• Title/Summary/Keyword: 불편정도

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Improvement of Inspection Methods using Lighting Signals and Guidebook for Non-English speaking Foreign Visitors (For chest X-ray Screening Examinees) (비영어권 외국인 내원객의 조명 신호와 안내서를 이용한 검사방법 개선 효과(흉부 방사선 검사자를 대상으로))

  • Kwak, Jong Hyeok;Choi, Min Gyeong;Kim, Neung Kyun;Kim, A Yeon;Kim, Gyeong Rip
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.577-584
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    • 2020
  • In this study, the number of non-English speaking visitors is increasing day by day, and accordingly, there was a limitation in language communication and communication during radiographic examination. To this end, after distributing the handbook produced for inspection, the improvement effect of before and after explanation was examined. The score scale was not statistically significant as to whether it was the test site or not, and the degree of discomfort of the test, the degree of understanding of the breathing guidelines, and the satisfaction of the test description were improved and the score scale was improved before and after the description of the guide. Non-English-speaking foreign visitors were more satisfied with explanations in their own text than in English or Korean, and the method was also able to conduct effective inspections by informing the foreign guests when to control their breathing by using the lighting signals in the laboratory. In the future, the quality of medical services and imaging medical examinations can be improved only when communication methods are implemented from various perspectives, such as developing various language interpretation programs, developing guides for various test sites, and developing tools and improving foreign language skills of radiologists and medical staff. There will be. In the future, it may be used as a basic resource to prepare a manual that can be used to examine non-English speaking foreigners who do not understand English or Korean in other radiology labs.

Suggestion of Improving and Estimating Parking Space Section Considering Proper Position of Car-Stopper (카스토퍼 설치위치를 고려한 주차단위구획 산정 및 개선방안 제시)

  • Kwon, Sung-Dae;Park, Je-Jin;Lee, Jun-Young;Ha, Tae-Jun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.3
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    • pp.1095-1104
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    • 2013
  • The number of vehicles registered in Korea is rapidly increasing and will reach 18.26 million as of June 2011. The rapid increase of large-size passenger cars and RVs among this number is causing damage to other vehicles when parked in currently installed parking lots, increased civil complaints from the damage, and inconveniences to people trying to pass through parking lots as well. In particular, the car-stoppers indiscriminately installed at the parking lots are also causing accidents and adding to parking problems, causing economic losses. Accordingly, there should be new regulations for the amount of parking space per vehicle and for locations to install the car-stoppers. The research has first reviewed the distribution ratio of vehicle models from home and abroad for the width and length of the vehicles by each model, parking space per vehicle where the car-stoppers are installed and examples of changes in distribution ratio. In addition, the amount of parking space per vehicle was calculated with consideration for various specifications by each car model. As a result, margin width of full sized car is decreased by 18~21mm on the existing width. This is judged decreases accident of parking lot, because length of the front of car is not deviate parking Space Section. In conclusion, presented improvement ideas for parking plans with enhanced convenience and safety from the aspect of the drivers. Parking lot relevant businesses will also be maximized in terms of cost and efficiency when the criteria for the structure of parking lots and their installation is established and the improved parking plan is applied in the future.

Medication Non-adherence and Related Factors of Older Adults Who Use Polypharmacy Based on Medication Adherence Model (약물 이행 모델 기반 다제약제 복용 노인의 약물 불이행과 관련 요인)

  • Jung, SuJung;Tak, Sunghee H.
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.398-406
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    • 2019
  • This study was conducted to examine the medication non-adherence and related factors based on medication adherence model of older adults that use polypharmacy. A survey was used to collect data from 190 study participants. Among the 190 subjects, 43.2% did not adhere to their polypharmacy intentionally. The reason for medication non-adherence was listed in order of 'when they felt well on symptoms', 'when it was annoying and uncomfortable', and 'when they felt worse due to medication'. Moreover, the older adults often do not seek for medication information actively. Between adherence and non-adherence groups, while there were differences in gender, type of medication, and experience in drug-related side effects, there were no statistically significant differences in medication information contents and route. This study demonstrates that gender, type of medication, and experience in drug-related side effects should be considered to promote medication adherence. In addition, since the elderly with polypharmacy are rarely actively searching for the contents and route of drug information, the contents of drug information need to be provided by the route preferred by the elderly in order to assist in their decision-making process for polypharmacy.

