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Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital (의료기관 규모에 따른 마취전문간호사의 직무관련 특성, 직무 및 직무요소의 수행빈도 차이 비교)

  • Bai, Chungsim;Yoon, Haesang
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.2
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    • pp.239-253
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    • 2013
  • Purpose: This study was done to identify job tasks and task elements of Korean nurse anesthetists according to type of medical institution. Methods: A job task scale which consisted of 9 job tasks and 40 task elements was developed. Data were collected from December, 2009 to February, 2010 from 182 nurse anesthetists who were working in medical institutions (response rate: 75.8%). Results: Forty-eight percent of nurse anesthetists were independent from anesthesiologists in anesthetic practice. Preanesthetic nursing assessment was much more frequent in small hospitals than in general hospitals (p<.05), and anesthetic nursing intervention, administering the anesthetics, monitoring the patient's status during anesthesia, and provision of safety and compliance with anesthetic ethics were much more frequent in general hospitals than medical centers (p<.001). There were no differences among the medical institutions for job tasks in post-anesthetic nursing interventions (p=.229), administering anesthetics (p=.354) and monitoring patients' status during anesthesia (p=.099), providing safe anesthetic environment (p=.896), and management of ancillary personnel/equipment (p=.617). Conclusion: Results indicate that nurse anesthetists contribute significantly to anesthetic practice in small hospitals and general hospitals. Therefore, it recommended that nursing leaders make efforts to enact legal nurse anesthetist-related policies for safe and high quality anesthetic nursing care.

Effects of Community Health Promotion Project for Garlic Cultivating Farmers Based on Self-efficacy Theory and Community Capacity Building Framework (마늘재배 농업인을 위한 지역사회 건강증진사업 개발 및 효과 검증 - 자기효능 이론과 지역사회역량 이론의 적용 -)

  • Kim, Hyang-Sook;Gu, Mee-Ock
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.80-91
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    • 2011
  • Purpose: This study was conducted to test the effects of a community health promotion project for farmers cultivating garlic. Bandura's self-efficacy theory (1986) and Chaskin's community capacity framework (2001) were used as the theoretical framework. Methods: A nonequivalent control group pretest-posttest design was used. Study participants were 72 garlic farmers (intervention: 36, control: 36). The community health promotion project consisted of health promotion program and community capacity building strategies and was provided for 12 weeks (8 during farming off-season and 4 during farming season). Data were collected between February 23 and May 31, 2009 and were analyzed using chi-square test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 12.0. Results: For the experimental group, significant improvement was found for self-efficacy, farming related health behavior, physical fitness (muscle strength, muscle endurance, upper body flexibility, lower body flexibility, cardiovascular endurance, balance, agility), farmer's syndrome, and health related quality of life as compared to the control group. Conclusion: The findings of the study indicate that the community health promotion project for garlic farmers is effective and can be recommended as a nursing intervention for health promotion of garlic cultivating farmers.

Optimal Design of Bank Protection Work Using Analytic Hierarchy Process (계층분석과정을 이용한 최적 호안공법 선정)

  • Lee, Jae-Mun;Lee, Sang-Il
    • Journal of Korea Water Resources Association
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    • v.41 no.6
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    • pp.619-628
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    • 2008
  • Bank protection is a structure constructed to protect directly embankment breakage and erosion by river flow. Traditionally, the type of bank protection has been decided by practitioner's subjective and empirical judgement, which often causes problems after construction. Recently, however, it becomes important to consider not only physical protection but also environment. Various types of bank protection for environment-friendly river are now available. Thus, there is a need for more objective and quantitative decision method for bank protection work. This study adopts the analytic hierarchy process (AHP) to improve the objectiveness in the decision of bank protection work. Criteria for stability, economy, construction, environment are identified and a standardized process is presented for field application. With the proposed method, one can prioritize various bank protection works and make the optimal decision. We believe that the method can serve as a useful tool for river engineers in practice.

Optimal Decision of River Width Work Using Analytic Hierarchy Process-Case Study of IP-Chon (AHP기법을 이용한 최적 계획하폭 선정-입천에의 적용 사례연구)

  • Lee, Jae-Mun;Lee, Sang-Il
    • Journal of Korea Water Resources Association
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    • v.40 no.12
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    • pp.931-941
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    • 2007
  • Traditionally, the decision of river width has aimed majorly at flood control and good river conveyance. And the river width has been decided by practitioner#s subjective and empirical opinion. Recently, however, there is a need for more objective and thus quantitative decision method for decision of river width considering not only economical aspect but also social or environmental aspect. This study adopts the analytic hierarchy process (AHP) to improve the objectiveness in the decision of river width. Criteria and a standardized process are presented for field application. Using the proposed method, one can prioritize various river width and make the optimal decision. We believe that the method can serve as a useful tool for river engineers in practice.

