• Title/Summary/Keyword: Self­efficacy

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The Comparative Study of Oriental Medicine in Korea, Japan and China (한국(韓國)과 일본(日本) 및 중국(中國)의 동양의학(東洋醫學)에 대한 비교연구(比較硏究))

  • Cho, Ki-Ho
    • The Journal of Korean Medicine
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    • v.19 no.1
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    • pp.271-298
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    • 1998
  • During these days of new understanding, western medicine has developed remarkably and a revaluation of traditional medicine has been achieved. This appears to have resulted from the sound criticisms of what western medicine has achieved up to now; excessive subdivisions of clinical medicine, severe toxicity of chemical drugs, lack of understanding about patients complaints which cannot be understood objectively, and etc. It is thought that the role of traditional medicine will be more important in the future than it is now. Someone said that the research methods of traditional medicine depends on the way of experimental science too much. That there was no consideration of a system for traditional medicine and the critic also went so far as to assert that in some cases the characteristics of eastern ideas is to permit irrationalism itself. In view of this thinking, the term traditional medicine seems to have been used somewhat too vaguely. However, traditional medicine is a medical treatment which has existed since before the appearance of modern medicine and it was formed from a traditional culture with a long history. One form of traditional medicine, oriental medicine based upon ancient Chinese medicine, was received in such countries as Korea, Japan, Thailand, Vietnam, Tibet, and Mongolia. Oriental medicine then developed in accordance with its own environment, race, national characteristics, and history. Although there are some simultaneous differences between them, three nations in Eastern Asia; Korea, Japan, and China, have especially similar features in their clinical prescriptions and medical literature. These three nations are trying to understand each others unique traditional medicines through numerous exchanges. Even though many differences in their ways of studying have developed over history exist, recent academic discussions have been made to explore new ways into oriental medicine. Therefore a comparative study of oriental medicine has gradually been thought to be more important. In Korea the formation of a new future-oriented paradigm for oriental medicine is being demanded. The purpose of the new paradigm is to create a new recognition of traditional culture which creates an understanding of oriental medicine to replace the diminished understanding of oriental medicine that was brought about by the self-denial of traditional culture in modem history and cultural collisions between oriental and occidental points of view. Therefore, to make a new paradigm for oriental medicine which is suitable for these days, and fortifies the merit of oriental medicine while compensating its defects, the author has compared the characteristics of oriental medicines in Korea, Japan, and China. The conclusions of this research are as follows: 1. The fundamental differences of the traditional medicines of these three nations are caused by the differences in the systems of Naekyung and Sanghannon. 2. The pattern-identification of illnesses is generally divided into two categories; the pattern identification of Zang-Fu and the pattern identification of prescription. 3. There are many differences in the definition of terms, such as Yin and Yang, Deficiency and Excess, and etc. 4. Chinese traditional medicine has some new concepts about pattern identification and epidemic febrile disease. 5. Japanese traditional medicine has some characteristics about pattern identification of the whole bodys condition and signs of abdominal palpation. 6. In terms of the effects of herbal drugs, Chinese traditional medicine attaches great importance to the experiential efficacy of the herb, and Japanese traditional medicine is taking a serious view of the effects of experimental medical actions.

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The Effects of Dynamic Functional Electrical Stimulation With Treadmill Gait Training on Functional Ability, Balance Confidence and Gait in Chronic Stroke Patients

