• 제목/요약/키워드: Health level seven

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Motivation for following College Sports Teams' Social Media Accounts (대학스포츠팀 소셜미디어의 이용동기)

  • Park, Jae-Ahm;Dittmore, Stephen W.
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6547-6555
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    • 2014
  • This study attempted to verify what motivates fans to follow college sports teams' social media and identify the motivational factors that can best predict fans' social media consumption. Confirmatory Factor Analysis (CFA) indicated that previously identified seven motives for online consumption, i.e., information, diversion, socialization, pass-time, fanship, team support, and technical knowledge, are compatible with the use of college sports teams' social media. In addition, a results of multiple regression found diversion, socialization, fanship, team support, and technical knowledge to significantly predict the level of social media consumption while information and pass-time did not significantly affect social media consumption. In particular, socialization had the greatest influence on social media consumption.

Impact of Home Education on Levels of Perceived Social Support for Caregivers of Cancer Patients

  • Demirbag, Birsel Canan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2453-2458
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    • 2012
  • Background: The healthcare needs of cancer patients are complex and persons involved in their caregiving process are faced with many issues that need to be addressed. The entire family and particularly the person taking on responsibility for patient care develop expectations from healthcare professionals, especially nurses. Objective: The study was conducted to evaluate the impact of a home education program provided to caregivers of cancer patients on the level of their perceived social support and problems in caregiving. Interventions/Methods: The caregivers of thirty seven cancer patients of 2,400 registered people in a family center were given an educational program in this descriptive and cross-sectional study twice a week for a month during the period of March 2011 - April 2011. Results: Of all caregivers, 56.8% were between the ages 36-40, 94.5% were female, 91.9% had received no education on caregiving, 81.0% stated that they mostly felt physically and mentally inadequate in their caregiving. Perceived Social Support from the family indicated a significant difference at $8.05{\pm}4.38$ before and $11.7{\pm}4.97$ after the education. A comparison of the mean scores of caregivers on emotional issues before and after the education revealed the following: spiritual distress scores were $2.54{\pm}0.69$ before and $2.44{\pm}0.43$ after the education; hopelessness scores, $2.24{\pm}0.59$ before and $2.23{\pm}0.38$ after the education; ineffective individual coping was $3.89{\pm}1.42$ before and $2.45{\pm}0.59$ after the education; competing needs in decision-making were $3.54{\pm}0.69$ before and $2.10{\pm}1.24$ after the education; depressive feeling were $3.01{\pm}1.53$ before and $2.02{\pm}0.99$ after the education (p<0.05). Conclusions: Positive effects of home education on levels of perceived social support and caregiving problems of caregivers of cancer patients were observed. Home educational programs for caregivers of cancer patients are important for both better understanding of the requirements of their patients and themselves.

A Study on the Influencing Factor of Unplanned Endotracheal Extubation in ICUs (중환자실 환자의 우발적인 기관튜브이탈 관련요인 연구)

  • Choi, Yun-Kyoung;Kim, Keum-Soon
    • Quality Improvement in Health Care
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    • v.9 no.1
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    • pp.74-89
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    • 2002
  • Background : The purpose of this study was to investigate the incidence of unplanned endotracheal extubation and to identify the influencing factor of unplanned extubation in ICUs for providing baseline data in developing prevention strategies and administrative standards. the medical records and hospital information system. In order to analyze factors related to unplanned extubation, the subjects of this study were divided by unplanned extubation group and planned extubation group and were matched by its sex, age, and disease groups in a ratio of one to two. The data were analyzed by descriptive statistics, ${\chi}^2$- test, t-test, Fisher's exact test, and logistic regression analysis with SPSSWIN 10.0 program. Result : 1) Forty-seven(4.99%) of 942 intubated patients experienced unplanned extubation 65 times during the twelve-month period. Thirtyfour( 72.34%) of 47 unplanned extubated patients required reintubation, whereas thirteen patients(27.66%) did not. 2) About half of unplanned extubation(46.8%) occurred during the night shift. 3) As for the nursing activity, respiratory nursing activity score(P=.0.06) and total nursing activity score(P=.011) showed statistically significant differences between unplanned extubation group and planned extubation group. 4) As for the patient status, unplanned extubation group showed more lower consciousness level(P=.000), more irritable or agitated behavior(P=.000), and had more applied physical restraints(P=.000) than planned extubation group. 5) As for the intubation related variables, unplanned extubation group revealed more intubated with respiratory failure(P=.000), more dependent on mechanical ventilation(P=.015) than planned extubation group. 6) Factors affecting unplanned extubations in intensive care unit patients were irritable or agitated behavior(odds ratio=13.757), night shift(odds ratio=7.166), and mechanical ventilation(odds ratio=6.257) from conditional logistic regression analysis. Conclusion : The most affecting factor of unplanned extubation was agitated or irritable behavior. Therefore the results of this study could be helpful to ICU nurses for meticulous care, decision making, timely intervention, and development of intervention strategies for preventing unplanned extubation.

