• 제목/요약/키워드: social inclusion

검색결과 213건 처리시간 0.025초

Aberrant Methylation of Genes in Sputum Samples as Diagnostic Biomarkers for Non-small Cell Lung Cancer: a Meta-analysis

  • Wang, Xu;Ling, Li;Su, Hong;Cheng, Jian;Jin, Liu
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4467-4474
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    • 2014
  • Background: We aimed to comprehensively review the evidence for using sputum DNA to detect non-small cell lung cancer (NSCLC). Materials and Methods: We searched PubMed, Science Direct, Web of Science, Chinese Biological Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI), Wanfang, Vip Databases and Google Scholar from 2003 to 2013. The meta-analysis was carried out using a random-effect model with sensitivity, specificity, diagnostic odd ratios (DOR), summary receiver operating characteristic curves (ROC curves), area under the curve (AUC), and 95% confidence intervals (CI) as effect measurements. Results: There were twenty-two studies meeting the inclusion criteria for the meta-analysis. Combined sensitivity and specificity were 0.62 (95%CI: 0.59-0.65) and 0.73 (95%CI: 0.70-0.75), respectively. The DOR was 10.3 (95%CI: 5.88-18.1) and the AUC was 0.78. Conclusions: The overall accuracy of the test was currently not strong enough for the detection of NSCLC for clinical application. Dscovery and evaluation of additional biomarkers with improved sensitivity and specificity from studies rated high quality deserve further attention.

유아교육 (The Early Childhood Education in Korea)

  • 최석란;김영숙
    • 아동학회지
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    • 제30권6호
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    • pp.209-221
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    • 2009
  • The early childhood education in Korea has made a great progress during the last thirty years. However, understanding the early childhood education is a challenging task because of the diversity of the fields. Currently 38% of 3-5 year old children are enrolled in kindergarten. And several efforts to develop and distribute the standard curricula on a national level were underwent successfully. Researches are rapidly expanding in volume and the topics are becoming diverse. Focuses of researches moved from the area of cognitive development, science and mathematics in 80s, social and emotional aspects in 90s to language, curriculum and teacher education in 2000s. One of the emerging issues is the inclusion of kindergarten to public education system and free kindergarten education for young children. The second issues is more interdisciplinary policies are in need related to the low-birth rate in nation. The third one is about teacher training policy. The fourth one is related to the health, nutrition and safety of young children. And the fifth issue is moving educational system and policies that provide better future of young children while focusing on the children in low income families and children with absolute poverty.

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메타분석을 이용한 당뇨중재의 효과분석 (A Meta-Analysis of Korean Diabetes Patient Studies from 1977 to 2008)

  • 진영란;소은선;이효영
    • 한국보건간호학회지
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    • 제25권1호
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    • pp.5-16
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    • 2011
  • Objectives: This study analyzed the effects of diabetes interventions published in journals of nursing, medical and public health, to suggest directions for future research. Methods: A comprehensive search of three databases was undertaken (Korean studies, Riss4U, RICHIS) using research terms such as "diabetes", "nursing", "public health", "intervention" and "program". One hundred fifty four original articles were retrieved and 21 articles were finally analyzed. The analyzed articles satisfied the inclusion criteria and their effect size was calculated. Results: Most studies about diabetes intervention were published form 2001. 2005 (57.1%). The psycho-social variables, 'self-efficacy' and 'self-care' presented good effects on exercise or exercise prescription intervention. In addition, the physiological variables, 'fasting blood sugar' and 'glycosylated glucose' presented good effects on the interventions using four more elements or the interventions held in a public health center. Conclusion: Further research should consider the essential elements that benefit diabetes patients' behaviors or physiological indicators.

