• 대한한의학회지
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• 제38권4호
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• pp.90-103
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• 2017

Objectives: This study was designed to confirm the effects of the Korean Medicine health promotion program targeting young children. One important aspect of the Korean Medicine health promotion program for children is to bring awareness of health benefits of introducing Korean Medicine methods to young children and to promote incorporating such methods in children's daily activities to develop healthy habits. Methods: The following experiment was conducted for 6 weeks, and the participants were in the age between 2 to 6 years old from 6 child care centers in Wonju and Chungju. 268 participants were in the intervention group, and 277 in the control group. To measure the outcomes of the Children Korean Medicine health program, the intervention group received Korean Medicine prevention programs (children education, parent education, growth exercises, common cold prevention scarf, and pear herb tea), control group did not. This research collected and compared the following data as the children's health indicators to measure the outcomes before and after the program: medical services usage, the number of absences, early leaves, and tardiness to the child care centers due to the participant's health condition. Results: After applying the children's health promotion programs on children between the age of 2-6, there was a decrease in the overall medical services usage, absences, early leaves, and tardiness to the child care center. This health promotion program was purely based on Korean medical theories and Korean Medicine resources without any conventional medical mediation. Conclusions: It can be concluded that a positive change was noted in raising awareness of Korean Medicine through educating both the parents and children. By learning to incorporate Korean Medicine prevention practices to daily habits, not only was there a reduction in the Medical services usage, but the children also became familiar and comfortable with Korean Medicine and its treatment procedures; the overall satisfaction level of the program was also high.

• 지역사회간호학회지
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• 제12권3호
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• pp.716-731
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• 2001

The purpose of this study was to test the effect of a self-efficacy promotion smoking cessation program for middle school students. This program was redesigned on the basis of Shin Sung Rye( 1997)' s Self-Efficacy Promoting Program for this study. The design of this paper was quasi-experimental. equivalent control group pre-post test. time series design. The subjects of this study were 53 smoker adolescents in D Middle School in the city of Busan. The results were summarized as follows: 1) The Hypothesis 1 was accepted: The self efficacy of the experimental group was higher than that of the control group after 1 week (expected efficacy t=2.20, p<.05. expected outcomes t=-2.58. p<.05) 4 weeks after education (expected efficacy t=- .19. p<.001, expected outcomes t=-2.586. p<.05). 2) The Hypothesis 2 was accepted: The amount of smoking of the experimental group was reduced more than that of the control group after 1 week (t=2.05, p<.05) and after 4 weeks (t=2.03. p<.05). 3) The Hypothesis 3 was accepted: The positive urine cotinine of the experimental group was less than that of the control group after 1 week after education($x^2$=8.57. p<.01) after 4 weeks ($x^2$=22.49. p<.001). In conclusion. a self-efficacy promotion smoking cessation program for middle school students was an effective smoking cessation program and then it will be valuable for stopping the smoking among the adolescents.

• 가정∙방문간호학회지
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• 제30권3호
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• pp.252-263
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• 2023

Purpose: To assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on the functional outcomes of older adults in the community. Methods: This was a mixed-method study that employed a single-group repeated measure design and in-depth interviews. Nine older adults were recruited from the community were recruited to participate in a Tai Chi program, conducted twice weekly for 6 months. Research outcomes included physical function, cognitive function, and quality of life, measured at intervals of 3 and 6 months. Findings: Tai Chi exercises were gradually conducted based on the health status of the older adults. All participants actively participated in the program with an average attendance of 90%. Consequently, the participants showed significant improvements in mobility and their memory recall ability at both 3 and 6 months. Additionally, the results of the Stroop test exhibited improvement 3 months after the commencement of the study program. Quality of life of the participants improved according to the mild cognitive impairment questionnaire, but it did not show significant improvement in health-related quality of life. Conclusion: The Tai Chi exercise program was a safe and, feasible program to improve the physical function, cognitive function, quality of life among the older adults in the community.

