• Title/Summary/Keyword: Follow-up result

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A Study of Follow-up Test' and Related Factors in Students Who have Positive Result in Urine Tests (학생뇨검사 유소견자의 추후검사율 및 관련 요인)

  • Kim, Dong Sik;Park, Jae Yong;Kam, Sin;Cha, Byung Jun
    • Journal of the Korean Society of School Health
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    • v.10 no.2
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    • pp.157-167
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    • 1997
  • This study was conducted to investigate follow up tests and related factors in students who tested positive for in urine tests. For the purpose of this study, the authors analysed a self-administered questionnaire collected from 316 middle school students and 451 high school students who had positive urinalysis results in Kyungpook province during the month of February, 1996. The major findings of this study were as follows : The proportion of follow up tests among students was 39.2% in middle school students and 34.1% in high school students. There was a significant relation among a number of factors : parents' environment, health concern, and knowledge of urinalysis results, existence of nursing teachers, education concerning urinalysis, medical facility visits, and notification methods. In a multiple logistic regression analysis a higher economic level, parents' concern, knowledge of urinalysis results, medical facility visits, anti direct notification of parents were all significantly related with the follow up tests. On consideration of the above findings, in order to perform practical and effective follow-up management of students who have a positive result in urine test, direct notification of urine test result to parents as well as active health guidance in school are required.

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Comparison of Maternal Self-esteem, Postpartal Depression, and Family Function in Mothers of Normal and of Low Birth-weight Infants (일반아모와 추후관리를 받은 저출생체중아모의 모성자존감, 산후우울, 가족기능의 비교)

  • 안영미;김정현
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.580-590
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    • 2003
  • Purpose: The study investigates the degree of maternal self-esteem, postpartal depression, and family function in mothers of normal and of low birth-weight infants. Method: A retrospective cohort design was applied to compare the variables of interest between a group of 73 mothers with normal birth weight infants and a group of 45 mothers with low birth-weight infants, using the maternal self-report inventory(MSRV), Edinburgh Postnatal Depression Scale(EPDS) and Family APGAR(FAPGAR). Result: The total mean score was 82.57 for MSRV, 8.45 for EPDS, and 6.83 for FAPGAR with no differences between two groups. A positive correlation was found between MSRV and FAPGAR, while a negative correlations between MSRV and EPDS, and FAPGAR and EPDS. Regardless of the direction of the relationship, the degrees of the correlations were stronger in low birth-weight mothers group than in normal group. Conclusion: No differences in MSRV, EPDS and FAPGAR between the normal and the low birth-weight group considered as beneficial effects of the follow-up management which low birth-weight group was engaged in. This suggested the early intervention(follow-up) for the family with risk factor(low birth-weight) could reduce negative outcomes such as the impaired maternal self-esteem and family function, and the occurrence of postpartal depression, retrospectively.

The Effects of Radiotherapy on Parotid Salivary Function (방사선치료 후의 이하선 기능의 변화)

  • Lee Jong-Young;Park Kyung-Ran;Yoon Kap-Jun;Hong In-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.2
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    • pp.153-157
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    • 1995
  • The effects of radiation therapy on salivary function of parotid gland were studied 20 male patients by radiation for tumors of head and neck. Saliva samples were collected before, during the radiotherapy and follow up. Parotid salivary function was quantitatively evaluated using a sialometry, sialochemistry, and scintigraphy. Salivary flow rates decreased in all individuals after irradiation. Glands than were partially irradiated were more likely to have some residual function than fully irradiated glands. Sodium and chloride contents were increased in parotid saliva of radiation patients where as potassium content was not changed definitively, pH was not changed during radiotherapy, but increased during follow up period. Scintigraphic stimulatory response rates showed similar result as flow rates. These results showed that exclusion of partial parotid gland from radiation is necessary to prevent severe xerostomia.

