• Journal of Genetic Medicine
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• v.7 no.2
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• pp.125-132
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• 2010

Purpose: Preimplantation genetic diagnosis (PGD), also known as embryo screening, is a pre-pregnancy technique used to identify genetic defects in embryos created through in vitro fertilization. PGD is considered a means of prenatal diagnosis of genetic abnormalities. PGD is used when one or both genetic parents has a known genetic abnormality; testing is performed on an embryo to determine if it also carries the genetic abnormality. The main advantage of PGD is the avoidance of selective pregnancy termination as it imparts a high likelihood that the baby will be free of the disease under consideration. The application of PGD to genetic practices, reproductive medicine, and genetic counseling is becoming the key component of fertility practice because of the need to develop a custom PGD design for each couple. Materials and Methods: In this study, a survey on the contents of genetic counseling in PGD was carried out via direct contact or e-mail with the patients and specialists who had experienced PGD during the three months from February to April 2010. Results: A total of 91 persons including 60 patients, 49 of whom had a chromosomal disorder and 11 of whom had a single gene disorder, and 31 PGD specialists responded to the survey. Analysis of the survey results revealed that all respondents were well aware of the importance of genetic counseling in all steps of PGD including planning, operation, and follow-up. The patient group responded that the possibility of unexpected results (51.7%), genetic risk assessment and recurrence risk (46.7%), the reproduction options (46.7%), the procedure and limitation of PGD (43.3%) and the information of PGD technology (35.0%) should be included as a genetic counseling information. In detail, 51.7% of patients wanted to be counseled for the possibility of unexpected results and the recurrence risk, while 46.7% wanted to know their reproduction options (46.7%). Approximately 96.7% of specialists replied that a non-M.D. genetic counselor is necessary for effective and systematic genetic counseling in PGD because it is difficult for physicians to offer satisfying information to patients due to lack of counseling time and specific knowledge of the disorders. Conclusions: The information from the survey provides important insight into the overall present situation of genetic counseling for PGD in Korea. The survey results demonstrated that there is a general awareness that genetic counseling is essential for PGD, suggesting that appropriate genetic counseling may play a important role in the success of PGD. The establishment of genetic counseling guidelines for PGD may contribute to better planning and management strategies for PGD.

• Korean Journal of Human Ecology
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• v.19 no.1
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• pp.157-165
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• 2010

The purpose of this study was to investigate the awareness and practices for diet according to the lifestyles of college students in Youngnam region. The data were collected by self-administered questionnaires during May 2007. One hundred-ninety samples were analyzed by SPSS Windows. Frequencies, Cronbach's alpha, factor analysis, cluster analysis, one-way analysis of variance, Duncan's multiple range test and chi-square test were conducted. The results were as follows. Lifestyles were categorized into four factors by factor analysis: popularity-seeking type, body-management-seeking type, convenience-seeking type and healthy-seeking type. In addition, the respondents belonged to one of four groups by cluster analysis: body-management-seeking group, popularity-seeking group, convenience-seeking group, and healthy-seeking group. There were significant differences in perception about individual body images, concern of diet, awareness of diet necessity and knowledge and practices for diet among the four groups. That is, the body-management-seeking group showed the highest levels of concern of diet, awareness of diet necessity and the practice of fasting therapy. Additionally, the healthy-seeking group showed the highest level of practice of exercise therapy.

• Journal of the East Asian Society of Dietary Life
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• v.21 no.4
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• pp.587-599
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• 2011

The purpose of this study was to examine self-perception of body image and dieting behaviors by gender among high school students. The data were collected by a self-administered questionnaire during April, 2010, and analyzed by SPSS Windows V.18.0. The results were as follows. First, many respondents showed a desire to be underweight and regarded themselves as overweight, even though they had a normal BMI. Second, female respondents showed a higher level of concern about diet than male respondents. Third, male respondents received information about diet mostly from their family or friends, whereas female respondents received information from blogs, mini-homepages, or Kin-search on the Internet. Finally, female respondents showed a higher level of practice for fasting therapy than male respondents, whereas male respondents showed a higher level of practice for food therapy, drug therapy, oriental medicine therapy, and steam bath therapy. Therefore, high school should educate students to get right recognition and knowledge of diet.

• Journal of the Korean housing association
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• v.26 no.6
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• pp.157-167
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• 2015

This study is based on a survey of welfare counselling services provision, including best practice, current issues and suggestions for ways to improve housing welfare. For this study, 20 facilities providing housing welfare consulting and 26 people actually doing the consulting at those facilities were surveyed. The high-level findings of this study include: 1. Lower level local governments should be the frontline in providing housing welfare consulting services as they have the capability to provide greater accessibility to such services for those in need and deliver sustainable housing welfare benefits responsibly; 2. Housing welfare consulting has a wide scope and requires a high level of expertise. For this reason, the Counseling Service Providers have a great need for field training and capacity building. In this regard, certified housing welfare professionals may offer a viable solution. 3. In terms of best practice, the qualities required for Consulting Service Providers include professional knowledge, communication skills, understanding of those seeking Consulting, and the capability to check the progress in consulting and follow up.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.4
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• pp.386-392
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• 2015

Purpose: The purpose of this study was to identify the job of emergency room (ER) nurses working in small and medium sized hospitals and to explore factors affecting their job. Methods: The survey data were collected between January 2014 and May 2014 and participants were 159 nurses working in Seoul, Kyunggi, Incheon, and Chungnam in hospitals of less than 500 beds. Results: The score for nurses job was 2.12/4.0, and emergency treatment (1.87/4.0) followed basic nursing (3.51/4.0) and counseling (2.32/4.0). The nursing job was significantly different depending on the age, education level, position, resident doctor(emergency medicine specialty or other) and grade of ER (regional ER or local ER). In the multiple regression, education level (${\beta}=.18$), position (${\beta}=.24$), hospital size (${\beta}=.20$), and grade of ER (${\beta}=.21$) explained 17.0% of variance in ER nurses' job in small and medium sized hospitals. Conclusion: The findings indicate that ER nurses in vulnerable areas do more nursing practice including emergency treatment as well as the usual independent nursing practice. Accordingly, a systematic assignment of nursing professionals is needed to reduce loading of ER nurses in small and medium sized hospitals.

