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Effect of Dialysis Nurses' Perception of Patient Safety Risk Factors and Patient Safety Competency on Safety Nursing Activities (혈액투석실 간호사의 환자안전에 대한 위험요인 인식과 역량이 안전간호활동에 미치는 영향)

  • Lee, Jae Jung;Jeon, Mi Yang;Lee, Jung Ja;Kim, Gha Na;Jeong, Da In
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.210-219
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    • 2021
  • Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R2=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.

Association of the number of remaining teeth with kidney function in community-dwelling healthy older adults: a cross-sectional study

  • Yui Nanba;Yuhei Matsuda;Satsuki Watanabe;Mayu Takeda;Takafumi Abe;Kazumichi Tominaga;Minoru Isomura;Takahiro Kanno
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.5
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    • pp.243-251
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    • 2023
  • Objectives: Although a few studies have investigated the relationship between kidney and oral function (number of remaining teeth), their results remain inconclusive. Therefore, this study aimed to investigate the relationship between kidney function and oral health in community-dwelling healthy elderlies and examine the factors associated with kidney function. Materials and Methods: We used cross-sectional data from the Shimane prefecture cohort recruited by the Center for Community-Based Health Research and Education in 2019. We collected clinical data on dental status, background factors and kidney function (estimated glomerular filtration rate [eGFR], mL/min/1.73 m2 and creatinine levels, mg/dL). Results: The study enrolled 481 participants, whose mean age was 66.7±7.4 years, and 223 (46.4%) participants were men. Multivariate analysis revealed significant correlations between eGFR (B=0.17, P=0.04), creatinine (B=-0.54, P<0.01), and the number of remaining teeth. The number of remaining teeth was associated with creatinine and eGFR, which are indicators of kidney function. Conclusion: This study suggests that preserving the teeth may prevent decline in kidney function. Dental professionals should provide instructions and professional care to reduce the risk of systemic diseases such as kidney dysfunction.

An Empirical Study on Children′s Peer Status Perception (아동의 또래지위지각 관련변인 연구)

  • Song, Soon
    • Journal of Families and Better Life
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    • v.20 no.2
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    • pp.147-159
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    • 2002
  • The purpose of this study is to investigate children's perceptions of their own peer status and the variables that affect the perception. Four hundred boys and girls in grades five and six participated in this study. The participants were sampled from elementary schools located in two cities in Cheon-buk Province. Out of the 400 self-report questionnaires filled by the participants, 380 were used for the data analyses. The methods of analyses included basic descriptive categorical analysis (frequencies, means, percentages) as well as t-test, one way ANOVA, and multiple regressions. To summarize major findings from the analyses; first, a significant difference was found in children's aggression by father's job and mother's age, in children's popularity by school GPA, father's education, mother's education, and fathers job, and in children's isolation by father's age, father's education, mother's education, and father's job. Second, children's aggression was significantly dependent upon self-esteem, loneliness, family harmony, and family communication. Children's popularity was related with school grade, name satisfaction, body satisfaction, self-esteem, number of close friends, loneliness, family harmony family communication, parental love and acceptance, and perceived closeness to mother. Children's isolation was significantly associated with school grade, body satisfaction, self-esteem, number of close friends, loneliness, family harmony, family communication, parental love and acceptance, and perceived closeness to mother Third, according to the multiple regression analyses, it was found that highly aggressive children tend to report less family harmony, more loneliness, and a larger number of friends. Also, highly popular children tend to report less loneliness, larger number of friends, strong family harmony, and higher academic achievement. On the other hand, highly isolated children tend to perceive weak family harmony, more loneliness, and lower body satisfaction. Lastly, the overall peer status indicator depended significantly on family harmony, loneliness, self-esteem, academic achievement, body satisfaction.

The Insight Paradox among Outpatients with Schizophrenia (조현병 외래 환자에서 병식 모순)

  • Kim, Tae Yong;Kim, Jun Gee;Kim, Chul Kwon
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.56-65
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    • 2019
  • Objectives: The primary objective was to test the phenomenon known as the insight paradox, which refers to the association between higher levels of insight and lower self-esteem, higher hopelessness, and a higher perception of social prejudice among patients with schizophrenia. Methods: A total of 216 outpatients with schizophrenia according to the DSM-IV diagnostic criteria were recruited. All participants were receiving ongoing outpatient treatment and were in a stable phase of the disorder. The participants were divided into a good-insight (N=109) and a poor-insight (N=107) group by the direct interview and the mean score of questionnaire. The parameters used for analysis and comparison were demographic variables (age, gender, education), clinical variables (age at onset, number of hospitalizations), self-esteem, hopelessness, self-stigma, and quality of life. Results: Compared with the poor-insight group, the good-insight group was found to have a lower number of hospitalizations, lower self-esteem, higher hopelessness, lower quality of life, and a higher level of internalized stigma. Conclusion: The insight can cause the negative consequences in patients with schizophrenia. Therefore, clinicians should pay attention to the negative aspects of insight for improving the quality of life in the treatment of patients with schizophrenia.