Review of Adverse Events in Acupuncture Treatment (침치료 이상반응에 대한 고찰)

  • Park, Ji-Eun;Oh, Dal-Seok;Choi, Jun-Yong;Jung, So-Young;Kim, Ae-Ran;Koo, Chang-Mo;Jung, Hee-Jung;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.79-85
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    • 2007
  • Objective : To investigate documented surveys about adverse events of acupuncture therapy. Methods: We searched Medline with the terms of 'acupuncture/adverse event(s)', 'acupuncture/side effect(s)' and 'CAM/adverse event(s)' using Pubmed and set the limits to human study. Results: There were 5 prospective studies, 3 reviews and 3 surveys in our searching. There were 3 reports about acupuncture related adverse events in UK ranging from 10.7% to 15% of which the rate of significant events were from 0.13% to 0.14%. In Germany, there were 11% of acupuncture related adverse events in one report and 7.5%(significant events were 45 in 190,924 patients) in another report. In Australia, one study reported that every adverse event associated with acupuncture occurred in 8-9 month per one practitioner. In Japan, 0.14% of acupuncture related adverse events in 48 practitioners were reported in one systemic review. A cumulative review about significant adverse events associated with acupuncture reported 715 adverse events of which most frequent accidents were pneumothorax and central nervous system injury. Conclusion : The risk of adverse event associated with acupuncture is far lower than that associated with other general medical interventions. However, some safety guidelines about the acupuncture performance are needed.

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The prevalence of radix molaris in the mandibular first molars of a Saudi subpopulation based on cone-beam computed tomography

  • AL-Alawi, Hassan;Al-Nazhan, Saad;Al-Maflehi, Nassr;Aldosimani, Mazen A.;Zahid, Mohammed Nabil;Shihabi, Ghadeer N.
    • Restorative Dentistry and Endodontics
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    • v.45 no.1
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    • pp.1.1-1.9
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    • 2020
  • Objectives: The purpose of this study was to determine the incidence of radix molaris (RM) (entomolaris and paramolaris) in the mandibular first permanent molars of a sample Saudi Arabian subpopulation using cone-beam computed tomography (CBCT). Materials and Methods: A total of 884 CBCT images of 427 male and 457 female Saudi citizens (age 16 to 70 years) were collected from the radiology department archives of 4 dental centers. A total of 450 CBCT images of 741 mature mandibular first molars that met the inclusion criteria were reviewed. The images were viewed at high resolution by 3 examiners and were analyzed with Planmeca Romexis software (version 5.2). Results: Thirty-three (4.5%) mandibular first permanent molars had RM, mostly on the distal side. The incidence of radix entomolaris (EM) was 4.3%, while that of radix paramolaris was 0.3%. The RM roots had one canal and occurred more unilaterally. No significant difference in root configuration was found between males and females (p > 0.05). Types I and III EM root canal configurations were most common, while type B was the only RP configuration observed. Conclusions: The incidence of RM in the mandibular first molars of this Saudi subpopulation was 4.5%. Identification of the supernumerary root can avoid missing the canal associated with the root during root canal treatment.

The Real Picture of the Care Costs Paid to Korean Oncology Advanced Practice Nurses (종양전문간호사 업무에 대한 수가 실태)

  • Kim, Dal-Sook;Kim, Soo-Hyun;Kim, Kwang-Sung;Jun, Myung-Hee;Kim, Jin-Hyun;Lee, Hyun-Joo
    • Asian Oncology Nursing
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    • v.11 no.2
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    • pp.155-162
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    • 2011
  • Purpose: The purpose of this study was to examine the actual care costs paid to Korean Oncology Advanced Practice Nurses (KOAPN). Methods: We collected data using a group discussion and questionnaire identified 115 tasks from job descriptions developed by the Korean Accreditation Board of Nursing. Forty-two KOAPN working at three university hospitals in Seoul were asked to evaluate each task as to type and whether the cost is paid or not. They were also asked to indicate the tasks in urgent need of development of a care cost with high priority. Results: Only five tasks (4.3%) related to treatment and complication related interventions or education were paid, and they were paid only once during the entire treatment period and were not covered by national health insurance. It was approved as a medical fee by health insurance review & assessment service. Furthermore, the names of the authority (doctor) and the actual provider (nurse) of the prescriptions were different for three of those tasks. Most of the suggested tasks needing development of care costs were actions specifically performed by nurses (physical-psychosocial-spiritual assessment, independent nursing interventions). Conclusion: KOAPN are currently paid for few tasks. To maximize the utilization of KOAPN, the establishment of a clear rational payment system directly related to their actual activities is needed.

