• Title/Summary/Keyword: graduate medical education

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A comparative study on the spiritual needs between nursing students and nurses in Busan and Gyeongnam province (부산 경남 지역 간호 대학생과 간호사의 영적 요구도 비교)

  • Cho, Hyun;Sim, Eun-Kyung;Kwon, Young-Chae;Bae, Young-Hee;Woo, Young-Ok;Ji, Jae-Hoon;Jung, Ja-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2178-2188
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    • 2012
  • This study is based upon 200 final responses from a survey conducted for 153 nurses and 147 nursing students in Busan and Gyeongnam province from september to october 2011. It is carried out to compare and understand the spiritual needs of nurses and nursing students that are inclined to be more exposed unhealthy people rather than healthy people. In this study, the level of spiritual care needs was divided into five fields such as 'love and fellowship', 'hope and peace', 'meaning and purpose of life', 'acceptance of death' and 'relationship with God' and was investigated. As a result, the love and fellowship was the highest level in group of nurses (r = 3.82) and the relationship with God was the lowest one (r = 2.73). In contrast, a group of nursing students showed that love and fellowship was the highest level (r = 3.92) and relationship with God was the lowest (r = 2.99) among five fields. There were statistical significances between nurses and nursing students in 'acceptance of death' and 'relationship with God' (p < 0.05). When looking at correlation between fields of spiritual needs of nurses, the correlation between 'meaning and purpose of life' and 'hope and peace' was the highest (r = .699) and the correlation between 'relationship with God' and 'hope and peace' was the lowest (r = .247). As the result of analysis on correlation between fields of spiritual needs of nursing students, the correlation between 'meaning and purpose of life' and 'hope and peace' was the highest (r = .660) and the correlation between 'acceptance of death' and 'relationship with God' was the lowest (r = .277). Therefore, it would be imperative to develop a more efficient and systemized education program for the spiritual care of nursing patients, on the basis of understanding the spiritual needs of nurses and nursing students.

A study for the standardization of dental hygiene terms (치위생 용어 표준화를 위한 방안 연구)

  • Hwang, Ji-Young;Cho, Min-Jeong;Park, Young-Nam;Lim, Soon-Ryun;Hwang, Soo-Jeong;Oh, Sang-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.627-633
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    • 2010
  • Objectives : The purpose of this study was to compare and analyse periodontal terminology of 16 dental hygiene textbooks including periodontology, dental prophylaxis for the standardization. Methods : 16 kinds of major publications were classified into the following criteria. - the standardization of translation, orthography, classification Results : 1. There are twelve cases, all told, of words with same origin used as different explanation and interpretation. Mucogingival Junction is most translated as '치은점막 경계' with high percentage of 53.8%, while Probe is translated as '치주낭 측정기' with 41.7% and Acquired Pellicle is translated as '획득피막' with 57.1%. In addition, Stippling is interpreted as '점몰' with high percentage of 70%, and Supine Position is interpreted as '수평자세' or '앙와위' with 33.3%. Yet, Pen Grasp is explained differently in all five books, whereas Modified Pen Grasp is explained as '변형 연필 잡기법' with 57.1%. The rest, Palm Thumb Grasp and Adaptation, have different interpretation in books, requiring unified interpretation of terms. 2. There are two cases of loanwords expressed according to orthography. Implant is expressed as '임플란트'(87.5%) and '임프란트'(12.5%). Scaling is expressed as '스켈링'(40.0%) and '스케일링'(60.0%). 3. There are four cases of same terms classified in a different way. Classification of 'Probing시 압력' and '치주인대섬유군' concurs only 50.0% in six books. '치석제거 시술자의 위치' is classified differently in all six books, while '정상치은 열구 깊이' concurred 45.5% in books. Conclusions : In conclusion, related academic majors and writers should provide cohesive explanation and interpretation of terms for unification of terminology in the field of periodontics as well as higher level of understanding and learning opportunities for students. Furthermore, description of all terms should be reviewed and analyzed comprehensively based on existing classification criteria in order to provide best standard explanation.

