• Title/Summary/Keyword: therapeutic relations

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Job Analysis for Role Identification of Clinical Nurses with Expanded Role - Clinical Nurse with Education and Clinical Nurse with Coordination - (진료협력간호사의 역할규명을 위한 직무분석 - 교육상담간호사와 진료코디네이터간호사 중심 -)

  • Sung, Young Hee;Lim, Nan Young;Park, Kwang Ok;Jung, Jung Hee;Kwon, In Gak;Kim, Ul Soon;Hwang, Moon Sook
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.2
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    • pp.139-155
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    • 2009
  • Purpose: The purpose of this study was to identify role through job analysis (duties and tasks) of nurses who work as clinical nurses with education and clinical nurse with patient coordination within the hospital. Methods: The DACUM committee was organized with 8 nurses each, clinical nurses with education and clinical nurses with coordination. The committee derived the duties and tasks of the two groups of clinical nurses from their actual work in the hospital through a DACUM workshop. Validity of the derived duties and tasks was tested by 12 nurses at each of 3 hospital. Results: For clinical nurse with education, 8 duties and 45 tasks were identified, which included patient education and consultation, patient advocacy, management of the therapeutic process, direct nursing care, activities work directed at improvement, management of health promotion events, administration work, and self-improvement. For clinical nurse with coordination, 10 duties and 54 tasks were identified, and included client consultation, client education, direct nursing care, coordination of therapeutic flow, employee education, public relations with the community, planning and operation of meetings, administration work, work directed at improvement, and self-improvement. Conclusion: The results of this study contribute to not only the work of the participants but also basic data for human resource management in the hospital.

A Study for Home-based Physical Therapy Service Introduction through a Group of Professionals In-depth Interview (전문가 그룹의 심층면접을 통한 가정방문 물리치료도입에 관한 연구)

  • Lee, Min-Soo;Kim, Myung-Chul;Kim, Gyu-Yong
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.303-315
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    • 2013
  • PURPOSE: The present study was aimed at providing political basic data for introduction home-based physical therapy service through conducting In-depth interviews with professionals for complementing the survey of previous studies. METHODS: we conducted In-depth interviews to 10 professionals with their consent after describing the intent and purpose of the study. RESULT: Interviewees has significant recognition of home-based physical therapy service, and were sympathetic to the need for the introduction of the home-based physical therapy service. They suggest that it should be required to public relations, incorporation home-based physical therapy into the regular curriculum and research the foreign cases. Also home-based physical therapy system service should be include therapeutic exercises, education for families & caregivers and providing the rehabilitation of the team approach. Most professionals think the sooner Home-based physical therapy service introduction, the better for public. Also they propose that hospitals and clinics under the national and local government become a principal and operate in conjunction with the health center. CONCLUSION: Home-based physical therapy service should be conducted in early for relieving the physical, mental and social discomfort of patients, physical therapists and caregivers, also providing the quality of physical therapy to chronically ill patients. It is necessary to efforts of the physical therapy association and physical therapist and government`s political supports. In addition, we must be prepared on the basis of policy development and operation through continuously converging the opinions of experts who have been associated with home-based physical therapy service.

Current Status and Expectations of Orphan Drugs in Korea -In point of supplying medicines for the rare diseases- (국내 희귀의약품의 현황 및 과제 -희귀질환에 대한 의약품 공급을 중심으로)

  • Kim, Hee-Eun;Gwak, Hye-Sun
    • Korean Journal of Clinical Pharmacy
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    • v.16 no.2
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    • pp.107-112
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    • 2006
  • This study was aimed to investigate the current status and expectations of orphan drugs in Korea. The Korea Orphan Drug Center was established to supply many medicines for the patients with rare diseases. Among the medicines supplied by the Center, the number designated as the orphan drugs by the KFDA is quite few. However, a few of medicines are not under circulation even if the items are designated as the orphan drugs. Neoplasm-related medicines, infectious and parasitic disease-related medicines, endocrine, nutritional and metabolic disease-related medicines are the ones circulated most. There are several unapproved drugs among the medicines supplied by the Center. It's because the director of the Center can import the goods without a process to getting an approval from the KFDA. The Korea Orphan Drug Center has contributed to the selection of the medicines for treating the rare disease. On the contrary, some problems remain in the supply process. The safety and effectiveness of the medicines supplied by the Center are not guaranteed. So far, rare diseases have no specific legal definition, and therefore are only referred to in terms of the population of patients, which prevent from establishing the range of medicines. The introduction of Special Access Program or Access to Unapproved Therapeutic Goods will be the solution of these problems. In addition, it is another solution to keep intimate relations with the Rare and Intractable Disease Center and the Medicine Safety Information Center which will be open soon.