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Free Flap Coverage of the Finger Defect Caused by Digital Replantation Failure

  • Shim, Jung-Hwan;Jeong, Seong-Ho
    • Archives of Reconstructive Microsurgery
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    • v.22 no.2
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    • pp.63-68
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    • 2013
  • Purpose: In case of the failed replantation, if the patients want to preserve the length of amputated stump, toe transfer is the ideal choice. However, reconstruction of these amputated stump with a free flap can be a useful method when the patients refuse sacrificing their toe. Our purpose of this study is to evaluate availability of functional results and patient satisfaction after this procedure. Materials and Methods: From March 2008 to February 2012, we reconstructed the amputated stump with free flap by patients demand. Eleven patients were included, medial plantar artery perforator flap in seven cases and great toe pulp flap in five cases. Follow-up range 12 to 24 months and we evaluate patient satisfaction by using a visual analogue scale (VAS; 1=unsatisfied, 5=excellent) and functional recovery by measuring the range of motion of remaining joint at 12 months after operation. Results: During follow-up period, all transferred free flaps survived and no major complications were noted. Range of motion of remaining joint appeared satisfactory result ($15^{\circ}$ to $100^{\circ}$). The VAS patient satisfaction score for aesthetic were five in six patients, four in four patients, and three in one patient. Conclusion: In case of the failed digital replantation, if patient refuse toe transfer, it could be useful method to reconstruction with the free flap to preserving maximal length of amputated stump.

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The Evaluation of the Community based Opthalmologic Health Services for Elderly in Chuncheon City, Kangwon Province (지역사회 중심의 노인 안보건사업 평가 - 강원도 춘천시를 중심으로 -)

  • Rhee Seonja;Jang Soongnang
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.114-121
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    • 2000
  • This study is designed to evaluation of the Community based Opthalmologic Health Services(CBOHS) for elderly carried out for last three years from 1994. The subjects were total 236 aged over 57 in Chuncheon city. Kangwon province. and the period of data collection was from Feb. 24th. 1996 to Feb. 27th. 1996. For evaluation of CBOHS. the questionnaire was consisted of participation rate. and perception about the service. the level of satisfaction and things to improve. Result were obtained as follows: 1. The number of participants was $95(40.3\%)$ among total subjects. The places provided services were the health service center of Seoul National University in Chuncheon city and community health center. The participants were known from announcements of community staff$(66.3\%)$. 2. Non participants were $59.7\%$ among total subjects. mam causes of missing wasn't known'. 3. The services that participants screening test$(41.2\%)$. provided provided operation$(45.5\%)$. 4. The question about things to improve were continuous follow up and more many glasses provision These fingings may indicate that the CBOHS need more announcement. continuous follow up and provide more many glasses. As proved the satisfaction of CBOHS for elderly. the next study can be performed about the relevant factor of the services.

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Proposal of Research Methodology Using The Measurement of Perception Difference

  • YANG, Hoechang
    • Journal of Wellbeing Management and Applied Psychology
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    • v.2 no.2
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    • pp.39-45
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    • 2019
  • The purpose of this study is to solve the problem of revision or abbreviation of questionnaires based on the previous studies suggested by many existing empirical studies. In addition, this study aims to provide the theoretical basis of the research method which has been variously approached since it presents the methodology that can directly measure the research object. For this purpose, this study proposed a more elaborate analysis method using the differences in perception of individuals who are interested in cognitive research. Specifically, the perception gap(D) can be used as an independent variable, a dependent variable, and a moderating variable. And this study suggested an effective research approach using the measurement of perception difference. The difference of perception suggested that it can be used as a measure to overcome the limitations of existing researches used it as independent variables or mediating variables that measure only one factor of expectation and performance or importance and satisfaction. In addition, it is highly likely that various analyzes on the perception differences, which are the result of measuring target factors for the same person, will be quite effective in the situation where follow-up of respondents is difficult. This study is expected to overcome various limitations reported by empirical studies such as scale utilization problem and follow-up survey difficulty. In future research, it was expected that the limitation of the factor derivation process in the research approach could be complemented by web crawling and text mining of big data analysis.

One Case of Esophageal Cancer Treated with High Dose Rate ICR (고 선량률 강내 치료기를 이용한 식도암 치험 1례)

  • Kim, Kyeung-Ae;Kim, Sung-Kyu;Shin, Sai-One;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.147-151
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    • 1988
  • Esophageal cancers are highly malignant neoplasms. Prognosis of esophageal cancer treated by external irradiation alone is rather poor because of local recurrence and distant metastasis. Recently intracavitary irradiation has been used as a boost therapy after external irradation to optain better local control. One case of esophageal cancer has been treated by high dose rate remote-controlled afterloading unit as boost therapy after external irradiation. The result was excellent in short term follow up esophagogram but esophageal bleeding and esophagotracheal fistula were noted in further follow up examination after inappropriate posttreatment management including insufficient chemotherapy due to poor general condition. We reviewed possible causes of esophageal bleeding and esophagotracheal fistula after external irradiation and high dose rate ICR.

