• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.14 no.1
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• pp.33-44
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• 2011

The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

• Journal of Families and Better Life
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• v.19 no.2
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• pp.13-21
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• 2001

The purpose of this study is to examine the Marriage Preparation and Preservation Act adopted in Florida which require premarital counseling and covenant marriage laws of Louisiana and Arizona among many kinds of family policy which recently are designed to prevent divorce in the United States of America. Most of states in the U.S. require the marriage license prior to having a marriage ceremony. Covenant marriage legislation has admirable motives to strengthen marriage and cure the defects of the no-fault system. In that legislation, the imposition of waiting period for the no-fault ground of divorce, proof of fault requirements, consent requirements, and mandatory course or counseling attendance will likely serve as deterrents to those seeking divorce as a first resort. To sum up, by offering preventive measures in the form of premarital counseling and waiting period before marriage, covenant marriage will force couples entering marriage to carefully consider their actions before they act and prevent broken marriages in the first place. In response to rising divorce rates, the Koreas family policy has put its emphasis of fixing social problems accompanied with family dissolution. Rather, this study suggests that attention in Korea also should be shifted from broken marriages to preventing them.

• Korean Journal of Clinical Pharmacy
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• v.26 no.3
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• pp.245-253
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• 2016

Objective: This study was conducted to evaluate payer-driven medication adherence intervention program from the patient's and counselor's perspectives. Methods: Target patients for intervention were selected by retrospective adherence measures based on national health insurance claims data for hypertension, diabetes and hyperlipidemia. As a serial intervention for higher risk groups of medication non-adherence, initial direct mailing, the first direct telephone call and the second direct call or a home visit were followed. Interview approach to qualitative inquiry was used to evaluate intervention results. Results: Participants including 4 patients received telephone calls, and 4 National Health Insurance Service staff and 4 pharmacists participated as counselors were interviewed regarding their impression of the intervention program. Three major themes arose: overall perception; necessities; and suggestions for success, of the intervention. Despite short period of intervention, educational intervention by telephone counseling involving pharmacists shows potential to improve self-management of chronic disease, and pharmacist-involvement. But more sophisticated selection of target patients requiring the intervention and complementation of electronic database system would be necessary. In addition, personal disposition of counselor was revealed to be an important factor for achieving successful outcome of intervention. Conclusion: The findings suggest that the individualized counseling intervention would be an efficient option for improved medication adherence. Further researches should include longer periods of interventions, a quantitative analysis using adherence measures based on claims data and consideration of clinical benefits associated with the intervention.

• Journal of Families and Better Life
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• v.24 no.6 s.84
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• pp.1-16
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• 2006

This study aims to investigate the Healthy Family Support Centers'(HFSCs) operational patterns and their programs by surveying 46 HFSC employees in order to prepare for the massive increase of the number of HFSCs nationwide. This study might contribute to not only rebuilding the HFSCs' operational strategies but suggesting visible ideas for the HFSCs' programs. Results were as followed: First, most HFSCs consisted of several teams, i.e., educational team, counseling team and cultural team. However, the number of employees in each team was different from one regional community to another. The most difficult task in the HFSCs' operation was publicity work. Citing the issue of system delivery difficulties, HFSC employees insisted that budgetary deficit was the most difficult obstacle in running the HFSCs. Second was in regards to the programs that each team was planning, performing, and evaluating for each program. The HFSCs' programs were mostly structured around family difficulties or problems that arise according to the family life cycle. Based on these study results, more unified and specialized programs for HFSCs should be developed. In order to achieve this related studies should continue to conducted.

• The Journal of the Korea Contents Association
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• v.19 no.2
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• pp.638-649
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• 2019

The development of career knowledge and career attitude in adolescence is significant to achieve a successful transition to adulthood. The aim of this study was to assess effects of family income and career guidance and counseling experience on changes in career maturity during the transition from high school to college. The study used data from Youth Panel 2007 collected by Korea Employment Information Service. The data included 456 adolescents who were high school students in the first and third waves of survey and college students in the fifth wave of survey. The results suggested that family income was a significant factor affecting the career maturity of adolescents. The experience of career guidance and counseling while in high school had a sustained and positive impact on the career maturity of adolescents even after entering college. Therefore, career education in the secondary educational system should expand continuously.

• Korean Journal of Clinical Pharmacy
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• v.21 no.3
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• pp.280-291
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• 2011

Vaccines are products for immunization which can provoke antibodies by eliciting immune reponses without causing disease and have played an important role in preventing fatal and contagious diseases as well as H1N1 influenza. They are classified by two following categories; lived attenuated vaccine and killed vaccine and currently commonly using vaccines are BCG, diphtheria, tetanus, mumps, measles, rubella, polio, Haemophilus influenza type b, hepatitis B, influenza etc. All vaccines must be used correctly to reach optimal therapeutic goals and also informed well to patients to decrease potential problems. In order to do, pharmacists must have good knowledge of vaccines. The purpose of this study is to evaluate the necessity of vaccine education for pharmacists and develop a vaccine leaflet for patient counseling. We have performed a survey with questionnaire for a total of 176 pharmacists and nurses(hospital pharmacists, n=65; community pharmacists, n=50; hospital nurses, n=61) from January 27th to March 12th, 2010. The questionnaire includes items about vaccine education and counseling and 12 quizzes to evaluate responders' knowledge of vaccines. We used the SPSS(Version 12. for windows) program to analyze the data. In results, 94.9% of all responders said they had not been educated on vaccines. And only 1.1% of all responders said they know about vaccines enough to counsel patients. Pharmacists who have an experience recommending vaccines to other people are 21.7%. On the other hand, nurses who have an experience recommending vaccines to other people are 55.7%(p=0.000). The mean number of correct answers at the 12 quizzes are followings; hospital pharmacist, 8.1; community pharmacist, 6.1, hospital nurses, 6.2(p=0.000). A vaccine leaflet for patient counseling is developed with several references. In conclusion, due to no opportunity of vaccine education, pharmacists have no confidence to counsel patients and lack of knowledge of vaccine. But importance of vaccine's role is increasing, pharmacists should counsel patients in vaccination. So they need vaccine education and a vaccine leaflet will be helpful for their counseling.

