• Title/Summary/Keyword: experience report

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A Developmental Research of Design Thinking-based Program for Optimal Learning Experience in University

  • Sung-Wan Kim
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.9
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    • pp.287-297
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    • 2024
  • The purpose of this study is to develop a design thinking-based program to enhance the core competencies of creative problem-solving, collaboration, and communication for college students and to verify its effectiveness. To this end, a design thinking-based program was developed according to the instructional systems design (ISD) model consisting of learning content analysis, class activity design, evaluation tool development, implementation, evaluation and revision. After applying to the target (88 college students), competencies in creative problem-solving, collaboration, and communication were tested to verify quantitative effectiveness and the collected data was analyzed by t-test. In order to verify the qualitative effectiveness, the reflective logs submitted by each group as a final project report were analyzed. The results of the t-test conducted to verify the change in students' means in the pre-post competency test, showed that there were statistically significant increase in creative problem solving skill (t=-4.955, p<.01), collaboration skill (t=-3.179, p<.01), and communication skills(t=- 4.293, p<.01). And the design thinking-based program enabled students to have optimal learning experiences. Especially, learners in the program positively appreciated the experience of sharing various ideas with other members, strengthening cognitive flexibility, and acquiring performance.

Chronic pain control in patients with rheumatoid arthritis (만성통증 환자의 통증 조절)

  • Eun, Young
    • Journal of muscle and joint health
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    • v.2 no.1
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    • pp.17-40
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    • 1995
  • Rheumatoid arthritis is the one of the chronic diseases, one of its major symptoms is a chronic pain. Despite developing medical treatment and surgical techniques, it is suggested that to control the pain is the goal of the treatment. But pain is an inner experience and even those closest to the patient cannot truly observe its progress or share in its suffering. The National Academy of Sciences Institute of Medicine's report on Pain and Disability concluded that there is no objective measure of pain-(exactly) no pain thermometer-nor can there ever be one, because the experience of pain is inseparable from personal perception and social influence such as culture. To explore chronic pain experience is to understand the process and property of the patient's perception of pain through the response to pain, the coping with pain, and the adaptation to pain. Therefore a qualitative study was conducted in order to gain an understanding of pain experience of patients with RA in korea. I used naturalistic inquiry as a research methodology, which had 5 axioms, the first is that realities are multiple, constructed, and holistic, the second is that knower and known are interactive, inseparable, the third is only time and context bound working hypotheses(idiographic statements) are possible, the forth is all entities are in a state of mutual simultaneous shaping, so that it is impossible to distinguish causes from effects and the last is that inquiry is value-bound. Purposive sampling was conducted as a sampling. 20 subjects who experienced pain over 10 years, lived in middle-sized city and big city in Korea, and 17 women and 3 men. The subject's age was from 32 to 62 (average 48.8), all were married, living with their spouse and children, except two-one divorced and the other widow before they became ill. I collected data using In depth structured interview. I had interviews two or three times with each subject, and the interviews were conducted at each subject's home. Each interview lasted about two hours an average. A recording was taken with the consent of the subject. I used inductive data analysis-such as unitizing and categorizing. unitizing is a process of coding, whereby raw data are systematically transformed and aggregated into units. Categorizing is a process wherby previously unitized data are organized into categories that provide descriptive or inferential information about the context or setting from which the units were derived. This process is used constant comparative method. The pain controlling process is composed of behavior of pain control. The behaviors of pain control are rearranging of ADL, hiddening role conflict, balancing treatment, and changing social relation. Rearranging of ADL includes diet management, sleep management, and the adjustment of daily life activities. The subjects try to rearrange their daily activities by modified style of motions, rearranging time span & range of activities, using auxillary facilities, and getting help in order to keep on the pace of daily life. Hiddening role conflict means to reduce conflicts between sick role and their role as a family member. In this process, the subjects use two modes, one is to control the pain complaints, and the other is to internalize the value which is to stay home is good for caring her children and being a good mother. To control pain complaints is done by 'enduring', 'understanding' the other family members, or making them undersood in order to reduce pain. Balancing treatment is composed of two aspects. One is to keep the pain within the endurable level, the other is to keep in touch with medical personnel in order to get the information of treatment and emotional support. Changing social relation is made by information seeking and sharing, formation of mutual support relation, and finally simplification of social relationships. The subjects simplify their social relationships by refraining from relations with someone who makes them physically and psychologically strained. In particular the subjects are apt to avoid contact with in-laws, and the change of relation to in-laws results in lessening the family boundary. In the course of this process, they confront the crisis of family confict result in family dissolution. This crisis is related to the threat of self-existence. Findings from this study contribute to understanding the chronic pain experience. To advance this study, we should compare this result with other cases in different cultural contexts. I think to interpret these results, korean cultural background should be considered. Especially the different family concept, more broader family members and kinship network, and the traditional medical knowledge influences patients' behavior.

