• 제목/요약/키워드: self-regular

검색결과 879건 처리시간 0.025초

국내 암환자의 항암제 사용 및 본인부담비용에 대한 실태조사 (Anticancer Drug Use and Out-Of-Pocket Money Burden in Korean Cancer Patients: A questionnaire Study)

  • 김해숙;장진경;손현순
    • 한국임상약학회지
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    • 제22권3호
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    • pp.239-250
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    • 2012
  • In recent years, national health insurance(NHI) coverage had been expanded gradually for cancer as a severe disease requiring high level of medical expenditure, to reduce patient's financial burden. But, subjective burdens level for out-of-pocket(OOP) money expense are still considerable owing to high medical cost and decent numbers of services not covered by benefit plan. This study aimed to investigate OOP medical expenditures and identify factors influencing subjective financial burden in cancer patients. A 28-items questionnaire for self-reporting by responders was designed to satisfy study goal and finalized following by one pilot study and experts' verification process. Subjects were enrolled during July to October 2010 through regular meetings organized by five patient or patient-advocacy groups had acknowledged the study purpose. Subjects who aged 20 or more, have histories of cancer diagnosis and anticancer drug use, and voluntarily agreed to participate in this study were recruited. Total 107 subjects included in the analysis have cancer lesions in breast, colon, kidney, liver or stomach at the stages from I to IV. Approximately 73% of them has passed less than 5 years since cancer diagnosis. For the OOP medical expenditure regarding cancer, less 6 million won was in 31%, 6-15 million won in 35% and more than 15 million won in 28% of responders, and more than half responders(58%) felt financial burden subjectively. 63% of responders had subscribed commercial insurances, resulting in money receipts of more than 10 million won since cancer diagnoses in 76% of responders. Logistic regression results showed significant differences in subjective OOP financial burden level depending on gender, household income level, benefit type, commercial insurance money receipt degree, year cancer diagnosed, cancer lesion, therapy type, duration of anticancer drug use, drug listing in national formulary, total OOP medical expenditure and total OOP anticancer drug expense. They had mixed feelings both wishes to expand NHI coverage to reduce financial burden(70%) and no willingness to increase premium(59%). This result suggested that NHI might direct future strategies to reduce absolute total OOP medical cost and expand benefit plan coverage in higher burden groups in particular.

과학동산 운영에 관한 질적 연구 (A Qualitative Study of Running질 Science Garden질)

  • 채동현;이수영
    • 한국초등과학교육학회지:초등과학교육
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    • 제21권2호
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    • pp.263-288
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    • 2002
  • 'Science Garden' is a science program that develops acquirements of science & technology at an early stage through experiential study and inspire the spirit of scientific inquiry by carrying out laboratory work, science movie, science lecture, scientific work, outdoor activities, computer classes and science experiment which is hard to do through the regular educational course. It is targeted grade 4,5,6 students during summer and winter vacation. 'Science Garden' is conducted by selective participation freely. It is a wholelistic activity that develops children's potential talents or creativities, improves interest and attitude toward science, and also gives opportunity for self-realization by extending capacity for inquiry to show each student's ability. This study is observed and is compared how it is conducted in elementary school using qualitative study. This study is used narrative observation, in-depth interview and document analysis. Objects of narrative observation are two elementary schools, each from Jellabukdo and Gyeonggido, and 7 teachers were interviewed in-depthly. Here are results of the study. 1 A teacher in school G never takes part in student activities, tends to be indifferent to classes, but focuses on observation and experiment in laboratory. And feedback or evaluation about student's activity is never done. On the other hand, a teacher in school S guides students to understand the principals of science on themselves, and wide variety forms of activities such as role playing, discussion, and games are being done. But an effort to evaluate student's activity is not being made properly. 2. Teachers set a high valuation on the need of 'Science Garden'. Observing the way of conducting 'Science Garden', usually teachers who is in charge of science for official work is selected as a teacher in charge, and groan under a heavy burden of conducting it without anyone's help. Participating students are selected by volunteering or teacher's recommendation, but because of low Participation rate, teachers have difficulty in conducting it. Plan for conducting ‘science Garden’ is made 20 days before it, after getting an official document from Office of Education, refering to booklets produced by National Jungang Science Institute, or data from Office of Education, and internet. Teachers evaluate rarely Most school principals have interest in 'Science Garden' but parents are not well aware of it, The budget is made at the same time with the plan, and scale is varied between 200,000∼500,000 won. Because of the improper way of selecting teacher in charge, difficulty in selecting students, heavy works caused by planning, conducting the program, as well as reporting teacher's work, and lack of parents' awareness, 'Science Garden' has been conducted formally and superficially. Next gives you direction to change, for the right way of conducting' Science Garden'. It is important to motivate competent teachers to instruct students actively. For students' active participation, They should publicize thoroughly beforehand, and develope 'Science Garden' program for teachers to be able to make better use of it. Evaluation of student activities and program should be done in the aspect of developing students’ faculties. Beside of school facilities, they need to put diverse local facilities and places to practical use for immediate natural experience. And not only separate schools but also associated form of schools to conduct it is necessary.

