• Korean Journal of Clinical Pharmacy
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• v.18 no.2
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• pp.124-131
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• 2008

The impacts of guideline for digestives on physicians' prescription of GI medication Clinical practice guidelines provide benefits to physicians, patients, and researchers. It also helps doctors to make decisions in medical services. In many countries, practice guidelines lead to activities of quality improvement and are developed using evidence based methods. This research was to assess the impacts of Korean Medical Association's guideline for digestives on the change of physicians' behavior. This study was progressed as one-group pre-test post-test quasi-experimental design using health insurance claims data. The unit of analysis was institution. Data was analyzed using paired t-test for change of prescription rate before and after the distribution of practice guidelines. And the multiple regression analysis was performed to examine the independent impact of the guideline on the prescribing rate of GI medication. Prescription rates of GI medication per claim by medical institution increased significantly, 1.98%point (from 50.27% to 52.25%) and multivariate regression analysis showed significant increase in the prescription rate of GI medication after the distribution of guideline (p<0.001). In conclusion, the distribution of guideline for digestive might not have the effects on the change in provider's behavior. Furthermore, to activate the use of practice guideline, it would be necessary to educate the contents to physicians as well as to develop practice guideline.

• Journal of Korean Academy of Nursing
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• v.39 no.6
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• pp.888-898
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• 2009

Purpose: This study was conducted to examine and compare clinical manifestations and predicting factors for treatment-seeking delay among patients <65 and ${\geq}65\;yr$ with first-time acute coronary syndrome (ACS). Methods: A total of 288 patients who were diagnosed with ACS were individually interviewed at C university hospital in G-city from November 2007 to December 2008. Results: Median pre-hospital delays for younger and older patients were 5 and 12 hr, respectively. Younger patients were more likely to be current smokers, heavy drinkers, obese, stressed, and have an unhealthy diet and family history, and to complain of chest pain, left shoulder and arm pain, perspiration, and nausea. Older patients were more likely to have hypertension and diabetes, and to complain syncope and dyspnea. Logistic regression analyses showed that after adjustment for age, gender and education, progressive onset of symptom and no attribution to cardiac problem significantly predicted pre-hospital delay >3 hr in both younger and older patients. Low perceived health status was a significant independent predictor in older patients only. Conclusion: Health care providers should be concerned with different manifestations between younger and older adults, and educate people at risk for heart attack about symptoms and actions to get immediate help.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2006.11a
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• pp.357-361
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• 2006

The purpose of this study is to provide the basic information and to help producers develop more realistic, idealistic and better environment-friendly interior finishing material by identifying and reducing the awareness and preference about it between the producers and consumers. The following conclusions are based on the above results of analysis. There is a lack of awareness of the environment-friendly interior finishing material and it is urgent to develop the awareness. For the developing the awareness, the government and the authorities concerned have to educate the consumers in order that they choose objective information, have to build information network accessible to them and have to share the reliable information. And in order to get the confidence of consumers, it is necessary to make institutional devices. The scientific study which can be approved in many methods and many NGOs' participation are also needed. Especially in order to meet the consumers' demand, there should be proof of the influence of the interior finishing material on the body and diversity of the design and color of the material.

• Korean Journal of Health Education and Promotion
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• v.29 no.2
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• pp.1-12
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• 2012

Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.1
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• pp.60-68
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• 2013

Purpose: This research was conducted to compare the effect of a wellness program on knowledge of obesity and weight loss in women schizophrenia inpatients. Methods: A nonequivalent control group pretest-posttest design was used for this study. A total of 44 patients with schizophrenia were randomly divided into an experimental group (22) and a control group (22) in a 12-week multimodal weight control program. For 6 weeks, the experimental group received approximately an hour of teaching on obesity interventions and for another 6 weeks one hour of teaching on exercise and weight control interventions while the control group received the usual care. The outcome variables were measured before and after the program. Data was analyzed with the ${\chi}^2$-test and t-test using PASW Statistics 18. Results: For those who completed the weight control program, there was a mean weight loss of 1.37kg by the end of the intervention. The experimental group showed significant improvement in knowledge of obesity and weight loss. Conclusion: The wellness program was effective in reducing the weight of women schizophrenia patients as well as being effective in increasing knowledge of obesity. Therefore, nurses must consistently educate women schizophrenia inpatients about health care and knowledge of obesity.

