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간호학생의 지역사회 연계 간호교육 프로그램 참여 경험: 질적 내용분석 (Nursing students' experience of community-linked nursing education program: A qualitative content analysis)

  • 이인숙;김혜옥;이병숙
    • 한국간호교육학회지
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    • 제28권3호
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    • pp.223-235
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    • 2022
  • Purpose: This study aimed to explore nursing students' experience with community-linked nursing education programs. Methods: This study utilized a qualitative content analysis. Participants were 55 sophomore nursing students. The community-linked nursing education program was conducted for eight weeks using the Analysis, Design, Development, Implementation, Evolution (ADDIE) model. Data were collected from 55 reflection records and five individual interviews and then analyzed through the three steps of qualitative content analysis, coding, condensing, and categorizing. Results: Twelve categories, 26 subcategories, and six topics emerged. The themes of impression and lesson from the community-linked nursing education programs were "recognizing the importance of professional competence in performing the role of nurse," "recognizing the need for leadership and cooperation in nursing practice," and "increased awareness of the role as a nursing professional for community residents." The themes of the strategies used were "looking at the goal and moving forward," and "aligning differences and working together with team/community members." The theme of strategies for the advancement of community-linked nursing education programs was "establishing a sustainable student-participating community-linked education program." Conclusion: The community-linked nursing education programs made students aware of the necessary competencies as professionals. In particular, they gave them hope for their role as professional nurses in the community. It could also be seen that they developed the ability to engage in team activities for community activities. Community-linked nursing education programs will need to be developed into continuous programs with community residents.

도시철도 건설종사자의 맥파 스트레스 지수와 작업능력 지수 분석 (Analysis of Macpa Stress Index and Work Ability Index on Subway Construction Workers)

  • 채정식;이종빈;장성록
    • 한국안전학회지
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    • 제37권4호
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    • pp.58-62
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    • 2022
  • Metro subway construction is a field that requires a great deal of professional manpower. The aging of professionals has a negative impact on both productivity and health, owing to poor working environments, heavy lifting, underground work, and other factors. To address this issue, the government is progressively revising and enforcing health management law and regulation in the construction industry. Thus, the job stress and work ability of many professional subway construction workers, who are rapidly aging, are being analyzed to ensure their safety and improve their health. In this study, the Macpa stress index of Busan Metro Subway construction workers from Sasang to Hadan line was measured by using a Macpa measurement machine, and a work ability survey was conducted by using the questionnaire that was developed by the FIOH. The independent variables were age, years of service, job position, employment type, and occupation. While, the dependent variables were the Macpa stress index and work ability. The Kruskal-Wallis test was used because it was difficult to assume that the statistics of this study represented a normal distribution. The results showed that age, job position, and employment type affected Macpa stress index and revealed that as the age of the workers increased, their stress levels increased as well. Additionally, job position and employment type affected the work ability of the metro subway construction workers. In terms of job position, the technical engineers were under a lot of stress, and whereas the managers had the best work ability. The technical engineers were more stressed than the other workers because of a poor working environment. In terms of employment type, daily workers were under more stress and lower work ability than others.

Preference and perception of low-sodium burger

  • Choi, Seung-Gyun;Yim, Sun-Goo;Nam, Sang-Myung;Hong, Wan-Soo
    • Nutrition Research and Practice
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    • 제16권1호
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    • pp.132-146
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    • 2022
  • BACKGROUND/OBJECTIVES: Various sodium reduction policies have been implemented. However, there are limitations in the aspect of actual field applicability and efficiency. For effective sodium reduction, cooperation with the field is required and consumer preference must be considered. Thus, this study aimed to develop a low-sodium burger considering field applicability and consumer preference. MATERIALS/METHODS: Focus group interviews and in-depth interviews on the sodium reduction measures were conducted with nine professionals in related fields to discuss practical methods for sodium reduction from September 7 to 21, 2018. By reflecting the interview results, a burger using a low-sodium sauce was developed, and preference analysis for sodium in the burger sauces and finished products was performed. The consumer preference for low-sodium burgers was evaluated on 51 college students on November 12, 2018. RESULTS: The results of the professional interview showed that it is desirable to practice sodium reduction gradually, and by reflecting this, the burger sauce was prepared by adjusting the ratio of refined salt to 15%, 30%, and 50%. The sodium content of the burger using low-sodium sauce was 399 mg/100 g in the control group, 362 mg/100 g in the H1 group, and 351.5 mg/100 g in the H2 group, showing a 9.3-11.9% decrease in sodium in the H1 and H2 groups. The preference evaluation on the low-sodium burgers showed a higher preference for burgers with 9.3-11.9% sodium reduction, which did not affect the overall taste. CONCLUSIONS: This study examined the potential for sodium reduction in the franchise foodservice industry. An approximate 10% sodium reduction resulted in an increase in consumer preference without affecting the strength of the taste. Thus, if applied gradually, sodium reduction at practical levels could increase the consumer preference without changing the taste or quality and could be applied in the franchise foodservice industry.