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Effects of Freeze-dried Green Vegetable Extract on Lipid Profiles and Antioxidant Status in the Rat (녹즙분말이 흰쥐의 지질패턴 및 항산화 체계에 미치는 영향)

  • Park Jung Hwa;Kim Soo Yeon;Chung Eun Jung;Sun Yoon;Lee Yang Cha
    • Journal of Nutrition and Health
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    • v.38 no.1
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    • pp.11-19
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    • 2005
  • There has been increasing research interests that green vegetables play beneficial roles in human health. This study was performed to investigate the effects of freeze-dried green vegetable extract of Angelica keiskei Koidz (A) and Brassica oleracea acephala (B) on lipid profiles and antioxidant status in rats. Seven-weeks old male Sprague Dawley rats were divided into 6 groups and fed diets containing 5% A & B and 0.5% cholesterol (cho) for 8 weeks [Control Diet (C) & C + chol (CC), A & A + chol (AC), B & B + chol (BC)]. Lipid profiles and antioxidant status were determined by enzyme assay methods. The serum levels of [LDL + VLDLJ-cholesterol of the rats fed vegetable extract diets A and B were significantly lower than that of group C and the ratios of HDL/[LDL + VLDL] were significantly higher in groups A and B. Addition of cholesterol in the diet, however, abolished this effect. The Brassica oleracea acephala juice lowered serum TG level even when cholesterol was added to the diet. Serum total antioxidant status(TAS) were significantly higher in groups A and B as compared to the control group and the ratios of [GSH-Px +Catalase]/total-SOD in the liver were also significantly higher in groups A and B indicating that H202 produced be efficiently removed. In conclusion, freeze-dried green vegetable extract diets (A and B) improved serum lipid profiles by increasing the HDL/[LDL + VLDL〕 ratio and exerted favorable influences on antioxidant systems by improving total antioxidant status (TAS) in serum and by significantly increasing the ratio of [GSH-Px + Catalase]/total-SOD in the liver.

A Study on the forms and the content of heavy metals of deformational Mugil cephelus from the Nagdong River (변형어에 관한 형태 및 중금속함량조사 -낙동강에 누식하는 Mugil Cephalus를 중심으로-)

  • 어은수
    • Journal of Environmental Health Sciences
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    • v.8 no.1
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    • pp.31-43
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    • 1982
  • Seventy-seven Mugil cephalus of spinal deformation, living in Hanam, Nogsan, and Myeongji area, the downstreams of the Nagdong River, were collected in order to determine their forms and the levels of heavy metal contamination between March and October, 1981. The specimens were examined by X-ray and content of cadmium, lead, copper, and zinc by atomic absorption spectrophotometer. The results were summarized as follows: 1. The rate of appearance of deformational fish to the total Mugil cephflus were 4.3% (13 fish), 5.7% (17 fish), relatively high in May and June (dry season). Meanwhile during March and October they were low by 1.0% (3 fish), 2.0% (6 fish). As far as the research areas are concerned, they appeared in larger numbers in downstreams than in upper streams Myeongji (39), Nogsan (25), and Hanam (13). 2. Concerning with fractured parts of vertebraes,86 percent (66 out of 77) had their caudal regions fractured and 72 percent (55) their first to seventh caudal regions fractured. 3. The average levels of cadmium, lead, copper, zinc detected from flesh were 0.26ppm, 2.06ppm, 6.35ppm, 0.85ppm on the other hand, they were 0.22ppm, 1.84ppm, 5.03ppm, 0.93ppm in normal fish. 4. The average levels of cadmium, lead, copper, zinc measured in the bones were 0.39ppm, 2.55ppm, 8.97ppm, 2.73ppm. Meanwhile, from normal fish they were 0.33ppm, 2.25ppm, 7.24ppm, 2.42ppm. 5. Compared with regional heavy metal contamination such as cadium, lead, zinc, Myeongji area had higher contamination content than Nogsan area Nogsan area than Hanam area. 6. Compared with heavy metal contamination level in their tissues, cadmium was highly found in bones Lead and copper were highly detected in viscera. Particularly in skeleton cadmium was 560 times, zinc 160 times in proportion to those in the downstreams of the Nagdong River.

