• Title/Summary/Keyword: In-Home Care Services

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A Study on the Mobile Medical Service Program -Based on the Community Diagnosis of a Remote Farm Area- (순회진료사업(巡回診療事業)의 문제점(問題点)과 개선방향(改善方向) (일부(一部) 무의지역에 대(對)한 지역사진단(地域社診斷)을 중심(中心)으로))

  • Park, Hung-Bae;Choi, Dong-Wook
    • Journal of Preventive Medicine and Public Health
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    • v.11 no.1
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    • pp.86-97
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    • 1978
  • The mobile medical service has been operated for many years by a number of medical schools and hospitals as a most convenient means of medical service delivery to the people residing in such area where the geographical and socioeconomic conditions are not good enough to enjoy modern medical care. Despite of official appraisal showing off simply with numbers of outpatients treated and medical persons participated, however, as well recognized, the capability (in respect of budget, equipment and time) of those mobile medical teams is so limitted that it often discourages the recipients as well as medical participants themselves. In the midst of rising need to secure medical service of good quality to all parts of the country, and of developing concept of primary health care system, authors evaluated the effectiveness of and problems associated with mobile medical servies program through the community diagnosis of a village (Opo-myun, Kwangju-gun) to obtain the information which may be halpful for future improvement. 1. Owing to the nationwide Sae-Maul movement powerfully practiced during last several years, living environment of farm villages generally and remarkably improved including houses, water supply and wastes disposal etc. Neverthless, due to limitations in budget time and lack of knowledge (probably the most important), these improvements tend to keep up appearances only and are far from the goal which may being practical benefit in promoting the health of the community. 2. As a result of intensive population policy led by the government since 1962, there has been considerable advances in understanding and the rate of practicing family planning through out the villages and yet, one should see many things, especially education, to be done. Fifty eight per cent of mothers have not received prenatal check and the care for most (72%) delivery was offered by laymen at home. 3. Approximately seven per cent of the population was reported to have chronic illness but since only a few (practically none) of the people has had physical check up by doctors, the actual prevalence of chronic diseases may reach many times of the reported. The same fact was observed also in prevalence of tuberculosis; the patients registered at local health center totaled 31 comprising only 0.51% while the numbers in two neighboring villages (designated as demonstration area of tuberculosis control and mass examination was done recently) were 3.5 and 4.0% respectively. Prevalence rate of all dieseses and injuries expereinced during one month (July, 1977) was 15.8%. Only one tenth of those patients received treatment by physicians and one fifth was not treated at all. The situation was worse as for the chronic patients; 84% of all cases either have never been treated or discontinued therapy, and the main reasons were known to be financial difficulty and ignorance or indifference. 4. Among the patients treated by our mobile clinic, one third was chronic cases and 45% of all patients, by the opinion of doctors attended, were those who may be treated by specially trained nurses or other paramedics (objects of primary care). Besides, 20% of the cases required professional managements of level beyond the mobile team's capability and in this sense one may conclude that the effectiveness (performance) of present mobile medical team is quite limitted. According to above findings, the authors would like to suggest following for mobile medical service and overall medicare program for the people living in remote country side. 1. Establishment of primary health care system secured with effective communication and evacuation (between villages and local medical center) measures. 2. Nationwide enforcement of medical insurance system. 3. Simple outpatient care which now constitutes the main part of the most mobile medical services should largely be yielded up to primary health care unit of the village and the mobile team itself should be assigned on new and more urgent missions such as mass screening health examination of the villagers, health education with modern and effective audiovisual aids, professional training and consultant services for the primary health care organization.

