• Journal of Digital Convergence
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• v.10 no.4
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• pp.243-250
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• 2012

This study proposes new protocol protecting patients' personal record more safely as well as solving medical dispute smoothly by storing the record not into a computer server in hospitals but into the National Health Insurance Corporation computer server. The new protocol for electronic medical record is designed using RSA public key algorithm and DSA digital signature. In addition, electronic medical record systems are built up with more safety and reliability through certificate authority. The proposed medical information systems can strengthen trust between doctors and patients. If medical malpractice occurs, the systems can also provide evidence. Furthermore, the systems can be helpful to reduce medical accidents. The systems could be also utilized efficiently in various applied areas.

• Journal of the korean veterinary medical association
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• v.33 no.1
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• pp.38-43
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• 1997

동서양을 막론하고 최근들어 수의침술의 관심이 높아지고 있다. 지금까지의 입장을 고수하려는 서양의 학자(school medicine)들 중에서 종양의학에 관심을 갖는 것 뿐만아니라, 환축을 갖고 있는 사람들로부터 부작용이 심한 약물치료로 부터 벗어나 좀더 자연적인 방법으로 환축을 최소의 부작용을 유발할 수 있는 치료법을 찾으려는 노력의 댓가인 것이다. 본 내용에서는 침술의 근본이론인 동양철학의 의미를 다시 한번 상기시키고 1991-1994년 사이에 Berlin소재 본인 근무하던 대학병원과 개인병원에서 직접 치료했던 말과 소동물(애완견)을 증례별로 정리하였다. 도표(Table 1-5)에서 알 수 있듯이 아직도 그 작용기전이 밝혀지지는 않았지만 실제임상에서 침술이 차지하는 비중이 점점 증가하고 있다. 약물의 투입만을 고수하려는 우리의 수의임상과는 대조적으로 이러한 상황으로부터 탈피하려는 서양의 움직임이 오히려 최근에 들어서는 수의침술을 배우기 위하여 유럽이나 구미지역으로 유학을 떠나야 하는 실정으로 전도되어 버렸다. 본 내용에서는 자세하게 다루지는 못하였지마는 모든 환자들을 음양오행으로 분석을 하여 질환의 원인을 구명하고 진단, 치료하였다. 그렇기 때문에 임상학적으로나 전통적인 서양의학적으로는 같은 질병이라도 동양의학적으로는 환축의 성격이나 감정표현방식의 차이에 따라서 전혀 다른 진단과 치료방법을 선택하여야 하는 경우가 종종 나타난다. 이러한 동양의학의 질서를 이해할 수 없는 서양의학자들에게 침술을 단지 하나의 효과만으로 파고드는 것은 어려운 일이 아닐 수 없다. 이러한 상황을 보다 효과적으로 극복할 수 있는 길은 우리 스스로 동양철학을 보다 더 많이 이해하고 침술이론의 허실을 분석하여 체계적이며 이론적인 수의침술발전의 기여하여야 할 것이다. 그리고 수의침술의 생리적인 기전을 현대의학적인 관점에서 해석하고 증명하는 노력이 좀더 많이 기울어져야 할 것이다.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.2
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• pp.175-182
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• 2022

Purpose: The study examined the effects of ethical sensitivity and person-environment fit on person-centered care of nurses in long-term care hospitals. Methods: The participants were 111 nurses. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS program. Results: The mean of person-centered care was 2.95±0.62 out of 5. There were significant differences in person-centered care in terms of age, shift pattern, total clinical career, and educational experience of person-centered care. Person-centered care and ethical sensitivity, person-centered care and person-environment fit showed a positive correlation. Factors affecting the person-centered care were the age (20-29), shift pattern (three shift), person-environment fit. The explanatory power was 42%. Conclusion: These results can be used to increase the person-environment fit and adopt a differented approach based on age and shift pattern in order to enhance person-centered care. Therefore, it is necessary to develop and apply an person-centered care program for nurses in long-term care hospitals.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.10a
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• pp.318-320
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• 2022

The people who is returning to the community after hospital treatment are faced with the choosing where to proceed with rehabilitation exercise with an appropriate exercise specialists based on the current health condition of them. It is required to supprot a personalized exercise rehabilitation service (hereinafter referred to as ARES system) in the community based on individual disease information and health conditions based on hospital clinical data. In this study, we designed a resource management system for online-to-offline (O2O) based coach matching to improve accessibility with facilities and coaches for exercise rehabilitation in the community.

