• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.109-118
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• 2016

The purpose of this study was to evaluate Korean advance directives (K-AD) by examining the degree of adults' acceptance and reliability of the directive itself. Methods: Survey was performed with 181 adults aged 20 or older who were recruited from three regions. A questionnaire used to examine the participants' acceptance of their K-AD in terms of visual analogue scale score of complexity, difficulty, necessity, satisfaction, recommendation. Then, a retest was carried out by asking participants to write up a K-AD again to confirm the reliability of the directives. Results: On a scale of 100, the average acceptance score was 70 or above, which represents rather high level of acceptance in all five categories. The test-retest reliability kappa values ranged from 0.592 to 0.950, and the conformity degree was moderate or high. Regarding K-AD components such as values, treatment preference, proxy appointment, differences among age groups were observed in each component. Conclusion: The results of this study suggest that K-AD is a feasible instrument to analyze its acceptability and reliability for adult population. K-AD could be utilized to help people make their own decision on their end-of-life care. Further studies are needed to confirm this study results and promote widespread use of K-AD.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.10
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• pp.5069-5077
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• 2013

The purpose of the study was to identify the mediating effects of self-efficacy between job-stress and depression in regional hospitals' workers. The data of this study were collected from 700 hospitals' workers who have been working in 306 hospitals in B city. And the data were collected from Feb. to May 2012. To determine the impact of self-efficacy on job-stress and depression for men and women workers in local hospitals, we measure self-efficacy, job-stress and depression of workers and analyze their relationships. There was a negative relationship between self-efficacy and job-stress(r=-.238, p<.001), depression(r=-.626 p<.001). Verifying the mediating effects of self-efficacy to the impact of job stress on depression, the mediating effects of self-efficacy were significant. It suggests that there is a need to relax the negative impact of job stress through the promotion of self-efficacy for individual or team-level organization.

• Journal of Hospice and Palliative Care
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• v.16 no.4
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• pp.223-231
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• 2013

Purpose: This study was conducted to explore how nurses' attitude toward dignified death and moral sensitivity affect their end-of-life care performance. Methods: Study participants were 172 nurses who work at university hospitals in a metropolitan city in Korea. Data were collected from June 20 through August 13, 2012 using the Dignified Death Scale, Moral Sensitivity Scale, and End-of-Life Care Performance Scale. Data were analyzed using the SPSS/WIN 19.0 program. Results: Factors affecting nurses' end-of-life care performance included moral sensitivity, dignified death and education level. Conclusion: Moral sensitivity, dignified death and education level should be considered when developing an educational program for nurses' end-of-life care performance.

• Journal of Hospice and Palliative Care
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• v.3 no.1
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• pp.49-59
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• 2000

Purpose : The study is to develop the medical information system for the hospice which can be implemented actually by considering the imitations with respect to hospice programs and hardware resources. And the ultimate goal of this study is the promotion of the hospice. Methods : The study is of qualitative research and is performed by the literature survey in related fields. And the precedent studies are taken into account also. Through these surveys, crucial items are revealed and the solutions for thorn are proposed. Results : The analysis of the hospice program shows that the MIS can be applied to the hospice with a greater efficiency. This gives the rationale that the MIS for the hospice should be set-up as soon as possible. Conclusion : In establishing the system, recommended is that the hospice model take the gradual development rather than the integrated one from the on-set stage. Further the system design should take several limitations into account to be a realistic one.

• The Korean Journal of Health Service Management
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• v.10 no.4
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• pp.109-121
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• 2016

Objectives : This study was conducted to investigate the need of medical supporting service (MSS) as a part of community-based hospice palliative care from the view point of beneficiaries and providers. Methods : This study adopted a methodological triangulation design. A questionnaire regarding intention to use MSS was completed by 175 patients under home-based cancer patient management program. And three focus groups consisted of hospice nurses, public health physicians, and public officials were interviewed to obtain the perceived needs, obstacles, and solutions of MSS. Results : Mean age of home-based cancer patient was 70.18 year old, 48.0% of them were living alone. Only 53.7% of them were treated pain and 93.7% intend to take pain medication prescribed by public health physician. All participants of focus group interviews agreed necessity and importance of MSS. Physicians' lack of confidence and unwillingness to prescribe opioid to terminal patients was the biggest obstacle to provide MSS in the public health center. Conclusions : The necessity and demand of MSS for community-dwelling cancer patients were verified. MSS is urgent issue to meet their needs.

• Journal of the Korea Society of Computer and Information
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• v.20 no.6
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• pp.127-140
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• 2015

In this study, we aim to analyze the relationship between the centrality in the social network and the sentiment of medial web forum users. In recent, many people use online resources to obtain health and wellness information especially social media resources. In the medial web forum, people give and receive informational supports and emotional supports and this interaction forms the social network. We analyze the social network, derive node characteristics in terms of centrality and compare the centrality index and the sentiment score derived from users' messages. We found that as more people express their emotion, they possess higher central position in the network. Further, people who express positive emotion in their messages have higher central position in the network than people who have negative emotion. This study will help to identify influentials of emotional supports to others and finally to control the depression of Alzheimer's disease patients and their related ones.

