostic radiation and therapeutic radiation need to be based on the "Medicine Act" rather than "Nuclear Safety Act" in order to protect the medical professionals, patients and the guardians of patients from the hazards of diagnostic and/or therapeutic radiation that was not used the purpose of medical treatment. If there is an administrative measure to be imposed to secure the safety of diagnostic radiation, it is considered as exertion of governmental authority of administrative agency. There must be clear and realistic legal guidelines for in-fringe on people's interests. The administrative measures for the safety management of the diagnostic radiation must be clearly and specifically based on the law and the detailed standards for the administrative measures must be dele-gated by the presidential decree or departmental ordinance. Accordingly, the restrictions imposed by the administrative measures to the "Safety Inspection Institute of Radiation along with Radiation Exposure Measuring Institutes" should have clear legal basis as well and the detailed standards for the administrative measures should be regulated by the Ministry of Health and Welfare decree instead of the notification by the Director of Korean Centers for Disease Control and Prevention. While securing the safety of radiation on one side, careful review and up-grade on our legal system for the safety management of the diagnostic radiation is required on the other side to guarantee the legality, interest balance and reliability of the administrative measures.

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National Standard Food Composition Tables Provide the Infrastructure for Food and Nutrition Research According to Policy and Industry (식품 영양 연구, 정책, 산업의 기반이 되는 국가표준식품성분표의 활용)

  • Lim, Sung-Hee;Kim, Jung-Bong;Cho, Young-Sook;Choi, YoungMin;Park, Hong-Ju;Kim, Se-Na
    • The Korean Journal of Food And Nutrition
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    • v.26 no.4
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    • pp.886-894
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    • 2013
  • The National Standard Food Composition Table published by the Rural Development Administration (RDA) provides the foundations in research, nutrition monitoring, policy and dietary practices in Korea. This databases consists of several sets of data including food descriptions, nutrients, portion weights, and source of data. The National Standard Food Composition Table have been published since 1970 and, recently, new version (8th edition) of Food Composition Table which has quantitative and qualitative nutrient data is released in 2011. In addition, the User-friendly Food Composition Table is divided into adult, children, and elderly categories depending on the subjects because we need different nutrients according to various ages. The Tables of Food Functional Composition is firstly edited in 2009. RDA published the minerals and fatty acids composition table, tables of amino acid, fat-soluble vitamin composition table, and the cholesterol table. The resulting database will be widely used. The users of the databases are from diverse fields, includeing federal agencies, the food industry, health professionals, restaurants, software application developers, academia and research organizations, international organizations, and foreign governments ect. Therefore, consistent improvements of the database is important, so that people can better address such health challenges by providing reliable and accurate data.

The study on Comparison Evaluation of Shear Bond Strength of Co-Cr Based Alloy using for Porcelain Fused Metal (도재용착주조관용 Co-Cr계 비귀금속 합금의 전단결합강도 비교평가에 관한 연구)

  • Kim, Hee-Jin;Kim, Bu-Sob
    • Journal of Technologic Dentistry
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    • v.32 no.3
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    • pp.195-207
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    • 2010
  • Purpose: The purpose of this study was to observe the microstructural changes of surface in the specimens, performing the shear bond strength testing. The currently most used non-precious alloys are nickel-chromium based alloys with or without beryllium. However, their biocompatibility has been questioned concerning possible damages to the health of the patient and professionals involved in the fabrication of prosthesis caused by long exposure to Ni and Be. An option to nickel-chromium alloys is the cobalt-chromium alloy, an alternative that does not sacrifice the physical properties of the metal porcelain systems. Studies in the animals substantially show that the cobalt-chromium alloys are relatively well tolerated, being therefore more biocompatible than the nickel-chromium alloys. Methods: Non-addition Be to nickel-chromium based alloy(Bellabond plus) and cobalt-chromium alloy which has been widely used(Wirobond C) fused with ZEO light porcelain classified control group and cobalt-chromium alloy which is developing alloy of Alphadent company in Korea(Alphadent alloy) fused with ZEO light porcelain classified experimental group. The specimens of $4mm{\times}4mm{\times}0.5mm$ were prepared as-cast and as-opaque to cast body to analyze the mechanical characteristic change, the microstructure of alloy surface. The phase change was used to observe through XRD analysis and OM/SEM was used to observe the surface of specimens as-cast and as-opaque to cast body. Chemical formation of their elements was measured with EDS. Then hardness was measured with Micro Vicker's hardness tester. Shear bond strength test thirty specimens of $10mm{\times}10mm{\times}2mm$ was prepared, veneered, 3mm high and 3mm in diameter, over the alloy specimens. The shear bond strength test was performed in a universal testing machine(UTM) with a cross head speed of 0.5mm/min. Ultimate shear bond strength data were analyzed with one-way ANOVA and the Scheffe's test (P<0.05). Within the limits of this study, the following conclusions were drawn: The X-ray diffraction analysis results for the as-cast and as-opaque specimens showed that the major relative intensity of Bellabond plus alloy were changed smaller than Wirobond C and Alphadent Co-Cr based alloys. Results: Microstructural analysis results for the opaque specimens showed all the alloys increased carbides and precipitation(PPT). Alphadent Co-Cr based alloy showed the carbides of lamellar type. The Vickers hardness results for the opaque specimens showed Wirobond C and Alphadent Co-Cr based alloys were increaser than before ascast, but Bellabond plus alloy relatively decreased. The mean shear bond strengths (MPa) were: 33.11 for Wirobond C/ZEO light; 25.00 for Alphadent Co-Cr alloy/ZEO light; 18.02 for Bellabond plus/ZEO light. Conclusion: The mean shear bond strengths for Co-Cr and Ni-Cr based alloy were significantly different. But the all groups showed metal-metal oxide modes in shear bond strengths test at the interface.

