• Title/Summary/Keyword: Health practitioners

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Problem Based Learning : New teaching and learning strategy in nursing education (문제중심학습방법 (Problem Based Learning : PBL) : 간호교육에 있어서의 새로운 학습방법)

  • Kim Hee-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3
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    • pp.26-33
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    • 1997
  • Problem-Based Learning(PBL) is at the forefront of educational reform. The acceptance of PBL as an educational approach with wide application represents a major change in thinking about educational processes and their relationships to the wider community. In 1969, PBL as a method was introduced at the Medical School of McMaster University in Hamilton, Canada. The most important advantages in PBL are acquiring knowledge that can be retrieved and applied, learning to learn(self-directed learning) and learning to analyze and solve Problems. PBL is widely used within the sector where it had its origin, namely health profession education. A generally accepted starting point in the development of a problem-based curriculum is the set of professional competencies of future graduates, which describe the typical problems professionals have to deal with. Formulating learning objectives highly depends on the format and content of the presented problems. Contrary to that, in a classic course in higher education, it is customary that teachers express objectives in a compulsory subject matter. Curricula which advocate problem-based learning generally use case studies in the form of paper cases, simulations and real patients with the intention of stimulating classroom discussion of clinical and basic science concepts within a problem-solving framework. One goal of using paper cases is to stimulate the learning of basic science within a clinical situation. Through self-directed study the students solve problems and explore the psycho-social dimensions within the cases. The general outcome based on the program evaluation research of PBL is that PBL students respond positively about the learning experience. In summary, PBL is a curriculum design and a teaching/learning strategy which simultaneously develops higher order thinking and disciplinary knowledge bases and skills by placing students in the active role of practitioners(or problem solvers) confronted with a situation(ill-structured problem) which reflects the real world.

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The 40-year History and Vision of the Korean Society of Adult Nursing (KSAN) (성인간호학회 40년 발전사와 비전)

  • Kim, Yeong-Kyeong;Kim, Boon-Han;Jung, Young-Mi
    • Korean Journal of Adult Nursing
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    • v.23 no.5
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    • pp.514-524
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    • 2011
  • The Korean Society of Adult Nursing (KSAN) was founded in 1971. KSAN is dedicated to the development of nursing's knowledge base and specifically in the area of adult nursing. Other goals are knowledge dissemination, promotion of nursing research and education, and the encouragement and support of nurse researchers, nurse educators and nurse practitioners through forums fostering interactions. With more than 1,100 active members in 2011, this year we celebrate the 40th anniversary of KSAN by lookingback at our past, living our present, and pursuing the future. KSAN has six branches nationwide and is governed by an eleven board of directors. KSAN's conferences, held two or three times every year, offer members opportunities to share creative nursing ideas. The Korean Journal of Adult Nursing (KJAN), our bi-monthly Journal, provides innovative ideas in the field of adult nursing for our members through peer-reviewed articles. It was launched in 1989, listed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) in 2011, and strives to publish the best articles. Each issue of the Journal examines current problems and trends in nursing practice, education, and research. On the occasion of our 40th anniversary, we pledge to continue the development of our society in order to meet the needs of our members, and contribute to expand and extend the knowledge base of adult nursing.

Study protocol for clinical trial to Compare the Effectiveness of 'Individualized Acupuncture' with 'Standardized Acupuncture' in Korean patients with Knee Osteoarthritis

