• 의학교육논단
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• 제26권1호
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• pp.41-47
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• 2024

The ultimate goal of career guidance is to help medical students develop a career plan that matches their personal characteristics, allows them to train in their desired subspecialty, and helps them to adapt well to medical practice after graduation. Gachon Medical School has designed a longitudinal career guidance program called GLORI (Gachon Longitudinal Orientation and Career Development), which is based on the outcome of each phase. The program consists of regular courses and portfolio-based career guidance from a mentor professor. In phase 2 (basic medical science), the "Career Seminar" course was developed. This course focuses on self-understanding through a psychological inventory, exploration of postgraduate career paths, and interviews with professors in specialties of interest. In phase 3 (the integration of basic and clinical science), the "Exploring Nonclinical Career Options" course was introduced. This course presents perspectives from doctors who have followed various pioneering career trajectories, including biomedical engineering, medical journalism, writing, public health, health care administration, the pharmaceutical and medical device industries, and other areas. All teaching methods were designed to encourage student participation. The assessment methods are assignment-based, including self-reflective reports and presentations. In addition, a portfolio-based career guidance program is implemented in phases 3 and 4 (clinical clerkship). It is expected that this case study will serve as a practical example for developing comprehensive career guidance programs for medical schools.

• 한국환경보건학회지
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• 제39권5호
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• pp.408-417
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• 2013

Objectives: Phthalates are used as plasticizers in polyvinyl chloride (PVC) plastics. As phthalate plasticizers are not chemically bound to the PVC, they can leach, migrate or evaporate into indoor air and atmosphere, foodstuffs, other materials, etc. Therefore, humans are exposed through ingestion, inhalation, and dermal exposure over their entire lifetime, including during intrauterine development. In particular, university students have a great number of opportunities to contact products including phthalates during campus life (food packaging, body care products, cosmetic, lotions, aftershave, perfume etc.). The purpose of this study was to examine levels of phthalate exposure as undergraduate students begin to use pharmaceuticals and personal care products including phthalates. Methods: Phthalate metabolites, mono-ethyl phthalate (MEP), mono-n-butyl phthalate (MnBP), mono-isobutyl phthalate (MiBP), mono-2- ethylhexyl phthalate (MEHP), {(mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP}, and mono-(2-ethlyl-5-oxohexyl) phthalate (MEOHP} were examined. 80 urine samples collected from university students were analyzed using LC/MS/MS(API 4000, Applied Bioscience) with on-line enrichment and columnswitching techniques. This study was carried out at Y university located in Gyonggi Province from 2008 to 2011. Results: The detection limit of phthalate metabolites were 0.03 ng/mL for MEP, 0.11 ng/mL for MnBP, 0.08 ng/mL for MiBP, 0.93 ng/mL for MEHP, 0.19 ng/mL for MEOHP and 0.16ng/mL for MEHHP. MnBP showed the highest urinary levels (median: 31.6 ug/L, 24.8 ug/g creatinine (cr)). Concentrations were also high for MEHHP (median: 24.1 ug/L, 19.0 ug/g cr), followed by MEOHP (median: 22.8 ug/L, 17.9 ug/g cr). In individual cases, the maximum level reached up to 348 ug/L, and 291 ug/g cr, respectively. The urinary and creatinine adjusted levels of MEP were lower than those for DBP and DEHP metabolites, but were higher in 95th percentiles. As a result, the mean daily DEP intake value was 2.3 ${\mu}g/kg$ bw/day, 3.5 ${\mu}g/kg$ bw/day for DEHP and 4.9 ${\mu}g/kg$ bw/day for DBP. Conclusion: These students' phthalate exposure levels were below the international safe level set by the EU, but higher than the 2012 KFDA survey of the age group from 3 to 18.

