• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8455-8460
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• 2016

Background: Poor participation rates are often observed in colorectal cancer (CRC) screening programs utilising faecal occult blood tests. This may be from dislike of faecal sampling, or having benign bleeding conditions that can interfere with test results. These barriers may be circumvented by offering a blood-based DNA test for screening. The aim was to determine if program participation could be increased by offering a blood test following faecal immunochemical test (FIT) non-participation. Materials and Methods: People were invited into a CRC screening study through their General Practice and randomised into control or intervention (n=600/group). Both groups were mailed a FIT (matching conventional screening programs). Participation was defined as FIT completion within 12wk. Intervention group non-participants were offered a screening blood test (methylated BCAT1/IKZF1). Overall participation was compared between the groups. Results: After 12wk, FIT participation was 82% and 81% in the control and intervention groups. In the intervention 96 FIT nonparticipants were offered the blood test - 22 completed this test and 19 completed the FIT instead. Total screening in the intervention group was greater than the control (88% vs 82%, p<0.01). Of 12 invitees who indicated that FIT was inappropriate for them (mainly due to bleeding conditions), 10 completed the blood test (83%). Conclusions: Offering a blood test to FIT non-participants increased overall screening participation compared to a conventional FIT program. Blood test participation was particularly high in invitees who considered FIT to be inappropriate for them. A blood test may be a useful adjunct test within a FIT program.

• Journal of Yeungnam Medical Science
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• 제37권3호
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• pp.210-216
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• 2020

Background: Among the different aims of medical education, the provision of society with skilled, professional, and knowledgeable healthcare workers who maintain and develop their expertise over a lifetime career is important. The achievement of this goal is linked with the professional development of both faculty members and healthcare workers. This study aims to measure the perception of faculty members regarding their views about the goals of faculty development programs, practices and activities, and factors that determine their achievement. Methods: A cross-sectional survey was conducted in multiple universities in the Western region of Saudi Arabia. The participants were given a pre-designed self-administered questionnaire generated from literature. The survey questionnaire consisted of three sections that were designed to assess the faculty members' perception on the faculty development program. Results: A total of 210 faculty members participated in the study. The most important perceived goal was to motivate teachers to become better teachers. The most important perceived practice was establishing a positive climate for teaching and learning. The most important perceived factor was skilled and dedicated staff support. Conclusion: The results of this study demonstrate that faculty members have positive perceptions regarding all aspects of faculty development programs. This study will raise awareness regarding the importance of faculty development programs in sustaining educational vitality. We recommend the implementation and maintenance of comprehensive faculty development programs in Saudi universities.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권3호
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• pp.71-80
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• 2017

Purpose: At the moment prevention and treatment of animal related diseases is becoming a social concern as the demand for animal increases. Furthermore, The design of the veterinary medical teaching hospital are even more complex because they have to accommodate medical program for animal and education and research program for students. However, there are a few experience and useful guidelines for the planning of the veterinary medical teaching hospital. So it is not easy for the regional hub universities to work out the proper plan for the construction of the veterinary medical teaching hospital for their own. This study has been started in order to provide basic informations for the planning of Korean veterinary medical teaching hospital. Methods: Interview to veterinarian, intern and employee of the veterinary medical teaching hospital and Field surveys to veterinary medical teaching hospital in Korea have been conducted for the data collection. The drawings of three universities of veterinary medical teaching hospital have been analysed and diagramed. Results: The result of this study can be summarized into three points. The first one is that the veterinary medical teaching hospital spaces are divided into five areas (ambulatory care, central medical care, hospitalization, education and research, operations and support) and each area is divided independently and connected properly. The second one is that the veterinary medical teaching hospital differs from hospital in the detailed space plan in the sense that the animal is a patient. The third one is that each hospital has different operating practices and programs according to local conditions Implications: It is meaningful as a basic source of veterinary medical teaching hospital design in the future.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권4호
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• pp.57-66
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• 2016

Purpose: According to the trend of the global burden of disease, in the future our society is expected to face with gradually increasing problems related to mental health and the demand for the various types of quality mental health facilities. This study investigates whether the accreditation of Mental health facilities serves as a building evaluation tool, and contribute to environmental welfare of the mentally ill. Methods: The facility assessment items related to architectural design are extracted through the analysis about the accreditation program of KOIHA. Extracted items should review if they comply with the relevant regulations, and establish building design standard. Results: This study shows that the accreditation of KOIHA can certify psychiatric hospitals meet the legal requirements, the minimum standard of facilities. But it is not the evaluation of environmental quality. It is difficult to assess the quality of facility in terms of architectural design, because it has no specific standards or the level of assessment. Implications: The accreditation for mental health facilities should be able to provide the right and opportunity to choose a more quality facility for the customer. The introduction of a certification system for the evaluation of environmental quality is required in order to overcome the limitations of the accreditation of KOIHA. Development of design guidelines for mental health facilities that are the basis for certification should be also followed.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9165-9170
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• 2014

Purpose: This study evaluated the effect of an Educational Program on Palliative Care for MPM for Nurses in Japan. Program: The 5-h program consisted of lectures and care planning group work. Materials and Methods: This study used a pretest-posttest design with a single cohort of nurses and included a Difficulties in Palliative Care for Patients with MPM (DPCMPM) Scale with 15 items. The pre- and posttest scores were compared using a t-test. Results: We included 27 female nurses with a mean of 14.4 years of nursing experience. In 12 of 15 DPCMPM items, the posttest difficulty scores were lower than the pretest scores. Participants highly evaluated the program for validity, clarity, clinical usefulness, and the facilitators. The Palliative Care for MPM Handbook for Nurses was developed as an educational tool for clinical settings. Conclusions: The Educational Program on Palliative Care for MPM for Nurses was effective in reducing nursing difficulties.

