• Title/Summary/Keyword: center-based day care

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The Effect of School Dental Service on Dental Health Knowledge, Beheaviors and Dental Health Status Among Elementary School Students (학교 구장보건실 운영이 초등학생들의 구강보건지식, 행태 및 건강상태에 미치는 영향)

  • Lee, Tae-Yong;Yun, Go-Eun;Kim, Kwang-Hwan
    • The Journal of Korean Society for School & Community Health Education
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    • v.10 no.1
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    • pp.87-104
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    • 2009
  • Objective: In this study, the dental health care knowledge, dental health behaviors and dental health status of elementary school students were compared and analyzed in the cases of their schools having dental health care center or not one. Methods: The target groups were 167 students of A school (experimental group) where pit-and-fissure sealants, fluoride mouthrinsing, and fluoride gel application were carried out with all grades of students by school dental health care center and 158 students of B school (control group) where fluoride mouthrinsing, for all grades students and pit-and-fissure sealants for the first grade students are carried out but have no the school dental health care center. Results: This study was carried out through the answer sheets and recordings of dental inspection. The findings of this study are as follows: 1. The dental health care knowledge was compared and the results showed that on average 14.2$\pm$2.1 in experimental group and 14.0$\pm$1.9 in the control group were no significantly different (p>0.05). 2. The dental health behaviors were compared and the results showed that the experimental group was significantly different(p<0.05) in terms of the number of times of dental brushing a day, the method of tooth brushing, the time of tooth brushing, the experience of tooth brushing with fluorine, the kinds of snacks and tooth brushing in school after lunch. But there was no significant difference(p>0.05) in the time of tooth brushing and the tooth brushing after eating snacks. 3. The DMF rate was compared and the results showed the significantly difference between the average experimental group and 53.8$\pm$5.0 in the control group(p<0.05). 4. The DMFT index was compared and the results showed the significantly difference between the average 0.6$\pm$2 in the experimental group and 1.4$\pm$1.6 in the control group(p<0.05). 5. The DMFI rate was compared and the results showed the significantly difference between the average 4.2$\pm$8.3 in the experimental group and 9.5$\pm$11.0 in the control group. (p<0.05). 6. The DT rate were compared and the results showed the significantly difference between the average 10.2$\pm$29.5 in the experimental group and 32.4$\pm$44.0 in the control group(p<0.05). 7. The FT rate were compared and the results showed the significantly difference between the average 88.5$\pm$31.0 in the experimental group and 67.5$\pm$44.0 in the control group(p<0.05). Conclusions: Based on the results, above there was no significant difference in dental health care knowledge between both the experimental and the control group. But we discovered that the experimental group is better than the other one in dental health care behaviors and dental health status. Therefore, we could conclude that the school dental health care center efficiently carried out the dental care and treatment. As school dental health care centers did not work out efficiently in terms of their educating on the dental health acre knowledge, the related programs to be developed and supported.

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The Effect of the Intergenerational Character Education Program for Young Children (세대통합 유아인성교육프로그램의 효과)

  • Lee, kyeong Min;Lee, Eun Hee
    • Korean Journal of Child Education & Care
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    • v.17 no.2
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    • pp.115-136
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    • 2017
  • The purpose of this study was to exam the effect of the intergenerational program of character education for young children. For this purpose, the intergenerational program of character education for young children were constructed and implemented based on the previous studies of intergenerational program and of character education linking with nuri-curriculum. The subjects of this study were 24 children aged 3 and 6 elderly people in their 70s. The findings of this study were as follows; First, the elderly-children intergenerational program show the positive effect in order of filial duty, public order, cooperation, consideration, respect and sharing. Second, there were the changes of behavior and attitude from the children toward the elderly.

Working Conditions in Home Health Care Nursing: A Survey of Home Care Nurses in Hospitals in Korea (전국 의료기관 가정간호사 근무 실태)

  • Ryu Hosihn;Jo Heasook;Kim Yoonok;Yoon Youngmi;Song Jongrae;Lim Ji Young;Khim Soonyong;Kim In-A
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1229-1237
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    • 2005
  • Purpose: The purpose of this research was to address the working conditions of home health nurses through a nationwide home health agency survey conducted at hospitals. Method: The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of $71.8\%$. Result: (a) Seventy-five percent of home health agencies were established within the past5 years and half of home health nurses are over 40 years old. (b) Working conditions were considered as follows: Seventy-one percent of respondents were full-time employees, sixty-sixpercent of home health nurses had unscheduled visits on a regular day of duty and forty-eight percent were on vacation. Fifty-one percent of home health nurses have experienced traffic accidents and paid. penalties ($65.9\%$). Self-reported monthly income level per year was an average of 28,364,000 won. (c) Rates were significantly higher for shoulder pain ($61.5\%$), lower back pain ($54.1\%$), knee pain ($39.4\%$), and gastrointestinal problems ($33.0\%$). Conclusion: These baseline results show the importance of improving home health nursing working conditions, a comprehensive prevention system and safeguards from physical discomfort.

