A physician's empathy plays a crucial role in patient-centered care, and in modern medicine, patients, their caregivers, and society demand a high level of empathy from healthcare providers. The conceptualization of clinical empathy, which has emphasized cognitive empathy since the mid-20th century, has been widely accepted in medical schools and the healthcare industry without much critical ref lection. This study provides an overview of the ongoing debates on empathy versus sympathy and cognitive empathy versus affective empathy to clarify the concept of empathy. Based on recent research findings, clinical empathy is proposed to encompass three components: cognitive empathy, affective empathy, and empathic motivation. It is suggested that fully demonstrating these components requires empathic communication skills. Additionally, the cognitive characteristics of medical students and the features of the academic environment demonstrate the need for education to strengthen their empathy skills. Considering this, proposed intervention methods that medical schools can consider include utilizing tutoring programs and debriefing processes for team activities, which can facilitate problem-solving as a coping strategy for stress. Learning communities can create an environment where students can receive social support and recover from stress. Medical schools can contribute to the development of students' professional identities as practicing clinicians who embody empathy and respect by cultivating professors as positive role models. Additionally, utilizing scales to assess the empathic nature of doctor-patient communication or incorporating patients and caregivers as evaluators can actively improve empathic communication skills.
Korean Journal of Construction Engineering and Management
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v.21
no.2
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pp.79-87
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2020
The Korean domestic construction management at risk (CMAR) market is in the process of completing the pilot project execution under the leadership of the Ministry of Land, Infrastructure and Transport as of December 2019. The government starts practicing CMAR an alternative delivery method widely in order to diversify delivery methods and enhance construction technology. The CMAR market is thus expected to grow. This study was conducted to improve CMAR firms' capability by developing self-assessment tools for them to evaluate current capability more effectively. As a result of defining standard core capability and additional elements categorized by project execution phase and management area, and performing evaluation from the CMAR project participants, it was found that the general project management capability in the pre-design and procurement phase and quality management area was lower compared to the construction phase and other areas. In addition, the capability of cost management area was lower in spite of its high importance. Communication and coordination, process optimization, and target values achievement were at the initial level of capability and continuous improvement was required.
Objectives: The purpose of this study is to find out practicing the health promotion behaviors and the factors relating their health promotion behavior between high school students who live in dormitory and the one who live in their house. Method: This study was carried out by using with questionnaire answered by 1,572 students. Some students are from two academic high schools, and the others are from two girl's high schools in Northern Kyungpook Province from the 27th through 30th of June 2005. Among them, 1,562were included in final analysis. The collected data was analyzed through frequency and percentage, mean and standard deviation, chi-square test, t-test and multiple regression. The data was analyzed using a SPSS/win ver. 12.0. Results: Analysis showed that the total score of practicing health promotion behaviors was 115.1. In case of male students, the score for students in dormitory was 119.6 and the one attending school from house was 114.9(p<0.05). In case of female students, score for students in dormitory was 113.7, and the score for students who live in house was 114.7. According to the data from multiple regression of analysis which has the health promotion behavior practice as a subordinate variable, in male students' case the degree of health promotion behavior practice becomes type of live in a dormitory, high in proportion to their parents' interest in health, disease of student and family, perceived health status, and the perceived self efficacy and the perceived benefit of the health promotion behavior. As to the female students, their health behavior practice becomes level of family economics, high in proportion to their parents' interest in health, perceived health status, and the perceived self efficacy and the perceived benefit of the health promotion behavior. Conclusions: On consideration of above findings, through the systematic development of health education program, we induced to desirable direction for the changeable factors of actions to health promotion for the health. and through the connective guidelines between the school and the home, we have to adapt to effective health promotion program for the health management of the young boys and girls.
Kim, Ji-Sun;Jang, Eun-Mi;Jun, Hae-Jin;Choi, Young-Eun;Ahn, Duck-Hyun;Kim, Yong-Kwon
Journal of Korean Physical Therapy Science
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v.10
no.2
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pp.173-183
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2003
The purpose of this study was to provide information for making positive interpersonal relations by understanding the degree of difficulties of interpersonal relations that physical therapist students may have on clinical practice. The survey results of 175 students who completed clinical practice for the first term of 2003. The survey was conducted through mail or e-mail between July 20 and August 20, 2003. The data were analyzed frequency, percentage, t-test, and one-way ANOVA using the SPSS/PC Ver. 10.0 (${\alpha}=0.05$). The results were as follows; 1. The mean score for the level of points interpersonal relations was 41.06 points in full 80 points. Therefore most students had a little problem on interpersonal relations. 2. More difficulties of interpersonal relations were felt by students in the following order; clinical instructors, patients, other students, and other department staffs in the hospital. 3. Between students and clinical physical therapist in the hospital, most students were satisfied with a instructor's attitude toward there (61.1%). 4. Between students and other department staffs in the hospital, most students were felt convenient when faced with other staffs(61.8%). 5. Between students and patients in the hospital, most students didn't uncomfortable when they made a rapport(69.2%). 6. Between students and other college students, most students were didn't inconvenient when they were practicing together(69.8%). 7. The students with higher marks in major felt more difficulties for forming personal relations with other department staffs in hospital, patient, and other students(p<0.05). 8. The students showed more felt inconveniences over 8 weeks practicing than below 7 weeks itperiods of clinical practice(p<0.05). 9. The number of practice place were significantly difference according to relation of patients, other college students(p<0.05). More less practice place were made difficult of interpersonal relations. The further studies would be made in viewpoints to clinical instructors, patients, students, others department staffs in the hospital so that we could compare our results with theirs.
