• 한국임상약학회지
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• 제26권3호
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• pp.264-266
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• 2016

A 21-year-old healthy Korean man worked on a building construction site every day for almost 2 months and exercised every day for 1 or 2 hours after working hard. He felt dizziness, nausea, and experienced vomiting and body aches immediately after exercise and immediately took cold medicines including acetaminophen, cimetidine, bepotastine, and Codenal? complex for the common cold symptoms for 2 days because he was scheduled to participate in navy training at that time. He complained of severe trapezius pain and aches in his left calf 3 days after joining the Navy training. Testing revealed creatine phosphokinase (CPK) 6260 U/L, myogloblin 176 mcg/L in the urine, liver enzymes increased, and oliguria, suggesting rhabdomyolysis. He recovered with intravenous fluids without any complications.

• 치위생과학회지
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• 제17권6호
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• pp.523-532
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• 2017

국내 치위생(학)과를 대상으로 하여 임상치위생학 교육과정 운영 현황을 조사하고, 심층 분석한 결과 첫째, 임상치위생학 영역의 교과목 명칭은 전체 96개 과목으로 확인되었으며, 학교별로 매우 다양하게 나타났다. 그러나 전체 교과목 중 60.5%가 임상치위생학 또는 임상치위생학 및 실습이라는 명칭으로 사용하고 있었다. 둘째, 임상치위생학 교과목 운영은 졸업시점까지 평균 21.1학점을 이수하고, 15주차 수업으로 평균 471.3시간 수업을 운영하는 것으로 나타났다. 또한 교수 1인당 학생 수는 21.4명을 담당하였으며, 3년제에 비해 4년제에서 더 많은 학점과 시간을 배정하여 운영하고 있는 것으로 조사되었다. 셋째, 임상치위생학의 교육주제와 내용에서는 감염관리, 치위생관리를 위한 기초 개념의 이해, 치위생사정, 중재 및 평가, 증례연구, 치주기구조작법 등으로 나타났다. 그러나 치위생관리과정의 개념, 치위생사정, 치아우식증, 치주질환 위험도 평가, 특별환자 관리, 전신질환자의 구강건강관리 등에 대한 수업운영내용은 3, 4년제 학제 간 차이가 컸으며, 사정과 수행 중심의 교육내용으로 운영되며, 학제 내에서도 교육운영내용의 차이가 있는 것으로 조사되었다. 넷째, 대상자 실습은 대상자 1인당 평균 2시간 소요되었고, 평균 1.9회 내원하도록 하여 실습을 진행하고 있는 것으로 나타났다. 졸업시점까지 필수적으로 진행하는 대상자 실습은 3년제의 경우 평균 총 19개의 케이스를, 4년제의 경우 평균 26.6개 케이스를 실습하고 있었고, 가장 적게는 15개의, 많게는 35개 케이스를 실습하였고, 학생 1인당 대상자 실습에 참여하는 시간은 3년제의 경우 평균 38.0시간, 4년제에서는 평균 53.1시간으로 나타났다. 본 연구는 일부 치위생(학)과를 대상으로 조사한 연구라 한계점은 있지만 임상치위생학 교육과정의 전체적인 흐름과 운영방식을 파악할 수 있었다. 학제를 떠나 임상치위생학의 교육과정 표준화를 위해서는 교과목 명칭, 졸업생 수준에서 치과위생사로서 달성해야 할 역량에 기반한 최소한의 수업운영내용, 이론과 실습시간, 학생수 대비 지도 교수자의 수 등에 대한 치위생계 내 합의 또는 가이드라인이 반드시 필요할 것으로 판단된다. 이러한 과정은 공적인 기관을 통해서 제도적 마련에 근거하여 변화할 수 있도록 노력해야 함을 확인하였다.

