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The Effect of Korean Prospective Drug Utilization Review Program on the Prescription Rate of Drug-Drug Interactions (의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향)

  • Kim, Dong-Sook;Park, Juhee;Jeon, Ha-Rim;Park, Chanmi;Kang, Hyeun Ah
    • Health Policy and Management
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    • v.24 no.2
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    • pp.120-127
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    • 2014
  • Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

A Study on the Factors of Career Decision-making and the Moderating Effects of Personality Types (경력결정요인과 성격유형의 조절효과에 관한 연구 - 문헌정보학과 학생들을 중심으로 -)

  • Choi, Byung-Woo;Choi, Jung-Hee;Kim, Hyong-Gi
    • Journal of Korean Library and Information Science Society
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    • v.39 no.3
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    • pp.53-71
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    • 2008
  • This study attempts to analyse factors that influence the level of career decision for prospective librarians. To this end, an empirical study was conducted on the students from the department of Library & Information Science at universities located in Seoul, Gyeong Gi and Chung Cheong Areas. Exogenous variables included curriculum, career-related departmental activities, and librarian-related institutional factors. The result of analysis using the Structural Equation Model reveals that career-related departmental activities are preceding factors which affect the level of career decision and that personality types function as a modulator. This suggests that, in order to raise the career decision level, prospective librarians need to participate in career-related departmental activities, which make it easier to share information regarding career and thus enhance the level of career. Such career-related departmental activities include participating in job-oriented circles and career-consulting programs, communicating with seniors, and operating and joining career programs. Further organizational and institutional development is required : better curriculum, improved practical ability and qualifications as librarians. This study also discusses its limits and areas for future research.

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The Relationship among Pre-service Elementary Teachers' Physical Education Professor-trust, Attitude in Physical Education and Class Satisfaction (예비초등교사의 체육교수신뢰와 체육교과태도 및 수업만족도의 관계)

  • Lee, Yong-Kuk;Choi, You-Lee
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.503-512
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    • 2018
  • The purpose of this study was to empirically investigate the relationship among physical education professor-trust, attitude in physical education and self-management which pre-service elementary school teachers perceive. For this purpose, data from 328 students in universities of education located nationwide were collected and analyzed. Descriptive statistics analysis, reliability analysis, correlation analysis were conducted on the collected data by using IBM SPSS 23.0 statistical program, and confirmatory factor analysis and verification on structural equation model were conducted by using IBM AMOS 23.0 program. Through this research process, following conclusions were obtained; First, prospective elementary school teachers' confidence in physical education has a significant effect on attitude in physical education. Second, prospective elementary school teachers' attitude in physical education has a significant effect on class satisfaction. Third, prospective elementary school teachers' confidence in physical education has a significant effect on class satisfaction.

What Kinds of Mathematics Learning are related to Prospective Elementary School Teachers' Mathematics Pedagogical Content Knowledge? (예비 초등 교사의 수학 교수를 위한 내용 지식과 관련 있는 수학 학습은 무엇인가?)

  • KANG, Eun Kyung
    • Journal of Elementary Mathematics Education in Korea
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    • v.19 no.3
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    • pp.251-266
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    • 2015
  • The statement, 'Taking more mathematics would result a better mathematics teacher.' sounds plausible. However, it is questionable that how much of taking university level of mathematics such as abstract algebra and real analysis would affect to teach elementary mathematics well. Would a mathematician be a better teacher for elementary students to teach mathematics than who has been prepared to teach elementary mathematics? This paper reports the effects of opportunities to learn tertiary level mathematics and school level mathematics on pre-service primary school teachers' mathematics pedagogical content knowledge. The study analyzed Teacher Education and Development Study in Mathematics 2008 (TEDS-M 2008) database using multiple regression. Prospective primary teachers who have been prepared as generalist were the focus of the study. The results support future elementary teachers might need to have opportunities to revisit school mathematics they are going to teach.

