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Knowledge of Human Papillomavirus (HPV) Infection, Cervical Cancer, and HPV Vaccine and its Correlates among Medical Students in Southwest China: a Multi-center Cross-sectional Survey

  • Wen, Ying;Pan, Xiong-Fei;Zhao, Zhi-Mei;Chen, Feng;Fu, Chun-Jing;Li, Si-Qi;Zhao, Yun;Chang, Hong;Xue, Qing-Ping;Yang, Chun-Xia
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5773-5779
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    • 2014
  • Background: Since cervical cancer can be prevented and controlled through human papillomavirus (HPV) vaccination, it is important to train health care providers and provide them with appropriate knowledge. This study aimed to understand the level of HPV related knowledge among medical students and correlates in Southwest China in order to address any potential gap in their knowledge base. Methods: We conducted a cross-sectional survey among medical students in six selected universities across Southwest China based on a pretested questionnaire regarding HPV infection, cervical cancer, and HPV vaccines. Results: We successfully surveyed 1, 878 medical students, of whom 32.1% were males and 67.9% were females. Their mean age was 20.8 (standard deviation: 1.3) years. 91.8% of them were ethnic Han Chinese, and 43.8% were students in clinical medicine. While 76.5% had heard of HPV only 48.8% knew that the prevention of cervical cancer was possible through HPV vaccination. Only 42.9% of the male and 49.2% of the female students correctly answered over 10 out of 22 questions on HPV related knowledge. Female students appeared to know more about HPV and HPV vaccination (OR: 1.39; 95% CI: 1.11-1.75). In addition, the student knowledge improved with the grade (p<0.001). University courses were the most selected source of knowledge about HPV vaccination (66.4%). 83.6% of males and 91.4% of females were willing to have more HPV related education by experts (p<0.001). Only 10.1% of the students acknowledged that people had asked for their advice regarding HPV vaccination. Conclusions: Our survey indicates that medical students from Southwest China have poor knowledge of HPV and HPV vaccination, but are willing to receive more relevant information. Targeted education should be incorporated into school courses to inform these future health care providers and ensure success of programs for cervical cancer control and prevention.

A Study of Collection Development Policies of the University Libraries in Korea (한국의 종합대학도서관 장서개발정책에 관한 연구)

  • 손정표
    • Journal of Korean Library and Information Science Society
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    • v.11
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    • pp.101-142
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    • 1984
  • This study is a survey of collection development policies in the 40 university libraries among 42 in Korea as of 1984. The survey used a questionnaire with 36 questions concerning the basic elements of the collection development policy. The survey results revealed many problems demanding correction. The measures to correct the problems in the university libraries are as follows. 1. It is desirable that the libraries should have a collection development policy statement written and adopted for the systematic collection building. 2. It is advisable that the libraries should include a function of the materials selection among other various functions of the Library Committee for the purpose of informing administrators of the goals of the libraries and the validity of the budgetary allocation. 3. It is desirable that each library should organize the Collection Development Committee for minimizing the possibility of personal bias on the part of the individual selectors. 4. It is advisable that the primary responsibility for materials selection should be delegated as follows: for the materials for faculty research, to the faculty members; for the other collections, to the professional staff of each department; for the final review of whether or not to purchase, to the Collection Development Committee. 5. It is desirable for the purchase priority of materials to be set up in accordance with the order of 6 levels of collection development. 6. It is advisable that the libraries should, as top priority, purchase materials in direct su n.0, pport of the undergraduate and graduate academic programs, and in subject matter areas other than languages and literature, Korean materials should have not only the higher priority than the foreign language materials, but also maintain the comprehensive collection level. 7. It is desirable that the special collections should be purchased by special funds from the authority, and the special collections librarian should have the responsibility of the materials selection under the advice of the faculty members relating to the subject area. 8. It is advisable that duplicate copies should be bought only for high use items, but for reserve books, by the program enrollment, and textbooks should not be bought in general, except as su n.0, pplemental materials for course work in which they are necessary and heavily used. 9. It is reasonable that the material budget should be distributed as follows: by the ratio for distributing funds, about 60-70% for the library and 30-40% for departments; by the type of materials, about 50% for books, 40% for periodicals and 10% for other materials, or when not bought other materials, about 50-60% for books and 40-50% for periodicals. In addition, it is desirable that undergraduate class enrollment, graduate class enrollment, undergraduate majors, graduate majors, average book cost in the discipline, number of faculty, and use rate by subject should be considered as the factors for the allocation of funds by department, and special consideration should be given to newly-founded departments so the library holdings can be adequate to su n.0, pport them.

