• Quality Improvement in Health Care
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• v.6 no.1_2
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• pp.80-91
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• 1999

Background : With the CQI concepts, which emphasize doing the right things right the first time, we tried to enhance the timely completion of medical records by changing the review process from retrospective method to concurrent one. Methods : Against the current retrospective QA activity, Medical record administrator did the concurrent QA of the inpatient medical records with the deficiency sheets. One general surgery ward was chosen as a trial one. The deficiency rate of the medical records of the discharged patients was compared before and after the enforcement of the system. Job analysis of the medical record departments was done about four tertiary care hospitals located in Seoul to estimate the cost and the time consumed by current system. Results : There was a little improvement in the completion rate of the medical records after the trial. The new system was effective. And job analysis showed that much money and time were wasted by current retrospective feedback system. Conclusion : Though the result was not so satisfactory, it should be considered that this test was a voluntary one and the interns and residents were not forced to complete the medical records during this trial period. If there be any strong motivation to complete the medical record in time, this system is sure to be succeed. As the DRG system requires the concurrent review of the medical records to confirm severity of the patient's illness and to assure the timely discharge, it is desirable to enforce this method with the DRG system together. DRG coding and reducing deficiency rate of the medical records can be accomplished simultaneously.

• Informatization Policy
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• v.19 no.2
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• pp.39-56
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• 2012

The authors utilized two contested perspectives on the use and non-use of ICTs, especially the Internet, to verify three assumptions of urban ghettos as fundamentally excluded from the ICT structure, ghetto people as behaving in the same way, and deficiency as the sole explanatory variable of their non-use. The first assumption that the urban ghettos would be fundamentally excluded from the urban ICT structure can be nullified by our finding about the prevalence of ICTs in that area, albeit apparent lower level of access to ICTs compared to that of the urban core. The second assumption that the urban ghetto residents would display the same information behaviors would be challenged by our finding that the availability and usages of the Internet would be hardly consistent by gender, age, occupation, family size, and locational characteristics. The third assumption that deficiency would capture the Internet non-use by ghetto residents was found very tenable but could be rivaled by the choice perspective that use or non-use is simply a result of situated choice. Theoretical and practical implications were suggested.

• Journal of Creative Information Culture
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• v.5 no.3
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• pp.319-328
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• 2019

This study aims to deeply understand the possible difficulties faced by a single-parent family raising a gifted child, based on the case of an Information Science gifted child raised under a single-parent family. For this purpose, there had been three interviews with the single mother who raises an elementary school gifted child on her own. As a result, it was discovered that a single mother raising an Information Science gifted child faces three difficulties that are the lack of educational support due to financial problems, deficiency in the absence of father, and facing social prejudice against a single-parent family. These three problems were similar to those faced by a single-parent raising an ordinary child, but there were slight differences due to the unique characteristics of an Information Science gifted child. Additionally, through the mentoring with the researcher, it was identified that in order to help these families, they need to be given personalized support for their specific defects.

• Journal of Life Science
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• v.33 no.7
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• pp.574-585
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• 2023

Sarcopenia is a leading cause of increased medical and nursing care costs among the elderly. In Korea, preventive measures for sarcopenia are mostly targeted toward the general elderly population without specific diseases. However, it is also necessary to implement measures for elderly individuals living in nursing homes and hospitals, where the prevalence of sarcopenia is high. Currently, computed tomography and/or magnetic resonance imaging are considered standard diagnostic tools. However, their complexity and time-consuming nature make them unsuitable for clinical use. The exact pathophysiological mechanisms of sarcopenia are unclear, as they involve various molecular biological pathways, including decreased exercise, protein and nutrient intake, changes in testosterone and growth hormone, and inflammation. Sarcopenia symptoms can lead to several diseases, such as osteoporosis, fractures, dementia, diabetes, and cardiovascular disease. Vitamin B deficiency is a significant factor in sarcopenia induction, with B vitamins being directly involved in energy and protein metabolism and nerve function. Vitamin B deficiency can lead to neuromuscular and neurogenic disorders, which often overlap with sarcopenia. Suboptimal intake of B vitamins, malabsorption, and anorexia are common among the elderly. This study aims to provide information on the role of water-soluble B vitamins in preventing and controlling muscle mass loss and deterioration among the elderly with sarcopenia. In addition, we discuss the potential of myokines from the B vitamin family in modulating sarcopenia.

• Journal of the Korea Convergence Society
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• v.6 no.3
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• pp.119-125
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• 2015

This study aims to verify the mechanism of mediated effects for protective factor among the relations of risk factor, protective factor and psychology adaptation under risky situation as functionally deficient family, and to identify the protective factors that protects adolescents with high psychology adaptation level. To achieve these goals, descriptive statistic analysis, regression analysis and logistic-regression analysis were conducted using the 5th year data of the Korea Youth Panel Study (Junior high panel) surveyed in 2008 by National Youth Policy Institute. The study results first shows that the psychology adaptation level of adolescents who experienced functionally deficient family varies depending their self-esteem and attachment to school friends. Second, it was found that there are mediated effects in the impacts of functionally deficient family on psychology adaptation. Therefore, in social work field, it is advisable to focus on the process to mitigate the risk factors or to strengthen protective factors rather than focus on the risk factors of adolescents. With this method, the negative perception of adolescents exposed to risk factors can be changed as well as the way of intervention for supporting them.