Communication Competencies of Oncology Nurses in Malaysia

  • Maskor, Nor Aida;Krauss, Steven Eric;Muhamad, Mazanah;Mahmood, Nik Hasnaa Nik
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.153-158
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    • 2013
  • This paper reports on part of a large study to identify competencies of oncology nurses in Malaysia. It focuses on oncology nurses' communications-related competency. As an important cancer care team member, oncology nurses need to communicate effectively with cancer patients. Literature shows that poor communication can make patients feel anxious, uncertain and generally not satisfied with their nurses' care. This paper deliberates on the importance of effective communication by oncology nurses in the context of a public hospital. Four focus group discussions were used in this study with 17 oncology/cancer care nurses from Malaysian public hospitals. The main inclusion criterion was that the nurses had to have undergone a post-basic course in oncology, or have work experience as a cancer care nurse. The findings indicated that nurses do communicate with their patients, patients' families and doctors to provide information about the disease, cancer treatment, disease recurrence and side effects. Nurses should have good communication skills in order to build relationships as well as to provide quality services to their patients. The paper concludes by recommending how oncology nursing competencies can be improved.

임상간호사의 프리젠티즘 연구에 관한 통합적 고찰 (Presenteeism in Clinical Nurses: An Integrative Literature Review)

  • 권민정;최은숙
    • 한국직업건강간호학회지
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    • 제26권3호
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    • pp.160-171
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    • 2017
  • Purpose: This review aimed to integrate the results of studies related to presenteeism in clinical nurses and to suggest directions for future research. Methods: The search for relevant studies was conducted using six data bases according to predetermined index terms, "$nurs^*$" and "presenteeism." Thirteen studies that met the inclusion criteria were selected and analyzed. Results: This review found that the conceptual use and scope of presenteeism were not consistent among the studies. Most studies investigated the nurses' health-related variables as the most important factors and reported their positive association with presenteeism. Presenteeism was also found to be associated with job stress, job satisfaction, social support, and organizational culture and had a negative impact on nursing outcomes such as patient safety. Conclusion: The research on presenteeism can be used as a way to explain outcomes in the field of nursing where direct measurement of productivity is difficult. Presenteeism is a multidimensional problem, and a theoretical foundation is needed to explain the presenteeism of clinical nurses.

건강정보 이해능력(Health Literacy)에 대한 개념분석 (Health Literacy: An Evolutionary Concept Analysis)

  • 김성은;오진아;이윤미
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.558-570
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    • 2013
  • Purpose: In these days, the concept of health literacy becomes important because it is essential to have a clear grasp of patients' basic ability to understand health-care information. Therefore, we intended to discover attributes, antecedents and consequences of health literacy through contextual analysis. Method: Following Rodgers' evolutionary concept analysis, we did a literary review. The databases KMBase, KoreaMed, Kstudy, NDSL, and RISS were searched for articles. Among published literature about health literacy, twenty articles which satisfied the inclusion criteria were chosen. Results: Health literacy consists of three attributes: information seeking, information understanding, and information utilizing. Furthermore antecedents are as follows: health status, health belief, socioeconomic status, and information quality. Finally, we were able to explain the consequences of health literacy by showing improvement of self-care and interaction, and a decrease of social costs. Conclusion: We expect this study to guide the direction of future studies, and as a concept analysis that examines the conceptual attributes in the context of health literacy. Based on the result of this study, the design of a standardized tool and the program of health literacy promotion education need to be developed.

Behaviour of transmission line conductors under tornado wind

  • Hamada, Ahmed;El Damatty, Ashraf A.
    • Wind and Structures
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    • 제22권3호
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    • pp.369-391
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    • 2016
  • Electricity is transmitted by transmission lines from the source of production to the distribution system and then to the end users. Failure of a transmission line can lead to devastating economic losses and to negative social consequences resulting from the interruption of electricity. A comprehensive in-house numerical model that combines the data of computational fluid dynamic simulations of tornado wind fields with three dimensional nonlinear structural analysis modelling of the transmission lines (conductors and ground-wire) is used in the current study. Many codes of practice recommend neglecting the tornado forces acting on the conductors and ground-wires because of the complexity in predicting the conductors' response to such loads. As such, real transmission line systems are numerically simulated and then analyzed with and without the inclusion of the lines to assess the effect of tornado loads acting on conductors on the overall response of transmission towers. In addition, the behaviour of the conductors under the most critical tornado configuration is described. The sensitivity of the lines' behaviour to the magnitude of tornado loading, the level of initial sag, the insulator's length, and lines self-weight is investigated. Based on the current study results, a recommendation is made to consider conductors and ground-wires in the analysis and design of transmission towers under the effect of tornado wind loads.

