• Title/Summary/Keyword: health care professional

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A Study on Maternity Aids Utilization in the Maternal and Child Health and Family Planning (농촌(農村)에 있어서 분만개조요원(分娩介助要員)의 봉사(奉仕)에 의(依)한 모자보건(母子保健)rhk 가족계획(家族計劃)에 관(關) 연구(硏究))

  • Yeh, Min-Hae;Lee, Sung Kwan
    • Journal of Preventive Medicine and Public Health
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    • v.5 no.1
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    • pp.57-95
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    • 1972
  • This study was conducted to assess the effectiveness of service by maternity aids concerning maternal and child health in improving simultaneously infant mortality, contraception and vital registration among expectant mothers in rural Korea, where there is less apportunity for maternal and child health care. It is unrealistic to expect to solve this problem in rural Korea through professional persons considering the situation of medical facilities and the socioeconomic condition of residents. So, we intended to adopt a system of services by maternity aids who were educated formally among indigenous women. After the women were trained in maternal and child health, contraception, and registration for a short period, they were assigned as a maternity aids to each village to help with various activities concerning maternal and child health, for example, registration of pregnant women, home visiting to check for complications, supplying of delivery kits, attendance at delivery, persuasion of contraception, and invitation for registration and so on. Mean-while, four researchers called on the maternity aids to collect materials concerning vital events, maternal child health, contraception and registration, and to give further instruction and supervision as the program proceeded. A. Changes of women's attitude by services of maternity aid. Now, we examined to what extent' such a service system to expectant mothers affected a change in attitude of women residing in the study area as compared to women of the control area. 1) In the birth and death places, there were no changes between last and present infants, in study or control area. 2) In regard to attendants at delivery, there were no changes except for a small percentage of attendance (8%) by maternity aid in study area. But, I expect that more maternity sids could be used as attendants at delivery if they would be trained further and if there was more explanation to the residents about such a service. 3) Considering the rate of utilization of sterilized delivery kit, I am sure that more than 90 percent would be used if the delivery kit were supplied in the proper time. There were significant differences in rates between the study and the control areas. 4) Taking into consideration the utilization rate of the clinic for prenatal care and well baby care, if suck facilities were installed, it would probably be well utilized. 5) In the contraception, the rate of approval was as high as 89 percent in study area as compared to 82 percent in the control area. 6) Considering the rate of pre-and post-partum acceptance on contraception were as much as 70 percent or more, if motivation to use contraception was given to them adequately, the government could reach the goals for family planning as planned. 7) In the vital registration, the rate of birth registration in the study area was some what improved compared to that of the control area, while the rate of death registration was not changed at all. Taking into account the fact that the rate of confirmation of vital events by maternity aids was remarkably high, if the registration system changed to a 'notification' system instead of formal registration ststem, it would be improved significantly compared to present system. B. Effect of the project Thus, with changes in the residents' attitude, was there a reduction in the infant death rate? 1) It is very difficult problem to compare the mortality of infants between last and present infants, because many women don't want to answer accurately about their dead children especially the infants that died within a few days after birth. In this study the data of present death comes from the maternity aides who followed up every pregnancy they had recorded to see what had happened. They seem to have very reliable information on what happened in first few weeks with follow up visitits to check out later changes. From these calculaton, when we compared the rate of infant death between last and present infant, there was remarkable reduction of death rate for present infant compare to that of last children, namely, the former was 30, while the latter 42. The figure is the lowest rate that I have ever heard. As the quality of data we could assess by comparing the causes of death. In the current death rate by communicable disease was much lower compare to the last child especially, tetanus cases and pneumonia. 2) Next, how many respondents used contraception after birth because of frequent contact with the maternity aid. In the registered cases, the respondents showed a tendency to practice contraception at an earlier age and with a small number of children. In a comparison of the rate of contraception between the study and the control area, the rate in the former was significantly higher than that of the latter. What is more, the proportion favoring smaller numbers of children and younger women rose in the study area as compared to the control area. 3) Regarding vital registration, though the rate of registration was gradually improved by efforts of maternity aid, it would be better to change the registration system. 4) In the crude birth rate, the rate in the study area was 22.2 while in the control area was 26.5. Natural increase rate showed 15.4 in the study area, while control area was 19.1. 5) In assessment of the efficiency of the maternity aids judging by the cost-effect viewpoint, the workers in the Medium area seemed to be more efficiency than those of other areas.

