• Title/Summary/Keyword: Korean Medical Practice

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Influences of Medical-related Infection Prevention Knowledge and Infection Control Confidence on Standard Precautions Performance of Nursing students (간호대학생의 의료 관련 감염예방 지식과 감염관리 자신감이 표준주의 실행도에 미치는 영향)

  • Su-Jin Kim;Hyun-Jin Jeong;Su-Ol Kim
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.6
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    • pp.812-823
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    • 2022
  • The purpose of this study is a descriptive study to confirm the relationship between medical infection prevention knowledge, infection control confidence, and standard practice of nursing students and to understand the effect on performance for standard precautions. Data collection was conducted on 160 nursing students located in G Metropolitan City from October 4 to October 12, 2018. As a result of the study, the performance for standard precautions has a positive correlation with 'infection prevention knowledge' (r=.27, p<.001) and infection control confidence (r=.52, p<.001), and infection prevention knowledge was found to have a significant correlation with infection control confidence (r=.27, p=012). Factors affecting the performance for standard precaution of nursing students were in order of infection control confidence (𝛽=.45, p<.001), no skin contact experience (𝛽=.18, p<.004), infection prevention education (𝛽=-2.65, p<.009), infection prevention knowledge (𝛽=.15, p<.019). and the explanatory power of the model was 35%. Based on the results of this study, it is necessary to develop and implement a standard precautions program that can increase infection prevention knowledge and infection management confidence in order to increase the performance for standard precautions of nursing students.

Free-Breathing Motion-Corrected Single-Shot Phase-Sensitive Inversion Recovery Late-Gadolinium-Enhancement Imaging: A Prospective Study of Image Quality in Patients with Hypertrophic Cardiomyopathy

  • Min Jae Cha;Iksung Cho;Joonhwa Hong;Sang-Wook Kim;Seung Yong Shin;Mun Young Paek;Xiaoming Bi;Sung Mok Kim
    • Korean Journal of Radiology
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    • v.22 no.7
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    • pp.1044-1053
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    • 2021
  • Objective: Motion-corrected averaging with a single-shot technique was introduced for faster acquisition of late-gadolinium-enhancement (LGE) cardiovascular magnetic resonance (CMR) imaging while free-breathing. We aimed to evaluate the image quality (IQ) of free-breathing motion-corrected single-shot LGE (moco-ss-LGE) in patients with hypertrophic cardiomyopathy (HCM). Materials and Methods: Between April and December 2019, 30 patients (23 men; median age, 48.5; interquartile range [IQR], 36.5-61.3) with HCM were prospectively enrolled. Breath-held single-shot LGE (bh-ss-LGE) and free-breathing moco-ss-LGE images were acquired in random order on a 3T MR system. Semi-quantitative IQ scores, contrast-to-noise ratios (CNRs), and quantitative size of myocardial scar were assessed on pairs of bh-ss-LGE and moco-ss-LGE. The mean ± standard deviation of the parameters was obtained. The results were compared using the Wilcoxon signed-rank test. Results: The moco-ss-LGE images had better IQ scores than the bh-ss-LGE images (4.55 ± 0.55 vs. 3.68 ± 0.45, p < 0.001). The CNR of the scar to the remote myocardium (34.46 ± 11.85 vs. 26.13 ± 10.04, p < 0.001), scar to left ventricle (LV) cavity (13.09 ± 7.95 vs. 9.84 ± 6.65, p = 0.030), and LV cavity to remote myocardium (33.12 ± 15.53 vs. 22.69 ± 11.27, p < 0.001) were consistently greater for moco-ss-LGE images than for bh-ss-LGE images. Measurements of scar size did not differ significantly between LGE pairs using the following three different quantification methods: 1) full width at half-maximum method; 23.84 ± 12.88% vs. 24.05 ± 12.81% (p = 0.820), 2) 6-standard deviation method, 15.14 ± 10.78% vs. 15.99 ± 10.99% (p = 0.186), and 3) 3-standard deviation method; 36.51 ± 17.60% vs. 37.50 ± 17.90% (p = 0.785). Conclusion: Motion-corrected averaging may allow for superior IQ and CNRs with free-breathing in single-shot LGE imaging, with a herald of free-breathing moco-ss-LGE as the scar imaging technique of choice for clinical practice.

