• Title/Summary/Keyword: Care need

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Research on National Korean Medicine Policy Priorities using Delphi-AHP : Focusing on the 4th Comprehensive Plan for Korean Medicine Development (델파이-AHP 기법을 사용한 국가한의약정책 우선순위에 관한 연구 - 제4차 한의약육성발전종합계획을 중심으로 -)

  • Yi, Eunhee;Kim, Dongsu;Park, Soo-Kyung
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.2
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    • pp.1-9
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    • 2022
  • Objectives : The purpose of this study is to identify priorities for the 4th Comprehensive Plan for Korean Medicine Development using Delphi and AHP techniques. Methods : This study uses Delphi-AHP method to first, select the target priority policy based on the policy content of the 4th Comprehensive Plan. In addition, two surveys on the priorities were conducted to reach consensus between experts. The main results of the first survey were also provided to experts participating in the second survey to help form expert consensus. Finally, the final policy priority was chosen based on the second survey result. Results : Survey results showed that of the 39 policies in the 4th Comprehensive Plan, "improve the accessibility of Korean medicines," was the most important goal. This was followed by "support for Korean medicine R&D from clinical research to industrialization," "provide foundation for a pilot project that provides customized medical services" and "strengthen the public medicine function of Korean medicine by expanding the its infrastructure in national and public hospitals." Conclusion : The results showed that capacity building of Korean medicine in primary care, improvement of the health insurance system, and research centered on industrialization are relatively more important goals, while the need to enhance global competitiveness was much less important. These key points can serve as a reference when formulating the 5th Comprehensive Plan for Korean Medicine Development in the future.

A Study on the Development Process of Sign Language Interpreting Content in the Medical Setting (의료 환경의 수어통역 콘텐츠 개발 과정에 관한 연구)

  • Lee, Jun-Woo;Oh, Byung-Mo;Cho, Jung-Hwan;Kang, Yi-Sul
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.505-516
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    • 2021
  • The purpose of this study is to develop sign language interpreting content in the medical setting that facilitates Deaf people's access to medical services in situations where professional and accurate medical sign language interpreting is insufficient. To achieve the purpose of this study, we conducted a literature review, individual interviews for Deaf people, on-site requirement surveys of sign language interpreters and sign language experts, and medical and sign language expert consultations. Based on this, we developed sign language interpreting content such as main care contextual scenarios, basic medical terms, and medical term descriptions. Through this study, we developed medical sign language content considering the situation and medical importance of Deaf people to promote expertise in the medial sign language area and developed a responsive website of sign language medical dictionary that effectively and efficiently delivers information to Deaf people and sign language interpreters; we realized the need and importance of sign language translation for Deaf people to be the main bodies.

A Needs Analysis for the Development of Forest Healing Programs: Focusing on Cancer Patients

  • Lee, Mi-Mi;Lee, Don-Gak;Park, Bong-Ju
    • Journal of People, Plants, and Environment
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    • v.23 no.6
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    • pp.683-694
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    • 2020
  • Background and objective: Cancer is the number one cause of death in Korea, and it affects any part of the body regardless of gender and age. Forest healing is a treatment that maximizes the effect of treatment and improves the quality of life. This study aims to provide basic data for the development and implementation of differentiated forest healing programs for cancer patients based on the survey on their interest and needs for the programs. Methods: The subjects were those diagnosed with cancer from October 2018 to April 2019, and this study used 144 copies of the questionnaire retrieved. The sample size of this study (n = 144) was the appropriate size required by G-Power, and the collected responses were analyzed using SPSS 25.0. Results: In the frequency analysis on the interest in forest healing, 79.2% of the subjects had no experience participating in forest healing, but 87% were aware of it, and 82.6% showed the intention to participate in forest healing programs. This indicates that even though not many of them have experience participating in forest healing, they showed high interest and needs for participation. They preferred to participate in spring (29.9%) and fall (27.8%), in programs carried out for 1.5-2 hours in the morning on weekdays. Conclusion: This study has implications for the analysis on forest healing needs of cancer patients, and it is necessary to plan, develop, and implement differentiated forest healing programs that meet the needs of the cancer patients depending on their characteristics. There is also a need to plan forest healing program that can promote both psychological stability and physical health of cancer patients and verify and evaluate their effects based on specialized training of forest healing instructors.