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수학적 문제제기 활동을 반영한 수업이 고등학교 1학년 학생들의 수학 학업 성취도 및 수학 교과에 대한 정의적 특성에 미치는 영향 (The Effects of Mathematical Problem Posing Activities on 10th Grade Students' Mathematics Achievement and Affective Characteristic of Mathematics)

  • 이재영;한혜숙
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제32권3호
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    • pp.385-406
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    • 2018
  • 본 연구에서는 수학적 문제제기 활동을 반영한 수학 수업이 고등학교 1학년 학생들의 수학 학업 성취도 및 수학 교과에 대한 정의적 특성에 미치는 영향에 대해서 알아보았다. 본 연구는 이질통제집단 설계(nonequivalent control group design)를 통해 고등학교 1학년 2개 학급의 81명의 학생들을 대상으로 총 45차시의 정규 수학 수업 시간에 이루어졌다. 연구 결과에 의하면, 수학적 문제제기 활동을 반영한 수업 방식이 전통적인 문제해결에 중점을 둔 수업 방식보다 학생들의 수학 학업 성취 및 수학 교과에 대한 정의적 특성에 보다 긍정적인 영향을 미치는 것으로 나타났다. 본 연구에서 제안한 문제제기 활동을 반영한 수업은 학생들의 자기성찰적 학습 동기를 유발시킬 수 있었고, 이를 통해 학생들은 학습한 수학적 개념에 대한 이해를 보다 확고히 할 수 있는 것으로 나타났다. 이와 더불어 문제제기 활동은 학생들의 문제해결력, 수학적 의사소통 능력, 수학적 사고력 발달에도 긍정적인 영향을 미친 것으로 나타났다. 정의적 특성과 관련해서는 본 연구에서 제안한 수학적 문제제기 활동은 학생들의 수학 교과에 대한 흥미 향상에 매우 효과적인 전략으로 나타났다.

일부 지역 치위생학과 학생들의 감염방지에 관한 인식 조사 (Research on Cognition of Infection Control by Dental Hygienics Student's in some Areas)

  • 문선정;구인영
    • 한국콘텐츠학회논문지
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    • 제12권12호
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    • pp.313-320
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    • 2012
  • 치과진료실은 다양한 종류의 병원성 미생물에 항상 노출되어 있으며, 환자의 분비물과 에어로졸 형태의 여러 경로를 통해 실내가 오염될 경우 교차감염의 매개 장소가 될 수 있다. 교차감염의 위험이 산재되어 있는 치과진료와 치과진료실에서 교차감염 방지의 주체자는 치과위생사이다. 치과위생사는 임상 전문가로 활동하기 전에 감염방지에 대한 올바른 인식을 가지고 있어야 되며, 이러한 감염방지 인식수준은 임상실습에서부터 영향을 받는다. 이에 감염방지의 인식을 조사하고자 일부 4년제 대학교 치위생학과 교육과정 중 3학년 과정에 임상실습이 정규과목으로 정해져있는 학생 314명을 대상으로 자기기입식 설문조사를 실시하였다. 자료 수집은 2011년 12월 9일부터 2012년 2월 22일까지 수행하였고, 수집된 자료 중 응답이 불성실한 11부의 설문지를 제외한 303부를 SPSS WIN 20.0을 사용하여 최종 분석하였고, 다음과 같은 결론을 얻었다. 감염질환에 관한 인식 영역에서 교내 외 실습 경험군은 감염질환 인지의 중요성 문항에서 4.89점, B형간염 예방접종 의무의 문항에서는 4.65점, B형간염 예방접종 필요성 인식의 문항에서는 4.77점, 문진 실시하여 감염방지를 실천할 수 있는지에 대한 문항에서는 4.71점, 감염방지 교육의 도움에 관한 문항에서는 4.76점으로 가장 높았으며, 유의한 차이를 보였다. 치위생학과 학생들을 위한 체계적이고 다양한 감염방지 교육 프로그램 개발과 학년에 따른 차별적인 교육이 필요하다고 사료된다.

