• Title/Summary/Keyword: inclusive care

Search Result 51, Processing Time 0.034 seconds

The effect of a physical promotion program on health-related quality of life in older adults (노인의 신체활동 증가가 건강관련 삶의 질에 미치는 영향)

  • Lim, In-Hyuk;Um, Ki-Mai;Kim, Hyun-Sook
    • Journal of Korean Physical Therapy Science
    • /
    • v.13 no.3
    • /
    • pp.55-64
    • /
    • 2006
  • Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors on physical activity & health-related quality of life outcomes in older adults. The physical activity promotion program guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. A six-month comparison-group trial was conducted with older adults in community senior center. Changes in self-reported physical activity & health-related quality of life(SF-36) by group & within group were evaluated using t-test. Of 30 subjects, 22(73%) completed the trial. Subjects were aged 63 to 75 years(mean=$68.36{\pm}4.02$); 86% were female. The intervention group increased estimated caloric expenditure by 1975 calories/week in moderate intensity activities(MET${\geq}3.0$; p=.008), and by 2312 calories/week in physical activities of any intensity(p=.005). Between-group analyses showed that the changes were significantly different in both measures(p=0.17; p=032). The intervention group also significantly better scores on general health perception(p=.031) & vitality(p=.002). Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

  • PDF

Quality assurance of dental care and appropriate supply of dentists in view of the increasing inflow of dental graduates from abroad (해외교육 치과의사의 국내유입에 따른 치과 의료의 질 보장 및 치과의사의 적정수급 - 일본과 중국을 중심으로 -)

  • Shin, Je-Won;Kim, Yun-Jin;Kim, Kyung-Nyun;Kim, Kack-Kyun;Lee, Jae Il
    • The Journal of the Korean dental association
    • /
    • v.55 no.1
    • /
    • pp.7-20
    • /
    • 2017
  • The purpose of this study is to analyze the data on the medical personnel education system and license scheme and provide the basic material for an enhanced qualification system. In China, dental education reform has been underway with a view to providing an inclusive basic medical service package to the whole country by 2020. It is also estimated that the number of Korean dental medicine students in China would be fewer. And most of them desire to get a job in China after acquiring the Chinese license, suggesting little prospect of a massive inflow into Korea in the near future. In Japan, students are required to complete a clinical training program for over 1 year after receiving licenses to become an independent practitioner. But they can apply for the Korean preliminary examination without this post-graduation process. For this reason, the quality issue in license effectiveness review has been seriously discussed. It is deemed desirable to limit the Korean accreditation to Japanese graduates from the dental schools certified by the Japanese dental accreditation body.

  • PDF

Reclamation and Soil Improvement on Ultra Soft Soil (I) - Reclamation (초연약지반의 매립 및 지반개량 사례 연구 (I) - 매립)

  • Na, Yung-Mook;Hong, Eui;Han, Jung-Soo
    • Journal of the Korean GEO-environmental Society
    • /
    • v.6 no.1
    • /
    • pp.23-31
    • /
    • 2005
  • The "Silt Pond" is 180 hectares in size and contained ultra soft slurry-like soil varying between 3 to 20 meters in thickness. Reclamation works in the Silt Pond commenced in the mid of 1990s. A considerable amount of subsurface investigation inclusive of sampling, field vane and density logging tests were carried out prior to the reclamation of the Silt Pond. Since material in the Silt Pond is extremely soft, filling was done by spreading sand with high water content in thin and equal thickness lifts, allowing the stability of the slurry-like foundation. Despite the extreme care taken, failures occurred during the sand spreading phase. A large piece of high strength geotextile measuring $900m{\times}700m$ was placed to strengthen the slurry like soil foundation at locations where the ultra-soft soil was found to be exposed. Following the remedial works, the Silt Pond was again reclaimed by sand spreading up to +4.0m CD. The success of the reclamation was confirmed by marine CPT profiling.

  • PDF

A Study on Factors Infulencing Teachers' ADHD Coaching (교사의 ADHD코칭에 대한 영향요인 분석 연구)

  • Choi, Yeon-Sook
    • Journal of the Korea Convergence Society
    • /
    • v.9 no.11
    • /
    • pp.333-343
    • /
    • 2018
  • The ADHD, a common condition of childhood onset, is of critical educational and social concern at every level of school. Investigating the determinants of teachers' ADHD coaching and their relative importance is important for improving teaching and counseling practice in inclusive education setting. Based on three hundred and fifty three survey responses from elementary, junior and high school teachers, this research examines the impact of knowledge level, facilitating condition, cooperation with parents, attitude of teachers toward teachers' ADHD coaching. Statistical analysis shows that the knowledge level and facilitating condition influence the level of teachers' attitude, and that attitude has some impact on the cooperation level with parents, at 5% significance level. The cooperation with parent, one of two precedence factors of ADHD coaching, was identified to be significant, but attitude was shown to be nonsignificant predictor of ADHD coaching. A brief discussion concerning the critical needs of teachers is also presented.

