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A Single-Center Retrospective Study on the Effects of Korean Medicine in 342 Traffic Accident Cases

  • Jeong, Jin-Ho;Ku, Jaseung;Hwang, Ji Hye
    • Journal of Pharmacopuncture
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    • v.24 no.3
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    • pp.122-137
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    • 2021
  • Objectives: In South Korea, traffic accident victims can be treated under automobile insurance coverage. Korean medicine (KM) clinics have reported the largest number of automobile insurance fee claims among medical institutions. This study investigated the status of the KM automobile insurance system in a single KM clinic. Methods: We retrospectively surveyed the medical charts of 342 traffic accident patients treated at the Jisung KM clinic between January 2009 and June 2017. Results: Most of the patients were men and in their 30s. The most common method of locating the clinic was an internet search. The most common traffic accident type was collision between vehicles (83.63%), with 70.76% of patients visiting during the most acute phase. The major disease codes included S434, M4836, F072, S0600, and S3350. The most frequent treatment period was within 1 month of the accident, and most patients received 10 or fewer treatments. The mean treatment duration and number of treatments were 37.68 ± 45.11 days and 11.68 ± 10.63 treatments, respectively. The initial pain numerical rating scale (NRS), 7.32 ± 0.96, decreased to 3.57 ± 1.40 at the end of treatment, with a symptom improvement score of 1.87 ± 0.60. Regarding sex, age, disease duration, location at the time of the accident, presence of additional and psychological symptoms, and chuna, there were statistically significant differences in treatment duration and number of treatments. A higher number of treatments and the longer treatment duration was associated with a higher initial NRS, lower post-treatment NRS, and better improvement score. Since the introduction of traffic accident (TA) pharmacopuncture, the rate of use of a single type of pharmacopuncture increased; however, no significant differences in treatment duration and number, NRS before and after treatment, and improvement score were observed between treatment groups before and after TA pharmacopuncture. No adverse reactions were observed for any treatment. Conclusion: This study confirmed the previous findings of a high treatment effect of KM under automobile insurance. We also observed significant correlations based on a detailed medical status, which may explain the increasing use of KM in the automobile insurance system. Additional multi-center studies in different regions are needed.

Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model (제1형 당뇨병 청소년의 자기관리 영향요인: 정보-동기-행동기술 모델을 기반으로)

  • Lee, Hooyun;Choi, Eun Kyoung;Kim, Heejung;Kim, Ho-Seong;Kim, Hee-Soon
    • Child Health Nursing Research
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    • v.25 no.2
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    • pp.234-243
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    • 2019
  • Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetes-related attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children's hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was $61.23{\pm}10.00$ out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (${\beta}=.504$, p<.001) and family support (${\beta}=.188$, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

The Effects of Ethical Climate and Ethical Sensitivity on Organizational Effectiveness of Small and Middle-sized Hospital Nurses (지방 중소병원 간호사가 지각하는 조직 내 윤리풍토와 윤리적 민감성이 조직유효성에 미치는 영향)

  • Kang, Ihn-Sook;Kim, Weon-Gyeong
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.24-36
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    • 2019
  • Purpose: This study provides preliminary data for job satisfaction and organizational commitment by finding out the effects of ethical climate perceived by and ethical sensitivity of nurses on the organizational effectiveness of small and medium-sized hospitals. Methods: Study participants were 155 nurses who had worked one year or longer at small and medium-sized hospitals located in the G city, and they were recruited through convenient sampling. The SPSS/Win 20.0 program was used analyze frequency, percentage, average, standard deviation through independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression. Results: The mean score for organizational effectiveness of nurses had a significant positive correlation with ethical climate and ethical sensitivity. ethical climate, experience of receiving nursing ethics education were the major predictors of organizational effectiveness and explained 61%(F=48.36, p<.001) of the total variance in the study. Conclusion: it has been confirmed that ethical climate and experience of receiving nursing ethics education affect organizational effectiveness, a concept that shows the degree of achieving organizational goals while nurses at small and medium-sized hospitals.

The Effects of Financial Literacy, Self-Efficacy and Self-Coping on Financial Behavior of Emerging Adults

  • CHONG, Kok Fei;SABRI, Mohamad Fazli;MAGLI, Amirah Shazana;ABD RAHIM, Husniyah;MOKHTAR, Nuradibah;OTHMAN, Mohd Amim
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.3
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    • pp.905-915
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    • 2021
  • This study examines the relationship between financial behavior, financial literacy, self-efficacy, and self-coping among emerging adults. The study population is 790 respondents from 11 Credit Counselling and Debt Management (CCDM). Statistical Package for Social Science (SPSS) was used to analyze Pearson Correlation and Multiple regression. It was used to determine the relationships and recognize determinants of emerging adults' financial behavior respectively. In this study, financial literacy, self-efficacy, self-coping, and financial behavior variables were entered into the regression. A total of 790 respondents aged 40 and below were selected. An independent sample t-test was administered to compare the financial behavior scores for females and males. The results reveal that there was significant difference in the mean of financial behavior scores for females (M = 87.20, SD = 18.00) and males (M = 89.70, SD = 16.80; t (765) = 2.010, p = 0.045, two-tailed). The multiple regression results indicate that the model explained 13.4% of the variance in financial behavior, which is predicted significantly by the model (F = 38.361, p = 0.000). This study will be beneficial to policymakers to improve living conditions and to promote good financial behavior, financial literacy, self-efficacy as well as self-coping especially for emerging adults in Malaysia.

