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A Study for the Development of the Fundamental Nursing Practice Education -Focused on A Nursing College - (기본간호실습교육의 발전을 위한 일 연구 -일 지역의 3년제 간호대학을 중심으로-)

  • Je Mi-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.2
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    • pp.331-346
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    • 1999
  • Many studies have reported that a lot of nursing colleges do not have good facilities for the nursing practice in hospitals, so many students do not have the good ability which is needed to be a competent nurse. The purpose of this study was to develop a program in which students could improve their ability in fundamental nursing skills before the graduation. This study was primarily designed to identify items of the fundamental nursing practice in which nursing college students have perceived deficiencies. According to previous studies, a total 75 items were presented. In Identifying them, a modified Porter format was used. The questionnaire contained three sections. A. How well do you think you can/could perform the item when you graduate/graduated the college? B. How well do you think you should perform/should be able to perform the item when you graduate/graduated the college? C. How important do you think the item is? For each of the 75 items, the respondents were instructed to answer the above three questions, by circling a number on a rating scale extending from 1 to 5, where low numbers represented a low degree of performance or minimum amount, and high numbers represented a high degree of performance or maximum amount. The perceived degree of deficiency in performance on each questionnaire item was obtained by subtracting the answer to Part A of an item from that to of Part B. The larger difference means a larger perceived degree of deficiency in performance. This method of measuring the perceived degree of deficiency in performance is an indirect measure derived from two direct answers by the respondent for each item. From this result Part C of each item was used to rank the items, and the items were prioritized. The items which had the highest priority were IV injection, simple catheterization, indwelling catheterization, CPR, and nurse recording. By this method, through these results from a nursing college, and the items which will be used first in developing the supplementation program for nursing college students can be identified.

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Phonation Threshold Flow and Phonation Threshold Pressure in Patients with Adductor Spasmodic Dysphonia

  • Choi, Seong-Hee;Jiang, Jack J.;Yun, Bo-Ram;Lee, Ji-Yeoun;Lim, Sung-Eun;Choi, Hong-Shik
    • Phonetics and Speech Sciences
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    • v.2 no.3
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    • pp.157-164
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    • 2010
  • This study investigated the characteristics of two aerodynamic indices, PTP (Phonation threshold pressure) and PTF (Phonation threshold flow) in patients with ADSD (adductor spasmodic dysphonia) and to see if two new aerodynamic indices can differentiate between normal and ADSD group. Additionally, PTP and PTF values were compared in terms of overall severity of ADSD in the patient group. The severity of ADSD was rated on a 7-point rating scale by two experienced speech language pathologists. The Kay Elemetrics Phonatory Aerodynamic System (PAS) (Kay Elemetrics Corp., Lincoln Park, NJ) was used to collect PTP and PTF measurements from 16 female normal subjects, 31 female patients with ADSD. Significantly lower PTF values (P< 0.05) were observed in ADSD when compared to those of normal control. Also, significantly lower PTF values in severe ADSD patients (P<.001). However, PTP could not distinguish patients with ADSD from control groups (P=0.119) and among the ADSD groups according to the severity (P=0.177). Consequently, PTF was more sensitive than PTP which might differentiate between normal speakers and ADSD and among different levels of severity within ADSD, suggesting that PTF could be a useful diagnostic parameter to measure the aerodynamic function of ADSD and provide the neurolaryngeal dysfunction in patients with ADSD.

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Perceptions of Anticoagulation Therapy and Medication Adherence among Patients taking Warfarin (와파린 복용 환자의 항응고요법에 대한 인식과 약물복용 이행)

