• Journal of Sasang Constitutional Medicine
• /
• v.28 no.3
• /
• pp.233-245
• /
• 2016

Objectives There is growing interest in the management of cancer survivors due to the increase in long-term survivors. But no literature research focusing on the management of cancer survivors has been done in Sasang Constitutional Medicine despite the superiority in comprehensive management of patients. Therefore, we planned to look into the perspective of health preservation in Sasang Constitutional Medicine.Methods We investigated the 『Donguisusebowon-Sasangchobongwon(東醫壽世保元 四象草本卷)』. We classified the contents which might be applicable to cancer patients. After classifying, we compared the contents with clinical experience and health preservation methods of Western Medicine.Results and Conclusions The health preservation is mentioned mostly as Joyang(調養). The Sasang Constitutional Medicine classifies the lives of people in 8 stages. Depending on the stages, there is a difference in the prognosis and management. Cancer patients can be regarded as being in the stages of Noeok(牢獄) and Wiegyeong(危傾). In these stages, patient's health preservation is important. In order to achieve long-term survival and to prevent disease progression, it is important to maintain requisite energy(保命之主). The attitudes that patient must have are simplicity(簡約), attentiveness(勤幹), vigilance(警戒), knowledgeability(聞見) for keeping one's own health and fulfilling the social obligations of human relations. The concept of health preservation in Sasang Constitutional Medicine covers the wide range of health. But detailed methods for patients to understand and practice are lacking. Moreover, it is hard for cancer patients to access the information. Therefore, further researches should be done to make the concept more specific and easy to access for cancer patients.

• Journal of Digital Convergence
• /
• v.15 no.12
• /
• pp.381-391
• /
• 2017

The purpose of this study is to investigate the effect of optimism on stress on happiness index. The subjects were 3 and 4 grade students who had clinical practice experience among 3 nursing students at G university, and 362 questionnaires were used as research data. The data analysis used regression analysis, SPSS macro and bootstrapping methods to examine the mediating effects of optimism on college students' stress and happiness. The results showed that stress, happiness, and optimism were significantly correlated, and stress had a direct effect on college students' happiness. In other words, the higher the level of stress, the lower the happiness index of college students. The optimism was partially mediated between stress and college students' happiness index. Therefore, in order to increase the happiness index of college students, it is necessary to develop and implement a program for happiness enhancement as one of the program strategies that can enhance stress.

• Korean Journal of Social Welfare
• /
• v.49
• /
• pp.225-263
• /
• 2002

This study examined reasons for marital satisfaction among men and women, and explored how sources of marital satisfaction varied with gender. Data were drawn from a sell-administered questionnaire study in which 173 married people residing in Seoul participated. Although the majority of both men and women in this study were at least somewhat satisfied with their marital life, men were, on average, more satisfied with their marriage than were women. Content analysis of reasons for marital satisfaction, obtained through an open-ended question, revealed that both men and women mentioned most frequently as their sources of marital satisfaction in this order: spouse, family, and children. However, while a large proportion of men's reasons for satisfaction concerned spouse, particularly affective relationship with their spouses, women's reasons indicated more diverse sources of marital satisfaction, including spouse, family, children, stability of living and of economy. Analysis of specific reasons for satisfaction in each source revealed that marital satisfaction was intimately connected with one's experience of happiness, love, stability, harmony, and peace, and that respondents experienced such positive emotions, leading to marital satisfaction, not only through relationship with their spouses, but also through other sources, such as children, family members, and respondents themselves. Moreover, good personality and health of spouse, family members, and children were frequently cited as reasons for marital satisfaction, and these reasons were more common among women's responses. Based on these results, both universal and cultural characteristics of marital satisfaction were considered, and gender differences in satisfaction with marital life were discussed. Finally, implications for clinical social work practice from this study were provided.

