• 여성건강간호학회지
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• 제11권2호
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• pp.110-119
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• 2005

Purpose: The purpose of this study was to illuminate the life experiences of 10 Korean men with HIV. Method: This is qualitative research using a grounded theory methodology. Result: A core category - enduring under the yoke of HIV and 5 subcategories emerged: Accepting the fact of HIV infection unwillingly with shock, Conflict between the secret concealment and disclosure, Resisting social prejudice and discrimination, Change of the daily life and management of health, Remembering their past lives without HIV and reconstructing their own lives with HIV. Conclusion: The findings contributed to understanding the HIV/AIDS illness experiences among men with hetero & homo sexuality, and revealing the prejudice against HIV in Korean society. The results have very important implications for health care professionals working with HIV-positive men.

• 대한조현병학회지
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• 제24권2호
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• pp.45-51
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• 2021

The coronavirus disease 2019 (COVID-19) pandemic has drastically impacted our society and health care system. People with schizophrenia are more vulnerable to this burden of illness and related societal changes. In addition, they are more susceptible to the transmission of COVID-19 and have a significantly higher mortality rate compared to the general population. In a recent study, vaccinated patients with schizophrenia showed a greatly decreased mortality level similar to that of the general population. However, patients with schizophrenia were less likely to be vaccinated. Mental health professionals should provide them with appropriate information on prevention strategies against COVID-19 and vaccination. Long-lasting social distancing and social disconnection can make people with schizophrenia more vulnerable to loneliness and depression. Furthermore, patients with schizophrenia may face challenges continuing psychiatric treatment due to the COVID-19 pandemic. Social support and suitable mental health services using novel technologies should be developed and provided to patients with schizophrenia.

• Journal of Preventive Medicine and Public Health
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• 제50권2호
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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.

• Tuberculosis and Respiratory Diseases
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• 제81권4호
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• pp.261-273
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• 2018

Chronic obstructive pulmonary disease (COPD) results in high morbidity and mortality among patients nationally and globally. The Korean clinical practice guideline for COPD was revised in 2018. The guideline was drafted by the members of the Korean Academy of Tuberculosis and Respiratory Diseases as well as the participating members of the Health Insurance Review and Assessment Service, Korean Physicians' Association, and Korea Respiration Trouble Association. The revised guideline encompasses a wide range of topics, including the epidemiology, diagnosis, assessment, monitoring, management, exacerbation, and comorbidities of COPD in Korea. We performed systematic reviews assisted by an expert in meta-analysis to draft a guideline on COPD management. We expect this guideline to facilitate the treatment of patients with respiratory conditions by physicians as well other health care professionals and government personnel in South Korea.

• 의학교육논단
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• 제20권2호
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• pp.72-77
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• 2018

Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

• 한국치위생학회지
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• 제22권5호
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• pp.425-435
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• 2022

Objectives: This study aimed to examine the opinions of registered dental hygienists (RDH) and dental hygiene students (DHS), professionals who can practice visiting oral health care (VOHC), and the demand for specialized training courses of RDH for VOHC. Methods: Using a Google online survey, 125 RDH and 106 DHS personnel were surveyed on their perception of VOHC and the operation of special training courses. Results: RDH (97.6%) and DHS (96.1%) agreed that they needed VOHC for older people. Moreover, the qualification course for specialized training for VOHC was considered necessary. Regarding the appropriate curriculum, RDH preferred training programs comprising 2-hours classes over 6 months and 15 weeks and so on, and DHS preferred 3 hours classes over 6 months and 15 weeks and so on. Regarding the desired working type, the RDH preferred the half-day system, whereas the DHS preferred the alternate-day system. The Korean Dental Hygienists Association was intended for human resource development. They agreed that continuing education was necessary when working as a visiting RDH, and many responded that they would participate if a specialized training course was opened. Conclusions: RDH and DHS have a high level of awareness of the importance and necessity of VOHC, and consider a specialized training qualification course necessary for efficient VOHC.

• 중환자간호학회지
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• 제5권2호
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• pp.37-48
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• 2012

Purpose: The purpose of the study was to evaluate how advanced practice nurses (APNs) recognized their work by analyzing nursing outcomes. The ultimate goal was to examine the utility of APNs by connecting their work to the outcomes. Methods: Cross-sectional survey was conducted to collect the data from 59 APNs in a tertiary hospital lovated in Seoul, Korea. The questionnaire with 84 outcome indicators for advanced practice nurses was used. Descriptive statistics were used to analyze the data. Results: Among 84 outcome indicators, 11 indicators were associated with the work of APNs. Majority of these findings were included in the categories of clinical results and satisfaction. Items identified to be associated with the work of APNs were different among oncology nursing area, surgical speciality area, emergency care area, and critical care area. Conclusion: The results of the study indicated that the works of APNs were relevant to education/counseling/training and interpersonal relationship with other health professionals. The results of the study could be helpful to delineate the work characteristics of APNs and increase the utility of APNs in Korea where roles of APNs are not yet clearly delineated in most clinical settings.