A Study on the Burdens and Depressive Reactions on Families who Cared for Patients Suffering from Senile Dementia (치매노인을 돌보는 가족의 부담감과 우울반응에 관한 연구)

  • 김영자;이평숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.766-779
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    • 1999
  • The purpose of this study was to investigate the relationship between the burden on families who live with an elderly person suffering from senile dementia, and the degree of their depression. There were 400 participants in this study, staying in the Seoul and Kyonggi areas from August 1, 1997 to February 28, 1998. Among the group, 100 participants took care of their patient at home, and another 300 participants left 100 patient at a day-care center, 100 sanatorium for senile dementia(asylum for helpless elderly people), 100 an infirmary for elderly people. Eventually 242 subjects out of the 400 were selected for the data analysis. The Zarit (1980) tool was employed to measure the degree of burden and Zung's(1965) “Self-Rating Depression Scale” was employed for the data analysis. The data was analyzed, and the percentage, t-test, ANOVA and Person's Correlation Coefficient were calculated. The results are as follows : 1. The average degree of burden that care-giving families felt was 49.13, which is somewhat high. 2. The average degree of depression that care -giving families felt was 51.95, which is relatively high. 3. The degree of burden was directly affected by the relation with the patient(F=2.48, P<.05), and the socio-economic status of the family(F=5.17, P<.05). Its also affected by the patient's educational status(F=2.17, P<.05). 4. The degree of depression of the family was significantly dependent on sex(t=-2.05, P<.05), age (F=2.99, P<.05), the relationship with the patient(F=3.65, P<.01), socio-economic status (F=7.74, P<.001), occupation(t=2.82, P<.01), health status(F=4.42, P<.01), and the place of residence(F=4.30, P<.01), The patient characteristics was significantly dependent on his/her educational status(F=3.85, P<.01), the period of suffering from senile dementia(F=2.47, P<.05), and smoking habit(F=6.17, P<.001). 5. The relationship between the degree of burden and that of depression reads r=0.43, which is statistically positive correlation in the high significant level. Upon analyzing the entire summation, most care-givers for elderly patients suffering from senile dementia lack time in caring for themselves. They also experience chronic fatigue and mental discomfort caused by the isolation from society, curtailment of certain activities, a sense of responsibility for their patients, and limits of their endurance in taking care of their patients over time. In conclusion, this study emphasizes the necessity for the following propositions : 1. In order to measure the degree of burden that Korean care-giving families undergo, a new tool must be developed on the basis of Korean culture. 2. An educational program based on the demands that care-giving families undergo must be developed, and its clinical effect also has to be examined.

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Effects of a Consumer Education Program Based on an Integrated Approach for Teaching Consumer Behavior (통합적 접근에 의한 소비자교육 프로그램이 유아의 소비자 행동에 미치는 영향)

  • Byon, Kil-Hee;Sim, Sung-Kyung;Song, Hwa-Jin;Park, Young-Sim;Kim, Joong-Guen;Kim, Eun-Ah
    • Korean Journal of Child Studies
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    • v.27 no.6
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    • pp.167-181
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    • 2006
  • The subjects of this study of the effects of a consumer education program were 22 experimental and 21 control group children aged five in 2 classes of D day care center in J City. The 14 week consumer education program, based on Lee Ki Soak et al.(1998), was composed of sixteen activities covering five areas relating to curriculum themes, and three activities designed to be employed continuously regardless of the curriculum themes. Pre-, post-, and follow-up surveys were conducted using the consumer behavior questionnaire for mothers. Results showed immediate overall positive effects, including improvement in resource management behavior among sub-areas of consumer behavior. Continued effects of the program were validated by the follow-up survey conducted 4 month after the training program ended.

