• Title/Summary/Keyword: Health care providers

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Study of the Current State and Future Directions of Medical Ethics Education on the Colleges of Korean Medicine in Korea (전국 한의과 대학의 의료윤리교육 현황 및 발전방향)

  • Kwon, Ji-Hye;Kim, Yun-Young;Lee, Si-Woo;Yoo, Jong-Hyang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.4
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    • pp.572-576
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    • 2012
  • In this research, we examined the courses of the colleges of Korean medicine in Korea to find out how well the education on medical ethics is being conducted so that we could make good use of our findings as basic material to make arrangements to develop ethics education in Korean medicine. In the same research, we conducted a survey to find detailed information on the current state of ethics education and its actual application at 12 colleges of Korean medicine in Korea. As a result, 8 colleges out of 12 included medical ethics in their courses. They were among the subjects in the first year or second year of a preparatory program. Most of them were classified as requirements while some of them were classified as electives in humanities or liberal arts. As ethical issues in the medical community become more diversified and important, it is imperative that health care providers maintain firm ethics. As the need for medical ethics and ethics education is getting larger, ethics education at colleges of oriental medicine is becoming a more important focus. Therefore, it is necessary to expand ethics education at the colleges of Korean medicine in Korea and set a precedent for studying ethics in Korean medicine based on that.

An Electronic Questionnaire Survey Evaluating the Perceived Prevalence and Practices of Lactose Intolerance in 1 to 5 Year Old Children in South East Asia

  • Tan, Michelle Li Nien;Muhardi, Leilani;Osatakul, Seksit;Hegar, Badriul;Vandenplas, Yvan;Ludwig, Thomas;Bindels, Jacques;Van der Beek, Eline M;Quak, Seng Hock
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.3
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    • pp.170-175
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    • 2018
  • Purpose: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. Methods: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. Results: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) answered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. Conclusion: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.

Weight, Self-esteem, and Depression in High School and College Females (여고생과 여대생의 체중, 자아존중감 및 우울에 대한 비교 연구)

  • Kim, Ok Soo;Kim, Kye Ha
    • Korean Journal of Adult Nursing
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    • v.12 no.3
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    • pp.396-406
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    • 2000
  • The purpose of the study was to investigate Body Mass Index (BMI), the perception of weight problem and the level of self-esteem and depression in high school and college females. The convenience sample consisted of 303 high school females and 481 college females. Data were collected between November 1999 and December 1999. Subjects ranged in age from 15 years and 26 years. BMI was calculated based on the subject's self-reported body weight and height. Self-perception of having a weight problem was evaluated by a single item question. The Rosenberg's Self-Esteem Scale and the Center for Epidemiologic Studies Depression Scale were utilized to measure the level of self-esteem and depression symptoms. BMI mean scores were 19.92 and 19.83 in high school females and college females, respectively. Based on BMI, 79.2 percent of high school females and 85.2 percent of college females were in a normal weight range. Only 2.6 percent of high school females and 1.5 percent college females were obese. Both high school and college females perceived their body weight problem as moderately severe. The mean scores of depression were 20.33 in high school females and 21.69 in college females. Sixty percent of high school females were depressed and 73.4 percent of college students. There was no significant difference between two groups in BMI. However, high school females perceived their weight problem more severe than college females. College females had higher levels of self-esteem and depression than high school females. BMI and perceptions of weight problem revealed a positive relationship in both groups. Results of the study revealed that a perception of weight problem contributed significantly to predict the level of self-esteem and depression in both groups. BMI score had significant effect on only college females' self-esteem. In the study, even though the mean score of BMI was in a normal range, subjects perceived their weight problems as moderatley severe. Since the perception of a weight problem influenced the level of self-esteem and depression, health care providers need to teach them about the normal weight range in BMI criteria.

