• Title/Summary/Keyword: Characteristics of Departments

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Through analyzing the health insurance data provided by Health Insurance Review & Assessment Service (HIRA) of Korea, understanding the characteristic of patient who were diagnosed somatic dysfunction and analysis of the current local status of the usage of code M99 (건강보험심사평가원 데이터의 분석을 통한 체성기능부전 환자의 특성 및 M99 진단명의 사용현황 분석)

  • Shin, Jae-Kwon;Joo, Han-Soo;Lee, Seong-Yup;Shin, Ye-Sle;Ko, Won-Il;Park, Ki-Byung;Kim, Min-Kyu;Ha, In-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.53-64
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    • 2016
  • Objectives : The aim of this study is to assess the usage of diagnosis codes for somatic dysfunctions and the general characteristics of patients diagnosed with the code, by analyzing health insurance data provided by the Health Insurance Review & Assessment Service(HIRA) of Korea. This investigation is intended to outline future and willing to contribute to further use of diagnosis code and the approach of Oriental Medicine to somatic dysfunction. Materials and Methods : By analyzing HIRA data, those diagnosed with M99 codes, a code attributed to somatic dysfunction, were selected for analysis. Patients included were assessed for the relevant general characteristics, and the specific diagnostic criteria. The current usage rates and noteworthy characteristics of diagnostic codes of somatic dysfunctions were assessed. A comparative analysis between clinical departments and subcategories, and a comparative analysis to data of 2014 was conducted. Results : Patients given M99 codes constituted a small minority of all patients diagnosed in 2011 as shown by HIRA data. The codes were more frequently to older patients, females, outpatients, and those who filed for Health Insurance compensation. Medical institutions participating in the diagnosis were mostly primary care facilities, usually specializing in orthopedic(Western medicine sector) and internal medicine (Oriental Medicine sector). The most registered code in 2011 and 2014 was M995. The same trend can be observed in Oriental/Western medicine institutions and Public health center, on the other hand, between them, have some different patterns both 2nd and 3rd. Conclusions : This investigation is that of current usage of diagnostic codes of somatic dysfunction. HIRA insurance claim data was analyzed. Based on the current results, more precise diagnostic standards of somatic dysfunction are warranted. This study will provide a foundation for future Oriental Medicine approach to somatic dysfunctions.

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Epidemiologic Characteristics of Intentional Poisoning: Emergency Department Based Injury in-depth Surveillance During 2011-2015 (의도적 중독으로 응급실을 방문하는 환자들의 특성: 2011-2015년 응급실 손상환자 심층조사 분석)

  • Lee, Hak Soo;Han, Juhee;Kim, Ji Hoon;Kim, Sunpyo;Kim, Sun Hyu;Lee, Ji Sook;Cho, Gyu Chong;Han, Chul;Park, Joon Min;Chung, Sung Phil;Kim, Min Joung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.2
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    • pp.131-139
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    • 2017
  • Purpose: The purpose of this study was to investigate the epidemiologic characteristics of patients who visited emergency departments (EDs) after intentional poisoning in Korea. Methods: This study retrospectively analyzed the data of of 23 hospitals during a five-year period, between 2011 and 2015. We included patients who inflicted injury to themselves - attempt of suicide - by means of poisoning. Results: A total of 18,121 patients visited an ED after intentional poisoning. Among them, 58.3% were females; however, there were more males among those aged 60 years or older. The mortality rate for males was 8.6%, which was 3.1 times higher than that for females with 2.8%. The most common poison was pesticides (35.4%) in males and sedative-hypnotics (44.0%) in females. The most common causative agent of death was pesticide in both sexes (75.2% and 65.3%, respectively). Since the production of paraquat was discontinued in 2011, the number of deaths from pesticide poisoning has decreased. The mortality rate declined in both males and females, from 12.6% and 4.5% in 2011 to 7.1% and 2.1% in 2015, respectively. Conclusion: In this study, we analyzed the epidemiologic characteristics of intentional poisoning, especially the frequency of suicide attempts by gender and age group, the cause of suicide, and the causative agent. This can be used as basic data for establishing policies to reduce and prevent suicide attempts by poisoning.

