• 제목/요약/키워드: State Practice

검색결과 1,173건 처리시간 0.027초

동구 제국의 인구 및 보건의료정책에 관한 종합적 연구 (A study on the Population and Public Health Policies in East European Countries)

  • 안계춘;김영기
    • 한국인구학
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    • 제11권1호
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    • pp.117-130
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    • 1988
  • Though most of East European coutries seem to hold a pronatalist policy, they approve of family planning and provide contraceptive services. One of the most popular contraceptive method has traditionally been the coitus interruptus in these countries. One of the major reasons for adopting family planning is to decrease the incidence of induced abortion has been closely related to the popular use of coitus interruptus in these countries. Most of the East European countries liberalized induce abortion legally mainly to neutralize the wide practice of illegal abortion. However, the practice of induced abortion is under the strict control of the public health authorities in these countries. Migration and redistribution of population of population are mostly under the control of the state in these socialist countries. Policies on migration and redistribution are usually carried out to achieve the general goal of socio-economic development plan of the states. Both incentive measures and control measures are mobilized to affect the internal migration and redistribution of population. With respect to public health East European countries are characterized by the socialized medicine following the Soviet model. Public health measures and medical practice are controlled by the state and highly centralized in many countries except Yugoslavia. They place much emphasis on preventive medicine, primary health care, occupatinal and industrial medicine, and health education. Private sectors in medical practice do not exist in these countries of Eastern Europe.

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완벽주의가 스케일링 실습 시 실습불안과 스트레스에 미치는 영향 (The Effect of Perfectionism on Stress and Anxiety during Scaling Practice)

  • 임순연;우희선
    • 치위생과학회지
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    • 제9권2호
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    • pp.161-167
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    • 2009
  • 본 연구는 완벽주의가 스케일링 실습 시 실습불안과 스트레스에 미치는 영향에 대하여 알아보기 위하여 경기도에 소재한 S대학에서 치위생과 치면세마실습 과목을 수강하여 치위생과 실습실에 내원한 환자를 대상으로 스케일링 실습을 한 학생 122명을 대상으로 2008년 5월 1일부터 5월 31일까지 스케일링 실습 전과 실습 후에 설문조사를 실시하였다. 이차원적 완벽주의의 하위요인인 성취추구 요인과 실패회피 요인 점수에 따라 네 가지 유형의 완벽주의 집단으로 구분하고 실습 시 스트레스와 실습 전후의 불안을 분석하여 다음과 같은 결론을 얻었다. 1. 완벽주의 유형에 따라 실습 스트레스에 차이가 있는지를 확인하기 위하여 완벽주의 네 집단을 독립변인으로 하고, 실습 스트레스 점수를 종속변인으로 한 분산분석을 실시한 결과 실습 스트레스는 완벽주의 유형에 따라 통계적으로 유의미한 결과를 확인할 수 없었다. 2. 실습 전 특질불안 점수와 실습 전 상태불안점수, 실습 전 전체불안 검사는 완벽주의 유형에 따라 통계적으로 유의미한 차이를 보였다. 이러한 차이는 성취 추구 요인과 실패회피 요인 모두 낮은 비완벽주의 집단에 비해 성취추구 요인과 실패회피 요인 모두 높은 혼합집단 간 차이로 인해 나타났다. 다시 말해 비완벽주의 집단에 비해 혼합집단이 실습 전에 모든 불안 점수가 더 높았다. 3. 실습 전에 비해 실습 후에 불안 점수가 감소하였는지 검증하기 위하여 상태불안의 실습 전 점수와 실습 후 점수를 이용하여 반복 측정 분산분석(Repeated Measure ANOVA)을 실시하였으며 분석결과 불안의 전체 점수는 93.71 에서 89.66점으로 감소하였으며 하위요인인 상태불안 점수도 45.49에서 43.38점으로 감소하였다. 이는 통계적으로 유의미하였다. 4. 이차원적 완벽주의척도의 하위요인인 성취추구요인과 실패회피요인이 실습 전후 표준화된 상태불안 점수의 차이값에 미치는 영향력을 검증하기 위하여 회귀분석을 실시하여 개별적인 예측변인의 준거변인에 대한 기여도와 통계적 유의미성을 검정한 결과, 실패회피는 상태불안에 정적으로 유의미한 예측변인이었지만, 성취추구는 준거변인에 영양을 주지 않았다. 즉, 실패회피 정도가 높을수록 실습기간 동안 상태불안이 높아지는 것으로 나타났다. 위와 같은 결과를 볼 때 스케일링 실습 시 실습지도자는 학생들의 완벽주의 성향에 따른 실습불안을 감소시키기 위한 노력이 필요하며 학생들에게 성취추구적 동기를 부여할 수 있는 방안을 모색하는 것이 중요하다고 하겠다.