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An Efficient Movement Management Method of Mobile Node in Mobile IPv6 (Mobile IPv6환경에서 이동노드의 효율적인 위치 관리 방안)

  • Shin Chung-Soo;Mun Young-Song
    • The KIPS Transactions:PartC
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    • v.13C no.2 s.105
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    • pp.211-218
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    • 2006
  • The Mobile IPv6 provides the enhanced internet services to user by supporting a node's mobility. In Mobile IPv6(MIPv6), the mobile node sends the binding message which binds home address(HoA) with care-of address(CoA) to the home agent whenever it changes its point of attachment to the internet. To reduce the mobility management signal message the Paging Hierarchical Mobile IPv6(PHMIPv6) is proposed. The mobile node does not send the binding message within the domain if the mobile node's state is idle. Therefore the mobility signal message cost can be reduced. However, when the mobile node's session arrival rate is high the many mobility management signal cost are needed because the paging cost is very high. In this paper, we analysis the drawback of PHMIPv6 and propose the scheme which can reduce the mobility management signal cost. The proposed scheme works independent of the number of subnet in the domain. Therefore the proposed scheme can improve the mobile node's mobility management scheme.

The Effect of Emotional Intelligence on Interpersonal Relationships and the Psychological Happiness of Department of Dental Laboratory Technology Students (치과기공(학)과 학생의 정서지능이 대인관계와 심리적 행복감에 미치는 영향)

  • Song, Jae-Sang;Lim, Byung-Chul;Kim, Kyoung-Mi;Lim, Si-Duk;Kim, Jae-Do;Kim, Byung-Sik;Park, Young-Dae;Lee, Jong-Hwa
    • Journal of Technologic Dentistry
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    • v.35 no.4
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    • pp.377-385
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    • 2013
  • Purpose: This research conducted by using Department of Dental Laboratory Technology students investigates interpersonal and emotional intelligence impact on psychological happiness. Methods: Study was conducted in the Daegu-Gyeongbuk area Department of Dental Laboratory Technology students, based on 132 people who were enrolled college students. Data analysis, frequency analysis, factor analysis, reliability test, correlation analysis, multiple regression analysis was carried out and SPSS/WIN 18.0 was used. Results: Interpersonal factors utilize emotions, emotional self-control and emotional awareness. Others turned positive (+) was found to affect the psychological, emotional factors utilized in euphoria, emotional adjustment and were found to have positive effects. Conclusion: Looking at the above results gathered from dental engineering students, improvement in interpersonal relationships, and psychological welfare have improve more effectively through utilizing and controlling emotions, including the ability to set their own goals for the future. Motivational training programs for strengthening study habits is more important than what can be based in dental college engineering students. In conjunction with an active lifestyle, future professional dental health services for patients and clinicians care about the improvement of his own psychological happiness was inspire by the care received from home and school and the resulting map is considered to require constant attention.

Attitudes and Preferences for Elderly Assisted Living according to Socio-economic Status (사회계층별 노인생활지원주택에 대한 태도와 선호)

  • 홍형옥;지은영
    • Journal of Families and Better Life
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    • v.20 no.2
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    • pp.83-95
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    • 2002
  • The objectives of this study were 1) to analyze the attitudes about Elderly Assisted Living(EAL), 2) to consider the policy implications for elderly communal housing according to socio-economic status(income, occupation and education). The survey was undertaken from August to September, 2000 in Seoul and Kyunggi-Do(Ilsan, Bundang). The data were analyzed by SPSS Window program. The major findings were as follows: Most of the respondents prefered to live in EAL(over 56%), under 10 units and desired to be serviced(housework.leisure medical program.meal service). The upper class respondents preferred high-rise apartment style inner city or suburban and prefered paid services in EAL. They would willingly to pay over 800,000 won for living expenses and more than 200 million won for buying their own EAL. The middle class respondents prefered 5 stories multi-family house style with common facilities as a number. And they prefered to common facilities opening to public if the quality of facilities were better. The low class respondents prefered 5 stories multi-family house style and prefered to live within 30 minutes apart from their families and friends. They would pay under 300,000~600,000won for monthly living expenses and under 100 million won for their own EAL.