Changes of Characteristics of Patients in Daily Regional Emergency Room after Execution of Five-day Workweek System (주 5일제 시행 후 일 지역 응급실 환자 특성 변화)

  • Choi, Gil-Soon;Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.1
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    • pp.53-64
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    • 2007
  • Purpose: Ths study aims to examine characteristics of patients using emergency room after execution of five-day workweek system by government and provide basic materials for operation of efficient emergency room. Methods: Data were collected tbrough medical records of patients visiting emergency room from July of 2004 to October of 2006 and they were analyzed with SPSSlPC 10.0. Conclusion : 1. The number of patients visiting emergency room was average 16.7 persons a day in 2004, 17.5 in 2005 and 18.6 in 2006 and it was found that it was increasing every year since the execution of five-day workweek system 2. Gender distribution of subjects using emergency room was higher in male than in female every year. 3. Means of transport to emergency room were mostly private car and others(public transport or on foot), but use of ambulance was increasing. 4. Residential areas of subjects were mostly 'Myeon area' in 2004~2005, but it was changed to residents at 'Eup area' in 2006. 5. Distribution of patients by medical departments was highest in internal medicine and surgery in 2004~2006 and rate of visiting pediatrics was increasing every year. 6. Time to stay at emergency room was most at 'below 30 min'. in 2004~2006, but cases of stay for 'more than 2 hours' were increasing every year. 7. On presence or absence of trauma in patients visiting emergency room, rate of visit to emergency room with 'no trauma' was higher and this result was increasing every year. 8. As a result of classifying severity of patients visiting emergency room, use rate of emergency room by 'non-emergency' patients was over 90% in 2004~2006 and such a phenomenon was deepened in 2006 compared to that in 2004. 9. Measures after emergency care of patients were most in case of 'discharge' in 2004~2006, but cases of admission to hospital after emergency care were increased every year. 10. According to use of emergency room by a day of the week, use on Sunday was most frequent in 2004~2006, but use on Friday the day before holiday was increasing. 11. According to distribution by age, use by those between '40~49' was most in 2004~2005, but use by those 'below 10' was most in 2006. 12. According to time to visit emergency room, using emergency room at "15:31~23:30 was most in 2004~2006, cases of visiting emergency room at day working hour were decreased every year and those at evening and night working hours were increased. Conclusion: In sum, it was found that characteristics of patients visiting emergency room and their actual status were changed after the execution of five-day workweek system and efforts to rearrange emergency medical system are required.

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Use of CDHC-applied educational curricula by dental hygiene departments in Korean universities (국내 대학 치위생(학)과의 포괄치위생관리(CDHC) 과정 적용 교육과정 현황)

  • Moon, Sang-Eun;Hong, Sun-Hwa;Kim, Yun-Jeong;Kim, Seon-Young;Cho, Hye-Eun;Gang, Hyeon-Ju;Cheon, Hye-Won;Kim, Kyung-Seon;Jang, Sun-Ok;Oh, Hye-Young;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.651-664
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    • 2019
  • Objectives: This study surveyed the application of Comprehensive Dental Hygiene Care (CDHC), based on non-surgical periodontal therapy within the educational curricula of Korean universities and examined whether they recognized the need for CDHC. Methods: This study analyzed data from professors of dental hygiene practicum related subjects in 75 Korean universities. The collected data were analyzed using a Chi-square test, a Mann-Whitney U-test, and a Kruskal Wallis test via SPSS (Ver. 21.0). Results: First, the application scope of CDHC was higher in four-year universities than three-year ones with the scope of several characteristics increasing along with enrollment quota. The application scope of dental hygiene plans and actions increased with the number of patient practices in terms of periodontal evaluations. Second, the needs of the dental hygiene courses were more than 4 points in all characteristics. Although four-year universities exhibited higher points than three-year ones, there was no significant difference found except other test. Finally, all universities based their dental hygiene courses on case histories, oral and maxillofacial information, hard tissue modules, periodontal issues, and other tests, with needs also being high. Meanwhile, the application scope of the dental hygiene course evaluations was lowest in all characteristics. Conclusions: There were no significant differences in dental hygiene curricula among the universities. However, highly qualified and standardized educational courses and lectures should be developed by the Korean evaluation center for dental hygiene curricula using various studies as the basis of theory and practical classes, the total number of terms, number of case studies used, number of students per class, ratio of students to professor, and so on.