Saliva-Based Screening of High-Risk Human Papillomavirus Strains: Detection in Female Indonesian and Thai Dental Students

  • Wimardhani, Yuniardini Septorini;Sasanti, Harum;Wardhany, Indriasti Indah;Sarsito, Afi Savitri;Pradono, Siti Aliyah;Subita, Gus Permana;Soegyanto, Anandina Irmagita;Rahmayanti, Febrina;Chamusri, Nutchapon;Iamaroon, Anak
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5525-5529
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    • 2015
  • Background: Currently it is believed that human papillomaviruses (HPV) are associated with the development of some oral/oropharyngeal cancers. It has been suggested that these viruses influence carcinogenesis in both smokers and non-smokers. Data on the prevalence of HPV in healthy adults are thus needed to estimate the risk of oral/oropharyngeal cancer. The aim of this study was to assess the prevalence of oral HPV in healthy female adults in Indonesia and Thailand. Materials and Methods: Healthy female students from the Faculties of Dentistry of Universitas Indonesia and Chiang Mai University were asked to participate in this pilot study. DNA was extracted from saliva specimens and screened for HPV16 and HPV18 using PCR. Results: The age, marital status and sexual experience of the subjects between the two countries were not significantly different. Eight (4%) and 4 (2%) samples were positive for HPV16 and HPV18, respectively. Fisher's Exact test found a significant difference between HPV16 positivity in subjects who were married and had sexual intercourse but not for HPV18. Conclusions: This study successfully detected presence of HPV16 and HPV18 DNA in a number of saliva samples from female dental school students. Marital status, experience of sexual intercourse and safe sexual practice are related to the possibility of finding HPV DNA finding in saliva. Dentists, physicians and other health care professionals may gain significant value from the findings of this study, which provide an understanding of the nature of HPV infection and its risk to patient health and disease.

A Comparative Study on the Perception of the Impediment Factors between Mothers and Nurses in Nursery (모유수유 저해요인에 대한 산모와 신생아실 간호사간의 인식정도 비교 연구)

