• Title/Summary/Keyword: Institutional care

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Job Analysis for Nursing Student in Pre-Service Health Education Teacher Practicum using DACUM Method (DACUM 기법을 활용한 간호대학생의 학교현장실습 직무분석)

  • Seo, Yohan
    • The Journal of the Korea Contents Association
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    • v.16 no.10
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    • pp.664-675
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    • 2016
  • The purpose of this study was to identify the duties and tasks of pre-service health education teacher in elementary school using DACUM method. DACUM workshop was conducted for the fourth year nursing students located in J province who completed a health teacher teaching course and performed practical training course in elementary school. By carrying out DACUM workshop duties, tasks, task-specific importance, difficulty and frequency were analyzed, and were derived with the knowledges, skills, attitudes, tools, and future prospects on job requirements and characteristics. The derived job analysis information was verified the content validity from 6 field experts in school and 2 professors of education. Based on the result, DACUM chart was developed. DACUM chart was consisted of 6 duties and 24 tasks, knowledges, skills, and attitudes for job performance were derived. The result of study showed that health care in elementary pre-school health education teacher practicum was listed as the most important duty. Teaching and writing skills were presented to practice basically. Because the importance and role of the health teachers in school are considered necessary, it is considered to increase institutional support for the development of health education program and the improvement of educational environment.

A Study on the Refractive Power of School Children Who are Classified in Low Income Family (저소득층 분류에 따른 학동기 아동의 굴절력에 관한 연구)

  • Lee, Wan-Seok;Ye, Ki-Hun;Shin, Bum-Joo
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.373-383
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    • 2013
  • Purpose: In this study, we analyzed refractive power of school children in low income family. Methods: We have done a comparative analysis with 112 subjects of low-income of 17 elementary schools in the Yeongcheon area and low-income children less than -6 D of refractive errors from the Korean National Health and Nutrition Examination Survey Report 2010. Results: Spherical equivalent (SE) with low-income group of nation was -1.99 D for right eye and -1.81 D for left eye, while high income group of nation showed -1.26 D and -1.21 D for right eye and left eye respectively. The SE with low income group in Yeongcheon area was -1.85 D for right eye and -1.81 D for left eye. The SE with orphan was -2.75 D and -2.42 D. Single parent family was -2.10 D and -1.96 D, and two parent family was -1.75 D and -1.73. Conclusions: The lack of attention to children eye care may be one of cause for myopia, so the role of the parents and teacher is very important. However, limited role of parents to children due to low income, it is necessary to provide an institutional strategy and social interest to prevent children vision' in low income family.

Study on Teachers' Perception on Child's Personality Education Using Concept Mapping (개념도를 통한 유아 인성교육에 대한 교사 인식 연구)

  • Park, Jin Hee;Son, Won Kyoung
    • Korean Journal of Childcare and Education
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    • v.10 no.5
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    • pp.191-209
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    • 2014
  • This study aims at figuring out perception of teachers on the education of a child's personality development using concept mapping and demonstrating its importance. To recognize concept mapping of teacher's perception on the education of a child's personality development, the procedure of the research are as follows. The specific research results are as follows: First, based on the categorization, using multidimensional scaling and hierarchical cluster analysis, the results were concept mapping with 2-dimensions and five clusters. Second, dimensions of perception of teachers on the education of a child's personality development in concept mapping, showed virtue in left and performance in right, respectively, in X-axis, while environmental factor was in the upper area and personal factor was in the lower area, in Y-axis. Third, teachers' perception on the importance on education of child's personality development was evaluated in 5 categories as follows: 'Emphasizing adult's role'(M=4.45) was perceived as the most important among categories related to the education of a child's personality development. These results can be used for developing teacher's training program or an institutional supporting plan to raise performance of the education of a child's personality development in the future.