Necessity of oral health education for students major in early childhood education (유아교육 관련 학과 학생의 구강보건교육 필요도에 관한 연구)

  • Goo, Hyo-Jin;Lee, Myeong-Ju
    • Journal of Korean Dental Hygiene Science
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    • v.1 no.1
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    • pp.11-21
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    • 2018
  • This research is intended to develop oral health education program that can improve quality of oral health of infants by investigating the actual condition of oral health education provided to students major in early childhood education and contents and method of oral health education that they needed. A questionnaire survey was conducted for 427 students enrolled in related departments such as the Early Childhood Education Division and the Early Childhood Education Department at five universities in Gyeongsangnam-do. Questionnaires consisted of general characteristics, awareness of oral health, presence of experience in oral health education, necessity of oral health education, preference for oral health education method, oral health education contents. The collected data were analyzed by SPSS(Statistical Package for the Social Science) Ver 20.0. 1. Presence of experience in oral health education based on the general characteristics showed statistically significant differences only concerning the 'school system' and the 'school year' (p<0.05), and subjective awareness of oral health based on the presence of oral health education experiences showed statistically significant differences concerning the 'interest in oral health' and the 'importance of oral health' (p<0.05). 2. Necessity of oral health education based on the subjective awareness of oral health showed statistically significant differences concerning the 'interest in oral health' and the 'importance of oral health' (p<0.05). 3. Necessity of oral health education based on the preference for oral health education method showed statistically significant differences concerning the 'intention to participate in oral health education' and the 'oral health education cycle' (p<0.05). 4. The most necessary information for oral health education is proper toothbrushing method 4.24, cause of tooth decay and prevention method 4.13, helpful food and poor food for tooth 3.97, toothbrush selection and storage method 3.85. Fluoride application and fissure sealant were lowest 3.38. As a result of this research, necessity of oral health education was large regardless of general characteristics, experience in oral health education, subjective awareness of oral health, and preference for oral health education. Also the more the 'interest in oral health' in 'subjective awareness of oral health', the more the 'necessity of oral health education' and 'intention to participate in oral health education'. Therefore it is necessary to develop systematic and repetitive oral health education for students major in early childhood education.

Trends in Korean Pediatric Poisoning Patients: Retrospective Analysis of National Emergency Department Information System (한국 소아청소년 중독 환자의 경향: 국가응급진료정보망을 이용한 후향적 연구)

  • Lee, Kyeongjae;Kim, Kyung Hwan;Shin, Dong Wun;Park, Junseok;Kim, Hoon;Jeon, Woochan;Park, Joon Min;Kim, Hyunjong
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.2
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    • pp.69-78
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    • 2017
  • Purpose: This study reports the clinical features of infant, child, school aged and adolescent patients treated for acute poisoning in nationwide emergency departments (EDs). Methods: We retrospectively analyzed clinical data pertaining to patients under 19 years of age who were treated for acute poisoning in nationwide EDs from 2013 to 2015. The data were collected by the National Emergency Department Information System (NEDIS). All patients were divided into three groups: 'Infant and child group' (0 to 5 years), 'school age group' (6 to 12 years) and 'adolescent group' (13 to 18 years). General characteristics, Korea Standard Classification of Disease $7^{th}$ (KCD-7) codes and results of care were collected. Results: There were 14,500 pediatric poisoning cases during the study period. The distribution of patient age was bimodal with two peaks among infant, child and adolescent group. The proportion of alert mentality at the ED visit of the infant and child group was 99.3%, while that of the adolescent group was 86.4%. The proportion of intentional intoxication was higher in the adolescent group (40.7%) than other age groups. Among children less than 13 years of age, various poisonous substances and therapeutic drugs were common. Conclusion: There were some clinical differences in acute poisoning patients between age groups. It is necessary to establish a preventive plan considering characteristics by age. Since the KCD-7 code has limitations in analyzing the characteristics of poisoning patients, it is necessary to consider the registration system of poisoning patients.