아파트 경비원의 건강상태와 관련요인 (Health of Apartment Guards and Associated Factors)

  • 김상규;사공준;정종학;김치호;배상근;장윤진
    • Journal of Yeungnam Medical Science
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    • 제16권2호
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    • pp.357-363
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    • 1999
  • 아파트 경비원들의 교대근무, 좁은 공간에서의 근무 등에 기인하는 여러 증상 및 이에 영향을 미치는 요인을 분석하기 위해 182명의 아파트 경비원을 대상으로 한 연구 결과는 다음과 갈다. 1) 조사된 아파트 경비원 중 97명(53.3%)에서 소화기장애 증상을 보였으며, 평균 1개의 소화기장애 증상을 가지고 있었다. 2) 연구대상자의 83.5%에서 한 가지 이상의 신체화 증상을 보였으며, 평균 3.1개의 신체화 증상을 가지고 있었다. 3) 연구대상자의 79.7%에서 한 가지 이상의 우울증상을 보였으며, 평균 3.7개의 우울증상을 가지고 있었다. 4) 연령 및 배우자 유무에 따라서는 소화기 장애점수, 신체화 장애점수, 우울점수 모두 차이가 없었으나 학력에 따라서는 소화기 장애점수는 차이가 있었다. 5) 건강관련 행태 중 음주 및 흡연여부, 운동유무에 따라서는 유의한 차이를 보이지 않았으나, 규칙적 식사유무와 주관적 건강상태에 따라 소화기 장애접수, 신체화 장애점수, 우울점수 모두 유의한 차이가 있었다. 6) 업무와 관련된 특성 중 교대주기, 종사기간, 관리가구 수에 따라서는 차이가 없었으나, 업무만족도에 따라 신체화 장애점수, 우울점수는 유의한 차이가 있었다. 추후 추적조사 및 심층면담을 통한 조사를 통하여 건강근로자효과(healthy worker effect)에 의한 영향 및 다른 교대업무와의 차이점에 대한 조사가 필요하다.

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Knowledge, Attitudes and Behavior of Bangkok Metropolitan Women Regarding Cervical Cancer Screening

  • Chaowawanit, Woraphot;Tangjitgamol, Siriwan;Kantathavorn, Nuttavut;Phoolcharoen, Natacha;Kittisiam, Thannaporn;Khunnarong, Jakkapan;Supawattanabodee, Busaba;Srijaipracharoen, Sunamchok;Thavaramara, Thaovalai;Pataradool, Kamol
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.945-952
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    • 2016
  • Purpose: To assess knowledge, attitudes and cervical cancer screening behavior of Bangkok Metropolitan women. Materials and Methods: Thai women, aged 25-to-65 years old, having lived in Bangkok for 5 years or more were invited to participate in the study. After signing informed consent, all women were asked to complete a self-questionnaire (Thai language) with literate assistance if needed. The questionnaire was divided into 3 parts: (I) demographic data; (II) knowledge about cervical cancer screening; and (III) behavior and attitudes, towards cervical cancer screening. Adequate screening was defined as women who had ${\geq}$two cervical cancer screening tests except women aged 25-30 years who may have only one screening, and the last screen was within 5 year or had had regular screening. Results: Of 4,339 women, there were 1,857 (42.8%) with adequate screening and 2,482 (57.2%) with inadequate screening. Significant factors associated with inadequate screening included age < 45 years, pre-menopausal status, family monthly income <625 USD, no reported sexual intercourse, nulliparous, no knowledge, lack of awareness and poor attitudes. Three major reasons provided by women for inadequate screening were no symptoms (54.4%), fear of pain (33.2%), and embarrassment (34.6%). Conclusions: Personal features, knowledge, and attitudes influence screening behavior of Bangkok Metropolitan women. The three most common reasons of women for not undergoinging screening are no symptoms, fear of pain, and embarrassment. These factors should be the focus of attention to improve coverage of cervical cancer screening in Bangkok.