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병원약국 대상으로 정맥영양제 조제 실행에 관한 연구-2009 (Survey of Pharmacy Practice for Compounding Parenteral Nutrition in Hospital Setting - 2009)

  • 신혜연;정기화
    • 약학회지
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    • 제54권4호
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    • pp.244-251
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    • 2010
  • Standardized parenteral nutrition is required to improve patient's safety, clinical appropriateness and to increase uniformity between institution and institutions. We assessed the consistency with the American society for parenteral and enteral nutrition (A.S.P.E.N.) practice guideline for PN by evaluating current practice process for parenteral nutrition formulation in inpatients pharmacies in Korea. Each question in this survey was based on 2007 A.S.P.E.N. recommendations of standard parenteral nutrition formulation, the American society of health-system pharmacists (ASHP), and the United State Pharmacopoeia (USP) Chapter 797 guideline for compounding parenteral nutritions. All 90 Korean society of hospital pharmacist (KSHP) member directors of pharmacy were requested to respond to the survey in order to compare the survey results to ASHP national survey of pharmacy practice in hospital settings (2002) in compliance with A.S.P.E.N. guideline. We had final response rate of 35.6%. 25 (100%) hospitals complied with this Garb guideline (response rate was 84.4%) which was the highest compliance. Only 17.9% of hospital pharmacies were actively involved in complications monitoring. Monitoring complications and efficacy were least in compliance with the A.S.P.E.N. guideline. 69.0% of Korean pharmacists adjusted medication dosage based on disease state or monitoring laboratory data in compliance with the A.S.P.E.N. guideline. Over 50% of the hospital pharmacies failed to provide and evaluate staff training in aseptic manipulation skills periodically. Korean hospital pharmacies need to comply with the standard practice guideline for compounding sterile preparation in order to provide better quality of parenteral nutrition service for specific patient population.

진단전문가시스템을 이용한 한의 실습의 설문 조사를 통한 AI에 대한 인식 및 활용방안 고찰 (Study on the Perception and Application of AI in Korean Medicine through Practice and Questionnaire of Korean Medicine Using a Diagnostic Expert System)

  • 양지혁;우정아;신동하;박수호;권영규
    • 동의생리병리학회지
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    • 제35권1호
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    • pp.22-27
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    • 2021
  • This study conducted a questionnaire for students of Pusan National University Graduate School of Korean Medicine who practiced using the Oriental Medicine Diagnosis System (ODS). From the questionnaire, this study investigated current state of application and perception of AI in Korean Medicine and explored the direction of ODS improvement and utilization. The survey questions consisted of six questions examining the satisfaction of the diagnostic expert system, five questions evaluating the availability of the diagnostic expert system, and six questions to predict the impact of AI on the Korean medicine community. The survey analysis showed high satisfaction with practice using ODS. On the other hand, the possibility of using ODS, especially in clinical use, was evaluated as relatively low compared to the satisfaction of the practice. Therefore, the overall impact of AI on the Korean medical community is not expected to be large. Although there are difficulties in standardization of clinical data due to the academic characteristics of Korean medicine, it is necessary to continue attempts to apply AI. By actively introducing educational tools using the latest AI techniques to the diagnosis experience and doctor-patient role in a practice, students will be able to increase their satisfaction with their practice and respond appropriately to the state-of-the-art medical environment.

Smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation

  • Poletto, Daniel;Poletto, Ana Claudia;Cavalaro, Andressa;Machado, Ricardo;Cosme-Silva, Leopoldo;Garbelini, Cassia Cilene Dezan;Hoeppner, Marcio Grama
    • Restorative Dentistry and Endodontics
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    • 제42권4호
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    • pp.324-331
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    • 2017
  • Objectives: This study evaluated smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation. Materials and Methods: Forty-five extracted uniradicular human mandibular premolars with single canals were treated endodontically. The cervical and middle thirds of the fillings were then removed, and the specimens were divided into 9 groups: G1, saline solution (NaCl); G2, 2.5% sodium hypochlorite (NaOCl); G3, 2% chlorhexidine (CHX); G4, 11.5% polyacrylic acid (PAA); G5, 17% ethylenediaminetetraacetic acid (EDTA). For the groups 6, 7, 8, and 9, the same solutions used in the groups 2, 3, 4, and 5 were used, respectively, but activated with ultrasonic activation. Afterwards, the roots were analyzed by a score considering the images obtained from a scanning electron microscope. Results: EDTA achieved the best performance compared with the other solutions evaluated regardless of the irrigation method (p < 0.05). Conclusions: Ultrasonic activation did not significantly influence smear layer removal.

사상체질에 따른 건강상태(THI)와 건강 행위 실천의 연관성 예비 연구 - 한의과 대학생들을 중심으로 - (The Preliminary Study on the Association between Health State and Practice of Health Behavior according to Sasang Constitution)

  • 장은수;백영화;이혜정;이시우
    • 한국한의학연구원논문집
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    • 제15권2호
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    • pp.111-117
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    • 2009
  • We intended to identify the health state of Oriental medical students and also to know how many things of health practice are in healthy group and non-healthy group classified by the THI average score, according to sasang constitution. We collected data with self-administered health questionnaires from 297 men and women, in 9 Korea oriental medical colleges. We diagnosed Sasang constitution using QSCC II and also estimated health degree using THI. Non-healthy group practiced much more health behaviors than healthy one, and there were significant difference in Taeeumin and Soeumin. Non-healthy group of Taeeumin, Soeumin and Soyangin all practiced much more constitutional health behaviors than healthy one, and Soeumin non-healthy and healthy one all practiced much less health behaviors than Taeeumin and Soyangin group. Non-healthy group practiced health behavior for health care and maintenance more than healthy-one, and health state was related with sasang constitution health care. Therefore, institutional and systematic environmental condition would be needed in practicing healthy behaviors for improving the quality of health, and especially developed health promotion programs according to Sasang constitution too.

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Frequency of EGFR Mutations in Non-small Cell Lung Cancer Patients: Screening Data from West Siberia

  • Gervas, Polina;Ivanova, Anna;Vasiliev, Nikolay;Ananina, Olga;Zharkova, Olga;Rogovieva, Olga;Verzhbitskaya, Natalia;Didichuk, Ivan;Cheremisina, Olga;Popova, Natalia;Goldberg, Victor;Cherdyntsev, Evgeny;Choynzonov, Evgeny;Cherdyntseva, Nadezda
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.689-692
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    • 2015
  • Background: Incorporation of molecular analysis of the epidermal growth factor receptor (EGFR) gene into routine clinical practice has shown great promise to provide personalized therapy of the non-small cell lung cancer (NSCLC) in the developed world. However, the genetic testing of EGFR mutations has not yet become routine clinical practice in territories remote from the central regions of Russia. Therefore, we aimed to study the frequency of major types of activating mutations of the EGFR gene in NSCLC patients residing in West Siberia. Materials and Methods: We examined EGFR mutations in exons 19 and 21 in 147 NSCLC patients (excluding squamous cell lung carcinomas) by real time polymerase chain reaction. Results: EGFR mutations were detected in 28 of the 147 (19%) patients. There were 19 (13%) cases with mutations in exon 19 and 9 cases (6%) in exon 21. Mutations were more frequently observed in women (42%, p=0.000) than in men (1%). A significantly higher incidence of EGFR mutations was observed in bronchioloalveolar carcinomas (28%, p=0.019) and in adenocarcinomas (21%, p=0.024) than in large cell carcinomas, mixed adenocarcinomas, and NOS (4%). The EGFR mutation rate was much higher in never-smokers than in smokers: 38% vs. 3% (p=0.000). The frequency of EGFR mutations in the Kemerovo and Tomsk regions was 19%. Conclusions: The incorporation of molecular analysis of the EGFR gene into routine clinical practice will allow clinicians to provide personalised therapy, resulting in a significant increase in survival rates and improvement in life quality of advanced NSCLC patients.

호흡바이오피드백 훈련이 간호대학생의 임상실습시 스트레스에 미치는 효과 (The Effect of Breathing Biofeedback Training in the Stress of Nursing Students in Clinical Practice.)