• Clinical and Experimental Reproductive Medicine
• /
• v.13 no.2
• /
• pp.101-112
• /
• 1986

It is now common practice to attempt ovarian hyperstimulation in vitro fertilization and embryo transfer (IVF-ET) to promote the development of multiple preovulatory follicles and to maximize the number of mature egg available. There are several drugs for hyperstimulation such as clomiphene citrate only, clomiphene citrate and human menopausal gonadotropin (HMG) and HMG only. Accumlated experience has shown that the hyperstimulation of the ovary in IVF-ET results in high pregnancy rate. But the hyperstimulation of the ovary in IVF-ET may cause the hyperandrogenism, so we must consider the adverse effect on pregnancy rate of the hyperandrogenism. Little is known about the functional significance of androgen for the follicular growth, however, the hyperandrogenism might interfere with oocyte maturation. The aim of the present investigation was to determine the serum profiles of estradiol, androstenedione and testosterone during the hyperstimulated menstrual cycles in IVF. The results were summarized as follows: 1. There was a gradual increase in the mean levels of serum estradiol, androstenedione, and testosterone approaching follicular maturation. 2. The mean serum estradiol levels in the hyperstimulated groups were significantly higher than that in the control group in late follicular phase and ovum retrieval (ovulation) day (p<0.01). 3. The mean serum androstenedione levels in the clomiphene citrate groups were significantly higher than that in the control group in late follicular phase (p<0.01). There was no statistically significant different in the mean serum androstenedione levels between the control group and the HMG group (p>0.05). 4. There was no statistically significant difference in the mean levels of testosterone among each group (p>0.05). 5. There was no statistically significant different in the mean levels of estradiol, androstenedione and testosterone between the fertilized patients and non-fertilized patients in clomiphene citrate and HMG group (p>0.05).

• Journal of Convergence for Information Technology
• /
• v.7 no.4
• /
• pp.171-183
• /
• 2017

The purpose of the study was to identify the factors influencing the nursing students' job-seeking stress. A cross-sectional descriptive survey, using a structured questionnaire, was used to collect data from Sep. to Oct. 2016. A sample of convenience was 246 nursing students and a questionnaire was used to measure their major satisfaction, CDMSE, self-esteem, ego-resiliency, and job-seeking stress. A significant negative correlation was found among job-seeking stress, major satisfaction, CDMSE, self-esteem, and ego-resiliency. Grade of which the participant was in, self-esteem, academic achievement, experience of clinical practice, and family economic status were significant predictive variables of which accounted for 46.1% of the variance in job-seeking stress. The results from this study can be used to develop programs for job-seeking stress management.

• Restorative Dentistry and Endodontics
• /
• v.6 no.1
• /
• pp.109-114
• /
• 1980

Ease of manipulation, adequate mechanical properties, long years of experience and economical cost are the factors which have established amalgam as the most widely used material for dental restorations. But amalgam restoration may require replacement because of secondary caries, fracture, "fall-out", dimensional change, tarnish or corrosion etc.. These failures of amalgam restorations seem to arise from failures during operations rather than from the inherent shortcomings of the material itself or of the patient's mismanagement. It is anticipated that notonly number of analgam restoration, but failures will be increase after more extensive utilization of the medical insurance which began in 1977. Then authors think that it would be helpful for the development of better treatment in daily dental practice, to know the duration of amalgam restorations and the reasons for their replacement. The data for this survey was compiled from 2, 856 out-patients of the Department of Dentistry, Ewha Woman's University Hospital from January 1975 to December 1977. 260 cases among 1,718 fillings were studied, of which 205 cases both had a single reason for replacement and recognized the date of the previous filling. The results obtained were as follows; 1. Amalgam fillings were 58. 5 percent of all dental restorative materials. Of these, 15. 13 percent of the amalgam restorations had to be replaced. 2. The first reason for replacement of amalgam restorations was secondary caries (56.10%), the second was fracture (23.80%) and the third was "fall-out" (8.78%). 3. Among those amalgms requiring replacement, 52.2 percent had been in place less than 3 years, 70.7 percent within 5 years and 89.8 percent had been in place less than 10 years. Only 10.2 percent had been in place more than 10 years.