• 한국콘텐츠학회논문지
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• 제13권5호
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• pp.311-321
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• 2013

본 연구는 정신보건사회복지사 수련생이 현실적으로 부딪히는 수련스트레스를 수련생의 입장에서 기술해봄으로써 보다 효과적인 임상교육의 실천방안을 마련하고자 시도하였으며, 질적연구방법으로 접근하여 분석하였다. 연구대상은 정신보건수련기관에서 수련을 하고 있는 수련생 9명을 대상으로 하였다. 자료수집은 포커스그룹으로 1-2회 이루어졌으며, 소요시간은 2시간내외였다. 연구참여자들이 진술한 내용을 분석한 결과 의미있는 진술은 85개였으며, 이를 근간으로 연구자가 구성한 의미는 32개로 도출되었다. 이들 구성된 의미들을 유사한 내용으로 묶고 분류한 결과 9개의 주제가 형성되었으며 4개의 주제묶음으로 범주화되었다. 수련과정에서 경험하는 스트레스경험으로는 '대인관계가 어렵다', '수련일정이 빡빡하다', '기관에서 수련생에 대한 배려가 없다', '수련교육에 대한 체계성이 없다'로 4개의 주제묶음으로 분류되었다. 이러한 연구결과를 중심으로 실천적 함의를 제시하였다.

• Annals of Clinical Neurophysiology
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• 제7권2호
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• pp.141-142
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• 2005

Two cases of bilateral ulnar neuropathies caused by telephone overuse are described in people engaged in the job of longtime telephone use. They had worked using telephone all through the working hours. Although they were right handed, they usually used the telephone in their left hand so as to leave their right hand free for writing, and would lean his elbow on the desk. Telesales or teleconsultation is a rapidly expanding field of business. These cases highlights the need of proper training and supplies appropriate to do their job.

• 대한영양사협회학술지
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• 제10권2호
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• pp.205-217
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• 2004

This study was carried out to provide information on the effect of nutrition education program for diabetic patients at the Guri City's Public Health Center. Subjects of this study were 31 persons(male 7, female 24) who attended all courses of "2002 Diabetes Education Class". They were indicated as the 'education group'(EG). Eating and living habits of EG were investigated before the education. EG's weight and blood glucose (post prandial 2 hours, PP2) were examined as well. EG's PP2 reduction was compared with a 'control group'(CG) who didn't join any course in that class. All of the subjects were non-insulin-dependent diabetes mellitus(NIDDM) patients. EG's average age was 62.4$\pm$8.8. Before taking the course, EG's PP2 was 251.5$\pm$29.6mg/dl, and body mass index(BMI) was 26.3$\pm$2.3 on average. Most of them were stressed out from their daily lives and usually had no exercise. Most people of EG ate meals rapidly and liked sweet and fatty foods. After the course of training, EG's weight and BMI before the training were not decreased significantly. However, all of the EG's PP2s, which were measured 4 times(before the meal at the special lunch session, after 2 hours at this meal, after 2 weeks and 4 weeks dietary assembly), were decreased in comparison with the PP2 which was checked prior to joining the training. EG's average PP2 was more reduced than CG's one. In addition, all groups' PP2s were decreased for 8 weeks. After all, this nutritional education at the public health center was effective in glycemic control for diabetes mellitus patients. Especially, when the dietary assembly as practical training was included in the educational process, the patient's dietary intake and PP2 was improved more effectively. Therefore, this study suggests that nutrition work at public health centers is necessary for the Health Promotion Policy.

• 대한임상검사과학회지
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• 제54권1호
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• pp.49-60
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• 2022

본 연구는 COVID-19 시대에서 빠르고 정확한 진단검사를 위해 임상병리사의 역할을 파악하고, 효율적으로 대응할 수 있는 체계적인 시스템 마련을 위한 기초자료를 제공하고자 하였다. 연구 방법은 15개 의료기관을 대상으로 설문조사 및 초점 집단 면담을 통한 분석을 하였다. 검체 채취 기관(11개)을 분석한 결과, 선별검사소 운영 기관은 7개, 임상병리사 10.4명, 채취 소요시간 2.1분, 검사소요시간 5.4시간, 검사건수 9,670건, 검사인력 6.2명으로 조사되었다. 초점 집단 면담 분석결과, COVID-19검사와 관련하여 검체 채취자 및 검사자를 보호하기 위한 근무시간, 근무장소, 근무환경이 포함된 표준화된 지침은 없었다. 그리고 감염사고 발생 시 법적인 보호 조치가 미흡하며, COVID-19와 관련한 인력에 관한 규정이 마련되어 있지 않았다. 또한, 신뢰도 있는 COVID-19 검사를 위해 검체 채취자 및 분자진단 검사자의 전문적인 교육이 요구되었다. 결론적으로 COVID-19와 같은 긴급상황 감염병 발생 시 대처할 수 있는 특수검사 단기수련기관 등을 통한 전문교육의 시행과 안정적인 인력공급 할 수 있는 법적인 체계마련이 필요할 것으로 사료된다.