• 한국응급구조학회지
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• 제9권2호
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• pp.29-38
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• 2005

The purpose of this study was to provide the basic data for improvement of Emergency Medical Service System in Kwangju. The EMSS can be defined as the complete chain of human and physical resources that provides patient care in cases of sudden illness and injury. To provide effective emergency care through the EMSS in a region, the issue of training especially as it relates to EMT in EMSS delivery is more important than emergency medical equipment and facilities for pre-hospital emergency care. The transport of emergency medical patients carried out almost by 119 Emergency Medical Services. But out of all the employees at 119 EMS only 19.0% have graduated with a major in Emergency Medical Technology. It would seem prudent then that the graduates of EMT programs should gradually replace employees working at 119 EMS that do not have an EMT degree to ensure the best possible pre-hospital care for emergency medical patients. Therefore it can be expected that in the future there should an enormous demand for qualified EMT professionals to meet the growing needs for a superior level of emergency medical care for civilian.

• 한국콘텐츠학회논문지
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• 제18권6호
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• pp.155-168
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• 2018

본 연구의 목적은 의료산업에 블록체인 기술의 도입을 위한 블록체인 특성을 살펴보기 위함이다. 이를 위해 독립변수인 블록체인 특성은 선행연구를 기반으로 하여 5가지(보안성, 가용성, 신뢰성, 다양성, 경제성)을 사용하였다. 그리고 매개변수와 종속변수는 새로운 기술도입을 위한 수용의도 연구에서 널리 사용되는 기술수용모델(TAM)을 활용하였다. 연구의 목적을 위하여 의료분야에 종사하는 사람을 의료제공자로 구분하고 일반인을 의료소비자로 구분하여 설문조사를 실시하고 상호 비교분석을 실시하였다. 그 결과 전체 응답자, 의료제공자, 의료소비자 모두 가설1-1(보안성-지각된 용이성-수용의도), 가설2-1(보안성-지각된 유용성-수용의도), 가설 3-1(보안성-지각된 용이성-지각된 유용성-수용의도)이 기각됨이 확인되었다. 추가적으로 의료소비자는 블록체인 특성(가용성, 신뢰성, 다양성, 경제성)이 용이성과 유용성을 거쳐 수용의도로 가는 가설3-2에서 가설 3-5 모두 기각되었다. 이를 통해 블록체인의 특성이 지각된 용이성과 지각된 유용성을 통해 수용의도로 감에 있어 의료제공자와 의료소비자 간의 차이가 있음을 확인할 수 있었다. 본 연구의 결과는 지금까지 블록체인의 활성화를 위한 연구에서 거의 이루어지지 않은 실증분석을 통하여 활성화 방안을 제시했다는 점에서 의의를 가진다 할 것이다.

• Journal of Korean Biological Nursing Science
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• 제2권2호
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• pp.20-37
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• 2000

The purpose of this study was to investigate the relationships between the differentials in life styles and their effect on the epidermal facial tissue in order to provide a basis for health professionals so that they might better be able to maintain and promote healthy skin care and further delay the premature ageing of the epidermal facial tissue. The subjects consisted of 145 females of various ages who visited skin care room in cerming health promoting behaviors(Park In sook's Profile) and questions on their behavioral practices pertaining to personal skin care were used. The investigation also ess of the four parts of the epidermal facial tissue studied. All data collected wee entered into the SAS program and analyzed for frequency, percentages, the utilized Pusan. The study dates ranged from May 1, 1998 to May 30, 1998. The methods used for this investigation were a questionnaire survey consisting of general objective questions. The questions con a "skin analyzer" to measured levels of moisturizing hydrated, facial oils, and roughnmean, t-test, ANOVA, and Pearson Correlation Coefficients. The results of this study were as follows ; 1. Epidermal facial oil was at its highest levels in the chin area with additional decreasing levels in the forehead and nose regions. The least regions were those of the cheeks. The highest levels of hydration on the other hand started with the forehead followed by the area of the chin, the cheeks and the lowest level of epidermal facial hydration was in the region of the nose. 2. The average score of the performance in the health promoting behaviors variable was 139.51. The variables with the highest degree of the performance were rest and sleeping(35.71). The lowest degree was hiegenic life(23.44). 3. The relationship health promoting behaviors and epidermal condition was not correlated with oil, hydration and roughness of the skin surface. 4. Skin care behavioral characteristics related to epidermal condition were washing style and temperature of washing water. 5. General characteristics related to epidermal condition were occupation, education level, acne and melasma. In conclusion, this study showed that several factors were significant in the behavior of skin care. Clear knowledge of both internal and external factors which affect the epidermal condition will help women to pursue active and appropriate practices in their health behaviors and skin care.