Journal of agricultural medicine and community health
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v.22
no.2
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pp.183-193
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1997
The status of health behaviors was surveyed in the random sample of 824 farmers (men 318, women 506) aged 40 years and older in Ulju-Gun, Kyungsangnam-Do. The data were collected by personal interview using structured questionnaire. The prevalence of individual health practices by sex(men/women) was 44.4%/45.0% in sleeping 7 or 8 hours; 92.7%/89.9% in eating breakfast almost every day; 82.7%/83.8% in eating between meals rarely or once in a while; 40.6%/88.1% in no drinking; 37.4%/86.6% in no smoking; 4.7%/5.6% in doing physical exercise regularly; 89.0%/80.0% in maintaining desirable weight for height (body mass index<25kg/$m^2$); 3.9%/23.2% in doing these health practices six or more The level of practicing health behaviors and perceiving their own health status was lower than the data from the residents in Pusan City. Therefore it could be expected to improve the health status of the residents in rural are through the effort to make them taking more interest in practicing health behaviors.
Background: The objective of the study was to determine the knowledge, attitude and behaviors of the practicing dentists regarding tobacco cessation counseling (TCC) in Chhattisgarh state and also the barriers that prevent them from doing so. Materials and Methods: The study was conducted among dental practitioners of Raipur district, Chhattisgarh state (India). The sampling frame was registration with the State Dental Council and practicing in Raipur district. A questionnaire was personally administered and the practitioners were given explanations regarding how to complete it. Only descriptive statistics were calculated (SPSS version 16 for Windows). Results: Based on the responding dentists' self reports, 76% were not confident in TCC, 48% did not assume TCC to be their responsibility, 17% considered that it might have a negative impact on their clinical practice, whereas 24% considered it might take away precious time from their practice, 25% considered TCC by dentists to be effective to a considerable extent and 80% considered TCC activities are not effective due to lack of formal training, 69% considered dental clinics as an appropriate place for TCC but 82% thought there must be separate TCC centre and 100% of the dentists wanted TCC training to be a part of practice and that it should be included in dental curriculum. Some 95% of them were of the view that tobacco products should be banned in India and 86% responded that health professionals must refrain from tobacco habits so to act as role models for society. Conclusions: Dental professionals must expand their armamentarium to include TCC strategies in their clinical practice. The dental institutions should include TCC in the curriculum and the dental professionals at the primary and the community health care level should also be trained in TCC to treat tobacco dependence.
The purpose of this study is to investigate the experience of abortion and practice of contraception in view of preventive in order to analysis the degree of family planning according to the sex & number of actual children. We collected data on married conceptive women who are resident in Seoul and from 20 age to 49 age. This was carried out from 26 July, 1993 to 25 August, 1993. This collected data was analyzed through x² Logistic regression using SAS/PC/sup +/and SPSS/PC/sup +/. The analyzed results are as follow. 1. Those who answered "son is not positively necessary"are only 15.7% among investigated women. 2. The percentage of practicing contraception was 68.2%, in case of 30s' women it was 74.3% and most high. Also, in view of religion, the percentage of practicing contraception of Buddihist was most low as 61.54% (p<0.05). 3. The portion of those who had sons more than four who used permanent. method of contraception is most high(83.3%), in terms of composition, while the ratio of those who have only son is 60.7%, the ratio of those who have only daughter was only 14.3%. 4. In order to investigate the independent variable affecting practice of contraception, we analysed data with Logistic regression analysis. The result of this analysis is as follows: the older(p<0.01) woman is and the higher the level of education of woman(p<0.05), the more it affects significantly practice of contraception. 5. In abrotion experience, the number of experienced women was 241(50.3%) and including repeated abortion, the total number of abortion is 317. The main reason of abortion was that they didn't want more child. The number of abortion due to such reason was 153(48.3%), Especially, the 181(43.0%) cases among last pregnancy 421 cases were the undesired pregnancy. So, the 147 cases of them came to abortion. 6. In the number of actual children, the ratio of those who have three children occupied high portion(56.7%, p<0.05), for the composition of children, although the case of those who have both son and daughter showed most high ratio of experience of abortion, but it was statistically insignificant. 7. In order to investigate independent variable affecting experience of abortion, we used Logistic regression analysis. The result of the analysis was that the older women was(p<0.01) and the more they had actual children(p<0.01), it significantly affected abortion.