• Journal of muscle and joint health
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• v.20 no.2
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• pp.102-111
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• 2013

Purpose: This study was conducted to examine the effects of a fall prevention education on the fall-related knowledge, prevention activity of the elderly hospitalized in internal medicine department. Methods: A nonequivalent control group pretest-posttest design was used for this study. A total of 44 patients of the elderly hospitalized in internal medicine department were randomly divided into the experimental group (n=22) and the control group (n=22). The experimental group received about an half hour, fall prevention education at the admission day, 3days and 5days after admission, while the control group received the usual care. The outcome variables were measured before and after fall prevention education. Data were analyzed with $x^2$-test and t-test by using SPSS 12. Results: The experimental group showed significant improvement in fall-related knowledge and prevention activity. Conclusion: The fall prevention education was effective in increasing fall-related knowledge and prevention activity of the elderly hospitalized in internal medicine department. For reducing fall events, it is important to educate the elderly hospitalized about fall-related knowledge and prevention activity related to fall.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.3
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• pp.446-454
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• 2013

Purpose: South Korea is rapidly changing into a multicultural society; the nursing discipline faces the need to educate its students in cultural competence to meet the health care needs of an ethnically diverse population. However, there is little evidence suggesting that nursing programs provide this education. The purpose of this study was to measure nursing students' cultural awareness in a nursing education program. Methods: Four hundred thirty-three nursing students at 4 universities in Daejeon participated in this cross-sectional descriptive study, which was held from August to September 2012. Data collection was conducted via questionnaires based on the Cultural Awareness Scale(CAS), and demographics included general and cultural characteristics. Results: The mean cultural awareness score was 4.54, which was relatively low compared to studies completed in other countries. The highest rating was in the cognitive awareness subscale, and the lowest was in the general education experiences subscale in CAS. The level of cultural awareness was significantly different in those who had experienced overseas travel. Those students also perceived a greater need for cultural education. Conclusion: The study's finding suggest the need for a transcultural nursing education program designed to enhance the level of cultural awareness in Korea's nursing students.

• Journal of muscle and joint health
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• v.22 no.2
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• pp.96-104
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• 2015

Purpose: The purpose of this study was to identify the relationship between intraoperative level of caring and anxiety among patients who underwent spinal surgery under local anesthesia. Methods: The study participants included 162 patients who had spinal surgery under local anesthesia at a general hospital in B metropolitan city between July 20 and September 20, 2014. To measure the caring behaviors of patients under local anesthesia, we used the Caring Behavior Measurement, and state anxiety was measured by the State Trait Anxiety Inventory. The collected data were analyzed using a SAS program. The differences in anxiety levels based on participants' characteristics were analyzed with t-test and an analysis of variance. The correlation between levels of caring and anxiety was tested with Pearson's correlation coefficient. Results: Education and caring levels showed significant relationship with the anxiety level of patients with spinal surgery under local anesthesia. Conclusion: To decrease the level of anxiety in patients undergoing spinal surgery under local anesthesia, it is necessary to educate and train operating nurses about the intra-operative caring behavior.

• The Journal of the Korean dental association
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• v.50 no.1
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• pp.6-12
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• 2012

As in all other parts in the body, oral tissue also undergoes dramatic changes with increasing age. Since these changes occasionally go beyond physiological scope, which may result in pathological changes, it is essential for dentist to understand changes caused by normal aging process. With increasing age, tooth morphology and occlusion also varies, especially loss of hard tissue, which is taking place in lifelong time, occurs as a result of tooth wear. When this loss of hard tissue is presented rapidly or excessively, functional and esthetical problems are raised, resulting in lowering quality of life of patient as well as making dental treatment for oral rehabilitation even more complex. Therefore, based on understanding of change in occlusion with increasing age, strategic approaches for maintenance of oral health in both functional and esthetic aspect are required as appropriate restoration and maintenance for progressive tooth wear enables desirable occlusal relationship. Carefully planned-restorative treatment in accordance with changed occlusal relationship is also required in the same context. Instead of taking changes in oral tissue as only a consequence of ageing, it is vital to educate patient and his or her guardian, assuring maintenance of oral hygiene and regular dental check-up are of utmost importance for improved oral health.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.13 no.4
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• pp.65-74
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• 2010

This study is for Hanbuk Mountain Range within Gyeonggi province which is to propose the conservation plan by each damage pattern through site survey of the mountain range. The damage patterns are classified by siding, pointing and lining. The total damaged area is 103 areas: The siding pattern is damaged by developing farmland, mineral and quarry mining, dam, large scale development complex and cemetery park; The pointing pattern is including the development of road, transmission tower and way and mountaineering trail; The construction of electricity and communication facility, military facility, mobile communication station, heliport and shelter. The damages by developing road and large scale development complex are the most cause, and military facility, dam and reservoir, and residential area are the main causes, respectively. One of the compromised situation Hanbuk-Mountain Range usage as per section 7 section (18.45%), 12 section (18.45%) is the largest number of compromised has been surveyed, undermine the situation if you look at the usage by the road 25 locations (24.22%), military facilities and dam and reservoir to undermine this 11 established respectively (10.68%) were the most undermine. Therefore, this research propose the conservation plan as follow: first, need to understand, educate and publicize on Hanbuk-Mounatin Range; second, manage through the regulations and ordinance of Gyeonggi province; third build and expand the law for protecting Baekdu-Great Mountain Range.