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A Study on Dental Hospital Staff's Acceptance toward the Dental Institutions Accreditation System - A Study of Infection Management Part - (치과의료기관 종사자의 치과의료기관 평가제도에 대한 수용에 관한 연구 - 감염관리 부문을 중심으로 -)

  • Song, Young-Chae;Kim, Sang-Man;Um, Ki-Hyun;Jang, Sung-Il
    • Korea Journal of Hospital Management
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    • v.15 no.3
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    • pp.123-142
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    • 2010
  • The Government is going to enforce assessment of dental institutions in addition to assessment of medical institutions so that it can provide good-quality medical service to people having much interest in quality of medical service. But the empirical research on the assessment of dental institutions which is still in a model assessment stage, is insufficient. Accordingly, the present research aims to help dental institutions preparing the main assessment by researching an acceptance level of workers of dental institutions in a process performing assessment of dental institutions, based on the preceding researches that the perceived utility has influence on implementation intention. The present research proved the influence that job relevance, result demonstration, usability and education & training of workers and manager's leadership of an infection management part affects perceived utility and implementation intention. As a research result, all the job relevance, result demonstration, usability have a positive(+) influence on perceived utility and implementation intention, and the influence of job relevance most affects especially. The leadership and education & training have influence on what workers get to have implementation intention after perception of utility of infection management according to the order. According to the above results, it can be understood that medical institutions preparing for assessment of dental institutions take charge of the assessment part having high relevance with work of workers and need to make a manager ordering performance of its assessment be able to foster a leadership for improving effectiveness of assessment performance.

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Effect of pre-operative medication with paracetamol and ketorolac on the success of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: a double-blind randomized clinical trial

  • Kumar, Umesh;Rajput, Akhil;Rani, Nidhi;Parmar, Pragnesh;Kaur, Amandeep;Aggarwal, Vivek
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.5
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    • pp.441-449
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    • 2021
  • Background: The efficacy of local anesthesia decreases in patients with symptomatic irreversible pulpitis. Therefore, it was proposed that the use of premedication with an anti-inflammatory drug might increase the success rate of pulpal anesthesia in mandibular posterior teeth with vital inflamed pulp. Methods: One hundred thirty-four patients who were actively experiencing pain willingly participated in this study. The Heft Parker (HP) visual analog scale (VAS) was used to record the initial pain intensity. Patients were randomly allocated to receive a placebo, 10 mg of ketorolac, and 650 mg of paracetamol. The standard inferior alveolar nerve block (IANB) was administered to all patients using 2% lidocaine with 1:200,000 adrenaline after one hour of medication. After 15 min, the patient was instructed to rate the discomfort during each step of the treatment procedure, such as access to remaining dentin, access to the pulp chamber, and during canal instrumentation on the HP VAS. IANB was considered successful if the patient reported no or mild pain during access preparation and instrumentation. Moderate or severe pain was classified as a failure of IANB and another method of anesthesia was used before continuing the treatment. Results: The rate of successful anesthesia in the placebo, paracetamol, and ketorolac groups was 29%, 33%, and 43%, respectively, and no statistically significant difference was found between the groups. Conclusion: Preoperative administration of paracetamol or ketorolac did not significantly affect the success rate of IANB in patients with irreversible pulpitis. No significant difference was observed between the paracetamol and ketorolac groups.

Significance of Earth Science in the Entrance Examination of the Medical and Dental Graduate School (의.치의학 전문대학원 입시에서의 지구과학의 중요성)

  • Kim, Jeong-Yul;Shin, In-Hyun;Kwon, Kyung-Rim
    • Journal of the Korean earth science society
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    • v.27 no.4
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    • pp.486-502
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    • 2006
  • Earth Science is the study of Earth, where diverse organisms live, and it mainly focuses on the healthy, wealthy, and comfortable environment for our descendants. UNESCO and IUGS recently established the International Working Group on Medical Geology (1996), IGCP 454 Medical Geology (2000-2004), and International Medical Geology Association (IMGA, 2006) with the primary concerns of increasing awareness of Medical Geology among scientists, medical specialists, and the general public. Medical Geology and IMGA have been very successful in informing(educating) about the relationship between geological factors and health problems in humans and animals in the world through numerous international meetings, seminars, workshops, symposiums, and publications. Since there is a close correlation between Earth Science and Medical/ Dental Sciences as shown in the Medical Geology and IMGA, Earth Science, as with other areas in science, (i.e., Biology, Chemistry and Physics) should be included in the Medical Education Eligibility Test (MEET) and Dental Education Eligibility Test (DEET) for the Medical and Dental Graduate School. In this brief note, services and activities of UNESCO IGCP 454 Medical Geology and IMGA are introduced, sothat the inclusion of Earth Science as a subject requirement in the MEET and DEET can be considered. Such outcome will balance the development of Science Education in Korea.

