• Title/Summary/Keyword: general practitioner

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Practitioners' Awareness of Planning Features for Environment-Friendly Apartment unit (공동주택 단위주거의 친환경 계획요소에 대한 전문가 의식조사)

  • Kwon, O-Jin;Lee, Yeun-Sook
    • KIEAE Journal
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    • v.3 no.3
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    • pp.11-18
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    • 2003
  • The purpose of this study was to find out awareness of the environment-friendly planning elements for residential unit space among practitioners. The respondents in this questionnaire survey were 140 practitioners in architecture and interior design field. The major findings of this study were as follows; most of the respondents were aware of the impact of indoor built environment on residents' wellness. In addition, the survey respondents viewed that the factors for planning environment-friendly high-rise apartments were represented by gardening and energy-saving while their perception on the concept excluded comprehensive components affecting residents' life quality. Over 50% of respondents had an experience of applying environment-friendly planning elements in their works, and high frequency appeared on the general planning elements which had been applied special awareness as pro-environmental features. The respondents considered environment-friendly planning elements as important. Specially, space planning and system were considered more likely important in interior design field. In application of environment-friendly planning elements, cost, lack of consumers' awareness of and underdevelopment of environment-friendly materials were of concern. Therefore, the consumer's cognition needs to be improved for wide application about environment-friendly planning element, and then consumers are willing to pay additional construction cost of environment-friendly apartments. At the same time, the current practice that housing developers pass the additional cost on to residents needs to be changed. Then, the quality of life in high-rise residential settings can be improved. More importantly, the exchange and development of the reliable information on environment-friendly planning elements need to be made, and technical support and long-term policy for the development are required. This research showed current status of knowledge and practice in sustainable planning of unit apartment and proved basic information for future direction.

Analysis of the Results of Health Service Programs in the Primary Health Care Posts (보건진료소 보건사업 현황 분석)

  • Son, Gye-Soon;Moon, Ja;Park, Choon-Hee;Lee, Eun-Gyung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.3 no.1
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    • pp.24-33
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    • 2008
  • Purpose: To analyze health programs of the PHCP (Primary Health Care Posts) Method: From August 2006 to July 2007, data on the general quality and health program of the PHCP was requested by official letter and replies were received via E-mail. From December 8 to December 30, 2007, data from 1,268 (66.8%) PHCP out of 1,897 PHCP were analyzed using SPSS 12.0 Win program. Results: The average population covered by each PHCP is 878.3 people. For the health and special programs, Community Health Practitioners report high motivation for programs on health promotion, management of chronic illness, social welfare (40-50%). Demand by the residents was reported at 10% and increases in the health of the residents were attributed to high interest and demand. Volunteer work was 83.3% for bathing, 54.5% for equipment support and 46% for exercise programs. As elders make up 30% of the population in rural areas, there is an increasing demand for volunteer work in bathing programs. Conclusions: As the number of elders in the population increases and there is an increased need for more medical treatment for older people who are sick, the role of PHCP must be strengthened to include visits to homes of community residents. Where financial support for the PHCP is difficult, it is necessary to develop sound data on demographic characteristics of the population in order to develop efficient and effective health promotion programs. The finding that 54.7% of the population need management of chronic illness has difficulty in seeing a physician indicates a need to enhance the health care delivery system by strengthening the role of the Community Health Practitioners and including them in the civil service system to ensure stability of the PHCP.

Diagnosis and Treatment Planning in Severely Worn Dentition (심한 교모증 환자에서의 진단 및 치료계획 수립)

