• 제목/요약/키워드: Health providers

검색결과 824건 처리시간 0.031초

2013년 서울의 일개 고등학교에서 발생한 유행성 이하선염 집단발병 (An Outbreak of Mumps in a High School, Seoul, 2013)

  • 강하라;김성윤;차효현;안영민;박인아;강혜지;은병욱
    • Pediatric Infection and Vaccine
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    • 제22권1호
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    • pp.1-6
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    • 2015
  • 목적: 최근 일개 고등학교(S 고등학교)에서 유행성이하선염이 집단발병 하였기에 본 연구에서는 S 고등학교의 발생 현황을 알아보고 진단을 위해 시행한 PCR 검사의 역학적 유용성에 대해 알아보고자 한다. 방법: 2013년 4-7월 유행성이하선염이 의심되어 의료기관을 방문한 S 고등학교 학생들의 월별 분포와 학년별 수를 조사 하였고 이중 일부 학생에게 PCR 검사를 시행하였다. 결과: 총 77명이 의료기관을 방문하였고 월별로 4월 1명, 5월 17명, 6월 45명, 7월 5명, 학년별로 1학년 26명, 2학년 28명, 3학년 23명이었다. 볼점막도찰 PCR 검사를 받은 18명 중 15명은 증상 발생 3일 이내에 검체를 채취하여 그 중 5명(33.3%)이 양성이었고 나머지 3명은 3일 이후에 검체를 채취하여 모두 음성이었다(P=0.24). 결론: 본 저자들은 S 고등학교의 유행성이하선염의 집단발병 양상을 조사하였다. PCR 검사는 증상 발생 후 3일 이내 시행하면 역학 조사시 도움이 될 가능성이 있겠다.

Predictors of Knowledge Level and Awareness towards Breast Cancer among Turkish Females

  • Aydogan, Umit;Doganer, Yusuf C.;Kilbas, Zafer;Rohrer, James E.;Sari, Oktay;Usterme, Necibe;Yuksel, Servet;Akbulut, Halil;Balkan, Salih M.;Saglam, Kenan;Tufan, Turgut
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.275-282
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    • 2015
  • Background: Breast cancer (BC) is the most-common malignancy of women worldwide. Though there are differences among developed and developing countries, BC remains the most common cancer type of women in Turkey. Objective: This study aimed to identify the level of knowledge, awareness, and their potential predictors towards BC in Ankara, Turkey. Materials and Methods: The present descriptive study was conducted on 376 females attending a breast health outpatient clinic. A self-administered questionnaire was designed to evaluate knowledge level about BC and predictors effecting its level. Data analysis was performed using the chi-square test. A value of p<0.05 was considered statistically significant. Results: Mean age of the participants was $46.2{\pm}9.93$ (22-75). The majority (92.6 %) were married; 41.5% were educated less than nine years. Most of the women were housewives (82.7%) and, were living in an urban region (86.4%). Predictors of effecting responses to seven knowledge and awareness questions about BC varied from demographic features including older age groups, higher educational levels, being married, living in an urban area, being employee, smoking, having greater BMI to additional attributes associated breast health such as the increased number of births, applying for the purpose of control, positive family history of breast diseases, any diagnoses of breast diseases and performing BSE practice. Conclusions: It was determined that females in Turkey have better knowledge of BC than other developing countries even though it is not at the desired level. These findings revealed that females should be more informed about BC risk factors, prognosis and treatments by primary health-care providers to counteract the ascending burden of this disease.

Role of Print and Audiovisual Media in Cervical Cancer Prevention in Bangladesh

  • Nessa, Ashrafun;Hussain, Muhammad Anwar;Ur Rashid, Mohammad Harun;Akhter, Nargis;Roy, Joya Shree;Afroz, Romena
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3131-3137
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    • 2013
  • Background: Visual inspection of cervix with acetic acid (VIA) is offered at 252 centers in 64 districts of Bangladesh. VIA+ve women are managed at colposcopy clinics of Bangabandhu Sheikh Mujib Medical University (BSMMU) and 14 Medical College Hospitals (MCHs). This research work has been supported by 'UICC Cancer Prevention Campaign' programme. Objectives: This study explored the role of print materials and electronic media to improve cervical cancer screening in the present socio-cultural context of Bangladesh. Methods: This study was performed from January to August 2011 at two upazilas of Bangladesh (Singair with screening facility and Sonargaon without screening facility). Data were collected by focus group discussion (FGD) with women, husbands and community people before and after intervention. Information on cervical cancer screening and VIA camps was disseminated using advertisement through local cable line of the television, microphone announcement, service providers and leaflet throughout the week prior to a VIA camp. Three-day VIA camps were organized at the upazila health complex (UHC) of both upazilas. Quantitative data was gathered from women at the camps on source of information on VIA and the best method of awareness creation. Results: The population was aware of "cancer" and a notable number knew about cervical cancer. Baseline awareness on prevention and VIA was low and it was negligible where screening services were unavailable. Awareness was increased fourfold in both upazilas after interventions and half of the women and the majority of the community people became aware of screening and available facilities. Cable line advertisement (25.5%), microphone announcement (21.4%), and discussion sessions (20.4%) were effective for awareness creation on VIA. Television was mentioned as the best method (37.4%) of awareness creation. Conclusion: Television should be used for nation-wide awareness creation. For local awareness creation, cable line advertisement, microphone announcements and health education at Uthan Baithaks/ EPI sessions can easily be adopted by the government.