Overcoming Barriers to Research Competency: a nationwide mixed-method study on residency training in the field of Korean medicine

  • Min-jung Lee;Myung-Ho Kim
    • Journal of Pharmacopuncture
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    • v.27 no.2
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    • pp.142-153
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    • 2024
  • Objectives: This study aimed to analyze the educational needs of interns and residents in Korean medicine as the first step in developing an education program to improve their research competencies. Methods: A mixed-method design, incorporating both quantitative and qualitative data collection methods, was used to investigate the educational needs for research competencies among interns and residents working in Korean medicine hospitals nationwide. Data were collected through online surveys and online focus group discussions (FGDs), and processed using descriptive statistical analysis and thematic analysis. The study results were derived by integrating survey data and FGD outcomes. Results: In total, 209 interns and residents participated in the survey, and 11 individuals participated in two rounds of FGDs. The majority of participants felt a lack of systematic education in research and academic writing in postgraduate medical education and highlighted the need for nationally accessible education due to significant disparities in the educational environment across hospitals and specialties. The primary barrier to learning research and academic writing identified by learners was the lack of knowledge, leading to time constraints. Improving learners' research competencies, relationship building, autonomy, and motivation through a support system was deemed crucial. The study also identified diverse learner types and preferred educational topics, indicating a demand for learner-centered education and coaching. Conclusion: This study provides foundational data for designing and developing a program on education on research competencies for interns and residents in Korean medicine and suggests the need for initiatives to strengthen these competencies.

Relation amang Stress, Ego-Resilience, Self-Efficacy, Clinical performance in graduate medical student (의학전문대학원생의 스트레스, 자아탄력성, 자기효능감과 임상수행능력과의 관계)

  • Hong, Sun-Yeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5797-5804
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    • 2011
  • Recently, the medical education is undergoing system transition from a medical college to a medical graduate school and introduction of performance test in the doctor license state examination. Therefore, To deal with these challenges, it is needed that medical faculty prepare the education programs for considering student's personal characteristics and improving Clinical performance. So, The purpose of this study was to understand relation among Stress, ego-resilience, self-efficacy and Clinical performance in graduate medical student, and for this study, We conducted a survey of 97 medical graduate school students in D city during the period from August 19st to 20st. 2011. The study found a negative correlation between Stress and Ego-Resilience, a positive correlation of stress with confidence at low region in Self-Efficacy. Ego-Resilience correlates positively with CPX at low region in Clinical performance, Preference for difficulty level of the task at low region in Self-Efficacy correlates negatively with OSCE. OSCE and CPX at low region in Clinical performance are positively correlated. Therefore, Stress reduction of students can improve Self-Efficacy, Furthermore, improve ultimately Clinical performance. According to this study, To improve Clinical performance competence, student's personal characteristics should be considered and education programs for self-efficacy and ego-resilience advancement be reflected in curriculum.

Curriculum Analysis on Health Management Schools in Republic of Korea: Focusing on Relationship with Licence and Certification (국내 학부 보건관리학과의 교육과정 분석연구: 취득면허·자격과의 관계를 중심으로)

  • Lee, Yuri
    • Health Policy and Management
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    • v.28 no.1
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    • pp.23-34
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    • 2018
  • Background: This study aims to conduct curriculum analysis on health management schools focusing on relationship with licence and certification in Republic of Korea. Methods: Possible employment field, licence and certification as well as curriculum were collected from the home page of 30 health management schools. The subjects and credits of curriculum were analyzed using descriptive statistics. Main subjects by areas were drew using categorization and ranking within qualitative methods. Comparative analysis was conducted for checking relationship between main subject and possible employment field, licence and certification. Results: First, major employment fields after graduation were public health officer, general hospital and clinic, and National Health Insurance Service. Possible licence and certificate were hospital administrator, medical recorder, health education specialist, and medical insurance specialist. Second, total graduate credits were 133.9 including 79.0 for major education, 30.5 for of general education, and 30.5 for elective courses. Third, main subjects were reviewed by areas including basic medicine, health management, hospital business & management, medical records & information, insurance billing & assessment, healthcare marketing & tourism, and health education. There were highest number of subjects on health education area among 8 categories. By subjects, many health management schools open health law, medical terminology, introduction to public health, and biostatistics. Relationship between main subjects and possible employment field, licence and certification in health management schools was strong. Conclusion: It is necessary to review curriculum and for improving educational quality in health management schools. Also, development of curriculum standards for courses in health administration and introduction of accreditation system can be considered.