Selection of Tasks for Assessment of Pharmacy Clinical Performance in Korean Pharmacist Licensure Examination: Results of an Expert Survey (약사국가고시 실기시험 영역 선별을 위한 전문가 조사)

  • Han, Nayoung;Lee, Ju-Yeun;Gwak, Hye Sun;Lee, Byung Koo;Lee, Young Sook;Lee, Sukhyang;Yong, Chul-Soon;Kim, Joo Hee;Oh, Jung Mi
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.3
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    • pp.119-126
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    • 2017
  • Background: As the demands of pharmacist's role and quality performance have increased, the verification of pharmacist's ability has been required. In this study, we aimed to select appropriate items for assessment of pharmacist's knowledge, attitude and performance. Methods: Based on the pharmacist job analysis, we selected duties and tasks in consideration of applying pharmacy practical examination through brainstorming of internal researchers and group discussion with experts. Survey was conducted to evaluate the tasks according to the criteria detailed below: Realistic, Understandable, Measurable, Behavioral and Achievable (RUMBA). The subjects included professors at colleges of pharmacy and instructors of institutional or community pharmacy settings. Results: Nine duties including 41 tasks were drawn for the survey through primary internal researchers. Of the 90 respondents, 95.6% were professors or preceptors who was engaged in practical training, and 62.2% had more than five years of practical experience. As a result of survey and discussion with expert panel, selected seven duties were selected as followings: 'Patient (customer) reception', 'Drug preparation and distribution', 'Patient care', 'Administration', 'Patient counseling', 'Non-prescription medication counseling', and 'Provision of drug information'. The final 20 tasks from seven duties were chosen to assess skills that a pharmacist should be able to perform. Conclusion: This is the first study to select the items that can be included in pharmacist practical examination in the future, based on the RUMBA criteria. As a next step, it is necessary to study how to implement these items.

A Study on effect of Craft Activities Experience Factor to Self-esteem and Social-support for middle-aged women (공예활동 체험요소가 중년여성의 자아존중감과 사회적 지지에 미치는 영향연구)

  • Hong, Myung Sook;Nam, Sang Moon
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.67-74
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    • 2020
  • Middle-aged women experience physical and mental changes along with the loss of femininity, and they feel psychologically empty according as their child's growth and independence reduces the role of care and parenting. These women understand the sense of loss and emptiness caused of their role reduction as an opportunity to maintain their values and beliefs for their leisure life. Accordingly, middle-aged women overcome negative emotions facing in the middle-aged such as depression or empty mind, and establish self-esteem and social support in recognizing it as an opportunity for building relationship and self-realization in social relations, which come through human to human communication by doing craft activities. In this study, in order to analyze the effect of the experience factor of craft activity to self-esteem and social support for middle-aged women, we set up a research model with the experience factor of craft activity as an independent variable and self-esteem and social support as dependent variables. As a result of the study, educational experiences, recreational experiences, and deviant experiences had a meaningful effect on self-esteem, but aesthetic experiences did not have meaningful effect. And, recreational experiences and aesthetic experiences had a meaningful effect on social support, but educational experiences and deviant experiences did not have meaningful effect on social support. Therefore, the institutional system for craft experiences, that can provide content of environmental characteristics for aesthetic factor and visual elements are required. It influences to the change of senses and emotions of middle-aged women. Also, there are limitations that this study did not consider factors of ultimate life changes through craft activities. Thus this study suggests development of new model for variables of wellbeing-related matters.

Review of 2017 Major Medical Decisions (2017년 주요 의료판결 분석)

  • Lee, Jung Sun;Lee, Dong Pil;Yoo, Hyun Jung;Jeong, Hye Seung;Park, Tae Shin
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.207-254
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    • 2018
  • The major court rulings delivered in 2017 include the ruling that separated the legal character of denture production agreement signed together with medical care agreement and found a subcontracting dimension in the former, and the ruling that overcame the limitations of the theory of entire appearance of a fetus as discussed in civil law by using the legal principle of insurance which suggests that unborn child insurance takes effect after the contract is signed and the first installment of the premium is paid in. As more court rulings find the medical specialists responsible for accidents and injuries from drugs, some argue that medication counseling by the druggist who makes and dispenses drugs should be upgraded. And with respect to a court ruling that denied the hospital's responsibility for an infection-involving accident even if there were no records on specific measures taken in infection management, some criticized the court for being too conservative in recognizing responsibilities. And with respect to infectious disease management, some criticized the court for its interpretation and application of the facts in the direction of denying the negligence. In addition, some claimed that it is necessary to establish institutional system for hospital infection control and its aid for victims, and to improve the system including the reversal of the burden of proof given the special nature of hospital infections. A number of rulings on the duty to disclose included the one which stated that the specific matter did not require a doctor's explanation as it was explained or the specific medical service would have been performed even if no explanation had been given. There was a greatly controversial ruling over the scope of indemnification, which accepted the occurrence of multiple scars and deformation as disorders while regarding breast as a thoracic organ. And a Supreme Court ruling over interpreting Medical Service Act was criticized as overstepping the boundary allowed in the law.