미숙아의 발달지지를 위한 간호중재에 관한 문헌연구 (Literature Review Nursing Intervention for Developmental Support on Preterm Infants)

  • 김태임;심미경
    • 부모자녀건강학회지
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    • 제4권1호
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    • pp.35-55
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    • 2001
  • Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

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국내 작업환경측정기관들의 개인시료 채취기 운용현황 실태 조사 (A Survey on Management Status of Personal Air Sampler in Domestic Provider for Work Environment Monitoring Service)

  • 김기연;조만수;마혜란;이광용;정지연
    • 한국산업보건학회지
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    • 제24권3호
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    • pp.359-364
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    • 2014
  • Objectives: The principal aim of this study is to provide fundamental data for suggesting substantial management plan of personal air sampler by investigating current situation of work environment monitoring service provider. Materials and Methods: The questionnaires regarding a personal air sampler were sent by electronic mail to 150 institutions, except for 22 institutions which are out of business or closed temporarily, among total 172 domestic work environment monitoring service providers designated by Ministry of Employment and Labor based on 2013. The institutions which did not reply to the questionnaire for 30 days were required directly by phone call. Finally 97 institutions gave an answer to the questionnaire and therefore the respondence rate was 65%. Results: The normal operation rate of personal air sampler exceeded 70% in all the types (particle, gas and both combination) in terms of purchased year. Furthermore the personal air sampler purchased recently showed a trend of high operation rate compared to the personal air sampler purchased previously. The distribution patterns of personal air sampler In terms of manufacturers were Gillian>MSA>SKC for particle, Gillian>SKC>AMETEK for gas and Gillian>MSA>Casella for both combination, respectively. As a result, it was found that the personal air sampler manufactured by Gillian company was utilized the most in domestic work environment monitoring service provider regardless of types of personal air sampler. Conclusions: Based on the results obtained from this study, the normal operation rate according to types of personal air sampler was as follows: 94% for personal air sampler for collecting particle only, 93% for personal air sampler for collecting gas only and 89% for collecting both particle and gas. Overall, the numbers of personal air sampler possessed and operated normally in domestic work environment monitoring service provider were 5,458 and 5,062, which indicates the normal operation rate of personal air sampler in total aspect is 93%.

보건복지서비스 전달체계의 효율적 운영방안에 관한 연구 I: 모델 개발을 위한 사례관리 적용 (The Health and Welfare Service Delivery System and It's Effectiveness: Operation of An Interdisciplinary Team Approach for Model Development)

  • 김정우;이주열;엄명용
    • 한국사회복지학
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    • 제35권
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    • pp.107-131
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    • 1998
  • 다양한 사회복지와 보건의료 서비스를 체계적, 효율적으로 제공하고 관리할 수 있는 서비스 통합기능 창출 노력의 첫 단계로서, 서울시 은평구에서 각종 보건의료 및 사회복지 서비스를 이용하고 있는 생활보호 노인 및 장애인들을 시법 사례로 선정하여 사례관리 팀 접근법을 적용 실천해 보았다. 본 연구는 사례관리 팀의 구성과정 및 실천과점을 질적으로 분석하였다. 보건소의 가정도우미 및 담당 사회복지사, 방문간호사, 사회복지관의 재가복지담당 사회복지사 등으로 구성된 사례관리팀에서는 1) 클라이언트와 생활환경에 대한 정보 교환, 2) 각 기관에서 클라이언트에게 제공하고 있는 서비스 내용 파악, 3) 클라이언트가 필요로 하는 서비스 내용 파악, 4) 클라이언트 욕구에 대한 우선 순위 설정, 5) 단일 클라이언트에게 중복 실시되는 서비스 내용 조정, 6) 사례별 사례관리자의 지점, 7) 서비스 통합 또는 연계 체계 구축 시 고려해야할 문제점 등을 다루었다. 보건소나 사회복지관은 클라이언트에 대한 제한된 정보를 가지고 각 기관별로 부분적인 사례관리를 하여 단일 클라이언트에 대한 관리체계의 분열화가 이루어지고 있었는데 사례관리 팀을 운영함으로써 중복된 서비스 지원의 방지와 적절히 조정된 서비스를 제공할 수 있었다. 통합서비스의 효율적인 운영을 위해서는 서비스 통합 체계를 주도적으로 이끌 수 있는 주체가 중요한데 지역사회 단위에서 공공기관이 중심이 되어 민간기관의 참여와 협조를 이끌어 가는 것이 바람직한 것으로 생각된다.