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Dental hygienist, the relationship between empowerment and organizational commitment (치과위생사의 임파워먼트와 조직몰입의 관계)

  • Lee, Hye-Kyung;Kim, Mi-Jeong;Yim, Youn-Sil
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.645-654
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    • 2010
  • Objectives : This study provides dental care organization that is responsible for services of dental hygienists to measure levels of empowerment and organizational commitment to. The impact of empowerment on organizational commitment is a variable that has to validate the improvement of organizational commitment of dental hygienists to have been studied for the suggestions. The study period 2009 July 1 to August 30 at Jeonju Jeollabuk dental material and dental hygienists are working in medical institutions to target a total of 336 copies (88.4%) and for analysis of the data was studied. Methods : For data analysis SPSS (Statistial Package for the Social Science) WIN 12.0 program using frequency analysis, T-test and One-way ANOVA test, Pearson's correlation coefficient, linear regression analysis was conducted through the following. Results : 1. Demographic characteristics (education, salary, age, workplace), the empowerment and organizational commitment as the decisive factor affecting the level was a significant difference. 2. Education, salary, age and demographic characteristics of the working period of the empowerment uimiseong, yeokryangseong, self-determination, but no significant differences in impacts factors, work factors, not only was a significant difference uimiseong. 3. Demographic characteristics (education, salary, age, duration of employment, workplace), the affective commitment, normative commitment, ever, ever commitment and showed significant differences remain. 4. The higher the level of empowerment of the subjects that were higher organizational commitment, was a significant difference. 5. Empowerment and Organizational Commitment of subjects related factors were analyzed in all the variables showed a significant correlation between. Conclusions : Dental health agencies that provide services of dental hygienists to improve empowerment and organizational commitment to develop a structured management program, a dental hygienist job dental hygienist program and professional standards for the continuous and systematic research. That will be needed.

Elements and Application of "SmartHome" Concept for Older Adults in USA (미국에서 노인을 위한 "스마트홈(SmartHome)" 개념의 요소와 적용)

  • Moon, Changho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.4
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    • pp.7-14
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    • 2011
  • This paper is intended to suggest some reference materials for future elderly housing design, especially smart home, in Korea, by reviewing the elements and applications of smart home concept for older adults in USA. Research method includes collecting materials by attending the regular SmartHome$^{(R)}$ part meeting, the navigation of related homepages, and the analysis of collected materials. Current researches in Korea look initial stage and show some general principles without practical concept & technologies of elderly facilities. SeniorSmart$^{(R)}$ Center in USA started on August 2007 with the 3 parts of SmartHOME$^{(R)}$, SmartWHEELS$^{(R)}$ and SmartBRAIN$^{(R)}$. The Center has been doing various multidisciplinary research projects but slowing down the planned processes due to national economic recession. The major researches of SmartHome$^{(R)}$ part can be summarized as follows; CS-PFP( Continuous Scale Physical Function Performance) laboratory is being in operation to help older adults and families make the difficult decision regarding the ability and safety to live independently. Three levels of necessary laboratories from uninhabited space to senior living environment were accommodated for field research. As core technologies of SmartHome$^{(R)}$, predicting & warning system of fall risk on recognizing gait signature patterns to identify any deviation from the normal patterns of the older adults, home monitoring system which will send alerts to a specified relative and/or health care professional when vital signs of the older adults will not be within normal parameters, and Mobility & Research Clinic for evaluating, treating the older adults & multidisciplinary research are under development. SmartHome$^{(R)}$ has made collaborative research agreements for field laboratory with various retirement communities and also is continuing to work for experimental software engineering with the Fraunhofer Institute, Germany.

