• Title/Summary/Keyword: institutional care

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Musical Actor's Projection Pattern and Treatment System (뮤지컬 배우의 배역 투사 양태와 치유 시스템)

  • Kim, Jeong-Seob;Lee, Eun-Hye
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.504-512
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    • 2016
  • This study was performed to explore the institutional treatment system by analyzing the pattern of musical actor's projection and aftereffect subsequent to the completion of performance. In-depth interviews were conducted with 22 top-class musical actors and actresses of the Republic of Korea. The result of the survey indicated that most actors and actresses suffer from projection and it's aftereffect such as depression for more than one month after performance, and that they tend to rely on self-healing based on self-diagnosis rather than seeking for professional counselling. The symptoms of projection were shown more strongly when the actors or actresses were taking on the role of main character, or acting as a negative or realistic character, or when expressing strong and extreme emotions. In this era of Korean culture, the result of this study implies that our country have to establish the actor's mental caring-related new law and private care centers supported enough funds to encourage the actors to receive more effective actor-friendly treatment service before and after the performance.

The relationship between dental hygiene problems and dental hygiene planning according to oral health status (구강건강상태에 따른 치위생문제와 치위생계획의 연관성)

  • Kang, Hyun-Kyung;Kim, Yu-Rin
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.665-674
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    • 2018
  • Objective: The purpose of this study was to reduce the burden on dental hygienists in performing dental hygiene processes in the clinic. This study systematically analyzed dental hygiene problems and dental hygiene planning according to the oral condition of patients by applying an oral health care program based on the dental hygiene process. Methods: This study analyzed influential factors of 17 dental hygiene problems and 12 dental hygiene plans according to the oral health index and charts of 185 patients. This study was approved by the Institutional Review Board (IRB No. 1041449-201801-HR-003) of Silla University. The frequency of dental hygiene problems and dental hygiene planning was analyzed and correlations among the oral health index, dental hygiene problems, and dental hygiene planning were analyzed. Results: The higher the bleeding on probing score was, the more scaling was planned. The higher the calculus rate was, the more air-jet and jaw joint disorder prevention education was planned. The higher the O'Leary index was, the more dietary education and air-jet was planned. The higher the Simplified Oral Hygiene Index was, the more air-jet and jaw joint disorder prevention education was planned. The higher the Periodontal Screening and Recording index was, the more scaling and professional tooth cleaning was planned (p<0.05). Conclusions: The burden of oral preventive duties on dental hygienists will be minimized by systematically establishing problems and planning of dental hygiene according to patients' oral health index scores. Therefore, it is expected that dental hygienist can actively use the dental hygiene process in oral health care programs.

Korean Longitudinal Study of Ageing: Research Design for International Comparative Studies (고령화연구패널조사의 국제비교연구 활용 가능성)

  • Boo, Ka-Chung;Chang, Ji-Yeun
    • Survey Research
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    • v.7 no.2
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    • pp.97-122
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    • 2006
  • Korean Longitudinal Study of Ageing(KLoSA)', launched in 2006, has developed a research network with 'Health and Retirement Study(HRS, US),' Studies on Health and Retirement in Europe(SHARE, EU),' and 'English Longitudinal Study of Ageing(ELSA, UK)'and tried to construct a mega data library. The KLoSA team has designed their research with focusing on the following three points, in order to use KLoSA for international comparative studies. First, KLoSA shares the key research areas such as family structure, health, employment, income, asset, subjective expectations with the comparable studies. Second, KLoSA team has developed the instrument to reflect the Korean culture and institutions. They considered the institutional characteristics in public pension and health care system and in employment practices. They also counted the cultural conventions in family life such as financial management and care exchange, Finally, KLoSA tries to capture the psychological characteristics of the Korean elderly by making the measurement scales more understandable.

