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A Study on Strategies to Improve the Hospital House-staff Training Systems - In the Perspective of the Training Directors of the Hospital - (전공의 수련교육제도의 발전 방안에 관한 연구 - 수련부장의 인식도 조사결과를 기초로 -)

  • Kim, Gi-Chul;Ha, Ho-Wook;Hwang, In-Kyoung
    • Korea Journal of Hospital Management
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    • v.6 no.1
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    • pp.120-146
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    • 2001
  • This study was carried out to provide the essential information in improving the graduate medical education in Korea. For the study, a survey targeting the directors of GME of nationwide teaching hospitals was performed with a questionnaire asking the questions such as the director's perception on the quality of GME, trainees' salary level, trainees' specialty selection tendency, training system and its duration. The collected data were analyzed using t-test, ANOVA, and $x^2$-test. The results were as follows: 1. The survey were executed on 240 teaching hospitals in Korea and the response rate was 66.2% (159 hospitals replied). 2. The bigger a hospitals is the better in Quality of education. Larger hospitals tend to have better status in all items including medical specialists' experience, contents of medical curriculum, general environment for medical education and medical trainees's salary level. The result supported the general perception on the positive relationship between hospital size and Quality of GMA. 3. Providing convenience for medical trainees who prepares for the medical specialist Qualifying examination didn't affect the results of the examination. 4. The directions of GME have a perception that the trainees give positive impact on financial performance of their hospitals. This seems to be one of the reasons that hospitals try to retain as many trainees as possible. 5. The directors of GME considered medical trainees as an educate, and most of them responded positively on the need of governmental supports for the education cost and the trainee's salary. Considering above results, it seems that GME would get more social attention and the trainees' impact on hospitals operation would be increased more than before. In response to these trends, hospitals would find out the ways to lower dependency on trainees, and this change of attitude of hospitals on the GME would cause problems in operation of hospitals and GME itself. In order to prevent these problems the policy on GME should be directed in following ways. 1. The contents of Qualifying examination for specialist should be improved. 2. The curriculum of GME should be strictly followed. 3. The status of trainee in a hospital has to be defined as eductee. 4. Government has to support a half of the education cost and salary of trainee. 5. The distribution of the trainee among the hospital group have to be based on total available. 6. The financial support and welfare of trainee should be improved gradually and systematically.

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Survey on oral health behavior and knowledge of middle school students (일부 중학생의 구강보건행동과 지식에 관한 조사연구)

  • Lim, Kun-Ok;Choi, Jeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.243-250
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    • 2011
  • Objectives : The purpose of this study was to examine the oral health behavior and knowledge of middle schoolers in an attempt to facilitate the selection of what to teach about oral health. Methods : The subjects in this study were 315 students at three different middle schools located in the city of Gunsan. After a self-administered survey was conducted by using structured questionnaires in collaboration with their homeroom teachers, the answer sheets from 315 students were gathered. And the answer sheets from 302 students were analyzed with SPSS 12.0 program except 13 incomplete ones. The findings of the study were as follows: Results : 1. By gender and grade, the middle school boys(51.3%) outnumbered the middle school girls(48.7%), and the seventh, eighty and ninth graders respectively accounted for 31.5, 32.8 and 35.8 percent. 2. As to the parts of the mouth they brushed, the largest number of the seventh graders(31.6%) and ninth graders(56.5%) brushed their teeth and tongue. The largest group of the eighth graders(39.4%) brushed their teeth, tongue and gums, and the gaps between them and the others were statistically significant. 3. In regard to toothbrushing frequency, the ninth graders did that 2.62 times, which was the largest frequency, but the gap between them and the others was not statistically significant. 4. Concerning school oral health education experiences, the rates of the seventh, eighth and ninth graders who had ever received that education stood at 69.5, 50.6 and 50.5 percent respectively, and those students significantly outnumbered the others who hadn't(p<0.01). 5. As for the relationship of their oral health behavior scores to toothbrushing frequency, there was a statistically significant correlation between the two(r=0.227, p<0.001). And the oral health knowledge scores had a statistically significant correlation to toothbrushing frequency (r=0.116, p<0.05) and oral health behavior scores(r=0.358, p<0.001). Conclusions : It is concluded that proactive oral health education must be made through diverse programs and systems. Also, regular oral examination and active oral health program for preventing dental caries and periodontal disease should be proliferated in order to evaluate achievement and effectiveness and maintain oral health care.

