• Korean Public Health Research
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• v.44 no.4
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• pp.35-49
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• 2018

Objective : The purpose of this study was to investigate the risk factors of dehydration from the subjects who underwent anthropometric and blood parameters testing during a comprehensive health screening. Methods : For the study analysis, 5,391 samples with valid data of the levels of Sodium($Na^+$), BUN (Blood Urea Nitrogen) and FBS(Fasting Blood Sugar) were selected to calculate a dehydration indicator of plasma osmolality. The study data was collected from the health screening examinees who visited Sahmyook Medical Center Seoul Adventist Hospital Comprehensive Health Check-up Center from 2014.01.01 to 2015.12.31. The relationship between dehydration and age group, BMI, disease exposures(hypertension, diabetes mellitus, dyslipidemia, kidney disorder) were analyzed by gender. Results : The odds ratio of dehydration showed statistical significance from age ${\geq}50$ in both male and female, respectively. The female obese group was vulnerable to dehydration while the male study group showed no statistical significance in the BMI difference. The disease exposed groups(hypertension, diabetes mellitus, dyslipidemia, kidney disorder) were vulnerable to dehydration. Also, the more types of disease carried by the exposed patients, the higher odds ratio and susceptibility to dehydration. Conclusions : Aging, increasing BMI, and exposed to diseases were found to be the risk factors for vulnerability to dehydration. To prevent dehydration, special caution to be taken for those in the ${\geq}50s$ group, along with controlling BMI and chronic diseases. Further studies are suggested to investigate the risk factors of dehydration that may affect increasing plasma osmolality as a potential stimulus mechanism in disease outbreaks.

• Child Health Nursing Research
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• v.24 no.1
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• pp.101-108
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• 2018

Purpose: This study aimed to identify the effects of the mother-medical staff partnership on mothers' condition management ability for children with chronic allergic diseases. Methods: A total of 109 Korean mothers caring for a child with a chronic allergic diseases, identified according to the allergic march, such as food allergy, atopic dermatitis, allergic rhinitis, and allergic asthma, were recruited from the pediatric department of a general hospital in Seoul through convenience sampling. Data were collected using structured self-reported questionnaires from August 1, 2017 to October 31, 2017. and analyzed by descriptive statistics and multiple regression using SPSS version 22.0. Results: The Mother-medical staff partnership had a statistically significant effect on mothers' condition management ability for children with chronic allergic diseases (p<.05). Among the general characteristics, satisfaction with nursing services had a statistically significant effect on mothers' condition management ability (p<.05). Conclusion: In conclusion, strategies to support children with chronic allergic diseases, as well as their caregivers, should consider the mother-medical staff partnership as part of a family-centered approach.

• Journal of Korean Academy of Nursing
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• v.43 no.1
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• pp.123-132
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• 2013

Purpose: To develop and test the validity and reliability of the Korean version of the Family Management Measure (Korean FaMM) to assess applicability for families with children having chronic illnesses. Methods: The Korean FaMM was articulated through forward-backward translation methods. Internal consistency reliability, construct and criterion validity were calculated using PASW WIN (19.0) and AMOS (20.0). Survey data were collected from 341 mothers of children suffering from chronic disease enrolled in a university hospital in Seoul, South Korea. Results: The Korean version of FaMM showed reliable internal consistency with Cronbach's alpha for the total scale of .69-.91. Factor loadings of the 53 items on the six sub-scales ranged from 0.28-0.84. The model of six subscales for the Korean FaMM was validated by expiratory and confirmatory factor analysis (${\chi}^2$ <.001, RMR<.05, GFI, AGFI, NFI, NNFI>.08). Criterion validity compared to the Parental Stress Index (PSI) showed significant correlation. Conclusion: The findings of this study demonstrate that the Korean FaMM showed satisfactory construct and criterion validity and reliability. It is useful to measure Korean family's management style with their children who have a chronic illness.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.4
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• pp.1781-1785
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• 2011

This study was attempted a study on the naturopathic uitilization among chronic renal disease patients. Data was surveyed using interview and questionnaires by 165 patients of naturopathic utilization who visited the renal medical department of a general hospital which was located in Seoul from April 13 to May 13, 2010. The results were as follows ; First, the period of naturopathic utilization is the most in early disease(52.1%). Secondly, there was a significant positive correlation between the number of naturopathic utilization and expenditure a month(r=.251. p<.01). Thirdly, naturopathic utilization increased as the longer period of naturopathic utilization, the higher expenditure a month, the more age. In conclusion, factors influencing naturopathic utilization were the period of naturopathic utilization. expenditure a month, and age.

• The Journal of the Korea Contents Association
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• v.16 no.4
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• pp.729-740
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• 2016

This study was conducted to assess the needs of smartphone application development for self care performance of 374 patients with chronic hepatitis B. The mean age of the subjects was 46.2 years. The patients obtained information about chronic hepatitis B from the internet (41.3%), nurses or doctors (23.8%), television (15.6%), and smartphones (6.2%). The reason that the information about hepatitis B didn't come from a smartphone were 'Lack of useful applications' (75.9%), 'Could not believe the information' (15.0). If the application is developed, subjects replied 'Frequently use' (59.9%), 'When needed' (33.2%). The desired contents were 'Knowledge of disease' (27.1%), 'Drug calender' (16.8%), 'Reference of information' (15.5%), 'Record of lab data' (14.6%). Ability to use the smartphone, depended on age and level of education, however the needs for the development of the smartphone application, there were not differences. Also, there were different desired contents of application, depended on age and level of education. Therefore, when developing smartphone applications for self care performance of chronic hepatitis B patients considering educational level and age, it could be widely utilized as a tool which can help to the self care performance of chronic hepatitis B patients.

