• Title/Summary/Keyword: 외래형

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Testing of risk perception survey - Diabetes mellitus in Korea (당뇨병 위험 지각 측정 도구의 타당성 평가)

  • Kang, Soo Jin
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.477-486
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    • 2016
  • This study was to evaluate of the reliability and validity of the Risk Perception Survey - Diabetes Mellitus (RPS-DM) with Korean diabetes patients. A total of 183 patients participated in this study from December 4, 2014 to January 1, 2015 with self-reported questionnaires. The data was analyzed using exploratory factor analysis, cronbach's alpha, and item to total correlation. The factor structure of the instrument showed the cumulative variance of 45.1% in the factor analysis and a four-factor structure was found to be appropriate. The comparative site risk score matched with the RPS-DM in English except item 7, 8, and 12. The RPS-DM in Korean version has been found to be reliable and valid.

Outpatient Antibiotic Prescription Patterns for Respiratory Tract Infections of Infants (소아 호흡기감염 외래환자에 대한 항생제 처방양상)

  • Kim, Yejee;Lee, Suehyung;Park, Sylvia;Na, Hyen Oh;Tchoe, Byongho
    • Health Policy and Management
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    • v.25 no.4
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    • pp.323-332
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    • 2015
  • Background: Antibiotic resistance has been becoming serious challenge to human beings. Overuse of antibiotics, especially, for infants is concerned, but studies are very few for the prescribing pattern of antibiotic use for infants. This study analyzes prescribing patterns of antibiotics in outpatients of preschool children with acute respiratory tract infections in South Korea. Methods: Data are used from 2011 Health Insurance Review & Assessment Services-pediatric patients sample. Inclusion criteria is outpatient children (0 to 5 years) with top five frequent diseases. Prescription rates are analyzed by types of disease, provider, specialty, region, and ages. Binary or multinomial logit models are used to analyze determinants of providers' prescription pattern. Results: The main findings are as follows. First, distributions of prescription rates are shown as L-shape or M-shape depending on the types of disease. Second, the prescription variation is so large among providers, where providers are polarized as a group with low prescription rates and the other group with high prescription rates, though the shapes are shown diversified across types of disease. Third, prescription rates appear to be lower in pediatrics and higher in ENT (ear-nose-throat). Fourth, broad spectrum antibiotics are widely used among children. Finally, the logit analysis shows similar results with descriptive statistics, but partly different results across types of disease. Conclusion: Antibiotics for respiratory tract infections of infants are used excessively with a large variation among providers, and especially broad spectrum antibiotics are used. The prescription guideline for antibiotics should be provided for each specific disease to reduce antibiotic resistance in the future.

Development of Species-specific Molecular Marker as a Tool for Discrimination between Crucian Carp Gengorobuna (Carassius cuvieri) Introduced from Japan and Korean Native One (C. auratus) (국내 자연산 붕어와 일본에서 도입된 떡붕어를 구분하기 위한 종특이적 분자마커 개발)

  • Song, Kyo-Hong;Jung, Jong-Woo;Koo, Hye-Young;Kim, Won
    • Korean Journal of Ecology and Environment
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    • v.40 no.1
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    • pp.143-148
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    • 2007
  • The introduced exotic species has often caused severe problems to the native ecosystem. One of such species is the freshwater fish gengorobuna (Carassius cuvieri) introduced from Japan. The first step to assess harmful effects of this species on the Korean freshwater ecosystem is to discriminate it from the most similar native crucian carp (Carassius auratus). Because traditional morphological identification often gives unreliable results due to their highly similar phenotype, a new more efficient method is needed. For this purpose, molecular markers produced by the efficient one-step PCR method using three primers (DDF, DDR and DDR1) were developed and tested in the present study. This molecular marker will play an important role in monitoring fish community of Korean freshwater ecosystem.