Recommendation and current status in exposure assessment using monitoring data in ship building industry - focused on the similar exposure group(SEG) (조선업의 작업환경측정결과를 이용한 노출평가의 문제점과 해결방향 - 유사노출군을 중심으로 -)

  • Roh, Youngman;Yim, Hyeon Woo;Kim, Suk Il;Park, Hyo Man;Jung, Jae Yeol;Park, Sook Kyung;Kim, Hyun-Wook;Chung, Chee Kyung;Lee, Won Chul;Kim, Jung Man;Kim, Soo Keun;Koh, Sang Baek;Karl, Sieber;Kim, Euna;Choi, Jung Keun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.11 no.2
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    • pp.126-134
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    • 2001
  • Statistical approaches for analysis of data from the limited number of samples in ship building industry(SBI) collected by an industrial hygienist for checking compliance to an occupational standard were considered. Sampling for compliance usually has been guided by judgment selection, rather than true randomness, resulting in the creation of compliance samples which approximate a censored sample from the upper tail of the exposure distribution. Similar exposure groups(SEGs) including welding and painting process were established to assess representative values in each groups after reviewing the whole production line in SBI. For the convenient statistical approaches, the code has assigned to each SEGs. The descriptive statistics and probability plotting were used to yield the representative values in each SEGs. In the first step, SEGs of 558 were established from 5 ship building companies. The 38 SEGs showed the uncertainty are divided into each 5 companies and assessed the representative values again. The 44 SEGs in each companies was not showed the normal and lognormal distribution was analyzed each data. And also, recommendation was suggested to resolve the uncertainty in each groups.

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Selection of Superior Strains from Collected Ear Mushrooms for Artificial Cultivation and Their Optimal Condition of Mycelial Growth (목이류 인공재배를 위한 우량균주 선발 및 균사생장 최적 조건 구명)

  • Kim, Jeong-Han;Lee, Yun-Hae;Jang, Myoung-Jun;Won, Seon-Yi;Ju, Young-Cheoul
    • The Korean Journal of Mycology
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    • v.42 no.1
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    • pp.57-63
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    • 2014
  • This study was carried out to obtain morphological and physiological characteristics of ear mushrooms for an artificial cultivation. Eighteen strains were cultivated with bag culture and classified into mainly five groups such as brown, black, white, purple and others group. The highest yield was shown in 43007 strain as 98.3 g/bag and 43009, 43016, 43025 and 44035 strains were more than 60 g/bag. Among collected strains, 43007, 43009 and 43035 were selected in this study as superior strains. Three selected strains were investigated for optimal mycelial growth conditions. MCM and GPYM media were selected for the favorable culture medium. The carbon sources of 43007, 43009 and 43035 on mycelial growth were maltose, fructose and glucose, respectively and peptone was selected as a nitrogen source. Highest mycelial growth was observed when the C/N ratio was 10 for 43007 and 20 for 43009 and 43035.

Style for the Consumer's Awareness and Purchase Behavior about the Forest Product (임산물 가공품 개발을 위한 인식 및 구매 행동 조사)

  • Lee, Eun Young;Yeo, Ga Eun;Lee, Ji O;Jeon, Yoowha;Cho, Mi Sook;Oh, Ji Eun
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.77-87
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    • 2020
  • This study aims to suggest basic data for developing forest product in Jeongeup City by surveying and analyzing consumer awareness and purchasing behavior. A survey was conducted focusing on local tourist attractions in Jeongeup City, and the analysis was conducted on 234 people. Among the local specialty processed products that the survey participants had experience in purchasing, food was mainly tea, concentrate solution, liquor, snacks and fruit syrup/enzyme. The therapy was shown in order of soap, aroma oil, and lotion. It was found that the purchase cost was more than 10,000 won and less than 30,000 won. Major purchase uses were for direct use and gifts, and 56.8% of the customers were satisfied with the satisfaction of the products, which were found to be purchased because of their good quality, good gift, and good health functions. In the question of 11 kinds of forest products, the subjects were aware of bokbunja, balloon flower, wild flower, deodeok, bracken, durum, and mal, among which bokbunja and wild flower were recognized as the representative forest products of Jeongeup. A cluster of food and therapy product selection attributes was analyzed to find target consumers. As the group that is interested in forest products and values the safety and quality of products is highly recognized, the value of forest products should be increased in consideration of the quality and safety of forest products when developing products in the future.