Effect on Oral Health and Child Oral Health-related Quality of Life through School-based Toothbrushing Program in School after 42 Months (42개월 경과시점의 양치교실사업이 구강건강과 아동 구강건강관련 삶의 질에 미치는 효과)

  • Cho, Min-Jeong;Koong, Hwa-Soo;Hwang, Soo-Jeong;Song, Eun-Joo;Choi, Yu-Kyoung
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.139-144
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    • 2012
  • Daejeon school-based toothbrushing program using toothbrushing room started at 2007. Ministry of Health and Welfare started national toothbrushing room program without pilot project at 2011. The aim of this study was to provide the basic data to assess of the effect of this program. 59 experimental subjects and 60 control subject were selected after written consent. Oral Examination was done by 1 dentist using WHO standard and Survey of Child Oral Health-Related Quality of Life(COHIP), oral health knowledge and oral health behavior were done using self-registration form. We analyzed the result after adjusting economic status and subjective for the difference between experimental and control groups using SPSS 19.0. The experimental group had lower plaque index, better COHIP and more oral health knowledge significantly(p<0.05). But, The significance was not found in dental caries index and oral health behavior. We suggested the oral health education program and other dental caries prevention program including sealants were needed to prevent dental caries, although school-based toothbrushing program could improve COHIP.

A Study on Actual Conditions of Leisure Time and Service Satisfaction of Community-dwelling Elderly -Focused on Buyeo (지역사회거주 노인의 여가시간활용과 바우처사업 서비스 만족도에 관한 연구-부여군을 중심으로)

  • Jeon, Byoung-Jin;Lee, Jae-Shin;Kwon, Mi-Hwa
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.25-35
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    • 2012
  • Objective : This study conducted in rural areas, elderly services voucher business and leisure satisfaction survey based on data from the use of community-dwelling older people considering service needs was to find ways to take advantage of leisure time. Methods : Buyeo county residents in this study 71 patients were elderly, the characteristics of elderly gender, the presence of spouse, health status, education level, monthly living expenses, number of children, occupation, and the variables were included. Subjects' self-esteem, life satisfaction, quality of life, program satisfaction questionnaire for the survey were used, t-test and correlation analysis using the correlation between each factor were analyzed. Results : In a survey of participants in leisure activities, TV watching, meeting friends, such as phone calls to static and time-consuming activities were surveyed about satisfaction of the voucher business, the elderly oral health care services, health screening services, sports massage such as health-related services is relatively high degree of satisfaction. Conclusion : The results of this study of elderly people in rural communities through meaningful leisure time were utilized to determine what is lacking, a strong desire for health-related services that could be confirmed. Therefore, further experience and knowledge about activities by providing opportunities for meaningful leisure time needs to improve, and it based on a variety of programs to meet the needs of the elderly should be provided.

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Influencing and Mediating Factors in Stroke: Based on 2007-2012 Korea National Health and Nutrition Examination Survey (뇌졸중의 영향 요인과 매개요인)

  • Bae, Seung-Geun;Lee, Sung-Kook;Han, Chang-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.418-428
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    • 2015
  • This study conducted influencing and mediated effect on stroke to lead correct health behavior of stroke patients and tried to provide preliminary data of stroke prevention. It used stage 4 and 5 data of a national health and nutrition examination survey, analysis method was frequency analysis, Chi-square test, multiple logistic regression and structural equation modeling. In case of male, factors affecting to stroke were age, job, self-related health, alcohol, hypertention and diabetes. In case of female, age, job, self-related health, stress level and hypertention affected to stroke. In tested results on whether or not mediated effect of preceding disease exists, 5.80 difference in ${\chi}^2$ between partial mediated modeling and full mediated modeling was statistically significant(p<0.01). Therefore, partial mediated modeling was adequate to this study. We need preventive health education for changing wrong health behaviors and policy that strengthens health care network. If someone has preceding disease, they need long-term diagnosis for health condition and continuous improvement in life style.

Prevalence of Oral Diseases, Socioeconomic Factors and Health Behaviors in Korean Adults - Data from the National Health and Nutrition Examination Survey, 2005 - (구강질환과 사회경제적요인 및 보건의식행태와의 관련성 - 2005년도 국민건강영양조사를 바탕으로 -)

