• Korean Journal of Radiology
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• v.23 no.8
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• pp.828-834
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• 2022

Objective: This study aimed to assess the outcomes of outpatient day-care management of unruptured intracranial aneurysm (UIA), and to present the risks associated with different management strategies by comparing the outcomes and adverse events between outpatient day-care management and management with longer admission periods. Materials and Methods: This retrospective cohort study used prospectively registered data and was approved by a local institutional review board. We enrolled 956 UIAs from 811 consecutive patients (mean age ± standard deviation, 57 ± 10.7 years; male:female = 247:564) from 2017 to 2020. We compared the outcomes after embolization among the different admission-length groups (1, 2, and ≥ 3 days). The outcomes included pre- and post-modified Rankin Scale (mRS) scores and rates of adverse events, cure, recurrence, and reprocedure. Events were defined as any cerebrovascular problems, including minor and major stroke, death, or hemorrhage. Results: The mean admission period was 2 days, and 175 patients (191 aneurysms), 551 patients (664 aneurysms), and 85 patients (101 aneurysms) were discharged on the day of the procedure, day 2, and day 3 or later, respectively. During the mean 17-month follow-up period (range 6-53 months; 2757 patient years), no change in post-mRS was observed compared to pre-mRS in 99.6% of patients. Cure was achieved in 95.6% patients; minimal recurrence that did not require re-procedure occurred in 3.5% patients, and re-procedure was required in 2.3% (22 of 956) patients due to progressive enlargement of the recurrent sac during follow up (mean 17 months, range, 6-53 months). There were eight adverse events (0.8%), including five cerebrovascular (two major stroke, two minor strokes and one transient ischemic stroke), and three non-cerebrovascular events. Statistical comparison between groups with different admission lengths (1, 2, and ≥ 3 days) revealed no difference in the outcomes. Conclusion: This study revealed no difference in outcomes and adverse events according to the admission period, and suggested that UIA could be managed by outpatient day-care embolization.

• Journal of Korean Academy of Nursing
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• v.36 no.6
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• pp.1012-1022
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• 2006

Purpose: The purpose of this phenomenological study was to understand the experiences in the transplantation coordinators' practice. Method: Data was collected through a tape-recorded in-depth interview from nine participants who were transplantation coordinators of their hospitals. It was analyzed using the phenomenological method proposed by Colaizzi(1978). Results: From significant statements, six categories of themes were integrated into the essential structure of the experiences of transplantation coordinators. Six categories of themes were 'continue to be professional during dash this way and rush that', 'burden due to persistent heavy work', 'the uniqueness in family care of the brain-dead patients', 'support of family and a professional group', 'worthiness and achievement of the patients' recovery', and 'establishment of self-confidence as a coordinator'. Conclusion: Although the transplantation coordinators played various roles, they had a conflict in role identity due to poor working environments. The results of this study suggested that development of an educational program, an increase in understanding for the coordinators' role, and institutional support for better working conditions are needed to get professional acknowledgement for transplantation coordinators.

• Korean Journal of Adult Nursing
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• v.23 no.1
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• pp.100-109
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• 2011

Purpose: This study was conducted to identify the factors that predict a current smoking behavior and higher emotional stress among male patients with acute coronary syndrome (ACS). Methods: The study was approved by an institutional review board from a university hospital, 2010. A face to face interview using questionnaires was performed with 185 first-time ACS male patients who were undertaken a percutaneous coronary intervention at a cardiovascular care unit. Data were analyzed using SPSS/WIN 15.0. Results: About 54% of the study subjects were currently smoking. The current smokers had dyslipidemia and reported bad eating habits compared to the non-smokers. The current smokers were younger, living alone, and reported lower perceived benefit on smoking cessation than the non-smokers, and 15% of them did not consider quitting (precontemplation stage). Smoking status was not significantly related to emotional stress. Logistic regression analysis revealed that being employed including professional or labor increased the odds of current smoking four or three times compared to the non-employed or retired. Low income or dyslipidemia also increased the likelihood of current smoking 2.8 and 2.1 times, respectively. Blue collar workers or heavy drinkers had 2.9 and 2.8 times more risks of having higher level of stress. Conclusion: An occupational background and health habits should be considered to develop an effective educational strategy for smoking cessation and stress reduction among male patients with ACS.

