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일부지역 노인요양기관 종사자의 구강보건지식 및 교육 필요도 (Oral health knowledge among nursing home employees and needs to educate on elderly oral care)

  • 박지일;정경이;하명옥
    • 한국치위생학회지
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    • 제17권5호
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    • pp.805-816
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    • 2017
  • Objectives: The purpose of this study is to analyze the oral health knowledge among workers at nursing homes, and needs to educate them on elderly oral care. Methods: A self-reported questionnaire was filled out by 241 workers at nursing homes in Gwangju and Jeonnam, Korea from May to June, 2016. The data were analyzed with the SPSS 19.0 program for independent t-test or one-way ANOVA analysis. Results: The data analysis showed that workers at nursing homes had lower knowledge about periodontal diseases (65.1%) than about denture management (78.5%). The knowledge of periodontal disease and denture management of workers with experience of oral care education for elderly was significantly higher than that of non-experienced ones (p<0.01). On the question whether those workers should get oral health care education is necessary or not, respondents answered positively (They scored 4.10 points on the 5-point Likert scale from 1 point - Not at all to 5 points - definitely yes). Conclusions: It is necessary to provide elderly oral care education to workers at nursing homes. Furthermore, oral health professionals should be deployed for systematic and practical oral care for elderly.

시스템다이내믹스를 활용한 마음챙김과 치료관계 간의 동태적 분석 (Dynamic Analysis of Mindfulness and Therapeutic Relationship using System Dynamics)

  • 최연희
    • 한국시스템다이내믹스연구
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    • 제17권3호
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    • pp.121-143
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    • 2016
  • The purpose of this study to analyze the effect of Mindfulness on the Therapeutic Relationship using System Dynamics. The biggest factor in psychotherapy's treatment outcome is the Therapeutic Relationship including the quality of the therapist (empathy, therapeutic presence) and therapy alliance. Mindfulness practice can facilitate the therapeutic relationship. In order to analyze the therapeutic relationship, I measure FFMQ(Five Facet Mindfulness Questionnaire), Empathy, Therapeutic presence and Therapy alliance. Participants consist of 55 mental health professionals (doctor, psychologist, psychiatrist, counselor, social worker). The result of the study will be explained. First, with the causal loop diagram research, I analyze how mindfulness can influence the quality of therapist and therapy alliance. The result of literature research indicate that mindfulness increase therapist's empathy, congruence, therapeutic presence, flow, therapy alliance. And then mindfulness reinforces the ability of therapeutic relationship. Secondly, through the real data research and simulation analysis, mindfulness practicing period (year and hour a day) of therapist is studied. The result of the therapist experiencing mindfulness practice period is over 5 years and the daily hours of practice is 2 - 2.5 hours in order to enhance the therapeutic relationship. After reviewing the result of the research it is important to understand the practicing period and daily practice of mindfulness. With daily practice and time, the level of mindfulness will increase and influence positively the therapeutic relationship between therapist and client.

u-Health 환경에서의 정보보호 수준제고를 위한 보안 표준 개발 (Development of an Information Security Standard for Protecting Health Information in u-Health Environment)

  • 김동수;김민수
    • 산업공학
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    • 제20권2호
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    • pp.177-185
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    • 2007
  • e-Business in healthcare sector has been called e-Health, which is evolving into u-Health with advances of ubiquitous technologies. Seamless information sharing among health organizations is being discussed in many nations including USA, UK, Australia and Korea. Efforts for establishing the electronic health record (EHR) system and a nation-wide information sharing environment are called NHII (National Health Information Infrastructure) initiatives. With the advent of u-Health and progress of health information systems, information security issues in healthcare sector have become a very significant problem. In this paper, we analyze several issues on health information security occurring in u-Health environment and develop an information security standard for protecting health information. It is expected that the standard proposed in this work could be established as a national standard after sufficient reviews by information security experts, stakeholders in healthcare sector, and health professionals. Health organizations can establish comprehensive information security systems and protect health information more effectively using the standard. The result of this paper also contributes to relieving worries about privacy and security of individually identifiable health information brought by NHII implementation and u-Health systems.