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A Study for 8 Constitution Medicine Diagnosis Expert System Development (8체질의학을 위한 진단 전문가 시스템 개발 및 고찰)

  • Shin, Yong-Sup;Park, Young-Bae;Park, Young-Jae;Kim, Min-Yong;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.1
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    • pp.142-184
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    • 2008
  • Background: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives: This study is to make out 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods: First, at case base construction process we constructed case base for CBR embodiment because gathering 925 cases all to patient who constitution is verified, and second, at study model establishment process superior expert system development by purpose CBR of reasoning process dividing fundamental type CBR that spend basis data value and expert type I II III CBR that reflect weight in basis data value according to advice expert opinion, and third, system embodiment process explained about way to give process and weight that diagnose constitution through Nearest Neighbor Method sampling process of CBR techniques, and fourth, at system estimation process we selected superior CBR model because comparing and estimate the diagnosis rate of expert system with fundamental type system (GECBR) model and expert type I II III CBR system (AVCBR, AACBR, AGCBR) model that reflect expert opinion in fundamental type system. GECBR and AGCBR chose on superior study model. Through such 4 study process, we developed 8 constitution diagnosis expert system lastly. Results: 1. When we select GECBR that is fundamental type by reasoning system, diagnosis rate 78.91% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 90.4%, Cholecystonia 63.0%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 71.2%, Colonotonia 74.4%, Renotonia 37.5%, Vesicotonia 67.1% expect. 2. When we select AGCBR that is expert type III by reasoning system, diagnosis rate 77.51% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 93.4%, Cholecystonia 58.5%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 73.1%, Colonotonia 64.4%, Renotonia 41.7%, Vesicotonia 72.2% expect. Conclusion: Based on this study, 8 constitution diagnosis expert system may give help to diagnose 8 constitution, and it is going to utilize as objective estimation tool of 8 constitution diagnosis, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this study.

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Application of the Evaluation Tool for the Performance Outcomes in Fundamental Nursing Practicum: A Case Study Focused on Evaluating of Communication Ability (기본간호학실습에서 학습성과 평가도구의 적용 사례: 의사소통능력 평가를 중심으로)

  • Kim, Haejin;Cheon, Eui Young;Kim, Eun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.173-180
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    • 2020
  • This is the report of a case study to describe the results of applying an evaluation tool for communication ability when performing core basic nursing skills in fundamental nursing practice education. The communication ability evaluation tool was constructed based on a literature review and expert advice. The tool was applied to test 94 students who were taking fundamental nursing practice courses from October to November 2019. As a result, five factors (self-introduction, eye contact, emotional support, information provision, and therapeutic touch) were derived as evaluable items of communication ability to be evaluated when performing core basic nursing skill, and were evaluated when performing core basic nursing skills to measure vital signs. The average communication ability was 3.96 out of 5 points. According to the rubric, 95.8% of all students attained 'medium' and reached their goal achievement level. The findings of this study are meaningful in providing an important basis for improving the performance outcome evaluation process and for constructing a systematic evaluation system in fundamental nursing practicum. Further studies to secure the validity and reliability of this communication ability evaluation tool and comparative studies with various evaluation tools are suggested.

Overcoming the Discourse of Foreignness: A Study on Class Positionality and Dual Identity of Korean Housemaids and Korean-Chinese Domestic Workers (외국인 담론 극복하기: 식모와 조선족 입주 가사노동자의 계급적 위치성과 이중적 정체성에 관한 연구)