An Empirical Study on Curriculum Development in Colleges Using Job Analysis (직무분석을 활용한 전문대학 교육과정 개발에 관한 실증적 연구)

  • Park, Ju-Hyeon;Byeon, Sang-Seok;Lee, Ae-Gyeong;Song, Yun-Sin;Lee, Geun-U
    • Korean Business Review
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    • v.23 no.1
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    • pp.45-68
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    • 2010
  • Current oversupply of college graduates is the need in the industry, but the absolute lack of manpower and the company's dissatisfaction with graduates of the retraining costs borne by businesses increases with the overall gap between university education and industry is causing a scene. Particularly job-oriented vocational training colleges for the purpose of sahoegak areas of professional knowledge, teaching theory, research, and cultivate talent, and social development of countries required to cultivate professional personnel for the purpose were established. However, the purpose of today's college founded largely on these off, which reflects the needs of industry through the development of the curriculum of colleges established in the original intent and purpose of the on demand came to be intellectually and socially. Reflect the needs of industrial on-site training is the development "of industrial units for each job through the job analysis is required in college to acquire job skills training to be a list of subjects and the importance of each subject and analyzed the incidence and Curriculum Development Reflected in and through which industry and the job comes from the college curriculum to eliminate the gap between research. Research-oriented job analysis methods commonly used in curriculum development, DACUM technique was used, through which subjects daebipyo skills, selection of the companies surveyed set of job model, job creation and the job description and job specification we analyze it using a group of experts to evaluate the interview and questionnaire via WEB to evaluate the results of the educational process.

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Review of Studies Using a Rhythm Task Intervention and the Rationale for its Formulation (국내 리듬 중재 연구의 중재 구성 및 논거에 대한 고찰)

  • Chong, Hyun Ju;Lim, Jeong Hyeon;Hwang, Soo Yeon
    • Journal of Music and Human Behavior
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    • v.15 no.1
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    • pp.95-118
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    • 2018
  • With the recent emphasis on evidence-based research and practice, the field of music therapy has called for rigorous reviews of the scientific data and for therapeutic rationales for research procedures. The purpose of this study was to review studies that used a rhythm task as a therapy intervention in terms of whether they provided a rationale for the components related to the intervention. The components included activity rationale, music rationale, intervention validity, intervention format (individual or group), intervention development (contour), duration, and intervention provider. A total of 41 studies were selected: 22 studies were implemented by music therapists and 19 by professionals in other related fields. In terms of seven assessment categories, only 10 studies were found to report more than four items which are related to a rationale of interventions. The 10 studies identified were further examined to determine if their intervention rationale differed depending on whether the study included a researcher-formulated intervention or an existing music therapy protocol. Of the 10 studies, six used a researcher-formulated rhythm intervention, and four used an existing music therapy protocol. Those studies that used an existing music therapy protocol also provided a clear rationale for music selection, whereas those that used a researcher-formulated rhythm task tended to provide an activity rationale. The results of this study suggest that researchers need to be clearer about their interventions and provide an evidence-based rationale for why and how they use a rhythm task.

Stakeholders' Opinion on the Desired Characteristics of Nursing School Graduates and Factors Concerning Nursing Curriculum Development in Thailand

  • Kittiboonthawal, Prapai;Siriwanij, Wareewan;Ubolwan, Kanyarat;Maneechot, Munthana
    • Asian Journal for Public Opinion Research
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    • v.5 no.4
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    • pp.319-345
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    • 2018
  • Effective higher educational management in undergraduate nursing programs is an important issue from the viewpoint of stakeholders. This qualitative research aimed to examine the characteristics of nursing students and curriculum development of undergraduate nursing education from the opinions of Boromarajonani College of Nursing Saraburi, Thailand stakeholders. The population included 4 groups: 1) the alumni who have graduated within the past 5 years and currently work in primary, secondary, and tertiary care units, 2) the supervisors and colleagues of the alumni, 3) nursing lecturers, and 4) the current nursing students. The respondents who are the alumni, nursing lecturers, and current nursing student were selected using a purposive sampling, for the supervisors and colleagues were selected using snowball techniques. Semi-structured interview questions were used for data collection. Group discussions were conducted until saturation on 55 key informants. The qualitative data was analyzed using content analysis. Results showed the viewpoints of stakeholders on the characteristics of future nurse graduates were comprised of four elements: knowledge that meets standards; essential skills for self-development and lifelong learning process; good morals and professional ethics in providing nursing care; and nurse competencies in teamwork, communication, language, research, management, IT, life skills, and global literacy. The viewpoints on the development of the nursing curriculum focus on four elements: the learner, teaching and learning, course content, and instructor tasks. For learners, the admission criteria should include a minimum not only of knowledge, but also positive attitude, science, and art skills, since the nursing profession is both a science and the art of caring. Teaching and learning elements should be authentic, including exposure to real situations, an integrated network, and activities that improve nursing care. Course content was comprised of an updated curriculum, humanized nursing care, student center, theory and practice with moral integration, case-based study, critical thinking, multidisciplinary work, and love for the nursing profession. Instructor tasks are to elicit student ideas, provide opportunities to learn, support infrastructure, support technology use, and extra-curricular activities to develop the competencies of nursing students. Recommendations were that the curriculum administration should review the selection process of student candidates and instructional management to achieve expected outcomes of nursing characteristics in the future. The nurse lecturer should provide authentic and integrated instruction, decrease lecturing, cultivate a lifelong learning process, and sustain the nursing characteristics.

