• Journal of Digestive Cancer Research
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• v.4 no.1
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• pp.21-28
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• 2016

Hepatocellular carcinoma (HCC) is rather unique. Most of HCC patients have underlying chronic liver diseases with or without cirrhosis and the prognosis of HCC depends on the liver function, as well as the tumor extent. Non-invasive diagnosis of HCC can be made with certain risk factors and specific imaging findings (e.g. hypervascularity). Patients with HCC can receive surgical resection, radiotherapy, and systemic chemotherapy as other solid malignancies. HCC has more treatment options such as liver transplantation, transarterial chemoembolization (TACE) and radiofrequency ablation (RFA). A variety of practice guidelines for HCC has been published by many academic societies. Different healthcare systems and availability of resources also affect the practice guidelines; therefore, practice guidelines have similarities and dissimilarities. Herein, we review the current status of practice guidelines for HCC and future perspectives for the improvement of guidelines are also discussed.

• Journal of Korean Academy of Nursing
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• v.31 no.3
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• pp.401-416
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• 2001

현재의 보건의료체계에서는 모든 것이 급박하게 변화하고 있으며 또 구체적인 자료를 요구한다. 컴퓨터의 보급과 함께 이러한 변화에 능동적으로 대처하기 위해 간호학에서도 표준화된 대규모 데이터베이스의 개발이 필수적이다. Nursing Minimum Data Set (NMDS)은 간호학분야에서 개발된 최초의 표준화된 대규모 데이터 베이스로서, 간호가 일어나는 모든 상황에서 반드시 수집되어야 할 핵심적인 간호요소를 포함하고 있다. 따라서 본 논문에서는 NMDS 개발의 역사적인 배경, 목적, 요소, 그리고 간호계의 세계적인 동향과 관련하여 NMDS가 이루어야 할 방향, 그리고 NMDS를 완성하기 위해 선행되어 할 문제로 표준화된 분류체계에 대해 논의하였다. 그리고 미국이외에도 몇몇나라에서 NNDS나 혹은 유사한 데이터베이스가 개발 중이거나 이미 수집되고 있는 나라들이 있으므로 이들에 대한 비교와 분석도 제시하였다. 그리고 보다 최근에 개발된 데이터 베이스로 주로 행정적인 목적을 위해 개발된 Nursing Management Minimum Data Set (NMMDS)을 소개하였다. 즉 NMDS가 임상적인 자료의 수집에 초점을 맞춘 데 비해, NMMD는 효과적인 간호관리에 필수적인 요소들을 포함시켰다. 그래서 간호행정가들이 의사결정에 필요한 재정적자원, 환경적자원, 간호자원에 대한 정보를 수집할 수 있게 고안되었다. 이러한 데이터 베이스들은 관계형 데이터베이스로 서로 연결되어야 하며, 다른 학문분야와도 연계되어 활용되어져야 할 것이다. 만약 이러한 대규모 데이터베이스 들이 한국에서도 개발되고 사용되어 진다면 환자간호에 더욱 비용 효과적인 관리가 가능하게 될 것이다. 마지막으로 우리나라에서 NMDS나 NMMDS 같은 대규모데이터 베이스의 개발이 시급히 요청됨을 강조하였다.

• The Journal of the Korea Contents Association
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• v.11 no.2
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• pp.367-375
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• 2011

This study conducts analysis on integrated care cases in Korea and other nations regarding health, medical, and welfare services that are segmented and fragmented in order to provide foundational data to establish an integrated care system appropriate for the situation of Korea. According to the result of the cases, integrated care provides various services in common through cooperation with organizations, collaborative participation of various professionals, provision of intervention and individualized protection, and experts for taking care of the cases. Based on those cases, this paper provides suggestions to establish an integrated care system of Korea. In fact, it is necessary to build integrated care general support centers, arrange service providing places in common, establish a care management system, develop resources and expand manpower, develop an integrated care case management system, and develop integrated care computer network.

• The Korean Journal of Emergency Medical Services
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• v.25 no.1
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• pp.205-221
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• 2021

Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients' and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.