  • Cho, Young-Ki;Ahn, Jun-Su;Park, Yong-Wan;Do, Jung-Wha;Lee, Nam-Hyun;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.21 no.4
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    • pp.23-33
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    • 2014
  • The aim of this study was to evaluate the effects of walking on a treadmill while using dynamic functional electrical stimulation (Dynamic FES) on functional ability and gait in chronic stroke patients. This was a prospective, randomized controlled study. Twelve patients with chronic stroke (>24 months) who were under grade 3 in dorsiflexor strength with manual muscle test were included and randomized into intervention (Dynamic FES) ($n_1$=7) and control (FES) ($n_2$=5). Both the Dynamic FES group and FES group were given a neuromuscular development treatment. The Dynamic FES group has implemented a total of 60 minutes of exercise treatment and gait training with Dynamic FES application. The FES group, with the addition of applying FES while sitting, has also implemented a total of 90 minutes of gait training on treadmill after the exercise treatment. Both two groups accomplished the program, twice a week, for a total of 24 times in a 12-week period. Exercise treatment, gait training on treadmill, and both Dynamic FES and FES were implemented for 30 minutes each. Korean version activities-specific balance confidence scale (K-ABC) was measured to determine self-efficacy in balance function. Timed up and go (TUG) test was performed to evaluate the physical performance. K-ABC, TUG, Berg balance scale (BBS), modified physical performance test (mPPT) and G-walk were evaluated at baseline and at 12 weeks. After 12 weeks, statistically significant differences (p<.05) were apparent in the Dynamic FES group in the changes in K-ABC and BBS. mPPT, TUG, gait speed, stride length and stance phase duration (%) were compared with the FES group. K-ABC had higher correlation to BBS, along with mPPT to TUG. Our results suggest that walking with Dynamic FES in chronic stroke patients may be beneficial for improving their balance confidence, functional ability and gait.

The Effects of Science Writing on Middle School Students' Science - related Attitude, Learning Motivation, and Academic Achievement (과학 글쓰기를 활용한 수업이 중학생들의 과학 관련 태도, 학습 동기 및 학업 성취도에 미치는 영향)

  • Shin, Joung-In;Shin, Yejin;Yoon, Heojeong;Woo, AeJa
    • Journal of The Korean Association For Science Education
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    • v.33 no.2
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    • pp.511-521
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    • 2013
  • This study aims to investigate the effects of science writing activities on the students' science-related attitude, motivation for learning science, and academic achievement. One hundred and twenty seven second graders of a middle school located in Gyeonggi province participated in this study. The experimental group performed science writing activities, while the comparative group performed problem solving activities at the end of the regular science lessons over 30 class hours. For the students' science-related attitude and motivation for learning science, TOSRA, PALS, and MSLQ were used with some modification and supplementation. For the students' academic achievement, scores on science examinations were used. The results of this study are as follows: First, the test of the science-related attitude showed that science writing activities have positive effects on the cultivation of sciencerelated attitude, as for the sub-factors, 'attitude towards scientific inquiry,' 'pleasure of science lessons,' and 'active attitude towards science'(p<.05). Second, the test of motivation for learning science showed that the science writing activities had positive effect on the improvement in students' motivation, as for the sub-factors, 'difference in values on task' and 'self-efficacy'(p<.05). Third, science writing activities are effective on improvement in the students' academic achievement(p<.05), especially on the high-level achievement group.

Penile Blood Change after Oral Medication of Korean Red Ginseng in Erectile Dysfunction Patients (발기부전환자에서 홍삼 복용후의 음경혈류와 발기력 변화)

  • Choi, Hyung-Ki;Choi, Yeong-Jin;Kim, Jang-Hwan
    • Journal of Ginseng Research
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    • v.27 no.4
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    • pp.165-170
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    • 2003
  • The clinical efficacies of Korean Red Ginseng for improving sexual function has been reported only by self-reporting questionnaires.AVS-Penogram is a method evaluating natural penile blood flow changes by Gamma-camera after intravenous injection of Techmetium 99$\^$m/-RBC and also stimulating by erotic video tape. To more objectively evaluate the efficacies of Korean Red Ginseng for erectile function, we applied AVS-Penogram as a objective diagnostic tool. AVS-Penogram studies were done in 28 patients with erectile dysfunction after administration of Red Ginseng(19) or placebo(9) group. The pattern of AVS-Penogram before medication were normal type in 4, impossible in 2, unstable in 20, delayed in 1, and mixed in 1. The unstable type were the most prevalent observed in 71.4% of all patients. The patterns of AVS-penogram were 2.2. 13.1 in Red Ginseng group, while in placebo group normal 2, unstable 7. After 4 weeks in Red Ginseng group, there were 3 cases of improved penogram findings, while only 1 in placebo group. There were no statistical significancies in the type of penogram changes on both group. But the maximum radioactivity were improved in 11 patients(57.9%) in Red Ginseng group, while 2(22.2%) in placebo group. There were statistical significancies in comparing the maximal radioactivity of penogram on both group. These AVS-Penogram findings shows, encouraging results of by increased penile blood flow Korean Red Ginseng our medication. Further study is more needed to reconfirm these results by more concentrated active formulations of sapanonin St other active ginsenosides. These promising results will lead to develop a new remedy for erectile dysfunction by Korean Red Ginseng