• Korean Journal of Occupational Health Nursing
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• v.25 no.1
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• pp.1-8
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• 2016

Purpose: The 2015 Korean Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreaks resulted in 186 cases, with 8% (15 persons) of these being nurses. This study aimed to examine MERS-CoV infection status of clinical nurses and to evaluate perception for infection control. Methods: We investigated the MERS-CoV infection status of nurses using MERS-CoV press release data. We examined and analysed perception for Infection control of 121 nurses of the three MERS intensive therapeutic hospitals in July 2015. Results: One to six nurses per hospital in total 8 health care facilities were infected with MERS-CoV. They mainly had short clinical careers and were unaware of infection possibility. The personal and organizational infection control levels that nurses perceive were low and the relationship between two levels was statistically significant. Conclusion: For promoting health protection and infectious disease management competency of nurses, it is necessary to prepare institutional system for controlling infectious disease.

• Korean Journal of Childcare and Education
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• v.14 no.2
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• pp.1-17
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• 2018

Objective: The purpose of this paper is to understand the bioethics and the Institutional Review Board (IRB) in the social and behavioral research area through "The Bioethics and Safety Act" and to examine the IRB's present situation, roles, responsibilities, and tasks. Methods: This paper reviewed articles, materials for education, and "The Bioethics and Safety Act" related with the IRB. Results: Bioethics included all the research in the social and behavioral area, and "The Bioethics and Safety Act" has been enforced in every research projects targeting human subjects since February 2, 2013. Accoding to the law, the IRB must review the research proposals for human subjects and was introduced in social and behavioral research as a self-regulating system. At present, all the related institutions including universities must establish and run the IRB. This paper introduced the definition of bioethics, the IRB's roles and review types, the total number of registered IRB, and "The Bioethics and Safety Act". Conclusion/Implications: Both the central government and the local government have to make an effort for the establishment and settlement of the IRB system. This paper also presented some of the problems of the IRB.

• Korean Journal of Health Education and Promotion
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• v.28 no.2
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• pp.27-40
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• 2011

Objectives: This study was conducted to identify health-promoting behaviors and related factors by type of residence between two groups of college students: those who live in dormitories and those who commute from home. Methods: We used the data from 2,287 students (870 male, 1417 female) from 14 colleges in Daegu and Kyungpook areas and compared health-promoting practice scores, general characteristics, health environment, and parental support. Multiple regression analysis was performed with health-promoting practice scores as a dependent variable. Results: Dormitory residents presented significantly lower health-promoting practice scores than commuters in both gender. Multiple regression analysis showed that the factors associated with health-promoting behaviors were health environment (p<0.05) and parental influence/support (p<0.01) for male dormitory residents. For female dormitory residents interest in health(p<0.05), stress(p<0.05), and parental influence/support(p<0.01) were associated. Conclusions: Systematic development of health education programs would be needed for the practice of health promotion behavior of college dormitory students with the help of environmental and institutional support. We suggest a program for stress management, smoking, health behavior, and alcohol and a parental program to increase contact with their children for a positive parental influence and support.

• Journal of the Korean Home Economics Association
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• v.47 no.9
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• pp.1-14
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• 2009

The purpose of this study was to investigate conditions in private high tuition fee institutions and also assess mothers’' perception for their children’'s preschool education. Participants were 37 mothers in Seoul and Geonggido, whowere interviewed individually. Results were as follows: Firstly, 78.9% of the mothers hadtheir children attend private high tuition fee institutions five days a week. Furthermore, 70% of their children aged three to five were enrolled in more than three early educational programs. Secondly, 43.2% of the institutions charged over 600,000 Won by month. 48.7% of the mothers have paid over 900,000 Won by month. Thirdly, 89.2% of the mothers were satisfied with the institutional services and convinced that the institutions would benefit in developing their children’'s wholesome characters and academy.