The Training Methods and Effectiveness using Augmented Reality Contents System for Machine Drawings Training Which is Essential in Welding Practice Courses (용접실습 교과목에 필수적인 기계제도 기초 이론 학습에 대한 증강현실 콘텐츠 시스템을 활용한 교육 방법 및 효과성)

  • Koo, Chang-Dae;Yang, Hyeong-Seok;Lee, Dong-Youp
    • Journal of Welding and Joining
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    • v.32 no.4
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    • pp.39-45
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    • 2014
  • Today, the development of digitized information media and info-communications are bringing many changes. Due to the development of IT thechnology, we can learn wherever, whenever, regardless of time and place. Machine drawing subject is a very important in mechanical engineering course, but it's studyed only basic theory in a short period, average 1~2weeks. So that, students think that the mechanical drawing is of minor importance. Such ideas make them difficult to impove sense of space in isometric drawing and drawing skill. Therefore, in this paper, augmented reality-based contents through the system, Mechanical Drawing of education to meet the effectiveness and satisfaction, student learning can be spontaneously it was construct self-system. And, Theoretical part of the Mechanical Drawing is proposed ensure more efficient and easier training. In this paper, we were test operation for user effectualness of proposed service at Korea Polytechnics Colleges a industrial facilities management in Daegu. Target user are 66 students, and The students were divided into experimental group and comparison group. Experimental results, experimental group was able to do systematically experience many Projection Drawing and Pictorial Drawing in short schooltime. And, The test operation results showed that have the possibility to meet education effectiveness and user satisfaction in this augmented reality-based contents system.

The Study on Oral Health Recognition and Aesthetic Interest of Flight Attendant (일부 승무원의 구강건강 인식과 심미적 관심)

  • Kim, Seol-Hee;Lee, Jung-Hyun
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.636-641
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    • 2015
  • The purpose of this study was to examine the oral health recognition and aesthetic interest of flight attendant. The data was collected 314 flight attendant from June to July 2014 in A Airlines. Questionnaires were used to measure the levels of the health & oral health recognition, experience and requirement of oral esthetic therapy. The data was analyzed using descriptive statistics, T-test, ANOVA, Pearson's correlation, structural equating model by the PASW Statistics 18.0 program. According to the research result, oral health awareness were not healthier than general health. Oral health was an important factor to influence the external image. The flight attendant received aesthetic dental care to improve the external image. However, self-assessment results that oral health condition was significantly lower. Therefore they are required oral care practice with aesthetic dental care.

오행침자법(五行鍼刺法) 원리 및 임상응용에 관한 연구 - I 원리에 관한 연구

  • Ahn, Chang-Beohm;Jang, Kyung-Jun;Yoon, Hyun-Min;Kim, Cheol-Hong;Min, Young-Kwang;Moon, Hyuck-Chol;Koo, Sung-Tae
    • Journal of Pharmacopuncture
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    • v.11 no.3
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    • pp.17-31
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    • 2008
  • Objective: To review the theoretic basis of the Sa-Ahm 5 Element acupuncture devised about 360 years ago, papers and books were researched. Methods: Total of 59 books and papers ranging from ancient Huang Di nei jing to modern Bio Medical Acupuncture for Pain Management were researched to study the basic theory of it in relation to the 5 Shu points, Results: Gao-mu in Chinese Ming dynasty, for the 1st time, had used 5 Shu points based on creation cycle as tonification and sedation treatment respectively and named it as 'tonification and sedation treatment of self meridian' but since then, this method, without special reasons, has been rarely used until Sa-Ahm's new doctrine that include the concept of destruction cycle was asserted. Conclusions: Sa-Ahm 5 Element acupuncture is a method which uses 5 Shu points from the viewpoints of simultaneous tonification and sedation methods which are based on promotion and control cycles. Though it is nowadays mostly-used method in accordance with practitioner's points, it needs to be set guidelines by which to effectively practice Sa-Ahm acupuncture.

Current Mechanistic Approaches to the Chemoprevention of Cancer

  • Steele, Vernon E.
    • BMB Reports
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    • v.36 no.1
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    • pp.78-81
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    • 2003
  • The prevention of cancer is one of the most important public health and medical practices of the $21^{st}$ century. We have made much progress in this new emerging field, but so much remains to be accomplished before widespread use and practice become common place. Cancer chemoprevention encompasses the concepts of inhibition, reversal, and retardation of the cancer process. This process, called carcinogenesis, requires 20-40 years to reach the endpoint called invasive cancer. It typically follows multiple, diverse and complex pathways in a stochastic process of clonal evolution. These pathways appear amenable to inhibition, reversal or retardation at various points. We must therefore identify key pathways in the evolution of the cancer cell that can be exploited to prevent this carcinogenesis process. Basic research is identifying many genetic lesions and epigenetic processes associated with the progression of precancer to invasive disease. Many of these early precancerous lesions favor cell division over quiescence and protect cells against apoptosis when signals are present. Many oncogenes are active during early development and are reactivated in adulthood by aberrant gene promoting errors. Normal regulatory genes are mutated, making them insensitive to normal regulatory signals. Tumor suppressor genes are deleted or mutated rendering them inactive. Thus there is a wide range of defects in cellular machinery which can lead to evolution of the cancer phenotype. Mistakes may not have to appear in a certain order for cells to progress along the cancer pathway. To conquer this diverse disease, we must attack multiple key pathways at once for a predetermined period of time. Thus, agent combination prevention strategies are essential to decrease cancer morbidity. Furthermore, each cancer type may require custom combination of prevention strategies to be successful.