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Nutritional Assessment of ICU Inpatients with Tube Feeding (경관급식을 공급한 중환자실 환자의 영양상태 평가)

  • Kim, Yu-Jin;Seo, Jung-Sook
    • Journal of the Korean Dietetic Association
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    • v.21 no.1
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    • pp.11-24
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    • 2015
  • This study investigated the general status of tube feeding for intensive care unit (ICU) inpatients and evaluated the consequent nutritional status of patients. This study was approved by the Institutional Review Board (IRB) of a general hospital located in Daegu metropolitan city. The subjects of this study were 80 adult patients who had been admitted to the ICU of a hospital, received fed tube feeding, and then been discharged. The differences in nutrition screening indicators, including percentage ideal body weight (PIBW), serum albumin, hemoglobin, total lymphocyte count, and total cholesterol, before and after tube feeding according to body mass index (BMI) or nutrient feeding levels were investigated. The ratios of actually provided amounts to calorie and protein requirements of patients were $72.8{\pm}15.8%$ and $72.6{\pm}19.8%$, respectively. The change in PIBW before and after tube feeding was significantly different among the BMI groups (P<0.01). The change in hemoglobin concentration before and after tube feeding was also significantly different among the BMI groups (P<0.01). When subjects were divided into three groups (<60%, 60~79%, ${\geq}80%$) according to the ratio of actually provided calories to required calories, there was no significant difference in nutrition screening indicators before and after tube feeding. When the subjects were divided into three groups (<60%, 60~79%, ${\geq}80%$) according to the ratio of actually provided protein to required protein, serum albumin concentration showed a significant difference among the groups before and after tube feeding (P<0.05). Therefore, an intensive nutrition intervention program would be needed for the nutritional improvement of ICU inpatients receiving tube feeding.

The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds (500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

Predictors of Intensive Care Unit Morbidity and Midterm Follow-up after Primary Repair of Tetralogy of Fallot

  • Egbe, Alexander C.;Nguyen, Khanh;Mittnacht, Alexander J.C.;Joashi, Umesh
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.211-219
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    • 2014
  • Background: Our objectives were to review our institutional early and midterm experience with primary tetralogy of Fallot (TOF) repair, and identify predictors of intensive care unit (ICU) morbidity. Methods: We analyzed perioperative and midterm follow-up data for all cases of primary TOF repair from 2001 to 2012. The primary endpoint was early mortality and morbidity, and the secondary endpoint was survival and functional status at follow-up. Results: Ninety-seven patients underwent primary repair. The median age was 4.9 months (range, 1 to 9 months), and the median weight was 5.3 kg (range, 3.1 to 9.8 kg). There was no early surgical mortality. The incidence of junctional ectopic tachycardia and persistent complete heart block was 2% and 1%, respectively. The median length of ICU stay was 6 days (range, 2 to 21 days), and the median duration of mechanical ventilation was 19 hours (range, 0 to 136 hours). By multiple regression analysis, age and weight were independent predictors of the length of ICU stay, while the surgical era was an independent predictor of the duration of mechanical ventilation. At the 8-year follow-up, freedom from death and re-intervention was 97% and 90%, respectively. Conclusion: Primary TOF repair is a safe procedure with low mortality and morbidity in a medium-sized program with outcomes comparable to national standards. Age and weight at the time of surgery remain significant predictors of morbidity.

A Study on the Family Reunion Experience of Adults Discharged from Childcare Welfare Facilities - Grounded Theory Approach - (아동양육시설 퇴소 성인들의 원가족 재회 경험 연구: 근거이론(Grounded Theory) 연구 접근)

  • Hwang, Suyon
    • Korean Journal of Family Social Work
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    • no.60
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    • pp.31-71
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    • 2018
  • This study focused on analysis of experience for adults' reunion with original family members who had lived in child care facilities during the childhood and adolescence. It was researched based on the grounded theory from nineteen participants have interacted with their own separated family members for more than ten years after had been reunited with them. As written in the result section of the study using the paradigm model analysis showed that it was caused by feel regret by reunion, absence of belonging and repeated abandoned wound. The contextual condition appeared as sensitive memories as wounded and frustration of compensation mentality. The centralization phenomenon came in a whirlpool of emotion. The intervention condition appeared as recognition of filial piety, support system for parents and healing their parents mind. The action-interaction showed up as revenge with good will, setting own boding free, inspire of own pride, family reconciliation. The consequence appeared as family sublimation, successful execution of life task and getting living foundation. This research made practical and political proposals based on above result and described the limitations of the study and the proposals for the latter study.