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Focus Group Study on Psychosocial Distress of Cancer Patients (치료 중인 암 환자들의 심리사회적 어려움에 관한 포커스 그룹 연구)

  • Yi, Myung-Sun;Kim, Jong-Heun;Park, Eun-Young;Kim, Jong-Nam;Yu, Eun-Seung
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.19-30
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    • 2010
  • Purpose: The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. Methods: Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. Results: As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. Conclusion: The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

Anger and Health Status in Late School-Age Children (학령기 후기 아동의 분노와 건강상태)

  • Park Young-Joo;Park Eun Sook;Kim Soo Jeong;Yang Seung-Sook;Shin Hyun Jeong;Im Hye Sang;Moon So-Hyun
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.888-895
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    • 2005
  • Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and investigate the relation between the identified anger-expression types and their health status. Method: One thousand twenty seven children in elementary school fifth and sixth grades were recruited from November to December, 2004. Data was analyzed using descriptive statistics, cluster analysis, 2-test, ANOV A, Duncan's multiple comparison test, and Wilcoxon rank sum test. Results: Three anger-expression types in late school-age children were found; Anger-out/in, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher state anger reported higher psychosomatic symptoms and depression. Children from a divorced or separated family reported higher state anger. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high state anger and frequently using the anger out/in expression type. For understanding the anger level and the anger expression types of Korean school-age children, further research needs to be done with large samples using a randomized sampling method.

PHR Profiling System Based on FHIR (FHIR 기반 개인건강기록 프로파일링 시스템 개발방법)

  • Kim, Young Sik;Kim, Il Kon
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.7
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    • pp.277-282
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    • 2015
  • HL7 released V3 CDA(Clinical Document Architecture) and V2.x message standards for medical information exchange. Currently, these standards are successfully adopted by a number of nations across the globe. However, substantial amount of time is required to develop and implement these standards. Moreover, developers need a lot of time to understand these standards. To solve these issues from 2011, the HL7 standard framework started to discuss Fast Healthcare Interoperability Resources(FHIR) as next generation standard of healthcare information exchange. People's interests toward personal health record and smartphone penetration rate are growing and increasing rapidly. Therefore, our research team believes it is necessary to develop a PHR profiling system which could be accessed by using a smartphone and we developed the system. Through a FHIR Profile editor tool developed in Furore, we found that improvements could be made in generating and changing the profile. In order to build the PHR Profiling system, an Open-API on FHIR is used for exchanging information between electronic medical record system and PHR Profiling system. In the PHR Profiling system, the transactions of information between two systems are provided by RESTful service. In this study, we verify the efficiency of development of the PHR Profiling system through FHIR.

Decreased Expression of Phospholipase C-$\beta$2 in Human Platelets with Impaired Function

  • Lee, Sang-Bong;A. Koneti Rao;Lee, Kweon-Haeng;Xu Yang;Bae, Yun-Soo
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1996.11a
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    • pp.75-84
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    • 1996
  • Platelets from a patient with a mild inherited bleeding disorder and abnormal platelet aggregation and secretion show reduced generation of inositol 1,4,5-trisphosphate (IP$_3$), mobilization of intracellular Ca$\^$2+/, and phosphorylation of pleckstrin in response to several G protein mediated agonists, suggesting a possible defect at the level of phospholipase C (PLC) activation. A procedure was developed that allows quantitation of platelet PLC isozymes. After fractionation of platelet extracts by high-performance liquid chromatography, seven, out often known PLC isoforms were detected by immunoblot analysis. The amount of these isoforms in normal platelets decreased in the order PLC-${\gamma}$2 > PLC-${\beta}$2 > PLC-${\beta}$3 > PLC-${\beta}$l > PLC-${\gamma}$ > PLC-$\delta$1 > PLC-${\beta}$4. Compared with normal platelets, platelets from the patient contained approximately one-third the amount of PLC-${\beta}$2, whereas PLC-${\beta}$4 was increased threefold. These results suggest that the impaired platelet function in the patient in response to multiple G protein mediated agonists is attributable to a deficiency of PLC-${\beta}$2. They document for the first time a specific PLC isozyme deficiency in human platelets and provide an unique opportunity to understand the role of different PLC isozymes in normal platelet function.

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Implementation of HL7 Interface Engine for Medical Information Exchange (의료정보 공유를 위한 HL7 인터페이스 엔진 구현)

  • Hwang, Deuk-Young
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.8
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    • pp.89-98
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    • 2010
  • Recently supply of Internet is bringing a important change in medical environments. The hospitals which had a different system is required the system that can efficiently share and exchange medical information. In order to transmission medical information between systems, the Health Level Seven(HL7) interface engine development that can convert medical data to HL7 messages is necessary. The HL7 is a standard protocol for data exchange in healthcare environments. In this paper, I implemented HL7 interface engine for Alzheimer's disease in elderly care facility. The interface engine is composed of the client system and the server system. The client system inputs user's medical care data for the aged, and builds them into HL7 message stream. HL7 messages in the client system transmitted over TCP/IP protocol to the server system. The server system parses and validates this messages stream to the segments and fields and then transmits acknowledgement to the client system. I implemented it using the Java and JavaCC. The study of interface engine implementation can be used meaningfully in electronic health record, telemedicine system, and medical information sharing among various healthcare institutions.