• Tuberculosis and Respiratory Diseases
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• 제87권2호
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• pp.206-208
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• 2024

• 디지털융복합연구
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• 제17권5호
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• pp.51-63
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• 2019

4차 산업혁명 이후 빠르게 변화하는 사회에서는 복잡한 문제를 해결할 수 있는 융합인재양성이 중요한 이슈로 대두되고 있다. 본 연구는 (사)한국공학교육인증원(이하, 공인원)에서 제시하고 있는 공학교육 인증기준인 융 복합분야의 프로그램 학습성과를 설정하기 위해 필요로 하는 핵심역량을 제안하는데 그 목적이 있다. 연구의 목적을 달성하기 위해 사례연구방법론을 적용하였다. 분석사례는 국내외 대학의 디자인과 소프트웨어 융합 전공이다. 선정된 전공의 교육목표 및 교과목의 강의계획서를 분석하였다. 연구결과 공인원에서 제시하고 있는 프로그램 학습성과 10개 외에 디자인 소프트웨어 융합전공에서 추가로 달성해야할 핵심역량 4가지가 도출되었다. 새로 추가된 핵심역량은 융합능력, 창의적 사고, 창업가능력, 디자인 능력이다. 이 연구의 결과는 향후 융합전공을 위한 공학교육인증 융 복합분야의 평가체계 개발에 기여할 수 있을 것으로 기대된다.

• Journal of Chest Surgery
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• 제55권3호
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• pp.225-232
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• 2022

Background: Pulmonary lobectomy is the standard of care for the treatment of early-stage non-small cell lung cancer. This study investigated the rate of utilization of supplemental anesthesia in patients undergoing video-assisted thoracoscopic surgery (VATS) or open lobectomy using a national database and assessed the effect of regional block (RB) on postoperative outcomes. Methods: Patients who underwent lobectomy for lung cancer between 2014-2019 were identified in the American College of Surgeons National Surgical Quality Improvement Program. The patients' primary mode of anesthesia and supplemental anesthesia were recorded. Preoperative characteristics and postoperative outcomes were compared between 2 surgical groups: those who underwent general anesthesia (GA) alone versus GA with RB. Multivariable regression analyses were performed on the outcomes of interest. Results: In total, 13,578 patients met the study criteria, with 87% undergoing GA and the remaining 13% receiving GA and RB. The use of neuraxial anesthesia decreased over the years, while RB use increased up to 20% in 2019. Age, body mass index, and preoperative comorbidities were comparable between groups. Patients who underwent VATS were more likely to receive RB than those who underwent thoracotomy. RB was most often utilized by thoracic surgeons. An adjusted analysis showed that RB use was associated with shorter hospital stays and a reduced likelihood of prolonged length of stay, but a higher rate of surgical site infections (SSIs). Conclusion: In a large surgical database, there was underutilization of supplemental anesthesia in patients undergoing lobectomy for lung cancer. RB utilization was associated with a shorter length of hospital stay and an increase in SSI incidence.

• Tuberculosis and Respiratory Diseases
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• 제80권1호
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• pp.69-76
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• 2017

Background: Much of the attention of tuberculosis (TB) programs is focused on outcomes of microbiological cure and mortality, and health related quality of life (HRQL) is undervalued. Also, TB patients have a significantly higher risk of developing depression and anxiety compared with those in the general population. We intend to evaluate the HRQL and the prevalence of symptoms of depression and anxiety in hospitalized patients with TB. Methods: Cross-sectional study in a tertiary care hospital in Brazil. Adult patients with pulmonary TB that were hospitalized during the study period were identified and invited to participate. HRQL was measured using the Medical Outcomes Study Short Form-36 (SF-36) version 2. Hospital Anxiety and Depression Scale (HADS) was used to record symptoms of anxiety and depression. Results: Eighty-six patients were included in the analysis. The mean age of all patients was $44.6{\pm}15.4$ years, 69.8% were male, and 53.5% were white. Thirty-two patients (37.2%) were human immunodeficiency virus positive. Twenty-seven patients (31.4%) met study criteria for depression (HADS depression score ${\geq}11$) and 33 (38.4%) had anxiety (HADS anxiety score ${\geq}11$). Scores on all domains of SF-36 were significantly lower than the Brazilian norm scores (p<0.001). Conclusion: The present study shows that TB patients may have a poor HRQL. Additionally, we found a possible high prevalence of depression and anxiety in this population. Health care workers should be aware of these psychological disorders to enable a better management of these patients. The treatment of these comorbidities may be associated with better TB outcomes.