Organ Dose Assessment of Nuclear Medicine Practitioners Using L-Block Shielding Device for Handling Diagnostic Radioisotopes (진단용 방사성동위원소 취급 시 L-block 차폐기구 사용에 따른 핵의학 종사자의 장기 선량평가)

  • Kang, Se-Sik;Cho, Yong-In;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.49-55
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    • 2017
  • In the case of nuclear medicine practitioners in medical institutions, a wide range of exposure dose to individual workers can be found, depending on the type of source, the amount of radioactivity, and the use of shielding devices in handling radioactive isotopes. In this regard, this study evaluated the organ dose on practitioners as well as the dose reduction effect of the L-block shielding device in handling the diagnostic radiation source through the simulation based on the Monte Carlo method. As a result, the distribution of organ dose was found to be higher as the position of the radiation source was closer to the handling position of a practitioner, and the effective dose distribution was different according to the ICRP tissue weight. Furthermore, the dose reduction effect according to the L-block thickness tended to decrease, which showed the exponential distribution, as the shielding thickness increased. The dose reduction effect according to each radiation source showed a low shielding effect in proportion to the emitted gamma ray energy level.

Process-Focused Assessment for Mathematical Subject Competency in Elementary Mathematics Classroom (초등 수학교실에서 역량 기반 과정중심평가의 적용 방안에 대한 연구)

  • Jeon, Youngju;Lee, Jong-hak
    • Journal of the Korean School Mathematics Society
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    • v.22 no.3
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    • pp.199-219
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    • 2019
  • It is necessary to study how to plan and perform the process-focused assessment of the teacher as the planner and practitioner to examine the application of the process-focused assessment for mathematical subject competency in a mathematics classroom. In this study, we designed and conducted an experimental lesson based on the process-focused assessment for elementary school students. This study explored the practical application of the process-focused assessment. In addition, we explored how to apply it to elementary mathematics education. This study suggests a method to embody the process-focused assessment class that can be applied in the 2nd grade mathematics class in elementary school. We propose future research on how to provide individual feedback to each student's needs in the process-focused assessment.

Correlation of Anthropometric Data, Nutrient Intakes and Serum Lipids in Premenopausal and Postmenopausal Women (폐경 전·후 여성들의 체위, 영양소 섭취 상태 및 혈중 지질과의 관련성에 관한 연구)

  • Choi, Yun-Hee;Song, Tae-Hee
    • The Korean Journal of Food And Nutrition
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    • v.26 no.3
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    • pp.476-484
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    • 2013
  • This study was conducted to investigate the anthropometric data, nutrient intakes and serum profiles in premenopausal and postmenopausal women living in Gyeonggi-do Province, Republic of Korea. The subjects were 49 premenopausal women and 63 postmenopausal women who are not taking any hormone or cardiovascular drugs. Anthropometric measurements were taken by a trained practitioner and the data for dietary intakes were obtained by a 24-hour recall method. Serum samples were collected and analyzed for the total cholesterol, triglyceride (TG) and lipoprotein fractions. The mean age of the premenopausal women was $45.17{\pm}3.28$ years and that of the postmenopausal women was 2$62.5{\pm}4.14$ years. The height and weight were $157.86{\pm}$4.35 cm, $58.75{\pm}6.01$ kg in premenopausal women and $156.42{\pm}3.62$ cm, $57.63{\pm}5.38$ kg in postmenopausal women, respectively. WHR (waist hip ratio) in postmenopausal women was significantly higher than that of premenopausal women (p<0.05). There were no differences between the pre-and postmenopausal women in the intakes of energy, protein, fat, Ca, Fe, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin, vitamin C and vitamin E. However carbohydrate and Na intakes in postmenopausal women were significantly higher than those of premenopausal women. In postmenopausal women, Ca intake was below and Na intake was extremely high considering KDRIs (Dietary Reference Intakes for Koreans). Serum triglyceride in postmenopausal women was positively correlated with age, BMI (body mass index) and WHR. Serum total cholesterol and triglyceride in postmenopausal women showed significantly negative correlations with fiber intake. These results suggest that it is necessary to help postmenopausal women maintain a healthy body weight. Postmenopausal women needs to increase Ca (calcium) intakes and diet quality by decreasing the intakes of Na (sodium). In addition, an adequate intakes of fiber is recommended for postmenopausal women to prevent cardiovascular disease.