  • Lee, Mi-Ja
    • Women's Health Nursing
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    • v.1 no.1
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    • pp.138-152
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    • 1995
  • The condition of nutrition during infancy will greatly affect infants' physical, emotional growth, especially breast feeding is important in their growth and development, and emotional stability, too. Despite such advantages of breast-feeding, its rate has continued to fall year after year in Korea : the 95% rate in 1960's has fallen to 25.4% in 1990. It is known that such a downfall of breast-feeding rate is associated with various factors. The purpose of the study is to examine mother's and nurses' in nursery perception of the impediment factors of breast-feeding : to compare those between of breast-feeding : to compare those between two groups : to provide fundamental data for developing strategies for increasing breast-feeding. The subjects were 45 new mothers from one hospital and the same number of nurses sampled from 3 university hospitals, in Seoul. The data were collected for 11 days from April 12 to April 23, 1994 and a questionnaire was developed based on the interview with 14 nurses and 10 mothers and the literature reviews. Liker's Five-Point Scale was used as measurement. The Data were analyzed using SPSS / PC and descriptive statistics, t-test, ANOVA. The results of study are as follows : 1) Most new mothers get the information about breast-feeding from their mothers, books or newspaper, and relatives in rank than professionals(nurses or doctors). 2) The impediment factors the breast-feeding are categorized as mothers, hospital system, medical personnels and social factors. The most frequently mentioned impediment factors from mothers are 'Difficulty by operational wounds'(3.13), 'Lack of will for breast-feeding'(3.47), 'Insufficient rest and sleep'(3.52) and 'Opposition from husband or his family members'(4.77)in rank. On the other hand those factors from nurses are 'Inadequate nipple condition'(2.37), 'Decreasing milk secretion given medicine after operation'(2.63), 'Mothers knowledge deficit by poorly prepared education'(2.79) and 'Mothers abhorance of breast-feeing'(3.87) in rank. 3) As for the hospital system, the highly perceived impediment factors by mothers are 'Seperation of baby from mother after birth'(2.78), 'Lack of space for breast-feeding in the hospital'(2.93), 'Lack of facility for informing the time for breast-feeding'(3.18) and 'Because of babys' preference artificial nipple by being accustomed to it in hospital(3.97), in rank. Meanwhile, those from nurses are "Seperation of baby from mother after birth",(1.92), "Inconsistency between hospital's nursing time and mother's breast secretion time" scretion time(2.97), "Lack of space for breast-feeding in the hospital"(3.39), and "Lack of facility for informing the time for breast-feeding"(3.74) 4) As for the medical personnels, the highestly perceived Impediment factor from mothers in "Lack of professional nurses for breast-feeding"(2.96), and the lowestly perceived one is "Doctors' reluctance"(4.75). Nurses perceived same as mothers, too. 5) As for the social factors, the highestly perceived impediment factor by mothers and nurses is "Inconvience of social activities"(2.83) and the lowestly ones are "The sense of self-sacrifice"(4.22) by mothers, and "The sense of old fashioned"(4.13) by nurses. 6) The difference of the perception of impediment factors between mothers and nurses is statistically significant only in mother factor.

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Effects of Weight Control Program on Dietary Habits and Blood Composition in Obese Middle-Aged Women (체중조절 프로그램이 중년기 비만여성의 식습관 및 혈액성분에 미치는 영향)

  • Kim, Hye-Kyung;Kim, Mi-Jeong
    • Journal of Nutrition and Health
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    • v.43 no.3
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    • pp.273-284
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    • 2010
  • The purpose of this study was to investigate the effects of weight control program on dietary habits and blood composition in obese middle-aged women. The program consisted of nutrition education, physical exercise and nutrition counseling was conducted for 12 weeks. Participants of the preliminary study were 255 obese women, among which 82 women participated in the nutrition education program. We evaluated the anthropometry, blood lipid profiles, dietary habits of obese women before and after the nutrition education. Dietary habits of the subjects were significantly improved in regularity of having breakfast (p < .05), the frequency of eating snack after dinner (p < .001), eating out (p < .01) and the speed of meal (p < .05) after the program. There was significant decrease in total cholesterol, triglyceride, LDL-cholesterol and systolic pressure of the subjects after nutrition education. Changes of atherogenic index and diastolic pressure were not significant, but had a tendency to decrease. All of the anthropometric outcomes except lean body mass such as BMI, percent body fat, fat mass, and WHR were significantly decreased after weight control program. These findings show that weight control program including nutrition education and counseling can improve dietary habits and weight control pattern, and lead the authors to recommend that public health organizations and dietetic professionals should educate obese women on practical strategies for an effective weight management.

A study on influential factors for dental hygiene students' image of dental hygienist (치위생과 학생들의 치과위생사 이미지에 영향을 미치는 요인 연구)

