• Title/Summary/Keyword: after-school care

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Effects of Nursing Education using a TBL on Self efficacy and Self Identity among Nursing students

  • Kim, Jung-ae
    • International Journal of Advanced Culture Technology
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    • v.5 no.2
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    • pp.26-43
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    • 2017
  • This study investigated the effects of TBL nursing education(for the care of congestive heart failure patients) on self identity and self efficacy among nursing students. A one-group, pre-post design was utilized with 28 nursing students as the participants. The scenario of TBL nursing education was created based on PBL, and consisted of four states(1) Present a problem, (2) Problem Follow-Up Steps,(3) Present the results including presentation, and(4) Problem Conclusion and after resolution. And then In-depth interviews were conducted with volunteers on program experiences. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and paired t-tests and Giorgi phenomenology analysis method was performed. The TBL program was effective in self - efficacy and self - identity (p<0.01) increased significantly after the education intervention and The meaning of the TBL experience is four (meaning that the learners embarrassed TBL, aggressive learning attitude change, effective collaboration for problem solving in a free learning environment, university classes imagined in high school), and 67 sub-components appeared as an element. The TBL program is an effective teaching method for nursing education and it can be used as basic data for the development of nursing education based on this research.

Development and Evaluation of a Combined Health Promotion Program for Preschool Children (보육시설의 학령전기 아동을 위한 통합 건강증진 프로그램 개발과 평가)

  • Choi, Na-Young;Jeon, Mi-Yang;Seo, Hyun-Mi;Seok, Jeong-Won;Kim, Mi-Seon;Jeong, Hyeon-Cheol
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.314-323
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    • 2010
  • Purpose: This study was conducted to develop and investigate the effect of a combined health promotion program for preschool children and their parents. Methods: Physical examinations were done for 993 preschoolers in 12 preschools. Their parents (n=727) completed a questionnaire on health status and health knowledge of their children and 35 teachers in preschools completed one on health knowledge of preschoolers. Based on the results of the physical examinations and survey, a combined health promotion program was developed. In order to evaluate the program, 35 teachers and 104 parents participated in the program. The effects of the program were tested and health knowledge before and after the program was analyzed. Results: Health knowledge of parents and teachers increased significantly after attending the combined health promotion program. Conclusion: In order to promote the health of preschoolers, parents and teachers need to participate in combined health programs that provide an opportunity for preschoolers to have a physical examination and their parents to learn about the health care for their children.

Endodontic Drainage in Delayed Replantation after Prolonged Extra-alveolar Period of the Avulsed Teeth: Report of a Case (외상 후 오랜 시간 지체된 탈락 치아 재식술 시행 시 근관 통한 배농: 증례보고)

  • Yoo, Jae-Ha;Kim, Jong-Bae;Son, Jeong-Seog
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.4
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    • pp.280-285
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    • 2012
  • From the standpoint of general guidelines of a dentist, the following conditions should be considered before replanting a permanent tooth. The avulsed tooth should be without advanced periodontal disease. The alveolar socket should be reasonably intact in order to provide a seat for the avulsed tooth. The extra-alveolar period should be considered, i.e. periods exceeding. 2 hours are usually associated with marked root resorption. But, the above mentioned regulations are often difficult to keep in the actual situation of the medical emergency room, owing it to the delay of primary medical care in multiple trauma patients. The successful cases have been reported with minimal root resorption in the long-term periods, in spite of extra-alveolar periods of several hours and combined alveolar bone fracture. This is a case report regarding the effect of endodontic drainage in delayed replantation after a prolonged extra-alveolar period of the avulsed teeth with alveolar bone fracture.

