• 한국의사학회지
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• 제25권2호
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• pp.11-27
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• 2012

King Cheoljong was the twenty-fifth King in the Joseon Dynasty. He did not live a comfortable royal life in his childhood. He succeeded to the crown in the age of 19 after a series of poor days in Ganghwado. During his sovereignty over the territory, the noble class with power interfered with his control in almost every issue, so he could not manage his authority as a ruler. His disease history is hardly included in "Formal Records of the Joseon Dynasty(朝鮮王朝實錄)" which is the prime governmental document, however, some of his disease history appear in "Records of the Diaries of the Kings of Joseon(日省錄)". The primary disease of King Cheoljong was nausea-vomiting, indigestion, diarrhea etc. caused by spleen-stomach weakness. Another main illness was phlegm syndrome. He showed symptoms of coughs, asthma, sputum, and he easily caught cold having a weak health condition. He died at 33 and cause of death was unclear with remaining documents. Just small chances are that the cause was lung tuberculosis. He took a large amount of herbal medicine in his life, which was for curing or toning up his body. Tonifying medicinal herbs were used continuously, and curing herbal medicine was used for spleen-stomach weakness, phlegm syndrome and cold treatment. Treatments of acupuncture and moxa rarely appear in the documents.

• 정보처리학회논문지C
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• 제18C권6호
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• pp.379-388
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• 2011

의료정보는 환자에게 중요한 개인정보로써 반드시 보호돼야 한다. 특히 전자의무기록에 접근할때, 의료인의 강화된 신원확인에 대한 인증방식이 필요하다. 기존의 공인인증서 기반 인증모델은 개인키 관리, 권한위임 등 문제점으로 전자의무기록의 특성을 반영하지 못했다. 본 논문에서는 전자의무기록 시스템에 의료인이 접근하는 경우 지문인식 기반 인증 모델을 적용하여 강화된 인증방식을 제안한다. 전자의무기록의 지문인증 모델은 의료업무의 특성을 반영하여 개인키 관리, 권한위임 문제를 원천적으로 해결하였다.

• 정보과학회지
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• 제29권2호
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• pp.92-100
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• 2011

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1998년도 제50차 추계 학술대회 연제집
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• pp.84-85
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• 1998

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1995년도 제47차 추계 학술대회 연제집
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• pp.337-338
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• 1995

• 성인간호학회지
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• 제14권2호
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• pp.165-173
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• 2002

Purpose: this study is to explore how useful ICNP nursing phenomena and actions classification is to describe the nursing problem and nursing action statements of nursing records. Method: The number of nursing phenomena statements found in this research were 323. Out of these 323, 222 statements can be fully classified, 62 statements can be partially classified, and 39 statements can not be classified at all by terms from the ICNP phenomena classification axis. Result: The number of nursing practice statements were 318, 252 of which can be fully classified, 63 statements can be partially classified, 3 statements cannot be classified at all by terms from the ICNP nursing action classification axis. Conclusions: In order to describe all the statements found in nursing records, not only new terms but also new axis need to be added to the ICNP.

• 성인간호학회지
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• 제23권6호
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• pp.527-542
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• 2011

Purpose: This paper is a report of an analysis of the concept of pro-environmental health behavior. Methods: Rodgers' method of evolutionary concept analysis was used to analyze the concept. A literature search using keywords 'pro-environmental health behavior, 'environmental health behavior', and 'eco-friendly health behavior' was conducted using PubMed, CINAHL, PsychINFO, and RISS and utilizing the results published from 1983 to 2011. Database and bibliographic searches yielded 84 records. Results: Four critical attributes of pro-environmental health behavior were identified as 'prevention and protection', 'internal process', 'altruism', and 'alternative'. Antecedents to pro-environmental health behavior were climate change, environmental pollution, and health risk. The consequences of pro-environmental health behavior were individual and social behavioral changes. Conclusion: The concept of pro-environmental health behavior developed in this project may offer information to be considered as the concept is further develop and efforts are made to measure the attributes of pro-environmental health behavior.

