• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.1
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• pp.14-19
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• 2014

Objectives : This study was conducted in order to describe prescribing practices in treatment of pediatric bipolar disorder in a Korean inpatient sample. Methods : We performed a retrospective chart review of 66 youths who had been hospitalized and diagnosed with bipolar disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition criteria. Demographics, clinical characteristics, medications used, doses, and related adverse events were examined. Results : Mood stabilizers and/or atypical antipsychotic medications were the primary treatment. Risperidone, valproate, and lithium were the most commonly used. Thirty seven patients (58.1%) were treated with combination therapy of an atypical antipsychotic and mood stabilizer for improvement of manic/mixed symptoms. Conclusion : Combination pharmacotherapy was necessary for most patients in this admission sample group. Conduct of further studies will be needed for evaluation of treatment response according to the clinical characteristics, and the safety and efficacy of treatment for child and adolescent bipolar disorder.

• The Korean Journal of Food And Nutrition
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• v.25 no.4
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• pp.697-705
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• 2012

This research was planned and executed to evaluate how the composition of Yack-sun (oriental diet therapy) tea can effect the health conditions of people who are suffering from diet-related diseases such as being overweight, obese and hyperlipidemic, by taking Yack-sun tea in a form of nutritional supplement with daily meals. We produced Kangjieum with Lycense Mill., Polygonum multflorum Thunb, Cassia tora L., Crataegus pinnatifida Bge and Salvia miltiorrhiza Bge. We evaluated the effects of this tea on serum lipids, on homocysteine concentration, and on active oxygen contents, oxidative stress by clinical practices. We have determined that this tea has a significant effect on decreasing body fat content, decreasing total cholesterol, decreasing LDL-cholesterol, and decreses triglyceride and homocysteine concentrations. In addition, blood active oxygen content and oxidative stress were significantly decreased. We think that scientific and objective evaluation was performed on the components of Kangjieum prescription. We concluded that we could apply the components, not only in a form of tea, but also in other forms of various foods. The information we received from this conclusion will be basic information on how we can apply oriental medicinal resources into other food and will be a steppingstone for medicinal herbs to place a foot in the field of functional food research, which already draws sizable attention world-wide.

• Research in Community and Public Health Nursing
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• v.11 no.1
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• pp.245-261
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• 2000

Based on the literature, status and role the music therapist in America was reviewed for this study. The process of developing a music therapy program in America suggests to us many things: In America, music therapists have sustained a mutually beneficial status with their clients for, over fifty years. Excellence in academic education and clinical training enable music therapists to continue to provide quality music therapy. The magnitude of change in to music therapy in the United States, however creates the challenge of providing real access to music therapy continues in the future. Music therapy is the use of music in the accomplishment of therapeutic aims: the restoration, maintenance, and improvement of mental and physical health. Music therapists work with individuals of all ages who require special services due to behavioral. social. learning, or physical disabilities. Employment may be in hospitals, clinics, day care facilities, schools, community mental health centers, substance abuse facilities, nursing homes, hospices, rehabilitation centers, correctional facilities, or private practices. The American Music Therapy Association (AMTA) was founded in 1998 as a result of a union between the American Association for Music Therapy (founded in 1971) and the National Association for Music Therapy(founded in 1950). Music therapists are highly qualified professionals who have completed approved degree programs and had clinical training in order to receive Board Certification(MT-BC), with the designation of Registered, Certified, or Advanced Certified Music Therapist(RMT. CMT - or ACMT). AMTA provides several mechanism for monitoring the quality of music therapy programs: Standards of Practice. a Code of Ethics, a system for Peer Review, a Judical Review Board, and an Ethics Board. According to the results of this study, the suggestions were as follows: 1. It is concluded that music therapy as a nursing intervention can be effective for the clients. 2. It is a great challenge to develope a music therapy program for nursing intervention however, it is also task and responsibility to further the development of nursing.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.21 no.2
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• pp.101-110
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• 2018

Purpose: Functional constipation (FC) is a common gastrointestinal (GI) problem affecting children's well-being and quality of life. Although polyethylene glycol (PEG) is recommended as the first line therapy, it is not always applicable in lower socioeconomic populations. Hence, this study aimed to compare clinical courses of FC in children treated with different medications in order to identify prognostic factors related to treatment outcomes. Methods: We reviewed the medical records of patients aged ${\leq}15$ years diagnosed with FC according to the Rome IV criteria from 2007 to 2015 at the GI clinic, Songklanagarind Hospital. Baseline characteristic, medical history, and treatment outcomes were collected at first and subsequent visits. Results: Exactly104 patients (median age at diagnosis, 2.8 years) were diagnosed with FC. The number of follow-up visits per patient ranged from 1 to 35. The median duration of follow-up was 18.0 months (range, 6.0-84.2 months). PEG was given to 21% of patients. During the follow up period, 76% of patients experienced first recovery with a median time to recovery of 9.8 months. There were no significant differences in time until first recovery and relapse between patients who received and those who did not receive PEG (p=0.99 and 0.06, respectively). Age >6 years, normal defecation frequency, no history of cow's milk protein allergy, and use of laxatives were associated with successful outcomes. Conclusion: Treatment outcomes between patients who had and never had PEG demonstrated no significant difference in our study. Hence, current practices in laxative prescriptive patterns may be effective.