A Study of Anxiety and Depression in Women Incontinence Patients: Comparison of before and after Treatment of Extracoporeal Magnetic Innervation;ExMI (여성 요실금 환자의 불안과 우울: 체외자기장신경치료 후의 호전)

  • Oh, Kang-Seob;Wang, In-Kyung;Han, Jong-Seol
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.1
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    • pp.52-59
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    • 2003
  • Objective: The purposes of this study were to investigate anxiety and depression that can mediate stress and elicit a response from the women with urinary incontinence and compare the anxiety and depression level before and after treatment of extracoporeal magnetic innervation. Method: Fifty-five women with urinary incontinence were included from a obstetrics and gynecology cilnic. Beck Anxiety Inventory(BAI), Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory(STAI) were administered before and after treatment of extracoporeal magnetic innervation. Results: The women with urinary incontinence had higher levels of anxiety and depression. Anxiety and depression were reduced after treatment of extracoporeal magnetic innervation regardless of improvement incontinence. Conclusion: Therapies including extracoporeal magnetic innervation may be intrumental in improving anxiety and depression, If the patient do not show improvements of anxiety and depression after treatment for their urologic disorder or if the therapy is unsuccessful, appropriate referral is indicated.

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Effects of Private Health Insurance in National Health Care System (국민보건의료에 대한 민간의료보험의 영향고찰 : 의료서비스 이용만족을 중심으로)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.200-208
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    • 2014
  • This study analyze long debate issues by the analysis of existing studies and the effect of private health insurance in the satisfaction of health service utilization. Then make developmental role of private health insurance. The analysis results of literatures, high-income earners are more subscriptions and the poor people in health status are excluded. Thus, enable private health insurance has the potential to lead the polarization of people. The medical use of private health insurance subscriber is more than non-subscriber and is likely to result in additional expenditure spending of public insurance. The contribution of private health insurance on improvement of the health option is clear. However, is not clear the contribution on health care quality improvement and health service customer satisfaction. The contribution on the national health care system efficiency of private health insurance is not clear. Private health insurance in the satisfaction of health service utilization is on effect. In short, supplementary private health insurance is desirable in our country.

Status of Antepartum Depression and Its Influencing Factors in Pregnant Women (임신 여성의 산전우울 실태 및 영향요인)

  • Lee, Eun-Joo;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3897-3906
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    • 2013
  • The purpose of this study was to identify the rate and influencing factors on antepartum depression in pregnant women. A self-administered questionnaire-based study was performed in 160 pregnant women who visited outpatient clinics or attended special lectures of the general hospital in D metropolitan city. All participants were interviewed using the Korean version of Edinburgh Postnatal Depression Scale(EPDS). The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. On the results, the mean score of antepartum depression was $7.80{\pm}4.86$ scores(0-30 scores). The percentage of all participants for EPDS scale were 56.3% with normal level, 20.6% with a boundary line and 23.1% with serious level. Influencing factors on antepartum depression were accounted for 36.7% of the total variance which consisted of perceived health status, pregnancy stress and self esteem. The results indicate that these variables should be considered in preventing depression of pregnant women.

Study on the current status of naturalized plants in South Korea (한국내 귀화식물의 현황과 고찰)

  • Lee, You-Mi;Park, Soo-Hyun;Jung, Su-Young;Oh, Seung-Hwan;Yang, Jong-Cheol
    • Korean Journal of Plant Taxonomy
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    • v.41 no.1
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    • pp.87-101
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    • 2011
  • Naturalized plants were identified and recorded in South Korea based on field surveys and related literatures. These plants consisted of 321 taxa in total, belonging to 40 families, 175 genera, 302 species, 15 varieties and 4 forms. Among the plants the family Compositae was dominant containing 68 taxa (21.2% of the total population) and Poaceae with 62 taxa (19.3%) successively. Most of the plants were herbs and only 7 taxa trees. 221 taxa (68.8%) appeared to have invaded the country during the third period (1964-2010). 41.8% (134 taxa) of the total population were originated from Europe. These invasive plants were assessed with the degree of naturalisation which was categorized as I-V types.