The Development and Effect of Navigator Education Program for Cancer Screening on Women in the Community (지역사회 여성암 검진 네비게이터 교육 프로그램 개발 및 효과 분석)

  • Lee, Bo-Young;Jo, Heui-Sug;Lee, Hey-Jean
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.214-222
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    • 2009
  • Objectives: This study was performed to evaluate the effect of navigator education program for cancer screening, which is designed for improvement in knowledge of cancer, perceived self efficacy and communication skill of the breast and cervical cancer screening for middle-aged and aged women in urban areas. Cancer screening navigator is lay health advisor who are educated for providing information, emotional support about cancer screening at the community. Methods: The subjects were 33 women at the age of 40-69 and educated for 12 hours through the education program. The control group subjects were 30 women. For statistical analysis, descriptive statistics and paired t-test were used with SPSS WIN 14.0. Results: Contents of education program were case of cancer early detection, benefit of breast cancer screening, benefit of cervical cancer screening, health care system for cancer screening, role of cancer screening navigator, communication skill, transtheoretical model and role play. Knowledge of cancer(t=4.267, p=0.000) and communication skill(t=4.947, p=0.000) of the women increased significantly after implementing the 12 hours education program. Conclusion: The results suggest that navigator education for cancer screening has an effect in increasing knowledge of cancer, and communication skill scores.

Development of Food Safety and Nutrition Education Contents for the Elderly - by Focus Group Interview and Delphi Technique - (노인을 위한 식품안전.영양교육 내용 개발 - 포커스그룹인터뷰와 델파이 조사를 통하여 -)

  • Choi, Jung-Hwa;Lee, Eun-Sil;Lee, Yoon-Jin;Lee, Hye-Sang;Chang, Hye-Ja;Lee, Kyung-Eun;Yi, Na-Young;Ahn, Yun;Kwak, Tong-Kyung
    • Korean Journal of Community Nutrition
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    • v.17 no.2
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    • pp.167-181
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    • 2012
  • Our society is aging rapidly, and the number of elderly people who are in charge of purchasing and preparing foods at home is increasing. However, most the elderly have difficulty managing nutrition and food safety by themselves. The purpose of this study was to develop the necessary knowledge, through focus group interview and Delphi technique to establish a food safety and nutrition education program. The diet and educational needs of the elderly were surveyed through FGI. The education topics were decided by the Delphi technique. The education program consisted of a five week program, and the topics taught were 'Dietary Change for Healthy Life', 'Prevention of Food Poisoning in Everyday Life', 'Safe Food Handling for my Health', 'Healthy Dietary Life to Prevent Chronic Disease', and 'Safety! Nutrition! Healthy Dietary Life'. This education program was designed to decrease the perceived barriers, and to increase the perceived interests and the sense of self-efficacy. Education program materials, lesson plans, slides, handouts, videos, leaflets, and booklets were developed. Based on the results, the contents of the food safety guideline leaflets for the elderly were decided as the following: (1) wash your hands in the correct way; (2) select safe food; (3) cook foods safely; (4) keep foods safely; (5) keep kitchen utensils clean. In conclusion, if advanced education programs are implemented and delivered continuously in locations such as health centers and community welfare centers, those will contribute significantly to enhance the perception of food safety and to change the desirable dietary behavior of the elderly.