The Effects of Auricular Acupressure Therapy on Middle-aged and Old Adults' Dry Eye Syndrome (이압요법이 중·노년의 안구건조증에 미치는 효과)

  • Choi, Yun-Joo;Hwang, Sun-Kyung;Kim, Sang-Sik
    • Journal of East-West Nursing Research
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    • v.26 no.1
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    • pp.17-27
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    • 2020
  • Purpose: This study aimed to examine the effect of auricular acupressure therapy on reducing the ocular symptoms and signs for dry eye syndrome. Methods: The participants who were aged ≥ 40 years old and met the inclusion criteria of the ocular surface disease index score ≥ 13 and a tear film break-up time ≤ 10 seconds were enrolled into the two groups: experimental group (n=29) and control group (n=27). Experimental group received auricular acupressure therapy for 8 weeks. Seed stickers were applied to the eye, liver and tubercle point of each ear once a week. Data were collected at pre and 4 and 8 weeks after the treatment and analysed the efficacy of intervention by repeated measures ANOVA. Results: There were significant differences in the ocular surface disease index, standard patient evaluation of eye dryness and a tear film break-up time in both eyes at 8 weeks after the treatment between the two groups. Conclusion: The findings indicate that the auricular acupressure therapy may be helpful for relieving symptoms of dry eye as a nursing intervention. In addition, it could also be utilized as a self-care practice using proper education and training.

Implementation of the Intelligent System using RFID for HealthCare Self-Diagnosis (RFID를 이용한 헬스케어 자가진단 지능형시스템 구현)

  • Son, Hui-Bae;Kim, Min-Soo;Rhee, Young-Chul
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.1
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    • pp.146-152
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    • 2010
  • In this paper, we implemented the intelligent healthcare system self-diagnosis that can achieve self-diagnosis by measured bio-signal(blood pressure, blood sugar, body fat monitor) after the recognize a user to access using RFID. The implemented healthcare self-diagnosis intelligent system is consist of kiosk structure that is RFID reader, bio-signal measuring instrument(hemadynamometer, glucometer, body fat monitor), computer for a part of database server and printer for print the result of self-diagnosis. It can achieve self-diagnosis of a user after compare and analyze the measured data and information of a user from database. The implemented system can make simple self-diagnosis even if not take a physical examination at hospital and apply to company, school, etc.

Development and Effects of a Health Education Program for North Korean Preschool Defectors (북한이탈 학령전기 아동을 위한 건강교육 프로그램 개발 및 중재효과)

  • Lee, In Sook;Park, Ho Ran
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.478-485
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    • 2013
  • Purpose: This study was conducted to develop a health education program for preschoolers who have defected from North Korea with their mothers, and to evaluate the effects on health knowledge and behavior. Methods: A non-equivalent control group pre-post test design was used with 58 preschoolers who were assigned to either the experimental or control group (29 for each group). The program was composed of five sessions in health education and contracts. To test the effectiveness of the intervention, health knowledge and behaviors, and total bacterial colony counts on hands were measured at one pretest and two post tests (1 week and 4 weeks after the intervention ended). Data were analyzed using the SAS program. Results: Health knowledge and behavior in the experimental group increased significantly compared to the control group. The effects of the intervention were evident even at 4 weeks after the intervention ended. Total bacterial colony counts in the experimental group decreased significantly at the 1 and 4 week posttest intervention compared to the control group. Conclusion: Results indicate that this program is effective in improving health knowledge and behavior in these children and therefore can be utilized to ensure efficient management their health care.

Prescription Characteristics of Medication for Acute Respiratory Diseases before and after Pay-for-Performance -using National Health Insurance Big data- (의원 가감지급사업 실시 전후에 따른 급성호흡기계질환의 의약품 처방특성 -국민건강보험 빅데이터를 활용하여-)

  • Gong, Mi-Jin;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.14 no.1
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    • pp.93-102
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    • 2020
  • Objectives: This study analyzed the prescription characteristics of medication for acute respiratory diseases before and after pay-for-performance to provide basic data on effective medical quality management policies. Methods: The research data were collected from the 2013-2014 sample cohort of the National Health Insurance Corporation, from Internal Medicine, Pediatrics, Otorhinolaryngology, Family Medicine and General practitioner clinics (classification of disease codes: J00-J06, J20-J22, J40 outpatients). Results: The antibiotics prescription rates decreased from 43.9% in 2013 to 43.5% in 2014 when the major diagnosis was for upper respiratory infections and increased from 62.0% in 2013 to 62.5% in 2014 when the major diagnosis was for lower respiratory infections. Conclusions: There is a need to identify the correct antibiotic prescription method by expanding the current assessment standards. Such standards must include acute lower respiratory infections and minor diagnoses as the current evaluation techniques focus only on the major diagnosis of acute upper respiratory infections.