  • 권영숙;김태희
    • 기본간호학회지
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    • 제6권2호
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    • pp.169-184
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    • 1999
  • The purpose of this study was to identify the effects of breathing biofeedback training on the stress of nursing students in clinical practice. The research design was a nonequivalent control group pretest-posttest design. The subjects of this study were 39 nursing students from the College of Nursing of K University. The study was conducted from July 20 to September 3, 1998. The subjects were assigned to one of two groups : the experimental group (19 students), and the control group (20 students). The breathing biofeedback training was performed 12 times with the experimental group. The level of psychological stress was measured using the State Anxiety Inventory, Profile of Mood State, and Visual Analogue Stress Scale. The level of physiological stress was measured using pulse rate and blood pressure. The data were analyzed using descriptive statistics, $x^2-test$, t-test, and repeated measures of ANOVA. The results of study are as follows : 1) State anxiety scores were not significantly different between the experimental group and the control group after the biofeedback training. 2) Profile of mood state scores were not significantly different between the experimental group and the control group after the biofeedback training. 3) Visual Analogue Stress Scale scores were significantly different between the experimental group and the control group after the biofeedback training(F=11.68, p=0.002). 4) Pulse rates were not significantly different between the experimental group and the control group after the biofeedback training. 5) Systolic blood pressures were significantly different between the experimental group and the control group after the biofeedback training(F=5.44, p=0.025). 6) Diastolic blood pressures were not significantly different between the experimental group and the control group after the biofeedback training. On the basis of the above findings, the following recommendations for further study are made ; 1) Identification of the effects of breathing biofeedback training at times of high stress during clinical practice. 2) Identification fo the effects of stress reduction according to the frequency of the breathing biofeedback training.

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산모와 배우자의 태교인식과 실천에 관한 연구 (A Study on the Cognition and Practice of the Delivered Woman and Her Husband for the Fetal Education)

  • 문희수;최의순
    • 여성건강간호학회지
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    • 제8권4호
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    • pp.583-594
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    • 2002
  • The purpose of this study was to perform the fetal education effectively for the delivered woman and her husband. This study was conducted by the questionnaire survey on 199 delivered women and their 171 husbands at several hospitals located in Seoul and Kyonggi Province from February 28 to March 26, 2002. The contents of questionnaire included the purposes, the cognition and the practice of fetal education. The SAS program was used for the statistical analysis of the data. The character of subject was analyzed by the percentage. The difference between the cognition and practice of fetal education was analyzed by t-test, ANOVA, Wilcoxon rank sum test. The factor analysis affected on the practice of fetal education was adopted by Multiple regression. The results were as follows; 1. In the purpose of fetal education, the well- balanced emotion showed the highest mark. The cognition of fetal education(woman:$4.39{\pm}0.52$, husband:$3.88{\pm}0.70$) and the practice (woman:$3.88{\pm}0.60$, husband:$3.83{\pm}0.70$) showed the relatively high mark, but the score of cognition showed higher than that of practice. 2. In the comparison of the cognition between the delivered woman and the husband for the fetal education the item of the mental or health state would affect unborn baby, which occupied the highest mark in both woman and the husband(woman:$4.81{\pm}0.44$, husband:$4.81{\pm}0.50$). But they were prohibited to eat the deformed food, which showed the lowest mark(woman:$3.19{\pm}1.12$, husband:$3.21{\pm}1.29$). 3. In the comparison of the practice for the fetal education between the delivered woman and the husband, the practice for the healthy baby showed the highest mark in woman ($4.51{\pm}0.71$), which had a statistically significant difference(P=0.025), compared with that of the husband($4.13{\pm}0.99$). 4. In the comparison of cognition and practice for the fetal education, the general character was associated with the duration of marriage, the satisfaction with marriage and the support of husband on pregnancy. The mark was associated with the age of woman, the level of education and the first birth. 5. The significant factors influencing on the practice for the fetal education were connected with the cognition of fetal education, age, satisfaction with marriage, the support of husband on pregnancy, the type of family, the experience of delivery and the state of health during the period of pregnancy. etc. In conclusion, it is indicated to make effort for transforming and developing the traditional fetal education in accordance with the modern fetal education. And it is suggested that the fetal education might be recognized by all members of family, and the importance of husband's role for the fetal education should be informed as well as that of woman's.

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