  • Jung, Jae-Hyun;Choi, Min-Ho;Park, Young-Rok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.3
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    • pp.239-245
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    • 2003
  • The occurrence and pattern of tooth wear are related to cultural, dietary, occupational, and geographic factors, Excessive occlusal wear can result in pulpal exposure, occlusal disharmony, functional inability. Surface loss can be differentiated into 3 general causal categories: i) mechanical loss, which includes attrition, ii) abrasion chemical loss including erosion, and finally iii) a proposed biomechanical category described as abfraction. Considering that mechanical wear is frequently asymptomatic, patients may have parafunctional habit. Structured clinical decision analysis in fixed prosthodontics, as other branches of dentistry do, allows the practitioner to consider the patient's problems more thoroughly based on the clinical data and extenuation factors. This discipline of decision making is intended to complement the experience level and educational background of the clinician in assisting the patient through the decision process. Additionally, CDA helps the clinician define not only the pre-existing condition of the patient prior to irreversible therapy, but also better treatment strategies for the patient over an extended period. The systematic nature of decision analysis stimulates the dentists to pay further attention to those factors, which is germane to the overall complexity of the case, and exclude factors, which have little influence on its final outcome. Further implementation of computerized databases, procedural outcome probabilities based on clinical and laboratory studies and the clinical experience of those who use it, may provide quite a promising future in the field of structured and formalized clinical decision analysis.

A Study of Practical Instructors' Recognition on the Field Practice Program in Library and Information Science (문헌정보학 전공 현장실습에 대한 실습지도자의 인식 연구)

  • Cha, Sung-Jong
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.2
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    • pp.133-156
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    • 2017
  • This study was performed to find out how to improve the usefulness and effectiveness of the field practice program in Library and Information Science by diagnosing the practical instructor's perception of the overall field practice in the Library and Information Science. To achieve this goal, we conducted a research on the current situation and a measurement in perception of the field practice program through a survey of practical instructors at practical training institutions. We, then, analyzed the factors affecting the perception and examined the relationship between the effects. As a result of investigating the factors affecting the perception of field practice, 'operational accountability for the field practice program' was found to be a significant factor among other factors such as the general characteristics of the practical instructors, the characteristics of library related work and the field practice status of the practical training institutions. And factors of 'practice environment' and 'practice instruction method' have been identified to have a significant impact as a result of analyzing how the six factors constituting the perception of field practice effect on the overall perception of field practice of the practical instructors.

Healing Function Evaluation of Color Samples from the Healthcare Environmental Color Index - A Cross-cultural Comparison Study on Korean and Romanian users

  • Ardelean, Ioana;Oh, Jiyoung;Park, Heykyung
    • International Journal of Advanced Culture Technology
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    • v.9 no.3
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    • pp.131-141
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    • 2021
  • The present study is following a series of research investigations on design resources coming from collected data referring to users' awareness and preferences. The aim of this research is to test the Healthcare Environmental Color Index as a basis for practitioners in the field of healthcare design. An array of color samples selected from previous research, have been presented to the respondents via an online survey, in order to identify the preferences of the two groups on the relation between environmental color and health. As a result of the first experiment and through the comparison of processed data, the maximum percentage of respondents from each group is validating the relation between environmental color and health. For the second experiment we intend to highlight the patterns of color preferences for each group, and thus to test the color samples healing function. The compared data also showed a higher awareness of Koreans than Romanians on the potential of color applied to healing environment. Last but not least in the third experiment we show the top five color samples preferred by each group. It is significant that the comparison of the results validated once more some of our previous findings related to the healthcare environment, such as: the general preference for the green hue (associated to fatigue relax according to color psychology) and the blue hue (sedation release effect) but also the yellow hue - associated to bright energy. Three out of the top five preferred color samples have been identical to both groups while the other two samples have shown characteristic variations. These results show that similarities are strong and can be used in a glocal design strategy as an accessible tool for any practitioner. Based on the Healthcare Environmental Color Index and users' preferences analysis, a new design culture for healthcare can be established and developed.