Recent Advances in Electrochromic Sensors (전기화학 기반의 전기 변색 센서 연구 동향)

  • Seo, Minjee
    • Journal of the Korean Electrochemical Society
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    • v.25 no.4
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    • pp.125-133
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    • 2022
  • Along with the increasing need for point-of-care diagnostics, development of portable, user-friendly, as well as sensitive sensors have gained intensive attention. Among various strategies, electrochromic sensors, which are electrochemically operated colorimetric sensors, have been actively studied. With their ability to report the presence and concentration of analytes by optical signals, electrochromic sensors utilize the advantages of both electrochemical and colorimetric sensors, enabling the simplification of device composition as well as convenient interpretation of results. Up to date, electrochromic sensors have been applied for a wide range of analytes, and further developments such as the introduction of flexible platforms or self-powered systems have been reported, providing a path towards the development of wearable sensor devices. In this review, various types of electrochromic sensors, according to the main strategy in which the electrochemical signals are converted to colorimetric signals, are introduced.

The Comparative Analysis of Overseas and Domestic cases of School-based Mental Health Project: Focusing on Singapore, the U.S., and Australia (학교중심 정신건강사업의 해외(싱가포르, 미국, 호주)와 한국의 비교분석)

  • Lee, Ju-Yong;Lee, Eun-Jin;Baik, Hyung-Ui
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.789-802
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    • 2022
  • The purpose of this study is to present implications for effective operation of domestic school-based mental health services by comparing those in Singapore the United States, Australia. Based on reviewing the public data and previous article, researchers conducted a comparative study on the background, history, goal, and managing process of overseas and domestic organizations. The result of comparison in overseas cases suggests that the foundation of school-based mental health project was laid with the national health plan and detailed frame work for implementation. It was also discussed that domestic school-based mental health project is still in introduction stage, while foreign services were delivered efficiently through the leading agency and the cooperation between government ministries and institutions were active. It suggests that cooperation between government ministries, preparation of an effective operating system, and various approaches for students, guardians and teachers are need for domestic school-based mental health project.

Current status of interprofessional education learning activities in wards provided by tertiary hospitals and secondary general hospitals and barriers

  • Kang, Joonsung;Sin, Hye Yeon
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.106-115
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    • 2022
  • Background: The World Health Organization (WHO) has focused on the need for interprofessional education (IPE) to improve interprofessional collaboration competency and patient health outcomes. Accordingly, most European and North American medical colleges have established IPE for students. However, IPE learning activity in medical wards for the clinical experience of pharmacy students has not been fully reviewed in Korea. Therefore, this study aims to examine the current status of IPE learning activities in wards at tertiary and secondary hospitals in order to identify ways to improve the program. Methods: The official document of cooperation consists of six self-administered questions regarding IPE learning activities in wards. The preceptor's response in each hospital was evaluated. Results: Of the 22 hospitals, 9 tertiary hospitals and 12 secondary general hospitals responded. For the introductory pharmacy practice experience (IPPE), participating in intensive care (IC) was provided at one secondary general hospital (8.3%) and no tertiary hospital. Ward rounds with medical staff members were provided at two tertiary hospitals (22.2%) and one (8.3%) secondary general hospital. A major barrier to executing IPE was lack of rewards and incentives for the faculty and preceptors who participated in the program. Conclusion: In both tertiary hospitals and secondary general hospitals, pharmacy students have limited exposure to IPE learning activities in wards at hospital, and IPPE at most hospitals was carried out in pharmacy settings only. This study suggests that it is necessary for the hospitals to improve and support IPE learning activities in wards in order to improve learners' competency.

Subjective Perception of Drinking among New College Students of Nursing (간호대학 신입생의 음주 유형)

  • Su-Jin Kim;Sun-Young Lim;Eun-Ju Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.99-111
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    • 2023
  • Purpose : Although quantitative research on alcohol consumption among nursing students is important, qualitative research is needed to determine the subjective views of individual students, such as their feelings and thoughts, and ensure the implementation of a targeted alcohol intervention program. Q-methodology is a systematic approach that examines the subjective perspectives of individuals, including their views, beliefs, and attitudes, enabling understanding of the types and characteristics according to the individual's subjectivity structure. This study examined the subjective perceptions of drinking among freshmen in nursing college using Q methodology. Methods : Q-sorting was conducted, collecting 38 P samples and 40 statements. The data were analyzed using the PC QUANL program. The principal component factor analysis method was used for Q-factor analysis. Results : The results identified four types of drinking perceptions among freshmen in nursing college. Type 1 was "safety and health pursuit," type 2 was "friendship pursuit," type 3 was "'norm-oriented," and type 4 was "sound manners." When looking at the subjective perceptions of drinking among freshmen in nursing college, there was a common opinion that drinking should not be forced and that it is an individual choice. However, the difference in views (positive and negative) of drinking shows the need for customized educational programs and interventions suitable for each type. Conclusion : Nursing freshmen should be prepared to play an important role in health care as an educational role and model in preventing damage from drinking and maintaining health promotion throughout their life by habituating proper drinking behavior during college life. In addition, it is necessary to develop a plan to increase positive awareness of drinking among nursing students through various strategic programs that can participate in sobriety prevention programs within the university.