• Journal of Internet of Things and Convergence
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• v.9 no.1
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• pp.33-39
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• 2023

As the number of people with chronic diseases increases due to an aging society, it is urgent to prevent and manage their diseases. Although biometric authentication methods and Telemedicine Systems have been introduced to solve these problems, it is difficult to solve the security problem of medical information and personal authentication. Since smart healthcare includes personal medical information of subjects, the security of personal information is the most important field. Therefore, in this paper, we tried to propose a Telemedicine System using a smart wearable device ECG in the form of a wristband and face personal authentication in a private blockchain environment. This system targets various medical personnel and patients with chronic diseases in all regions, and uses a private blockchain that can increase data integrity and transparency, ECG and face authentication that are difficult to forge and alter and have high personal identification to provide a system with high security and reliability. composed. Through this, it is intended to contribute to increasing the efficiency of chronic disease management by focusing on disease prevention and health management for patients with chronic diseases at home.

• Child Health Nursing Research
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• v.12 no.2
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• pp.151-159
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• 2006

Purpose: The purpose of this study was to describe the relationships between resilience, coping and adjustment to illness and to identify the effect of resilience on adjustment in children with chronic illness. Method: The participants in this study were 71 children who were seen at one of 3 hospitals, either in outpatient clinics or as admitted patients. Instruments used in this study were self-reported questionnaires. The data were collected from March to October, 2005 and analyzed using descriptive statistics, t-test or ANOVA, Pearson correlation coefficient and stepwise multiple regression. Result: Adjustment to illness was significantly different according to sex and birth rank. There was a significant correlation between resilience, coping and adjustment to illness. Resilience was a predictor of adjustment to illness and accounted for 28% of thevariance. Conclusions: These findings suggest that programs and strategies that enhance resilience by promoting social competence and support-seeking skills and by fostering self-esteem and coping should be developed for children with chronic illness.

• Proceedings of the Korea Contents Association Conference
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• 2013.05a
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• pp.41-42
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• 2013

최근 노령화가 급속히 진행되면서 노화에 대한 연구가 활발히 진행되고 있다. 하지만 노화현상은 광범위한 표현형을 지니고 있는 생명현상으로 이에 대한 체계적인 연구를 지원하기 위한 웹포털 사이트가 필요한 실정이다. 특히 노화에 따른 질병과의 연관성 및 관련 유전자에 대한 정보를 수집하고 이를 체계적으로 분석할 수 있는 통합정보시스템은 향후 노화연구를 지원하기 위한 가장 핵심적인 요소라고 할 수 있다. 본 연구에서는 기존 노화와 관련된 461개의 유전자를 기반으로 관련된 질병과의 연관성을 OMIM 데이터베이스를 활용하여 분석하였다. 또한 관련 단백질의 기능을 GO데이터베이스 분석을 통해 유전자의 기능을 분석하였다. Pubmed에서 제공하는 노화관련 논문들의 MeSH 정보 분석을 통해서 노화와 관련된 용어를 분석하였다. 노화와 관련된 64개의 유전자를 키워드로 NCBI의 pubmed 데이터베이스로부터 관련논문을 다운로드 받아 생물학적 상호작용 정보를 추출했다. 생물학적 상호작용은 NCBI에서 제공하는 Metamap 데이터베이스를 기반으로 각각의 생물학적 용어를 정의했다. 현재 노화 유전자 64개에 대해 128,729개의 생물학적 상호작용 정보를 추출했고, 8대 노인성만성질환에 대해 301,176개의 생물학적 상호작용 정보를 추출하였다.

• Journal of Preventive Medicine and Public Health
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• v.12 no.1
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• pp.61-69
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• 1979

In Korea, the regional differences of medical facilities and man-powers are very serious recently. in order to solve rural medical problem, the comprehensive health care service is required earnestly in rural area. The present study was performed to provide the material for rural medical policy by analyzing the diseases occurring frequently in rural area and assuming the paramedical workers' abilities of medical treatment. The frequently by occurring diseases were classified by investigating. The chief complaints of 4559 subjects through home visiting for last weeks occurred in 1978. The paramedical workers' abilities of medical treatment were investigated by analyzing the clinical charts of patients treated by paramedical workers by systemic health care delivery system from, September 1977 to December 1977. The results obtained are summarized as fellows; 1. The rate of disease suffering recently for 2 weeks was 22.5% in Rural area. 2. The rate of respiratory disease was 36.%, gastrointestinal disease 18%, trauma 8% and neuromuscular disease 7.5%, respectively. 3. The coverage of treatment by health workers was 97.6% in general practitioner, 70% in community health practitioner and 42.1% in community health aid, respectively.

• Journal of Digital Convergence
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• v.13 no.11
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• pp.217-230
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• 2015

This study investigated the differences in how medical institutions are chosen according to the motivation of medical service utilization(minor disease, major disease, chronic disease management, cosmetic). Importance order of selection for the minor disease were medical skill, kindness, rapidness, proximity, importance order of selection for major disease and cosmetic were medical skill, facilities, reputation, medical fee, importance order of selection for chronic disease management were medical skill, facilities, kindness, medical fee. From this medical study skill was a more important factor in medical institutions irrespective of motivation, subjects with the major disease tend to consider the selection of the medical institutions more important, except proximity. Medical users select medical institutions according to the motivation of visiting, and there were differences in same motivation according to socioeconomic status and information searching behavior.