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Developing a Computerized Reminder System and Evaluating the Effects on the Improvemtent of Cancer Screening (지역사회 주민의 정기적 암검진 수검율 향상을 위한 정보시스템 구축 및 효과평가)

  • 정인숙;천동환;김일;배은숙;최은옥
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.400-411
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    • 2004
  • Purpose: This study was aimed to develop a computerized reminder system and evaluate it's effect in terms of percent age change of screening, and satisfaction. Method: It was conducted through 6 phases: Analyzing the job and defining the basic input data, developing the information system, collecting and inputting data, testing the system, working with the system, and evaluating it's effect. Participants were 787 people (female 30-69 years, and males 40-49 years) in 2 dong of Suyoung gu, Busan, who haven't had cancer screening for the stomach, breast, or cervix since Dec. 2000. There were three experimental groups: a letter; calling and calling after the letter reminder, and a non-equivalent control group. To determine whether services were obtained, a telephone survey was done after two months of follow-up. Result: A cancer screening information system with five DB modules was developed. Overall compliance with screening was not statistically significantly changedbefore and after applying computerized reminders for all three screening sites. Only 16% were satisfied with the reminder. Conclusion: This data didn't show that a reminder effort was effective of screening. However, because the evaluation interval was too short to find a difference in screening rate, we recommend additional longer prospective follow up studies.

The Development of a Client Health Status Outcome Evaluation Instrument in Home Care (가정간호대상자의 건강상태 결과 평가도구 개발)

  • 박현태
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.552-564
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    • 2004
  • Purpose: This study was to develop a client health status outcome evaluation instrument, and examine content validity, reliability, construct validity, and the acceptability of this instrument. Method: A preliminary list was made of such key information as standards, criteria, indicators and measures, by means of a broad review of literature within the field. After determining the preliminary instruments, the study sought to obtain examination, consensus, and modification of two groups of experts in the home-care field. Finally, the instrument examined content validity, reliability, construct validity, and the acceptability of this instrument. Result: The tool was considered of 13 criteria, 48 indicators, and 167 detail measures. The content validity index of the tool was above 0.8 according to the expert group. Regarding the reliability of the evaluators of standards 1 and 2, the degree of agreement between evaluators was high(96.4% through 98.2%). Construct validity in this study, the difference in the mean score between the baseline point and the follow up point of each of standards 1 and 2 was significant, and the mean score of the follow up point was more than that of the baseline point. After examining the acceptability of this instrument with practice managers and home care nurses in home care institutions, a positive opinion was given of this instrument, and it was indicated that to be useful and applicable in home care practice. Conclusion: The results of evaluating client outcome will contribute to overall outcome-based quality improvement and service marketing in home care by providing a constant gauge of home care effectiveness.

A Study of the Effect of Medical Service Quality on Patient Satisfaction with a Focus on the Telemedicine Service of Colonoscopies

  • Lee, Jeong Sun;Lee, Min Jung
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.3
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    • pp.47-56
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    • 2016
  • Recently many small and mid-sized hospitals are closing down or experiencing financial difficulties. As a result, in order to provide exceptional service that would increase their competitiveness, they implemented telemedicine service for the prescription of medicine necessary before a colonoscopy. This study is an analysis of how telemedicine service affects patient satisfaction. Through the focus group interview (FGI) of medical service providers, regarding telemedicine service and face-to-face service, it was appraised that telemedicine service was more effective than face-to-face service. Afterward, a second survey aimed at endoscopy patients was conducted in order to find out the value of telemedicine service. First, through the analysis of the three main factors of telemedicine service, conclusions were drawn(safety/reliability, convenience/rapidity, and economics). A follow-up analysis showed that convenience/rapidity had the greatest effect on telemedicine service satisfaction. Next the factors of the quality of medical service were analyzed and 3 main factors were deduced (the superiority of the external and internal environments/appropriateness, superiority of the medical team, telemedicine service). A follow-up analysis found that telemedicine service had the greatest effect on patient satisfaction. This study found that providing exceptional medical service that utilizes telemedicine service would improve patient satisfaction. Therefore, we would be able to form a strategic plan that would strengthen the competitiveness of small and mid-sized hospitals.