• Korean Journal of Occupational Health Nursing
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• v.2
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• pp.52-59
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• 1992

본 연구는 예방적 건강행위에 대한 필요성 인식 정도와 실천정도를 파악하고 이를 요인분석하여 산업장의 예방적 건강행위를 이끌기 위한 프로그램의 기틀을 세우기 위해 시도되었다. 연구도구는 참고문헌과 선행연구 등을 참조하여 본 연구자가 만든 설문지를 사전 조사후 수정, 보완하여 사용하였다. 연구대상은 경기도 소재의 2개 기계제조업체에 근무하는 근로자들이였으며 1989년 5월 5일부터 10일까지 자료를 수집하였다. 수집된 자료 중 탈락 및 기재가 불충분한 질문지를 제외한 284명의 응답자를 분석에 사용하였다. 자료분석은 SPSS를 이용하여 전산처리하였으며, 연구결과는 다음과 같다. 1) 예방적 건강행위의 필요성 인식정도의 평균은 122.1점으로 매우 높은 점수분포를 나타냈으며, 실천정도의 평균은 87.6점으로 필요성 인식정도 보다는 낮은 실천정도를 나타냈었다. 2) 예방적 건강행위에 대한 필요성 인식정도와 실천 정도간의 상관관계를 분석한 결과 29개 예방적 건강행위 중 20개의 항목에서 통계적으로 유의한 상관관계를 보였다. 이것을 예방적 건강행위에 대한 필요성 인식정도가 높을수록 실천정도가 높은 것을 의미하는 것으로 인식정도가 행위에 영향을 미침을 반영하고 있다. 3) 요인분석결과 29개의 예방적 건강행위 항목들은 7가지의 요인으로 범주화되었으며 각 범주들은 요인부하량이 높은 것들을 참고로 하여 보건의료자원활동을 통한 예방적 건강행위, 개인위생에 대한 예방적 건강행위, 작업과 관련된 건강행위, 식습관을 통한 예방적 건강행위, 휴식을 통한 예방적 건강행위, 기호습관(금연, 금주)을 통한 예방적 건강행위, 활동을 통한 예방적 건강행위등으로 명명할 수 있었다. 결론적으로 생산직에 종사하고 있는 근로자들은 예방적 건강행위에 대한 필요성을 깊이 인식하고 있으나, 실천정도는 그에 미치지 못하고 있었다. 그러나 예방적 건강행위의 필요성 인식정도와 실천정도간의 상관관계에서 29개 항목중 20개 항목에서 유의한 상관관계를 보여 인식정도가 높을 수록 실천정도가 높은 것으로 나타났다. 이는 근로자의 건강에 대한 인식 및 태도가 가장 직접적으로 영향을 미칠 수 있는 산업간호사의 역할 중 보건교육에 대한 업무가 보다 중요한 비중으로 수행되어져야 함을 시사하는 결과라고 볼수 있다.

• Health Policy and Management
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• v.22 no.1
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• pp.65-84
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• 2012

Because of the rising healthcare costs, there is a growing need for developing efficiency indicators for medical resources use and measuring efficiency of healthcare providers and healthcare systems using them. In this study, we aimed to develop efficiency indicators for medical resources use by means of Delphi technique. We systematically reviewed the existing measures of medical resource use. Thirty nine indicators were selected as a candidates across the six domains: medical personnel, medical equipment, medical facilities, ethical management, resource efficiency, and drug use. To develop efficiency indicators with professional consensus, a 2-round Delphi survey was conducted among 29 professional experts. The following indicators were selected based on the Delphi survey results: adjusted number of the patient per day and level of the nurse number medical personnel in medical personnel domain; the number of the scan a professional physician and the quality of the scan in medical equipment domain; bed utilization rate in medical facility domain; drug price reported pharmaceutical price by medical institutions, medical fee billing transparency, and medical care appropriateness in ethical management domain; costliness index in resource efficiency domain; and utilization of high cost drug and items per prescription in drug use domain. The efficiency indicators could provide valid information about efficiency of healthcare providers and healthcare systems with respect to their resources use and facilitate policies to improve their efficiency.