• 한국치위생학회지
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• 제1권1호
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• pp.39-51
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• 2001

This study was performed to collect basic data for the development of effective oral health education program of lower graders in elementary school. The subject in this study were 704 first-year, second-year and third-year in Hyoje elementary school. The authors collected the tissue where dental caries involved. the possibilities of dental caries prevention. cariogenic food and noncariogenic food. time and frequency of toothbrushing. size of using toothbrush, intake frequency of cariogenic food and the experience with visiting dental clinics, the purpose of visiting dental clinics and fear for dental treatment. The collected data were analyzed. The finding of this study were as follows: 1. Twenty-four percent of students had not correct understanding about the tissue which dental caries are involved. Eleven percent of students thought that it was impossible to prevent dental caries. 2. Sixty-four percent of student brushed their teeth before going to bed, and 63.0% of responded students brushed their teeth twice or more a day. Seventy-eight percent of students used small toothbrush. and there was a Significant difference of size of using toothbrush among the first, second and third graders(P<0.01). Sixty-nine percent of students intake cariogenic food once or more a day. 3. Eighty-six percent of students had experienced with visiting denial clinics. sixty-two percent of students visited dental clinics when they had a toothache. and there was a significant difference of the purpose of visiting dental clinics among the first. second and third graders(P<0.01). Seventeen percent of students responded that dental treatment is fearful there was a significant difference of fear for denial treatment among the first, second and third graders(P<0.05). 4. It was recommended that effective oral health education programs should be developed to increase toothbrushing after breakfast, to decrease intake frequency of cariogenic food, to increase frequency of visiting dental clinics regularly, and to reduced fear for dental treatment.

• 한국치위생학회지
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• 제8권1호
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• pp.37-43
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• 2008

이 연구는 보건계열 학과에 재학중언 학생들의 윤리의식에 미치는 영향요언을 살펴보고자 4개 전문대학 보건계열 학과에 재학중인 학생 650명을 대상으로 실시하였다. 연구방법은 개별자기기입법에 의한 설문조사법이었고, 설문은 윤리 지식수준을 측정하기 위한 문항과 윤리교육에 대한 경험과 필요성을 묻는 문항, 윤리의식에 미치는 영향 요인을 묻는 문항, 윤리의식을 배우는 역할모델을 묻는 문항으로 구성하였다. 수거된 설문은 596부이었고, 회수율은 91.7% 이였다. 연구결과, 의료관계법규 지식수준과 팀웍 지식수준이 다른 윤리 지식 수준에 비해 높은 것으로 나타났고, 의료관계법규 지식수준은 전문 윤리교육 필요성을 인지하고 있는 학생에서 높은 것으로 나타났다. 전문가 윤리 지식수준은 전문 윤리교육 필요성을 인지하고 있는 학생에서, 3학년에서, 직업 윤리교육경험이 있는 학생에서 높은 것으로 나타났다. 의사결정판단 지식수준은 전문 윤리교육 필요성 인지, 임상실습경험, 윤리의식 영향요인, 전문 윤리교육청험이 유의한 영향을 미치는 것으로 나타났으며, 이 중 가장 큰 영향을 미친 변수는 임상실습경험이었다. 팀웍 지식수준은 역할모델이 종교단체라고 응답한 학생에서, 윤리의식 영향요인이 가정이라고 응답한 학생에서, 전문 윤리교육을 경험한 학생에서 높게 나타났다. 이상의 결과로 보아, 윤리교육의 필요성을 인지하고 있는 학생일수록 윤리 지식수준이 높은 것을 알 수 있었으며, 이 외에도 다양한 변수를 고려하여 후속 연구가 이루어져야 할 것으로 사료되었고, 본 연구를 통하여 보건계열 학과에 재학 중인 학생들에게 윤리에 대한 사고 기회를 부여했다는 점과 윤리 의식수준을 점검했다는 점에서 의의가 있다고 사료되었다.

• 한국보건간호학회지
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• 제31권3호
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• pp.505-517
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• 2017

Purpose: This study was conducted to investigate factors affecting the somatizationof 4th grade elementary school students in South Korea. Methods: The research used cross-sectional data of 2,031 first grade elementary school students that participated in 4th-year Korean Children and Youth Panel Survey (KCYPS). Data analysis, which included descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and hierarchical regression,was performed using SPSS/WIN 23.0. Results: Aggression (r=0.60, p<.001) and depression (r=0.69, p<.001) showed significant positive correlation, while affection (r=-0.22, p<.001), reasonable explanation (r=-0.28, p<.001), peer relationship (r=-0.06, p=.001), and teacher relationship (r=-0.20, p<.001) were negatively correlated with somatization of elementary school students. Hierarchical regression analysis revealed that depression (${\beta}=0.52$, t=25.52, p<.001), aggression (${\beta}=0.27$, t=13.30, p<.001), reasonable explanation (${\beta}=0.05$, t=2.99, p=.002), and affection (${\beta}=0.04$, t=2.13, p=.031) were significant predictors of somatization. This regression model has an explanatory power of 52.8%. Conclusion: To reduce somatization, it is necessary to develop a therapeutic intervention to change student emotions into a positive coping mechanism and strategy. The results of this study will contribute to the development of programs and practices for healthy school life.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.457-464
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• 2005