• Journal of Hospice and Palliative Care
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• v.2 no.1
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• pp.1-6
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• 1999

Background : Euthanasia is defined as "a deliberate intervention undertaken with express intention of ending a life so as to relieve intractable suffering". There have been keen debates in the medical literatures on the questions relating to the legalisation and the provision of euthanasia and physician-assisted suicide. Methods : Literatures on the debate of euthanasia published during the last several years were reviewed, and the indications used in performing euthanasia were listed. And the results of a more liberal policy on euthanasia in Netherland were introduced. Results : Other clinical practices are sometimes described as euthanasia but can be distinguished by examination of ethical principles involved. The guidelines for the practice of euthanasia and physician-assisted suicide in the Netherlands were inadquate and were abused, while the Remmelink Committee Report said that euthanasia in the Netherland had been adequate. Conclusions : There are no clinical situations necessitating the legalisation of euthanasia or physician assisted suicide. Comprehensive and mutidisciplinary palliative care can effectively relieve much of the suffering of the terminally ill that is presently cited as justification for euthanasia or physician-assisted suicide.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6403-6412
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• 2013

This study examined the intention to use a nursing process application on a smart phone by nursing students who undertake clinical practices, and evaluated the application effect of this program. As research subjects, the study assessed juniors in the college of nursing in Daegu, who had undertaken field training in adult nursing in surgical wards from September 2012 to September 2013. The results showed that the intention to use nursing process application has a significant relationship with effort expectancy, social influence, and self-efficacy. In addition, the nursing process application applied to the research subjects has the largest list of diagnoses, interventions and outcomes regarding acute pain. In addition, the satisfaction with the use of the program was 4.35 points. Through this study, the application of the nursing process presents more opportunities for its use and training in the clinical practice field, and measures that can be applied easily regarding its utilization should be provided.

• Journal of dental hygiene science
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• v.20 no.3
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• pp.146-154
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• 2020

Background: The objective of this study is to investigate the needs and importance of basic core competencies required for future society by dental hygienists' viewpoints who are working in the clinical practices and to provide the fundamental data to develop the educational programs based on the competencies in the 21st century so as to enhance their working capability. Methods: A total of 38 questionnaires were used in this study, 3 questionnaires on the general characteristics (age, service years, main job functions) and those in 11 sub-factors of basic core competencies including 4 questionnaires on creativity, 3 on collaboration, 3 on communication, 3 on interpersonal relationship, 3 on problem-solving, 4 on resource control, 4 on self-control and development, 2 on vocational ethics, 3 on knowledge information utilization, 3 on global mind, and 3 on emotional intelligence. Self-reported survey was conducted in the dental hygienists who were working in Seoul and Gyeonggi Province and a total of 195 data were analyzed. Results: Vocational ethics, communication, and collaboration showed the highest on both importance and needs with 4.49 points and 4.34; 4.41 and 4.28; and 4.39 and 4.22, respectively, while global mind showed the lowest with 3.51 and 3.59. Upon Importance-Performance Analysis, 7 items were defined to require maintain the status including vocational ethics, communication, collaboration, interpersonal relationship, self-control, emotional intelligence, and problem-solving while 4 items with lower priority were resource control and development, knowledge information utilization, creativity, and global mind. Conclusion: Based on this study results that suggested the basic core competencies of dental hygienists in alignment with their jobs in the future society, competitive dental hygienists should be developed with the educational programs applied with these competencies.

• Journal of the Korea Convergence Society
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• v.11 no.1
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• pp.17-23
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• 2020

Recently, due to increases in the numbers of nursing students, there are many cases of clinical practice in remote areas other than in hospitals near a school. In this regard, the Korea Institute of Nursing Evaluation emphasizes the securing of safety, the provision of regulations, and countermeasures related to long-term practices of nursing students. The purpose of this study is to develop a safety management application for nursing students who are practicing at a distance. This application configuration consists of accommodation location information, nursing student location information check, and notification of the professor in charge. The location information of nursing students was based on their location on weekdays from 10 pm to 11 pm, due to the work schedule of the nursing students. For this reason, nursing students can use this app after their clinical practice; if the student is out of the safety radius or there is a problem, a risk notification can be provided through a service and a rescue request can be made.

• Journal of muscle and joint health
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• v.26 no.3
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• pp.290-306
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• 2019

Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.

• Korean Journal of Adult Nursing
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• v.25 no.3
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• pp.250-262
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• 2013

Purpose: This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients. Methods: This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol. Results: The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol. Conclusion: This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.