  • Chu, Sang-Hui;Kang, Seok-Min;Kim, Do-Ree;Lee, Yoon-Ju
    • Journal of Korean Biological Nursing Science
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    • v.14 no.1
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    • pp.66-75
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    • 2012
  • Purpose: This study was conducted to measure medication adherence and perceptions of anticoagulation therapy and its relationship to patients taking warfarin. Methods: in a cross-sectional survey, 150 patients taking warfarin who had visited an outpatient clinic of a cardiovascular center in Seoul were included as research subjects. Medication adherence was measured using a visual analogue rating scale (VAS). Barriers and attitudes toward adherence, and oral anticoagulation knowledge, were measured using a structured questionnaire. Participants' medical records also were reviewed to identify clinical characteristics. Results: About one third of the participants (30.7%) reported medication adherence as 100%. The major barriers to adherence were identified as "Forgetting the time of medication" and "Not carrying their medication". Overall attitudes toward medication adherence were high, but oral anticoagulation therapy knowledge was low. To determine the relationship of medication adherence and perceptions of anticoagulation therapy, participants were stratified into three groups, based on their medication adherence levels (high adherence, moderate adherence, low adherence). Participants in the high adherent group more likely to be older (OR: 1.04, 95% CI: 1.005-1.071) and to have positive attitudes toward medication adherence (OR: 1.12, 95% CI:1.013-1.229) compared to the other two groups. Conclusion: The results show that age and attitude exerts significant influence on medication adherence in patients taking warfarin.

Pre-service Science Teachers' Perceptions of Significance and Usefulness of Evolution and Genetics (예비과학교사들의 진화와 유전에 대한 중요성과 유용성에 대한 인식)

  • Ha, Minsu
    • Journal of Science Education
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    • v.40 no.3
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    • pp.189-202
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    • 2016
  • This study aimed to investigate pre-service science teachers' perceptions of significance and usefulness of evolution and genetics. To this end, 82 pre-service biology teachers and 159 non-biology science teachers answered the items to measure the perceptions of significance and usefulness of evolution and genetics. The validity and reliability were examined using Cronbach alpha, two-dimensional rating scale model Rasch analysis, and factor analysis. The finding illustrated that the test items met the benchmark to be valid and reliable test items. Second, pre-service teachers' perception of significance and usefulness of evolution was independent to that of genetics. The level of pre-service teachers' perception of significance and usefulness of evolution was lower than the level of genetics. Lastly, the levels of pre-service teachers' perceptions of significance and usefulness of evolution and genetics were not significantly different across academic years and majors (biology and non-biology). The findings of this study stressed the importance of teaching significance and usefulness of evolution and genetics in pre-service science teacher education program.

A Study of Jowiseungchungtang in patients with mild Dementia of Alzheimer type (조위승청탕(調胃升淸湯)이 초기 Dementia of Alzheimer type 환자의 인지기능 변화에 미치는 효과)

  • Cho, Seung-Hun;Kim, Jong-Woo;Kim, Hyun-Taek;Chung, Kyung-Chun;Whang, Wei-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.1
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    • pp.17-26
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    • 2003
  • Objective : The clinical efficacy of Jowiseungchungtang(oriental herbal medication) over 6-month on the cognitive function in patients with mild Dementia of Alzheimer type(DAT) was investigated in this study. Method : The subjects for this study consisted of dementia patients who visited to the outpatient dementia department of Oriental Neuropsychiatry of the Kyunghee Oriental hospital. Patients were required to have at entry: a dignosis of mild DAT; Biochemical test, CBC, Urine analysis, Chest X -ray, EKG, Brain- MRI, Mini-Mental States-Korea(MMSE-K), Korean-Dementia Rating Scale(K-DRS), Samsung Dementia Questionaire(SDQ;to their caregiver). Patients(n=31) were assigned to treatment with Jowiseungchungtang (fourth/day for 6-month). The primary outcome measure was K-DRS. Result : 1. Patients' mean age was $71.4{\pm}6.6$ years(range 59 to 86 years). 2. Patients' mean education was $6.1{\pm}4.9$ years. K-DRS scores at baseline was $110.5{\pm}12.2$. K-DRS scores at 6-month was $109.0{\pm}17.0$. K-DRS scores at 6-month was not significantly different with K-DRS scores at baseline(t=.791 r=.435 p<.05). Conclusion : Treatment with Jowiseungchungtang for 6-month protected the cognitive function decline in patients with mild DAT.