그릿이 조직구성원의 웰빙과 자기효능감에 미치는 영향 -종합병원 간호사를 중심으로- (A Study on the Relationship Between Grit and Well-Being with the Mediation Effect of Self-Efficacy: A Case of General Hospital Nurses in South Korea)

  • 시투표;윤선화;김해룡
    • 디지털융복합연구
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    • 제20권5호
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    • pp.537-546
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    • 2022
  • 본 연구의 목적은 그릿, 웰빙, 자기효능감 간의 관계를 살펴보는데 있다. 그릿은 지속적 관심과 꾸준한 노력의 두 가지 하위차원으로 구성되어 있다. 실증분석을 위해 종합병원 간호사 237명을 대상으로 자료를 수집하였다. 수집된 데이터에 가설적 관계를 검증하기 위해 SPSS 26을 활용해 분석하였다. 그릿의 두 가지 하위차원은 웰빙에 정(+)의 영향을 미칠 것을 제안한다. 이에 본 연구는, 그릿의 지속적 관심은 웰빙에 정(+)의 영향을 미치지 않는 것으로 나타났으며, 자기효능감은 그릿의 꾸준한 노력과 웰빙 간의 관계에서 완전매개 역할을 하는 것을 확인하였다. 이에 본 연구는 그릿(grit)이 웰빙과 정(+)의 영향을 미치고 자기효능감(self-efficacy)이 그릿과 웰빙을 연결하는 중요한 변인이라는 점이 밝혀졌다. 이에 종합병원 간호사의 그릿과 웰빙의 관계에 대해 보다 면밀히 살펴보는 연구가 필요하다.

Correlation between Concerns about the Infection of Economic Workers due to the COVID-19 Pandemic and the Practice of Tooth Brushing after Lunch

  • Kim, Min-Young
    • 치위생과학회지
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    • 제22권3호
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    • pp.180-190
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    • 2022
  • Background: Like direct infection from COVID-19, psychological concern about infection could affect health. Concern about COVID-19 infection was associated with individual habits to practice rules for preventing infection. Therefore, this study aimed to check occupational types and whether to practice tooth brushing after lunch depending on the occupation of economic workers and find correlations between concerns about infection due to COVID-19 pandemic and tooth brushing after lunch. Methods: The raw data was from the community health survey conducted in 2020. Among 229,269 adult participants aged 19 years and older, 138,970 economic workers were included in the final analysis. The chi-squared test was used to find differences in psychological concerns due to the COVID-19 pandemic. According to the participants, the rate of practicing tooth brushing after lunch was based on COVID-19-related psychological concerns. Multiple logistic regression analysis was conducted to check the influence of psychological concerns due to the COVID-19 pandemic on the rate of practicing tooth brushing after lunch. Results: According to occupational classifications, professionals and office workers and career soldiers had 1.551- and 1.581-times higher practicing rates than managers, respectively, whereas machine operators, agricultural and fishery sector workers, and daily laborers had lower practicing rates. Regarding COVID-19-related psychological concerns, the group with a lower concern about infection had a 1.076 times higher practicing rate than that with greater concern. The group with greater concern about blame from neighbors had 1.119 times higher practicing rate than that with lower concern. Conclusion: The correlations between higher economic workers' concerns about infection and blame from neighbors and higher recognition of the necessity to prevent COVID-19 and practice tooth brushing after lunch were confirmed. It is necessary to prepare measures for practicing tooth brushing after lunch suitable to the characteristics of occupational types and work environments of economic workers.

