• Title/Summary/Keyword: Consultation

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Characteristics of Psychiatric Consultation between Presenile and Senile Inpatients (초로기와 노년기 입원환자에 대한 정신건강의학과 자문의 특성)

  • Lee, Ji Woong;Cheon, Jin Sook;Kim, Kang Ryul;Kim, Hyun Seuk;Oh, Byoung Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.114-121
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    • 2013
  • Objectives: The aim of this study was to know differences of characteristics between presenile and senile patients who were consulted to the department of psychiatry during medical-surgical admission. Methods: The demographic and clinical data obtained from the medical records of psychiatric consultation in the presenile inpatients with age 50 to 64 years(N=162) and those of the senile inpatients with age over 65 years(N=171) were reviewed and compared. Results: 1) The most common chief complaints for psychiatric consultation in presenile patients were somatic symptoms, anxiety and sleep disturbance in order, while cognitive decline, clouded consciousness and depressed mood were most common in senile patients with statistical significance. 2) The most frequent psychiatric diagnoses after consultation in presenile patients were delirium, mood disorder and substance use disorder in order, while delirium, mood disorder and major neurocognitive disorder were most frequent in senile patients with statistical significance. 3) There were no significant difference in numbers of physical illnesses, while numbers of therapeutic drugs for them were more in senile patients. Conclusions : Our study found significant differences between presenile and senile patients on psychiatric symptoms and diagnoses in geropsychiatric consultation. Therefore, more subdivided age-specific approach seems to be needed for the geropsychiatric consultation activities.

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Environmental Impact Assessment Consultation Based on Land Environment and Natural & Ecological Environment (토지환경 및 자연생태환경을 고려한 환경영향평가 협의결정 개선방안)

  • Lee, Jong Ho
    • Journal of Environmental Impact Assessment
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    • v.29 no.1
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    • pp.45-60
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    • 2020
  • In the past, air pollution, water pollution and solid waste were very important items, but at present environmentally sound land use, ecosystem conservation and sustainable socio-economy have become very important in EIA. According to the consultation result of SEA and Small scale EIA during 2012~2019, most results are 'Conditional Agreement'. Especially EIA consultation results before 2016 were mostly (94.1 %) 'Agreement', but since 2017 most (87.4 %) are 'Conditional Agreement'. And the percentage of 'Non Agreement' have sharply increased from 0.3~0.6 % (during 2013~2016) to 1.3~3.1 % (during 2017~2019). In case there have been no change in EIA system and consultation techniques, the problems of inconsistency and unfairness could be raised. Therefore are urgently required researches on environmentally sound land use, ecosystem conservation and sustainable socio-economy which decide location feasibility assessment. The purpose of this study is to analyse the consultation cases of SEA, EIA, and Small scale EIA since 2012, and to identify key factors which result in the decision of nonagreement of development plans and development projects, and to suggest the improvements on EIA consultation based on land use regulation and environmental grade.

A Study of Factors Affecting Use Intention of Untact Medical Diagnosis and Consultation Services (비대면 진료의 이용의도에 미치는 영향에 관한 연구)

  • Jin, Seok
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.180-197
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    • 2020
  • The purpose of this study is to explain intention to use untact medical diagnosis and consultation services. There is a need for untact medical diagnosis and consultation services in order to increase social interests and a global trend for public protection and convenience enhancement. We carry out the analysis of the survey data using Smart PLS 3.0 to test the hypotheses. According to the empirical analysis results, this study confirms that health consciousness have significant effects on the cost saving, quality of telemedicine service and self-efficacy have significant effects on the accessibility, compatibility. cost saving, quality of telemedicine service, accessibility and compatibility have significant effects on Perceived usefulness. Perceived usefulness have significant effects on use Intention of untact medical diagnosis and consultation services. This study has its meaning because it found out that it deals structurally and expansively with use intention through Expected Benefit and usefulness based on individual characteristics for untact medical diagnosis and consultation services. In addition, The results of this study suggest that if the related policies are institutionalized based on the Expected Benefits covered in this study, the perception of untact medical diagnosis and consultation services can be changed progressively.

Psychosomatic Medicine : Present and Future Prospects (정신신체의학의 현재와 미래의 전망)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.14-24
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    • 1993
  • The author discussed present problems and future prospects of psychosomatic medicine in clinical, educational, research, and social aspects. In general, psychosomatic field. particularly. consultation-liaison(C-L) psychiatry in Korea seems to remain on early developmental phase. However, positive change in the general publics' and societal view of psychiatry, specialization of medicine and development of medical technology, implementation of delivery system in medical care could contribute to development of this field. In future, clinically, liaison activity will be more activated. and this field will be developed as main subspecialty of psychiatry. In addition. C-L psychiatry will be subspecialized. and prevention and humanization of medical care could be more emphasized. In education. the main place of education for medical students and psychiatric residents will be changed from closed ward to general ward in which consultation-liaison activity can be performed. In research. consultation liaison model suitable for Koreans will be developed and studies on disease mechanism will be more promoted. In social aspects, this field could influence the general publics' view of psychiatry and change the whole areas of medicine and society toward integration. In order to achieve these goals, medical insurance system and cost relevant to C-L activity should be essentially improved.