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Mediating Effect of Adolescents' Smart-Phone Addiction in the Relationship between Family Function and School Adjustment Resilience (가족기능성과 학교적응유연성의 관계에서 청소년 스마트폰 중독의 매개효과 검증)

  • Ko, Jae-Soo
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.140-151
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    • 2014
  • This study aims to examine the effects of adolescents' family function and School adjustment resilience on smartphone addiction through verification using the structural equation model. To attain the goal, the study collected data through a survey to elementary school fifth and sixth graders and middle school students living in Busan during March in 20l3. The result of this study shows that family function exerts negative effects on smartphone addiction and positive effects on school adjustment resilience. And smartphone addiction is found to show partial mediating effects in the relations between family function and school adjustment resilience. Based on the above results of this study, the paper suggests measures to enhance social interest in adolescent smartphone addiction and also methods to prevent smartphone addiction and intervene with families and schools for therapeutic intervention.

Relations of Body Perception, Anxiety, Psychological Flexibility and Abnormal Eating Attitudes of College Students (대학생의 체형인식, 불안, 심리적 유연성과 이상섭식태도 간의 관련성)

  • Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3675-3684
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    • 2014
  • This study examined the relationships among body perception, anxiety, psychological flexibility, and abnormal eating habits of college students. Data was collected through a self reported structured questionnaire from 289 Korean college students using convenient sampling methods from April 20 to June 30, 2013. Multiple linear regression revealed the subjective body perception (${\beta}$=0.28, p<.001), ideal body image (${\beta}$=-0.15, p=.004), anxiety (${\beta}$=0.21, p<.001), and psychological flexibility (${\beta}$=-0.13, p=.032) to be significant predictors of abnormal eating habits of college students. These variables accounted for 26% of abnormal eating habits (F=17.42, p<.001). Therefore, as a strategy for reducing abnormal eating habits, therapeutic nursing intervention will be needed to improve the psychological flexibility and control anxiety as well as correct the distorted body perception.

Fabrication of dentures for a patient with unstable mandibular movements: A case report (불안정한 하악 운동을 가진 환자의 의치 수복 증례)

  • Han, Sa-Rang;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun;Lee, Hyeonjong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.378-384
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    • 2020
  • For patients with unstable mandibular movements and centric relation of the mandible due to long-term use of ill-fitting dentures, the successful fabrication of new dentures is challenging. Before fabrication new dentures, registration of centric relation is the critical point in such cases. In this case, treatment dentures with a flat occlusal table were used to stabilize mandibular movements and to register centric relation. In order to reflect the patient's jaw relation and vertical dimension obtained through the treatment dentures to the final denture, the treatment dentures were digitally duplicated, and impressions and jaw relations were obtained using the duplicated therapeutic dentures. The clinical results were satisfactory on the aspect of aesthetic and masticatory functioned.

Development of the Pre-father Education Program - Based on Developmental Approach and Narrative Therapeutic Perspective - (예비아버지 교육 프로그램의 개발 -발달적 접근과 이야기 치료적 관점을 중심으로-)

  • Choi Hyun-Sook;Lee Ki-Sook
    • Journal of Families and Better Life
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    • v.24 no.2 s.80
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    • pp.177-193
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    • 2006
  • The purpose of this study is to develop a program which aims at providing a better understanding of parenthood, establishing a desirable value of being a parent and preparing for being a good father positively affecting children, and determine effects of the program on unmarried men who are in the so-called stage of 'not belonged youth'. The program consisted of 5 sessions titled 'My father, 'I will be a father, too', 'Being a good father I', 'Being a good father II' and 'I will be a respectable father'. 7 unmarried men surveyed here were asked to participate in the program held at B church located in Busan from Oct. 3 to Nov. 7, 2004, with 1 session a week and 120 minutes per session based. Before and after the program, tests were carried out with the father acceptance-rejection scale and the scale of confidence in father's role'. For each of the sessions, a process evaluation was performed. Results of the study can be summarized as follows. First, the pre- and post-tests with the father acceptance-rejection scale showed some changed recognition that father's attitude of child raising would be more acceptable and unrejectable. This indicates that the program made some achievements in relation to understanding and reestablishing relations with father. Second, significant differences were found in confidence in father's role between before and after the program. Especially, anxiety about father's role as a sub-area of such confidence was most considerably reduced. In conclusion, such objectives of the program as removing vague anxiety about father's role, establishing a desirable view of fatherhood and improving confidence about being a father proved to be achievable through getting skills of child understanding with the concept of developmental perspective and narrative therapy based.