• 한국응급구조학회지
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• 제13권2호
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• pp.17-59
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• 2009

Purpose : This study is to provide the basic data for developing the curriculum standardization of emergency medical technology by analyzing the three-year and four-year period curriculum and high-advanced major course to bring up highly qualified paramedics. Method : This study was analyzed, divided in 3 sections, majors, teaching profession subjects and liberal arts of 18 three-year curriculum universities and 7 four-year curriculum universities. Majors were analyzed, departmentalized in the national examination for license, the clinical and on-the-job training(OJT) and other major-related subjects. It is descriptive study, analyzed by dividing high-advanced major course into majors and liberal arts. Result : 1) The average number of subjects established in three-year-course college were 58.1. The completion credit was 130.1 in average. Also, the average number of established subjects at four-year-course were 61.1. The average completion credit was 141. 2) Three-year-course college professors give lecture in theory for 95.4 hours on average, which account for 59.9% of overall lecture, and 63.8 hours for practical training that takes 40.1% of the hours lectures are given. Meanwhile, four-year-course give lecture in theory for 111 hours on average, taking a part of 59.5%, and 76.5 hours for practical training, 40.5%. 3) In regard to liberal arts, at three-year-course college, the average credit was 16 but the proportion that liberal arts charge among the completion credit was 11.6. Meanwhile, at four-year-course universities, the average credit was 28.4 and the percentage that the liberal arts took part in the completion credit was 20.1. 4) Looking over national examination subjects among majors at three-year-course college, basic medicine's average credit was 17.2, introduction to advanced emergency care's average credit was 15.5, Special advanced emergency care's average credit was 28, emergency patient management's average credit was 9.2 and emergency medicine statute's average credit was 3.6. Meanwhile, in case of four-year-course universities, basic medicine's average credit was 14.3, introduction to advanced emergency care's average credit was 12.7, special advanced emergency care's average credit was 31, emergency patient management's average credit was 8.3 and emergency medicine statute's average credit was 2.9. 5) Among national examination subjects, in case of three-year-course, the range of basic medicine credits was 6 to 23, the average credit showed 17.2. The range of introduction to advanced emergency care credits was 9 to 21, the average credit showed 15.5. The range of special advanced emergency care credits was 19 to 36, the average credit showed 28. The range of emergency patient management credits was 5 to 12, the average credit was 9.2. The range of legal medicine credits was 3 to 6, the average was 3.6 credit. In case of four-year-course the range of basic medicine was 12 to 17, the average of the credit was 14.3. The range of introduction to advanced emergency care was 9 to 19, and the average of the credit was 12.7. The range of special advanced emergency care was 18 to 41, and the average of the credit was 31. The range of emergency patient management was 7 to 12, and the average of the credit was 8.3. The range of legal medicine was 3 to 4, and the average of the credit was 2.9. So except special advanced emergency care, all the other subjects had higher score in three-year-course than four-year-course. 6) About the other major-related subjects, the completion credit was 23 on average at three-year-course and 13.5 at four-year-course. 7) The clinical and on-the-job training(OJT), In the case of three-year-course, the average completion credit was 13.5 and 13.5 at four-year-course. 8) The teaching profession subject, In the case of three-year-course, the average credit was 3 and the percentage that the teaching profession subject took part in the completion credit was 2.3% on average. Four-year-course established the subject only at one university. 9) In high-advanced major process, the entire established subjects on average were 12.8 and the average completion credit was 36.3. In liberal arts, the average established subjects were 6.5 and the completion credit was 19.5. The number of majors were 9.5 on average and the credit was 26.5 Conclusion : According to the aforemention results, the curriculum for emergency medical technology needs to be developed and standardized.