Conditions for Integrated Public Welfare Delivery System: Case Studies in Britain (통합적 공공 복지전달체계를 위한 조건: 영국 사례 연구)

  • Kim, Bo-Yung
    • 한국사회정책
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    • v.25 no.2
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    • pp.403-428
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    • 2018
  • There has been constant attempts for integration of public welfare delivery system which lead to integrated case management, then this become more significant issue regarding 'community care' recently in Korea. However, most of them was limited to fractional organization rearrangement or more use of private resources rather than realising user-centred approach. Therefore, in this research, we would like to do a couple of case studies in Britain which has rich experience of reforms for integrated approaches between health and social services and Troubled Family programme resembles the integrated case management in Korea by visiting a London Borough and a local council respectively. In conclusion, we found three conditions are required to establish successful integrated delivery system: elimination of institutional barriers relating to workforce, organization, and finance; shared objectives and partnership among the professional groups and agencies; and information sharing system with technical support regarding individual cases.

Effect of oral health-related factors on oral health knowledge, attitude, and practice of college students (일부 대학생의 구강건강관련요인이 구강보건지식, 태도, 실천에 미치는 영향)

  • Lee, Su Bin;Yoon, Jeong Weon;Seong, Mi Gyung;Lee, Min Kyung;Kim, Ye Hwang;Lee, Jung Hwa
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.124-129
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    • 2018
  • Objectives: The objectives of this study were to investigate the effects of oral health-related factors on the oral health knowledge, attitude, and practice of students of the Department of Dental Hygiene major, Health-related major, General major, and to provide primary data to improve the oral care ability of university students. Methods: After institutional review board approval, the study was conducted from May 15 to December 1, 2017. All 363 university students in Busan completed a questionnaire. In total, 332 questionnaires were analyzed. Thirty-one cases were excluded due to unreasonable responses. Data were analyzed using SPSS version 24.0. Results: Analysis of the factors related to knowledge, attitude, and practice of oral health according to the major field of study of the respondents indicated that students in the Dental Hygiene major demonstrated significantly better results. Conclusions: It is necessary to determine a way to manage the oral health of university students. In addition, voluntary participation of universities to improve oral health of university students is desirable. It is also necessary to establish national health policies and a national health care education curriculum for university students.

Comparison of the general health status and oral health status between inexperienced and experienced groups of recent dental preventive treatment: The Seventh Korea National Health and Nutrition Examination Survey, 2016-2017 (최근 치과예방처치 무경험군과 경험군의 전신건강상태와 구강건강상태 비교 : 국민건강영양조사 제7기(2016-2017년) 자료를 활용하여)

  • Kim, Yu-Rin
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.4
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    • pp.545-554
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    • 2019
  • Objectives: The purpose of this study was to compare the general health status and oral health status based on periodical dental preventive experience, and to find methods for regular dental prophylaxis, using the data obtained from the $7^{th}$ National Health and Nutrition Survey. Methods: This study was performed using data collected from the $7^{th}$ National Health and Nutrition Examination Survey (KNHANES). A total of 9,015 participants were selected for the study. Statistical analysis was performed using SPSS 21.0, with data obtained from a complex sampling design, and a significance level of 0.05 was set. General characteristics of the participants, oral health status, and recent preventive dental treatment were examined for a complex sampling frequency analysis, and the differences in distribution were analyzed using chi-square test. Results: The group that recently under went dental prophylaxis, when compared to the group that had not under gone dental prophylaxis recently, reported several 'no obstacles' for all items of the EQ-5D (p<0.05). Moreover, the group that recently underwent dental prophylaxis used all the oral care products (p<0.05). Conclusions: It is necessary to actively expand institutional supervision so that regular dental preventive measures can be undertaken to promote oral health that affects general health.