  • Lee, Kyeong-Hee;Yoon, Mi-Sook;Ha, Myung-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.5
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    • pp.831-839
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    • 2010
  • Objectives : The purpose of this study was to examine dental hygiene students' image of dental hygienist and factors affecting the image of dental hygienist in an effort to provide some information useful for dental hygiene education. It's basically meant to recreate the image of dental hygienist as a professional. Methods : The subjects in this study were 310 sophomores and seniors who ere selected by convenience sampling from three different three-year-course colleges located in Gyeonggi Province, Chungcheong Province and Gwangju. After a survey was conducted, the answer sheets from 277 respondents were analyzed except for 33 incomplete ones. The collected data were analyzed with a SPSSWIN 17.0 program, and statistical data on frequency and percentage were obtained to find out the general characteristics of the subjects, and another statistical data on mean and standard deviation for each item were acquired to check their image of dental hygienist. Besides, t-test, ANOVA and Kruscal-Wallis test, one of nonparametric test, were utilized to look for connections between their general characteristics and image of dental hygienist. Results : 1. They gave a mean of 3.53 to the image of dental hygienist, which showed that the dental hygiene students took a favorable view of dental hygienists in general. 2. Their response to four items showed that they looked at the image of dental hygienist in a positive manner. The four items respectively described dental hygienists as professionals, as ones who played a crucial role in the improvement of national oral health, as ones with professional knowledge and sophisticated knowhow, and as neat and decent people. And their response to the following five items indicated that they looked at the image of dental hygienists in a negative way. One was that dental hygienists were considered to be dental nurses, and another was that the occupation of dental hygienist was a demanding and stressful job. The third was that there was no single, fixed title to call dental hygienists, and the fourth was that dental hygiene wasn't recognized as an independent area. The fifth was that the social standing of dental hygienists was sort of high. 3. In regard to the impact of the general characteristics of the dental hygiene students on their image of dental hygienist, they had a more favorable image of dental hygienist when they perceived dental hygiene in a more positive manner(p<0.001). Conclusions : In order to boost the image of dental hygienist, the working conditions of dental hygienists should be improved, and educational programs should be prepared to provided them extended continuing educational opportunities. And the kind of educational environments that could nurture dental hygienists who are convinced and have a vision should be created.

Changes in External Radiation Dose Rate for PET-CT Test Patients (PET-CT 검사 환자의 외부 방사선량률 변화)

  • Kim, Su-Jin;Han, Eun-Ok
    • Journal of Radiation Protection and Research
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    • v.37 no.2
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    • pp.103-107
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    • 2012
  • This paper analyzes changes in the external radiation dose rate of PET-CT test patients as a part of providing basic materials for reduction of radiation exposure to PET-CT test patients. In theory the measurement of external radiation dose rate of PET-CT test patients shows that the further the distance from the patient injected with radioactive pharmaceutical and a longer time elapsement from the injection leads to a smaller amount of radiation. Particularly, the amount of radiation marked the highest in the chest was at 4.17 minutes immediately after the intravenous injection and in the head after 77.47 minutes after urination in advance to the PET-CT test. As in the generalized information, it is desired to keep distance between the patient and caretakers or professionals to reduce the amount of radiation exposure from PET-CT test patients and to resume contact the patient after the time when the radiation has reduced. If contact is unavoidable, it is desired to keep at least 200cm from the patient. In addition, the amount of radiation reached the highest in the chest at first and then in the head from 77 minutes after injection. Accordingly, it would be helpful in achieving the optimization if contact is made based on the patient's physical characteristics. This study is significant as it measures changes in radiation the dose rate by; distance from the PET-CT test patient, time elapsed, and specific parts of body. Further studies based on the findings in this paper are required to analyze changes in radiation dose rate in accordance with individual characteristics unique to PET-CT patients and to utilize the results to reduce the amount of radiation patient, caretakers and professions are exposed.

Medical Information Privacy Concerns in the Use of the EHR System: A Grounded Theory Approach (의료정보 프라이버시 염려에 대한 근거이론적 연구: 전자건강기록(EHR) 시스템을 중심으로)

  • Eom, Doyoung;Lee, Heejin;Zoo, Hanah
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.217-229
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    • 2018
  • Electronic Health Record (EHR) systems are widely adopted worldwide in hospitals for generating and exchanging records of patient information. Recent developments are moving towards implementing interoperable EHR systems that enable information to be shared seamlessly across healthcare organizations. In this context, this paper explores the factors that cause medical information privacy concerns, identifies how people react to privacy invasion and what their perceptions are towards the acceptance of the EHR system. Interviews were conducted to draw a grounded theory on medical information privacy concerns in the use of EHRs. Medical information privacy concerns are caused by perceived sensitivity of medical information and the weaknesses in security technologies. Trust in medical professionals, medical institutions and technologies plays an important role in determining people's reaction to privacy invasion and their perceptions on the use of EHRs.