• 통합자연과학논문집
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• 제12권2호
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• pp.58-68
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• 2019

Critical thinking is essential to implementing the nursing process requiring timely decision making. The study examined the effects of a critical thinking course for nurses in the RN-BSN program. The study used a pre- and post-test design with a control group. The experimental group was a convenience sample of 24 working nurses attending a health college. The control group was 24 fellow nurses. The nursing process-based critical thinking course was provided to the experimental group two and half hours a week for 8 weeks. Teaching methods included lectures followed by a summary and quiz, brainstorming and action learning, and lecturer feedback. A pamphlet about views of professional occupation was provided to the control group. The data were collected using self-report questionnaires and analyzed to examine differences in the test scores before and after the intervention. The scores of critical thinking disposition, problem-solving process, and clinical competence increased significantly in the experimental group but did not in the control group. The difference between the two groups was also statistically significant in critical thinking disposition, problem-solving process, and clinical competence. It is necessary that a robust educational program or training to enhance critical thinking ability of nurses are provided in clinical settings and that nurses keep going on thinking critically in their practice.

• Journal of Hospice and Palliative Care
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• 제23권1호
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• pp.17-26
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• 2020

Purpose: This study was conducted to develop a hospice music therapist training program and to evaluate its effects. Methods: The educational program consisted of training on the theory of hospice and the theory and practice of hospice music therapy. The course lasted for 4 weeks, with 8 hours of training per week, and 33 music therapists completed the course. In order to assess the effectiveness of the course, participants' knowledge and confidence regarding hospice music therapy and readiness for hospice music therapy before and after education were measured. The statistical analysis was done using SPSS version 18.0 and the paired t-test was used to assess the effectiveness of the program. Results: The trainees showed significant improvements in knowledge (P<0.001) and confidence (P<0.001) in all areas of this course, as well as in readiness for hospice music therapy (P<0.001). Participants' satisfaction with the lectures was assessed using a 5-point Likert scale. The average score for all lecture areas exceeded 4 (yes), and the satisfaction level was mostly high. Students were most satisfied with the lectures on music therapy theory, followed in order by those on music therapy practice and hospice theory. Conclusion: This hospice music therapist training program is considered to be suitable because of its positive educational effects and the high satisfaction of participants with the lectures. In order to provide high-quality music therapy services to patients and their families, this training course should be regularly offered to cultivate competent music therapists, and the content of the education should be standardized and applied in various clinical settings.

• 한국산학기술학회논문지
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• 제12권1호
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• pp.318-326
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• 2011

본 연구는 절차기술의 객관구조화 진료시험(Objective Structured Clinical Examination)에서 표준화환자가 평가자의 역할을 수행할 수 있는지 알아보기 위해 신뢰도를 평가하는데 그 목적이 있다. 시험의 주제는 남성 도뇨관삽관과 창상드레싱 2가지로 정하고, 2년 이상의 객관구조화 진료시험 채점 경력이 있는 표준화환자와 교수 각 4명을 2명씩 짝을 지워 한 주제 당 표준화환자 그룹과 교수 그룹이 동시에 채점하게 하였다. 표준화환자들에게는 술기의 정의, 방법, 주의점, 후유증에 대한 교육이 이루어졌으며 동영상이 포함된 강의, 교수의 시연 후 표준화환자가 직접 실습해보고 교수로부터 되먹임을 받는 순서로 총 8시간( 주제당 4시간)의 교육이 시행되었다. 8명의 평가자 모두 객관구조화 진료시험 전날 모여 기존의 동영상자료를 이용한 가상 채점으로 1시간동안 채점 표준화를 이루었다. 채점표는 체크리스트 14문항과 총괄평가 1문항으로 이루어졌다. 한 학생당, 주제당 5분간의 시험 후 2분간의 평가가 이루어졌다. 표준화환자와 교수간의 분석은 GENOVA program을 이용하였다. 연구 결과 주제 전체에서 G상수는 0.839, 평가자의 신뢰도는 0.946으로 매우 높았다. 표준화환자그룹과 교수그룹 사이의 평가자간 일치도는 체크리스트에서 0.949, 총괄평가에서 0.908이었다. 따라서 적절한 교육이 선행되어진다면 표준화환자도 절차기술의 객관화진료시험에 신뢰할 만한 평가자로 이용되어질 수 있을 것이다.