• Journal of Korean society of Dental Hygiene
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• v.12 no.5
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• pp.1017-1027
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• 2012

Objectives : The purpose of this study was to help form treatment relationship with patient through more effective communication by defining the relationship between dental hygienist's medical communication and outpatient's reliance satisfaction. Methods : The study researched 273 male and female patients who visited dental clinics and hospitals of Busan from March 12 to March 26, 2012 and its results are as follows. Results : 1. The linguistic communication of dental hygienist was $3.72{\pm}0.63$ and non-linguistic communication was $3.48{\pm}0.58$. 2. For the dental hygienist's reliance satisfaction, the reliance was $3.62{\pm}0.65$ and the satisfaction was $3.74{\pm}0.65$. 3. The dental hygienist's communication degree depending on general characteristic was statistically significant when the job of patient was housewife(p<0.001) and the number of dental clinic visits was more than 10 times (p<0.000). The dental hygienist's non-linguistic communication was statistically significant depending on patient's gender(p<0.000), age(p<0.002), job(p<0.001) and number of dental clinic visits (p<0.000). 4. The dental hygienist's reliance and satisfaction showed statistically significant difference depending on patient's gender(p<0.000), age(p<0.002), job(p<0.001) and number of dental clinic visits (p<0.000). 5. The dental hygienist's non-linguistic communication showed a positive correlation with reliance and satisfaction(p=0.000). Conclusions : When considering the result above, it is necessary to develop the teaching method and material to educate the communication ability of dental manpower. It is necessary to reinforce the curriculum of dental hygienics and the education of dental hygienist to perform effective, smooth communication between dental hygienists.

• Journal of Korean society of Dental Hygiene
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• v.12 no.2
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• pp.409-417
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• 2012

Objectives : The purpose of this study is to figure out and establish the basic data that can help improve management of oral healthcare for the international marriage immigrant women. Methods : In this sense, we surveyed questions on 237 women out of 1,300 immigrant women, who have participated in the program by multi-cultural household supporting center, in a fashion of face-to-face investigation and on-the-spot direct cavity inspection simultaneously from May 1 to October 31, 2010. Collected data were electro-statistically computerized under SPSS 17.0 program and analyzed with frequency analysis, recurrence analysis and logistic regression analysis respectively. Results : The number of filled teeth got lower when they had lower number of dental visits. Women from the Philippines had the highest number of defect teeth, and the number of fixed prosthetic appliance became less when they had less number of dental visits. When they had no experience of oral health education, they had less fixed prosthetic appliances. There was higher percentage of periodontal disease when they did not have dental visit compared with the dental visit cases. Conclusions : Preparation of a policy for east Asian immigrant women for them to visit dentist comfortably and expansion of systematic oral health education are highly recommended.

• Korea journal of population studies
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• v.23 no.2
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• pp.189-207
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• 2000

Focusing on the factors related to the amount of contact between young married women and their noncoresident parents and their noncoresident parents-in-law, the study hypothesized two scenarios. (1) filial piety scenario which predicts that the contact with one set of parents is not affected by accessibility of other set of parents, and (2) competition scenario which predicts that ease of contact with one set of parents inhibits contact with other set of parents. These scenarios were tested against the data from National Fertility and Family Health Survey in 1994. The regression analysis of intergenerational visits appeared to support the competition scenario : The parents-in-law and the parents seem to bs in competition for visits by young married women - distance from the parents from one side has a parallel relationship to more frequent visits with the other set of parents. This is a much more equal footing for both sides of the family than attention to filial piety would predict. although the level of support from the young generation may keep declining.