Prospective Observational Study of Acupuncture Adverse Events: 50 Patients Hospitalized for Peripheral Facial Palsy Treatments (침치료 이상반응에 대한 전향적 관찰: 말초성 안면신경마비 입원 환자 50명을 대상으로)

  • Kim, Dong-Hyuk;Kim, Kyung-Wook;Kim, Jong-Han;Kim, Hyun-Ho;Park, Ji-Min;Yoo, Je-Hyuk;Nam, Dong-Woo;Lee, Sang-Hoon;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.28 no.4
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    • pp.65-76
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    • 2011
  • Objectives : The aim of this study is to survey adverse events of acupuncture in the course of peripheral facial palsy treatments. Methods : The prospective observational study included patients hospitalized to receive acupuncture treatments for peripheral facial palsy. All patients were surveyed daily for adverse events associated with the acupuncture treatments applied the day before. Results : A total of 50 patients received $37.68{\pm}20.37$ acupuncture treatments in average. 36 patients reported experiencing at least one adverse event. Total 163 adverse events were reported. Common adverse events were bleeding(62), bruise(33), pain(30), tiredness(11), hematoma(7). The others were paresthesia(4), erythema(3), delay of removing needles(2), edema(2), aggravation of symptoms(2), declining of appetite(2), pruritus(1), drowsiness(1), anxiety(1), sweating(1), headache(1). Conclusions : Acupuncture has adverse events, like any therapeutic approaches. However, it is a relatively safe treatment. In future study, organized large scale prospective survey should be carried out to fully prove that acupuncture is safe.

The effect of task appropriate processing of on-going task on event-based prospective memory (동시과제의 처리 적절성이 미래계획기억 수행에 미치는 효과)

  • Park, Young-Shin;Rim, Jae-Hee;Jang, Mi-Suk
    • Korean Journal of Cognitive Science
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    • v.22 no.4
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    • pp.449-467
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    • 2011
  • This study was designed to examine the influence of task appropriate processing on prospective memory(PM). The TAP was manipulated with list type within study phase and association category type among PM target words. Associated word lists used for ongoing task were consisted of semantically associated lists and orthographically associated lists. Target words for PM task were consisted of city names or words for ending with the letter of '도'. According to the TAP view, PM performance would be better in the condition of task appropriate processing rather than in the condition of task inappropriate processing. Total fifty students volunteered for two experiments for the present study. The main finding was that PM performance was influenced by the task appropriate processing with ongoing task. In other words, PM performance was facilitated when association type between ongoing list and PM target word was same. Second, ongoing task performance was also influenced by task appropriated processing. These results were discussed in task appropriated processing theory and previous studies.

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Factors Related to the Development of Premature Infants at 12 and 24 Months Age: A Prospective Study (미숙아의 12개월, 24개월 발달 영향요인에 대한 전향적 연구)

  • Bang, Kyung-Sook;Kang, Hyun-Ju
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.58-67
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    • 2018
  • Purpose: This prospective study aimed to examine the development of premature infants at 12 and 24 months and to explore the factors related to their development. Methods: Of the 80 premature infants who were recruited, 52 participants at 12 months and 31 participants at 24 months were included in this study. The development of the infants was examined using the Korean Bayley scale of infant development-II. Postnatal depression, husband's support, social support, mother-infant attachment, and the home environment were assessed using self-report questionnaires completed by the mothers and through the researcher's observations. Results: There was significant difference between normal and delay group at psychomotor development at 12 months depending on social support at 6 months (t=2.03, p=.049). Mother-infant attachment at 6 months (r=.71, p<.001), 12 months (r=.37, p=.043), and 24 months (r=.40, p=.026), as well as social support (r=.38, p=.034) and the home environment (r=.41, p=.022) at 24 months, were correlated to mental development at 24 months. There was a significant positive correlation between mother-infant attachment at 6 months and psychomotor development at 24 months (r=.40, p=.046). Conclusion: To reduce the risk of developmental delay and to promote healthy development in premature infants, early nursing interventions targeting mother-infant attachment, the home environment, and the mother's social support structure are needed.

On the Effect of Prospective Teachers' Experience of Title of Making UCC Materials on their Teaching Expertise and Creativity: an Empirical Study with Japanese Majors The Korea Convergence Society (예비교사들의 UCC 제작 경험이 교과전문성 및 교사창의성에 미치는 효과 : 일본어전공 학생들을 중심으로)

  • Han, Mi-Hee;Jung, Ug-Sung
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.235-242
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    • 2019
  • The present paper aims to examine how prospective teachers' experience of creating UCC materials affects their teaching expertise and creativity. The group of subjects consists of a group of 19 students majoring in Japanese under the teacher certificate curriculum at N University located in Cheonan. The collected data was analyzed using a set of statistical methods including frequency analysis, descriptive statistics, correlation analysis, Wilcoxon Signed Rank Test using SPSS WIN 21.0. It was found that there was a positive correlation between their UCC experiences and their teaching subject expertise/creativity. It was also found that the former exerted a statistically significant effect on the latter. The results of the current research might suggest that teachers' teaching methods in the field are very important. It is hopeful that innovative teaching methods and activities will be introduced and expanded in the filed to produce more effective education.The Korea Convergence Society.