A Survey on Usage of Korean Standard Records Management System (표준기록관리시스템의 활용현황 연구)

  • Lee, So-Yeon
    • The Korean Journal of Archival Studies
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    • no.43
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    • pp.71-102
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    • 2015
  • The present study aims at investigating the current usage patterns of Korean Standard Records Management System. The Korean Standard Records Management System has been designed and distributed by the National Archives Korea in order to support records management of public agencies. An email survey has been sent to 4 types of public agencies: central government agencies, provincial governments, provincial education offices as well as city and county offices. While all agencies are included in the survey for the first three types, only two provincial districts are selected for city and county offices, Out of 101 email questionnaires sent, 65 are returned(63.73%). The results show the usage patterns of 240 functionalities aligned to 9 main functions: accession from records creators, preservation, appraisal, accession to the national archives, reference management, access and tracking, retrieval and use, system management as well as freedom of information management by public institutions. Since its launch in 2007, the system has been distributed to 707 public agencies as of late 2014. The problem is that there has been no attempt to evaluate the functionalities and usabilities of the system. Only grievances from those agencies implemented the system have never been ceased. The present study is expected to offer the levelled ground for productive discussion between the national archives and the agencies.

Evaluation of the Usefulness of the Aid Table to Prevent Patient Fall Risk in the ERCP Operation (ERCP 검사 시 환자 낙상방지 테이블 보조기구사용의 유용성 평가)

  • Kwon, Byongnam;Park, Shineui;Choi, Namgil
    • Journal of the Korean Society of Radiology
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    • v.13 no.1
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    • pp.1-8
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    • 2019
  • The purpose of this study is to evaluate usefulness of aid table in ERCP operation. Fifteen patients (mean age: $76.0{\pm}11.4$) and Six Staffs are took part in the questionnaire survey. We evaluated usefulness of aid table as follows: comfortableness, psychological stability, satisfaction from extreme satisfaction as 1 point to extreme satisfaction as 5 point by questionnaire. In the results of comfortableness, the patients reported uncomfortable as $1.7{\pm}0.5$ point at ERCP operation without aid table but they are reported comfortable at using aid table as $4.4{\pm}0.5$ point (p-value${\leq}0.000$). In the psychological stability, the patients have satisfaction ($4.8{\pm}0.4$ point) for aid table. In the addition, the patients felt satisfaction ($4.9{\pm}0.3$ point) for aid table. These results are considered that to use of aid table will give a useful to ERCP operation.

Clinical Results Following T3, 4 vs T3 Thoracoscopic Sympathicotomy in 30 Axillary Hyperhidrosis Patients (겨드랑이 다한증 환자에서 흉부교감신경의 차단부위(T3-4와 T4)에 따른 임상결과)

  • Choi, Soon-Ho;Lee, Sam-Youn;Lee, Mi-Kyung;Cha, Byoung-Ki
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.469-475
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    • 2008
  • Background: Video-assisted thoracic sympathicotomy is a definitive minimally invasive treatment for axillary hyperhidrosis. Different techniques exist for controlling axillary hyperhidrosis, but they are temporary and expensive. We compared the results after using two different levels of sympathicotomy for treating axillary hyperhidrosis: T3-T4 and T4. Material and Method: Between June 2002 and May 2007, 30 patients with isolated axillary hyperhidrosis underwent either T3-T4 or T4 thoracoscopic sympathicotomy in the Department of Thoracic & Cardiovascular Surgery at Wonkwang University Hospital. The patients were divided into two groups. Group I (n=15) was composed of patients who underwent T3-T4 sympathicotomy (thermal ablation), and Group II (n=15) was composed of patients who underwent T4 sympathicotomy (thermal ablation). The procedures were bilateral and simultaneous, involving the use of two 2-mm trocars and a 0-degree 2-mm thoracoscope under general anesthesia with single endotracheal intubation. Outcome parameters included satisfaction rate of treatment, degree of compensatory sweating, and postoperative complications. Patients were interviewed by telephone regarding satisfaction and compensatory hyperhidrosis. Result: There were no differences in age between group I and group II. The mean follow-up for the T3-T4 group was $38.7{\pm}2.3$ months, and the mean follow-up for the T4 group was $18.7{\pm}3.6$ months. The immediate therapeutic success rate (within 2 weeks postoperative) was 100% in both groups, and there were no recurrences in either group during the long-term follow-up period. The satisfaction rate was higher (93.3%) in the T4 group than in the T3-T4 group (53.3%), and the incidence of compensatory hyperhidrosis was lower in the T4 group (6.7%) than in the T3-T4 group (46.7%). Postoperative complications included one mild pneumothorax and two instances of intercostal neuralgia. Digital infrared thermographic imaging (DITI) correlated well with postoperative satisfaction. Conclusion: Both techniques proved effective for controlling isolated axillary hyperhidrosis. The T4 group had a higher satisfaction rate and lower severity of compensatory hyperhidrosis. Hence, thermal ablation of the lower interganglionic fibers of the third thoracic sympathetic ganglion on the fourth rib is a more practical and minimally invasive treatment than is the T3-T4 surgical method, according to the degree of compensatory sweating in isolated axillary hyperhidrosis.