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Factors Determining the Quality of Labor-Management Relations in Korea (우리나라 노사관계(勞使關係) 질적(質的) 수준(水準)의 결정요인(決定要因)과 과제(課題))

  • Won, Chang-Hee
    • Journal of Labour Economics
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    • v.23 no.1
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    • pp.27-45
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    • 2000
  • An analysis of factors determining the quality of labor-management realtions shows that they include the external environment factors, the agent factors representing spirits and strategies of unions and employers, and the process factors of interaction channels in bargaining, consultation, and participation. It is found from recent research results that the spirits and strategies of unions and employers is the most important factor and that communication, consultation and sincere bargainings between them are the next most important, while environment factors are rarely important. It is suggested that mutual trust and respects, information sharing, sufficient communication and consultation, joint workplace innovation, and industry-level labor-management consultation are effective tools for good industrial relations.

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Development of a Computerized Telephone Triage and Consultation System for Patients Discharged with Ophthalmic Disease (눈질환자의 퇴원 후 증상관리를 위한 전화상담 전산 Triage 시스템 개발)

  • Lee, Hyun Jung
    • Journal of East-West Nursing Research
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    • v.18 no.2
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    • pp.95-103
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    • 2012
  • Purpose: This methodological study was done to develop a computerized telephone triage and consultation system for patients discharged with ophthalmic disease in order to provide more efficient practice guidelines for nurses, and evaluate the usability of the system. Methods: Development of the system consisted of six phases: strategic planning, analysis, design, implementation, evaluation, modification, and maintenance. Results: In the strategic planning phase, ophthalmic problems and nursing interventions of triage algorithms and practice guidelines were cross-mapped with the Omaha system. In the analysis phase, users requirements were identified. Then infrastructure including database, nursing knowledge base, and user interface were designed in the implementation phase. Usability and satisfaction of the system presented as very positive. Telephone consultation took about 2 minutes less than time in the previous system. The system was modified based on users' comments during the evaluation phase. Conclusion: This study was the first attempt in Korea to develop computerized triage system to prompt the quality of telephone consultation. It is suggestive that the computerized triage system may improve the quality of nursing.

Alcohol Use Disorder in Consultation-Liaison Psychiatry (자문 조정의학에서의 알코올 사용 장애)

  • Seo, Jeong-Seok
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.1
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    • pp.15-19
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    • 2011
  • Alcohol is so-called "a magic bullet" affecting on the various organs and central and peripheral nervous systems and causes mental illness as well as physiological and psychological dependence. Also, alcohol problem is related with serious social problems including family violence, suicide, loss of job and crimes. Because alcohol use disorder is a common cause of consultation and liaison in general hospital, we could consider alcohol use disorder of one of psychosomatic disorder. Thus, I reviewed the prevalence, rate of consultation, and general consultant and treatment issues in treating patients with substance use disorder in a psychosomatic medicine.

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A Study on the Reset of Examination Criteria for Energy Use Plan through Consultation Case Analysis (협의 사례 분석을 통한 에너지사용계획 검토기준 재설정 연구)

  • Suh, Kwang-Soo
    • Journal of the Korean Solar Energy Society
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    • v.33 no.4
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    • pp.59-69
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    • 2013
  • The Consultation about Energy Use Plan is prescribed by the Energy Use Rationalization Act. In order to reset Examination Criteria for Energy Use Plan, consultation case analysis from 2001 to 2010 were carried out and National Energy Master Plan was reviewed. This study proposes that Examination Criteria for Energy Use Plan be should divided into Urban & Tourism complex development project and Industrial complex development project for the prevention of civil complain. Also predicts that effect of energy savings calculated by Reset Examination Criteria on $1^{ST}$ energy demand BAU at 2030 is 2.2%, effect of new & renewable energy utilization at 2030 is 3% and the rate of $CO_2$ reduction to greenhouse gas emission BAU at 2020 is 1.1%.

Psychosomatic Management of Medically Ill Children and Adolescents (신체질환이 있는 소아청소년의 정신신체의학적 관리-총론)

  • Lee, Moon-Soo;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.17-24
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    • 2008
  • Psychosomatic medicine is also known as consultation-liaison psychiatry. Pediatric consultation-liaison psychiatry is composed of all consultation, liaison, diagnostic, therapeutic support and research activities carried out by psychiatrists and other mental professionals in pediatric ward to provide mental health services to physically ill pediatric patients. As the differences in the basic concepts of disease models between psychiatry (psychosocial model) and pediatrics(biomedical model) exist, active communication between the child psychiatrist and pediatric medical staffs is required. Although the general guidelines are similar, there are specific considerations for consultation in children and adolescents. Much work is still needed to identify empirically supported treatments which are effective for managing a board range of psychosocial difficulties in children and adolescents.

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The Comparative Analysis of the Joint Labor-Management Consultation (노사협의제 성격의 국제비교)

  • Baek, Gwang-Gi
    • Korean Business Review
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    • v.12
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    • pp.189-207
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    • 1999
  • The recent keen global competition makes cooperative Labor-Management relations as one of the minimum requirements for the business firms in order to survive. Accordingly, this study focused upon the comparative analysis of the traits of some major countries' Labor-Management Joint Consultations for the purpose of explaining the core characteristics of them. The way how to develop and enhance the Labor-Management Joint Consultation in Korea was also suggested. As a result, this study shows that the social background of, the authority of, and the relationship with collective bargaining of the the Labor-Management Joint Consultation differed in great extent among the countries, and that these differences caused the various consultation patterns in each country. For example, the Labor-Management Joint Consultation was introduced and used voluntarily in the U.S.A. and Japan, while it was enforced by law in Korea, Germany, and France. Also, co-determination has been popular in Germany, France, and The U.S.A., but only the advising and consulting have been dominant in Korea and Japan. However, the rapid change of business environment and the increase in employees' need will make the co-determination as a desirable pattern even in Korea.

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