An Effective Management Technique of Domain FA using Load Balancing in Mobile Computing Environment (부하 분산을 적용한 효율적인 Domain FA 관리 기법)

  • Kim Yong-Chul;Kim Yoon-jeong;Chung Min-Gyo;Lee Woong-Jae
    • Journal of Internet Computing and Services
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    • v.5 no.1
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    • pp.25-32
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    • 2004
  • Mobile computing environment makes it possible for computing activities to be maintained during movement even if a user changes its network point of attachment. Mobile IP is a standard protocol designed to be used in such mobile computing environment. However, Mobile IP has a drawback to incur a lot of handoff delays and waste network resources, since CoA(Care of Address) registration packets need to go through a HA(Home Agent) first whenever a mobile node moves. To solve this long-standing problem, this paper proposes a new scheme that, for infra-domain movement, efficiently performs local handoff without notifying the HA Specifically, based on the notion of load balance, the proposed scheme allows every FA(Foreign Agent) in a domain to become the root FA(also known as domain FA) dynamically, thus distributing the registration task into many other foreign agents. The dynamic root assignment through load balancing ultimately leads to fast network response due to less frequent transmission of registration packets.

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A Study Symptoms by Types of Burn Patients in Pre-hospital Stage (병원 전 단계 화상환자의 유형별 징후에 관한 연구)

  • Park, SangKyu;Lee, JeongHyeok
    • Fire Science and Engineering
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    • v.29 no.4
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    • pp.95-104
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    • 2015
  • The purpose of this study is to investigate differences in initial patient states based on types of burn accidents in the pre-hospital stage. 1,223 items of transfer data from burn accidents of Gyeonggi-do emergency medical services in 2013 were used. Burn accidents were most common in children younger than 10 years old (26.0%) and happened mostly at home (51.3%). Patient states by burn type were stable on average, but burns by electricity showed 10.7% of awareness condition U (Unresponsive), which was higher than that of the other burn types. Initial patient states for this type were shown to be serious, unlike other burn types, with temperatures of $35.90^{\circ}C$ and third degree burn depth (39.28%). Understanding initial patient states based on burn type is necessary in order to do effective approach in the pre-hospital stage.

The Demands on Parish Nursing Services by Pastors in Busan (부산지역 목회자의 교구간호사업 요구조사)

  • Sohn, Sue-Kyung;Kang, Kyung-Ja;Lee, Jj-Hyun;Lee, Young-Eun;Park, Choon-Hwa
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.182-196
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    • 2002
  • The purpose of this study was to provide the basic resources for developing a parish nursing program. We did this by investigating what demands were made on the parish nursing service by the parishes or churches under review. The subjects of this study were 96 pastors located throughout the City of Busan. NP (New paragraph) $\gg$ We conducted our research by utilizing a modified version of the study created by Hwang (2000) and by using the help of prior research and professionals gathered from the parish nurse questionnaire by Djupe (1990). The data in this study were collected from July 1 to Oct. 31, 2001, using the questionnaire method. The Data were analyzed by: (a) frequency: (b) percentage: (c) mean: (d) standard deviation, and x^2-test$ with SPSS/PC program. The study has found the follows: 1. For subjects making demands on the parish nursing service, 95.8% were in need of using the services of parish nurses. On the demands of parish nursing service for the subjects, 95.8% the necessity of parish nursing services. And they answered by their intention of asking for parish nursing service practice. 2. Of the subjects under review, 71.9% were part-time workers and 28.1% were full-time employees 71.9% of part time and 28.1% of full times duty. In terms of the method of pay for work, 41.8% were pay free or freelance while 51.2% were on salary. And engagement intention of parish nurse as preacher was 88.5%. 3. The demand for nursing services in various categories were as follows. (a) hospice care: (4.02 1.11), (b) health screening: (3.98 1.09), (c) home visiting: (3.97 1.16), (d) group health education: (3.81 1.12), (e) organization of volunteer groups: (3.75 1.12), (f) individual health education: (3.75 1.14), (g) advice on choosing hospital or hospital consultation: (3.69 1.21) and (h) individual counseling: (3.51 1.31). 4. In terms of the specific services rendered by parish nurses. our study found that services were needed for the following: physical symptom management; preparation before death in spiritual preparation for death, blood pressure check in health examination, home visiting where the patient makes phone call, management of chronic disease in group health education, disease management in individual health education, advice on choosing hospital, or hospital consultation: and physical problems in individual counseling. 5. With respect to whether there was a correlation between what church a pastor came from and the types of demands made, there was NO significant difference found. 6. In relation to the characteristics of the subjects and their church and the hope demands (duty pattern and method of payment and engagement intention of parish nurse as preacher) for parish nurses, these had non significant differences. In conclusion, the perception of parish nursing service is very high. Moreover, we found that there is a great demand for well ordered parish nursing services to promote the health of each congregation. Before doing so, it would be better to make things known and to consider the relevant characteristics shown in the researched results.

