• Title/Summary/Keyword: 임상질문

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A Study on The Factors Influencing the Decision to Get Implant Treatment at Dental Clinic (치과의원에서 임플란트 치료 결정에 영향을 미치는 요인에 관한 연구)

  • Oh, Hye-Young;Jin, Ki-Nam
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.85-91
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    • 2012
  • The purpose of this study was to examine the factors influencing the decision to get implant treatment at dental clinic. The subjects in this study were 321 patients at dental hospitals and clinics. Andersen model in which predisposing variables, enabling variables and need variables were suggested as independent variables was used. The implant decision making was selected as a dependent variable in the model. Using logistic regression analysis, we found statistically significant effects of three independent variables: 1) class, 2) satisfaction with the facility; 3) familiarity with others received implant treatment. Those with the middle or high class background were more likely to take implant treatment. Those who were satisfied with clinic facility were more likely to take implant treatment. Those who were familiar with others received implant treatment were more likely to take implant treatment. This result implies the importance of opinion of others were received the same treatment. Hence viral marketing effort is required even in dental care field.

PARENTAL ATTACHMENT STYLES AND PSYCHIATRIC MANIFESTATIONS IN THEIR $4^{th}\;TO\;6^{th}$ GRADE ELEMENTARY SCHOOL CHILDREN (부모의 애착 유형과 초등학교 고학년 아동의 정신병리와의 상관 관계)

  • Yoo Han Ik;Hwang Jun Won;Kim Boong-Nyun;Shin Min Sup;Hong Kang-E;Cho Soo Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.47-53
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    • 2005
  • Objectives : Few studies have examined the relation between the attachment styles of the primary caregivers and the behavioral problems of their children. This study was performed to identify the impact of the insecure parental attachment patterns on the development of their higher grades elementary school children's psychiatric manifestations and disorders. Methods : 504 higher elementary pupils and their primary caretakers were included in our study. Relationship Questionnaire, Kovacs Children's Depression Inventory, Spielberger's State-Trait Anxiety Inventory for children, and Korean Child Behavior Checklist were applied to them. Results : The grade-school children of the parents who belonged to preoccupied attachment type revealed higher Withdrawn, Anxious/depressed, Social Problems, Attention Problems, Delinquent Problems, Aggressive Problems, Internalizing Problems, Externalizing Problems, Total Behavioral Problems scores than ones of securely attached parents (p<0.01). Internalizing Problems score of preoccupied parents' children was highest, and one of avoidant and secure typed parents' kids followed in order (p=0.004) . More youngsters revealed Total Behavior Problem score high enough to clinically meaningful level in insecure parental attachment style than in secure one (p=0.038). Higher CDI score in insecure parental group was reported than in secure one (p=0.040). Conclusion : Parental insecure attachment can be associated with the development of the behavioral problems and psychiatric illness of their children.

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해안지형분류표준화 동향에 관한 연구 - 환경정보표준 ISO/IEC211 18025 자료와 국내분류체계 비교