The Factors Affecting Job Stress and Job Satisfaction of Nurses at Welfare Centers in Seoul (서울시 복지관에 근무하는 간호사의 직무스트레스와 직무만족도에 영향을 미치는 요인)

  • Lim, Hee-Ja;Jung, Hye-Sun;Koo, Jung-Wan
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.341-350
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    • 2005
  • Purpose: The purpose of this research was to find out factors affecting job stress and job satisfaction of nurses working at the welfare centers. Methods: This study was performed with 140 nurses who were working at or had retired within 1 year from general welfare centers in Seoul during the period from March 29 to February 29 2004. We used a questionnaire asking about general characteristics. work characteristics. stress factors and job satisfaction. We analysed 103 subjects who replied to the questionnaires. Results: The mean job stress level was 2.84 out of 5 and. as for the sub-factors of job stress. income was 4.19, career development 3.69, service environment 3.26 and support system 1.90. The mean job satisfaction level was 3.32 out of 5 and. as for the sub-factors of job satisfaction, job control was 3.58, efficiency of organization 3.27, job burden and responsibility 2.92 and role ambiguity 2.25. When the nurses' job stress was compared according to their general and work characteristics. stress level was significantly high in nurses who had a short experience. were working at the department of senior welfare center. or were the only staff at their workplace (p <0.05). In addition. satisfaction level was significantly high in nurses who were working at the department of senior welfare center and medical welfare team. were the only staff at their workplace or had a heavy work load (p<0.05). According to the results of multiple regression analysis. job stress level was influenced by age ($R^2$=0.212. p<0.01). and job satisfaction level by the number of staffs and work' load ($R^2$=0.272. p<0.1). Conclusions: The results of the study suggest that good atmosphere should be made up to communicate between the departments at the workplace in order to lessen job stress and enhance job satisfaction of nurses working at welfare centers. In addition. role division and job duties among special staffs should be reviewed in order to achieve high efficiency in performing job duties.

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The Characteristics and Policy Implications of Co-operative Education in a Regional Public University : The Case of Central Washington University, USA (지역 대학의 장기현장실습(Co-op) 활성화를 위한 사례 분석 및 정책적 시사점 - 미국 센트럴워싱턴대학교를 사례로 -)

  • Lee, Jong-Ho;Chae, Min-Soo;Jang, Hoo-Eun
    • Journal of the Korean association of regional geographers
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    • v.21 no.4
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    • pp.639-648
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    • 2015
  • There is a growing interest in Co-operative education as an important way of university-industry collaborations for improving employment competitiveness, recruiting talented human resource, and promoting university-industry collaborations. In this study, we recognize that the paradigm of professional practice have to be changed from internship to Co-operative education. This paper examines the characteristics of Co-operative education in a regional public university through a case study of Central Washington University(CWU), USA. The results of the study and policy implications are as follows. First, the professional practice program of CWU is centered upon Co-operative education and has a high local and regional connectivity in terms of location of institutions that students work for professional practices. Second, the professional practice program of CWU has a high connectivity between majors and jobs, and is characterized by an active participation of students majoring in humanities, social sciences, arts and education. Third, the qualifications of Co-operative education are strict, but programs of Co-operative education are flexibly operated according to the characteristics of departments and colleges. We emphasize that universities in Korea need to focus upon the employment connectivity, the major connectivity, the local and regional connectivity, Therefore, when attempting to introduce Co-operative education. In addition, the management and governance of Co-operative education should be flexible.