The study of food habit and degree of depression in nursing home and privite home living elderly (시설노인과 재가노인의 식습관과 정신건강 상태에 관한 실태조사)

  • Han, Myung-Joo;Koo, Sung-Ja;Lee, Young-Soon
    • Journal of the Korean Society of Food Culture
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    • v.13 no.5
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    • pp.475-486
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    • 1998
  • The dietary habit, health condition and the cognition concerning the health food have been surveyed with the help of the 151 old people living in In-Cheon and Seoul. In this study, the old are classified as an institution for the aged and the old in their own home. The preference and mental health condition influenced on dietary habits have been surveyed as wall. Their dietary habits such s three meals a day and a regular meal time have show) that they have generally good eating habits. Psychologically, the old in an institution for the aged think their health condition is not so good in comparison with the old in their own home. The old in their own home have good condition in that they can go up the stairs, exercise often and walk relatively well. Moreover, men's health condition is better than women. The old generally like meats(especially beef) and prefer sesame oil, perilla oil, soy been oil to Western oil. They like sweat flavor the most and hot, salty taste in order. Thier favorite cooking method is a pot stew, soup and season. The difference between dietary habit and mental health based on an academic career, an allowance and a residential condition shows that the old who live alon have relatively terrible eating habit and the more learned, the better. The more pocket money they have, the better dietary habits they have. The old feel glommy in general and the old in an institution are more depressed and it is statistically significant.

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A study of Conjunctival Cellular Changes in Dry Eye Patients by Impression Cytology (Impression cytology를 이용한 건성안의 결막 세포변화에 관한 연구)

  • Kim, Jai-Min;Kho, Eun-Gyung;Chae, Soo-Chul;Kim, Soon-Ae
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.333-343
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    • 2004
  • Impression cytology refers to application of cellulose acetate filter material to the ocular surface to remove the superficial layers of the conjunctival epithelium. The technique is non-invasive, is easy to perform, causes minimal discomfort to the patient, and can be used to follow changes in the conjunctival ocular surface over time. With this method, the morphology of the conjunctival ocular surface can be studied and the degree of squmaous metaplasia assessed. This study was performed to evaluate the conjunctival surface by impression cytology in dry eye patients. A total of 70 students with no contact lens wearing history were recruited. Subjects were required to fill in a McMonnies dry eye symptom questionnaire. The non-invasive tear thinning time(TIT) test of each subject was measured, followed by Schirmer tear test(STI), tear film break-up time(TBUT) tests and Rose-bengal staining were performed as a baseline. Conjunctival epithelial cells from the inferior bulbar conjunctiva were harvested by the impression cytology technique. The specimens collected were labelled and stained with PAS(Periodic Acid Schift)-haematoxylin. The goblet cells and conjunctival epithelial cells were observed under a light microscope of 400x magnification. The specimens were classified according to the Nelson Grading scale which was based on the degree of squamous metaplasia such as changes of goblet cells density, size/form, N:C(nucleus : cytoplasm) ratio. Dry eye patients were observed morphological changes of the epithelial cells, different nuclear alterations, decrease of the goblet cells density. The degree of cytological changes was related to severity of dry eye conditions. When the epithelial cell morphology was graded according to the system described by Nelson, specimens from the control group revealed 91.43% of the eyes to be grade 0 and 8.57% to be grade 1, whereas of the dry eye patients, 20% were grade 0, 42.86% grade 1, 34.29% grade 2 and 2,86% grade 3. Impression cytology represents a non- or minimally invasive biopsy of the ocular surface epithelium with no side effects or contraindications. It has demonstrated to be a useful diagnostic aid for a wide variety of processes involving the ocular surface. This technique is a safe, simple method and may help increase understanding of various ocular surface alterations in dry eye patients.