  • Chang, Eun-Mi;Park, Kyeong;Seo, Jong-Cheol
    • 한국공간정보시스템학회:학술대회논문집
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    • 2001.11a
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    • pp.275-286
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    • 2001
  • 습지 분류의 목표는 '목록작성(inventory)과 평가와 관리를 위해 자연적인 생태계에 범위를 설정하는 것'이다. 또한 등질적인 속성을 갖는 생태단위를 기술하고, 자원관리 의사결정에 도움을 줄 수 있는 체계로 단위를 만들어내고, 목록작성과 지도화에 필요한 단위를 제공하면, 습지에 관한 개념과 용어의 통일성을 제공하는 것 등이다. 해안지형 가운데 해안 습지의 분류에는 우선, 1) 형태, 2) 생성요인, 3) 자갈, 모래, 펄 같은 기질 물질과 4)현재의 환경이라는 요소가 모두 고려되어야만 하는데 아직 국내에는 이에 대한 연구가 절대적으로 부족하여 이에 대한 규정이 부족한 현실이다. 따라서 현 단계에서 ISO/IEC 규정대로 각 코드는 엄밀히 상호배타적인 개념일 것, 정수로 표시할 것과 순차적으로 증가하는 숫자로 표시할 것 등의 전제조건을 만족시키는 전제 하에서 해안습지를 분류하는 것은 매우 힘든 작업이라 생각한다. 하지만 국토공간의 효율적 관리와 보존을 위해서는 위치와 장소에 따라 차이를 보이는 지질, 지형, 토양, 식생, 수리 현상 등 제반 지표 환경요소에 대한 체계화된 정보의 축척이 있어야 가능하다. 우리나라의 경우 지질 정보는 지질자원연구원에서 발행하는 지질도와, 농촌진흥청에서 발행하는 토양도, 임업연구원에서 발행하는 임상도 등의 주제도가 있으나, 지표환경을 나타내주는 지형에 대한 정보체계는 아직 이루러진 바가 없고, 대학의 석사학위논문이나, 실험적인 수준의 연구에 머물고 있는 실정이다. 이번 연구에서는 지형분류도 작성과 관련한 외국의 사례를 집중적으로 분석하고, 지형정보의 체계적 관리를 위해 가장 필요한 해안습지 지형분류도를 작성하기 위해 가장 기초적인 단계인 해안습지 지형분류체계에 대한 국내외의 연구성과를 비교하여 시안을 작성 표준화를 위한 첫 단계 시도를 소개하였다.분석 결과는 문장, 그림 및 도표, 장 끝의 질문, 학생의 학습 활동 수 등이 $0.4{\sim}1.5$ 사이의 값으로 학생 참여를 적절히 유도하는 발견 지향적 인 것으로 조사되었다. 그러나 장의 요약은 본문 내용을 반복하는 내용으로 구성되었다. 이와 같이 공통과학 과목은 새로운 현대 사회에 부응하는 교과 목표와 체계를 지향하고 있지만 아직도 통합과학으로서의 내용과 체계를 완전히 갖추고 있지 못할 뿐만 아니라 현재 사용되고 있는 7종의 교과서가 교육 목표를 충분히 반영하지 못하고 있다. 따라서 교사의 역할이 더욱더 중요하게 되었다.괴리가 작아진다. 이 결과에 따르면 위탁증거금의 징수는 그 제도의 취지에 부합되고 있다. 다만 제도운용상의 이유이거나 혹은 우리나라 주식시장의 투자자들이 비합리적인 투자형태를 보임에 따라 그 정책적 효과는 때로 역기능적인 결과로 초래하였다. 그럼에도 불구하고 이 연구결과를 통하여 최소한 주식시장(株式市場)에서 위탁증거금제도는 그 제도적 의의가 여전히 있다는 사실이 확인되었다. 또한 우리나라 주식시장에서 통상 과열투기 행위가 빈번히 일어나 주식시장을 교란시킴으로써 건전한 투자풍토조성에 저해된다는 저간의 우려가 매우 커왔으나 표본 기간동안에 대하여 실증분석을 한 결과 주식시장 전체적으로 볼 때 주가변동율(株價變動率), 특히 초과주가변동율(超過株價變動率)에 미치는 영향이 그다지 심각한 정도는 아니었으며 오히려 우리나라의 주식시장은 미국시장에 비해 주가가 비교적 안정적인 수준을 유지해 왔다고 볼 수 있다.36.4%)와 외식을 선호(29.1%)${\lrcorner}$ 하기 때문에 패스트푸드를 이용하게 된 것으로 응답 하였으며, 남 여 대학생간에는 유의한 차이(p<0.05)가 인정되었다. 응답자의 체형은 ${\ulcorner}$

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Recognition and Attitudes on Ethical Issues for DNR of 119 Rescue Party (119구급대원의 심폐소생술 비 시행(DNR)과 관련된 윤리문제 인식 및 태도)

  • You, Soon-Kyu;Jung, Ji-Yeon;Shin, Sang-Yol;Choi, Yoo-Im;Choi, Hea-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.12
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    • pp.3931-3942
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    • 2009
  • This study as a descriptive survey was to investigate recognition and attitudes on ethical issues for DNR of 119 rescue party who are working on the field, and to develop an objective framework which helps rescue team to manage DNR patients. Data were collected from the structured questionnaire, and subject were 226 rescue party in Jeollabuk-do area in Korea. Study was practiced from May 6 through June 20, 2009, and the data were analyzed by frequency, percentage, $x^2$-test, crosstabs using SPSS Win 12.0. The results indicated that ethical attitudes on subjects' factors(sex, age, religion, marital status, clinical working career, current working area, current position, educational experiences for ethics and values, DNR education places, DNR implication experience, and DNR consulting demands) were statistically significant. Therefore, following researches will be necessary in order to consider measures about DNR based on this study.