  • Park, Soyoung
    • Journal of the Korean Geographical Society
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    • v.50 no.2
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    • pp.185-201
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    • 2015
  • This paper suggests how Korean housemaids, called Sikmo, and Korean-Chinese migrant domestic workers have similar class positions and therefore form a dual identity in their interactions with female employers. rough spoken stories of the experiences of 27 females from Seoul, including Korean-Chinese domestic workers, Korean housemaids, and their employers, this research effectively overcomes the dichotomous discourse of natives versus foreigners. Instead it suggests the new interpretation that it is not foreignness but class inferiority of the domestic workers that plays a key role in establishing relationships with employers. Korean housemaids and Korean-Chinese domestic workers, both groups of whom are migrant workers, have developed coping strategies to enhance their labor value by spatially relocating themselves from their home society to a new society. They possess a similar labor status in women's history, being of low income, low education, and rural births. Consequently, these women experience 'translocal anchoring,' meaning their identities are intertwined with that of their home societies, and employers perceive them based on the characteristics of these places. The Korean employers perceive that the domestic workers' morality and intellectuality are inferior based on their class differences. This stigmatizing process leads employers to regard domestic workers as ambivalent people, not only threatening outsiders but also objects of pity, needing love and protection of their employers. The employers educate them culturally, teaching them skills to survive in the urban environment. These skills include cooking and language, in addition to advice on long-term plans to blend into society.

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A Study on the Roles and Revision of eUCP for Global Electronic Trading (글로벌 전자무역의 실현을 위한 eUCP의 역할과 개정방안)

  • Choi, Seok-Beom;Hong, Sung-Kyu
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.18
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    • pp.105-134
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    • 2002
  • In the Spring of 2000, the Banking Commission of the ICC decided to appoint a working group to draft a supplement to the UCP 500 to clarify the position regarding electronic presentation under a documentary credit. Provisions was drafted to supplement its existing rules for documentary credit, that is, UCP 500. These new provisions known as Supplement to UCP 500 for Electronic Presentation was approved by the ICC Banking Commission at the beginning of November 2001 and came in force as of 1 April 2002 The eUCP covers matters such as definitions of key terms such as electronic record, electronic signature, format, paper document, received. An eUCP Credit must specify the formats in which electronic records are to be presented and if not, electronic records may be presented in any format. Electronic records may be presented separately and need not be presented at the same time. The purpose of this paper is to understand the main substance of eUCP and to facilitate the introduction of electronic letter of credit by studying the problems and revision of eUCP and new electronic UCP. The main substances of eUCP are electronic address as place for presentation of electronic records, flexibility of the formats of electronic records to be presented, endowment of the notice of completeness of presentation to the beneficiary, one electronic record satisfying one or more originals or copies of an electronic record, the electronic records to be examined including the electronic record at the hyperlink to an external system or the referenced system, no remark as to the time period for the examination of documents. The Roles of eUCP are the Promotion of the Electronic Trade, the Supply of Basis on the Uniform Rules for Electronic Letter of Credit, the introduction of Electronic Trade Model. The characteristics of eUCP are a supplement to the UCP, no address of any issues relating to the issuance or advice of Credit electronically, independence of specific technologies and developing electronic commerce system, that is, Bolero Service. The Problems of eUCP are flexibility of format of electronic record, heavy burden on the side of banks, and the problems regrading the number of presentation, the notice of completeness of presentation, no provision in regard to the time to examine the electronic records, and representation of the electronic records. In the revision of eUCP to resolve the problems, the things to be taken into consideration are as follows; the designation of the format allowing the banks to examine electronically, prohibition of the paper documents, the development of the system receiving the electronic records, the addition of the reception notice on the side of the banks, the setting of the time to examine the electronic records, the construction of the backup system or the dual processing system.

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Survey on Status of Operation of After-School Science Activities in Elementary School - Focus on Elementary School Parents' Perception in Gyeonggi Province (초등학교 방과후 과학관련 특기적성 운영 실태 조사 - 경기지역 초등학교 학부모 인식을 중심으로)

  • Park, ChulSun;Kwon, Nanjoo
    • Journal of Science Education
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    • v.38 no.3
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    • pp.490-508
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    • 2014
  • The objective of this study is to describe the status of operation of after-school science activities in elementary school and offer suggestions for the activation of such programs by targeting parents who participated in an open class, and examining their recognition of the program. To achieve this, announcement sheets for after-school science activities in 809 elementary schools in Gyeonggi-do were collected to examine the class names, class fees, material costs, and management status of class hours. In addition, 36 parents who participated in an open class were targeted, and their recognition of the program was analyzed using the results of a questionnaire. A draft of the questionnaire was developed by revising and complementing the 2013 customer satisfaction survey of the living science class of the Korea Foundation for the Advancement of Science & Creativity. The final questionnaire was completed by consulting 1 science education professor and 12 Master's candidates in science education for advice on the validity of the questionnaire content and terminology. The collected data were analyzed using a statistical program. Based on the results of the study, the following suggestions are proposed for the activation of after-school science activities in elementary school. First, the needs of education consumers (parents) should be identified and reflected persistently to activate after-school science activities in elementary school. Second, a science program that reflects the demand and choice of education consumers (parents) needs to be developed for the continuous activation of after-school science activities in elementary school.