Burden of Early Life Obesity and Its Relationship with Protein Intake in Infancy: The Middle East Expert Consensus

  • Jochum, Frank;Abdellatif, Mohamed;Adel, Ashraf;Alhammadi, Ahmed;Alnemri, Abdulrahman;Alohali, Eman;AlSarraf, Khaled;Al Said, Khoula;Elzalabany, Mahmoud;Isa, Hasan M.A.;Kalyanasundaram, Sridhar;Reheim, Naguib Abdel;Saadah, Omar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권2호
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    • pp.93-108
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    • 2022
  • Adequate nutrition in early life is proposed to shape a child's future health by launching the growth trajectory in the proper direction, which helps to avoid negative metabolic programming effects. Protein intake during infancy and early childhood is of great importance, as it plays a key role in infant metabolic programming and the future risk of obesity. Breastfeeding provides the best nutrition in early life, with many benefits tailored for the baby, including the appropriate quantity and quality of proteins. Considering the high prevalence of childhood, and subsequent adult, obesity in the region, a virtual Middle East expert consensus meeting was held to discuss an effective approach for managing childhood obesity. Leading pediatric experts from Bahrain, Egypt, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates participated in the meeting. The experts discussed, debated, and agreed on certain directions, including the importance of educating parents, endorsing breastfeeding, and ensuring optimum quantity and quality intake of proteins in early life. This expert consensus may serve as the starting point for healthcare professionals in the region who are interested in shaping a healthy future for the generations to come.

Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital

  • Mary, J. Jenifer Florence;Sindhuri, R.;Kumaran, A. Arul;Dongre, Amol R.
    • Clinical and Experimental Pediatrics
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    • 제65권4호
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    • pp.201-208
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    • 2022
  • Background: According to the National Family Health Survey-4, in India, 78.9% of deliveries occur in institutions, although only 42.6% of new mothers initiate breastfeeding within 1 hour of delivery. Purpose: To estimate the proportion of early initiation of breastfeeding (EIBF) among new mothers at discharge from a tertiary care hospital and identify the determinants of delayed initiation of breastfeeding among them. Methods: This was a hospital-based analytical cross-sectional study of 108 new mothers. After obtaining Institutional Review Board approval and informed consent, we interviewed the new mothers on the day of discharge. Multivariate logistic regression was performed using IBM SPSS Statistics ver. 24. Results: The median breastfeeding initiation time was 90 minutes (interquartile range, 30-180 minutes). Overall, 43.5% of the mothers practiced EIBF, 77.4% practiced exclusive breastfeeding, and 43.5% were rooming in at discharge. Reasons for breastfeeding delays included extended recovery time from spinal anesthesia, maternal lassitude, and uncomfortable breastfeeding position due to post-cesarean pain. In the multivariate analysis, a birth weight less than 2,500 g (adjusted odds ratio [aOR], 4.33; 95% confidence interval [CI], 1.12-16.82; P=0.03), cesarean section delivery (aOR, 4.68; 95% CI, 1.57-13.92; P=0.005), and mother's poor knowledge of breastfeeding (aOR, 4.61; 95% CI, 1.44-14.72; P=0.010) were more likely to delay the initiation of breastfeeding. Conclusion: EIBF was practiced by less than half of the new mothers as determined by the cesarean section, baby's birth weight, and mothers' awareness of breastfeeding. Thus, it is vital to improve breastfeeding and nutritional counseling among mothers during the antenatal period and improve healthcare professionals' training to facilitate EIBF, even in circumstances such as cesarean section.

General Public Knowledge Regarding Topical Corticosteroids: A Nationwide Survey in South Korea

  • Seo, Heenam;Song, Seoung Yeon;Kim, Dahye;Park, Ji Hwan;Shin, Yoonho;Lee, Kang Hyuk;Choi, Soo An;Lee, Ju-Yeun;Kim, Do Young;Shin, Wan Gyoon;Kim, Eunyoung
    • 한국임상약학회지
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    • 제32권2호
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    • pp.84-92
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    • 2022
  • Background: Topical corticosteroids (TCs) are available both as over-the-counter drugs and prescription medicines at pharmacies. Although they are generally safe drugs, inappropriate and excessive use could result in potential side effects. Thus, it is important to have appropriate knowledge regarding the use of TCs. We performed a cross-sectional survey to assess public knowledge and the potential misuse or overuse of TCs. Methods: A cross-sectional and nationwide online survey was conducted among participants who were aware of TCs. The survey items included sources of information, indications, potential side effects, and methods of application of TCs. A comparative analysis was conducted between those with (TC users) and without (TC non-users) an experience of using TCs. Results: Among 3,000 participants, 74.4% were TC users. The mass media was the most common information source of TCs, and only one-third of the surveyed people relied on pharmacists or doctors for information. Regarding indications and application methods, incorrect answer rate was high in some items, but respondents showed adequate knowledge. However, awareness of the safety of TCs was low. Overall, the TC users showed a higher knowledge of TCs than TC non-users. Conclusions: Public knowledge of the use of TCs appears to be appropriate. However, we found potential misuse or overuse of some items and a lack of awareness of the side effects concerning TCs. Thus, healthcare professionals' significant role is required.