Individualized Chemotherapy for Metastatic Gastric Cancer: Retrospective Data from a University Hospital in Brazil

  • Aguiar, Pedro Nazareth Junior;Ribas, Christian;Forones, Nora Manoukian
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5289-5296
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    • 2015
  • Background: Despite the decreased incidence, gastric cancer is still a frequent cause of cancer related death. The 1st line 2 or 3 drugs regimen is still a debatable issue. HER2 targeted therapy has emerged as the standard of care, but it is unavailable in the Brazilian Public Health System. The end-point of this trial was overall survival (OS) in patients with metastatic gastric cancer treated in a public university hospital in Brazil. The secondary end-points were efficacy and safety of regimens with 2 (F+P) or 3 (EOX) drugs to develop an institutional guideline to facilitate optimal treatments. Materials and Methods: In this retrospective study, 1st line regimens were evaluated for OS and PFS stratified by age and ECOG using Cox regression. Results: 47 patients were treated over the last 3 years. In 1st line, 29 were treated with F+P (mean 59.3 years, 34.5% ECOG 2 and a mean of 5.69 cycles) and 16 with EOX (mean 47 years, 18.8% ECOG 2 and a mean of 5.44 cycles). The median OS was 13.8 months (95%CI 10.7-16.9). Response was evaluated in 40 cases and was 64.3% for EOX and 37.5% for F+P (p=0.25). The median PFS was 9.5 months for EOX and 5.6 months for F+P (HR 0.85, 95%CI 0.41-1.74). However, among patients with ECOG 2 mPFS was 3.70 vs 5.40 months, respectively (p=0.86). Regimens showed similar manageable adverse events. A total of 34 patients suffered progression and 14 received $2^{nd}$ line therapy. Diffuse histology (HR 1.89, 95%CI 1.22-2.88), achieving 2nd line (HR: 0.25, 95%CI 0.11-0.58) and treatment response (HR 0.23, 95%CI 0.12-0.47) were OS prognostic factors. Conclusions: Patients treated in our hospital had outcomes compatible with the literature. The regimen choice should be related to patient features. Second line treatment should be considered.

Taxane and Anthracycline Based Neoadjuvant Chemotherapy for Locally Advanced Breast Cancer : Institutional Experience

  • Gogia, Ajay;Raina, Vinod;Deo, Suryanarayan Vishnu;Shukla, Nootan Kumar;Mohanti, Bidhu Kalyan;Sharma, Daya Nand
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.1989-1992
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    • 2014
  • Background: The aim of this study was to assess the response rates (clinical and pathological ) with docetaxel and epirubicin combination chemotherapy and its effect on outcome. Materials and Methods: We retrospectively analysed locally advanced breast cancer (LABC) patients who received NACT from January 2008 to December 2012 in our tertiary care centre. LABC constituted 37% of all breast cancer cases and 120 patients fulfilled the eligibility criteria. The regimens used for NACT were, six cycles of DEC (docetaxel $75mg/m^2$, epirubicin $75mg/m^2$, cyclophosphamide $50mg/m^2$ on Day 1, 3 weekly) and a sequential regimen (4 cycles of FEC, 5-flurouracil $600mg/m^2$, epirubicin $75mg/m^2$, cyclophosphamide $600mg/m^2$ followed by 4 cycles of docetaxel $85mg/m^2$). Results: The median age was 47 years (range 23-72). Ninety six ( 80 %) had T4 disease and 90% had clinically palpable lymph nodes at diagnosis. The median size of primary tumor at presentation was 5.9 cm. Hormone receptor positivity was seen in 55% and HER2/neu positivity, in 25%. Triple negative breast cancers constituted 25 % of the cases. The overall clinical response rate (complete or partial ) was 85% and pathological complete responses were obtained in 15%. Four cases defaulted, 5 patients died of treatment related toxicity and 15% developed febrile neutropenia on DEC. The median duration of follow up was 22 months. The median time to relapse was 20 months and the 3 year relapse free and overall survival rates were 50% and 70% respectively. Conclusions: LABC constituted 37% of all breast cancer cases at our institute. With NACT, pCR was seen in 15% of the cases. Sequential chemotherapy was better tolerated than concurrent anthracyline and taxane chemotherapy with a similar pCR.