The Prediction Model of Adaptation in Patients with Rheumatoid Arthritis - Propositional Synthesis of Roy's and Lazarus & Folkman's Theory - (류마티스 관절염 환자의 적응 예측모형 -Roy이론과 Lazarus 및 Folkman 이론의 명제 합성-)

  • Kim, In-Ja;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.197-220
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    • 1997
  • The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

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Development and Effectiveness Evaluation of Teaching/Learning Plan for Clothing Safety Education in Home Economics Based on the Health Belief Model (건강신념모델을 적용한 의생활 안전교육 교수·학습 과정안 개발 및 효과평가)

  • Kim, Ryu-Gyeong;Shim, Huen-Sup
    • Journal of Korean Home Economics Education Association
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    • v.32 no.1
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    • pp.127-143
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    • 2020
  • The purpose of this study is to develop the clothing safety teaching/learning plan in Home Economics based on the health belief model and to examine the effects of the course using the developed teaching/learning plan on the health belief. Based on ADDIE model, 6 clothing safety teaching/learning plans were developed by applying the health belief model. They consisted of three learning factors of 'harmful substances that can be exposed during the production, wear, wash, and storage of clothes and textile products', 'environment friendly fibers' and 'natural detergents'. Then they were implemented on 7 classes in middle school located in Gyeonggi-do Province from August 20 to September 7 in 2018. The health beliefs data collected before and after the course were analyzed with paired t-test with SPSS/win. As a result, the perceived threat(combination of perceived severity and perceived susceptibility), the perceived benefit, and the self-efficacy were significantly improved. And the perceived barrier was significantly reduced. In conclusion, the home economics clothing safety education course using the health belief model was meaningful as the safety education to enable middle school students to practice safe clothing life from harmful substances. The results of this study are expected to be helpful for activating safety education in home economics.

The Comparison of the Science Gifted and Mathematics Gifted in Attitude Toward Science and Learning Motivations in Science of Elementary School Students (초등학교 과학영재학생과 수학영재학생의 과학에 대한 태도 및 과학학습동기 차이)

  • Park, Byoung-Tai;Ko, Min-Seok;Kim, O-Beom
    • Journal of Gifted/Talented Education
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    • v.22 no.4
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    • pp.917-928
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    • 2012
  • The purpose of this study is to survey and compare of the science gifted and the mathematics gifted students at elementary school's 171 students who live in the Seoul city, using Attitude Assessment Tool and Learning Motivation in Science. The analytical results of the collected data are presented as follow; Firstly, there was no difference between science gifted and mathematics gifted in the attitude, value, social meaning, and attitude toward science subject and learners mostly have a positive attitude toward science but, there was difference in the preference of the science gifted and mathematics gifted. Science gifted's preference toward science subject is higher than mathematics gifted students. Secondly, there was no difference in the attention, self-efficacy, and contentment in learning motivation in the science but, there was difference between science gifted and mathematics gifted in the relevance.

The relationship between perceived subjective socioeconomic status and physical health among late school-aged children -A psychosocial perspective- (학령후기 아동이 인지한 주관적 사회경제적 지위와 신체건강과의 관계 -심리사회적 관점-)

  • Kim, Sue-Lynn;Yoo, P. Joan
    • Journal of the Korean Society of Child Welfare
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    • no.57
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    • pp.43-82
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    • 2017
  • As material perspective that stresses absolute income has limitations in explaining socioeconomic gradients in health, research on the relationship between an individual's subjective socioeconomic status(SSS) and health has emerged in recent years. Although previous research has been conducted mostly on adults, late school-aged children, who frequently evaluate themselves using social comparisons, are likely to subjectively perceive their socioeconomic status and be affected by their perception. Accordingly, this study examined the relationship between late school-aged children's SSS and their physical health, and its underlying path based on a psychosocial perspective. For this purpose, data from the first year survey of the Seoul Education and Health Welfare Panel (2014), which consisted of responses from 394 children ($4^{th}$ graders in elementary school) and their parents, were analyzed utilizing structural equation modeling. The results showed an indirect but significant relationship between late school-aged children's SSS and their physical health, via stress, self-efficacy, and health behaviors, which are mediating variables grounded on a psychosocial perspective. No direct relationship was found between late school-aged children's SSS and physical health. Based on these findings, we suggested several implications to improving children's health, including efforts to prevent adverse effects of low SSS on physical health through psychosocial factors.