Change of Cervical Angle According to Smartphone using Time (스마트폰 사용 시간이 목뼈 각도 변화에 미치는 영향)

  • Kim, Soo-Han;Kim, Ko-Un
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.2
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    • pp.141-149
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    • 2014
  • PURPOSE: This study uses X-rays investigate how university students' smart phone use affects the cervical vertebral angle. METHODS: Ninety-two randomly selected students agreed to participate in this study. The participants' number of hours of smart phone use was gathered using a questionnaire. An X-ray of the participants' cervical vertebrae was taken, and the cervical vertebral angle was measured using the Cobb and the absolute rotation angle (ARA) method. Also, the relation between pain and hours of smart phone use was identified using a visual analog scale (VAS). Using SPSS ver18, the relationships among the cervical vertebral angle and the items in the questionnaire were identified and a frequency analysis, an independent t-test, and the analysis of variance (ANOVA) were calculated. RESULTS: The study showed that an increase in the number hours of smart phone per day led to cervical lordosis(p<0.05). The relationships between points of smart phone addiction and cervical vertebral angle have a negative correlation (p<0.05). Therefore, there are the higher smart phone addiction points, the decrease the cervical vertebral angle. CONCLUSION: The results of the study showed that increase in smart phone use lead to cervical lordosis, and smart phone addiction scores resulted in decreased in the cervical vertebral angle.

A study on the Cost Structure and the Revitalization of Online Audience System (랜선관객 시스템 원가 분석 및 활성화 방안 연구)

  • Ahn, Sunghun;Hue, Kwangbok;Jeong, Dalyoung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.17 no.2
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    • pp.37-45
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    • 2021
  • In this study, we want to analyze the difference in cost structure for the LAN audience system, which emerged as an alternative to the existing audience system due to the influence of Covid-19, and to analyze the utilization of the LAN audience system. To this end, the incremental cost difference between the existing audience system and the LAN audience system in the production of the broadcast program was compared and analyzed through the broadcasting production case by the actually performed LAN audience system. According to the research, the existing audience system has a linear cost structure that increases with the number of audience participants, while the LAN audience system has a calculated cost structure that gradually increases with the range of audience participants. These findings indicate that the LAN-line audience system costs more than the audience system, but the total cost is lower than the audience system for a certain number of people or more. This is a supplement to the existing audience system, which could not attract more audiences due to the lack of production costs, suggesting that the online audience system plays a role in supplementing the open broadcasting production system.

Are Primary Health Care Workers Aware of Cervical Cancer Risk?

  • Can, Huseyin;Erdem, Ozgur;Oztekin, Coskun;Celik, Sercan Bulut;Onde, Mete;Celepkolu, Tahsin;Ongel, Kurtulus
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6669-6671
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    • 2014
  • Background: We here examined the awareness of female health employees (doctors, nurses, midwives) working in primary health care service about cervical cancer and its risk factors. Additionally attitude and behavior for gynecologic examination and pap smear screening wwere researched. Materials and Methods: This cross-sectional, descriptive study con cerned female health employees working at primary health care services in two southern cities of Turkey, over a four month period in 2013. Participants were recently or previously sexually active research was explained and verbal informed consent was obtained face to face. The questionnaire consisted of two parts; socio-demographic characteristics and level of knowledge about cervical cancer and its risk factors. Results: The average age of the participants (midwives 43.7%, n=143; nurses 40.4%, n=132; doctors 6.4%, n=21; emergency medical technicians and others, 9.5%, n=31; total, n=327) was $30.9{\pm}6.41$ years. 64.2% (n=210) were working in Diyarbakir and 35.8% (n=117) in Batman. A large proportion reported low knowledge and inadequate screening practice Conclusions: Health employees should be better informed about the importance of screening for cancers, given their preventive roles for the general population.