일부지역 치과의 기관, 감염관리자, 환자의 감염관리에 관한 연구 (The Study on Organization, Infection Controller, Patient Infection Control of Dental Clinic in Certain Areas)

  • 최두리;김설희
    • 치위생과학회지
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    • 제15권4호
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    • pp.399-406
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    • 2015
  • 치과의료기관의 감염관리 수행 조사를 위해 2014년 6~7월 기간 동안 일부 지역사회 치과위생사 158명을 대상으로 기관, 감염관리자, 환자의 감염관리 수행을 자기기입식 설문조사하였다. 치과병원은 감염관리지침서 구비, 감염관리 담당자 지정, 정기감염관리 교육지원, 1인 멸균핸드피스 사용 비율은 57~74%였으나 치과의원은 13~20% 수준이었다(p<0.05). 감염관리자의 감염관리지침 인지는 치과병원 17.4%, 치과의원 5.9%였고 정기예방접종 시행은 치과병원 60.9%, 치과의원 34.1%였다(p<0.05). 환자의 손 위생 수행, 진료 전 칫솔질, 교차 감염 교육경험은 20% 미만이었고, 병력조사 협조는 90% 이상이었다(p<0.05). 감염관리 실천 상관분석 결과 기관 지원은 치과위생사 감염관리자실천, 환자감염관리협조, 개인방호실천, 진료실감염관리실천, 폐기물관리실천과 양의 상관관계를 나타내었으며 통계적으로 유의하게 분석되었다(p<0.05). 감염관리 실천을 위해 의료진, 환자, 기관의 지원과 협조가 요구되며 감염관리 관리자는 지속적인 교육을 통해 감염관리지침을 인지하고 실천할 것이 요구된다.

전라도 장수지역에 거주하는 여자노인의 동거유형에 따른 생화학적 지표 및 영양섭취상태에 관한 연구 (A Study on the Blood Health Status and Nutrient Intake in Elderly Women Dwelling in Longevity Region in Jeonla Province according to Family Arrangement)

  • 오세인;곽충실;연미영;이미숙
    • 한국식품영양학회지
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    • 제27권5호
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    • pp.940-955
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    • 2014
  • The purpose of this study was to compare the degree nutrient intake, health status and other characteristics of females aged 65 years and over in a longevity area according to family arrangement. For analysis, 585 female elderly were recruited from the Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as the longevity-belt region in Jeonla province, Korea. The subjects were categorized into three groups according to family arrangement (living alone, living with spouse only and living with family). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups, nutrient intake and mini nutrition assessment. In the group living with their spouse only, the highest education, physical activity, diverse food intake, frequency of eating meats and fish, energy and nutrients intake, and score on the mininutrient status assessment (MNA) were found to be significantly favorable factors. Taken together, these results demonstrated that the group living with their spouse only had relatively superior nutrient intake and the quality of diet. In contrast, the group living alone showed the lowest self-rated economic status, diversity of food intake, and physical activity, with the highest frequency of drinking, smoking and regular exercise for almost everyday compared with the other groups. On the other hand, those living with family demonstrated the lowest intake of supplements or functional foods, and levels of hemoglobin hematocrit MCH, but the highest HBA1c and blood sugar. Therefore, the group living with family was assumed to be at risk of anemia and diabetes. These results could be useful to plan effective strategies to increase the health-life expectancy of Korean elderly people living in rural areas, according to family arrangement.