A Study on the Composition and Design Characteristic in the Lobby of the Special Hospital - Focused on the Woman Special Hospital - (전문병원 로비공간의 구성요소 및 디자인적 특성에 관한 연구 - 여성전문병원을 중심으로 -)

  • Lee, Eun-Jeong;Lee, Sang-Ho
    • Korean Institute of Interior Design Journal
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    • v.15 no.5 s.58
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    • pp.193-201
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    • 2006
  • In according as the social action of women is active, the average life span is longer than male, not only woman's social position is higher, but also the construction of the more professional woman special hospital Is increased. In occasion to the recent woman special hospital, give medical treatment about pediatrics and the breast surgery as well, and the sphere is increasing as compose the variety network, from the health medical center to check the woman's physical to the postpartum care center. The trend of the lobby is arranged the more service area as the concept of the woman hospital is changed, the sphere is increasing. Accordingly, this study research and analyze the service zone and design elements on the focus the lobby of the internal woman special hospital, have an intention of guideline about the interior design of the after woman hospital. As the subject of study, selected the hospital that lobby serves to show the identity of total space, and the woman special hospital that is introduced to the relation journal with architecture or interior design, is opened after 2000 years, below the 100 bed. As the study method, understand the composition of lobby space through floor analysis, examination by the visit, analyzed the arrangement constituent, the design trend. The direction of lobby space mentioned in the study result is that secure the publicness, guarantee the privacy zone, and is important that the adequate arrangement of commercial space contribute to client's mental stability, desire that inflected as the more positive communication place.

A Case Study on Corporate Social Responsibility(CSR) of Domestic Cosmetics Companies (국내화장품기업의 사회공헌활동(CSR)에 대한 사례분석)

  • Yoon, Jin-Suk;Lee, Jae-Ha
    • Journal of Convergence for Information Technology
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    • v.8 no.5
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    • pp.219-228
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    • 2018
  • The purpose of this study is to analyze the cases of social contribution activities of cosmetics companies and to suggest directions for related activities to be continued more effectively in the future. The case was analyzed through the report, public information, and interview with the person in charge. The main results derived from previous studies and case studies. First, social contribution activities of cosmetics companies are performed in a variety of ways such as education, business, medical care, health, environmental protection, culture, art, donation etc. Second, corporate social contribution activities and diversity were found to be highly correlated with firm size. Third, the effectiveness of social contribution activities can be enhanced through collaboration with social enterprises and professional organizations. Forth, strategic approach to social contribution activities, systematic public relations, and CEO's sense of responsibility have a major influence on related activities. Based on the results of this study, it has been suggested that CSR activities of cosmetics companies can be made more effective.

An Exploration of the Experience of Compassion Fatigue in Nurses Working with Oncology Patients (암환자를 돌보는 병동 간호사의 공감피로 경험 탐색)

  • Kim, Soo Hyun;Kim, Min Ah
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.581-593
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    • 2020
  • This study aimed to understand experiences of compassion fatigue reported by nurses providing services to oncology patients and families. We conducted in-depth interviews with 8 nurses currently working in oncology. Three main themes and 13 subthemes were extracted from the thematic analysis suggested by Braun and Clarke. Participants experienced compassion fatigue while feeling the sufferings transferred from patients and caregivers. The stress resulted from unique nature of oncology work added to their compassion fatigue. Participants became running low on empathy towards oncology patients and caregivers because of external work environments and negative perceptions on compassion. The results of the study inform health care professionals about increasing awareness of compassion fatigue of nurses working with oncology patients and families and the importance of providing interventions to promote their individual and professional quality of life.