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A Qualitative Case Study on the Child-rearing Experiences of a Couple who was Raised in a Child Care Institution (아동양육시설에서 성장한 부부의 자녀양육 경험에 관한 질적 사례연구)

  • Park, Shinae
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.9
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    • pp.519-527
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    • 2017
  • The purpose of this study is to take a closer look at the child-rearing experiences of a two married individuals who were both raised in a child care institution after they had been separated from their parents. Data was collected from a husband and wife who had grown up together in the same child care institution, and in-depth interviews were conducted on them. The research method was analyzed by a qualitative case study. According to the results, the following main themes were extracted from the experiences of the child-rearing couple : 'A family made to escape loneliness', 'Childbirth that started without preparation and fell into the swamp of child rearing', 'Faced reality, regret, and reflection', and 'Finally regaining strength because of the responsibility to be a parent'. The couple married with vague fantasies and without any preparation to escape from the terrible loneliness. Like the marriage, the couple subsequently did not have a specific plan for childbirth. Later, it proved difficult to raise children who did not receive enough information or education, and the couple became exhausted. After the child entered the day care center, the couple experienced a sense of regret and was forced to reflect as they faced a child who resembled their negative appearance. The couple also reported that they felt deeply responsible for their parents even though they did not grow up with any form of parental care. Based on these findings, this study suggested a social welfare intervention plan which could have helped the married couple grow up in the child care institution.

Aromatherapy Healing-based Fusion, Complex Social Service Professional Training Program Development and Application Case Study - Gwangju is the center of the city - (향기치유기반 융·복합 사회서비스 전문인력 양성 교육프로그램 개발 및 적용사례 연구 -광주광역시 중심으로-)

  • Jung, Sook-Heui;Park, Hee-young
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.103-112
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    • 2022
  • As an alternative to improving the quality of life of the elderly and meeting the needs of high-level care, nursing services and needs, we aim to be the basis for formulating improvement proposals by applying the development of a fragrant healing-based fusion and complex social service professional training program. After conducting a questionnaire survey of 30 trainees in Guangzhou for 16 days from June 14, 2021 to September 23, 2021, and conducted a 7-day questionnaire survey, the education preference survey showed that in the educational preference, aromatherapy education was the highest surveyed at 42.11%, and the need for aromatherapy courses after the application of educational programs was the highest at 50%, and satisfaction was the highest at 48%. Accordingly, this study is used as a basis for the revitalization of the age-friendly industry and aims to contribute to the consolidation of senior care and nursing services and the securing of excellent personnel related to high-value-added fusion and complex social services.

A Study of Improvement of Skin Condition and Sensory Efficacy by Periodic Application of L-α-Amino Acid (L-α-아미노산의 주기적 도포에 의한 피부개선 효능과 소비자 체감 효능 연구)

  • Kwon, Koo Chul;Lee, Sung Woo;Ahn, Byungjun;Kang, Nae-Gyu;Park, Sun Gyoo;Park, Sang Wook
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.45 no.1
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    • pp.9-17
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    • 2019
  • In this study, $L-{\alpha}-amino$ acid, which is a constituent of natural moisturizing factor, was applied to skin in periodic cycle to improve skin tone and texture roughness. Based on the polarity of the alkyl group (R) of the $L-{\alpha}-amino$ acid, the acid was categorized into two groups and their efficacy was studied. As a result, it was found that the improvement rate of $L-{\alpha}-amino$ acid complex with polar alkyl group ($L-{\alpha}-AAC-1$) is 21% higher than that of $L-{\alpha}-amino$ acid complex with non-polar alkyl group ($L-{\alpha}-AAC-2$). For clinical trials, emulsions containing $L-{\alpha}-amino$ acid complex ($L-{\alpha}-AAC-1$) were applied to the randomly selected 20 to 40 year old female participants, as an experimental group, on the right facial cheek once per day for 8 weeks, and emulsions without $L-{\alpha}-amino$ acid complex, as a control group, were applied to the left facial cheek in the same way. Improvements in skin tone were measured using $JANUS^{(R)}$ equipment and analyzed using image analysis software. Skin texture improvement was measured and analyzed mechanically using the phaseshift rapid in-vivo measurement of the skin (PRIMOS) equipment. As a result, improvements of skin tone and skin texture were 11.7% and 6.7%, respectively. In addition, a questionnaire survey was conducted to the participants on the aesthetic improvement and the degree of the feeling of skin improvement. The results suggest that $L-{\alpha}-amino$ acid can be used as a cosmetic substance that can provide aesthetic satisfaction through physiological skin tone and texture roughness.