School safety education status and the awareness and practice of safety among middle school students: 「First aid, disaster safety, traffic safety, and daily life safety」 (중학생들의 학교안전교육 실태와 안전분야 지식 및 실천 :「재난안전, 응급처치, 교통안전, 생활안전」)

  • Lee, Hyo-Cheol;Jang, Pureumi;Kim, Jung-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.129-143
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    • 2021
  • Purpose: This study aimed to identify the current status of school safety education and the differences in knowledge and practice of middle school students. Methods: A structured questionnaire was distributed to 418 middle school students in J province. The questionnaires consisted of 35 questions on the status of school safety education as well as the four school safety education domains of first aid, disaster safety, traffic safety, and daily life. Data were analyzed using frequency analysis, cross-tabulation analysis, a t-test, analysis of variance, and Pearson's correlations. Results: Awareness regarding the top seven standards for school safety and interest in school safety education were both relatively low. Among all the different kinds of safety accidents, those related to school violence(33.8%) and life safety(24.9%) were experienced the most in school. A more pleasant school life and better peer relationships led to interest in school safety(p=.000)(p=.000), awareness regarding the top seven standards for school safety(p=.022)(p=.009), adoption of coping measures(p=.000)(p=.000), and practice(p=.000)(p=.000) in case of safety accidents(p=.000)(p=.000). Conclusion: To increase awareness regarding the seven standards for school safety education and raise interest in safety education, it is necessary to cultivate experts and actively utilize them and to prepare systematic and continuous school safety education programs.

Effects of Microbe Inspections in School Food Service Systems (미생물 간이 검사법 실시에 따른 학교급식소의 위생 및 건강관리 개선 효과)

  • Han, Myeong-Sook;Youn, Sung-Tae;Yim, Jun;Im, Jeong-Soo
    • Korean Journal of Health Education and Promotion
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    • v.23 no.3
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    • pp.53-63
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    • 2006
  • Objectives: The purpose of this study was to analyze the effects of microbe inspections on the hygienic improvement of school food service systems. Methods: Thirty-three school food service systems in Incheon metropolitan city participated in the study from Sep. 2004 to Apr. 2005. Major items of microbe inspections were cutting boards, knives, kitchen towels, and kitchen staff's hands. The Rodac plate and hand plate were used to measure the surface contamination level of germs such as Staphylococcus aureus, Vibrio species, Salmonella species and E. coli. Results: This study compared the results of the inspections in Sep. 2004 and Apr. 2005. The surface contamination level of Staphylococcus aureus and Vibrio species on the knives and kitchen towels had significantly improved. However, the surface contamination level of E. coli on the hands of the kitchen staff had worsened. Conclusions: This study showed that microbe inspections could control the hygienic level of the school food service systems. In the future, microbe inspections should be actively used to improve sanitary conditions in the school lunch system.

Factors Affecting Regular Medical Services Utilization of Chronic Disease Patients - Focusing on the Hypertension, Diabetes Mellitus, Hyperlipidemia - (만성질환자의 정기적 의료이용에 영향을 미치는 요인 - 고혈압, 당뇨병, 고지혈증을 중심으로 -)

  • Seo, Young-Suk;Park, Jong-Ho;Lim, Ji-Hye
    • Korean Journal of Health Education and Promotion
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    • v.31 no.3
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    • pp.27-37
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    • 2014
  • Objectives: This study aims to identify the factors associated with regular medical services utilization of chronic disease patients. Methods: The research selected 4,489 adults aged over 30, diagnosed with hypertension, diabetes, hyperlipidemia, hypercholesterolemia, from the Korea health panel. We analyzed states of regular medical service utilization using descriptive statistics. Multiple regression analysis was used to examine the main factors associated with regular medical services utilization in chronic disease patients. Results: In terms of socio-demographic factors, gender, age, marital status, education level, employment, household income and disability were significantly different between hypertension, diabetes, hyperlipidemia and hypercholesterolemia. Among health status and behavioral factors, number of chronic diseases, subjective health status, smoking, high risk drinking, regular meals, physical activity, obesity were significantly different. From the multiple logistic regression analysis, age, number of chronic diseases, obesity, type of chronic diseases were associated with regular medical services utilization. Conclusions: It is necessary to develop effective health education programs and individualized approach to improve continuous management in chronic diseases patients.

A Study on Oriental Medical Doctors' Ethic with The Way of The Oriental Medicine Philosophy (한의사(韓醫師) 윤리(倫理)에 대(對)한 한의철학적(韓醫哲學的) 연구(硏究))

  • Ha, Hong-Gi;Baik, You-Sang;Kim, Soo-Joong;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.20 no.4
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    • pp.127-149
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    • 2007
  • The environment surrounding oriental medical' doctors made change in accordance with changes of the society to make change of the doctors' ethics. In particular, some of practitioners made light of patients to let people distrust all of the medical professions. To improve such a situation, oriental medical doctors' ethics should be examined historically and philosophically. This study examined the literatures of Oriental medicine on oriental medical doctors' ethics to investigate difference of medical ethics between the Western medicine and the Oriental medicine and to suggest a way promoting oriental medical doctors' ethical consciousness. The ethics of the literatures of Oriental medicine might be classified into the two, in other words, 'medical technology' and 'mental attitude'. 'Medical technology' laid emphasis upon not only a lot of researches on Oriental medicine but also doing best to give patients medical treatment carefully. 'Mental attitude' laid emphasis upon keeping 'humanity(仁心)' thinking much of patients not to pursue excessive profits. To recover ethical consciousness, not only 'reinforced school education' but also 'reinforced legal regulation' was required. And, oriental medical doctors, nongovernmental organizations, common people and other social members were demanded to make efforts together to elevate oriental medical doctors' ethical consciousness.

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