Breakthroughs in the Systemic Treatment of HER2-Positive Advanced/Metastatic Gastric Cancer: From Singlet Chemotherapy to Triple Combination

  • Sun Young Rha;Hyun Cheol Chung
    • Journal of Gastric Cancer
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    • v.23 no.1
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    • pp.224-249
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    • 2023
  • Gastric cancer is heterogeneous in morphology, biology, genomics, and treatment response. Alterations in human epidermal growth factor receptor 2 (HER2) overexpression, microsatellite instability (MSI) status, programmed death-ligand 1 (PD-L1) levels, and fibroblast growth factor receptor 2 (FGFR2) can be used as biomarkers. Since the combination of fluoropyrimidine/platinum plus trastuzumab that was investigated in the ToGA trial was approved as a standard of care in HER2-positive patients in 2010, no other agents showed efficacy in the first- (HELOISE, LOGiC, JACOB trials) and second- (TyTAN, GATSBY, T-ACT trials) line treatments. Despite the success in treating breast cancer, various anti-HER2 agents, including a monoclonal antibody (pertuzumab), an antibody-drug conjugate (ADC; trastuzumab emtansine [T-DM1]), and a small molecule (lapatinib) failed to translate into clinical benefits until the KEYNOTE-811 (first-line) and DESTINY-Gastri01 (≥second-line) trials were conducted. The incorporation of HER2-directed treatment with immune checkpoint inhibitors in the form of a monoclonal antibody or ADC is now approved as a standard treatment. Despite the promising results of new agents (engineered monoclonal antibodies, bi-specific antibodies, fusion proteins, and small molecules) in the early phase of development, the management of HER2-positive gastric cancer requires further optimization to achieve precision medicine with a chemotherapeutic backbone. Treatment resistance is a complex process that can be overcome using a combination of chemotherapy, targeted agents, and immune checkpoint inhibitors, including novel agents. HER2 status must be reassessed in patients undergoing anti-HER2 treatment with disease progression after the first-line treatment. As a general guideline, patients who need systemic treatment should receive chemotherapy plus targeted agents, anti-angiogenic agents, immune checkpoint inhibitors, or their combinations.

A Study on Health Behaviors of the Young Adults and the Elderly with Hypertension: A Secondary Analysis of the 2018 Korea Health Panel Data (고혈압이 있는 청장년층과 노년층의 건강행위 분석: 2018년 한국의료패널조사 자료활용)

  • Keum Sook, Kim
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.141-148
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    • 2022
  • The purpose of this study was to investigate the health behavior performance between the young adults and the elderly with hypertension. The research data were analyzed using 2018 Korea Medical Panel data. The subjects of this study were 3,117 persons without disabilities or activity disorders among those diagnosed with hypertension. As a result of the study, first, it was found that the medical utilization rate and drug adherence were high overall. Second, the average body mass index(BMI) and obesity over 25 kg/m2 were found to be higher among the young adults. Third, smoking and drinking were higher in young adults in terms of experience and smoking and alcohol consumption. Fifth, the subjective health status was found to be perceived more positively by the young adults. Based on the results of this study, it is necessary to raise awareness of the need for customized health care from a young age and to develop sustainable and effective programs.

Gold Nanoparticle and Polymerase Chain Reaction (PCR)-Based Colorimetric Assay for the Identification of Campylobacter spp. in Chicken Carcass

  • Seung-Hwan Hong;Kun-Ho Seo;Sung Ho Yoon;Soo-Ki Kim;Jungwhan Chon
    • Food Science of Animal Resources
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    • v.43 no.1
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    • pp.73-84
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    • 2023
  • Campylobacteriosis is a common cause of gastrointestinal disease. In this study, we suggest a general strategy of applying gold nanoparticles (AuNPs) in colorimetric biosensors to detect Campylobacter in chicken carcass. Polymerase chain reaction (PCR) was utilized for the amplification of the target genes, and the thiolated PCR products were collected. Following the blending of colloid AuNPs with PCR products, the thiol bound to the surface of AuNPs, forming AuNP-PCR products. The PCR products had a sufficient negative charge, which enabled AuNPs to maintain a dispersed formation under electrostatic repulsion. This platform presented a color change as AuNPs aggregate. It did not need additional time and optimization of pH for PCR amplicons to adhere to the AuNPs. The specificity of AuNPs of modified primer pairs for mapA from Campylobacter jejuni and ceuE from Campylobacter coli was activated perfectly (C. jejuni, p-value: 0.0085; C. coli, p-value: 0.0239) when compared to Salmonella Enteritidis and Escherichia coli as non-Campylobacter species. Likewise, C. jejuni was successfully detected from artificially contaminated chicken carcass samples. According to the sensitivity test, at least 15 ng/μL of Campylobacter PCR products or 1×103 CFU/mL of cells in the broth was needed for the detection using the optical method.