Objectives : An outbreak of salmonellosis occurred among the student s and staff of D primary school in Yeongcheon-si, 2004. This investigation was carried out to prevent any recurrence of this outbreak and to study the infection source and transmission of the salmonellosis. Methods : The authors conducted a questionnaire survey among 1,205 students and staff members from D primary school about the ingestion of the school lunch and drinking water, and the manifestation of their symptoms. The author examined rectal swabs, the tap water and microorganism cultures, and we also investigated the dining facility and water supply facility. Results : The diarrheal cases were defined as the confirmed cases or the persons who had diarrhea more than one time with symptoms such as fever, vomiting and tenesmus. The diarrheal attack rate was 28.0%. Ingestion of fried bean curd with egg had a significantly high association with the diarrheal attack rate (p<0.05), and the relative risk of the fried bean curd with egg was 10.68 (95% CI=3.88-29.41), as was determined by logistic regression analysis. The bacterial counts in the tap water of the food preparation room and toilet (first floor) exceeded the maximum permissible counts. S. Enteritidis bacteria were only cultured from the fried bean curd with egg of all the supplied foods on September 3, 2004. Conclusions : The major cause of salmonellosis was presumed to be the contaminated bean curd via contaminated tap water due to a water leak of a school water pipe. This contaminated bean curd was under prepared, which allowed the S. Enteritidis to survive and multiply prior to its ingestion.

• 한국보건간호학회지
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• 제16권1호
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• pp.64-76
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• 2002

This study was performed to identify the level of stress of clinical practice and clinical competency and the relationships between stress of clinical practice and clinical competency in nursing students. The subjects of this study were 379 senior nursing students in 2 nursing colleges in M city. The data were collected from November 5th to 24th, 2000, using questionnaire. The instruments used were the Stress of Clinical Practice Scale and the Clinical Competency Measurement Tool. The data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's Correlation Coefficient, using the SPSS program. The results of the study were as follows : 1. The mean score for the level of stress of clinical practice was 3.83 points. The stress of clinical practice were classified into six dimensions and their order of getting score was nurse(3.99), relationship between nursing theory and practice(3.94), human relationship (3.92), clinical education and evaluation by professors(3.87), environment(3.70), and patient(3.59). 2. The mean score for the level of clinical competency was 3.91 points. The clinical competency were classified into five dimensions and their order of getting score was professional development (4.08), skills (4.06) , interpersonal relationship/communication(3.95), teaching/coordinating(3.81), and nursing process(3.70), 3. The stress of clinical practice showed significant difference in the score of grade(t=-2.82, p=.005), interpersonal relationship(t=1.97, p=.049) and satisfaction of major(F=3.38, p=.035) of nursing students. 4. The clinical competency showed significant difference in the score of grade(t=-5.97, p=.000). interpersonal relationship(t=3.64, p=.000) and satisfaction of major(F=8.73, p=.000) of nursing students. 5. The data showed the positive correlations between stress of clinical practice and clinical competency(r=.209, p=.000). In conclusion. this study found that the stress of clinical practice was significantly related to clinical competency in nursing students. Therefore further study is needed to examine the efficient coping strategies about stress of clinical practice in nursing students.

• 한국보건간호학회지
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• 제1권1호
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• pp.62-74
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• 1987