• 정보교육학회논문지
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• 제21권2호
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• pp.259-266
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• 2017

본 논문은 예비교원의 소프트웨어 교육 역량 강화를 위해 마련된 소프트웨어 에듀톤 프로그램의 내용을 소개하고 그 성과를 분석하여 보고하는 것을 목적으로 한다. 연구 목적을 달성하기 위해 지역별 소프트웨어 에듀톤 예선을 거쳐 선발된 22팀의 초등예비교사를 대상으로 설문을 실시하였다. 설문의 영역은 SW능력 수준, 학습 동기, 교육 결과, 강사 만족도, 멘토 교사 만족도, 교육과정 만족도, 교육과정 운영 및 관리에 대한 만족도로 구성하였다. 또한 예비교원들을 지도한 멘토 교사들이 작성한 멘토 교사 일지를 분석에 사용하였다. 본 논문은 양적 및 질적 자료 분석을 통한 소프트웨어 에듀톤 프로그램의 성과 분석 결과와 향후 에듀톤 프로그램 운영을 위한 개선 방향을 제안하고 있다.

• 한국산학기술학회논문지
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• 제16권4호
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• pp.2665-2673
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• 2015

본 연구는 성과기반 교육의 핵심인 효율적인 학습성과 평가 관리를 위해 웹 기반 학습성과 관리시스템을 개발하기 위해 시행되었다. 이에 시스템 개발 생명 주기(System Development Life Cycle)모델에 근거하여 분석-설계-구현-평가의 과정에 따라 사용자의 요구를 분석하여 컨텐츠와 시스템을 구성하고 설계하여 관리시스템을 개발하였으며, 시스템 구현 후 사용자의 만족도를 분석하였다. 개발된 시스템을 통해 졸업 시점에 이른 학생들의 학습성과 평가결과를 학습성과 별, 학생 개인별로 달성목표가 성취되었는지를 한 눈에 모니터 할 수 있게 되었다. 이를 통해 일정한 목표수준에 도달하지 못한 학습성과 항목 및 학생들의 원인 분석과 필요한 개선방안을 모색할 수 있게 됨으로써 효율적인 학습성과 평가관리가 가능하게 되었다.

• Journal of Chest Surgery
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• 제57권4호
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• pp.390-398
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• 2024

Background: In this study, we examined the impact of a patient blood management (PBM) program on red blood cell (RBC) transfusion practices in cardiothoracic surgery. Methods: The PBM program had 3 components: monitoring transfusions through an order communication system checklist, educating the medical team about PBM, and providing feedback to ordering physicians on the appropriateness of transfusion. The retrospective analysis examined changes in the hemoglobin levels triggering transfusion and the proportions of appropriate RBC transfusions before, during, and after PBM implementation. Further analysis was focused on patients undergoing cardiac surgery, with outcomes including 30-day mortality, durations of intensive care unit and hospital stays, and rates of pneumonia, sepsis, and wound complications. Results: The study included 2,802 patients admitted for cardiothoracic surgery. After the implementation of PBM, a significant decrease was observed in the hemoglobin threshold for RBC transfusion. This threshold dropped from 8.7 g/dL before PBM to 8.3 g/dL during the PBM education phase and 8.0 g/dL during the PBM feedback period. Additionally, the proportion of appropriate RBC transfusions increased markedly, from 23.9% before PBM to 34.9% and 58.2% during the education and feedback phases, respectively. Among the 381 patients who underwent cardiac surgery, a significant reduction was noted in the length of hospitalization over time (p<0.001). However, other clinical outcomes displayed no significant differences. Conclusion: PBM implementation effectively reduced the hemoglobin threshold for RBC transfusion and increased the rate of appropriate transfusion in cardiothoracic surgery. Although transfusion practices improved, clinical outcomes were comparable to those observed before PBM implementation.