Respiratory Hospital Infections of Patients with a Tracheostomy (기관절개술 환자의 호흡기계 병원감염양상에 관한 연구)

  • 양숙자;최영희;김문실
    • Journal of Korean Academy of Nursing
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    • v.19 no.3
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    • pp.240-248
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    • 1989
  • The increase in size and numbers of general hospitals in the process of conspicuous development of modem medicine has been accompanied by a serious increase in hospital acquired infections. Hospital aquired infections cause pain and discomfort, may threaten life, adds an economic burden, and delays recovery and return to society. Even though respiratory hospital infection rates resulting for tracheostomy and respiratory inhalation therapy, may be low, they are serious because of their bad prognosis and high mortality rates. This study was designed to assess certain aspects of respiratory infections of patients with a tracheostomy and thus provide baseline data for further research related to preventive or therapeutic nursing interventions. The specific objectives were to determine the incidence of colonization in the trachea, clinical signs, type of colonized bacteria and sensitivity to antibiotics. Data were collected from July 1 to December 10, 1989 at two university Hospital in Seoul. Subjects were 20 patients with a tracheostomy admitted to the Intensive Care Unit or Cerebral Vascular Accident Center. Clinical signs related to respiratory infection were observed using a checklist based on previous study outcomes. Bacterial culture, sensitivity test to antibiotics, WBC counts and chest X-ray were also performed. Cultures were done on the day of tracheostomy, and on the third, fifth and seventh day. Cultures were then done on seventh days after the first colonization. The results were as follows : 1. The incidence of bacteria colonization in a week was 90%(18 patients) 50% (10/20 patients) on the day of tracheostomy, 70%(7/10 patients) on the third day, and 0% on the fifth day, and 33%(1/3 patient) on the seventh day. 3 of 18 patients (16.7%) were colonies of mixed growth isolated. 2. The observed clinical signs related to respiratory infection were high fever 38.9%(7 patients), prulent secretion 16.7%(12 patients) and infiltration seen on chest X-ray 33.3%(6 patients). 3. The total number of types of bacteria isolated among the 18 subjects was 21 ; gram negative 71.4%, gram postive 28.6%. The dominant bacteria type was Staphylococcus aureus(5 cases) for gram(equation omitted) and Pseudomonas aeruginosa(3 cases), Klebsiella (4 cases), Enterobacter(3 cases) for gram (equation omitted). The results of culture on 7th day after the first colonization, 6 cases showed same type of bacteria, 3cases showed different type of bacteria and 1 cases showed no growth. 4. The sensitivity tests to antibiotics showed that Pseudomonas aeruginosa and Staphylococcus were strongly resistant to most kinds of antibiotics, but Klebsiella and the rest of gram negative bacteria were moderately sensitive to antibiotics.

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Outcomes of endoscopic retrograde cholangiopancreatography-guided gallbladder drainage compared to percutaneous cholecystostomy in acute cholecystitis

  • Hassam Ali;Sheena Shamoon;Nicole Leigh Bolick;Swethaa Manickam;Usama Sattar;Shiva Poola;Prashant Mudireddy
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.1
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    • pp.56-62
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    • 2023
  • Backgrounds/Aims: Endoscopic retrograde cholangiopancreatography-guided gallbladder drainage (ERGD) is an alternative to percutaneous cholecystostomy (PTC) for hospitalized acute cholecystitis (AC) patients. Methods: We retrospectively analyzed propensity score matched (PSM) AC hospitalizations using the National Inpatient Sample database between 2016 and 2019 to compare the outcomes of ERGD and PTC. Results: After PSM, there were 3,360 AC hospitalizations, with 48.8% undergoing PTC and 51.2% undergoing ERGD. There was no difference in median length of stay between the PTC and ERGD cohorts (p = 0.110). There was a higher median hospitalization cost in the ERGD cohort, $62,562 (interquartile range [IQR] $40,707-97,978) compared to PTC, $40,413 (IQR $25,244-65,608; p < 0.001). The 30-day inpatient mortality was significantly lower in hospitalizations with ERGD compared to PTC (adjusted hazard ratio 0.16, 95% confidence interval [CI]: 0.1-0.41; p < 0.001). There was no difference in association with blood transfusions, acute renal failure, ileus, small bowel obstruction, and open cholecystectomy conversion (p > 0.05) between hospitalizations with ERGD and PTC. There was lower association of acute hypoxic respiratory failure (adjusted ratio [AOR] 0.46, 95% CI: 0.29-0.72; p = 0.001), hypovolemia (AOR 0.66, 95% CI: 0.49-0.82; p = 0.009) and higher association of lower gastrointestinal bleed (AOR 1.94, 95% CI: 1.48-2.54; p < 0.001) with ERGD compared to PTC. Conclusions: ERGD is a safer alternative to PTC in patients with AC. The risk complications are lower in ERGD compared to PTC but no difference exists based on mortality or conversion to open cholecystectomy.