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A Study on Connection Type between Location Knowledge and Understanding the Characteristics of World Regions (중학생들의 위치 지식과 지역 이해와의 연계 유형 분석 연구)

  • Kim, Da-Won
    • Journal of the Korean Geographical Society
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    • v.43 no.3
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    • pp.432-447
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    • 2008
  • This study is to examine and analyze the the connection types between location knowledge and understanding the characteristics of world regions which 8th grade students are recognizing. In the analysis of the relation between the location knowledge and region understanding(clothing, food, housing and living style and so on), I analyzed the relation types between location knowledge and region living figures. Absolutely understanding the region needed the efact location knowledge on the world map, the knowledge of the longitude and latitude, symbolic area and the higher ranking region and the information about natural surroundings in which I grasp the region living figures. In addition, it needed the knowledge of locational attributes for the connection formation between region location knowledge on maps and understanding the region. The relative location knowledge related to the other regions and those natural surroundings and the linkage of those region locational attributes are needed in order that the location knowledge on a map could be connected to the knowledge about the actual region living figures. So I call it 'the structured location knowledge'. In order to form the structured location knowledge, the location knowledge of region on a map have to be connected to the multiple knowledge about absolute and relative locations with the knowledge of diverse location attributes. Therefore, it would be necessary that the location teaming for getting the characteristics of region have to be systematically accomplished departments of location-climate$^{\circ}{\mathbb{S}}$geographical features-region living figures.

The Types and Characteristics of Gift-Purchasing Behavior of Consumers (소비자들의 선물구매행동유형 및 그 특성에 관한 연구)

  • 허경옥;유정임;김종숙
    • Journal of Family Resource Management and Policy Review
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    • v.6 no.2
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    • pp.31-52
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    • 2002
  • This study classified consumers' behaviors of purchasing gifts, divided groups by the types of similar behaviors, and examined impacts of demographic variables, relevant variables in purchasing processes on those behaviors. Findings of this study can be summarized as follows. First, factors explaining consumers' behaviors of purchasing gifts were the tendency of demonstrative purchase, the level of placing values to the meaning of gifts, the level of altruism and rationality in the purchase of gifts, and the tendency of impulsive purchase. On the basis of these five factors, five distinct consumer groups showing similar behaviors of purchasing gifts based on the results of Cluster analysis were identified. Those groups were impulsiveㆍdemonstrative groups, impulsiveㆍnon-sincere groups, indifferent groups, non-impulsiveㆍdemonstrative groups, non-altruistic'ㆍrational groups, sincere groups, and altruisticㆍrational groups. Second, behaviors of purchasing gifts showed significant differences depending on gender, educational levels, occupational types, and women's employment status. Consumers with high education, professional occupation, high income tended to show the demonstrative purchase. Male consumers were not interested in the purchases of gifts and placed high values on the meanings of gifts. In contrast, female consumers showed rational behavior, but revealed the tendency of demonstrative in the purchase of gifts as well. Finally, behaviors of purchasing gifts were also different depending on the method of gathering consumer information, places of purchasing gifts, experiences of ordering paid wrapping gifts and the relevant costs, consumers' evaluations of the purchases of gifts, and degrees of satisfaction after the purchase of gifts. Impulsive'ㆍdemonstrative groups and non-impulsive'ㆍ demonstrative groups preferred departments as places of purchasing gifts and choose ordering paid wrapping gifts but showed dissatisfactions after purchases of gifts. Consumers who belongs to non-altruistic'ㆍrational groups, sincere groups, and altruistic'ㆍ rational groups tended to prefer local stores in their own villages as places of purchasing gifts and did not order paid wrapping gifts while showing high after the purchase of gifts.

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