  • Lee, Seung-Deok;Seo, Jung-Chul;Lee, Sang-Hoon;Kim, Yong-Suk;Jang, Jun-Hyouk;Park, Hi-Joon;Choi, Sun-Mi;Park, Ji-Eun;Shin, Leem-Hee;Hahn, Seo-kyung;Norihito, Takahashi;Eiichi, Sumiya;Itoh, Kazunori;Toshiyuki, Shichidou;Kenji, Kawakita
    • Korean Journal of Acupuncture
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    • v.25 no.4
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    • pp.205-217
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    • 2008
  • Background : One of the characteristics of acupuncture, a popular modality for treating musculoskeletal pain, is a plurality in diagnosis and treatment that can profoundly influence the treatment outcome. This multiplicity in treatment modality has to be considered in any research on the effectiveness of acupuncture. Many practitioners stress the necessity for individualized patient treatment, including acupuncture point selection and manipulation technique. However, the importance of individualization in acupuncture treatment, compared with standardization, has received little attention in clinical trials. The aim of the future study described here is therefore to compare the effectiveness of individualized acupuncture for knee osteoarthritis with standardized acupuncture and no acupuncture in patients with knee osteoarthritis. Methods : A total of 195 patients aged 50 years and over with knee pain, will be randomly divided into three treatment groups: individualized acupuncture, standardized acupuncture, and waiting list. Outcome data will be collected through patient.completed questionnaires before randomization, and at 4, 8 and 12 weeks after randomization. The questionnaires will be investigated demographic details as well as information on pain, movement and function of the affected knee, general health and quality of life. Discussion : This paper presents details on the rationale, design, and methods of the trial.

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Effect of Acupuncture at the LU5(Reinforcement), LU10(Reduction) on the Pulsation Scale of Chon, Gwan and Chuk region using High Resolution Infrared Camera (척택.어제 침자가 고해상도 적외선 카메라로 관찰한 촌구맥 부위의 온도 Pulsation 변화에 미치는 영향 연구)

  • Na, Chang-Su;Jeon, Hyo-Sang;Kim, Jee-Hyun
    • Journal of Biomedical Engineering Research
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    • v.32 no.2
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    • pp.127-133
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    • 2011
  • Arteria radialis is a branch of the brachial artery extending down the forearm around the wrist where it closes to skin surface. In the oriental medicine, the skin above arteria radialis has an important role because oriental medicine practitioners put their finger tips on the area, and diagnose patient's health conditions by feeling the pulsation of the arterial contraction. The finger tip diagnostic method relies on subjective decision of the practitioner; and there is a need to develop an objective diagnostic modality. The pulsation of the arterial contraction appears not only a movement on the site but also as temperature fluctuation due to pulsatile feeding of warmer blood. The goal of this study is to demonstrate a feasibility of using an infrared camera quantitatively to detect the temperature fluctuation on the skin. Clinical important three different areas, called chon, gwan, chuk, near a wrist where the arteria radialis reaches close to skin surface are marked with small pieces of surgical tape. A high-speed and high-resolution infrared camera with a 3 cm of field of view measures these areas for 10 second at 200 frames per second with a 320*240 pixel size. The pulsatile temperature fluctuation is calculated after passing a band pass filter to remove any stationary temperature over 10 second. The temperature fluctuation of a healthy male volunteer is measured at a room temperature as a control, and is compared with another measurement performed after 20 minutes staying in a room at a 40 degree Celsius. This comparison is repeated for three times, and indicates that the fluctuation increases after staying 20 minutes in the warm room. This increase becomes smaller when the person stays in the warm room with an acupuncture treatment that decreases body temperature. So that an objective diagnostics on the site may become feasible.

Evaluation of Oxygen Permeability of Soft Contact Lenses Based on Thickness (두께 기준에 따른 소프트 콘택트렌즈의 산소투과성 평가)

  • Yu, Dong-Sik;Moon, Byeong-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.8
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    • pp.2157-2163
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    • 2009
  • The oxygen permeability of a soft contact lens is an important parameter for determining corneal health when considering the physiological response of the eye. The aim of this study is to evaluate the oxygen permeability of soft contact lenses based on thickness, using the polarographic method. The thickness of lens was measured using contact and non-contact method. To assess accuracy and reliability, the Bland-Altman plot was used. The reliability was high for the oxygen permeability based on center thickness measured by contact method, whereas the accuracy was high for the oxygen permeability based on center thickness measured by non-contact method. These results indicate that the permeability characteristics were variable according to the measurement and criteria of thickness of soft contact lenses and the measurement of soft contact lenses by non-contact method was more reasonable. Thus, contact lens practitioners should consider some basic differences between methodologies when interpreting or quoting oxygen performance data.