General considerations and updates in pediatric gastrointestinal diagnostic endoscopy

  • Kim, Yong-Joo
    • Clinical and Experimental Pediatrics
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    • v.53 no.9
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    • pp.817-823
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    • 2010
  • Gastrointestinal and colonic endoscopic examinations have been performed in pediatric patients in Korea for 3 decades. Endoscopic procedures are complex and may be unsafe if special concerns are not considered. Many things have to be kept in mind before, during, and after the procedure. Gastrointestinal endoscopy is one of the most frequently performed procedure in children nowadays, Since the dimension size of the endoscopy was modified for pediatric patients 15 years ago, endoscopic procedures are almost performed routinely in pediatric gastrointestinal patients. The smaller size of the scope let the physicians approach the diagnostic and therapeutic endoscopic procedures. But this is an invasive procedure, so the procedure itself may provoke an emergence state. The procedure-related complications can more easily occur in pediatric patients. Sedation-related or procedure-related respiratory, cardiovascular complications are mostly important and critical in the care. The endoscopists are required to consider diverse aspects of the procedure - patient preparation, indications and contraindications, infection controls, sedation methods, sedative medicines and the side effects of each medicine, monitoring during and after the procedure, and complications related with the procedure and medicines - to perform the procedure successfully and safely. This article presents some important guidelines and recommendations for gastrointestinal endoscopy through literature review.

Bronchoscopic Intervention for Airway Disease (기도질환 환자의 치료기관지경술)

  • Kim, Ho-Joong
    • Korean Journal of Bronchoesophagology
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    • v.14 no.2
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    • pp.10-16
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    • 2008
  • Surgical resection and reanastomosis has been the treatment of choice in patients with tracheobronchial stenosis. Recent development of bronchoscopic intervention has been replacing the role of surgery in these patients. After summarizing the upto date data of bronchoscopic intervention, the proper management of tracheobronchial stenosis will be presented. Bronchoscopic intervention would be much effective when performed under rigid bron- choscopy, due to the stable patients' condition and endoscopic view. The usual method of intervention includes ballooning, Nd-YAG laser resection, bougienation, mechanical airway dilatation, stenting and photodynamic therapy. Silicone stents are very effective in patients with tracheobronchial stenosis to maintain airway patency. Bronchoscopic intervention provided immediate symptomatic relief and improved lung function in most of patients. After airway stabilization, stents were removed successfully in 2/3 of the patients at a 12-18 months post-insertion. Less than 5% of patients eventually needs surgical management. Acute complications, including excessive bleeding, pneumothorax, and pneumomediastinum develops in less than 5% of patients but managed without mortality. Stent-related late complications, such as, migration, granuloma formation, mucostasis, and restenosis are relatively high but usually controlled by follow-up bronchoscopy. In conclusion, bronchoscopic intervention, including silicone stenting could be a useful and safe method for treating tracheobronchial stenosis.

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Physical Therapy Following Arthroscopic Rotator Cuff Repair with Graft Augmentation: A Case Report with Magnetic Resonance Imaging

  • Kim, Hyun-Joong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.463-469
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    • 2021
  • Objective: If non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and ARCR considers graft augmentation in consideration of size, direction, and re-tear. It is reported to have potential benefits by improving the healing rate as it can fill the gaps that have been left behind. The purpose of this study is to investigate the effect of structural changes observed after ARCR on muscle action through magnetic resonance imaging and to investigate the effect of appropriate physical therapy required for graft augmentation in the general ARCR rehabilitation protocol. Case presentation: A 47-year-old male hospitalized for postoperative rehabilitation following ARCR participated in a 5-week physical therapy intervention. The postoperative day was 6 months, but due to shooting pain and shoulder dysfunction,and the movement of the shoulder was compensatory motion, not normal motion. Physical agents, manual therapy, and supervised exercise for 110 minutes per session were performed 3 times a week, and pain intensity, range of motion, function, and strength were evaluated. Results: As a result of the study, the patient showed positive improvement in pain intensity, range of motion, function, and strength. In addition, normal scapulohumeral rhythm movement was observed. Conclusions: According to the results of this case, appropriate physical therapy according to the compensatory motion shown in the structural changes after ARCR can positively improve the pain intensity, range of motion, function, and strength of ARCR patients.