This study investigated a posttraumatic stress, social support, and work burden and identified related factors which exerted influence on posttraumatic stress of new firefighters. Data were gathered from total of 144 new firefighters. Also, 22 PTS items, 20 work burden items, and 8 social support items were analyzed by SPSSWIN 21.0 program. Posttraumatic stress according to general characteristics showed significant difference in gender(t=-2.57, p=0.01), experience of self danger(t=3.06, p=0.00), experience of rescuee danger(t=2.41, p=0.02), and experience of colleague danger(t=3.43, p=0.00). High risk group of PTS was 20.1%. Posttraumatic stress, social support, and work burden showed significant difference in the high and low risk group. Posttraumatic stress was correlated with work burden(r=0.34, p=0.00), social support(r=-0.29,p=0.00). Factors influencing PTS were Experience of colleague danger(${\beta}$=1.274, 95% CI=0.08-0.96), social support(${\beta}$=-0.090, 95% CI=0.85-0.98) and work burden(${\beta}$=0.057, 95% CI=1.02-1.10). We need to reduce the work burden caused by influencing variable of traumatic stress and create more preventive discipline of traumatic stress for the new firefighters to improve the social support at work or home. Also, posttraumatic stress has to be managed consistently with support by changing the social attitudes and we need to seek the new system that anybody can get a consultation of a specialist.
Objectives : This work aimed to reveal the relations between Health-related Quality of Life and Body mass index, age, gender in Sasang Constitution. Methods : 1108 subjects who visited Korean medicine hospital in Jeonju for regular health examination surveyed SF-12. Their Sasang constitution were diagnosed by 1 Sasang constitution medicine specialist. ANOVA (Analysis of variance) was carried out to compare SF-12 sub scales differences among each constitutions. Regression analysis was performed to reveal effects in changes of BMI, age, and gender to SF-12 sub scales. Results : TE type gets more BMI, has more physical limits, even those of SE and SY type are not limited by these reasons. Contrary, SE type feels more vitality when they get higher BMI. SE type women have low mental health status than that of SE type men, though they don't have any specific disease. Conclusions : This is the first work of analysis between quality of life and Sasang Constitution's BMI, age, and gender. To reveal factors which affect quality of life in each Sasang constitutions, more rigorous works are required.
Kim, Jin Yong;Kang, Seok Joo;Kim, Jin Woo;Kim, Young Hwan;Sun, Hook
Archives of Plastic Surgery
/
v.40
no.2
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pp.134-140
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2013
Background The purpose of this study is to analyze the current attitudes toward professionalism, the core values, and the type of professionalism among plastic surgeons in Korea to establish a code of ethics regarding the role of professionalism for plastic and reconstructive surgeons. Methods From March 9, to July 1, 2012, face-to-face and mail surveys were conducted targeting the 325 participants (256 specialists and 69 residents) who are registered members of the Korean Society of Plastic and Reconstructive Surgeons. The proportion of each response given to an item was obtained through statistical processing through frequency analysis. The Mann-Whitney U test was used to compare the differences in the responses between the resident group and the specialist group. Results The survey results on the perception of professionalism in plastic surgery showed that a high proportion (90.5%) of the respondents viewed the future of plastic surgeons as bright. Through evaluation of the importance of the value items,"professional dominance" (4.58 pts), "autonomy" (4.45 pts), "lifestyle" (4.34 pts), and "commercialism" (4.31 pts) were assessed as critical values. "Altruism" (3.84 pts), "interpersonal competence" (3.79 pts), and "social justice" (3.61 pts) were viewed as lesser values. This difference showed the characteristics of an entrepreneurial outlook. Conclusions Plastic surgeons should pursue excellence, humanism, accountability, and altruism in order to overcome the crisis of professionalism in plastic surgery. In order to develop the necessary competencies of professionals, vocational education should be arranged by the Korean Society of Plastic Surgeons, and an appropriate code of ethics should be established.
