• Title/Summary/Keyword: after-school care

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Awareness and Attitude Change after End-of-Life Care Education for Medical Students (말기환자 돌봄 교육 후 의과대학생의 인식과 태도 변화)

  • Kim, Hyun-Kyung;Nam, Eun-Mi;Lee, Kyoung-Eun;Lee, Soon-Nam
    • Journal of Hospice and Palliative Care
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    • v.15 no.1
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    • pp.30-35
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    • 2012
  • Purposes: Most medical schools in Korea do not provide adequate education in end-of-life care. This study was designed to illustrate the need to improve end-of-life care education and to assess the effect of the education on fourth-year medical students' awareness and attitude towards hospice and palliative care for terminally ill patients. Methods: One hundred sixty six fourth-year medical students were surveyed with questionnaires on end-of-life care before and after they received the education. Results: Before receiving the education, students most frequently answered "at the end of life" (33.6%) was appropriate time to write an advance medical directive. After the education, the most frequent answer was "in healthy status" (58.7%). More students agreed to withholding or withdrawing futile life-sustaining treatment increased after the education (48.1% vs. 92.5% (P<0.001) for cardiopulmonary resuscitation, 38.3% vs. 92.5% (P<0.001) for intubation and mechanical ventilation, 39.1% vs. 85.8% (P<0.001) for inotropics, 60.9% vs. 94.8% (P<0.001) for dialysis and 27.8% vs. 56.0% (P<0.001) for total parenteral nutrition). Significantly more students opposed euthanasia after the education (46.6% vs. 82.1%, P<0.001). All students agreed to the need for education in end-of-life care. Conclusion: After reflecting on the meaning of death through the end-of-life care education, most students recognized the need for the education. The education brought remarkable changes in students' awareness and attitude towards patients at the end of life. We suggest end-of-life care education should be included in the regular curriculum of all medical schools in Korea.

The Survey on the Low Income Children's After-School Care (저소득층 취업모 아동의 방과후 생활조사)

  • 정현희
    • Journal of the Korean Home Economics Association
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    • v.34 no.2
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    • pp.379-390
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    • 1996
  • This study attempted to investigate the state of the children's after-school care with low income employed mothers. The survey was conducted by means of the structured questionnaire. The questionnaire was built on the previous studies. The sample size was 418 mothers in Pusan. The results were summarized as follows : 1. Most of the children with low class employed mothers showed the self-care state. 2. Most of the children with low class employed mothers were found to spend more time alone in their houses. 3. Most of the children with low class employed mothers tended to have more difficulties in getting contact with their mothers and they were left to prepare their foods by themselves. 4. Most of the low class employed mother thought that safer environment and better education were immediate problems to be solved for their children's. 5. Most of the low class employed mothers needed after-school care facilities.

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A Study on the Development of the Goals and Contents System of Healthy Dietary Education Program for After-School Care in Lower Grade in Elementary School (초등 저학년 돌봄 교실 건강식생활 교육프로그램의 목표 및 내용체계 개발 연구)

  • Kim, Jung-Hyun;Lee, Myoung Hee;Park, Okjin;Choi, Kyung Sook
    • Korean Journal of Community Nutrition
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    • v.24 no.1
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    • pp.24-37
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    • 2019
  • Objectives: The study purpose is to develop a content system for a healthy dietary education program for after-school care in lower grade in elementary school. Methods: The contents of healthy dietary education in the 2015 revised curriculum and textbooks and the major education programs related to dietary life that are currently used in elementary school education were analyzed. Focus group interviews were held with field experts related to lower grade in elementary care class. Accordingly, the structuring of the education area and the detailed education contents were systematized. Results: From the analysis results, the contents of curriculum, textbook, and administrative department were classified as hygiene safety, health, and culture. The goal of the educational content system was divided into three areas: nutritional dietary life, food hygiene and health, and food culture. The subjects consisted of dietary balance, healthy body weight, digestion and absorption, food hygiene, Korean agricultural products, traditional food, and table manners. The curriculum was composed of 12 content elements. Conclusions: In order to ensure that after-school care students can grow into healthy, growth-oriented and creative talents, the role of the caring guide is important, and associated guidelines are needed in the future.