Readability of Health Messages and Its Communicative Effect (건강 메시지의 독이성과 소통 효과)

  • You, Myoung Soon;Ju, Young Kee
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.27-36
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    • 2012
  • Objectives: Developing efficient health messages is important for improving health behaviors at a societal level. This study attempts to test a few variables that could constitute the elements for measuring readability of health message. The number of subject-verb relationships in a sentence, placement of jargon, i.e., explication before or after each jargon, and the number of less familiar Chinese characters were manipulated to hypothetically differentiate readability. Methods: In a $2{\times}2$ mixed factorial experiment, 152 college students read two health messages regarding side effect of health functional food and energy drink. The participants' perceived readability was asked, and eight questions were developed to measure the participants' recognition of the health information. Results: Those who read messages manipulated to have high readability rated the message significantly higher than those who read messages with low readability. Also, the former answered the questions more correctly than the latter, implying the association between readability and knowledge acquisition regarding health. Conclusions: Readability is suggested as a factor determining the effect of health messages in affecting the public's health risk perception and relevant behaviors. Further studies to sophisticate the measurement itself and to examine the effect of actual public messages with different readabilities are suggested.

Shoulder and Elbow Injury Rates and Patterns in Korean Rookie Professional Baseball Pitchers

  • Park, Jin-Young;Lee, Seung-Jun;Kim, Yong-Il;Heo, Gu-Yeon
    • Clinics in Shoulder and Elbow
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    • v.19 no.1
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    • pp.15-19
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    • 2016
  • Background: To investigate how many rookie pitchers suffered from injuries while playing in the amateur league without guidelines for prevention of excessive pitching, we analyzed their amateur pitching patterns based on the pitch count, use of breaking balls, and pitches during winter camp. Methods: Forty-one rookie pitchers who graduated from high school or university in 2013 and joined professional baseball teams. Participants were interviewed by a trainer using our questionnaire. Injury inclusion criteria were 1) history of shoulder surgery, 2) history of elbow surgery, 3) shoulder pain requiring treatment, and 4) elbow pain requiring treatment. Results: Mean number of pitches per game and warm-up pitches for practice was 84.5 pitches (range, 15 to 130 pitches) and 16.4 pitches (range, 2 to 210 pitches), respectively. Mean number of pitches during the last year was 906.9 (range, 80 to 2,000). Mean number of maximal pitches was 127 pitches (range, 50 to 210 pitches). Fourteen pitchers had pitched over 150 pitches. Twenty-seven pitchers (65.9%) had pitched in spite of enduring pain. During winter training (mean 1.8 months), mean number of pitches per day was 162.5 pitches, and 20 pitchers (48.8%) had practiced pitching excessively despite the cold weather. Twenty-six rookies (63.4%) had shoulder pain or history of shoulder surgery, and 31 pitchers (75.6%) had elbow pain or history of elbow surgery. Only four participants (9.8%) did not have pain and history of surgery. Conclusions: For young baseball pitchers, guidelines for prevention of excessive pitching and for regulating the winter training program may be needed.

Practice of HPV Vaccine and Associated Factors among School Girls in Melaka, Malaysia

  • Al-Naggar, Redhwan Ahmed;Bobryshev, Yuri V.;Al-Jashamy, Karim;Al-Musli, Mahfoudh
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3835-3840
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    • 2012
  • Objective: The objective of this study is to determine the practice and associated factors of HPV vaccine among school girls in Melaka, Malaysia. Methodology: A total number of 612 secondary school girls participated in this study. The questionnaire consists of 38 questions which included 3 sections. The first section is about socio-demography. The Second section is about knowledge and awareness of HPV vaccines. The third section is about practices with associated barriers of HPV vaccination. Verbal consent was obtained from all participants, and data were analyzed using SPSS 13. Results: A total number of 612 secondary school girl students participated in this study. The mean age was $13.93{\pm}SD$ (1.09); minimum age was 13 years old and maximum was 17 years old. The majority of them was Malay, from rural areas and had a family monthly income of RM 3000 or less (91.8%, 53.1%, 69.6%; respectively). The majority of the parents of the school girls were with secondary education level (56.4%). The majority of the participants did not have a family history of cervical cancer (99.0%). The prevalence of HPV vaccination was 77.9% among school girls in Melaka. The majority of the participants were vaccinated in their schools (77.0%). About 69% knew about cervical cancer and 77.6% had ever heard about HPV vaccine. Regarding the factors that influence the practice of uptake HPV vaccine, they were age, race, income, parents' education, knowledge about cervical cancer, heard about HPV vaccine and place of getting the vaccine (p<0.001). Conclusions: The prevalence of HPV vaccine among school girls is high. Age, race, income, parents' education, knowledge about cervical cancer, heard about HPV vaccine and place of getting the vaccine were the significant factors that influence the practice of uptake HPV vaccine among school girls.