The term 'nursing' is often defined as a therapeutic and interpersonal process that ultimately functions to help clients. In the process of helping, empathic ability(ability to entering into the another's feeling or motives) is an essential factor that has been proved in the fields of psychology and social psychology. In the sense, nursing personnel with high level of empathy is required to accomplish the comprehensive nursing. The purpose of this study was (1) to investigate empathy between nursing and non-nursing students, (2) to examine changes of empathic ability in accordance with their academic years, and (3) to show relationships, if any, between the two concepts, empathy and need-affiliation. For the survey, 325 respondents for nursing department and 378 from non-nursing departments were randomly selected from the two universities in Seoul. The instruments used in this questionaire survey method were Hogan's Empathy Scale and Mehrabian's Need-Affiliation Scale, each of them has established its validity and reliability in many different people and settings. For the analysis, descriptive stative statistics were mostly used by calculating frequencies, percentages and mean scores. T-test, analysis of variance and correlation coefficient were employed to test the differences and the statistical significance. The results of this study are summarized as follows: (1) There was no significant difference in empathic ability detween the nursing and non-nursing student (2) The levels of empathy among the nursing students, 'surprisingly enough, were negatively correlated with their academic years, even though statistical significations was not found. The scores of the empathy are somewhat dropped as academic year going up. (3) No significant relationship was revealed between empathy and need-affiliation. In conclusion, the results of the study repeatedly support the claim that the nursing education must empathize and, also, include the programs that enable nursing students to develop the ability of empathy for their clients.

• 한국보건간호학회지
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• 제19권1호
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• pp.5-17
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• 2005

This research was conducted to determine the actual condition of obesity and obese students' total cholesterol. blood glucose and blood pressure, and to analyze the relationship between the obesity rate and total cholesterol. blood glucose and blood pressure among the students at 7 middle schools in A city in Kyoung ki-do. The results were as follows: 1. Among 12,148 student participants in this investigation. students of normal weight range were $91.5\%$ and obese students were $8.5\%$, breaking down to mildly obese of $4.3\%$ $(boys,\;5.4\%;\;girls,\;3.0\%)$. moderately obese of $3.4\% (boys,\;4.6\%;\;girls,\;2.1\%)$ and severely obese of $0.7\%(boys,\;0.9\%;\;girls,\;0.5\%)$, The gender difference was statistically significant $(x^2=111.5830. p=.0001). 2. To analyze the 1.027 obese students. the average of total cholesterol was 166.9mg/dl, 171.0mg/dl and 182.1mg/dl in the mild, moderate and severe obesity groups, respectively. The results became more significant with increasing obesity rate (F=10.06, p=.0001). The average of systolic blood pressure (SBP) was 121.9mmHg, 123.2mm, and 127.5mm, respectively. The results became more significant with increasing obesity rate (F=6.29, p=.0019). The average of diastolic blood pressure (DBP) was 74.4mmHg. 76.0mmHg. and 78.4mmHg, respectively. The results became more significant with increasing obesity rate (F=8.15. p=.0003). The average of blood glucose was 83.3mg/dl, 84.5mg/dl, and 82.3mg/dl, respectively. There was no significant difference with obesity rate. 3. There were significant correlations between obesity rate and cholesterol(r=.11288, p=.0003), between obesity rate and DBP(r=.14209, p=.000l). and between obesity rate and SBP(r=.14081. p=.0001). However, there was no significant correlation between obesity rate and blood glucose (r=.00655, p=.8339).

• 대한한방소아과학회지
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• 제31권1호
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• pp.12-24
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• 2017

Objectives The purpose of this study was to validate the biopsychological structure of Sasang Personality Questionnaire (SPQ) measuring Yin-Yang temperament with Junior version of Temperament and Character Inventory (JTCI) for temperament and Body Mass Index (BMI) and Pondera Index (PI) for physical constitution in elementary school students. Methods 903 Korean elementary school students (430 boys and 473 girls) completed SPQ, JTCI, and height and weight measures. Then they were analyzed by their genders and age groups. The correlation between SPQ and JTCI subscales were examined. The differences found in the SPQ and JTCI subscales, BMI and PI among high (30%), middle (40%), and low (30%) SPQ groups were investigated by analysis of variance. The profile analysis was also performed to compare JTCI subscale profiles of three SPQ total score groups. Results The SPQ score was significantly (p<0.001), and positively correlated with the JTCI Novelty-Seeking and negatively with the JTCI Harm-Avoidance. The JTCI Novelty-Seeking score of high SPQ group was significantly (p<0.001) higher than that of low SPQ group, and the JTCI Harm-Avoidance score of low SPQ group was significantly higher than that of high SPQ group. The JTCI subscale profiles for three SPQ groups were significantly (p<0.001) different for boys and girls. Significant correlations between BMI and SPQ were not found. PI and BMI of high and low SPQ groups were not significantly different. Conclusions The SPQ was shown to have robust biopsychological structure in elementary school students. It would be useful clinical measures for Sasang typology in pediatric patients.