A working paradigm for managing mandibular fractures under regional anesthesia

  • Chellappa, Natarajan;Meshram, Vikas;Kende, Prajwalit;Landge, Jayant;Aggarwal, Neha;Tiwari, Manish
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.6
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    • pp.275-281
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    • 2018
  • Objectives: Isolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae. The objective of the study is to design a stepwise approach for managing isolated mandibular fractures using open reduction and internal fixation (ORIF) with regional anesthesia on outpatient basis. Materials and Methods: Patients with isolated mandibular fractures presenting to the department of maxillofacial surgery were selected for ORIF under regional anesthesia based on occlusion, age, socioeconomic status, general condition, habits, and allied medical ailments. Standard preoperative, intraoperative, and postoperative protocols were followed. All patients were followed up for a minimum of 4 weeks up to a maximum of 1 year. Results: Of 23 patients who received regional anesthesia, all but one had good postoperative functional occlusion. One patient was hypersensitive and had difficulty tolerating the procedure. Two patients developed an extraoral draining sinus, one of whom was managed with local curettage, while the other required hardware removal. One patient, who was a chronic alcoholic, returned 1 week after treatment with deranged fracture segments after he fell while intoxicated. Conclusion: With proper case selection following a stepwise protocol, the majority of mandibular fractures requiring ORIF can be managed with regional anesthesia and yield minimal to no complications.

TREATMENT BARRIERS OF SPECIAL NEEDS PATIENTS - PART 1. CONSIDERATION FROM THE PERSPECTIVES OF SPECIAL CARE DENTISTS (장애인 구강진료 접근성 제약 - Part 1. 장애인 치과 의료진 측면에서의 고찰)

  • Chang, Juhea
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.7-13
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    • 2019
  • The aim of this study was to clarify the barriers of dental treatment for special needs patients felt by dentists and to determine the dentist-related factors contributing to the obstacles in treatment planning and decision making. Questionnaires were distributed and responded by dentists working at five public-based special care clinics in South Korea. Factors divided into three parts (dentist demographics, clinical factors, and educational and administrational factors) were assessed and analyzed for correlations between dentist-related factors and dentist-felt burdens for special care treatment. Fisher's exact test and Chi-square test were used at the level of 0.05. A total of 34 dentists responded to the questionnaires. Almost all dentists had obstacles in the treatment of special needs patients in terms of the patients' lack of cooperation (94.1%), proxy communication with caregivers (94.1%), payment reward system (63.6%), deficient workforce (67.7%), and others. The longer dentists had been practicing for special needs patients, the more they were dissatisfied with the reward system and a longer time was spent for communication with patients and their caregivers (p<0.05). For specialists, more obstacles were experienced in treatment planning due to a deficiency in the clinical information obtained from their patients compared to general practitioners (p<0.05). A total of 82.4% of the respondents approved of mandatory educational programs for special care dentists. There were practitioner-based factors related to the amount of obstacles felt by special care dentists. To overcome the treatment barrier of special needs patients, in-depth education and training are required in special care dentistry.

The Effects of Myrtle (Myrtus communis) and Clindamycin Topical Solution in the Treatment of Mild to Moderate Acne Vulgaris: A Comparative Split-Face Study

  • Salmanian, Mahboobeh;Shirbeigi, Laila;Hashem-Dabaghian, Fataneh;Mansouri, Parvin;Azizkhani, Mohammad;Alavi, Shiva;Ghobadi, Ali
    • Journal of Pharmacopuncture
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    • v.23 no.4
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    • pp.220-229
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    • 2020
  • Objectives: Although Acne vulgaris is a chronic skin disease, which its standard treatment causes therapeutic limitations and some common adverse effects, medicinal plants can be effective in treatment with low adverse effects as combination therapy. Myrtle (Myrtus Communis) has some beneficial properties, which has been administered topically and orally for some skin diseases in Persian medicine. This study aimed to compare the efficacy and safety of Myrtle formula and 1% clindamycin topical solution. Methods: This was a split-face clinical trial that was done on 55 patients with mild to moderate acne vulgaris for 16 weeks. The patients received topical Myrtle solution to the right side of the face (group 1) and clindamycin solution to the left side (group 2) twice daily for 12 weeks. All participants were examined for the acne severity index (ASI) and total acne lesions counting (TLC) at certain times during the study. Then, they stopped using them for four weeks. They also did not take the drug in the final four weeks of the study. Results: Forty-eight patients completed the study for 16 weeks; 40 (83.2%) patients were female and the rest of them were male. The mean age and standard deviation were 25.62 ± 7.62 years. After 12 weeks, the percentage changes of comedones, inflammatory lesions, ASI and TLC were significantly reduced in both groups (p < 0.001). The percentage change of inflammatory lesions and ASI decrease was significantly higher in the group 1 (p = 0.03). There was no significant difference in the incidence of side effects between the two groups. There was a more significant decrease in sebum percentage change in the group 1 (p = 0.003). Conclusion: Myrtle lotion was effective and safe for the treatment of mild to moderate acne vulgaris.

