• Title/Summary/Keyword: cooperative treatment

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The survey about the recognition and demand on cooperative system between western and oriental medicine of stroke patients in National Rehabilitation Center (국립재활원 뇌졸중 환자의 협진에 대한 인식 및 수요 조사 연구)

  • Lim, Sung-Min;Song, Sung-Eun
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.1
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    • pp.131-143
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    • 2011
  • Objective : The purpose of this study was survey about the recognition and demand on cooperative system between western and oriental medicine of stroke patients in National Rehabilitation Center. Methods : The participants were 205 stroke patients in the National Rehabilitation Center and investigated the recognition and demand on cooperative system between western and oriental medicine. Results : As to general characteristics of the group, 56.9% were male, 30.7% were in the 60~69 age, 24.3% of patients had an average income per month 1.0~2.0 million. In regard to disease status of patients, 53.8% were cerebral infarction, 35.8% were below 6 month in disease duration, 73.7% were none recurrence, 52.8% were hypertension as related disease, 74.5% were motor paralysis sequela. 83.2% were positive response in using oriental medicine department of National Rehabilitation Center. The most wanted therapy was acupuncture. Most of respondents expected that co-operative treatments were to be improving the cure effect for patients. And they wanted cooperative system combined evenly between western and oriental medicine, so the western doctors and the oriental doctors suggest the plan giving lots of medial benefits for patients. Conclusion : This survey showed the recognition and demand on cooperative system between western and oriental medicine of patients in National Rehabilitation Center. It is possible to realize patient's centered treatment under the stable and efficient cooperation of western and oriental medicine.

TREATMENT BARRIERS OF SPECIAL NEEDS PATIENTS - PART 2. CONSIDERATION FROM THE PERSPECTIVES OF CAREGIVERS (장애인 구강진료 접근성 제약 - Part 2. 장애인 환자 보호자 측면에서의 고찰)

  • Chang, Juhea
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.14-22
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    • 2019
  • The aim of this study was to determine the factors contributing to the barrier of dental treatment for special needs patients perceived by the main caregivers of the patients. A questionnaire was developed with three parts: patient-related factors, caregiver-related factors, and factors for treatment barriers. Patient- and caregiver-related factors were analyzed for correlations with the barrier factors. Fisher's exact test and Chi-square test were used at the level of 0.05. A total of 52 caregivers (mean age [SD]=50.2 [11.5] years) for the patients with intellectual and cognitive disabilities (mean age [SD]=38.9 [21.3]) responded to the questionnaires. Oral hygiene status, need for assistance in tooth brushing, and cooperation for tooth brushing were correlated with the level of treatment cooperation of the patients (p<0.05). The above three factors were also correlated with the treatment barrier despite patients presenting oral symptoms (p<0.05). Two thirds of the caregivers felt the treatment cost as severe or a considerable financial burden. For patients, insurance types and need for assistance in tooth brushing, and for caregivers, education levels and financial status were significant factors contributing to financial burden (p<0.05). There were background factors of the patients and their caregivers associated with access to dental treatment for special needs patients. Deficient cooperative skills and financial burdens were the main obstacles to treatment access. Tooth brushing skills and oral hygiene status can be proxy measures to cooperative ability for dental treatment.

A Study on the Characteristics of Patients Affecting the Behavior of Students Majoring in Dental Hygiene Avoiding Patients (치위생과 학생의 환자 기피에 영향하는 환자 특성에 관한 연구)