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Predicting Exercise Behavior in Middle-aged Women : An Application of the Theory of Planned Behavior (계획된 행위이론을 적용한 중년여성의 운동의도 및 운동 예측모형)

  • 이미라
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.537-548
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    • 2000
  • The objectives of this study were to verify the effectiveness of the Theory of Planned Behavior in predicting exercise intention and exercise behavior, and to examine the determinants of exercise intention and exercise behavior in the sample of middle-aged women. The subjects who participated in this study were 263 middle-aged women. The instruments used for this study was a survey of general characteristics, attitude (18 items), subjective norm (2 items), perceived behavioral control (19 items), intention (3 items), and exercise behavior (7 items and 23 items for each). Analysis of data was done by use of descriptive statistics and correlation analysis with SAS PC program. The hypothetical model based on the Theory of Planned Behavior was tested by use of LISREL 8.12a program. The results of this study were as follows. 1) The overall fit of the hypothetical model to the data was good(chi-square=11.76, p=0.03, RMSEA=0.07, standardized RMR= 0.03, GFI=0.99, AGFI=0.94, NFI=0.97, NNFI=0.95). 2) Perceived behavioral control, attitude, and subjective norm were significant determinants of exercise intention, and these variables explained 35% of the total variance of exercise intention. 3) Perceived behavioral control, intention, and attitude were significant determinants of exercise behavior. But, subjective norm was not a significant determinants. These four variables explained 69% of the total variance of exercise behavior. In conclusion, this study shows the applicability of the Theory of Planned Behavior in explaining exercise behavior of middle-aged women, and suggests that health care providers should focus on perceived behavioral control and attitude rather than subjective norm to improve exercise behavior of middle-aged women.

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Family Factors and Obesity in High School Students (가족특성이 고등학생의 비만에 미치는 영향)

  • Lee, Sang-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.84-93
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    • 2016
  • This study was conducted to determine family factors related to obesity of high school students. A descriptive correlational study was conducted with 384 high school students in I metropolitan city. Data were collected from February to April of 2015 using self-report structured questionnaires. Questionnaires included weight, height, individual characteristics of subjects and their familial characteristics. Collected data were analyzed by multiple logistic regression. Logistic regression analysis revealed that male gender (aOR = 4.37; 95% CI [1.26, 15.16]), having a non-regular paternal job (aOR = 3.10; 95% CI [1.15, 8.40]), and not being in a two parent family (aOR = 3.52; 95% CI [1.29, 9.61]) were statistically significant contributors to obesity. These results indicate that it is necessary to improve social awareness regarding the obesity risk of male adolescents. Health care providers should recognize the importance of family factors such as parental socioeconomic status and family structures.

Analysis of Cancer Screening Recommendations by Physicians for Various Types of Cancer (의사들의 암 조기검진 권고 실태 분석 - 위암, 자궁경부암, 유방암을 중심으로 -)

  • Park, Yong-Mun;Yum, Keun-Sang;Koo, Jung-Wan;Yim, Hyeon-Woo;Lee, Kang-Sook;Kim, Hoon-Kyo;Lee, Won-Chul
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.1
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    • pp.99-108
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    • 2000
  • Objectives : The purpose of this study was to examine the present status of cancer screening recommendations(beginning age, interval, recommended screening methods, etc.) by physicians and analyze the association between physician's characteristics and the content of their recommendations. Methods : Data were collected from March 1 to April 30 of 1997, and 373 physicians who were from different hospital settings all over Korea were interviewed by telephone about their screening recommendations for stomach, cervical and breast cancer for these who provided cancer screening services. Results : For stomach cancer screening, respondents recommended that cancer screening begin at 40 years of age(57.8%), with a 1 year interval(77.2%), and by gastrofibroscopy (86.2%). For cervical cancer screening, respondents recommended that cancer screening begin at 25 years of age(42.0%), with a 1 year interval(67.8%), and by using a Pap smear(100.0%). For breast cancer screening, respondents recommended that cancer screening begin at 35 years of age(38.7%), with a 1 year interval(57.3%), and by mammography (97.3%). Conclusions : To establish appropriate cancer screening recommendations for Korea, if may be useful to consider the above results concerning medical care providers.