The Income and Cost Estimate for the Medical Clinic Services Based on Available Secondary Data (이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출)

  • Kim, Sun Jea;Lim, Min Kyoung
    • Korea Journal of Hospital Management
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    • v.26 no.1
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    • pp.71-82
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    • 2021
  • Purpose: The purpose of this study is to estimate incomes and costs of the medical clinics by using secondary data. Methodology: The medical incomes and costs were estimated from 405 clinics operated by sole practitioner providing out-patient services among all clinics subject to the Medical Cost Survey on National Health Insurance Patients in 2017, excluding dental clinics and oriental medical clinics. The incomes and costs of the medical clinics were reflected with incomes and costs of health insurance benefits and were calculated by types of medical services (i.e., basic care, surgery, general treatment, functional test, specimen test and imaging test). The costs were classified as follows: labor costs, equipment costs, material costs and overhead costs. Secondary data was used to estimate the incomes and costs of the medical clinics. For allocation bases for costs for each type of the medical service, the ratio of revenue from health insurance benefits by types of medical services was applied. However, labor costs were calculated with the activity ratio by types of medical services and occupations, using clinical expert panel data. Finding: The percentage of health insurance income for all medical income was 73.1%. The health insurance cost per clinic was 401,864 thousand won. Labor cost accounted for the largest portion of the health insurance income was 191,229 thousand won (47.6%), followed by management cost was 170,018 thousand won (42.3%), materials cost was 35,434 thousand won (8.8%), and equipment costs was 5,183 thousand won (1.3%). Practical Implications: This study suggests a method of estimating incomes and costs of medical clinic services by using secondary data. It could efficiently provide incomes and costs to assess an appropriate level of the health insurance fee to the clinics.

Parental Perception and Satisfaction with Environment-Friendly Agricultural Products Used for School Foodservice in Elementary Schools in Daejeon (학교급식에 이용되는 친환경 농산물에 대한 학부모의 인식 및 만족도에 관한 조사 -대전지역초등학교를 중심으로-)

  • Lee, Youn-Suk;Park, Mie-Ja
    • Journal of the Korean Society of Food Culture
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    • v.23 no.6
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    • pp.737-747
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    • 2008
  • This study was conducted to investigate the perception and understanding parents had regarding environment friendly agricultural products being used for school foodservice. A trained practitioner surveyed 221 parents of children at elementary schools in Daejeon using a questionnaire, after which the resulting data were analyzed by a Chi-square test. Overall, the parent's responses regarding the foodservice were positive. However, most of the parents do not participate (65%) in the school foodservice if they work, and those that do participate primarily work as meal service aides (58.1%). Parents indicated that the work of urgent field of inspection on food materials (69.9%), and the reason of an agreement (98.2%) for them were the students' health (68.4%). In addition, most parents were positive about the possibility of replacing foods used in the school with environment friendly products (51.6%) and felt that the government should pay the additional expense associated with their replacement. Furthermore, the majority of the parent's surveyed felt that children should be supplied with vegetables (54.9%) purchased directly from farms. The parents' satisfaction with the meal service (25.1%) was lower than that of the students (54.1%). The reason for the satisfaction reported by the parents was concern regarding the health of their children (53.3%). In addition, the majority of the parents (47.3%) responded that environment friendly agricultural products differ from general agricultural products because insecticides and fertilizer were not used. The main objection parents had to using environment friendly products was their cost (59.1%), and most parents felt that a realistic solution to this problem was unified purchase (41.4%). Besides, a problem when replacing with them was the expensive price (38.1%) and true or false (37.7%), and the students' satisfaction (59.5%) was selected the most in an effect of using them, diversity of the product (39.1%) and price reduction (32.6%) for a solution of the increase of using them.