Determination of Initial Beam Parameters of Varian 2100 CD Linac for Various Therapeutic Electrons Using PRIMO

  • Maskani, Reza;Tahmasebibirgani, Mohammad Javad;Hoseini-Ghahfarokhi, Mojtaba;Fatahiasl, Jafar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7795-7801
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    • 2015
  • The aim of the present research was to establish primary characteristics of electron beams for a Varian 2100C/D linear accelerator with recently developed PRIMO Monte Carlo software and to verify relations between electron energy and dose distribution. To maintain conformity of simulated and measured dose curves within 1%/1mm, mean energy, Full Width at Half Maximum (FWHM) of energy and focal spot FWHM of initial beam were changed iteratively. Mean and most probable energies were extracted from validated phase spaces and compared with related empirical equation results. To explain the importance of correct estimation of primary energy on a clinical case, computed tomography images of a thorax phantom were imported in PRIMO. Dose distributions and dose volume histogram (DVH) curves were compared between validated and artificial cases with overestimated energy. Initial mean energies were obtained of 6.68, 9.73, 13.2 and 16.4 MeV for 6, 9, 12 and 15 nominal energies, respectively. Energy FWHM reduced with increase in energy. Three mm focal spot FWHM for 9 MeV and 4 mm for other energies made proper matches of simulated and measured profiles. In addition, the maximum difference of calculated mean electrons energy at the phantom surface with empirical equation was 2.2 percent. Finally, clear differences in DVH curves of validated and artificial energy were observed as heterogeneity indexes were 0.15 for 7.21 MeV and 0.25 for 6.68 MeV. The Monte Carlo model presented in PRIMO for Varian 2100 CD was precisely validated. IAEA polynomial equations estimated mean energy more accurately than a known linear one. Small displacement of R50 changed DVH curves and homogeneity indexes. PRIMO is a user-friendly software which has suitable capabilities to calculate dose distribution in water phantoms or computerized tomographic volumes accurately.

The Need for Home Care Services and Awareness of U-healthcare in Nurses of the Catholic Parish Home Care Center (성당연계 가정간호사의 가정간호 서비스 필요도와 유헬스케어 인식정도)

  • Oh, Jeong-Ah;Kim, Hee-Seung;Yoon, Kun-Ho;Song, Min-Sun;Park, Min-Jeong;Jung, Hyun-Sook
    • Journal of Home Health Care Nursing
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    • v.15 no.2
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    • pp.67-74
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    • 2008
  • Purpose: We analyzed the need for home care services and awareness of U-healthcare in nurses of the Catholic Parish Home Care Center to link the ubiquitous health care system and the home care. Methods: We recruited 46 nurses from a home care center in the catholic parish of the C medical center from April 4th to June 8th, 2007. Results: The highest needs were 'assessment and diagnosis of the problem', 'management of hypertension & diabetes patients', 'counseling of the patient', and 'counseling of major caregiver and family problems'. Therapeutic nursing showed the highest needs in bedsore care. Nurses want hospital medical records available through the ubiquitous health care system. Conclusion: Home care services are supported from the agency, with high needs in assessing and diagnosing the problem, counseling, and managing of hypertension & diabetes patients. Education and public relations efforts on the U-healthcare system should improve system awareness.

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Public Perception and Routes of Acquiring Information on Drug Safety (소비자의 의약품안전성 인식정도 및 관련정보 획득경로)

  • Ji, Eun-Hee;Kim, Su-Kyeong;Oh, Jung-Mi;Lee, Suk-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.311-318
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    • 2011
  • Misinformation and inappropriate use of medication has become one of the most pressing concerns in drug safety. The purpose of this study was to survey public perception on drug safety as well as the channels most relied upon providing such information. The survey was performed for patients or their families visiting pharmacies in a local city in Korea. Analysis was performed from 367 respondents to the survey. The contents of this survey revealed that consumers were aware of the fact that medications should not be taken at any higher dosage or more often than directed by their prescriptions. The survey revealed a general awareness that symptoms might not be relieved immediately by their medications. However, the perception that there could be adverse drug reaction (ADR) at therapeutic dose was low except among the young or highly educated members. Respondents recognized that skin rashes were the most whereas drowsiness was the least common ADR symptom. There was a high awareness of drug-food or drug-drug interactions except in the case of certain nutraceuticals. Doctors and pharmacists were ranked as the most reliable resources to the consumer for providing drug related information. However, public relations or education programs were in need since there were still not negligible numbers of consumers depending on personal experience rather than health professionals.