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An Evaluation of Operator Performance Related to the Switch Types in Man Control Rooms of the Nuclear Power Plants (주관적 작업부하 평가기법을 이용한 원자력 발전소 주제어반 제어 스위치 사용 인적 수행도 평가)

  • Byun, Seung-Nam
    • Journal of Korean Institute of Industrial Engineers
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    • v.26 no.1
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    • pp.54-65
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    • 2000
  • The objective of this study is to evaluate the operator performance relating to hand switches with two or three buttons in the main control rooms of nuclear power plants. Based on the comparative analysis of the nuclear power plants, two different subjective workload-rating scales were used to evaluate the performance of 48 operators: the Overall Workload(OW) and National Aeronautics and Space Administration Task Load Index (NASA TLX). The survey questions consisting of the eight-items were asked to evaluate the operating experiences for the two different switch types. The OW scales ratings were applied to measure the workload of the switch-related tasks. The ratings revealed that signal detection tasks caused less workload in the three-buttoned-switch operators than the other switch group. However, in the switch operation tasks, the switch types did not show statistically significant effects on workload level. The NASA TLX scale ratings were performed based on detailed task scenarios that assumed the accident of small break loss of coolant, what we call, the small LOCH. The NASA TLX was administered to three different task groups: the reactor, the turbine, and the electric operator groups. Based on the NASA TLX, the two-buttoned switch groups showed higher workload than those with the three-buttoned switches. However, a statistically significant difference was found only in the reactor operator groups. When the current switch type was assumed to be changed for the other type, all of the three-buttoned switch groups were predicted to have higher workload than the other switch groups, respectively. The implications of these findings were discussed.

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Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness

  • Choi, Hong-Seok;Kwak, Kyung-Woo;Kim, Sang Woo;Ahn, Sang Ho
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.183-188
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    • 2013
  • Objective : The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. Methods : The 46 patients with motor weakness because of lumbar disc herniation who were treated at neurosurgical department and rehabilitation in our hospital from 2006 to 2010, retrospectively. Each group had 26 surgical treatments and 20 conservative treatments. We followed up 1, 3, 6 months and 12 month and monitored a Visual Analogue rating Scale (VAS) of back and leg pain, Oswestry Disability Index (ODI) and degree of motor weakness. We analyzed the differences between surgical and nonsurgical groups using Mann-Whitney U test and repeat measure ANOVA in each follow-up periods. Results : In the recovery of motor weakness, surgical treatment uncovered a rapid functional recovery in the early periods (p=0.003) and no difference between groups at the end of follow-up period was found (p>0.05). In VAS of back and leg, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). In ODI, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). Conclusion : Surgical treatment for motor weakness caused by herniated intervertebral disc resulted in a rapid recovery in the short-term period, especially 1 month. We think early and proper surgical treatment in a case of motor weakness from disc herniation could be a good way for providing a chance for rapid alleviation.

No Association between the 5-HT6 Receptor C267T Polymorphism and Response to Citalopram Treatment in Patient with Major Depressive Disorder (주요우울증 환자에서 세로토닌 6(5-HT6) 수용체 C267T 다형성과 Citalopram 치료반응에 대한 연구)

  • Hahn, Sang-Woo;Lim, Se-Won;Oh, Kang-Seob;Kang, Rhee-Hun;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.14 no.4
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    • pp.262-267
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    • 2007
  • The serotonin 6(5-HT6) receptor gene is a candidate gene for influencing the clinical response to treatment with antidepressants. The purpose of this study was to determine the relationship between the C267T polymorphism in the 5-HT6 receptor gene and the treatment response to citalopram in a Korean population with major depressive disorder(MDD). Methods : Citalopram was administered for 8 weeks to the 90 patients who completed study. 21-item Hamilton depression rating scale(HAMD-21) was used as a outcome measure. Results : We found that the genotype, allele, and allele-carrier distributions did not differ significantly between MDD patients and normal controls. A main effect of an interaction of genotype with time on the decrease in the HAMD-21 score during the 8 weeks study period was not found. ANOVA revealed no significant effects of the C825T polymorphism on the decrease in the HAMD-21 score at each time period. Conclusions : These results suggest that the C267T polymorphism in the 5-HT6 receptor gene is not associated with the treatment response to citalopram.