Study on Childcare Teachers' Changes of Disability Awareness and Childcare Experience through the Training for Disability Awareness (장애아 통합어린이집 일반교사의 장애인식 및 보육경험에 관한 연구)

  • Won, Young Mi;Jeon, Ji Hye
    • Korean Journal of Child Education & Care
    • /
    • v.18 no.1
    • /
    • pp.169-192
    • /
    • 2018
  • This study aims to investigate the changes of their recognition and childcare practices before and after the training for disability awareness targeting class teachers in inclusive childcare setting. Subjects of this study were 9 teachers and the data was collected from 3 focus group (3 persons per group) and personal interviews in case of study needs. The results of this study are as follows: childcare teachers appealed ignorance and fear of children with disabilities before learning to improve their disability awareness, and have learned from the non-prejudiced attitudes of non-disabled children. The need for understanding and knowledge of children with disabilities was high, and they voluntarily and actively participated in the education for the improvement of disability awareness. Since participating in education, teachers have shown changes in perceptions of children with disabilities and changes in the way they practice childcare for disabled children. As regards cognition, teachers have become more interested in and understanding of children with disabilities and have tried to treat them equally with non-disabled children. Regarding the practice of childcare, they practiced the integrated program together with the non-disabled child and the disabled child through cooperative partnership. They also provided the disability awareness education to the non-disabled children and provided the partial integrated childcare program flexibly in one class according to the situation. The results of this study were analyzed and discussed about the general childcare teachers' experience related to the education for improving disability recognition and caring at childcare setting.

Ethnosientific Approach of Health Practice in Korea (한국인의 건강관행에 대한 민속과학적 접근)

  • 김귀분;최연희
    • Journal of Korean Academy of Nursing
    • /
    • v.21 no.3
    • /
    • pp.396-417
    • /
    • 1991
  • In order that nursing care an essential quality of nursing practice be acceptable and satisfying, it is necessary that client's culture be respected and that nursing practice be appropriate to that culture. Since cultural elements are an important influence on health practices and life patterns related to medical treatment, recovery from and prevention of disease, nurses need to have an understanding and knowledge of social and cultural phenomena to aid in the planning of nursing interventions. To understand the health practices surrounding health and illness, the health beliefs and practices of both folk and professional healing systems should be ascertained. Cultural data are required to provide care of high quality to clients and to reduce possible conflict between the client and the nurse. It is nursing's goal to provide clients from various cultures with quality nursing care which is satisfying and valuable. The problem addressed by this study was to identify Korean health practices which would contribute to the planning of professional caring practice with the culture : ultimately this study was intended to make a contribution to the development of the science of nursing. The concrete objectives of this study were ; 1) to identify Korean health practices, 2) to interpret the identitial health practices through traditional cultural thought, and 3) to compare the Korean health practices with those of other cultures. The investigator used the ethnosceintific approach outlined by spradly in a qualitative study. To discover ancestral wisdom and knowledge related to traditional health practeces, the subjects of this study were selected from residents of a small rural mountain village in south west Korea, a place considered to be maintaining and transmitting the traditional culture in a relatively well -preserved state because of being isolated from the modern world. The number of subjects was 18, aged 71 to 89. Research data were collected from January 8 to March 31, 1990. Five categories of health practices were identified : “Manage one's own mind”, “Moderation in all thing”, “Live in accord with nature”, “Live in mutuality with others”, and “Live to the best of one's ability”. Values derived from these ways of thinking from Confucianism, Taoism and Buddhism help fashion a traditional way of life, examplified by the saying “Benifience to all”. Korean thought and philosophy is influenced primerily by Confucianism, Confucian principles of ethics, embedded deeply in the peoples' minds, form the idea that “heaven and human being are intimately united” based on concept that “heaven is, so to speak, reason”. Twoe Gae's theory of existential subjectivity develops the concept of self which is the basis of the spirit of reverence in modern Confucian philosophy. The human md is granted from heaven out of the idea of matter, and what control the mind is the spirit of reverence. Hence the idea of “The primacy of the mind" and provided that one should control one's own mind. The precepts of duty to parents, respect for elders and worship of ancestors, and moderation in all behavior put a restraint on life which directed that one live earnestly according to Nature's laws with their neighbors. Not only Confucianism, but also Buddism and Taoism have had an important effect upon these patterns of ideas. When compared with western culture, Korean health practices tend to be more inclusive, abstract and intuitive while westerner health practices found to be mere concrete, practical and personal. Values and beliefs based and pragmatism and existentialism infuence western civilization, Ethical values may be founded on utilitarianism, which considers what is good for the persons in their circumstances as the basis of conduct and takes a serious view of their practical lives including human aspirations rather than an absolute truth. These philosophical and ethical ideas are foundations for health practices related to active, practical and progressive attitudes. This study should be enable nursing not only to understand clients as reflections of the traditional culture when planning nursing practice, but to dovelop health education corresponding to cultural requiments for the purpose of protection against disease and improvement of health, and thus promote sound health practice. Eventually it is hoped that through these processes quality nursing care as the central idea of the science of nursing will be achieved.