Analysis of Immune Response in Dogs with Chronic Inflammatory Skin Disease (만성 피부 염증소견을 보인 개의 면역학적 특성 분석 연구)

  • Cho, Sun-Ju;Koh, Min-Soo;Jung, Bock-Gie;Ko, Jae-Hyung;Yoon, So-Rah;Han, Dong-Un;Lee, Bong-Joo
    • Journal of Veterinary Clinics
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    • v.26 no.5
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    • pp.433-440
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    • 2009
  • High levels of inflammatory cytokines were proposed contributors to the pathogenesis of a various inflammatory skin disorders. Therefore, investigating the immune response of the inflammatory skin disorder allows a better understanding of pathogenesis of a various inflammatory skin disorders and therapeutic approaches. The aim of this study was to analyze of the immune response in dogs with chronic inflammatory skin disease. To this aim, the present study evaluated relative mRNA expression of canine $IFN-{\gamma}$, IL-4, $TGF-{\beta}$ and IL-10 using TaqMan realtime PCR assays and semi-quantitative RT-PCR in freshly isolated peripheral blood mononuclear cells from twenty dogs with chronic inflammatory skin disease and ten normal dogs. The relative mRNA expression levels of IL-4 mRNA were significantly higher in dogs with chronic inflammatory skin disease than those in normal dogs (P < 0.01). The results of present study also showed a tendency towards increased expression of IL-10 transcripts in dogs with chronic inflammatory skin disease. However, there were no significant differences in the levels $IFN-{\gamma},\;TGF-{\beta}$ between normal and chronically inflammed dogs. In addition, the concentration of serum IgE was significantly increased in dogs with chronic inflammatory skin disease compared with those in normal dogs (P < 0.01). In histopathological examination, we found that there were markedly increased mast cell counts in chronically inflammed dogs (P < 0.05). These results suggest that the pathogenesis of chronic inflammatory skin disease might be associated with a T-cell mediated inflammatory responses characterized by a Th2-skewed immune response. Based on these results, the modulation of Th1/Th2 balance may be an effective therapeutic strategy for the treatment of chronic inflammatory skin disease.

Way of Trust Restoration through Uplifting Police Integrity (경찰공무원 청렴성제고를 통한 신뢰도 회복방안)

  • Lee, Hyo-Min
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.78-87
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    • 2015
  • Recently, Police integrity has been issued on the media, which cause discredit of police organization. Although high level of morality and integrity are required compared to other occupational groups due to their authority to exert legal force to the citizens and a variety of policies have been enforced by the National Police Agency for the purpose of uplifting the integrity of the officers, in reality, corruption had not yet been eradicated. At this point in time, this study attempted to draw implications for uplifting integrity by utilizing domestic and foreign preceding studies and statistical data related to police corruption and uplifting integrity. The inspection system through whistle-blowing was pointed out as a problem in the institutional framework that hinders uplifting integrity of the police officers and the perception in which police officers are regarded as potential criminals was also pointed out as a problem. Also, vague standards of disciplinary action in examining an offense of a police officer and lack of care for those who were disciplined in the past which affects loyalty to the organization were presented as problems. Based on such suggested concerns, policies for uplifting integrity and restoring citizens' trust in the policies officers were proposed. The proposed agenda were warning the police officers by presenting clear and specific category of corruptive behaviors, expressing the necessity of devising a system that prevents the officers from committing serious crimes by discovering problematic officers earlier through introduction of Early Warning System(EWS) of US and Australian police in order to break away from exposure-oriented inspection system, and reinforcing the testing of integrity in the new employment process.