• Korean Journal of Adult Nursing
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• v.25 no.3
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• pp.241-249
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• 2013

Purpose: The aim of the study was to identify the effects of education from using cellular phones and a short messaging service. Methods: Collected data included baseline demographics, blood pressure, abdominal circumference, total cholesterol, body mass index and health behavior index (Dietary Practice Guidelines Score, Physical Activity, Drinking frequency, Stress score, Subjective health status, and Action change stage score). Data were collected at public health centers in Chungcheongnam-do from January to December, 2011. Data obtained from Individual health counseling Programs in Chungcheongnam-do. Analysis was divided into health risk group and Disease management group, using a paired t test. Results: Following the education of using short messaging service of cellular phones Health risk group was a reduction in the systolic blood pressure, diastolic blood pressure, waist circumference. Disease management group was a reduction in the systolic blood pressure and body mass index. In both groups, there were improvement in the Health behavior index; dietary practice guidelines score, physical activity, stress score, subjective health status and action change stage scores. Conclusion: These results indicated that education using short messaging service of cellular phone for Community was effective in improving health behaviors and status. By applying the results, development of customized teaching messages for stable settlement is required.

• Korean Journal of Community Nutrition
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• v.5 no.2
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• pp.343-351
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• 2000

The Korean government enacted the National Health Promotion Act in January, 1995 and proclaimed its regulations and rules in September 1995, which became the basis of the national health policy. The health promotion programs consist of education for health, prevention of diseases, improvement of nutrition, and practice of healthy life style as defined in that Act. The Community Health Act was amended in 1995, which included implementing nutrition services in community health centers. The purpose of this report is to summerize the nutrition services conducted in 32 community health centers. the main nutritional activities were as follows : 1) nutritional guidance by counseling and education for pregnant or lactating women, infants, preschool children, and those with chronic diseases, 2) collection, analysis, and interpretation of data collected from the community, on background conditions and target population for the assessment of community needs, 3) evaluation of nutritional status of population in the community 4) nutritional guidance for mass feeding in different institution including schools and welfare institutions. In order to meet the government's expectations and desires, the community health centers have made continuous efforts to put nutritional activities into practice in the community. However, there are constraints, such as relative staff shortages, lack of funds, and information which hampers the nutritional activities.

• Korean Medical Education Review
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• v.23 no.3
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• pp.176-184
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• 2021

The aim of this study was to analyze the research trends in articles published in the Korean Journal of Medical Education (KJME) and Korean Medical Education Review (KMER) using keyword network analysis. The analyses included 507 papers from 2010 to 2019 published in KJME and KMER. First, keyword frequency analysis showed that the research topics that appeared in both journals were "medical student," "curriculum," "clinical clerkship," and "undergraduate medical education." Second, centrality analysis of a network map of the keywords identified "curriculum" and "medical student" as highly important research topics in both journals. Third, a cluster analysis of 20 core keywords in KMER identified research clusters related to academic motivation, achievement, educational measurement, medical competence, and clinical practice (centered on "learning," while in KJME, clusters were related to educational method and program evaluation, medical competence, and clinical practice (centered on "teaching"). In conclusion, future medical education research needs to expand to encompass other research areas, such as educational methods, student evaluations, the educational environment, student counseling, and curriculum.

• Research in Community and Public Health Nursing
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• v.32 no.1
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• pp.24-39
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• 2021

Purpose: This study was to review the previous studies on the 'Willingness to Pay (WTP)' for healthcare services and suggest future implications for nursing research. Methods: Using the scoping review method, we used RISS, KISS, KMbase, Koreamed, PubMed, EMbase, CINAHL as searching engines. According to the selection and exclusion criteria, 40 appropriate studies were selected and analyzed. Results: 24 studies were categorized into medical service field among medical, public health, and nursing service fields. A total of 16 studies were related to healthcare system (policies), 13 studies were to the healthcare intervention, and 11 studies were categorized into the health management. Most of the methods for eliciting WTP (70%) were about a contingent valuation method (CVM), and the use of double bounded dichotomous choice (DBDC) tended to increase. In the nursing field, five WTP studies were identified: two studies published in the early years of 2000, which were conducted on hospital-based home health visit services. Recent studies were mostly about counseling and education by advanced practice nurses (APNs). Conclusion: WTP studies on healthcare services were largely published from the medical fields and health policy areas with the CVM method. In the field of nursing, studies have been conducted on the subject of limited service areas. More active exploration of research topics is required, particularly under the current policy setting, where discussion of the public health insurance fee for nursing practice is essential.

• Journal of Korean Academy of Nursing
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• v.52 no.3
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• pp.245-260
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• 2022

Purpose: This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors. Methods: This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA. Results: There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores. Conclusion: Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.