조선(朝鮮)의 왕실(王室) 차처방(茶處方)(다음(茶飮))의 운용(運用) - 승정원일기(承政院日記)의 내용을 중심으로 - (A Study on the Use of the Medicinal Tea in Chosun Dynasty)

  • 김종오;오준호;김남일
    • 한국한의학연구원논문집
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    • 제15권3호
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    • pp.11-17
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    • 2009
  • This paper treats with transitional development of medico-hygienical situation in district Yanbian along with the evolution in specific field of medicine. This work is particularly important in shaping TKM identity as TCM embraces Chao medicine asserting it as one included in TCM. This research deals with themes of migration of Chao minorities to this territory and their medico-hygienical situation. Lifted bans on immigration in late Qing dynasty with uncertainty of Korea(Chosun) triggered the immigration to this district. The flow was heavily strengthened under the influence of Westerners and Japanese imperialism into china which consequently provoked the ruin of Qing dynasty, the civil war between republicans and communist and the socio-political changes in Korea. As population growths, the establishment of hospitals and immigration of healthcare professionals were also increased. Though this district is located in Chinese mainland the influence of Japanese was also relevant which lead to medical practice reflecting both sides. Mutual combination and influence of western(contemporary) medicine, TCM and TKM practices made the particularity of Chao medicine.

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Occupational Styrene Exposure on Auditory Function Among Adults: A Systematic Review of Selected Workers

  • Pleban, Francis T.;Oketope, Olutosin;Shrestha, Laxmi
    • Safety and Health at Work
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    • 제8권4호
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    • pp.329-336
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    • 2017
  • A review study was conducted to examine the adverse effects of styrene, styrene mixtures, or styrene and/or styrene mixtures and noise on the auditory system in humans employed in occupational settings. The search included peer-reviewed articles published in English language involving human volunteers spanning a 25-year period (1990-2015). Studies included peer review journals, caseecontrol studies, and case reports. Animal studies were excluded. An initial search identified 40 studies. After screening for inclusion, 13 studies were retrieved for full journal detail examination and review. As a whole, the results range from no to mild associations between styrene exposure and auditory dysfunction, noting relatively small sample sizes. However, four studies investigating styrene with other organic solvent mixtures and noise suggested combined exposures to both styrene organic solvent mixtures may be more ototoxic than exposure to noise alone. There is little literature examining the effect of styrene on auditory functioning in humans. Nonetheless, findings suggest public health professionals and policy makers should be made aware of the future research needs pertaining to hearing impairment and ototoxicity from styrene. It is recommended that chronic styrene-exposed individuals be routinely evaluated with a comprehensive audiological test battery to detect early signs of auditory dysfunction.

중국의 출산시 성비와 남아선호 (Sex Ratio at Birth and Son Preference in China)

  • Gu, Baochang;Li, Yongping
    • 한국인구학
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    • 제17권2호
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    • pp.116-135
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    • 1994
  • China's population and family planning program has heen successful. Women's fertility as measured by total fertility rate (TFR) has declined from 5.8 in 1970 to 2.3 in 1990, accordingly the annual crude birth rate(CBR) has declined from 34 per thousand in 1970 to 21 per thousand in 1989, and the annual natural growth rate from 2.6 percent in 1970 to 1.4 percent in 1989 (Coale and Chen, 1987; SSB, 1991; Gu, 1994). While this is indeed an astonishing achievement for a developing country to have its fertility down to replacement within a short period, some new issues emerging along with the rapid fertility decline require careful considerations. One of them is the uprising of the sex ratio at birth in China. The 1990 population census reported the sex ratio at birth in China of 113.8 in 1989, which is ohviously much higher than the acceptable level of normal ratio around 106. It has received since then a lot of tention in China and abroad, among demographic professionals and governmental agencies alike (Hull, 1990; Johansson and Nygren, 1991; Xuand Guo, 1991; Tu, 1993; Gu and Xu, 1994; among others). Based on the available demographic data and research results this paper will first have a review of the patterns and trends of sex ratio at birth in China, then turn to the immediate causes of abnormal sex ratio at birth and the determinants of the son preference, followed with a conceptual framework for understanding of the phenomenon, and finally the policy implications and recommendations will be discussed.