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Identification of College Students' Food Safety Awareness and Perceived Barriers to Proper Food Handling Practices

  • Cha, Myeong-Hwa;Park, Jyung-Rewng
    • Preventive Nutrition and Food Science
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    • v.10 no.1
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    • pp.74-80
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    • 2005
  • The purpose of this study was to investigate culinary arts and hospitality students' food safety practice behaviors, intentions, attitudes, and barriers to food safety compliance. This descriptive study used the self-report questionnaire. The convenience sample was composed of 266 college students majoring in culinary arts and hospitality. The students indicated that they never or rarely use a thermometer to determine if meats have been adequately cooked. Examples of positive food handling behaviors were hand washing, sanitation of fruits and vegetables, discarding of food past its expiration date, counter top sanitation, and proper food storage. Students strongly agreed it is their responsibility to practice food safety and to educate their employees about food safety. The primary barrier to proper food safety as ranked by student respondents is the misunderstanding about food labeling. Previous food safety education and internship experience appeared to improve the student respondents' perceived attitudes toward following the principles of food safety practices (p < 0.05), although behaviors and intentions to use the correct food safety practices were not affected. The findings of this study suggest that programs should consider integrating information and experiential learning opportunities in their courses that would be enhance student understanding about food safety. The outcomes of this study can be applied to develop food safety education materials and programs for culinary arts and hospitality students.

Pulmonary Epithelioid Hemangioendothelioma Association with Subcutaneous Metastasis -Surgical experience of one case- (피하전이를 일으킨 폐 유상피 혈관내피종)

  • 이해영;조성호;변정훈;김종인;박진경;천봉권;조성래
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.1025-1028
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    • 2004
  • Epithelioid hemangioendothelioma (HE) is a very rare malignant tumor that is pathologically benign tumor originating from endothelial cell but clinically presents metastasis and recurrence. A 29-year-old asymptomatic man, preoperatively diagnosed as lung cancer in the left lower lung, underwent a lobectomy, a wedge lung resection of left upper lung, and partial resection of diaphragm. Left lower lobar lesion was confirmed as pulmonary epithelioid hemangioendothelioma, but the lesions of the left upper lung and diaphragm were remained calcified by spontaneous regression of HE. We report a case of subcutaneous metastasis that occurred two times at 10 months and 19 months after previous surgical treatment of pulmonary EH.

Case Report on the Treatment of Hypertension with Wood and Fire Acupoints (오수혈(五輸穴)의 목(木) ${\cdot}$ 화혈(火穴) 운용을 통한 고혈압 치험 1예)

  • Kim, Young-Jin;Kim, Gil-Whon;Shin, Heung-Mook
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.1
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    • pp.303-307
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    • 2007
  • This clinical experience reports the effect of wood and fire acupoints therapy on a hypertensive patient. Wood acupoint indicates Jing point in yin channel or Shu point in yang channel. Fire acupoint is Jing in yin channel or Jing in yang channel among the five acupoints of Jing, Xing, Shu, Jing and He. The patient was treated with indicated acupoints of 7 channels: lung, large intestine, spleen, pericardium, triple warmer, heart and liver, for 5 weeks. In case of necessity, another acupoints were added with wood and fire acupoints. After 5 weeks treatment, the blood pressure improved by 125/80 which is in normal level. This result suggests that wood and fire acupoints therapy is effective in the treatment of hypertension.

Medical Education for North Korean Defector Physicians: Experience at the Seoul Medical Center (북한이탈의사 교육: 서울의료원에서의 경험을 중심으로)

  • Choi, Jae-Phil
    • Korean Medical Education Review
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    • v.14 no.2
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    • pp.95-101
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    • 2012
  • As North Korea passed from the Devotion (Jeongseong) movement to the black market (Jangmadang) system, the medical service system in that country was effectively destroyed. North Korean physicians who have successfully defected to South Korea (North Korean defector physicians, NKDPs) have experienced socio-economic hardships on their way to becoming incorporated into the South Korean medical system due to different medico- social cultures, different (English-based) medical terminology, and the clinical knowledge gap between North and South Korea. Since 2009, we have operated programs at the Seoul Medical Center to help NKDPs prepare for the South Korean medical licensing examination. These programs consist of clinical education at the medical center, personal mentoring, arrangement of educational programs at the medical college, mock tests at the consortium, and administrative aid. Looking forward, we hope to achieve the following: 1) More systematic support plans are needed involving medical education experts, field physicians, and experts on reunification. 2) An evaluation of defector physicians' current medical knowledge may provide information about the areas where supplementary education is most needed and the standards for certificating licenses. 3) In the short term, a customized glossary should be developed to assist defector physicians prepare for the examination. 4) To secure internships and residencies is the most important issue for further sustained training of NKDP physicians to become good clinicians after certification. Hopefully, this short report on the current ongoing educational course will lead to more extensive discussion.