The Effects of Job Stress on Work-Family Conflicts and Depression among Female Low-wage Workers -Mediated Moderating Effect of Resilience - (저임금 여성근로자의 직무스트레스가 직장-가정갈등을 매개로 우울에 미치는 영향: 탄력성의 매개된 조절효과 검증)

  • Park, Sookyung;Lee, Seonwoo;Song, Jiyeon
    • Korean Journal of Family Social Work
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    • no.58
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    • pp.123-150
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    • 2017
  • The purpose of this study is to examine the mediated moderating effect of resilience in the relationships among job stress, work-family conflict, and depression of female low-wage workers. For this purpose, a total of 190 female workers with monthly wage of less than two million won were analyzed. The results showed that the mediated effect of work-family conflict in the relationships between job stress and depression, and the mediated moderating effect of resilience. Thus, policy makers and practitioners should develop mental health program alleviating job stress and depression among female low-wage workers, enhance family-friendly policy and program necessary for work family balance, furthermore, develop occupational welfare program to promote resilience.

Identifying psychological predictors of adherence to a community-based lifestyle modification program for weight loss among Chinese overweight and obese adults

  • Leung, Alice Wai Yi;Chan, Ruth Suk Mei;Sea, Mandy Man Mei;Woo, Jean
    • Nutrition Research and Practice
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    • v.13 no.5
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    • pp.415-424
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    • 2019
  • BACKGROUND/OBJECTIVES: Existing evidence on lifestyle modification programs for weight loss is limited by the high attrition rate of such programs. Identifying predictors of adherence to a lifestyle modification program could result in program improvement. However, little is known about behavior-specific adherence and its psychological predictors. This study aimed to examine the psychological predictors of adherence after one-month participation in a community-based lifestyle modification program among Chinese overweight and obese adults in Hong Kong. SUBJECTS/METHODS: A total of 205 Chinese overweight and obese adults aged $38.9{\pm}10.5years$ completed the study. Data were collected at baseline and after one month using self-reported questionnaires, which assessed knowledge (self-developed scale), motivation (Treatment Self-Regulation Questionnaire), stage of change (Stage of Exercise Scale) and self-efficacy (Self-Rated Abilities for Health Practices Scale). At one month, a 4-day dietary recall and the International Physical Activity Questionnaire-Short Form were used to assess dietary and physical activity (PA) adherence. Food and PA diaries were examined to indicate self-monitoring. Program attendance was tracked between baseline and one-month follow-up. RESULTS: After one month, participants reported high dietary adherence, attendance, and adherence to self-monitoring but low PA adherence. Multiple regression analyses suggested that diet self-efficacy (baseline) and nutrition knowledge (one-month change) were independent predictors of dietary adherence score at one month, whereas autonomous PA motivation (baseline) and PA self-efficacy (both baseline and one-month change) were independent predictors of PA adherence score at one month. No significant psychological predictor was identified for attendance or self-monitoring. CONCLUSIONS: The results suggest that the effect of psychological factors on adherence differs between diet and PA adherence outcomes. To promote adherence, practitioners should assess self-efficacy, knowledge, and motivation at the beginning of a weight-loss program and explore behavior-specific strategies to improve knowledge and self-efficacy. The results of this study have direct implications for program improvements.

German Heilpraktiker system, its history and current status (독일 자연치료사(Heilpraktiker) 제도 현황과 형성과정)

  • Park, Inhyo;Kim, Dongsu
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.3
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    • pp.45-60
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    • 2018
  • Background : There have been a variety of healthcare systems related to CAM practitioners developed in each country. However, the European cases have not been widely introduced in Korea so far. In the case of Germany, CAM practices have been developed in the frame of "Heilpraktiker" system. Objectives : The objectives of this study were to review the historical development and current situation of German Heilpraktiker system and its conflicting relationship with Western medical doctors, in order to utilize it as basic data for the conflict resolution between Western- and KM doctors in Korea. Methods : The historical development, current regulations and education system of Heilpraktiker were assessed. Research articles, reports, government publications and websites dealing with this issue were searched for and analyzed. Results : Heilpraktiker system was developed within German historical and cultural situation where naturopathic traditions were reilluminated in connection with modernization process of the state under the influence of romanticism formulating German nationalism. Between the concept of "Kurierverbot"(prohibition on medical treatment by non-physicians) and "Kurierfreiheit"(freedom of medical treatment), Heilpraktiker achieved a limited but legitimated right to conduct non-biomedical treatments from the state in the process of the formulation of modern German medical system. In this process, the conflicts between medical doctors and heilpraktikers have been also growing up to now. Conclusions : Heilpraktiker system, officially recognized with the legislation of Heilpraktiker law in 1939, stands at a crossroads between the continual development through strengthening its professionality, and abolition of the system due to its lack of quality control and medical evidence mostly argued by Western medical doctors, which has considerable implications for Korean situations in terms of the conflicting relationship between KM- and Western medical doctors. In this regard, it is necessary to discuss the debates on the concept "Kurierfreiheit"(freedom of medical treatment) developed within German tradition of medical pluralism.

