• 제목/요약/키워드: clinical guidance

검색결과 363건 처리시간 0.028초

행동조절을 통한 장애인 환자 치료 (Behavior management for dental patients with special needs)

  • 황지영
    • 대한치과의사협회지
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    • 제53권11호
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    • pp.779-788
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    • 2015
  • Individuals with special needs include those with behavioral issues, developmental disorders, cognitive disorders, congenital or genetic disorders, or systemic disease. These conditions may place them at increased risk for oral diseases. Dental management of patients with special needs require in-depth understanding of the background of disability and available behavioral guidance theories. Therefore dental team members need more training in the theory and practice of behavior management principles, which might lead to a clinical experience that is more respectful of the dignity and independence of patients with special needs. The dental professional should be flexible to modify the behavior management approach according to the individual patients needs. Also a family/care-giver centered approach based on their preferences and concerns, the patient's challenging behaviors, and related medical problem can serve to improve the treatment planning and oral health management of dental patients with special needs. This article focuses on uncooperative behavior and behavior management, which help practicing dentists to understand their role in the care of patients with special needs.

시뮬레이션 간호 교육에서의 '촉진자(facilitator)' 개념분석 (A Concept Analysis of 'Facilitator' in Simulation Nursing Education)

  • 김지영
    • 한국간호교육학회지
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    • 제24권1호
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    • pp.39-49
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    • 2018
  • Purpose: This study was to identify and define the concept of a facilitator and specific attributes for providing basic data on simulation nursing education. Methods: Using Walker and Avant's (2005) criteria that identify the attributes, antecedents, and consequences of facilitators in simulation nursing education, the findings of research articles published from 2001 to 2017 were reviewed. Results: There were three aspects of the facilitator concept in simulation nursing education: (1) continuous support throughout the entire simulation process; (2) skilled progress based on clinical expertise; (3) guidance for learners to actively understand and reflect on the situation. Conclusion: This concept analysis helps us to better understand better facilitators in simulation nursing education.

서울시내 주부들의 영양지식과 태도 및 식생활 실태에 관한 조사 연구 (A Study on the Nutritional Knowledge, Attitudes, and Dietary Patterns of Housewives in Seoul)

  • 유희정
    • 대한가정학회지
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    • 제28권2호
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    • pp.47-55
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    • 1990
  • The purpose of this research ws to study nutritional knowledge, attitudes, and dietary patterns of housewives in Seoul. Four hundred and seventy housewives were examined from September 27 to October 4, 1989. The results obtained were as follows; 51.8% of housewives ranked guidance of parents as their first choice of factors which influence food habits. 30.9% of housewives ranked TV and radio as their primary sources of nutritional information. Nutritional knowledge had positive correlation with their nutritional attitude (+0.11) and their food habits(+0.24). Nutrition attitude had some correlation with food habits(+0.09). The clinical symptoms of nutritional deficiency had negative correlation with variables such as nutritional knowledge(-0.05), nutrition attitude(-0.06) and food habits(-0.17).

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혼합물에서 화학물질간의 상호작용 효과 (Interaction effect of Chemical Mixtures)

  • 임종환;신주연;김용규
    • 대한임상독성학회지
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    • 제3권1호
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    • pp.11-16
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    • 2005
  • Chemical mixtures of components, each of which are present at less than guidance concentrations, may be hazardous due to additivity, interactions, or both. Toxicological interactions may increase the health hazard above what would be expected from an assessment of each component singly, or all components additively. So chemical mixture are a particular issue in public health. There are several approach to assess whether there are additivity or interaction in assessing toxicological effects, such as, components-based approach, physiologically-based pharmacokinetic /pharmacodynamic(PBPK/PD) models, hazard index method, and weight-of evidence method. If we consider interaction or additivity effects in assessing the health effects of chemcial mixtures, we can get more accurate information about toxicological effects and dose-response relationship in chemical mixtures.

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임상가를 위한 특집 2 - 매복견치의 맹출유도 (Eruption guidance for impacted canine)

  • 이난영
    • 대한치과의사협회지
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    • 제50권6호
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    • pp.312-321
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    • 2012
  • Permanent canine are very important teeth in point of function as well as esthetic. Therefore impaction of canines is a frequently encountered clinical problems. The incidence of impaction ranges between 1-3%. The cause of canine impaction can be result of ectopic position of tooth germ, defect of dental follicle, early loss or delayed exfoliation primary canine, space problem, supernumarary teeth, cyst, odontoma, Impaction frequently involves further complication such as root resorption of adjacent teeth, cyst formation and migration of the neighboring teeth. Various treatment modalities include extraction of primary canine, surgical opening and orthodontic traction, autotransplantation, surgical extraction of impacted canine.