The Removal Characteristics of Bromate using Various Materials in GAC Process (다양한 재질의 활성탄을 이용한 GAC 공정에서의 브로메이트 제거 특성)

  • Son, Hee-Jong;Choi, Young-Ik;Jung, Chul-Woo;Park, Jin-Sik;Jang, Seong-Ho
    • Journal of Korean Society of Environmental Engineers
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    • v.31 no.9
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    • pp.747-752
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    • 2009
  • This research was performed by means of several different virgin granular activated carbons (GAC) made of each coal, coconut and wood, and the GACs were investigated for an adsorption performance of bromate in a continuous adsorption column. Breakthrough behavior was investigated that the breakthrough points of the virgin two coals-, coconut- and wood-based GACs were observed as 9252 bed volume (BV), 6821 BV, 5291 BV and 2431 BV, respectively. The experimental results of adsorption capacity (X/M) for bromate showed that two coal- based GACs were highest (1334.5 and 798.2 ${\mu}g$/g), the coconut-based GAC was intermediate (668.6 ${\mu}g$/g) and the wood-based GAC was lowest (156.8 ${\mu}g$/g). The X/M of the coal-based GACs was 2~8.5 times higher than the X/M of the coconut-based and wood-based GACs. The results of carbon usage rates (CURs) for the virgin two coal-, coconut- and wood-based GACs were shown as 0.19, 0.25, 0.33 and 0.71 g/day respectively. The adsorption capacity, k values, were also investigated by means of the GACs for bromate. The k values of two coal-, coconut- and wood- based GACs for bromate were found to be 121.3, 76.7, 43.3 and 14.6 respectively. This results suggested that using the virgin GAC made of coal was the best selection for removal of bromate in the water treatment for an advanced treatment.

Measurement of Muscle Strength of Ankle Joint Using Isokinetic Dynamometer in Normal Korean Adults (등속성 운동검사를 이용한 정상 한국인 성인에서의 발목관절 근력 측정)

  • Choi, Seung-Myung;Park, Ji-Kang;Ha, Yoon-Won;Cho, Byung-Ki
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.142-150
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    • 2015
  • Purpose: Restoration of ankle stability through the strengthening exercise of peroneus muscles is considered an important factor for achievement of successful outcomes, in the rehabilitation program following ankle ligament injuries. However, there were few definitive data on normal muscle strength, including eversion power by peroneus muscles. This study was conducted to evaluate the muscle strength of ankle joint measured using an isokinetic dynamometer in normal Koreans. Materials and Methods: Sixty adults (120 ankles) were recruited and divided into three groups (20 in their twenties, 20 in thirties, and 20 in forties). Each group consisted of 10 males and 10 females. The selection criteria were no history of ankle injury and no evidence of instability. The peak torque, total work, and deficit ratio were measured using the Biodex$^{TM}$ (Biodex Medical Systems). Differences in muscle strength by age, gender and dominant versus non-dominant side were analyzed. Results: The peak torque of dorsiflexion was average 31.5 Nm at $30^{\circ}/s$ of angular velocity and 18.8 Nm at $90^{\circ}/s$; average 69.3 Nm ($30^{\circ}/s$) and 42.4 Nm ($90^{\circ}/s$) on plantarflexion; average 19.6 Nm ($30^{\circ}/s$) and 10.8 Nm ($90^{\circ}/s$) on inversion; average 12.9 Nm ($30^{\circ}/s$) and 8.0 Nm ($90^{\circ}/s$) on eversion. The deficit ratio of strength in women was average 61.1% of men on dorsiflexion; average 66.2% on plantarflexion; average 48.5% on inversion; average 55.4% on eversion. The deficit ratio in non-dominant foot was average 88.6% of dominant foot on dorsiflexion; average 90.1% on plantarflexion; average 85.1% on inversion; average 85.6% on eversion. Conclusion: The muscle strength of the ankle joint showed a tendency to weaken with age. There were significant differences in muscle strength by gender and dominancy. Further studies for comparison of patients with ankle instability, a comparison between before and after surgery for instability, the correlation between clinical outcomes and the recovery in muscle strength will be needed.