• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.543-555
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• 2019

The purpose of this study was to define and clarify the concept of Shared decision-making (SDM) in patients with chronic disease. Walker and Avant's concept analysis process was used to analyze interdisciplinary convergence in SDM. SDM in patients with chronic disease can be defined by the following attributes: acknowledgment patients as 'self-care experts', the rights of self-determination, reversible negotiation, and patient-centered care. The antecedents of SMD consisted of situations where there is a need to make a decision from several treatment options of similar efficacy, decisional conflict, patient, family, and health provider's willingness to participate in the decision-making process, enough time and opportunity for SDM. The consequences occurring as a result of SMD were decrease decisional conflict, improvement health outcome, satisfaction, quality of life, enhancement self-management and self-efficacy with long-term, and living acceptably with the illness. Based on these results, a scale measuring SDM in patients with chronic disease is needed.

• Journal of dental hygiene science
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• v.4 no.3
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• pp.111-115
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• 2004

This study was aimed to establish the self-concept as the dental profession and dedicate to the development of dental hygienist role by understanding the relation between the self-concept of dental hygienist and practice performance as dental hygienist. Following the thorough investigation of this correlation, the importance of self-concept as the dental profession was confirmed, and the understanding about the practice performance as dental hygienist was renewed. Dental hygienist working in dental clinic located in Jeonju city, Jeollabuk-Do were selected as the subjects of this study, and the materials were collected from Mar. 11 to Mar. 25, 2002 for 15 days. SPSS was used for analysis of data to deal with ANOVA and verification of Pearson correlation. The results of this research can be summarized as follows; 1. In comparison of the degree of professional self-concept according to the general characteristics of the subjects, there were significant differences in religion(p<.05) and educational background(p<.01). 2. In comparison of the degree of practice performance according to the general characteristics of the subjects, the results showed the significant difference in religion(p<.05). 3. There were highly significant correlation between the professional self-concept and practice performance as dental hygienist(F=.663, p<.001).

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.48 no.5
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• pp.74-80
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• 2011

Medical implant devices are one of the targets of the US's Food & Drug Administration (FDA) for tracking in case of a serious adverse event since they are directly connected to the lives of patients. The US law stipulates that the public health agency shall order implantable device makers to track their product down to the patient level if a serious adverse event has occurred or defects have been discovered; in reality, however, the agency can pass on the responsibility for tracking or recalling faulty devices to the manufacturers or use mass media. This article proposes an efficient tracking and recall management system and examines four main virtual scenarios based on such. This research seeks to suggest a system that enables FDA to perform accurate and prompt tracking and recall management for patients' enhanced safety.

• Journal of Science and Technology Studies
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• v.12 no.2
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• pp.117-157
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• 2012

This paper investigated the biomedical medicalization of "depression"which is growing fast in Korea in terms of the treatment mechanism. Depression has been regarded as a mental disease that occurs with mixing various causations because what was the cause of this disease was not clarified until a recent date. Thus, as depression treatment, the medicine and the psycho-socio therapy have been used. However, from 1990s, as the brain science was introduced in the western society, and the high-tech diagnostic equipment of the brain disease and new drugs for the mental disease were developed, depression was rapidly redefined as 'the brain nerve system illness'that is easy to be taken and is able to obtain the permanent relief with the regular care. Under the influence of the redefinition of depression and the new treatment of it, recently, 8% of depression patients per year emerge as the aggressive cure subjects in the Korean psychiatric circle. However, according to the Korean psychiatric circle's unofficial calculation, it is estimated that only 10% of depression patients are receiving the accurate treatment but over 80% of the patients are not. If so, what does this estimation mean? Based on this question, this paper critically investigated the biomedical medicalization of depression.

• Journal of Service Research and Studies
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• v.2 no.2
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• pp.45-51
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• 2012

U-healthcare is real-time monitoring of personal biometric information using by portable devices, home network and information and communication technology based healthcare systems, and fused together automatically to overcome the constraints of time and space are connected with hospitals and doctors. As u-healthcare gives health service in anytime and anywhere, it becomes to be a new type of medical services in patients management and disease prevention. In this paper, recent changes in prevention-oriented care is analyzed in becoming early response for Healthcare Information System by requirements analysis for technology development trend. According to the healthcare system, PACS, OCS, EMR and emergency medical system, U-healthcare is presenting the design of a patient-centered integrated client system. As the relationship between the meaning of the terms is used in the ontology, information models in the system is providing a common vocabulary with various levels of formality. In this paper, we propose an ontology-based system for patient-centered services, including the concept of clustering to clustering the data to define the relationship between these ontologies for more systematic data.