  • PDF

Association between the Pattern of Prophylactic Antibiotic Use and Surgical Site Infection Rate for Major Surgeries in Korea (예방적 항생제 사용 양상과 수술부위감염률의 관련성)

  • SaKong, Pil-Yong;Lee, Jin-Seok;Lee, Eun-Jung;Ko, Kwang-Pil;Kim, Cheol-Hwan;Kim, Yoon;Kim, Yong-Ik
    • Journal of Preventive Medicine and Public Health
    • /
    • v.42 no.1
    • /
    • pp.12-20
    • /
    • 2009
  • Objectives : The purpose of this study was to analyze the association between the pattern of prophylactic antibiotic use(PAU) and the surgical site infection(SSI) rate for major surgeries in Korea. Methods : We retrospectively reviewed the medical records of patients who underwent cardiac, colon and gastric surgery, hysterectomies and hip/knee replacements at 20 hospitals, and inclusive of over 500 beds. We randomly sampled 60 cases per surgery type for patients discharged between September and November, 2006. A total fo 2,924 cases were included in our analysis. Cox's proportional hazard analysis was conducted to evaluate the association between the pattern of PAU and SSI rate. Results : The proportion of patients who received their first prophylactic antibiotics(PA) 1 hour before incision was 65.5%, who received inappropriate PAs was 80.8%, and the proportion of patients whose PA was discontinued within 24 hours of surgery was 0.5%. The average duration of PAU after surgery was 9 days. The relative risk(RR) of SSI in patients who received their first PA more than 1 hour before incision was significantly higher than for those who received it within 1 hour prior to incision(RR=8.20, 95% CI=4.81-13.99). Inappropriate PA selection increased SSI rate, albeit with marginal significance(RR=1.97, 95% CI=0.96-4.03). Also, prolonged PAU following surgery had no effect on SSI rate. Conclusions : These results suggest that the pattern of PAU in the surgeries examined was not appropriate. Errors in the timing of PAU and of PA selection increase SSI rate. SSI rate remained unaltered following prolonged PAU after surgery.

A Basic Study for the Introduction of Green Prescription and Establishment of Policy System in Korea - Through Comparative Analysis of U.K. and U.S. Cases - (국내 녹색처방 도입과 정책체계 수립을 위한 기초연구 - 영국과 미국 사례 비교 분석을 통해 -)

  • Kim, Hyo-Ju;Jung, Hae-Joon
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.52 no.4
    • /
    • pp.104-119
    • /
    • 2024
  • The burden of medical expenses and the loss of social capital due to chronic diseases are becoming problems worldwide, and comprehensive and inclusive measures across various fields are required to prevent and manage their impacts. Social prescriptions have been shown to be effective in resolving the fundamental causes of health problems in patients with chronic diseases and in supporting existing treatments. In particular, green prescriptions that utilize the healing effects of nature and green spaces based on social prescriptions are being introduced in many countries overseas. Green prescription is the practice of a healthcare provider recommending activities in green spaces or experiences in the natural environment to patients for the prevention and management of chronic diseases. This study analyzed cases focusing on the policy system, the cases of the United Kingdom and the United States, which have introduced and operated green prescriptions under a national system. For this purpose, this study compared the background of green prescription introduction, related policies, and operation methods. Based on this, four implications were proposed to establish an effective plan for introducing green prescriptions in Korea. First, prior to establishing a policy for green prescriptions, interest in and research on green prescriptions are essential. Second, an implementation plan that fits the national health care system should be established, and policies should support the plan. Third, the introduction of green prescriptions from a long-term and gradual perspective is required. Fourth, comprehensive cooperation is required for the introduction and implementation of the green prescription system. This study can be used as basic data for discussion before introducing green prescriptions in Korea in the future.