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Attitudes towards Death and Euthanasia among Nurses and General Population (일반인과 간호사의 죽음 인식과 안락사에 대한 태도)

  • Ko, Gyu-Hee;Cho, In-Sook
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.229-240
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    • 2015
  • Purpose: The purpose of this study was to investigate the attitudes towards death and euthanasia among nurses and general population. Methods: The participants were 192 nurses and 255 people. Data were collected using structured questionnaires from March 5 to May 30. 2010 and analyzed with descriptive statistics, t-test, one-way ANOVA and Pearson correlation coefficients by using SAS Program 12.0. Results: The attitudes towards death showed significantly higher scores in nurses than general population. The attitudes towards euthanasia showed significantly higher scores in nurses. There were significant positive correlations between attitudes towards death and euthanasia in nurses and. people. Conclusion: The above results indicated that the higher level of cognition towards death, the more positive attitudes towards euthanasia. Besides, nurses treating with terminal illness were higher level of cognition on death and positive attitudes towards euthanasia. Therefore, we should established the strategy and education program to understand on death and euthanasia for people including the health care providers.

Herbal-drug-associated Adverse Events Reported in the Internet Newspaper Articles (인터넷 신문기사에 보도된 한약 유해사례 분석)

  • Kim, Mikyung;Han, Chang-Ho
    • The Journal of Korean Medicine
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    • v.36 no.1
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    • pp.33-44
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    • 2015
  • Objectives: The aim of this study was to understand the characteristics of herbal-drug-associated adverse events (AEs) reported in the internet newspaper articles and to take a countermeasure against the safety issue of herbal drugs. Methods: We searched the internet newspaper articles published from 2010 to 2014 in the 3 major portal sites in Korea, NAVER, DAUM, and GOOGLE. Search terms were the Korean words equivalent of 'herbal drug' and 'side effects'. Informations on the type and characteristics of suspected herbal drugs, AEs, and the patient records were extracted from the articles reporting the herbal-drug-associated AE occurred in Korea. Results: From 8,806 articles, a total of 36 AEs were found. The most frequently reported age group was 20s, and women outnumbered men. Obesity was the most common cause of administration. Doctors of Korean medicine clinic were the most commonly referred prescribers and purchasing route (11 cases). The most frequently mentioned medicinal herb was Ephedra sinica (7 cases) and the most commonly reported AEs were abdominal pain (8 cases), dizziness (6 cases), diarrhea (5 cases), and vomiting (5 cases) were followed in order. Ten cases were judged as serious AEs, and the others were not. Conclusions: Current customers demand health care providers to offer them sufficient information on the safety of herbal drugs. To satisfy their requirements, physicians of Korean medicine should be able to explain, predict, prepare, recognize, and deal with the herbal-drug-associated AEs. We propose an establishment of pharmacovigilance system for herbal medicine, in which doctors of Korean medicine are participated as important personnel, to collect and analyze the related AEs and offer credible information on the safety of herbal drug.

Experiences of Korean Women in Choosing the Date of Childbirth (산모의 출산 택일 경험에 관한 융합적 연구)

  • Lee, Hyerim;Kim, Yoonjung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.1-8
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    • 2020
  • The purpose of this study was to explore the experience of choosing the best days for childbirth and to understand the nature and meaning of the experience. The qualitative method of data collection was used, and in-depth face-to-face interview were conducted. Participants included four women who had given the day of birth set as the desired date. Van Manen's phenomenological method was adopted to analyze data. Four theme clusters emerged from the analysis: "The first gift to my baby"; "Collaboration with others for my baby"; "Choosing a date for childbirth such as blueprint of child"; and "Complex feelings." Our findings helped in understanding the experience of Korean women in choosing the best days for childbirth. Health care providers should offer appropriate advice and show sufficient empathy as well as emotional support by considering cultural expectations.

Factors related to Resilience of Coronavirus Infectious Diseases-19 Patients (코로나바이러스감염증-19 환자의 극복력 관련 요인)

  • Lee, MinHee;Park, MinJeong
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.349-358
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    • 2022
  • This study was aim to understand the relationship between uncertainty, social isolation, social support and resilience of coronavirus infectious diseases-19 (COVID-19) patients and to identify factors related to resilience. Data were carried out from March 7 to May 5, 2021, and a total of 200 questionnaires were used for data analysis. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and multiple regression using SPSS WIN 24.0 program. As a result of the analysis, the lower the sense of social isolation, the higher the social support, the satisfaction with the explanation of isolation and the economic status of 'medium' were identified as related factors for resilience. Based on the above results, a systematic program should be developed and applied to improve the resilience of COVID-19 patients including strengthening social support through families and health care providers, reducing social isolation through non-face-to-face counseling, providing sufficient information about diseases, and providing economic support.