• Korean Medical Education Review
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• v.9 no.2
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• pp.29-40
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• 2007

Purpose: This study analysed the intention of medical students career choice, educational programmes, and mentoring and counseling system for career planning at Yonsei medical school in Korea. Methods: The data were collected based on four separate graduation questionnaires at Yonsei medical school in the years of 2005, 2006, 2007, and 2008. The number of the survey was 130 in 2005, 130 in 2006, 153 in 2007, and that of the latest was 120 in 2008. We analysed the career intention on medical specialties and activities, and perceptions of important factors in choosing medical specialty. Results : The results which can be drawn from this study are these: firstly. students had more intention for choosing clinical medicine as university faculty than any other activities. While male students preferred to major in surgery, neurosurgery, orthopedic surgery, urology, otorhinolaryngology, female students in internal medicine, neurology, anesthesiology and pain medicine, diagnostic radiology, laboratory medicine. Secondly, students perceived that the most important factor which can influence on choosing a medical specialty was individual factor such as one's interests and concerns, values, and aptitudes. In stead, they relatively less perceived mentor and role model's effects on choosing a medical specialty compared to those of the United States of America. Third, the career planning at Yonsei medical school was evaluated well, especially educational programmes for career planning such as self assessment programme, elective(specialized) courses, and conversation with a senior programme. Conclusions: Unexpectedly, there are high demands for career planning by medical students. Therefore, we will reorganize systematic devices for career planning such as mentoring and counseling system at medical school.

• Research in Community and Public Health Nursing
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• v.32 no.1
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• pp.1-11
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• 2021

Purpose: This qualitative study is aimed to explore the factors in the aspect of the community that made it difficult for field experts to conduct counseling and case management. Methods: A total of four focus group interviews composed of 15 field experts including nurses were conducted. Results: A theme, six categories and 22 subcategories were derived. As for the theme, it was found that legal, educational, and environmental systems reflecting non-suicidal self-injury of the characteristics in adolescents were insufficient. In the legal aspect, the defect of the parental education legal system, the reality of having to rely on parental consent when supporting adolescents with non-suicidal self-injury; in the educational aspect, the lack of manuals and education for counseling and case management for adolescents with non-suicidal self-injury; in the environmental aspects, the defect of economic burden and support, a lack of information systems for various organizations in the local community, absence of a dedicated support system for adolescent with non-suicidal self-injury and a lack of human and physical resources. Conclusion: Based on the results of this study, there needs to be a responsible institution that can comprehensively manage the non-suicidal self-injury of adolescents, and efforts to develop the competence of community nurses.

• Journal of the Korean Society of Food Science and Nutrition
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• v.30 no.5
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• pp.993-999
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• 2001

The purpose of the study was to develop a nutritional counseling program using expert system to assist obese people to lose weight through behavior modification in the internet. The counseling internet program for weight loss was developed by the accumulation of knowledge for dealing with eating habits and exercising behaviors into expert system tool, Knowledge Engineering Agent (KEA) by a dietitian without any help of computer expert. KEA was built based on the theory of Multiple Classification Ripple Down Rules. To accumulate knowledge into KEA, survey was performed in 150 obese people, the dietitian reviewed and consulted each survey case, and the consulted contents were learned and accumulated into KEA. Survey questionnaires were the same as those of the internet consulting program, and they included general characteristics, dietary habits, lifestyle, and exercise patterns related to obesity. KEA was used for nutritional counseling of obese people after KEA had enough knowledge for weight loss based on behavior modification by the dietitian. To accumulate knowledge to KEA, the dietitian selected proper factors inferred from the survey questionnaire of each case, and added the conclusions for them. Conclusions were made for helping clients to correct bad eating behaviors and accumulate good behaviors for losing weight. When clients answered survey questionnaires in a counseling internet program, KEA gave the recommendation how to eat, to exercise and the deal with stress in a real time for each case. If KEA did not have enough knowledge for a specific case, the conclusion window wrote no conclusion and the dietitian needed to add conclusions for the case. The conclusions for the new case added to the KEA knowledge base. In conclusions, a counseling internet program for weight reduction can be used for give advices how to deal with obesity in a man-to-man way in a real time using KEA where nutritional knowledge based on behavior modification for weight loss was accumulated.

• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2002.05a
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• pp.32-36
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• 2002

심리상담의 영역이 확대되어 감에 따라 오프라인 상담뿐만 아니라 온라인 형태의 상담이 급속히 발전하고 있다. 인터넷의 활용도가 증가함에 따라 컴퓨터를 의사소통의 매개로 활용한 사이버상담 형태를 통한 상담도 체계적으로 개발되어야 할 필요성이 있다. 그러나 현재 개설되어 운영되고 있는 사이버상담은 내담자에게 적합한 맞춤상담이 불가능하며 또한 자가치유가 가능한 자가치유시스템이 없는 실정이다. 따라서 본 논문에서는 지능형 에이전트를 이용하여 내담자에게 적합한 맞춤상담이 가능한 방법을 제안함과 동시에 과거 상담사레 데이터베이스를 바탕으로 이전의 상담사레들을 신경망의 BP학습알고리즘을 이용하여 학습을 시킨 후 자가치유가 가능한 자가치유시스템을 설계하는 방법을 제안한다.