• Journal of Korean Public Health Nursing
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• v.30 no.2
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• pp.288-299
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• 2016

Purpose: This study was to identify the current issues and challenges of the nursing education program in Cambodia and to suggest recommendations to improve it. Methods: The World Health Organization Global Standards for the Initial Education of Nurses and Midwives were used as the analytic framework. Data were collected through a critical, constructive analysis of the literature, as well as observation with stakeholders in the area. Results: Cambodia experienced a shortage of nurses based on the demands of nurses. Moreover, the lack of institutional capacity, out dated and rudimentary nursing curriculum, under qualified nursing faculty, overcrowded classrooms, and lack of fundamental education materials and equipment for nursing education hampered the maintenance and improvement of the quality of pre-service nursing education in Cambodia. Conclusion: Strengthening the nursing educational resources and infrastructures, along with proper retention and enhancement of the faculty's capacity, clinical mentorship, and sustainable management of the nursing curriculum were recommended. Integrating the nursing theory and process into clinical practice and using strategic partnerships, would improve the quality and quantity of nursing education in Cambodia. There needs to be a synergistic relationship between nursing education and training relevant to the nursing care to meet the needs of the Cambodian population.

• Journal of Korean Public Health Nursing
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• v.30 no.1
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• pp.5-16
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• 2016

Purpose: This correlational study was conducted to determine the relationship between health status and ego integrity of permanent elderly returnees from Sakhalin. Methods: We surveyed 94 permanent elderly returnees from Sakhalin, living in Gimpo, Korea. Data were analyzed using the SPSS/WIN 18.0 program for descriptive statistics, t-test, $Scheff{\acute{e}}$ test, ANOVA, and Pearson correlation coefficient. Results: The mean score of total health status was 3.7 on a 5 point Likert scale. The mean score of ego integrity was 3.6 on a 5 point Likert scale. The health status showed significant correlation with the ego integrity of the permanent elderly returnees from Sakhalin. Conclusion: In the present study, although the health status of the permanent elderly returnees from Sakhalin appeared to be good, the lack of awareness about health care and the need for ego integrity, is in itself the actual suffering. Thus by providing health education along with medical information can enhance the health management. And, this practice can be self regulating for the society and can provide institutional support for the permanent elderly returnees from Sakhalin, which they require.

• The Korean Nurse
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• v.35 no.4
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• pp.64-74
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• 1996

In general. social cognition for a disabled person seemed that he was limited aspects of emotion and psychology. Thus he was rejected. avoided. worthless and not accepted. People who have been raised in an ethnic collectivity often acquire from that experience not only basic conceps and attitudes toward health and illness but also fundamental styles of interpersonal behavior and concerns about the world. The effects of this enculuration carryover into health- care situation and also become an important influence on personal activities devoted to health maintenance and disease prevention. Our Korean culture is a state of tradition Confucianism. respects his honor and external feature. Therefore recognition of a disabled person is more specipic. This study uses Walker and Avant's process of concept analysis. The concep of recognition of disabilty can be defined as follows : Recognition of disability is a person's conscious process of sensation. perception. memory and thought and is constructed from value. attitude. emotion and expierince which is dynamics. and in everyday life is feeling that basic activity is not free and occurs interaction of envionment. Attributes of disability recognition are defined as 1) It is feeling that basic activity of his daily life is not free in everyday life. 2) It is a person's conscious process of sensation. perception. memory and thought. 3) It occurs interaction of enviornment. 4) It is constructed from value. attitude. emotion and experience. 5) it is dynamics ( changing but not stasis). Nurse is always suppoted and pushed him. She plans institutional and situational surroundings.