Subgingival pathogens in chronic periodontitis patients affected by type 2 diabetes mellitus: a retrospective case-control study

  • Montevecchi, Marco;Valeriani, Leoluca;Gatto, Maria Rosaria;D'Alessandro, Giovanni;Piana, Gabriela
    • Journal of Periodontal and Implant Science
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    • v.51 no.6
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    • pp.409-421
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    • 2021
  • Purpose: The aim of this study was to compare the prevalence and bacterial load of 6 main periodontal pathogens between pairs of periodontal patients with and without type 2 diabetes mellitus. Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans genotypes were also investigated. Methods: Twenty patients affected by chronic periodontitis and type 2 diabetes were retrospectively selected and matched to 20 patients without diabetes on the basis of the degree and severity of periodontal disease. Microbiological data of subgingival biofilms were analysed and compared for the examined pathogens: A. actinomycetemcomitans, P. gingivalis, Prevotella intermedia, Treponema denticola, Fusobacterium nucleatum, and Tannerella forsythia. Results: The pairs were balanced in terms of demographic and clinical parameters, except for bleeding on probing and suppuration. In the microbiological test sites (4 for each patient), the mean probing pocket depth was 6.34±1.63 mm in patients with diabetes and 6.41±1.78 mm in patients without diabetes. No significant difference between pairs in the prevalence of P. gingivalis or the distribution of its genotypes was recorded. Patients with diabetes had a significantly greater amount of total bacterial load, P. gingivalis, T. denticola, T. forsythia, and F. nucleatum (P<0.05). Moreover, patients with diabetes had a higher number of sites with a greater cell count than patients without diabetes. When compared to the total bacterial load, only T. forsythia maintained its relative load in patients with diabetes (P=0.001). Conclusions: This retrospective matched study supports the hypothesis that microbiological differences exist among periodontal patients with and without diabetes mellitus.

The Influences of COVID-19 Knowledge, Anxiety, and Nursing Professionalism on Clinical Practicum Stress among Nursing Students (간호대학생의 COVID-19에 대한 지식, 불안, 간호전문직관이 임상실습 스트레스에 미치는 영향)

  • Lee, Ho Im ;Sung, Ji Hyun
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.205-217
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    • 2023
  • Purpose: This study sought to identify the levels of coronavirus disease 2019 (COVID-19) knowledge, anxiety, nursing professionalism, and clinical practicum stress, and the factors influencing this stress in nursing students. Methods: A cross-sectional and descriptive study was conducted with the participation of 140 junior and senior nursing students recruited from three nursing colleges in Busan and Gyeongsangnam-do. Data analysis was performed using independent t-tests, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 26.0 program. Results: The study arrived at a mean score of 63.18±13.89 for clinical practicum stress, which showed a significant difference based on the perceived health status and reasons for admission to nursing school. Anxiety and professionalism exhibited a noteworthy correlation with clinical practicum stress. The significant predictors of clinical practicum stress among nursing students were perceived health status (β=.39, p<.001), anxiety (β=.25, p=.033), and the reasons for admission to nursing school (β=.17, p=.012). The total explanatory power of these variables was 23.0% (F=6.28, p<.001). Conclusion: The results of this study suggest that it is necessary to provide effective education to promote nursing professionalism during a pandemic. It is also necessary to develop and include various programs in the curriculum that strategically intervene to prevent anxiety in pre-service nurses. This would reduce the stress in the clinical practice of nursing students when faced with new infectious diseases in the future.

The Influence of Resilience, Awareness of Patient Safety Management, and Proactive Behavior on Performance of Standard Precautions among Nurses Working in Emergency Department (응급실 간호사의 회복탄력성, 환자안전관리에 대한 인식, 선도적 행위가 표준주의 수행에 미치는 영향)

  • Cha, Un Gyeom;Jeong, Sun Young
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.104-113
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    • 2024
  • Purpose: This study investigated the correlations among resilience, the awareness of patient safety management, proactive behavior, and the performance of standard precautions among nurses working in the emergency department. Additionally, it aimed to identify the factors influencing the performance of standard precautions. Methods: Data were collected through a descriptive survey conducted between June 10 and July 9, 2023. The participants included 208 nurses working in the emergency department in Korea. The collected data were analyzed using SPSS/WINdows software version 29.0, based on the frequency, percentage, mean, standard deviation, t-test, one-way analysis of variance, Scheffé test, Pearson's correlation coefficients, and multiple regression. Results: The analysis based on the participants' general characteristics showed that performance of standard precautions varied significantly according to age (t=2.10, p=.036), size of the emergency department (F=7.46, p<.001), average number of patients treated per day while working in the past month (t=-3.88, p<.001) and standard precautions training experience (t=2.16, p=.032). The main factors influencing the performance of standard precautions among nurses working in the emergency department are awareness of patient safety management (β=.62, p<.001), resilience (β=.18, p=.042), and age (β=-.15, p=.007), with a total explanatory power of approximately 46.0%. Conclusion: It is necessary to establish programs and an effective education system to increase resilience and awareness in patient safety management to improve the performance of standard precautions among nurses working in the emergency department.