A Phenomenological Study on Nurses' Experiences of Accidents in Patient Safety (간호사의 환자안전사고 유발경험에 대한 현상학적 연구)

  • Lee, Tae Kyung;Kim, Eun Young;Kim, Na Hyun
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.35-47
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    • 2014
  • Purpose: The purpose of this study was to describe nurses' experiences of accidents in patient safety. Methods: Data were collected from October 8, 2011 to January 31, 2012 through in-depth interviews with seven nurses who had worked on wards or in the ICU in a university hospital. Data were analyzed by applying Colaizzi's phenomenological methodology. Results: The following six categories were extracted: Fear of the patient's condition caused by the accident, Conflict in the accident report, Blame on others and circumstances, Feeling guilty and sorry as the patient's condition is improving, Being disappointed with the unfavorable atmosphere in dealing with the accident, After the accident, being sensitive in performing nursing duties and being faithful to the principles. Conclusion: The results indicate that the organizational culture in the hospital related to accidents in patient safety is still closed and punitive, and such an atmosphere causes nurses to feel seriously hurt, but through this experience nurses are likely to mature as nursing professionals. Programs on prevention of accidents in patient safety and a system to guard against these accidents should be established. Also the organizational safety culture should be improved.

Learning Style and Self-directed Learning of Nursing Students at One University (일개 간호대학생의 학습유형과 자기주도적 학습)

  • Park, Jee-Won;Bang, Kyung-Sook
    • Perspectives in Nursing Science
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    • v.7 no.1
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    • pp.36-42
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    • 2010
  • Purpose: This study was done to identify the preferences for learning style and the degree of self-directed learning and influencing factors on it among nursing students working on a Bachelor of Science in a nursing program at Suwon. Methods: The study sample included 156 nursing students. A self-report questionnaire was used to assess the data. The data was analyzed using the SPSS/WIN program for descriptive and inferential statistics. Results: Most of the students preferred lectures rather than discussion or team projects as a teaching method. Students preferred deliberating, sensing, and the use of visuals for their learning style. In addition, they favored sequential learning over comprehensive learning. Self directed learning had better outcomes in 3rd and 4th year students than 1st or 2nd year students. Additionally, active learners and high achievers who had a good GPA showed higher self directed learning than the others. Conclusion: In order to maximize students' self-directed learning, study guidance will be necessary for freshmen and for some who experience difficulties in studying nursing courses. Nursing faculty members should pay close attention to facilitate student's self directed learning, and encourage more discussions in the classes.

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Moyamoya syndrome occurred in a girl with an inactive systemic lupus erythematosus

  • Lee, Yun-Jin;Yeon, Gyu Min;Nam, Sang Ook;Kim, Su Yung
    • Clinical and Experimental Pediatrics
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    • v.56 no.12
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    • pp.545-549
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    • 2013
  • We report the case of a 17-year-old Korean girl with systemic lupus erythematosus (SLE) who presented with sudden weakness of the right-sided extremities and dysarthria. Oral prednisolone was being taken to control SLE. Results of clinical and laboratory examinations did not show any evidence of antiphospholipid syndrome or thromboembolic disease nor SLE activity. Cerebral angiography showed stenosis of the left internal carotid artery and right anterior cerebral artery with accompanying collateral circulation (moyamoya vessels). After the patient underwent bypass surgery on the left side, she recovered from the neurological problems and did not experience any additional ischemic attack during the 14-month follow-up period. This case represents an unusual association between moyamoya syndrome and inactive SLE (inactive for a relatively long interval of 2 years) in a young girl.

The degree of paternal attachment to neonate (아버지의 신생아에 대한 애착정도)

  • 김지영
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.330-340
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    • 1995
  • This study was conducted to find out the degree of paternal attachment to neonate, and to identify factors affecting paternal attachment. The main purpose was to make the base data for nursing intervention to improve parternal attachment. The subjects of this study were 20 fathers whose partners have delivered premature neonate and 30 fathers whose partners have delivered normal neonate in 3 university hospitals in Seoul. Data were collected from Feb. 10 to Apr. 10 1994 by self report questionaires. The instrument for this study was based on 7 kinds of characteristics of paternal attachment by Greenberg St Morris(1974), and developed by re-searcher The statistical methods for data analysis were percentage, mean, standard deviation, 1-test, ANOVA with S.P.S.S. program. The conclusions are as follows. 1. Fathers had the high degree of paternal attachent to neonate, but were afraid of active touch. 2. The factors that affect paternal attachment were delivery odor, past experience about own father except delivery pattern, pregnancy plan, sex of nonate. 3. There were not significant correlations between paternal attachment and early visual contact frequency of father-neonate. 4. In the degree of paternal attachment, though normal neonate father showed somewhat higher result than premature neonate father, there was not statistically significant difference between two groups(t=-1.83, P=0.076). But in the character of tactail awarness there were significant differences between two groups, hence nursing interventions are needed to help the premature neonate's father bring early tactile con-tact. Pother research about factors affecting paternal attachment to neonate and high risk neonate as well as low birth weight neonate is reguired.

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