  • Park, Hyun-Jung;Cha, Eun-Shil;Kong, Kyoung-Ae;Lee, Won-Jin
    • Journal of Technologic Dentistry
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    • v.30 no.2
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    • pp.121-133
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    • 2008
  • The purpose of this study was to evaluate the role of socioeconomic factors and health behaviors on the prevalence of oral diseases(dental caries and periodontal disease) among Korean adults. Data from the 2005 National Health and Nutrition Examination Survey was analyzed for adults aged over 19 years (n=25,215). Oral disease was defined as disease diagnosed by a dentist for the previous 12 months. Chi-square test and logistic regression analysis were used to conduct statistical analysis. The population without dental caries and periodontal diseases were used as the reference category for all analysis. The overall prevalence of annual dentist-diagnosed dental caries and periodontal diseases were 23.5% and 10.6% respectively. The relative risk of developing dental caries for graduates of middle school and lower were 1.53 times (95% CI: 1.24-1.89) more likely to develop dental caries comparing to college graduates. Low income earners were 1.23 times(95% CI: 1.01-1.49) more likely to develop dental caries than high income earners. Persons covered by national medical insurance were 1.45 times(95% CI: 1.08-1.95) more likely to develop dental caries comparing to persons covered by employee medical insurance. Compared with persons not eating snacks, the risk of developing caries in persons eating snacks once a day was 1.16(95% CI: 1.01-1.32), while those who snacked twice or more a day were 1.19(95% CI: 1.01-1.41). The relative risk of developing periodontal disease was 3.71(95% CI: 2.38-5.80) higher in older individuals than younger. In terms of education level, middle school graduates and lower were 1.54 times more likely to develop periodontal disease than college graduates. Low income earners were 1.47 times more likely to develop periodontal diseases than high income earners. Using data from a large, nationally representative sample of Korean populations, we support the hypothesis that the prevalence of oral diseases is related with socioeconomic factors and health behaviors. More intensive intervention efforts to reduce the prevalence of dental diseases are warranted in Korea.

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A Comparative Study on the Perception of the Impediment Factors between Mothers and Nurses in Nursery (모유수유 저해요인에 대한 산모와 신생아실 간호사간의 인식정도 비교 연구)

  • Lee, Mi-Ja
    • Women's Health Nursing
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    • v.1 no.1
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    • pp.138-152
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    • 1995
  • The condition of nutrition during infancy will greatly affect infants' physical, emotional growth, especially breast feeding is important in their growth and development, and emotional stability, too. Despite such advantages of breast-feeding, its rate has continued to fall year after year in Korea : the 95% rate in 1960's has fallen to 25.4% in 1990. It is known that such a downfall of breast-feeding rate is associated with various factors. The purpose of the study is to examine mother's and nurses' in nursery perception of the impediment factors of breast-feeding : to compare those between of breast-feeding : to compare those between two groups : to provide fundamental data for developing strategies for increasing breast-feeding. The subjects were 45 new mothers from one hospital and the same number of nurses sampled from 3 university hospitals, in Seoul. The data were collected for 11 days from April 12 to April 23, 1994 and a questionnaire was developed based on the interview with 14 nurses and 10 mothers and the literature reviews. Liker's Five-Point Scale was used as measurement. The Data were analyzed using SPSS / PC and descriptive statistics, t-test, ANOVA. The results of study are as follows : 1) Most new mothers get the information about breast-feeding from their mothers, books or newspaper, and relatives in rank than professionals(nurses or doctors). 2) The impediment factors the breast-feeding are categorized as mothers, hospital system, medical personnels and social factors. The most frequently mentioned impediment factors from mothers are 'Difficulty by operational wounds'(3.13), 'Lack of will for breast-feeding'(3.47), 'Insufficient rest and sleep'(3.52) and 'Opposition from husband or his family members'(4.77)in rank. On the other hand those factors from nurses are 'Inadequate nipple condition'(2.37), 'Decreasing milk secretion given medicine after operation'(2.63), 'Mothers knowledge deficit by poorly prepared education'(2.79) and 'Mothers abhorance of breast-feeing'(3.87) in rank. 3) As for the hospital system, the highly perceived impediment factors by mothers are 'Seperation of baby from mother after birth'(2.78), 'Lack of space for breast-feeding in the hospital'(2.93), 'Lack of facility for informing the time for breast-feeding'(3.18) and 'Because of babys' preference artificial nipple by being accustomed to it in hospital(3.97), in rank. Meanwhile, those from nurses are "Seperation of baby from mother after birth",(1.92), "Inconsistency between hospital's nursing time and mother's breast secretion time" scretion time(2.97), "Lack of space for breast-feeding in the hospital"(3.39), and "Lack of facility for informing the time for breast-feeding"(3.74) 4) As for the medical personnels, the highestly perceived Impediment factor from mothers in "Lack of professional nurses for breast-feeding"(2.96), and the lowestly perceived one is "Doctors' reluctance"(4.75). Nurses perceived same as mothers, too. 5) As for the social factors, the highestly perceived impediment factor by mothers and nurses is "Inconvience of social activities"(2.83) and the lowestly ones are "The sense of self-sacrifice"(4.22) by mothers, and "The sense of old fashioned"(4.13) by nurses. 6) The difference of the perception of impediment factors between mothers and nurses is statistically significant only in mother factor.