아동상담사의 양성과 국가자격검정제도 안을 위한 기초연구 (A Preliminary Study for Training Child Counselors and Integrating Such Training into the National Qualification System in Korea)

  • 이희선;조성연;심미경
    • 아동학회지
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    • 제31권3호
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    • pp.139-159
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    • 2010
  • The aim of this study was to explore the current status, and public policy issues related to child counselors, with a special focus on training programs and integrating such training into the national qualification system in Korea. The number of children manifesting various social and emotional developmental problems have increased recently. Thus, there is a clear and growing need for suitably qualified specialists to help them and their parents. Child counselors (CCs) are qualified specialists in child counseling and therapy. However, there are no national qualifications or training systems for CCs in Korea. Therefore, in this study, we proposed a Korean national qualification and training system of CCs by comparing the Korean Youth counselor's qualification, training and in-service training system, and with those of both Germany and the USA. In addition, this study suggested the inclusion of a practicum component and a suitable in-service training system for Korean CCs.

제주도 거주 노인의 고령친화도시에 관한 인식 조사 - 도시 vs 농촌 - (Seniors Perception on Age-Friendly Aspects in Jeju Island, South Korea - Urban vs Rural -)

  • 황은주;이서연;고승한;브로수아 낸시;비미시 줄리아
    • 한국주거학회논문집
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    • 제26권5호
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    • pp.37-44
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    • 2015
  • The purpose of this study was to compare urban and rural seniors' perceptions on the eight aspects of the World Health Organization Age-Friendly Cities (AFC) initiative on Jeju Island, South Korea. Face-to-face interviews using structured questionnaires were administered to 497 persons aged 65+ living on Jeju Island. Findings suggested that urban and rural held significantly different perceptions on five aspects of AFC (outdoor space and buildings, housing, civic participation and employment, community support and health services, and respect and social inclusion). Predictors of overall AFC score for all participants included age and living in a single-family home. Among urban dwellers, monthly household income and length of residence predicted AFC score while among rural seniors, predictors of AFC included educational attainment. To make communities more age-friendly, perspectives of older residents should be sought, shared, and reflected in policy and different strategies and priorities should be developed specific to urban and rural areas.

아시아 국가 성인 여성의 HPV 지식, HPV 백신접종 태도에 관한 연구: 문헌고찰 (Knowledge about HPV, and the Attitudes Toward HPV Vaccination among Adult Women in Asian Countries: A Literature Review)

  • 오현진
    • 종양간호연구
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    • 제11권3호
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    • pp.171-178
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    • 2011
  • Purpose: This literature review was conducted to provide a summary of the findings from research on knowledge and attitudes about human papilloma virus (HPV) and HPV vaccination, and studies of its actual uptake among women in Asian countries. Methods: The author searched the Pubmed, CINAHL, and KISS electronic databases to identify peer-reviewed articles published between 2006 and 2011. Results: Seventeen peer-reviewed studies met the inclusion criteria (13 quantitative, 4 qualitative). Findings from seven Asian countries that measured female adult's knowledge of HPV related issues and attitudes toward HPV vaccination were reviewed. Low level of knowledge about HPV and its related conditions, willingness to be vaccinated, and low uptake of vaccines were identified across the studies. Cultural barriers and social stigmatization about HPV vaccination were also discussed. Conclusion: Findings from this review indicate that adult women in Asian countries are in urgent need of improving HPV related knowledge and its actual vaccination. Policy makers, health care providers, and public health educators should take into account the cultural barriers and attitudes toward HPV vaccination in the process of developing and implementing educational programs and interventions for adult women in Asian countries.