Research and Publication Ethics: Developing Procedures to Avoid Questionable and Poor Academic Activities

  • KIM, Dongho;YOUN, Myoung-Kil
    • Journal of Research and Publication Ethics
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    • v.2 no.2
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    • pp.21-24
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    • 2021
  • Purpose: This paper aims to evaluate and reinstate preventative guidelines necessary for a sound academic journal (or academic conference) for the articles published by KODISA and its branch journals. As questionable or predatory academic journals and academic conferences are rapidly increasing, preemptively establishing preventative standards have become essential to obviate questionable academic activities. Research design, data and methodology: This is an analytical study that explores and examines research, publication ethics, and misconducts. For this purpose, research ethics related data in overseas and domestic academic journals have been examined and analyzed. Results: The issues identified from this research are as follows: enhancing the expertise of editor-inchief (no concurrent jobs for major and non-major area); clarifying the index; complying with the review policy (The review policy should be publicly announced); complying with anonymous review process; complying with 3 peer-review policy, complying with the publication policy as per field of study; avoiding conference hosting at holiday resorts unless unavoidable; complying with the planned programs and cancelling events if not feasible; following proper review standards and management for all journals, including the journals publishing large number of articles (all materials should be prepared in case explanatory data is required); complying with the marketing policy standards; complying with the impact factor; excluding personal solicitation; and complying with the general policy. Conclusions: Questionable and predatory academic activities by academic organizations and journals will continue, and it is the responsibility of the individual scholars to identify and reject these types of dubious academic activities. This study provides standards to prevent the possibility of questionable academic activities that have been conducted in the past. The analysis and findings will strengthen the continued efforts of KODISA as it strives to be a transparent, ethical, and professional academic association, and the association will continue to foster an academic environment that is well-respected by scholars and practitioners throughout the world.

A case study of chronic traumatic pericarditis (Hardware disease) in a Holstein cattle (젖소 만성 창상성심낭염의 증례보고 및 고찰)

  • Kim, Jongho;Lee, Kyunghyun;Roh, Su Gwon;Jo, Heon-Ho;So, ByungJae;Kim, Heui-Jin
    • Korean Journal of Veterinary Service
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    • v.44 no.1
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    • pp.45-49
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    • 2021
  • A 23-month-old Holstein cattle showed excess salivation and reluctance of walking and suddenly died after forced sudden movements. Grossly, numerous fibrous adhesions were present within cranial abdominal cavity including the reticulum and diaphragm and thoracic cavity involving lungs, pericardial sac, and heart. A perforation made by a 10 cm-long sharp-ended wire was detected in the reticulum. Histopathologically, fibrous suppurative epicarditis and myocardial necrosis were observed. Fibrosis with neovascularization were found in lungs, spleen, and liver. And granulomatous reticulitis was observed. For differential diagnosis, no pathogenic bacteria were detected through microbiological tests and PCR results were also negative for bovine susceptible pathogenic antigens. Based on the gross and histopathological examination, we diagnosed this case as chronic traumatic pericarditis. Cattle are inquisitive and prone to swallow various kinds of metallic foreign bodies since they do not use their lips. Therefore, avoiding ingestion of metallic objects in animal feed and animal areas by careful environmental management of farms is required and farmers should give the adequate minerals and vitamins into the feeds not to lick or shallow foreign bodies in case of mineral deficiency. For veterinary practitioners, physical examination, blood tests, and diagnostic imaging (X-ray and Ultrasonography) are required for an exact diagnosis. Furthermore, placing the magnets in rumen would be effective for prophylactic administrations.