• Journal of dental hygiene science
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• v.17 no.2
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• pp.99-107
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• 2017

The purpose of this study was to identify knowledge awareness, and performance of dentist and dental staff regarding protection of patient's personal information. In addition, this research was conducted to highlight the importance of protection of patient's personal information and provide a guideline for establishing measures in this regard. A survey was conducted on 506 dentists or dental staff working in Seoul, Gyeonggi and Chungcheong provinces. The data was analyzed using t-test, one-way ANOVA, $x^2$, Pearson's correlation coefficient, and Scheffe test, using the PASW Statistics ver. 18.0 program. We found that the participants' knowledge and perception of the protection of patient's personal information were relatively low compared to those of other professionals. Such knowledge and perception were especially and significantly low in dental hygienists. In addition, a high level of knowledge and awareness showed a positive correlation with the extent of performance. Therefore, it is important that dentists and dental staff are aware of issues regarding the protection of patients' personal information. For this purpose, educational and training programs on such issues appear essential.

• The Journal of the Korea Contents Association
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• v.17 no.8
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• pp.290-300
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• 2017

This study concerns whether the public spirit of medical services, which is the foundational goal of national hospitals, is being realized. To derive results regarding this question, it is necessary to identify the determinants that influence the choice of national hospitals. The data are based on the number of cases of medical service use among the data for 6 years from 2008 to 2013 in the Korea Medical Panel, and the subjects were limited to those who were 18 years old or older. In the final analysis, 14,365 cases of hospitalization service uses were employed. For the research method, Andersen's behavioral model theory was applied, and predisposing, enabling, and individual factors were determined to be variables. Logistic regression analysis was conducted to analyze the determinants of national hospital choice factors. It was found that the rate of use of national hospitals was very low, with 5.23% for hospitalization services. Furthermore, socioeconomically vulnerable people, such as the elderly, low-income people, the national meritorious and medical care beneficiaries, chronic patients, and disabled patients are more likely to choose national hospitals than private hospitals. Therefore, for the appropriate management of medical service use for low-income vulnerable groups, it is necessary to discuss the enhancement of primary medical care in national healthcare.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.453-461
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• 2015

The aim of this study was to find out the relationship between hospital structural factors and nurses' turnover rate. Nurse turnover rate and the hospital's characteristics was using Statistics for Hospital Management Data of Korean Health Industry Development Institute. The data were reported 247 hospitals in 2008 all over the country. The turnover rate among nurses was 32.0% in Korea as of 2008; those factors actually affecting the rate included whether the hospital was managed publicly or privately, the hospital size, region, the average salary for nurses, and the number of nurses per 100 beds. While each hospital had the turnover rate correlated with the total number of beds (r=-.322), the average salary for nurses(r=-.186) and the number of nurses per 100 beds (r=-.390), variables explaining the turnover rate were whether the hospital was managed publicly or privately, the number of beds, and the number of nurses per 100 beds ($R^2=.257$). In conclusion, nurses working in a privately-managed hospital and hospitals which had a smaller number of beds and which had a smaller number of nurses per 100 beds showed a higher turnover rate. Further study is required to elucidate the factors of the nurses' turnover.

• Journal of Digital Contents Society
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• v.10 no.3
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• pp.433-439
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• 2009

With the help of fast growing popularization of internet, all areas of e-Health have expanded rapidly; such that people have become interested in digital personal health record and its management. This paper examined the characteristics of personal health record and made the analysis of the structure of Google Health, the internet-based personal health record system. Google Health allows you to store and manage all of your health information, import medical records from hospitals and pharmacies, share your health records, and explore online health services. This examples represents not only a significant change of current medical systems but also enables to estimate the future stream of it. As a result, this paper, in the areas of e-Health which will be expanded in various service areas, may give you a greater sense of importance of personal health record and will eventually provide more complemental structure of future personal health record through comparative studies on the strength and weakness of it.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.2285-2294
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• 2014

Stoltz's AQP is a tool to estimate the level of adversity. The purpose of study is to test the reliability and validity of AQP. The participants were 297 nurses of tertiary hospital in Korea. Data were collected from Aug. to Oct. 2013. Resilience Scale was used as criterion of AQP. Cronbach's alpha test, item total correlation, exploratory factor, correlation analysis, and ANOVA test were used. In result, factor analysis was accounted for four factors explaining 56.256% of total variance and corresponding factors were factor 1 (Control, 10.7%), factor 2 (Ownership, 13.7%), factor 3(Reach, 17.4%), factor 4 (Endurance, 14.9%). The internal consistency was acceptable (Cronbach's alpha=.84). Four factors were positively correlated with RS. AQP is a reliable and valid instrument to measure for adversity quotient in Korean nurse.

• Journal of the Korea Society for Simulation
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• v.21 no.4
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• pp.57-64
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• 2012

The waiting time of patients is an important factor related with service quality of a hospital system. An appointment system of patients is not popular, in special, in a private hospital. An appointment system is expected to diversify patients in time and to reduce patient's waiting time. Three appointment rules are suggested and analyzed to compare the waiting time of appointment and walk-in patients using simulation analysis. The results of two way ANOVA show that the time slot of 30 minutes for allocating appointment patients is better than the time slot of 60 minites in view of patient's waiting time. The results of the appointment level 1 also show that the constant pattern rule and the zigzag pattern rule give shorter waiting time for walk-in patient and for appointment patient, respectively.