• Journal of the Korean Society of Physical Medicine
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• v.11 no.4
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• pp.55-64
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• 2016

PURPOSE: The aim of this study was to examine the effect of air stacking exercise on lung capacity, activities of daily living, and walking ability in elderly adults. METHODS: A total of 27 subjects were randomly assigned to an experimental group (EG=13) or a control group (CG=14). Subjects in the experimental group participated in an active pulmonary rehabilitation program. 5 days a week for 4 weeks. The active pulmonary rehabilitation program was composed of an air stacking exercise with an oral nasal mask and manually assisted coughing. Conventional pulmonary rehabilitation exercises, such as, cough exercise, deep breathing, and abdominal muscle strengthening exercises were performed by both groups. Pulmonary function parameters, peak cough flow (PCF), and oxygen saturation were measured and the 6-minute walk test and Korean version of the modified Barthel index (K-MBI) scores were applied. RESULTS: Significant intergroup differences were observed for forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) results after intervention (p<.05), and for 6 minute walk test and PCF results after intervention and at 2-week follow-up visits (p<.05). Post hoc test results showed significant differences in K-MBI, 6-minute walk test, and FEV1 in the experimental group after intervention (p<.05). FVC values were significantly higher after intervention and at 2-week follow-up visits versus pre-intervention (p<.05). PCF values were also significantly higher after intervention and remained significantly higher at 2-week follow-up visits (p<.05). CONCLUSION: Air stacking exercise in elderly adults improves lung capacity and exercise tolerance.

• Journal of Korean Physical Therapy Science
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• v.19 no.1
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• pp.27-38
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• 2012

Background : In-home physical therapy program as a result of a study of the need for in-home physical therapy, most patients were needed. This study of patients who received physical therapy were surveyed, and patients need physical therapy for what I have found that factors. The purpose of this study is the in-home physical therapy program for patients to determine that how much needs were investigated. Methods : In this study, 469 people were involved with the patients who received physiotherapy. Surveys were returned to the questionnaire. The collected data was analyzed by Chi-square and one-way ANOVA. Results : The need for in-home physical therapy to 31 to 60 years suggests that the highest. In this paper, the female respondents was higher, the damaged parts Many times patients with musculoskeletal injuries, duration of treatment was 3-1 months there. 469 people need physical therapy visits of respondents that respondents were 423 people. qualification standards of physical therapy visits and asked questions of the state or local government public agencies or public health wad the highest with 40.3%, eligibility criteria for physical therapy visits a physical therapist trained in the regular 43.3%, per visit, treatment 10,000won 43.5% less than the cost of investigation into the health insurance coverage and should apply to questions about whether the response was 50.1%. Conclusion : Further, the study of in-home physical therapy services were the patient's perspective. This information, visit the home physical therapy program will contribute to the legalization.

• Health Policy and Management
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• v.6 no.1
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• pp.110-143
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• 1996

The purpose of this study is to assess the extent of inequality in health outcomes and the distribution of health services according to health need under National Health Insurance System in Korea. For the empirical analysis, data were collected through an interview survey during one month of October, 1994. Interview were conducted with a total of 10, 875 of the employees and the self-employed selected through cluster, systematic sampling. The major findings of this research are as follows: 1. The analysis of the differentials in morbidity rates by socio-economic group showed that health inequality in the pro-higher groups existed in all self-reported morbidity indicators. 2. The findings of the conventional use measures showed that the lower socio-economic groups had more ambulatory and inpatient services than the higher groups. In contrast to the level of the medical care utilization, however, the higher socio-economic groups were more likely to use the high-quality source of care in terms of their treatment place compared to the lower groups. 3. By using the need-based use measures, the results were different from each use-disability ration indicator. Using the use-disability ration measured by physician visits per 100 restricted-activity days in the population, it was found that there was no evidence favoring the higher socio-economic groups. In contrast, the use-disability ration based on physician visits per a chronic patient in one year displayed that there was remarkable relative difference by income group as well as the evidence of the pro-higher income groups. 4. The results of logistic regression analysis and two-stage estimation method indicated that although the utilization is significantly affected by type and duration of insurance coverage, the use or nonuse of service and the volume of physician care consumed is determined by health need and demographic characteristics rater than economic status. In sum, these findings suggest that physician service is equitably distributed according to health need under national health insurance system in Korea. As there were some evidences of inequality including the differential in physician visits of chronic patients by income group, however, the government should strengthen the activities to guarantee the equity of health services utilization.