• 대한장애인치과학회지
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• 제9권1호
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• pp.25-29
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• 2013

Most of disabled people face hardness in caring their general oral hygiene by themselves. So that, they are once involved in dental caries or periodontal disease, they have much bigger chance of aggressive progress. Therefore preventive dentistry is more important to disabled one than non-disabled. They need to be checked with routine periodic dental examination and by that, oral disease must be found at initial stage. We selected 37 patients from newly visited 237 patients who had dental treatment at the free dental clinic, Gangnam district, Seoul, between 2000 and 2001. This study is a comparative evaluation of first 2 years' treatment records of selected 37 patients (male 28, female 9) with that of their last 2 years. 24 of 37 have mental retardation, 9 have autistic disorder, 2 have auditory disorder, 1 has brain disorder and 1 has crippled disorder. Their dental treatment records categorized by 4 level; score 4 stands for endodontic treatment, score 3 stands for general conservative treatment, score 2 stands for preventive treatment, such as sealant and score 1 stands for routine check. In first 2 years of treatment, average score was 2.85 which score means approximately general conservative treatment. And that of last 2 years was 1.44, which means routine check. In early time of their visit, they will receive the treatment due to their chief complaint. And after that early time, they can have a routine check so that they can be treated before the disease get worse. The patient's oral health can remain decent only by a simple treatment.

• 기본간호학회지
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• 제26권1호
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• pp.1-11
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• 2019

Purpose: The goal was to use electronic health records to identify factors and outcomes associated with falls among patients admitted to hematology units. Methods: This retrospective case-control study included data from a tertiary university hospital. Analysis was done of records from 117 patients with a history of falls and 201 patients with no history of falls who were admitted to the hematology unit from January 1, 2013 to December 31, 2014. Risk factors were analyzed using hierarchical logistic regression; patient outcomes were analyzed using multiple logistic regression, Cox proportional hazards regression, and multiple linear regression. Results: Clinical factors such as self-care nursing (OR=4.47, CI=1.64~12.11), leukopenia (OR=6.03; CI=2.51~14.50), and hypoalbuminemia (OR=2.79, CI=1.31~5.96); treatment factors such as use of narcotics (OR=2.06, CI=1.01~4.19), antipsychotics (OR=3.05, CI=1.20~7.75), and steroids (OR=4.51, CI=1.92~10.58); and patient factors such as low education (OR=3.16, CI=1.44~6.94) were significant risk factors. Falls were also associated with increased length of hospital stay to 21.58 days (p<.001), and healthcare costs of 17,052,784 Won (p<.001). Conclusion: These findings can be a resource for fall prevention education and to help develop fall risk assessment tools for adults admitted to hematology units.

• 보건행정학회지
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• 제21권2호
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• pp.195-212
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• 2011

Objectives: This study investigates the relationship between nurse staffing levels and differences in patient outcomes in terms of average length of stay, in-hospital mortality rate and 30-day death rate in order to evaluate the effectiveness of a policy that differentiates fees for inpatients on the basis of nurse-to-bed ratios. Methods: We obtained information on inpatients from health insurance claims data published by the Health Insurance Review and Assessment Service(HIRA) in 2008, organizational factors(type of hospital, ownership) from the records of the hospital report system in 2008, and nurse staffing levels, which were graded on a scale of 1 to 7, from data compiled between December 15, 2007, and September 20, 2008. The data were segregated according to type of hospital and quarter and finally 3,517 records of 1,182 hospitals were analyzed using multi-level analysis. Results: The average length of stay in grade 1~6 hospitals was lower than that in grade 7 ones, but the difference was much below one day. No significant difference was found among different grades in tertiary hospitals. Further, variations in staffing levels did not result in any significant difference in the in-hospital mortality rate and 30-day death rate. Conclusions: High nurse staffing levels did not result in better patient outcomes compared with low staffing levels. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving patient outcomes.