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Surrogate and Shared Medical Decision Making for Unrepresented Patients (의료행위에 대한 동의에서 환자 보호자의 법적 지위와 역할 - 대행결정권과 공동의사결정을 중심으로 -)

  • Kim, SooJeong
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.43-82
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    • 2019
  • In Korea surrogate medical decision makings happen without legal grounds. The purpose of this article is to research the issues in preparing policies for decision-making on behalf of unrepresented patients. As aspects of comparative law, there are two approaches. One of them is to regulate default surrogate list. If no agent or guardian has been appointed, some legislatures provide that members of patient's family who is reasonably available, in descending order of priority of not, may act as surrogate: (1) the spouse, unless legally separated; (2) an adult child; (3) a parent; or (4) an adult brother or sister. If none of them is eligible to act as surrogate, some legislatures allow close friends to make health-care decisions for adult individuals who lack capacity. On the other hand there are other legislatures which provide no surrogate decision maker list but oblige the responsible authority to determine with advice of family members or friends of the patient. In the end the first approach can not guarantee that the surrogate decision maker like family members or friends will determine in the best interest of the patient.

New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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A study on dental health and physical & psychological health status of the aged (노인 구강보건실태 및 신체·심리적 건강상태에 관한 연구)

  • Yoon, Young-Suk;Jung, Young-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.1
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    • pp.39-51
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    • 2005
  • This study was conducted to investigate the dental health and physical & psychological health status of the aged. The subjects were 61 old persons, women who were over 65, living at Sahagu in Pusan. The data for this study were collected by using direct interviewing method from October 22th, 2004. The data were analysed by using a computerized program named statistical package for social science including frequency, percentage, ANOVA. The results of the study were summarized as follows: 1. The dental status and the use of dental care institute 1) In status of denture use, it was found to be no denture(45.2%), full denture(35.5%), partial denture(19.4%). 2) In the questionaire of "when did you go to the dental care institute recently?", it was found to be uncertain(41.9%), less than one year(38.8%), 2~3years(16.1%), 1~2years(3.2%). 3) In the questionaire of "what type of the dental care institute did you use?", it was found to be in the dental clinic(80.6%), others(9.7%), dental hospital(6.5%), department of dentistry in general hospital(3.2%). 4) In the questionaire of "why did you select the dental care institute?", it was found to be in the nearly distance(80.6%), relative advice(16.1%), advertisement(3.2%). 5) In the questionaire of "how did you go to the dental care institute?", it was found to be walking(71.0%), bus & subway(22.6%), car(3.2%) and others(3.2%). 6) In the questionaire of "how long did it take to the dental care institute?", it was found to be 10~30min(48.4%), less than 10min(38.7%), 30min~1h(6.5%), 1~2h(3.2%), more than 2h(3.2%). 7) In the questionaire of "what kind of dental care did you take?", it was found to be denture making(45.2%), extraction of tooth, dental surgery, general exam(12.9%), caries(9.7%), denture repair(6.5%), others(3.2%). 8) In the questionaire of "how much did you pay for dental care recently?", it was found to be less than 5,000won(35.5%), 20,000~100,000won(19.4%), 1~3million won(16.1%), 5,000~20,000won, 100,000~300,000won, 500,000~1million won, more than 3million(6.5%), 300,000~500,000won(3.2%). 9) Average score of the subject's physical health status was 4.11 and psychological health status, 4.01 in a 5 point Likert scale. 10) The physical and psychological health status showed the significant differences according to the frequency of eating snack(pE0.05) and snack type(pE0.01). Above findings suggest that geriatric oral health program is necessary in improving the dental health & health status of the aged.

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