• Journal of the Korea Convergence Society
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• v.9 no.3
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• pp.203-209
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• 2018

Recent advances in healthcare-adapted devices, the increase in chronic diseases and the increasing social needs due to aging, trigger the development of smart healthcare systems and present a new medical paradigm. As a result, moves are being made to accommodate the changing healthcare concept of modern residential areas. In particular, the bathrooms in residential areas are becoming diverse as medical spaces with various types of bathroom culture. Therefore, by actively utilizing the digital medical procedure 3, the smart health care system was applied, I thought about future bathroom products (like smart shower and smart scales) and searched for the technology necessary for each person's needs. By planning a product suitable for a changing bathroom, it will be useful for the development of smart healthcare technology through future national and policy improvements in preparation for the age of the fourth industrial revolution.

• Journal of the Korea Society of Computer and Information
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• v.25 no.4
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• pp.149-156
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• 2020

In the Fourth Industrial Revolution, successful cases using big data in various industries are reported. This paper examines cases that successfully use big data in the medical industry to develop the service and draws implications in value that big data create. The related work introduces big data technology in the medical field and cases of eight innovative service in the big data service are explained. In the introduction, the overall structure of the study is mentioned by describing the background and direction of this study. In the literature study, we explain the definition and concept of big data, and the use of big data in the medical industry. Next, this study describes the several cases, such as technologies using national health information and personal genetic information for the study of diseases, personal health services using personal biometric information, use of medical data for efficiency of business processes, and medical big data for the development of new medicines. In the conclusion, we intend to provide direction for the academic and business implications of this study, as well as how the results of the study can help the domestic medical industry.

• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.3
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• pp.57-65
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• 2019

Purpose: The purpose of this study is to find the relationship between Michell Foucault's the primary, secondary, and tertiary spatialization of disease and spatial composition for the development of architectural planning of the healthcare architecture. Methods: Literature review of spatialization of disease and comparison between medical and dental disease have been conducted. The synchronic structure and diachronic change of spatialization process have been analyzed through spatial composition and history of Seoul National University, School of Dentistry and Dental Hospital. Results: The result of this study can be summed up in three points. First of all, spatialization of dental disease is similar to that of medicine but it should be more focused on the tertiary spatialization. The second one is that the process of spatialization of dental disease started the secondary spatialization first and the primary spatialization followed after a short interval and spatial composition has been followed the process of spatialization of dental disease in Korea. The third one is that the tertiary spatialization has not been actively gone along until recently and it has to be developed in near future. Implications: It is necessary to analyze spatialization of dental disease in other dental facilities to develop the relationship between spatial composition and program in healthcare system.

• Journal of Korean Academy of Nursing
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• v.30 no.5
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• pp.1368-1378
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• 2000

This study was conducted to explore the nurse's perception of technological development and professional self-concept. The research subjects were 560 clinical nurses in Korea, who worked the general hospitals in Seoul, Kyeonggi, and the Kangwon province. Data sampling was done for the month, of December. 1997. The research tool consisted of 82 items questionnaires which were demographic data, TIQ, PSCNI. The research findings were as follows: 1. Nurses perceived the technological development as slightly positive (Mean =48.8). Also, nurses saw that the fastest developing technological nursing unit was the cardiac care unit, while the lowest technological developing nursing unit was the psychiatric unit. 2. The view of technological development was found to be significantly different according to religion (P=.0109), marital status (P=.0431), and the practical setting (P=.0048). Professional self concept was significantly different according to age (P=.0001), religion (P=.0001), education (P=.0007), marital status (P=.0000), career (P=.0001), and position (P=.0000). 3. The relationship between a nurse's perception of technological development and professional self-concept was highly correlated(r=.26, P=.0001). In the results of the multiple regression, the factors influencing professional self-concept were career, the nurse's perception of technological development, the level of technological development in nursing unit, and education. All these parameters showed the explaining power of 15.4% of the professional self-concept. In conclusion, nurses recognized the technological development was related to the professional self-concept. This study shed light on the meaning of technological development and vision of the nursing profession. Inservice education program should be developed to help the adaptability to technological development and conduct the qualitative research to explore the world of technological development which the nurses are experiencing in nursing.

• Journal of the Korean Institute of Intelligent Systems
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• v.22 no.4
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• pp.468-475
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• 2012

Nurses have performed their nursing practice according to the standard guidelines such as NANDA, NIC, and NOC, and recorded the information on nursing process into EMR system. In particular, NANDA, nursing diagnosis taxonomy, has difficulty expressing nursing diagnosis in detail because it represents abstract concepts of nursing diagnosis. So, the hospitals in KOREA have developed and used the list of nursing diagnosis on their own without referring the international standard terminologies, and it caused the delay of computerization of nursing records. Therefore, we proposed a ontology development methodology on nursing diagnosis based on NANDA and SNOMED-CT. The developed ontology, systematically developed with the frequently used nursing diagnosis terminologies in each hospital, based on the proposed methodology enables knowledge expansion and interoperable exchange of nursing records between EMR systems. We developed an ontology using the 112 nursing diagnosis terms defined by extracting and refining information on nursing diagnosis recorded in Kyungpook National University Hospital. We also confirmed the content validity and the usefulness of the developed ontology through expert assessment and experiment.