Risk indicators related to periimplant disease: an observational retrospective cohort study

  • Poli, Pier Paolo;Beretta, Mario;Grossi, Giovanni Battista;Maiorana, Carlo
    • Journal of Periodontal and Implant Science
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    • v.46 no.4
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    • pp.266-276
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    • 2016
  • Purpose: The aim of the present study was to retrospectively investigate the influence of potential risk indicators on the development of peri-implant disease. Methods: Overall, 103 patients referred for implant treatment from 2000 to 2012 were randomly enrolled. The study sample consisted of 421 conventional-length (>6 mm) non-turned titanium implants that were evaluated clinically and radiographically according to preestablished clinical and patient-related parameters by a single investigator. A non-parametric Mann-Whitney U test or Kruskal-Wallis rank test and a logistic regression model were used for the statistical analysis of the recorded data at the implant level. Results: The diagnosis of peri-implant mucositis and peri-implantitis was made for 173 (41.1%) and 19 (4.5%) implants, respectively. Age (${\geq}65$ years), patient adherence (professional hygiene recalls <2/year) and the presence of plaque were associated with higher peri-implant probing-depth values and bleeding-on-probing scores. The logistic regression analysis indicated that age (P=0.001), patient adherence (P=0.03), the absence of keratinized tissue (P=0.03), implants placed in pristine bone (P=0.04), and the presence of peri-implant soft-tissue recession (P=0.000) were strongly associated with the event of peri-implantitis. Conclusions: Within the limitations of this study, patients aged ${\geq}65$ years and non-adherent subjects were more prone to develop peri-implant disease. Therefore, early diagnosis and a systematic maintenance-care program are essential for maintaining peri-implant tissue health, especially in older patients.

A Study on the Legal Aspect of Concept for the Acupuncture and Moxibustion in Traditional Korean Medical Practice: based on Judicial Precedent (침구의료행위의 의미에 관한 법학적 고찰: 판례분석 중심의 접근)

  • Lee, Mee-Sun;Kim, Kun-Hyung;Kim, Jae-Kyu;Lee, Byung-Ryul;Yang, Gi-Young
    • Journal of Acupuncture Research
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    • v.28 no.5
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    • pp.19-27
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    • 2011
  • Objectives : The purpose of this study is to describe the concept of the acupuncture and moxibustion in traditional Korean medical practice and to identify the meaning and potential rearrangement of the acupuncture and moxibustion. Methods : The study was performed by analyzing 136 cases of lawsuit in the year between 1968 and 2010 which were selected among the acupuncture and moxibustion in traditional Korean medical practice. Results : According to court rulings, the acupuncture and moxibustion in traditional Korean medical practice is an act to diagnose a person's illness, prescribe and treat to cure based on traditional Korean medicine, to be understood as a medical care in traditional Korean medicine, to have some factor to create or increase danger to preservation of health or hygiene, and to be practiced by medical specialists based on their professional knowledge. But, such definition is not proper and exceedingly vague. Besides medical circumstances in traditional Korean medicine are changing, the enlargement of definition of the acupuncture and moxibustion is required. Conclusions : The meaning and scope of the acupuncture and moxibustion in traditional Korean medical practice should be modified and amended, reflecting these conditions.

Education Satisfaction by Students in Department of Radiologic Science according to Educational System (학제에 따른 방사선(학)과 학생의 교육만족도)

  • Gil, Jong-Won;Choi, Sung-Oog
    • Journal of the Korean Society of Radiology
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    • v.10 no.5
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    • pp.343-349
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    • 2016
  • This study evaluated the education satisfaction targeting a total of 600 people including 300 students from Department of Radiology (collage) and 300 students from Department of Radiology (4 years college) in Daejeon and Gyeongsangbuk-do regions from April 8, 2015 to June 18. As a result, the students from Department of Radiology of 4 year collage have higher satisfaction than collage(p<0.001). Also, although male students and lower grades had higher educational satisfaction but only significant from partial items(p<0.05, p<0.01, p<0.001). To higher the education satisfaction of the students of Department of Radiology of 3-year collage, development and application of new and professional industrial-educational cooperation programs rather than having various subjects would be more effective method.

Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review

  • Ock, Minsu;Lim, So Yun;Jo, Min-Woo;Lee, Sang-il
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.2
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    • pp.68-82
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    • 2017
  • Objectives: We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI). Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them. Results: There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI. Conclusions: The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.