Home visiting oral health program of Longterm home care service and the change of some pathogenic microorganism counts in denture (재가장기요양기관의 방문구강보건교육 전·후 의치의 일부 병원성 미생물의 집락수 변화)

  • Han, Ji Hye;Bae, Sung Sook
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.3
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    • pp.83-90
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    • 2019
  • Purpose: This study is a repetitive comparative analysis of a qualitative case study that carried out a home visiting oral health education program. Method: This study conducted an interview survey through medical examination by interview before and after the home visiting oral health education and measured some pathogenic microorganism counts in the denture. Results: There was a positive change in the self oral care ability of the elderly at home after home visiting oral health education, including the behavior of self management of dentures, and some pathogenic microorganism counts in the dentures. Conclusion: The home visiting oral health education of home care service centers can improve oral health care for the elderly at home.

Survey of the change in the recognition of dental college students for people with disabilities before and after the special care dentistry classes

  • Kim, Sun Young;Bang, Jae-Beum;Kim, Kwang Chul;Lee, Eun Young;Choi, Sung Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.2
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    • pp.68-77
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    • 2014
  • An opportunity for dental students to come into contact with individuals with disabilities is insufficient. Therefore, prejudice and negative attitudes towards persons with disabilities persist. Working under the assumption that educating dental students regarding people with disabilities will bring about positive awareness, we conducted this study. We investigated the changes in the recognition of the issues and needs of people with disabilities before and after special care dentistry class of students of dental college that will include an experience in a dental clinic with a disabled person. Seventy-two Kyung Hee University School of Dentistry third-year dental students attended the special care dentistry class in one semester and they took the same survey was before and after the class. In the questionnaire, we used the disability factor scale (DFS) that Siller has proposed. The authoritarian virtuousness factor getting lower to a significant level after receiving an education. This means that after the education, the respondents realize that how hard to adapt the disabilities. After receiving an education, the rejection of intimacy factor score significantly get higher than before they took the class. This means that after the training, positive attitudes towards those with disabilities were better than those towards the opposite sex. We were able to confirm a positive change in the recognition for persons with disabilities through the special care dentistry class. Our study shows that educating dental students on the how to take care of individuals with disabilities can bring about a positive change in the attitudes students may have regarding them.

Effects of a School - Based Oral Health Care Program on the Prevalence of Dental Caries in Primary School Children (학교구강보건사업이 초등학교 아동들의 유치 및 영구치 우식실태에 미치는 영향)

  • Choi, Soon-Lye;Ryu, Young-Ah;Cho, Min-Jeong;Song, Keun-Bae
    • Journal of the Korean Society of School Health
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    • v.17 no.2
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    • pp.11-22
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    • 2004
  • Purpose: The aim of this study was to evaluate the effects of oral health care programs in 3 school-based oral health care center among primary schoolchildren. Methods: School-based oral health care programs included fluoride mouth rinsing, pit and fissure sealing for permanent premolars and molars, fluoride gel application and chewing of xylitol candy. All of the programs were carried out by one dental hygienist among 'D' primary schoolchildren in Daegu city under the supervision of a dentist. Baseline dental examinations were completed and preventive care was implemented for 544 children during one year. All of the children visited a school-based oral health care center every three months for a regular check-up. The final oral examination was conducted from March 15 to April 1, 2004. The data analysis data was made on the basis of SAS 8.01. Mean differences between 2003 and 2004 data were compared by paired t-test. Corresponding p-values were considered significant at values less than 0.05. Results: The DMF rate and DFT index were reduced to 8.0% and 8.4% during one year respectively, but there were no statistically significant differences. The DMF rate was significantly reduced (16.3%) after a one year program of school-based oral health care practice. The DMFT(Decay Missing Filling Tooth) index was also reduced compared to 2003 throughout the entire grade. Conclusion: School-based oral health care programs can reduce the prevalence of dental caries prevalence among schoolchildren during one year. This program also improved the oral health capacity of schoolchildren. It is recommend that the school-based oral health care program should be extended to every primary school in Korea.