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Satisfaction and Needs of Cancer Patients and Caregivers under Home-based Cancer Patients Management in Jeju (제주지역내 재가암환자관리를 받은 환자와 보호자에게 제공되는 프로그램 만족도와 요구)

  • Kim, Hyeon-Ju;Huh, Jung-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.276-282
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    • 2018
  • This study was conducted to improve the quality of home-based cancer management programs through a survey of satisfaction and needs of the program provided by a regional cancer center. From March 2015 to October 2015, we conducted face to face surveys of patients and caregivers enrolled in home-based cancer management. A total of 101 patients, 59 patients and 41 caregivers, were enrolled. Breast cancer was the main cancer and 51 (86%) patients and 36 (85%) caregivers were satisfied with the number of visits for home-based cancer management. For the service application route, 22 patients (37.29%) obtained information through the cancer center publicity paper and 11 caregivers (26.19%) received recommendations from acquaintances. Except for treatment provided directly to the patients, psychological counseling was the most preferred, and satisfaction regarding picnic and cancer education were also high. Satisfaction with the program provided by regional cancer center was relatively high ($4.14{\pm}1.21$ on a 5-point scale). Additionally, satisfaction of the patients was higher than that of the caregivers, but this difference was not significant ($4.29{\pm}1.11$, $3.93{\pm}1.31$, p = 0.141). Self-esteem was higher among caregivers than patients, but this difference was not significant. To improve the quality of life of cancer patients and caregivers, it is necessary to develop customized programs considering patients' economic situations and need for psychological counseling.

A Study on the Research Trends in Visiting Nursing in South Korea (국내 방문간호 연구동향 분석 연구)

  • Byun, Jinyee;Kim, Hyejin
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.71-80
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    • 2019
  • This study aims to understand the research trends in visiting nursing through an analysis of 282 research papers published in Korean journals between 1993 and 2018. The number of research papers has consistently increased since 1993 while it slightly decreased in 2014-2018. Of the three types of visiting nursing in Korea, more than 50% of the studies(154, 53.5%) were conducted for hospital based home care services. For the research topics, many studies addressed visiting nursing services(40, 13.8%) and program and technology development of visiting nursing(38, 13.1%). Also, there were many quantitative studies(269, 95.4%) compared to qualitative(9, 3.2%) or mixed methods(4, 1.4%) studies. The study findings suggested the needs for further studies that develop programs for patients and strengthen competencies of visiting nurses. Also, more experimental, qualitative, or mixed methods study designs need to be applied.

Feasibility Study of IEEE 802.15.4 LR-WPAN to the Real-time Voice Application (IEEE 802.15.4 LR-WPAN의 실시간 음성 데이터 응용에 대한 적용 가능성 연구)

  • Hur, Yun-Kang;Kim, You-Jin;Huh, Jae-Doo
    • IEMEK Journal of Embedded Systems and Applications
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    • v.2 no.2
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    • pp.82-94
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    • 2007
  • Wireless sensor networking technology is one of the basic infrastructures for ubiquitous environment. It enables us to gather various sensory data such as temperature, humidity, gas leakage, and speed from the remote sensor devices. To support these networking functions, IEEE WPAN working group makes standards for PHY and MAC, while ZigBee Alliance defines the standards for the network, security, and applications. The low-rate WPAN was emerged to have the characteristics of network resilience, low cost, and low power consumption. It has a broad range of applications including, but not limit to industrial control and monitoring, home automation, disaster forecast and monitoring, health care. In order to provide more intelligent and robust services, users want voice-based solutions to accommodate to low-rate WPAN. In this paper, we have evaluated voice quality of an IEEE 802.15.4 standard compliant voice node. Specifically, it includes the design of a voice node and experiments based on the prediction of voice quality using the E-model suggested by ITU-T G.107, and the network communication mechanisms considering beacon-enabled and nonbeacon-enabled networks for real-time voice communications.

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