  • Kim, Young-Nam
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.1
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    • pp.21-41
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    • 2002
  • This study is designed to offer basic materials necessary for the instruction of effective clinical practices and the establishment of relationship with patients by means of making an analysis of the characteristics of patients affecting the behavior of students majoring in dental hygiene avoiding patients and countermeasures. With this in mind, the researcher worked with sophomores and juniors exposed to clinical practices during the period ranging from October 22, 2001 to November 9, 2001. The researcher came to the following conclusions on the basis of the findings of this survey. 1. The characteristics of patients influencing the behavior of avoiding them were categorized into appearance characteristics, personality characteristics, treatment-cooperative characteristics, and speech and behavior characteristics. Speech and behavior characteristics(4.26) turned out to be the most influential factor of all, which was followed by treatment-cooperative characteristics(3.68), personality characteristics(3.62) and appearance characteristics(3.42) in the right order. 2. The survey shows that foul breath and obnoxious oral(3.94) cavity were the worst factors of appearance characteristics and that using abusive language and being too aggressive(4.41) were the worst factors of personality characteristics. The study reveals that not putting faith in trainees(4.02) was the highest factor of treatment-cooperative characteristics and that using abusive language(4.50) was the highest factor of speech and behavior characteristics. 3. There was a significant positive relation between the domains of the characteristics of avoiding patients. The study indicates that the more subjects avoided the characteristics of patients, the more they avoided appearance characteristics(r =.444, p<.001) and that the more subjects avoided treatment-cooperative characteristics, the more they avoided appearance characteristics(r=.324, P<.001) and personality characteristics(r=.691, p<.001), and that the more they avoided speech and behavior characteristics, the more they avoided appearance characteristics(r=.265, p<.001) and personality characteristics (r=.531, p<.001). 4. The study shows that there was a significant difference between appearance characteristics and the growth areas of the subjects(p<.05) and that there was a significant difference between the satisfaction of clinical practices(p<.05) and health status(p<.05) in terms of personality characteristics. 5. The subjects avoided preschoolers, whose age ranged from 4 to 6(33.5%), most and avoided boys(71.4%) more than girls. They avoided those who were bereft of jobs(62.9%). And they avoided handicapped persons most in terms of special patients and avoided infant patients(31.0%). 6. The subjects turned out to have negative and passive countermeasures against those patients that had ever been avoided. So the researcher would like to suggest that theoretic education and training programs should be conducted in this respect by incorporating this mailer into the hygiene curriculum.

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Traditional Korean Medicine Treatment for Sequelae After Surgery in Prostate Cancer Patients: Two Case Report (전립선암환자의 수술 후 발생한 후유증에 대한 한방치료 2례)

  • Jang, Kwon-jun;Yang, Jung-min;Hwang, Woo-seok;Lee, Beom-joon
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.795-808
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    • 2022
  • Objectives: The purpose of this study is to report two cases of prostate cancer patients whose side effects after surgery were treated with traditional Korean medicine. Methods: Two prostate cancer patients underwent robot-assisted laparoscopic prostatectomy, and both patients were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. Daily life vitality was evaluated by the Eastern Cooperative Oncology Group. Results: After treatment with traditional Korean medicine, discomfort symptoms that occurred after surgery, such as frequent urination, nocturia, insomnia, and depression, all gradually improved, and Eastern Cooperative Oncology Group scores also improved from two points to one point. Additionally, there were no hematologic side effects from the traditional Korean medicine treatment. Conclusions: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by robot-assisted laparoscopic prostatectomy, quality of life, and immunity.

Analysis of Anesthetic Consultation in Elective Surgical Patients (정규수술환자 중 마취통증의학과로 협진 의뢰한 환자의 분석)