• Health Policy and Management
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• v.22 no.1
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• pp.85-108
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• 2012

One of the ways to achieve the principle of equal access for equal needs, availability and geographical accessibility of health care resources regardless of resident sites is important. The purpose of this paper is to measure socioeconomic inequities in distribution of health care resources among regions in the Republic of Korea (hereafter Korea). Data were extracted from regional statistics of National Health Insurance, Community Health Survey, Korea Social Science Data Archive, and Korean Statistical Information Services at the same period of 2009. The dependent variables were the number of health workforce and health care facilities in each region. The proxy indicator of regional socioeconomic status was local tax per person. To identify whether inequalities among regions, we examined the concentration index(CI) and indirectly standardized CI by controlling each region's demographics and need factors. Total observations were 232 districts in nationwide, and we analyzed separately Seoul(25 districts) and non-Seoul areas(207 districts). The standardized CI values of health care resources were positive(favoring the rich region) across the nation in almost all kinds of resources. Especially the number of specialist, dentist, dental clinics, clinics, oriental medical clinics, pharmacists, and pharmacies were statistically significantly favoring the rich region. But the CI for the number of long-term care hospitals, public health centers were negative(favoring the poor region). The tendency of CI presenting positive values were increased in Seoul area. But in the case of non-Seoul, the CI indexes were nearly zero. The results suggest that except the Seoul area, little regional socioeconomic-related inequalities were observed in the distribution of health care resources in Korea.

• Health Policy and Management
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• v.25 no.3
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• pp.221-228
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• 2015

Background: This study explored the relationship between hospital resources and services uses in outpatient/inpatient-based hospital service area (HSA) in Korea. Methods: Study hospitals included all acute care hospitals except tertiary hospitals. Inpatient and outpatient hospital claims from the Korean National Health Insurance (NHI) program in 2010 were used to identify the service uses. Hospital resources and the degree of insurance premium in study areas were identified with the NHI corporation data. Study variables were computed by summing the service uses or hospital resources of study hospitals in each HSA. Service uses were represented by the total medical charges and number of visits/inpatient days. Hospital resources were measured by number of beds, number of doctors, and number of computed tomography (CT). The economic status of NHI enrollees in each HSA was controlled by the average monthly premium of NHI program per household in each HSA. The degree of using local hospitals was controlled with the localization index. Results: Analysis results showed that hospital resources such as beds, CT were statistically related to the service uses. And also localization index was found to have positive significant relationships with service uses. Conclusion: Hospital resources such as beds, CT had not only positive impacts on inpatient service uses, but also influences on the outpatient setting. Health policy makers will require monitoring and assessing the hospital resources in Korea.

• Journal of Convergence for Information Technology
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• v.12 no.5
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• pp.168-176
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• 2022

Purpose: This study was done to examine the effects of the SNS Gratitude Diary Program during the COVID-19 period on grateful disposition, job satisfaction and life satisfaction of medical institution workers. Methods: The study was a nonequivalent control group pre-post test design. The participants were 58 medical institution workers of which 28 were assigned to the experimental group and 30 to the control group. Data were collected from June 3 to August 10, 2020 and analyzed using SPSS Win 18.0 version program. The intervention was conducted 5 times a week for 8 weeks. Results: There were significant differences in reported grateful disposition between the two groups. However, the issue of job satisfaction and life satisfaction were not significant. Conclusion: The SNS Gratitude Diary Program using SNS during the COVID-19 period can be utilized as an effective intervention for grateful disposition. It will be a good solution to lead successful psychological health management.

• Journal of the Korea Society of Computer and Information
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• v.29 no.3
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• pp.43-54
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• 2024

Recently, there has been a lot of research on utilizing Language Models, and Large Language Models have achieved innovative results in various tasks. However, the practical application faces limitations due to the constrained resources and costs required to utilize Large Language Models. Consequently, there has been recent attention towards methods to effectively utilize models within given resources. Curriculum Learning, a methodology that categorizes training data according to difficulty and learns sequentially, has been attracting attention, but it has the limitation that the method of measuring difficulty is complex or not universal. Therefore, in this study, we propose a methodology based on data heterogeneity-based Curriculum Learning that measures the difficulty of data using reliable prior information and facilitates easy utilization across various tasks. To evaluate the performance of the proposed methodology, experiments were conducted using 5,000 specialized documents in the field of information communication technology and 4,917 documents in the field of healthcare. The results confirm that the proposed methodology outperforms traditional fine-tuning in terms of classification accuracy in both LoRA fine-tuning and full fine-tuning.