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공기업 근로자의 경력학습이 고용가능성에 미치는 영향에서 직무 전문성의 매개효과 (The Effect of Career Learning on Employability and the Mediating Effect of Job Expertise in a Public Corporation)

  • 이의중
    • 토지주택연구
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    • 제8권3호
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    • pp.123-130
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    • 2017
  • This study aims to empirically verify the impacts of career learning on employability and the mediating effect of job expertise in a public corporation. For the empirical analysis, I surveyed 958 employees(valid respondents) working in a public corporation. And the structural equation modeling(SEM) was used to statistically analize and test the research hypotheses. The independent variable is 'career learning', the dependent variable is 'employability' and the mediating variable is 'job expertise'. The results are as follows. The empirical analysis shows that the positive effects of 'career learning ${\rightarrow}$ job expertise', 'job expertise ${\rightarrow}$ employability' and 'career learning ${\rightarrow}$ employability' are all verified. And the mediating effect of job expertise between career learning and employability is also partially verified. So, all the proposed hypotheses are accepted. From this result, I can clearly suggest that the employees can be growing to professionals with high employability when they retire if they are voluntarily and self-motivated to set up their career plan and to enhance their job expertise. In this context, it is expected that the company should support the employees to continue to strengthen their own expertise in their job place through their mid-long term career learning plan.

자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재 (Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea)

  • 권신영;조성진
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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E-waste recycling의 경제성(經濟性) 고찰(考察) (Economical Review of the E-waste Recycling)

  • 오재현;강남기
    • 자원리싸이클링
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    • 제22권4호
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    • pp.12-21
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    • 2013
  • E-waste(폐전기전자기기, WEEE)는 많은 종류의 금속을 함유한 유가물과 유해물의 복합혼합물로 자원의 유효이용과 환경부하저감을 위해 리싸이클링 처리가 필수로 되어 있다. 특히 최근 레어메탈의 공급제약문제 등으로 도시광산자원 중에서 E-waste의 비중이 높아지고 있다. 한편, E-waste의 리싸이클링산업에 있어서 E-waste의 경제적 가치의 파악은 매우 중요하다. 이와 같은 관점에서 본보에서는 E-waste를 대형가전, 소형가전, 휴대전화기 및 PCB(전자인쇄회로기판, 기판)로 분류해서 경제적 가치를 논하였다.

폐경여성들의 자궁경부암 검사 경험 (Experience of Cervical Cancer Screening among Menopausal Women)

  • 박소미;김현경
    • 여성건강간호학회지
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    • 제9권1호
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    • pp.28-38
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    • 2003
  • The purpose of this study was to explore the experience of Pap smear screening of menopausal women in W city using a phenomenological methodology. The participants were 5 focus groups consisting of 37 menopausal women. They were selected using snowball sampling method. The data were collected through focus group interviews. Data were recorded and analyzed by Colazzi's method. Significant statements were extracted from the data resulting in 20 themes. These themes formed 12 clusters and 5 categories. The essential themes of the experience of cervical cancer screening emerged as : "unpleasant feelings during procedure", "ambivalent feelings about results", "be guided to seek health", "shrink from interaction with health professionals", "at ease about cervical cancer". The results indicated that cervical cancer prevention strategies for menopausal women need to be based on deep under standing of the personal experiences of Pap smear screening. In conclusion, it is suggested that more specified strategies are needed for menopausal women to encourage them to have regular screening.

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