  • Ha, Ji-Won;Chung, Sung-Su
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.1
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    • pp.7-12
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    • 2010
  • Background: This study was carried out to contribute to effective management of operated patients by analyzing cooperative details about patients who were taken elective operation and consulted to the department of anesthesiology. Patients and Methods: One thousand patients who have been consulted to department of Anesthesiology, Chonnam National University Hospital from 2008. November to 2009. March were analyzed. The gender, age, cooperative departments, cooperative reason, the number of cancelled cases and cancelled reason were evaluated. Results: Among 1000 patients, there were 470 females and 530 males. After adjusting for age, middle-aged people which range 45 to 64 year-old are 39.9% and over 65 year-old people are 30.3%. Cooperative department is distributed to orthopedics which is highest occupying 20.6%, neurosurgery, otorhinolaryngology, obstetrics and gynecology in order. Dentistry occupied 2.0%. By specifying reasons of cooperation, cardiovascular diseases distribute to 38.4% which is the highest, the respiratory diseases, 17.5% and the endocrine diseases including diabetes 13.2%. Arranging details, hypertension is 23.9%, ECG abnormality 14.5%, chronic bronchitis in chest radiographic interpretation 14.2%. Of 1,000 consulted patients, delayed or cancelled cases are 58. And the reasons were 26 cases of need of appropriate the blood-sugar level. 26 cases needed appropriate treatment for comorbidities and others 6. Conclusion: Thoroughly evaluating patients before operation and maintenace of active cooperative system between operative department and anesthesiology department can contribute to reduction of cancellation rate and effective management of both hospitalizing and operating rooms.

Instructional Effect of Cooperative Learning in Problem Solving Strategy (문제 해결 전략에서 협동학습의 효과)

  • Noh, Tae-Hee;Yeo, Kyeong-Hee;Jeon, Kyung-Moon
    • Journal of The Korean Association For Science Education
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    • v.19 no.4
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    • pp.635-644
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    • 1999
  • The effect of cooperative learning in a heuristic approach (four stage-problem solving strategy) that also emphasized molecular level representation was studied. Three high school classes (N=130) were randomly assigned to St group (using strategy individually), St-Co group (using strategy in cooperative group), and control group. After instruction, students' multiple-choice problem solving ability, strategy performing ability, and the perception of involvement were compared. Students' preferred instruction type was also examined. Although multiple-choice problem solving ability were not different significantly, a significant interaction between the treatment and the previous achievement level was found in strategy performing ability. Analysis of simple effects indicated that the medium-level students in the St group performed better than those in the St-Co group. In the perception questionnaire of involvement. however, the scores of the St group were significantly lower than those of the control group. The instruction type that students most preferred was also St-Co.

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The Effects of Jigsaw Cooperative Learning on the Pre-service Teachers' Task Commitment and Creative Personality (초등예비교사의 Jigsaw 협동학습 수업이 과제집착력 및 창의적 인성에 미치는 효과)

  • Lee, Yong-seob
    • Journal of the Korean Society of Earth Science Education
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    • v.12 no.3
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    • pp.198-207
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    • 2019
  • The purpose of this study is to investigate the effect of jigsaw cooperative learning class of elementary pre-service teacher on task commitment and creative personality. This study established an twelve-week period of experimental treatment from september to november 2019, and the students who participated in the study formed a research group of 121 students in 2nd grade of their advanced classes who are attending the second semester of b university of education and taking courses in 'teaching research 2'. B university of education is singleness class that doesn't have compare group, so this study is constituted only study group. Applying based-jigsaw cooperative learning class to study group, before and after concept of task commitment test and creative personality test is performed. The results of the study were as follows. First, the study group applied jigsaw cooperative learning-based science class had statistically significant differences in task commitment (p<.05). Second, the study group applied jigsaw cooperative learning-based science class had statistically significant differences in creative personality efficacy(p<.05). Third, jigsaw cooperative learning-based science class of pre-service teachers have a very good feeling. Through such study results, the study could figure out that the class applying jigsaw cooperative learningbased science class has positive effect on concept of task commitment and creative personality efficacy.

The Effect of Grouping on the Basis of Students' Agreeableness in Cooperative Elementary Science Classes (초등 과학 협동학습에서 유화성을 고려한 소집단 구성의 효과)