To assess the proportion of spectacles-wearing and an aspect of familial aggregation of myoptic spectacles-wearing and to observe the birth cohort for myoptic spectacles-wearing, a nationwide self-administered questionnaire survey was conducted from March 11 to September 19, 1985 A probability sample of 13,346 persons was taken from 180 enumerated districts designated by the fifth nationwide tuberculosis prevalence survey from Korean Institute of Tuberculosis. The major findings of this survey are as follows: 1) Total of 62.5% of the study population lived in urban area whereas 37.5% lived in Eup-Myun area. There was statistically significant difference in age and sex distribution between two residential area. 2) The percentage of spectacles-wearing was 8.3% and among these, myoptic and hyperoptic spectacles were 6.0%, 2.3%, respectively. A total of 8.5% of the male study population wore spectacles and this was slightly higher than the female (8.0%). 3) Among the occupational groups, students were the highest myoptic spectacles-wearing group whereas professionals were the highest hyperoptic spectacles-wearing group. 4) The proportion of myoptic spectacles-wearing was higher in female students than in male students respectively 11.6%, 8.7%. There was an increasing tendency of spectacles-wearing as age increased. 5) The age-sex adjusted prevalence rate of myoptic spectacles-wearing by residential areas was 2 times higher in urban area than Eup-Myun area 6) A wearing of the myoptic spectacles in early age was observed in recent birth cohort than remote birth cohort. 7) There was a tendency of familial aggregation for myoptic spectacles-wearing. The proportion of myoptic spectacles-wearing was 6 times higher for those who had parents wearing spectacles. 8) 60.9% of the total myoptic spectacles-wearing persons received the eye-specialist's order and 44. 9% for the hyperoptic spectacles wearing.
Journal of the Korean Society for Library and Information Science
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v.43
no.4
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pp.281-306
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2009
This exploratory study reports how teacher-librarians perceive their roles as practitioners in school library media programs. Conducted within the framework of qualitative research, the study employed a focus group interview (Morgan 1997) with five teacher-librarians at elementary school level in Seoul. The findings suggest: (1) the roles of teacher-librarians are influenced a great deal by many factors in educational systems; (2) there is no consensus on how to define and perform their role as teachers; (3) there seems to be increasing emphasis on their program administrator's role; (4) there is no consensus on prioritizing the five roles suggested by the AASL (2009), but all the participants agreed that the leader's role is most crucial for the success of pursuing the rest of the roles, and (5) there seems to be no clear boundaries as teacher-librarians perform their roles. Putting all the results together, the researcher was able to conclude that teacher-librarians are frequently asked to be flexible and negotiable and have great burden in the affective, cognitive, and physical realm for the roles imposed and expected of them.
1. Objectives The objective of this study was to measure the differences of EEG changes accoring to emotional stimulus in Sasangin. 2. Methods 44 healthy volunteers(Soyangin 10, Soeumin 14, Taeumin 20) were participated. Sasang Constitution was diagnosed by Sasang specialist. Volunteers watched horror movie as the emotional stimulus. We recorded EEG data during pre-stimulus rest(120sec), during-stimulus(197sec), rest-stimulus(120sec). Power spectral analysis was done and relitive power and ${\alpha}/{\beta}$ ratio were compared among each groups. 3. Results (1) The mean of relative ${\alpha}$ of Taeumin was significantly decreased according to stimulus compared with Soyagnin. (2) Relative ${\alpha}$ of Soeumin was significantly decreased in T3 area according to stimulus compared with Taeumin. (3) Relative ${\beta}$ of Taeumin group was significantly increased in Fp2 area according to stimulus compared with Soeumin. 4) Relative $high-{\beta}$ of Soyangin group was significantly decreased in F3 by the post-stimulus rest compared with Soeumin. (5) ${\alpha}/{\beta}$ ratio of Soeumin was significantly increased according to stimulus compared with other groups. 4. Conclusions Soyangin showed sensitive changes according to the emotional simulus compared with Soeumin and Taeumin. Above results suggest that the emotional characteristics of Sasangin can be measured by objective methods as by EEG.