Co-Infection of the Rat Central Nervous System with Genetically Engineered Strains of Pseudorabies Virus (유전자 조작된 Pseudorabies 바이러스에 의한 흰쥐 중추신경계의 이중감염)

  • Kim Jin-Sang;Kwon Young-Shil
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.81-92
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    • 1999
  • 중추신경계의 미주신경동쪽핵(DMV)내 유사핵분열후 신경세포로 외래 유전자를 전달하는 매개체로서 pseudorabies 바이러스(PRV)의 유전자 조작기술은 흰쥐의 결장내로 PRV를 주입시킨 후 복잡한 신경로 추적에 관한 연구에서 하나의 바이러스에 의해 얻어지는 것보다 더욱 유용한 결과산출이 가능하게 하였다. 본 연구에서는 흰쥐의 생체내 실험모델로 하나의 바이러스 또는 이중 바이러스 주입에 PRV의 유전자 조작된 2종 바이러스를 사용하였다. 이 2종의 바이러스는 PRV의 Bartha 종에서 유래되었지만 면역조직화학적으로 검출할 수 있는 동일한 유전산물을 산출할 수 있도록 구성되었다. PRV-BaBlu는 PRV 게놈의 Us 구역 중 gC 자리에 lacZ 유전자를 삽입하여 산출되었는데 $\beta-galactosidase$ 발현은 이 바이러스에 감염된 신경원의 독특한 표시자로 나타났다. PRV-D는 2가지 단계에 의해 조성되었는데 첫째, PRV-Bartha의 Us 구역의 일부 유전자를 제거하고, 야생형인 PRV-Be DNA로 복구시켰는데 이로써 PRV-D는 PRV-Bartha 또는 PRV-Bablu에 존재하고 있지 않는 외피 당단백질인 gE와 gI를 지니게 되었다. 본 연구의 결과는 다음과 같았다. 첫째, PRV-D의 개별적 접종에 의해 얻어진 감염은 PRV-BaBlu에 의한 동일 신경회로의 감염보다 유의하게 빨랐다. 둘째, 유전자 조작된 PRV의 변이종은 변이종 상호간 및 부모 바이러스와 상이하였다. PRV-D는 PRV-Bartha 또는 PRV-BaBlu보다 감염독성이 더 강했고, PRV-BaBlu는 PRV-Bartha보다 감염독성이 약했다. 셋째, 결장을 지배하는 미주신경동쪽핵내 신경원은 변이종 바이러스들을 동시에 접종하였을 경우 이중감염을 나타내었다.

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A Effect of Peer Mentor Program on Recovery after Stroke (동료멘토(peer mentor) 프로그램이 뇌졸중 환자의 회복에 미치는 영향: 연구 프로토콜)

  • Lee, Chang Dae;Park, Ji Huk
    • Therapeutic Science for Rehabilitation
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    • v.4 no.2
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    • pp.84-91
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    • 2015
  • The purpose of this study was introduce peer mentoring which is well used in various rehabilitation areas in overseas country to Korea academically and clinically and help psychological and physical recovery for stroke survivor. It was two group experimental design study, this protocol is designed for stroke survivor, 3-6 months after the onset. Peermentors were consisted of outpatients who is stroke survivor in different recovery levels, at least 2 year after the onset. Peermentors received education about how to support and mentor participants of the program emotionally, appraisally, and informationally and how to run the program. Geriatric Depression Scale Short Form-Korea Version(GDSSF-K) is used to measure psychological factor, Stroke Impact Scale(SIS) is used to measure recovery level of patient, and for physical factor Upper Extremity Function Test for the Elderly(TEMPA) was used. A researcher who is interested in the peer mentor program needs to find more effective applying method based on be offered method in this study for helping recovery after stroke.

Oral Antihyperglycemic Medication Adherence and Its Associated Factors among Ambulatory Care with Adult Type 2 Diabetes Patients in Korea (우리나라 성인 2형 당뇨환자에서의 외래 투약 순응도와 관련요인 분석)

  • Hong, Jae-Seok;Kang, Hee-Chung
    • Health Policy and Management
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    • v.20 no.2
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    • pp.128-143
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    • 2010
  • Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.