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A Study on the Effects of Stress in the Health Condition of Blue-Collared Workers (스트레스가 일 산업장 근로자의 건강상태에 미치는 영향에 관한 연구)

  • 강지숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.1
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    • pp.1-20
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    • 1984
  • This study was attempted to evaluate and explain the correlation between stress and utilization of Dispensary, Frequency of absence, Frequency of accident as the health condition of bluecollared workers. The subjects for this study were 260 workers selected conveniently from 360 workers working at one chemical manufacturer located in Seoul. The dataas measure the Stress was collected through SRRS (The Social Readjustment Rating Scale) which is developed by Holmes & Rahe (1976) from 27th July to 10th August, 1983. The data of Utilization of Dispensary and Frequency of Accident were brought out from the record of Dispensary during past 8 months. The Frequency of Abscence from January to August were collected through diligence and indolence cards of each department. All collected data were analysed based on the SPSS (Statistical Package for the Social Science) program. The results of the study are as follows: 1. The average of Utilization of Dispensary was 7.4, Frequency of abscence 14.6, frequency of Accident 0.4. 2. The average score of Stress was 134 (minimum : 0, maximum : 593, Standard deviation : 109. 3) It can be considered as a slight stressed group by the requlations of Holmes and Rahe. 3. According to the analysed results of correlation between Stress and the Utilization of Dispensary, Frequency of Absence, frequency of Accident, the Utilization of dispensary and stress were significantly related (r= .1955, p<.001), the Frequency of Absence (r=.0284, p >, 05), and the Frequency of Absence (r=.0284, p>.05), and the Frequency of Accident (r= .0831, p>.05) were not significantly related with Stress. 4. In the relation between general characters of subjects and the Utilization of Dispensary, 20 to 25 aged group, women, single, christian, lent-house dwelling, 1 to 5 years employed group used at a high ratio. 5. In the relation between general character of subjects and the Frequency of Absence, men, 51 to 55 aged group, 21 to 25 years employed group indicated high Frequency, and other char-noters were not significantly related. 6. In the relation between general characters of subjects and the Frequency of Accident, women. single, 20 to 25 aged group, catholic, lent-house dwelling, below 1 year employed group showed high frequency. 7. Stress showed a significant difference only with a religion. Catholic group represented mode-rate stressed scored 209.67, and not significantly related with other general characters.

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A Study on the perception Level of Nursing Activities of Staffing the Nursing Unit (간호인력의 배치에 영향을 미치는 간호사의 간호행위 인지정도에 관한 연구)

  • Park Chung-Ja;Lee Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.1 no.2
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    • pp.193-205
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    • 1994
  • The Study was carried out for the purpose of investigating the degree of perception in nursing activities. The data of this study were collected by self-reported questionnaire composed of 5 point rating scale measure the ideal level and the performance level of nurses activity. For the analysis of the data, percentage, MANOVA and ANOVA were 231 nurses in 3 general hospitals in Taegu. Data was administrated from October 4 through 14, 1994. The results were as follow : 1. The average mean score for the ideal level was 4.19 with a maximum possible score 5points. The highest mean score was Infection Controll and the lowest mean score was nutrition The average mean score for the performance level was 3.75, the highest mean score was fluid and electrolyte, the lowest mean score was nutrition. In the desirable nursing pergormance, Education was found the highest response above charge nurse, Medication was found the highest response above General nurse, environment was found the highest response above aide. 2. In the analysis of the relationship between the ideal level and th performance level, significant defference was found in age, position, career, marital status, occupation satisfaction, Nursing unit, parent. 3. In the analysis of the relationship between the ideal level and the performance level and the general characteristics, significant difference was found in marital status in the ideal level of direct nursing care, significant difference was found in age, position, marital status, nursing unit in the ideal level of indirect nursing care, significant difference was found in age, position, career, marital status, occupation satisfaction, nursing unit in the performance level of direct nursing care. significant difference was found in age (25-29) and above 30 career(4-7 and 7), occupation satisfaction(good and moderate, good and poor) in scheffe test of the performance level of direct nursing care.

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