Heavy Metal Concentrations of Sediment and Ruditapes philippinarum Inhabited in the Intertidal Zone of Kwangyang Bay (광양만 조간대의 퇴적토 및 바지락(Ruditapes philippinarum)내 중금속 분포)

  • Gwak, Yeong-Se;Hwangbo, Jun-Gwon;Lee, Chung-Il
    • The Korean Journal of Ecology
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    • v.24 no.5
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    • pp.297-301
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    • 2001
  • The objectives of this study were to evaluate the extent of heavy metals(As, Pb, Cd, Hg)accumulated in sediments of the Kwangyang Bay, and to investigate bioaccumulation of heavy metals(As, Pb, Cd, Hg) in shellfish(Ruditapes philippinarum) commonly found in the intertidal zone of the Kwangyang Bay. The data was also compared with that of Namhae and Kohung intertidal zones, which were regarded as control stations in this study. Substantial geographical variations in heavy metal concentrations in the sediment samples were found. However, heavy metal concentrations in the sediment collected from the intertidal zones of Yochon(stations I, J) and Myodo(stations G, H) close to Yochon Industrial Area exhibited relatively higher heavy metal concentrations, compared to those from other intertidal zones(stations A, B, C) adjacent to POSCO at Kwangyang Bay. In addition, stations A, B, C showed lower heavy metal concentrations in the sediments than controls(K, L). The annual mean concentrations of the heavy metals in the shellfish from the stations(G, H, I, J) were significantly higher than those from other stations(A, B, C, D, E, F). Nevertheless, heavy metal accumulation in sediments was not reflected in bioaccumulation of heavy metals in shellfish, probably indicating that interactions between the heavy metals in sediment and shellfish might be poor in the current study area, Kwangyang Bay.

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Influence of Self-Efficacy and Social Support on Test Anxiety among Nursing Students Taking the National Examination for Registered Nurses (국가고시를 앞둔 간호대학생의 자기효능감과 사회적지지가 시험불안에 미치는 영향)

  • Noh, Yoon Goo;Lee, Young Sook
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.633-643
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    • 2016
  • This study was designed to examine the effects of self-efficacy and social support on test anxiety among nursing students taking the National Examination for Registered Nurses. A convenience sample of 212 nursing students was obtained from three nursing colleges. Data were collected by a self-administered questionnaire during December 2015. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlations and multiple regression with SPSS/WIN 18.0. The mean score for test anxiety was located in the middle range, with the score of $2.84{\pm}0.53$; those for self-efficacy and social support were located higher in the 1-5 scale, each scoring $3.50{\pm}0.54$ and $3.72{\pm}0.48$. Test anxiety correlated negatively with self-efficacy (r=-.32, p<.001), social support (r=-.27, p<.001), friends support (r=-.21, p=.002), family support (r=-.25, p<.001) and professor support (r=-.14, p=.038). Self-efficacy, family support and gender explained 13.0% of participants' test anxiety (F=11.01, p<.001). Findings from this study suggests that improving the self-efficacy and family support will be helpful for nursing students to relieve their test anxiety.

Global Citizenship and Cultural Competency in Nursing Students (간호대학생들의 세계시민의식과 문화적 역량)

  • Kang, Hee-Young;Kang, Hee;Kim, Hae-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.178-186
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    • 2020
  • The purpose of this study was to identify the factors influencing cultural competency after analyzing the relationship between global citizenship and cultural competency in 169 nursing students of G city. The data were collected with self-reported questionnaires and analyzed with SPSS 24.0 program which was used for descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients and multiple regression analysis. The total mean score of the participants' global citizenship was 3.68 out of 5 points, and cultural competency 3.06 out of 5 points. There was a significant relationship between global community concept (r=.48, p<.001), multinationalism (r=.42, p<.001), general citizenship (r=.27, p<.001), national identity (r=.32, p<.001) in sub-areas of global citizenship, and cultural competency. Other significant factors were global community concept, multinationalism, and national identity, which explained 29% of cultural competency. The findings indicate that the higher global citizenship, the higher the cultural competency. And global community concept, multinationalism, general citizenship, and national identity in sub-areas of global citizenship affected the cultural competence. Therefore, a cultural competency education program designed for nursing students should focus on these factors for enhancing cultural competency.