전신성 홍반성 낭창환자의 질병관련 지식정도와 교육 요구도 (Extent of Knowledge on the Disease and Learning Needs of Patients with Systemic Lupus Erythematosus)

  • 송병은;유소연
    • 기본간호학회지
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    • 제6권3호
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    • pp.464-476
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    • 1999
  • This study was conducted between October 1, 1998, and December 31, 1998, in order to provide basic data to develop better self-management educational programs for systemic lupus erythematosus (lupus) patients. In the study, the extent of each patients knowledge on the disease and their learning needs about it were examined for 100 lupus inpatients and outpatients at the Kangnam St. Marys Hospital. Data were collected by using questionnaires to those patients. Frequencies, percentage, average, standard deviation, t-test, ANOVA, and Duncans multiple range test were examined through the SAS program. The result of study follows : 1) The average score of patients knowledge on the disease was 15.7 (range, 7-20; standard deviation, 2.74). Subjects scored higher as far as the extent of their knowledge in the following categories : management of daily life, diet, characteristics of the disease, risk factors, and medication. Two categories shared the highest percentage of correct answers : 99% of subjects correctly identified that fatigue and stress aggravate symptoms of lupus and symptoms of lupus vary among individuals in range and type. However, when subjects were asked if patients should get a regular examination by an ophthalmologist every 4-6 months while they are on medication to treat rashes, lupus can be completely cured, and contraceptives that include a female hormone (estrogen) are good as contraceptive methods, the percentages of correct answers were low (32%, 31%, and 20%, respectively). In terms of subjects knowledge about the disease by their general characteristics, single subjects had more knowledge about the disease than married subjects did (t=2.14, p=0.0353). The extent of knowledge also varied by monthly income (F=4.96. p=0.0097). Those with more formal education had more knowledge about lupus than those who had less formation education did (t=2.95, 0.0039). Additionally, those who were satisfied with their education about the disease had better knowledge about it than those who were dissatisfied with their education did (t=2.71, p=0.0090). 2) The extent to which lupus patients wanted to be educated about the disease was, on average, 64.5 (range, 46-75; standard deviation, 7.91). Areas for which patients requested education are listed here in order : risk factors, sexual lives and patients associations. Patients who had been hospitalized demonstrated wanting more education than those who had not been did(t=3.73, p=0.0003). The extent to which they wanted the information was different by the number of educational sessions they had (F=3.98, p=0.0249). In conclusion, the results above would be considered when the education programme is planned for SLE patients.

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초등학교 영재교육을 위한 수학·과학 중심의 융합교육 프로그램 개발 (Development of Convergence Education Program for Elementary School Gifted Education Based on Mathematics and Science)

  • 류성림;이종학;윤마병;김학성
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.217-228
    • /
    • 2018
  • 본 연구는 초등학교 수학-과학 교과 내용을 중심으로 인문과 예술, 공학, 기술, 디자인의 교육 자료를 다양한 주제로 융합하여 영재교육을 위한 STEAM 프로그램을 개발하였다. 2015개정 교육과정에 적합한 초등학교 수학-과학 교과의 성취기준과 교과 내용을 분석하여 4단계 STEAM 교수-학습 모형을 적용하여 3시간 블록타임의 16차시 융합교육 교수-학습 프로그램을 구안했다. 개발 프로그램의 타당성을 검증하고, 현장 적용을 위해 개발과 시범 적용 과정에서 4명의 교육 전문가 패널이 참가하여 평가하였고, 그 결과를 반영하여 융합교육 프로그램을 완성했다. 수학-과학 교과를 중심으로 여러 교과를 통합하여 디자인과 메이킹, 감성 기반의 16차시 영재교육 프로그램을 초등학생들에게 시범 적용한 결과 창의적인 설계와 디자인, 적극적인 참여와 협동학습, 재미있는 수업활동(게임, 만들기 등)으로 융합교육의 목적과 가치를 달성할 수 있었다. 개발된 융합교육 영재 프로그램은 초등학교 정규 수업 시간과 창의적 체험활동, 영재학급 수업 등에서 적용한다면 학생들의 과학적 창의성, 예술적 감수성, 디자인 감각 등을 함양할 수 있는 실질적인 융합교육 콘텐츠가 될 것이다.