• Journal of the Korea Convergence Society
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• v.6 no.4
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• pp.121-126
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• 2015

Korea Youth Panel (2008) has 2 panels of the 5th year of Knowledge data to perform statistical analysis and regression analysis, the risk factors in the risk conditions of the family of functional deficits, protective factors, the relationship between the mediating effect of psychological adaptation and protective factors verification mechanisms and the psychological adaptation level it is an objective to analyze the protective factors that protect the high youth. To investigate the differences by frequency analysis and personal characteristics of the analyte's was performed t test using PASW (Predictive Analytics Software) 18.0. And to verify the effect of the parameters is performed rank regression analysis for verification of the effects of protection factors for adaptation. Rather than focusing on youth risk factors in social welfare practice field, focusing on processes and protective factors to reduce the risk factors, it is possible to convert the viewpoint overlooking the youth exposed to risk factors. Also, for young people experiencing difficulties that features loss of the family, it is determined that the prepared foundation which can be provided in the direction of social welfare practical intervention.

• Korean Journal of Social Welfare Studies
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• v.41 no.4
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• pp.107-133
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• 2010

This research identified the normal structures of separated families, "wild-geese families"(husbands living in Korea apart from their wives and children who are studying abroad) as we called, in Korea. In particular, this study conducted in-depth interview, using qualitative research method, with 7 wild-geese fathers (fathers who are in order to understand their experiences of separated families. The research findings classified the wild-geese father's experiences into three phases which as "decision-making," "initial," and "maintenance." These phases can be described by five higher factors. First of all, in the phase of decision-making "internal or external needs of children studying abroad at early age" was found to be a crucial factor. Liberation and deficiency as results of separation" mainly described the initial phase. In the phase of maintenance, families experience "exhausted solitary lives," "filling up the families' empty space," and "double jeopardy-worry about both reunifying the family or separating the family, as the longer they are separated."

• Journal of Oriental Neuropsychiatry
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• v.21 no.4
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• pp.219-231
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• 2010

Objectives : School refusal is usually considered as individual's behavioral problem. These days. however. the adolescents' school refusal needs some kind of medical approaches because it is related to mental disorder of the adolescents. Due to too much pressure and stress from the competition between classmates and from good performance in school. the number of adolescents who refuse to go to school is increasing. Despite this circumstance. school refusal is neither regarded as a single independent disorder nor endorsed as an officially classified disease. which makes difficult to conduct research on this issue and to establish standardized treatment for it. In addition. there is a lack of research on this topic. especially in oriental medicine. so there is no a case report or study on school refusal. This study is trying to comment on school refusal from the perspective of oriental medicine. Methods : We tried to examine the effect of oriental medicine treatment for school refusal with four adolescent cases. The patients commonly have at least more than one mental disorder (including depression disorder. anxiety disorder. and anorexia nervosa). have some problem with the relationship with their family. in particular with mother. do not have father or not be loved by their father. and have irregular eating habits. Thus. we diagnosed them as qi transforming into fire (氣鬱化矢) spleen-stomach deficiency cold (脾胃虛寒) and heart blood deficiency (心血虛) due to stress from the family issues and unhealthy eating habits. The patients received supportive therapy. family therapy. etc among many oriental mental treatments and their progress had been observed through hospitalization and outpatient treatment. Results : All four cases were reported positive progress on their symptoms and started coming back to school. We also examined whether they were well fitting into the school while they received outpatient treatment. and the results show that all four patients continue to settle down in normal school life. Conclusions : This study closely reviewed the mental disorder of school refusal cases and showed that the Oriental medical treatment was effective in helping the patients come back to school. More future research is required to better treatment for school refusal cases in oriental medicine.

• Journal of Community Nutrition
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• v.6 no.2
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• pp.67-77
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• 2004

In order to investigate the differences of nutrient intakes by the economic status and different age groups and to identify the nutritional risk group and its specific nutrition problem, 2001 Korean National Health and Nutrition Survey were analyzed. The subject's numbers of 9,391 were classified into four classes such as low (14.2%), medium (37.2%), high (26.0%), and high above (22.6%) on the basis of the family monthly income and the 2001 Korean minimum cost of living according to the family size. Mean intakes of energy and all nutrients assessed by the RDAs, lipid-energy %, and MAR were increased as the economic status were going up. Na intake expressed per 1,000kcal was in reverse. Nearly a half(45.5%) of the low-income people seemed to take nutritionally inadequate diet in consideration with MAR values. Deficiencies of iron and even energy in the toddlers (1 to 2 years) of low-income class were of great concern. Adolescent age group has been observed that their calcium and iron intakes, and possibly energy, were appeared to be the most deficient among all the age groups regardless of the economic status. For the elderly in all the economic status except high-above class, calcium, vitamin A, and riboflavin were commonly deficient nutrients. Calcium deficiency was appeared throughout nearly all the ages except toddlers and all the economic classes. Even in the high-above class 57.3% took insufficient amount of calcium.

• The Journal of Korean Obstetrics and Gynecology
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• v.28 no.2
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• pp.174-182
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• 2015

Objectives : AMH (Anti-Müllerian Hormone) is considered a sensitive marker of ovarian reserve, and it tends to be included among basic fertility tests. This paper is to report four pregnancies which were achieved by subfertile women with low AMH level after Korean medical treatments. Methods : Four cases of pregnancy by subfertile women, aged 34 to 37, with low AMH level (0.04 to 0.76 ng/mL), after Korean medical treatments between July 2012 and May 2015, were analysed. The patients were diagnosed as Kidney deficiency (腎虛), Blood extravasation (瘀血) and/or Liver Qi stagnation (肝氣 鬱結). Herbal medicine, acupuncture, pharmacopuncture and moxibustion treatments were applied. Results : The four subfertile women with low AMH level achieved pregnancy after Korean medical treatments. Conclusions : The case report suggests that Korean medical treatment can be an effective option for subfertile women with low AMH level before Assisted Reproductive Technology.