Clinical Pharmacology of Mycophenolic Acid as Immunosuppressant in Organ Transplaantation

  • Kang, Ju-Seop;Lee, Joo-Won;Jhee, Ok-Hwa;Om, Ae-Son;Lee, Min-Ho;Shaw, Leslie M.
    • Biomolecules & Therapeutics
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    • v.13 no.2
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    • pp.65-77
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    • 2005
  • Present article reviews about clinical pharmacology of mycophenolic acid (MPA), the active form of mycophenolate mofetil (MMF), as widely used component of immunosuppressive regimens in the organ transplantation field. MMF, used alone or concomitantly with cyclosporine or tacrolimus, has approved in reducing the incidence of acute rejection and has gained widespread use in solid organ such as kidney, heart and liver transplantation. The application of MPA and development of MMF has shown a considerable impact on immunosuppressive therapy for organ transplantation as a new immunosuppressive agent with different mechanism of action from other drugs after early 1990s. In particular aspect, use of MMF, a morpholinoethyl ester of MPA, represented a significant advance in the prevention of organ allograft rejection as well as allograft and patient survival. In considering MMF clinical data, it is important to note that there is a strong correlation between high MPA area under curve(AUC) values and a low probability of acute allograft rejection. Individual trials have shown that MMF is generally well tolerated and revealed that MMF decreased the relative risk of developing chronic allograft rejection compared with azathioprine. Recent clinical investigations suggested that improved effectiveness and tolerability will results from the incorporation of MPA therapeutic drug monitoring into routine clinical practice, providing effective MMF dose individualization in renal and heart transplant patients. Therefore, MMF has a selective immunosuppressive effect with minimal toxicity and has shown to be more effective that other agents as next step of immunosuppressive agents and regimens that deliver effective graft protection and immunosuppression along with a more favorable side effect.

Factors Associated with Gastric Cancer Screening of Koreans Based on a Socio-ecological Model (사회생태학적 모형에 기반한 한국인 위암검진 수검의 관련 요인)

  • Bae, Sang-Soo;Jo, Heui-Sug;Kim, Dong-Hyun;Choi, Yong-Jun;Lee, Hun-Jae;Lee, Tae-Jin;Lee, Hye-Jean
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.2
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    • pp.100-106
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    • 2008
  • Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.

Assessment of the Indoor Air Quality at Schools in Ulsan (울산지역 학교의 실내공기질 평가)

  • Jung, Jong-Hyeon;Seo, Bo-Sun;Ju, Dong-Jin;Park, Man-Chul;Shon, Byung-Hyun;Phee, Young-Gyu
    • Journal of Environmental Health Sciences
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    • v.36 no.6
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    • pp.472-479
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    • 2010
  • The purpose of this study was to investigate the concentration of indoor air pollutants at 63 elementary schools, 41 middle schools and 51 high schools in Ulsan from the beginning of May to the end of December, 2008. To assess the indoor air quality of the various classrooms, the 8 indoor air pollutants such as $CO_2$, CO, $NO_2$, $O_3$, $PM_{10}$, TVOCs, HCHO and TBC were measured and analyzed. The mean concentrations of $PM_{10}$ and TBC in the elementary schools were significantly higher than those of middle and high schools (p < 0.01). For the HCHO, the multi-use practice rooms showed an average 1.5 times higher than general classrooms. In schools located in urban areas, the concentrations of CO, $O_3$, $PM_{10}$, HCHO and TBC were lower than in the vicinity of industrial complexes. The exceeding rate of the school air quality maintenance limits in the 6 air pollutants by law were 6.7%, 3.5%, 1.7%, 18.2%, 13.0% and 18.4% for $CO_2$, $NO_2$, $O_3$, $PM_{10}$, HCHO and TBC, respectively. Based on these results $PM_{10}$ and TBC have to be in the order of priority of need to improve the classroom air quality in elementary school of Ulsan.

A study on the characteristics of diving accident based on the reports of diving casualties (사례 고찰을 통한 잠수 사고 특성에 관한 연구)

  • Jung Chang-Ho;Lee Chang-Woo;Kim Jung-Man;Kang Sin-Young
    • Journal of Navigation and Port Research
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    • v.30 no.1 s.107
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    • pp.29-34
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    • 2006
  • This study aims to provide divers with improved sqfe diving practices by analyzing reports on scuba diving casualties that recently (from 1997-2003) occurred in Korea, Japan and USA The result of this study may contribute to reduce the diving accident. The data were collected through the diving accident reports of various sources, which include reports of the KUA (Korea Underwater Association) technical committee, the accident statistical data of Korea Coast Guard, articles of domestic and foreign scuba diving magazines, accident reports of various newspapers, annual reports on decompression illness and diving fatalities by DAN (Diver Alert Network), diving accident data reported to local and national seminars, and medical treatment data of diving accident. The analysis focused on the diving casualties and the result showed that the casualty rate in Korea was 2.8 and 2.2 times higher than those in Japan and USA, respectively.