Effect of Self-Directed Learning Ability, Ego Resilience, Critical Thinking Disposition on the Competency of Nursing Students's Basic Nursing Skills (간호대학생의 자기주도적 학습, 자아탄력성, 비판적 사고성향이 기본간호술기 수행능력에 미치는 영향)

  • Park, Jin-Ah;Hong, Ji-Yeon
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.342-351
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    • 2016
  • Basic nursing, the course for the nursing students to experience nursing practice before going on to th clinical practice, and is crucial for solving health-related problems of patients. This study is a descriptive research study to analyze the impact factors associated with nursing students' basic nursing skill competency. In this study, total 181 subjects participants, and by using a structured questionnaire. Data were collected by self-written questionnaire method. The collected data were analyzed using the SPSS WIN 22.0 program. Of the general characteristics of the subjects, the difference in basic nursing competency was found according to admission motive, major satisfaction, and interest in practice. Critical thinking disposition and the degree of self-training aid influenced performance of basic nursing skills by nursing students, and these variables explained 23.8% of the total variance of basic nursing skills performance. These findings suggest, in order to improve performance of basic nursing skills in nursing students, it is necessary to use various teaching methods that help improve critical thinking and relevant curriculum that promote self-practice.

Comparative Study for Basic Protocol of High Dose Ablation Therapy (고용량 방사성옥소 치료의 기본 Protocol 비교)

  • Moon, Jae-Seung;Jeong, Hee-Il;Lee, Chi-Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.12 no.3
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    • pp.147-156
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    • 2008
  • Purpose: All acts which are enforced from the radioactive iodine therapeutic team is a in its own way principle and provision. Therefore unification of all acts can not be appropriately. We will make the standard coherence. Materials & Methods: From 5 November, 2007 to 17 November 2007, we conducted a questionnaire survey of the nuclear medicine manager of 30 hospitals. The contents of a questionnaire is medical treatment section, patient management, prosecuting attorney section, waste management and safety supervision in about the patient and a questionnaire was drawn up in the method which selects an item. Results: 30 hospital agencies are operating purely for I-131 high dose ablation therapy. Diagnostic study and daily schedule had the difference of some. The most of education for the patients took charge of doctor and nurse. The satisfaction of education was evaluated as the high thing. The safety supervision of waste management accomplishment and Safety supervision the patient and the worker observed on the basis of atomic energy law. Conclusion: Specific standards with sufficient amount of information and practical contents should have been presented through the following data. However, it seems to be lacking in many aspects. Nevertheless, respondents rated 70.9%, which is relatively high, on the value of clinical utilization, and I am very thankful for the evaluation. For many years from now, it may seem necessary for a lot of research on the specific matters based on these data to be conducted.

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Patient's Perception for Developing Research Questions of a Clinical Practice Guideline of Korean Medicine for Degenerative Lumbar Spinal Stenosis: A Descriptive Cross-Sectional Survey (퇴행성 요추 척추관 협착증의 한의표준임상진료지침 핵심질문 설정에 대한 환자 인식 설문 조사: 단면 설문 연구)

  • Choi, Seo Young;Bae, Ji Min;Choi, Ji Won;Yang, Gi Young;Lee, Byung Ryul;Kim, Kun Hyung
    • Korean Journal of Acupuncture
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    • v.35 no.3
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    • pp.130-138
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    • 2018
  • Objectives : The purpose of this study is to explore patients' perceptions that deserve attention when designing core questions for a clinical practice guideline of Korean medicine(KM) for degenerative lumbar spinal stenosis (LSS). Methods : Patients who had been admitted to Pusan National Korean Medicine Hospital from November 1, 2015 to October 31, 2016 were invited to the survey. Patients were eligible if they were both clinically and radiologically confirmed as degenerative LSS. The structured questionnaire was distributed by mail and outpatient visits. Questions included types of experienced Korean/Western medical interventions for LSS, their perceived effectiveness on symptoms, the necessity for studies of KM for degenerative LSS, the types of KM interventions to be investigated and the types of outcome measures after treatments. Data were descriptively analysed. Results : Twenty of thirty-one invited participants responded to the questionnaire. Acupuncture and herbal medicine were the most frequently used KM interventions. Eighteen respondents reported that KM treatments were helpful for their improvement. Sixteen patients who mentioned that research on KM is needed chose acupuncture as the top priority(88%) among KM interventions. The most important outcomes in the view of nineteen respondents included functional recovery (68%) and pain relief (53%). Thirteen respondents (65%) replied that both short-term and long-term outcome were important for them. Conclusions : Our findings may have limited validity due to the small number of respondents and the potential selection and information bias. Further qualitative studies and large-scale surveys to comprehensively identify patients' views are warranted.