• The Journal of the Korea Contents Association
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• v.15 no.5
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• pp.592-606
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• 2015

Depression and mental illness across all age groups, and steady increasing in suicide rate are our major social problems which cause dramatically decreasing government competitiveness. While Korean government has implemented various policies to improve mental health and prevent suicide, it faces revealing issues in progress on implementation and referral management systems. The current research examined domestic and foreign cases to understand the actual status and directivity of ICT convergence plan in terms of mental health. The United States and the United Kingdom have provided convergent ICT service, telepsychiatric care to senior citizens in rural areas, children and adolescents, socially disadvantaged class, etc. In Korea, emergency-notice devices are installed to prevent suicide for single elderly people, and diverse mobile health devices are developing to cure depression and Alzheimer's disease. ICT convergent mental health care service is needed to save socioeconomic costs and realize universal welfare for an aging society. Social consensus on sharply conflict issues, medical law and medical devices about telepsychiatry service, effectiveness studies on users' unique psychiatric characteristics by life cycle, and region-specialized strategies for the least densely populated rural regions with lower access to medical care should be considered.

• Research in Community and Public Health Nursing
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• v.29 no.2
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• pp.244-256
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• 2018

Purpose: This study tried to understand discourses of life-sustaining treatments in general daily and healthcare newspapers. Methods: A text-network analysis was conducted using the NetMiner program. Firstly, 572 articles from 11 daily newspapers and 258 articles from 8 healthcare newspapers were collected, which were published from August 2013 to October 2016. Secondly, keywords (semantic morphemes) were extracted from the articles and rearranged by removing stop-words, refining similar words, excluding non-relevant words, and defining meaningful phrases. Finally, co-occurrence matrices of the keywords with a frequency of 30 times or higher were developed and statistical measures-indices of degree and betweenness centrality, ego-networks, and clustering-were obtained. Results: In the general daily and healthcare newspapers, the top eight core keywords were common: "patients," "death," "LST (life-sustaining treatments)," "hospice palliative care," "hospitals," "family," "opinion," and "withdrawal." There were also common subtopics shared by the general daily and healthcare newspapers: withdrawal of LST, hospice palliative care, National Bioethics Review Committee, and self-determination and proxy decision of patients and family. Additionally, the general daily newspapers included diverse social interest or events like well-dying, euthanasia, and the death of farmer Baek Nam-ki, whereas the healthcare newspapers discussed problems of the relevant laws, and insufficient infrastructure and low reimbursement for hospice-palliative care. Conclusion: The discourse that withdrawal of futile LST should be allowed according to the patient's will was consistent in the newspapers. Given that newspaper articles influence knowledge and attitudes of the public, RNs are recommended to participate actively in public communication on LST.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.10a
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• pp.755-758
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• 2016

The use of smart phones has had a great impact on the mobile internet business. It shows a lot of growth in the healthcare sector not only commerce, advertising, billing, games, video content, media, amd O2O business. The United States has eased the regulations for healthcare apps smart phone devices in 2015, and China has established a five-year road map to solve shortage of doctors and hospital beds by utilizing mobile devices such as wearable in the same year. The application of wearable devices in the medical field is gradually increasing in Korea too, but there is a security problem as leading challenge. Security incidents in non-ICT sectors such as financial, medical, etc. have increased by using ICT each year. Personal information leakage is also increasing in field likely occurring the potential secondary damages such as financial fraud, illegal promotions, insurance and pharmaceutical companies abuse. In this study, we analyze malwares as the mobile threats, the five risks of mobile smart phone, mobile use cases and the mobile threat countermeasures for healthcare.

• Journal of Biomedical Engineering Research
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• v.42 no.1
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• pp.25-30
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• 2021

Objective: The aim of this study is to consider the effect of skin tissue necrosis by improving blood flow in animal skin models for low frequency pulsed electromagnetic fields (LF_PEMF) stimulation. Methods: Twenty rats (Wistar EPM-1 male, 280-320 g) were randomly divided into control groups (n=10) and the PEMF groups (n=10). To induce necrosis of the skin tissue, skin flap was treated in the back of the rat, followed by isolation film and skin flap suturing. Subsequently, the degree of necrosis of the skin tissue was observed for 7 days. The control group did not perform any stimulation after the procedure. For the PEMF group, LF_PEMF (1 Hz, 10 mT) was stimulated in the skin flap area, for 30 minutes a day and 7 days. Cross-polarization images were acquired at the site and skin tissue necrosis patterns were analyzed. Results: In the control group, skin tissue necrosis progressed rapidly over time. In the PEMF group, skin tissue necrosis was slower than the control group. In particular, no further skin tissue necrosis progress on the day 6. Over time, a statistically significant difference from the continuous necrosis progression pattern in the control group was identified (p<0.05). Conclusions: It was confirmed that low frequency pulsed electromagnetic fields (LF_PEMF) stimulation can induce relaxation of skin tissue necrosis.