• Child Health Nursing Research
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• v.22 no.1
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• pp.29-36
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• 2016

Purpose: The purpose of this study was to identify international students' use of university health centers by individual characteristics and seasons. Methods: This was a retrospective descriptive study using data obtained from the electronic record system of one university health center. The study participants were international undergraduate students who registered for any of two semesters between March 1, 2014 and February 28, 2015 and visited the university health center during their registration period. Results: The most common reasons for visits were problems of head, eye, nose and throat systems, followed by respiratory system. Their visits mostly occurred in the fall and spring. The most frequently used services were distribution of oral medication followed by wound treatment. The number of visits per individual was statistically different by gender (u=-3.307, p=.001), but not by their major (${\chi}^2$=.543, p=0.762) or nationality (${\chi}^2$=5.518, p=.271). Conclusion: Further study is necessary to better define health needs and related factors for this unique population. The electronic record system provides great opportunities in development and application of need based health services for international students and for research in this area.

• Journal of Korean Academy of Nursing
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• v.46 no.6
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• pp.836-847
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• 2016

Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, $x^2$ test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (${\beta}$=-.89, p=<.001) and home helper visits (${\beta}$=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (${\beta}$=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

• Journal of Digital Convergence
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• v.13 no.9
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• pp.323-332
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• 2015

This paper examines the level of the primary care continuity for patients with high blood pressure and the effects of the primary care continuity on their convergence health outcomes. We conducted a retrospective cohort study. A total of 315,791 patients who had received new diagnoses of hypertension. We determined standard indices of continuity of care-MFPC, MMCI, and COC and evaluated their association with study outcomes over three years of follow-up. Outcome measures included hospitalization and emergency room visits. The result of the primary care continuity levels and hazard ratios of health outcome showed that, comparing continuity group, non-continuity group had higher rates of hospitalization by 1.655(95% CI: 1.547-1.771) and emergency room visits by 1.669(95% CI: 1.465-1.903). This paper argues that medical costs of chronic diseases will reduce if low continuity of care turns into high continuity of care.

• Journal of Pharmacopuncture
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• v.18 no.2
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• pp.33-41
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• 2015

Objectives: The present study evaluated the effects of sa-am acupuncture (SAA) simpo-jeongkyeok (SPJK) treatment on the blood pressure (BP), pulse rate (PR), and body temperature (BT) of patients with hwa byung (HB). Methods: This patient assessor blind, randomized, placebo controlled trial included 50 volunteers, divided randomly into two groups. The treatment group underwent SPJK (PC9, LR1, PC3, KI10) while the control (sham) group received minimal needle insertion at non acupoints. The BP in both arms, PR, and BT at several acupoints were measured before and after treatment at the $1^{st}$, $2^{nd}$, $3^{rd}$, and $4^{th}$ visits and before treatment at the follow-up visit. We analyzed data by using the repeated measured analysis of variance (RM ANOVA), Mann-Whitney U, and wilcoxon signed rank tests; differences at P < 0.05 were considered significant. Results: No significant differences in the systolic blood pressure (SBP), diastolic blood pressure (DBP) and PR between the treatment and control group were observed at each visit. However, the decrease in the SBP for the treatment group before and after each visit was significantly higher than it was in the control group. The SBP in both arms in the treatment group was decreased between visits 1 and 2, 1 and 3, 1 and 4, and 1 and follow-up. The DBP in both arms and in the right arm between visits 1 and 3 in the treatment group showed decreases. A minimal BT increase for treatment at CV06 and CV12 and a minimal BT decrease for treatment at CV17 and (Ex) Yintang were found. Patients in the treatment group who visited more frequently experienced a greater decrease in the PR, but that effect was not maintained. Conclusion: The results suggest that SAA SPJK treatment has instant positive effects on the BP, PR, and BT in patients with HB, but the effects on the BP and PR are not maintained.