"침구갑을경"적자법특정분석("针灸甲乙經"的刺法特征分析) (Needling Method Characteristic Analysis of Zhenjiu Jiayijing(针灸甲乙经))

  • 마철명;김효철
    • 대한한의학원전학회지
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    • 제26권1호
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    • pp.71-77
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    • 2013
  • Objective : To clarify the features of needling method in the Zhenjiu Jiayijing, the needling depth and needling treatment time were sorted out. Method : According to the analysis, we can identify the crucial factors of the needling features. Result : Compared with the needling related content of Huangdi Neijing(黄帝内经), the historical outline of the needling development could be found and the ancient acupuncturing process was reappeared with a historical perspective. This research will provide guidance for the literature research and clinical application. Conclusion : Zhenjiu Jiayijing, also an important and valuable literature, will provide more evidence or clues for depth and treatment time of needling, which will be helpful and meaningful in clinic.

Communicating clinical research to reduce cancer risk through diet: Walnuts as a case example

  • Toner, Cheryl D.
    • Nutrition Research and Practice
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    • 제8권4호
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    • pp.347-351
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    • 2014
  • Inflammation is one mechanism through which cancer is initiated and progresses, and is implicated in the etiology of other conditions that affect cancer risk and prognosis, such as type 2 diabetes, cardiovascular disease, and visceral obesity. Emerging human evidence, primarily epidemiological, suggests that walnuts impact risk of these chronic diseases via inflammation. The published literature documents associations between walnut consumption and reduced risk of cancer, and mortality from cancer, diabetes, and cardiovascular disease, particularly within the context of the Mediterranean Diet. While encouraging, follow-up in human intervention trials is needed to better elucidate any potential cancer prevention effect of walnuts, per se. In humans, the far-reaching positive effects of a plant-based diet that includes walnuts may be the most critical message for the public. Indeed, appropriate translation of nutrition research is essential for facilitating healthful consumer dietary behavior. This paper will explore the translation and application of human evidence regarding connections with cancer and biomarkers of inflammation to the development of dietary guidance for the public and individualized dietary advice. Strategies for encouraging dietary patterns that may reduce cancer risk will be explored.

간호대학생의 스트레스, 자아존중감, 정신건강에 관한 연구 (A Study on the Stress, Self-Esteem, and Mental-Health in Nursing Students)

  • 정하윤;권정옥
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.191-204
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    • 2013
  • This study is intended to identify relationship between stress, self-esteem and mental health in nursing students. The data were collected from 448 nursing students using self-report questionnaire. The data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression using the SPSS 19.0 program. The result are as followed; First, the average of stress, self-esteem, and mental health was $1.25{\pm}0.55$, $3.33{\pm}0.42$, and $2.79{\pm}1.20$ point. Second, mental health was correlated with stress positively and self-esteem negatively. Third, the influencing factor in mental health of the participant were interpersonal relationship and clinical based stress, $R^2=.561$. Thus, development of guidance program to improve mental health of nursing students is recommended.

매복 미맹출 제 1대구치의 외과적 노출과 교정력을 이용한 견인의 치험례 (SURIGICAL EXPOSURE AND ORTHODONTIC TREATMENT OF THE IMPACTED FIRST MOLAR)

  • 유정민;김종수;김용기
    • 대한소아치과학회지
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    • 제23권4호
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    • pp.859-866
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    • 1996
  • It is a relatively rare clinical experience to see the impacted first molar. The first permanent molar is the key in normal occlusion. Abnormal eruption of the first permanent molars would inflict normal development of dental arches and give rise to abnormal root resorption of the adjacent teeth. Therefore, the abnormally erupted first permanent molars should be detected and treated early in order to obtain proper occlusal guidance in mixed dentition period. This report presents two cases on distally tilted and impacted mandibular first molars which were treated by surgical exposure and orthodontic traction using facial mask.

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2017 과민성장증후군의 임상진료지침 개정안 소개 (Review of the Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition)

  • 정혜경
    • 대한소화기학회지
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    • 제72권5호
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    • pp.252-257
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    • 2018
  • This guidance is an updated version of the irritable bowel syndrome (IBS) guidelines based on evidence-based medicine. IBS is a common chronic gastrointestinal syndrome that occurs in approximately 10% of the population and causes chronic abdominal pain as well as bowel habit changes, such as stool frequency or consistency. The final diagnosis of IBS is based on the exclusion of organic diseases that would explain the symptoms and the absence of endoscopic abnormalities. IBS can reduce the quality of life and cause a major disease burden, such as repeated examinations and continuous drug use, by mistaking organic diseases including malignancy. The major changes are as follows: 1) when to perform a colonoscopy under the impression of IBS; 2) effect of a low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyol diet; 3) impact of probiotics in IBS; and 4) role of antibiotics in IBS. The Korean Society of Neurogastroenterology and Motility recently updated these guidelines to support physicians for qualified medical services and reduce the socioeconomic burden of IBS.