Effects of vision care program for elementary school children (시력증진 프로그램이 초등학생의 시력에 미치는 효과)

  • 이정렬;유일영;이은숙
    • Korean Journal of Health Education and Promotion
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    • v.16 no.1
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    • pp.137-148
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    • 1999
  • The necessity of school health promoting projects is well known to many researchers, however, there is a lack of research on the development of strategies for school health programs and the evaluation of the effectiveness of the programs. The results of our previous study in 1996 identified poor eyesight as one of the several health problems among elementary school children in urban areas. The main objective of this study is to develop, implement, and evaluate vision care for elementary school children. The research method utilized a quasi experimental design using non-equivalent group, pre-post comparison. The sample consisted of all second grade children in two elementary schools in Kyung-giProvince. In order to prevent a contamination effect of the vision care program, one school was selected as a control and the other school was selected as a treatment group. The experimental school had 467 children and the control school had 402 children. The visual acuity of children in both group was measured and a survey questionnaire was sent out to parents on the knowledge, attitude, and behavior related to vision care before the program was implemented. The children of the experimental school received the following programs; separate education on proper nutrition and care of eyesight for children and parents, daily eye exercises using video tape, and an essay and poster contest on healthy eyesight. The eye exercise program lasted from March, 1997 to November, 1997. On November, 1997, visual acuity was measured again from children in both schools. The data was analyzed by using SAS statistical package. The results indicate that the children in the experimental group had significantly (p〈0.001) better eyesight than the children in the control group. Also, some of the behavior highly related to the poor eyesight are poor maternal eyesight and watching TV from a short distance. In conclusion, one of the significance of this project is that the vision care program was developed after the need assessment. It will be encouraged in the future that more school health program should be developed after a need assessment. Also, inclusion of family members was important in health promoting projects within a school setting since healthy behavior needs to be reinforced at horne as well as at school.

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The Effects of an After-School Program Using Picture-Books on First Graders' Levels of Happiness and Socio-emotional Ability (그림책을 활용한 방과 후 프로그램이 초등학교 1학년 아동의 행복감 및 사회.정서능력에 미치는 영향)

  • Kim, Jung-Won;Lee, Jung-A
    • Korean Journal of Child Studies
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    • v.31 no.4
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    • pp.199-217
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    • 2010
  • This study investigated the effects of an after-school picture-book program on the happiness and socio-emotional ability levels of first graders. The subjects consisted of 44 elementary school first graders; of these, 22 formed the experimental and 22 formed the control group. A detailed analysis of both happiness and socio-emotional ability levels was undertaken to determine the homogeneity of the two groups. A broad variety of activities using 12 picture-books were applied to the experimental group for twelve-week periods. The results of this study were as follows; the after-school program using picture books was effective in strengthening children's levels of both happiness and socio-emotional ability.

Effects of using Postpartum Care Services on the Health-Related Quality of Life in Women after birth (산후관리서비스가 산모의 건강관련 삶의 질에 미치는 영향)

  • Jeong, Jae Yeon;Cha, Sun Jung;Gu, Yeo Jeong;Yoo, Ki Bong
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.29-37
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    • 2020
  • Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.

A Case of Acute Respiratory Distress Syndrome Induced by Injection of Silicone Fluid for Colpoplasty (질 성형을 위한 실리콘 액 주입 후 발생한 급성 호흡 곤란 증후군 1예)

  • Jung, Chang Wook;Jeon, Ik Soo;Jang, Jae Young;Park, Jee Eun;Song, Chun Young;Kim, Sung Hun;Kang, Kyung Woo
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.193-196
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    • 2004
  • Acute respiratory distress syndrome after silicone fluid injection is uncommon. Reasons that organic silicone is inactive in the human body and has low surface tension and is not affected by physical factors such as time or temperature make this material to be widely used as a medical product. However, lately some of its side effects have been noted and also cause respiratory problems in rare occasions. The mechanism is not clear but silicone injection cause one to cough, produce hemoptysis, fever, pleuritic chest pain, and dyspnea, and may even lead to acute respiratory failure. In other countries, these side effects were reported from 1970s and several cases started to appear in Korea from 1990s. We report a 58 years-old female who recovered from acute respiratory distress syndrome after injection of silicone fluid into vaginal wall by a conservative therapy.