The Effect of 「Introduction to Special Education」 on the Understanding of Integrated Education and the Performance of Integrated Education of Elementary School Pre-service Teachers (특수교육학개론 수강이 초등예비교사들의 통합교육 인식과 통합교육 수행 능력 인식에 미치는 영향)

  • Kyung-ho Lee
    • Journal of the Health Care and Life Science
    • /
    • v.9 no.2
    • /
    • pp.285-295
    • /
    • 2021
  • In the university of education that trains teachers, elementary school pre-service teachers understand the importance of integrated education and complete 「Introduction to Special Education」 as an essential subject for teaching knowledge so that they can perform integrated education well in the school field. Therefore, this paper has examined whether elementary school pre-service teachers understand integrated education well through 「Introduction to Special Education」 and whether their ability to perform integrated education has improved. In this study, 55 fourth-grade students taking 「Introduction to Special Education」 at the university of education were selected as experimental groups and questioned their understanding of integrated education and their ability to perform integrated education twice before and after taking the class. The research results are as follows: First, the perception of elementary school pre-service teachers about the integrated education changed statistically significantly and positively in all areas and points. And next, the ability of elementary school pre-service teachers to conduct the integrated education improved statistically significantly. These findings show that elementary school pre-service teachers can better understand integrated education and provide a foundation for conducting integrated education well in the field by completing 「Introduction to Special Education」 at universities.

학교도서관 발전의 저해요인에 관한 실증적 고찰 -일학교장의 학교도서관에대한 인식을 중심으로-

  • 김남석;김정소
    • Journal of Korean Library and Information Science Society
    • /
    • v.7
    • /
    • pp.1-55
    • /
    • 1980
  • It has been observed that the purpose of education is poorly coordinated with the school library. Consequently a healthy growth of the library has been very rare, and educational process has been rather inefficient. Therefore this study attempts to define the role of a school library and the necessasity of its growth, examine principals' concepts of the library, find out the adverse causes for its growth, and make some suggestions to rectify them. A questionnaire was designed to get information on the principals' conceptions about the nature and the role of a school library, a librarian, and adverse causes for the growth of the library. This study is largely based on the analysis of this questionnaire. The results of this study may be summarized as. follows: 1) The school library is not generally considered as the center of educational activities. It is rather variously regarded as a subsidiary organization for education, a place where reading materials are offered, a place where books are kept, or a reading room. 2) This was largely due to the misconceptions of the principals as to the true nature and the role of the school library. 3) The degrees of their misconceptions varied depending on the amount of their exposure to the library science. Those principals who studied library science more hours had better understanding of the library. 4) Although the principals showed rather much concern for the library, the school library was not up to the expectation largely due to their misconception of it. 5) Most of the principals felt that they needed more knowledge on library science to carry out their job. This feeling was stronger for those who spent more hours in a library science course. 6) Most of the principals wanted to offer a position for a dual function: a librarian and a teacher. This was largely due to their lack of knowledge as to the duties of a librarian-which were considered as secondary to the duties of a teacher. 7) The majority of the principals thought the librarians were not paid well enough, but some of the principals o n.0, pposed their pay raise. The former generally took more courses in library science than the latter. 8) Many principals agreed that the adverse causes for the growth of the school library originated from the regional or governmental school authorities. This seemed to indicate that the legal requirements for the library were inadequate and that there was no administrative organization to take care of the library. 9) Most of the principals considered the insufficient funds as the major reason for the present poor condition of the library. But considering the fact that some libraries are better equi n.0, pped that others, financial matter cannot be the deciding factor. It rather seemed that there is some serious problems in the current educational system. For further studies in this field and for the libraries to function properly, the following suggestions are made here: 1) The major adverse cause for the healthy growth of the school library was found in the misconceptions on the school library by the principals, and these misconceptions were largely due to their lack of knowledge. Therefore they should be given more o n.0, pportunities to take courses in library science. 2) The librarian should not be overburdened with other duties than what his job duly calls for, and they should be properly compensated for their own job. They should also be encouraged to grow as librarians. 3) Education itself should be improved so that the library becomes the center of learning. 4) An administrative department should be created to oversee the school libraries, and legal measures should be enacted for better school libraries. 5) Financial su n.0, pport should be provided for a period of time in order to upgrade the school library to a certain level. Finally it is strongly felt that more detailed and inclusive studies in this field should be carried on and further experimental studies should be done.

  • PDF