This paper is aimed to analyse the recent changes in family planning as a step in an evaluation of the results of the population control policy which has been strenuously pursued by the government since December 1981. The data used in this analysis comes from the 1985 national fertility and family planning survey conducted by the Korea Institute for Population and Health (KIPH) in May 1985. According to the 1985 survey data, there have been great changes in both the contraceptive practice and fertility rates since the strengthening of the government's population control policy in 1 981. The contraceptive practice rate for married women aged 15-44 has increased from 57.7% in 1982 to 70.3% in 1985, an increase of 12.6% points in the short span of only 3 years. During the same period, the total fertility rate has declined from 2.7 in 1982 to the population replacement level which was planned to achieve by 1 988. More than 80% of women aged over 30 or with two children or more are practicing contraception, while the practice rates of women with 0-1 children are 14.0% and 45.1% respectively. The survey has revealed that the increase of contraceptive practice rate during 1982-1985 has mainly attributed to the high acceptance of sterilization procedures which practice rate of the married women has increased from 28.1% to 40.3% for the period. Also, the survey data shows that 24.7% of those women with only one child is practicing contraception for thepurpose of fertility termination. The government, taking into account of rapid changes in contraceptive practice and fertility rates, is formulating a population plan during the sixth fiveyear economic and social development plan (1987-1991) to achieve 1% ofpopulation growth rate by 1993, which was planned to realize by 2000. In order to meet this demographic goal, the existing population control policy measures should be improved to be suited to the recent contraceptive use and fertility changes. From this standpoint, the following considerations should be put forth; 1) improvement of the current program management systems including target allocation and evaluation schems for recruiting new acceptors in the young 20s groups to use contraceptives for birth spacing and to increase high continuation rates through the strengthening of follow-up services for the acceptors, 2) increase of self-supporting contraceptive users by promoting commercial advertisements on contraceptives through mass media including T.V. and radio, 3) development of social support policies including incentive schems, and strengthening of IE & C activities for increasing the proportion of the one-child family, 4) strengthening of population and family planning education in and out school youth, and 5) strengthening of management capabilities at the provincial and local program managers.
Journal of Physiology & Pathology in Korean Medicine
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v.18
no.5
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pp.1356-1361
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2004
Moxa-combustion therapy make use of heat stimulus and chemicals result form when cauterize the skin with moxa cones to medical cares. However, recently moxibustion have been utilized less than acupuncture for treatment of disease in a practicing oriental physicians. To determine variable parameters (the numbers, the times, the quantities, the locations) affected moxibustion's effects, the gastrin serum level in rats were observed. In experiment, male Spraque-Dawley rats (body wt. 140-160g) were selected. Anything is performed to normal group. Control group were only anesthetized with inhalation in normal group. Experimental group were anesthetized and cauterized with moxa at BL21 by way of direct moxibustion. The size of moxa cone is 1.6±0.2㎎. The moxibustion as 5 times a day for five days has shown most significant effects and the moxibustion as a aquantity of 1, 5, 10 times moxa united one respectly, inverse to quantity in effects. The moxibustion for five days has also shown an most significant effects. The moxibustion at unilateral acupoints BL21 have less effects than bilateral one and these effects had no difference between control group after vagotomy. This results indicate that moxibustion's effects are not direct proportion to moxa cone size and frequency but imply that there is adequate value of moxibustion.
Journal of the Korean Society of Physical Medicine
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v.3
no.4
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pp.247-254
/
2008
Purpose : The purpose of this study was to analyze some factors that can cause incidence of the muscle and skeletal system trouble, by which Dental Hygiene Students examine the pain and the inconvenient feeling according to kinds in manual implements and the usability in the level of manipulating and maintaining the manual implement, in the actual training of the intra oral cavity along with mannequin given the scaling practice. Methods : Targeting 18 female juniors for the department of dental hygiene, who had directly practiced oral prophylaxis for 2 years, the questionnaire research was carried out right after the mutual practice in the intra oral cavity along with mannequin. Results : It was indicated that there is no big difficulty both in intra oral cavity and mannequin in terms of manipulating implement with a method of maintaining the rightly hand fixing or of grasping the trans formative pencil and of controlling force given manipulating the implement. How to grasp a trans formative pencil was indicated to be more difficult in the intra-oral manipulation(p<.05). Pain and inconvenient-feeling level, which occur in muscle and skeletal system during practicing the scaling in mannequin, were indicated to be in order of shoulder, wrist, neck, waist, elbow, and headache. Conclusion : There was no big difference in the pain and the inconvenient feeling in muscle and skeletal system according to mannequin and intra-oral environment given manipulating tile manual implement. However, there was difference in manipulating the implement with a method of grasping transformative pencil. The pain and inconvenient feeling in muscle and skeletal system were the highest both in shoulder and wrist.
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