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자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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산전 초음파검사에 대한 산모의 인식도 (Perception of Prenatal Ultrasound by Pregnant Women)

  • 김문정;유승흠;이영호
    • 한국병원경영학회지
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    • 제6권1호
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    • pp.41-61
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    • 2001
  • The purpose of this study was to assess pregnant women's knowledge of, attitude to, and satisfaction with prenatal ultrasound and to determine the factors that influence their perception. A self-administered questionnaire survey was completed by two hundred eighty five pregnant women who visited the obstetric departments of three hospitals located in Seoul from October 17, 2000 to October 28, 2000. The major results are as follows. 1. Overall, the respondents did not fully understand the purpose of prenatal ultrasound. 92.2% of respondents stated that the main purpose of prenatal ultrasound was to check the fetus' age, growth and development but only 44.5% of respondents were aware of the fact that chromosomal abnormalities cannot be diagnosed only by prenatal ultrasound. The majority of respondents were aware of the diagnostic limitations of ultrasound. 2. While the majority of respondents were aware of the importance of pre-examination information, only 31.8% of respondents received such information from their health care providers. 3. Regarding the examination quality, 80.3% of respondents were satisfied with the competency of the examination. But more than 50% of respondents stated the cost and waiting time were not acceptable. 4. The knowledge of, attitude to, and satisfaction with prenatal ultrasound showed statistically significant differences according to the characteristics of each hospital. 5. From multiple regression analysis, the major components for knowledge of prenatal ultrasound were characteristics of hospitals, religion, income and gestational age. The major components for attitude toward prenatal ultrasound were characteristics of hospitals, religion and gestational age. The major components for satisfaction with prenatal ultrasound were characteristics of hospitals, income and drinking during the pregnancy. In conclusion, the respondents' perception of prenatal ultrasound is considerably low. More effective educational material or programs with prenatal ultrasound information should be provided to pregnant women prior to prenatal ultrasound examination. New strategies such as process reengineering are recommendable to increase the satisfaction with prenatal ultrasound.

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Attitudes and Acceptability of Smart Wear Technology: Qualitative Analysis from the Perspective of Caregivers

  • Park, Soonjee;Harden, Amy J.;Nam, Jinhee;Saiki, Diana;Hall, Scott S.;Kandiah, Jay
    • International Journal of Human Ecology
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    • 제13권2호
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    • pp.87-100
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    • 2012
  • Smart wear integrates computing technology into fabric or a garment for additional functionality. This research explored the attitudes and opinions of the use of smart wear from the viewpoint of caregivers. Thirty two individuals including care providers of children and adult family members with health problems participated in focus group interviews. Participants reported being interested in smart wear because of the potential to detect the location (GPS) of a dependent (e.g., child, elderly) and to monitor vital signs. Participants indicated perceived advantages of smart wear such as identifying geographical location and effectiveness. Perceived concerns mentioned were privacy/security issues and accuracy of data. Participants taking care of dependents without a specific disease were hesitant to adopt and pay for smart wear. However, caregivers of elderly individuals expressed positive adoption intentions and willingness to reasonably pay for smart wear. They indicated expectations that potential insurance would provide coverage for cost savings. Caregivers expressed the need of specific requirements for future adoption such as customizability, and comfort/safety. Specific to smart wear clothing, most respondents preferred it be an undershirt or a jacket with a sensor located in the shoulder area. The findings from this study can be used in product development, promotion and marketing of smart wear.

환자만족도에 영향을 미치는 의료서비스 품질 요인: A 중소병원 입원.외래환자 간 차이 (Medical Service Factors Associated with Patient Satisfaction: The Difference between Inpatient and Outpatient of A Medium-sized Hospital)

  • 노미정;서원식;권진
    • 디지털융복합연구
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    • 제11권2호
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    • pp.331-339
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    • 2013
  • 이 연구는 A 중소병원의 입원환자와 외래환자를 대상으로 환자만족도에 영향을 미치는 의료서비스 품질요인이 입원 외래 환자 간 어떠한 차이를 보이는지 분석한다. 설문은 2011년 8월 20일부터 총 4주간 진행되었으며, 조사대상으로는 입원환자 96명, 외래환자 315명 총 411명이었다. 수집된 자료를 활용하여 다중회귀분석을 실시한 결과 입원환자의 경우 병원의 인지도가 환자만족도에 유의한 영향을 미쳤다. 반면, 외래환자는 의료진의 우수성, 병원 편의시설과 환경의 우수성, 친절한 직원, 병원의 인지도, 편리한 진료 및 행정절차 등 다양한 요인이 유의한 관계를 보였다. 이 연구는 중소병원이 의료 서비스를 개선하고 경쟁력을 갖추기 위해서 입원 및 외래 환자를 구분하여 각 환자군 별로 만족도에 영향을 미치는 요인을 차별화 하여 서비스 개선에 반영하는 것이 효과적일 수 있음을 제시해 주고 있다.