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Comparative Study on the Actual Conditions about Hypertension and Diabetes Case Management of the Elderly at the Hall for the Aged and the D Senior's College (D 노인대학과 경로당 노인들의 건강행태 및 고혈압당뇨병 관리실태 비교조사)

  • Yoon, Young-Suk;Kwon, Yang-Ok;Jung, Young-Hee
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.17-24
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    • 2010
  • The purpose of this study was to provide the basic data for effective intervention of oral health behaviors strategy and to compare the actual conditions about hypertension and diabetes case management of the elderly at the hall for the aged and the D senior's college. The research method was a questionnaire including hypertension and diabetes case management of the elderly and the subjects were 174 of the elderly(65 age over) at the hall for the aged(100) and the senior's college(74). The results of this study were as follows; 1. Hypertension 1)The incidence of hypertension of elderly at the hall for the aged and the senior's college were 32.2%. 2)83.9% of the hypertension cases were initially diagnosed during hospital examination(p < 0.05). 3)Regular blood pressure checks were performed more than one time monthly on 76.8% of the cases(p < 0.05). 4)Blood pressure control was well controlled on 75%(p < 0.05). 5)85.7% of the elderly at the hall for the aged took hypertension drugs daily and 42.9% of the elderly at the senior's college took no drug alternatively(p < 0.05). 2. Diabetes 1)The incidence of the diabetes of elderly at the hall for the aged and the senior's college were 14.4%. 2)80.0% of the diabetes cases were initially diagnosed during hospital examination(p < 0.05). 3)64.0% of the cases did not have blood sugar measuring instrument(p < 0.05). 4. In the quality of life, the thinking of no difficulty in walking and no anxiety/depression was more presented on the elderly at the senior's college than those at the hall for the aged(p < 0.05). 5. The subjective health condition scores were higher on the elderly at the senior's college than those at the hall for the aged(p < 0.05).

Gender Difference in Quality of Life After Controlling for Related Factors among Korean Young-old and Old-old Elderly (한국 전·후기 노인의 삶의 질 관련요인과 성별 차이)

  • Chung, Younghae;Cho, Yoo Hyang
    • Journal of agricultural medicine and community health
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    • v.39 no.3
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    • pp.176-186
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    • 2014
  • Objectives: As a sequel to the former analysis of the quality of life (QoL) among young-old and old-old in Korea, this research was aimed to identify factors related to the quality of life and the gender difference after controlling for the related factors among Korean elderly. Methods: Selected elderly data of 1,339 subjects from the 5th Korea National Health and Nutrition Examination Survey conducted in 2010 was analyzed. In this survey, QoL was measured using Euro Quality of Life (EQ-5D) instrument. Data were analyzed using complex survey data analysis on IBM-SPSS 20.0. The related factors were identified using general linear models with backward elimination. The gender difference was tested also using general linear models. Results: The distributions of educational level, family income level, and presence of cohabitant were different between male and female elderly in both young-old and old-old age group. So were the health behaviors and perceived health, and experience of stress, depression, and suicidal thoughts. QoL and its subscales- mobility, self care, daily living, pain and discomfort, and anxiety and depression- were consistently better among male elderly regardless of age group. Among the variables considered, education, family income level, presence of cohabitant, perceived health, age group and BMI were found to be related to the QoL at p=.05, and presence of chronic diseases at p=.10. The difference in QoL between male and female elderly after controlling for the variables was statistically significant. Conclusion: Improving QoL is particularly important for the elderly. In order to improve QoL of the elderly, age- and gender- differences need to be considered when developing services and programs for the elderly.