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Lecture Note of a Thoracic Surgeon, Fifty More Years Ago (50여년 전 한 흉부외과 의사의 강의록)

  • Kim, Won-Gon
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.807-812
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    • 2009
  • The late Professor Lee CB (1915~1967) was one of the pioneers in the early stages of thoracic surgery in Korea while he was in charge of the Department of Thoracic and Cardiovascular Surgery at Seoul National University hospital as the first director from 1957 until he died of liver cancer in 1967. He was a graduate from the old Seoul National University, and he dedicated himself to the field of lung surgery after he joined the army during the Korean War, which broke out in 1950. Among his many contributions to pulmonary surgery, he performed the first partial lung resection in Korea in 1953. His lecture notes were recently found. These lecture notes for medical students were written by hand in late 1950s, Considering the content and form of the lecture notes, they are thought to have very significant historical value. The lecture notes were a total of 277 pages on general thoracic surgery and cardiovascular surgery with 75 self-drawn figures. This study was intended to facilitate a better understanding of the history of thoracic surgery in Korea, and especially for young thoracic surgeons. These notes may well contribute to the field of Thoracic and Cardiovascular Surgery in Korea.

The Economic Impact of a Rural Hospital to Local Economy (한 병원이 지역사회에 미치는 경제적 영향 분석)

  • Kang, Im-Ok;Lee, Sun-Hee;Kim, Han-Joong
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.4 s.55
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    • pp.831-842
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    • 1996
  • Demand for high quality medical care has recently been increasing in step with high level of income and education. Patients prefer the use of large general hospitals to small community hospitals. Large hospitals, usually located at urban area, expand their capacities to cope with the increasing demand, therefore, they easily secure revenue necessary for growth and development of hospitals. However, small community hospitals are facing with serious financial difficulties caused from the reduction of patients in one hand and the inflation of cost in another. If small rural hospitals were closed, the closure would have negative impacts on local economies in addition to the decrease in access to medical care. Community leaders should have an insight on the contribution of community hospitals to local economies. They could make a rational decision on the hospital closure only with the understanding of hospital's contribution to the community. This study is designed to develop an economic model to estimate the contribution of rural hospital to local economies, and also to apply this model with a specific hospital. The contribution of a hospital to local economies consists of two elements, direct effect and multiplier effects. The direct impacts include hospital's local purchasing power, employee's local purchasing power, and the consumption of patients coming from outside the community. The direct impact induces multiplication effect in the local economy. The seed money invested to other industries grows through economic activities in the region. This study estimated the direct effect with the data of expenditure of the case hospital. The total effect was calculated by multiplied the direct effect with a multiplier. The multiplier was drown from the ratio of marginal propensity of income and expenditure. Beside the estimation of the total impacts, the economic effect from the external resources was also analyzed by the use of the ratio of patients coming outside the region. The results are as follows. 1. The direct economic contribution of the hospital to the local economy is 1,104 million won. 2. The value of multiplier in the region is 2.976. 3. The total economic effect is 3,286 million won, and the multiplication effect is 2,182 million won. 4. The economic contribution from the external resources is 245 million won which is 7.5% of the total economic effect.

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South Korean and Japanese intention to use automated external defibrillators in out-of-hospital cardiac arrest situations (일반인의 AED 사용에 관한 한·일 비교 연구)

  • Leem, Seung-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.17-27
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    • 2014
  • Purpose : The purpose of the study is to investigate the factors influencing using AED use in South Korea and Japan. Methods : I conducted a questionnaire survey from February 25 to March 4, 2013, receiving responses from 517 people in Korea and 520 people in Japan. The questionnaire included sociodemographic factors, history of heart disease, AED knowledge, and other variables. A logistic regression analysis was conducted. Results : Among the 517 Korean respondents, 220 (42.6%) intended to use AEDs. Among the 520 Japanese respondents, 384 (74.4%) had similar intentions. Multiple logistic regression analysis found the following significant predictors of intent to use AEDs: gender (odds ratio [OR] = 0.419), household income (OR = 0.991), and AED knowledge (OR = 2.833) in Korea; and gender (OR = 0.582), age (OR = 0.968), cardiac disease history (OR = 2.099), and AED knowledge (OR = 2.984) in Japan. Conclusion : It would be helpful to teach AED use to encourage performing public access defibrillation. In addition, it is necessary to design AED education programs based on country-specific factors.