  • Kang, Suk-Jin;Seo, A-Young;Kwon, Hyeok-Soon
    • Journal of the Korean Chemical Society
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    • v.51 no.3
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    • pp.270-278
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    • 2007
  • In this study, we investigated the effects of grouping with respect to the level of students' agreeableness on 6th graders' science achievement, self-efficacy, and science learning motivation in cooperative learning. Three classes (72 students) from an elementary school were randomly assigned to a control group and treatment groups. An agreeableness test, self-efficacy test, and science learning motivation test were administered as pretests. The students of the treatment groups were grouped either homogeneously or heterogeneously on the basis of their agreeableness levels and were taught with a cooperative learning strategy, whereas the students of the control group were randomly grouped and were taught with a traditional method. The cooperative learning intervention lasted for 5 weeks (16 class periods). After the instructions, tests regarding achievement, self-efficacy, and science learning motivation were administered as posttests. The results indicated that the students of the homogeneous and/or the heterogeneous groups significantly outperformed those of the control group in the achievement test. However, students' achievement was not influenced by the grouping method on the basis of students' agreeableness. No significantly differences among the groups were found in the self-efficacy and science learning motivation.

The Effect of Grouping Method in Cooperative Learning Strategy Applied to Concept Learning (개념 학습에 적용한 협동학습 전략에서 소집단 구성 방법의 효과)

  • Noh, Tae-Hee;Cha, Jeong-Ho;Jeon, Kyung-Moon;Jeong, Tae-Ho;Han, Jae-Young;Choi, Yong-Nam
    • Journal of The Korean Association For Science Education
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    • v.19 no.3
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    • pp.400-408
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    • 1999
  • This study investigated the effect of the grouping method in cooperative learning applied to chemistry concept learning. Two grouping methods used were the HML (High-Medium-Low) and the HL/MM (High-Low/Medium-Medium) ability grouping. Three classes (N = 136) at a high school in Seoul were randomly assigned to the control and the treatment groups. Before instruction. the test of attitude toward science instruction, the perception questionnaire of learning environment consisting of three subtests (participation, conflict, and competition), and the questionnaire of self-esteem were administered, and a mid-term examination score was obtained. These scores were used as covariates. After instruction, the three tests administered before instruction and the conceptions test were administered. Two-way ANCOVA results revealed that there was a significant interaction between the treatment and the level of previous achievement. The low-level students in the HL/MM cooperative group performed better than those in the other groups. The cooperative groups, regardless of the grouping methods, exhibited more positive perception than the control group at participation subtest of the perception questionnaire of learning environment.

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Discriminatory Financial Measures on Non-Cooperative Jurisdictions and their Compatibility with the WTO GATS: Focus on the Appellate Body Report on Argentina-Financial Services (조세투명성에 협력하지 않는 국가에 대한 차별적 금융조치의 WTO GATS 합치성 - Argentina-Financial Services 상소기구보고서에 대한 분석을 중심으로 -)

  • Yoo, Hee Jin
    • International Commerce and Information Review
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    • v.19 no.4
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    • pp.95-124
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    • 2017
  • The dispute analysed in this article concern eight measures taken by Argentina regarding finance, taxation, foreign exchange, and registration. The dispute centered on whether these measures were in violation of the Member's obligations under the General Agreement on Trade in Services (GATS), namely most-favored national treatment, national treatment and market access, and whether they are justified by Article XIV and Article 2(a) of the Annex on Financial Services. Important arguments raised in the dispute include whether the services and the service providers of cooperative and non-cooperative countries and/or Argentina subjected to the measures are like for the purposes of Article II and Article XVII of the GATS, whether the regulatory aspects of the measures are to be considered in determining the inconsistency with Article II and Article XVII of the GATS, and whether the measures are justified in that they were taken in accordance with the national laws and regulations aimed at implementing the Global Forum on Transparency and Exchange of Information for Tax Purposes and the Financial Action Task Force. The essence of this dispute lies in the balance of each Member's right to regulate commercial and/or financial activities and its obligations under the GATS. The Appellate Body tried to strike such a balance in its assessment of: (i) likeness of services and service suppliers, (ii) no less favorable treatment under Articles II and XVII, and (iii) the scope of measures under Article 2(a) of the Annex on Financial Services. This article aims to provide an analysis of the Appellate Body's findings, giving light to the relevant jurisprudence and scholars' writings.

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