Journal of Korean Academy of Nursing Administration
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v.15
no.1
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pp.91-105
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2009
Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.
Purpose: The study was to develop a tailored education and coaching program (TECP) for cancer patients, and to identify the effects of TECP on pain severity, daily living impairment, barriers on pain management, self-efficacy, and pain management satisfaction. Methods: A randomized controlled trial was used. Patients referred to an oncology nurse specialist from oncologists for pain management were randomly assigned to TECP (25) or usual education program (UEP, 22). The intervention was offered by educating the method of taking opioid medication, managing opioid-induced side effects, reducing pain misconceptions and enhancing self-efficacy for communicating with a medical team on cancer pain severity, and pain-related impairment. Patients completed questionnaires before the education program and on the next visit 3~4 weeks later. Data were analyzed by SPSS 19.0 program using percentage, frequency, mean, standard deviation, x2 test and independent t-test. Results: At all levels, pain severity improved significantly in the experimental group-worst pain (8.16 to 3.80, p<.001), average pain (6.16 to 2.52 p=.008), and least pain (3.32 to 0.96, p=.038)-but not in the control group. Pain management satisfaction also showed significant differences (t=2.93, p=.005) between experimental (4.70±0.49) and control (4.17±0.73) groups. Interference with daily living, barriers to managing cancer pain, and self-efficacy for managing pain improved in both groups but there were no significant differences. Conclusion: The findings suggest that TECP should be considered for outpatients who need cancer pain management.
The principal objective of this study is to determine the most appropriate methods to increase global recognition of Korean food. In service of this objective, interviews were conducted with Korean food specialists who worked for a Korean culinary educational institute in Seoul, as well as cooking experts who worked for restaurants in super deluxe hotels. The study was conducted for 10 days from Feb $21^{st}$ to March $2^{nd}$ in 2009. The results of the study were summarized and synthesized into some key opinions. First, one of the main concepts in Korean culinary education should involve the selection of a small group of the best members and training them to a world class level at a traditional HanOk style institute. Second, to establish a standard for trainee recruitment, we selected a group of members consisting of about 20 persons over the age of 18 years who had earned a degree or were scheduled to graduate from university chef training and had also worked for over 5 years in the field, additionally, foreigners were allowed to apply to the institute. The educational term is one year and some benefits, such as a fixed amount of subsidies to help in daily living, free dormitory housing a certificate of course completion, and an employment guarantee. Third, the educational program consisted of two stages one was the specialist course in which traditional foods were covered and the other was the menu development course, which dealt with the creation of new Korean foods. Fourth, unique programs, including specialized foreign foods experience halls or commission education, were instituted in an effort to raise the level of world recognition of the superiority of Korean food.
The profitability of a hospital refers to business administration results achieved through its medical care and other management activities during applicable fiscal year. This study focused on operating margin as a measurement index of hospital profitability, which is a genuine medical return obtained by subtracting medical expenses from medical profits achieved during business administration of hospital. Based on the index, this study could deduce certain factors on hospital profitability in terms of various indices affecting profitability. And based on those factors, this study sought to provide more useful reference materials which allow us to devise possible ways to improve hospital profitability. As a result, it was found that public hospitals attained lower profitability than private ones. To analyze profitability depending on each index, this study divided hospitals broadly into deficit group and surplus group. As a result, it was found that there were significant differences in hospital profitability between two groups depending upon relevant indices such as labor cost ratio, maintenance expense ratio, number of operations per medical specialist and medical instrument turnover. According to analysis on potential effects of relevant indices upon profitability, it was found that each index had its explanatory power ranging from 25% to 74.5% depending on given model.
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