• Journal of Convergence for Information Technology
• /
• v.8 no.3
• /
• pp.39-51
• /
• 2018

Objectives: The purpose of the study was to identify the factors influencing the nursing students' core competencies on disaster nursing. Methods: A sample of convenience was 224 nursing students, and a questionnaire was used to measure their disaster awareness, disaster preparedness, ego-resiliency, and core competencies on disaster. Results: A significant positive correlation was found among core competencies, disaster awareness, disaster preparedness, and ego-resiliency. Disaster preparedness(${\beta}=.413$), grade of which the participant was in(${\beta}=.165$), satisfaction on clinical practice(${\beta}=-.160$), ego-resiliency(${\beta}=.159$), and disaster related education experience(${\beta}=-.120$) were significant predictive variables of which accounted for 38.5% of the variance in core competencies. Conclusions: The results from this study can be used to develop programs for core competencies on disasters nursing.

• The Journal of the Korea Contents Association
• /
• v.21 no.9
• /
• pp.714-722
• /
• 2021

In this study, intends to propose virtual reality education contents for fundamental nursing skills to develop various teaching methods in nursing education. Blood sugar test & insulin subcutaneous injection among the 20 core fundamental nursing skills is one of that frequently performed and can be used for self-management education for diabetic patients. This study designed a core fundamental nursing skill on immersive VR contents by dividing the learner's experience into three stages: guide, mission, and feedback with these skills. And it is designed by tracking the movement of the hand through finger joint recognition without using a controller for immerse in training. This study will help develop VR nursing education contents that can improve clinical practice competency and the effect of the nursing education.

• Journal of Digital Convergence
• /
• v.17 no.2
• /
• pp.265-273
• /
• 2019

The Purpose of this study was to investigate the attitude and confidence of patient safety in undergraduate healthcare professions students. The subjects consisted of 145 grade 3,4 students who have had clinical practice in nursing and emergency medical technician schools in a J province from June 1st to 30th in 2016. Data were analyzed with SPSS 21.0 using descriptive statistics. The results of the study showed that the attitude of nursing students were more positive, but there was no difference in patient safety self-confidence and patient safety education experience, and the students who had experienced medical errors saw positive attitude and self-confidence. Based on the results of this study, I propose case-based multidisciplinary contents development to nurture emergency healthcare professions

• Korean Medical Education Review
• /
• v.21 no.1
• /
• pp.1-12
• /
• 2019

This study is a narrative review introducing global trends in patient safety education within medical schools and exploring the status of Korean education. Core competences for patient safety include patient centeredness, teamwork, evidence- and information-based practice, quality improvement, addressing medical errors, managing human factors and system complexity, and patient safety knowledge and responsibility. According to a Korean report addressing the role of doctors, patient safety was described as a subcategory of clinical care. Doctors' roles in patient safety included taking precautions, educating patients about the side effects of drugs, and implementing rapid treatment and appropriate follow-up when patient safety is compromised. The Korean Association of Medical Colleges suggested patient safety competence as one of eight essential human and society-centered learning outcomes. They included appropriate attitude and knowledge, human factors, a systematic approach, teamwork skills, engaging with patients and carers, and dealing with common errors. Four Korean medical schools reported integration of a patient safety course in their preclinical curriculum. Studies have shown that students experience difficulty in reporting medical errors because of hierarchical culture. It seems that patient safety is considered in a narrow sense and its education is limited in Korea. Patient safety is not a topic for dealing with only adverse events, but a science to prevent and detect early system failure. Patient safety emphasizes patient perspectives, so it has a different paradigm of medical ethics and professionalism, which have doctor-centered perspectives. Medical educators in Korea should understand patient safety concepts to implement patient safety curriculum. Further research should be done on communication in hierarchical culture and patient safety education during clerkship.