Aanalysis on the Competency of Nursing Students' Basic Nursing Skills (간호학생의 기본간호수행능력 영향요인 분석)

  • Song, Mi-Ryeong;Kim, Eun-Man;Yu, Su-Jeong
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.390-401
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    • 2012
  • As medical practices and procedures become more specialized and information technology develops in clinical settings, health organizations need medical personnel with special skills, knowledge and competency. But the lack of practical experience in clinical settings may impair competency in basic nursing skills among nursing students. This study used a cross-sectional survey to analyze factors related to nursing competency among nursing students in order to establish effective teaching methods to increase the clinical competency of nursing students. The data were collected from a questionnaire distributed in several universities among 106 nursing students who expressed a willingness to participate in the study during December 2011 in order to measure self-directedness, professional self-concepts, communication ability, learning satisfaction. The data were analyzed using the SPSS window program. There were differences regarding competency in basic nursing skills according to interpersonal relationships, grades, existence of an open lab. The level of learning satisfaction, communication skills and self-directedness were deemed influencing factors regarding competency in basic nursing skills. These 3 elements account for 49.9% of competency with regard to basic nursing skills. According to existing research, blended learning methods which consist of problem based learning, cyber education or case centered education should be considered as effective teaching methods for developing clinical nursing skills.

Knowledge and Attitudes about HIV/AIDS among Health Care Officers in S. Korea (보건복지 공무원의 에이즈에 대한 지식과 태도에 대한 연구)

  • Choi, Eun-Jeung;Kim, Wha-Son;Jung, Sun-Bok;Whang, In-Sook;Yang, Jeoung-Nam
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.41-55
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    • 2009
  • Objective: This study explores the level of knowledge and attitude towards HIV/AIDS and the relationship between knowledge and attitude among social workers and nurses working in the public sector in Gwangju, S. Korea. Methods: The sample was composed of 121 nurse and 124 social workers. For the purpose of this research participants completed a questionnaire designed to assess their knowledge and attitudes about HIV/AIDS. The data was collected between December 2008 and January 2009. All data was analyzed using SPSS WIN version 12.0 for technical statistics. t-Test, ANOVA and multiple regression analysis was employed. Results: First, the result of this research showed that the level of participants knowledge on HIV/AIDS was 85.9%. The nurses score was significantly higher than social workers on knowledge. Second, the outcome also showed that nurses generally had a more positive attitude about HIV/AIDS patients than social workers but it was not significant. Third, participant's attitudes towards HIV/AIDS was significantly influenced by the level of knowledge and previous education about HIV/AIDS. Fourth, the results also showed that knowledge on HIV/AIDS is the most important influencing factor towards the participants attitude. Conclusion: This result has important implications for future education programs designed for health care professionals including nurses and social workers. Given the importances of the role of public officers as practitioners and policy makers on HIV/AIDS, the education program should not only focus on lectures but also include a sharing of practical experience and knowledge.

Comparison between Subjective and Actigraphic Measurement of Sleep in Psychiatric Inpatients (주관적 수면평가와 활동기록기를 이용한 수면평가의 비교 - 정신과입원환자를 대상으로 -)

  • Jeong, Hyun-Ghang;Lee, Moon-Soo;Ko, Yong-Hoon;Lim, Se-Won;Kim, Seung-Hyun;Jung, In-Kwa;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.1
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    • pp.30-39
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    • 2010
  • Objectives:Assessment of sleep disturbance is an essential part of the diagnostic criteria used for several psychiatric disorders. Change in sleep patterns over time may indicate response to treatment. In clinical practice, sleep is usually evaluated subjectively by patient self-report. This study was aimed to compare subjective sleep assessment with objective sleep measurement by actigraphy in psychiatric inpatients. Methods:A total of 32 psychiatric inpatients were studied. Patients were asked to wear a wrist actigraphy for three consecutive days and nights and to fill out a sleep log each morning. The severity of depression and anxiety was evaluated according to Beck Depression Inventory and State-Trait Anxiety Inventory on the first day of the study. The subjective level of satisfaction with quality of sleep was also evaluated according to visual analog scale. Nurses assessed sleep at one hour interval between 10:00 PM and 6:00 AM for three consecutive nights. Results:There was statistically significant difference of sleep latency between patient's sleep log and acti-graphic measurement. Nursing reports were more consistent with actigraphic measurement than sleep log. Interestingly, subjectively poor sleepers show no significant difference in sleep parameters compared with those of good sleepers. Subjectively poor sleepers report longer sleep latency than that of actigraphic assessment. The discrepancy between subjective and objective assessment of sleep latency was significantly correlated with scores of Beck Depression Inventory and State-Trait Anxiety Inventory. Conclusion:These results show that there are discrepancies between subjective and objective assessment of sleep. The discrepancy of sleep assessment could be influenced by severe depression and anxiety. Especially objective sleep measurement is needed to assess sleep in psychiatric inpatients with severe depression or anxiety and the subjectively poor sleepers for more reliable measurements.

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