• 기본간호학회지
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• 제18권1호
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• pp.116-129
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• 2011

Purpose: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes. Methods: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete. Results: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management. Conclusions: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.425-435
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• 2019

본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.

• 한국컴퓨터정보학회논문지
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• 제26권9호
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• pp.155-166
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• 2021

최근 디지털헬스케어 기술이 여러 분야로 전파되며 발전하고 있다. 그래서 본 논문에서는 비교적 디지털 헬스케어 기술이 적용되지 않은 분야가 검안분야라고 파악하여 정밀한 렌즈 제작을 위한 디지털 헬스케어 검안시스템을 구현했다. 렌즈를 제작하기 위해서는 프롭터란 기기가 사용되며 이 기기는 안경을 의뢰한 피측정인의 시력을 측정하여 렌즈를 세팅해 준다. 그리고 피측정인이 안경 착용시 동공중심과 렌즈초점을 맞추기 위해 PD미터란 기기를 사용한다. 그러나 PD 측정 오차, 프롭터 수동제어로 인한 불편함 및 오차, 검안 정보를 축적하고 분석할 수 있는 데이터베이스와 프로그램의 부재로 정밀한 렌즈 제작 및 검안 편의성에 한계가 있다. 그래서 본 논문에서는 보다 정확한 PD 측정을 위한 PD미터 설계, 프롭터 자동제어를 위한 프롭터 설계, 프롬터 제어 어플리케이션 설계, 피측정인별 검안정보를 활용해 렌즈를 자동 세팅해 주는 데이터베이스와 분석 프로그램 설계를 통해 최종적으로 검안 데이터베이스를 활용한 디지털 헬스케어 검안기 시스템을 구현했다.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.128-135
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• 2023

Background: Despite the fact that aquatic exercise is one of the most popular alternative treatment methods for children with cerebral palsy (CP), there are few research regarding its effectiveness. Objects: The purpose of this study was to examine the effects of aquatic exercise on upper extremity function and postural control during reaching in children with CP. Methods: Ten participants (eight males and two females; 4-10 years; Gross Motor Function Classification System levels II-IV) with spastic diplegia were recruited to this study. The aquatic exercise program consisted of four modified movements that were selected from the Halliwick 10-point program to enhance upper extremity and trunk movements. The participants attended treatment two times a week for 6 weeks, averaging 35 minutes each session. The Box and Block Test (BBT), transferring pennies in the Bruininks-Oseretsky Test (BOT), and pediatric reaching test (PRT) scores were used as clinical measures. Three-dimensional motion analysis system was used to collect and analyze kinematic data. Differences in BBT and BOT values among pre-treatment, post-treatment, and retention (after 3 weeks) were analyzed using a Friedman test. In addition, the PRT scores and variables (movement time, hand velocity, straightness ratio, and number of movement units) from the three-dimensional motion analysis were tested using a Wilcoxon signed-rank test. The significance level was established at p < 0.05. When the results appeared to be statistically significant, a post-hoc test for multiple comparisons was performed with the Wilcoxon signed-rank test. Results: All clinical measures, which included BBT, transferring pennies of BOT, and PRT, were significantly increased between pre-intervention and post-intervention scores and between pre-intervention and retention scores after treatment (p = 0.001). Three-dimensional motion analysis mostly were significantly improved after treatment (p = 0.001). Conclusion: Aquatic exercise may help to improve body function, activity, and participation in children with varying types of physical disabilities.

• Journal of Hospice and Palliative Care
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• 제19권1호
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• pp.11-25
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• 2016

목적: 본 연구는 응급실에서 임종을 맞이하거나 혹은 임종에 임박한 환자, 생애말기 환자를 돌보는 응급실 의료진의 죽음인식과 임종환자 돌봄 특성요인과 임종환자 돌봄 태도와의 관계를 확인하고, 임종환자 돌봄태도에 영향을 미치는 요인을 분석하고자 하는 것이다. 방법: 자료 수집은 2014년 06월 01일부터 2014년 06월 30일까지 4주에 걸쳐 수도권 소재의 3개의 상급종합병원 응급실 간호사 104명, 응급실 의사 41명을 대상으로 설문지 조사로 이루어졌다. 결과: 성별, 개인적 임종환자 돌봄 태도에 의해 응급실 의료진의 전문가적 임종환자 돌봄 태도는 28.1% 설명할 수 있으며, 죽음인식, 임종환자 돌봄 특성요인, 전문가적 임종환자 돌봄 태도, 임종환자 돌봄 교육 유무, 직종에 의해 응급실 의료진의 개인적 임종환자 돌봄 태도는 34.1% 설명할 수 있다. 응급실 임종환자 돌봄 특성요인으로는 응급실 의료진의 임종환자 돌봄은 응급실 환경에 영향을 받으며, 임종환자, 가족 및 동료 의료진과 관계와 관련이 있다. 결론: 응급실 의료진의 보다 나은 임종환자 돌봄 태도를 위해서 긍정적인 죽음인식을 이끌어낼 수 있는 효과적인 교육 프로그램 개발 및 임종환자 돌봄 특성요인에 따른 행정적, 실무적 정책 마련이 필요할 것이다.