COVID-19 Diagnosis from CXR images through pre-trained Deep Visual Embeddings

  • Khalid, Shahzaib;Syed, Muhammad Shehram Shah;Saba, Erum;Pirzada, Nasrullah
    • International Journal of Computer Science & Network Security
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    • 제22권5호
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    • pp.175-181
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    • 2022
  • COVID-19 is an acute respiratory syndrome that affects the host's breathing and respiratory system. The novel disease's first case was reported in 2019 and has created a state of emergency in the whole world and declared a global pandemic within months after the first case. The disease created elements of socioeconomic crisis globally. The emergency has made it imperative for professionals to take the necessary measures to make early diagnoses of the disease. The conventional diagnosis for COVID-19 is through Polymerase Chain Reaction (PCR) testing. However, in a lot of rural societies, these tests are not available or take a lot of time to provide results. Hence, we propose a COVID-19 classification system by means of machine learning and transfer learning models. The proposed approach identifies individuals with COVID-19 and distinguishes them from those who are healthy with the help of Deep Visual Embeddings (DVE). Five state-of-the-art models: VGG-19, ResNet50, Inceptionv3, MobileNetv3, and EfficientNetB7, were used in this study along with five different pooling schemes to perform deep feature extraction. In addition, the features are normalized using standard scaling, and 4-fold cross-validation is used to validate the performance over multiple versions of the validation data. The best results of 88.86% UAR, 88.27% Specificity, 89.44% Sensitivity, 88.62% Accuracy, 89.06% Precision, and 87.52% F1-score were obtained using ResNet-50 with Average Pooling and Logistic regression with class weight as the classifier.

노인의 불확실성과 우울이 삶의 질에 미치는 영향 (Effects of Uncertainty and Depression on the Quality of Life of Elderly People)

  • 김현승;조성현
    • 대한통합의학회지
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    • 제10권3호
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    • pp.209-219
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    • 2022
  • Purpose : The purpose of this study was two-fold: to investigate the effects of uncertainty and depression on the quality of life (QoL) of elderly people with chronic diseases and to provide basic data on the physical, emotional, and psychological factors affecting their QoL in the field of physical therapy. Methods : A questionnaire covering uncertainty, depression, and QoL was distributed among 320 elderly people. Pearson's correlation analysis was performed to examine the correlation between uncertainty (ambiguity, complexity, inconsistency, and unpredictability), depression, and QoL (physical, psychological, social, and living environment domains) of the respondents; furthermore, multiple regression analysis was performed to identify the factors affecting the QoL of the respondents with a chronic disease. Results : The sub-factors of uncertainty and QoL-"complexity and social domain" (r=-.295, p<.001), "complexity and living environment domain" (r=-.302, p<.001), and "inconsistency and living environment domain" (r=-.360, p<.001)-showed a negative (-) correlation, as did depression and the sub-factors of QoL-"depression and physical domain" (r=-.782, p<.001), "depression and psychological domain" (r=-.876, p<.001), "depression and social domain" (r=-.668, p<.001), and "depression and living environment domain" (r=-.731, p<.001). The factors affecting QoL were complexity (𝛽=-.122, p<.001), inconsistency (𝛽=-.102, p=.002), unpredictability (𝛽=.112, p<.001), and depression (𝛽=-.850, p<.001). The relative influence of the independent variables was in the order of depression, complexity, unpredictability, and inconsistency, and the explanatory power was 77.1 % (F=215.853, p<.001). Conclusion : It is important to help the elderly with chronic diseases reduce the negative impact on their quality of life by helping them gain support from their families and medical professionals and by increasing their understanding through communication so that they can transition from negative emotions to positive emotions of opportunity.