• Title/Summary/Keyword: Integrated Health Care

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Development of process-centric clinical decision support system (프로세스 중심의 진료의사결정 지원 시스템 구축)

  • Min, Yeong-Bin;Kim, Dong-Soo;Kang, Suk-Ho
    • IE interfaces
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    • v.20 no.4
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    • pp.488-497
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    • 2007
  • In order to provide appropriate decision supports in medical domain, it is required that clinical knowledge should be implemented in a computable form and integrated with hospital information systems. Healthcare organizations are increasingly adopting tools that provide decision support functions to improve patient outcomes and reduce medical errors. This paper proposes a process centric clinical decision support system based on medical knowledge. The proposed system consists of three major parts - CPG (Clinical Practice Guideline) repository, service pool, and decision support module. The decision support module interprets knowledge base generated by the CPG and service part and then generates a personalized and patient centered clinical process satisfying specific requirements of an individual patient during the entire treatment in hospitals. The proposed system helps health professionals to select appropriate clinical procedures according to the circumstances of each patient resulting in improving the quality of care and reducing medical errors.

Design of Bicycle Route Guidence Integrated System for Efficient HealthCare Based on GPS (GPS 기반 효율적인 건강관리를 위한 자전거 경로 안내 통합시스템 설계)

  • Park, Jae-Hyeon;Son, Ji-Eun;Yeo, Hyo-Jae;Park, Seok-Cheon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2013.11a
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    • pp.574-576
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    • 2013
  • 본 논문에서는 자전거 경로만을 제공하는 기존 시스템의 문제점을 개선하기 위해 자전거경로 안내 시스템을 설계하였다. 이를 위하여 API와 GPS를 분석하고, 현대인의 건강관리를 위하여 자전거경로 안내 및 날씨에 따른 옷차림, 코스 난이도 정보 등을 제공하여 효율적으로 건강을 관리할 수 있는 통합적인 자전거 경로 안내 시스템을 설계하였다.

Wearable System for Real-time Monitoring of Multiple Vital Signs (인체 착용형 다중 생체신호 실시간 모니터링 시스템)

  • Lee, Young-Dong;Chung, Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.05a
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    • pp.249-252
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    • 2008
  • A wearable ubiquitous health care monitoring system using integrated ECG and accelerometersensors based on WSN is designed and developed. Wireless sensor network technology is applied for non intrusive healthcare in some wide area coverage with small battery support for RF transmission. We developed wearable devices which are wearable USN node, sensor board and base-station. Low power operating ECG and accelerometer sensor board was integrated to wearable USN node for user's health monitoring. The wearable ubiquitous healthcare monitoring system allows physiological data to be transmitted in wireless sensor network from on body wearable sensor devices to a base-station connected to server PC using IEEE 802.15.4. Physiological data displays and stores on server PC continuously.

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Cognitive Training Protocol Design and System Implementation using AR (증강현실을 이용한 인지훈련 프로토콜 설계 및 시스템 구현)

  • Cheol-Seung, Lee;Kuk-Se, Kim
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.6
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    • pp.1207-1212
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    • 2022
  • Realistic media, the next-generation media technology in the era of the 4th industrial revolution, is becoming an issue as a technology to experience through an environment that optimizes user experience, especially! It is rapidly developing into the health and healthcare convergence and complex fields. Realistic media technologies and services are being adopted to solve the problems of the increase in chronic diseases due to the increase in the elderly population and the lack of infrastructure and professional manpower in the fields of cognitive training and rehabilitation. Therefore, in this study, a cognitive training system was designed and implemented for the purpose of improving cognitive ability and daily life activity in subjects with mild cognitive impairment (MCI) who require cognitive rehabilitation. In the future, an integrated service platform with interactive communication and immediate feedback as an intelligent cognitive rehabilitation integrated platform based on AI and BigData is left as a research project.

A Study on Perception and Attitudes of Health Workers Towards the Organization and Activities of Urban Health Centers (도시보건소 직원의 보건소 업무에 대한 인식 및 견해)

  • Lee, Jae-Mu;Kang, Pock-Soo;Lee, Kyeong-Soo;Kim, Cheon-Tae
    • Journal of Yeungnam Medical Science
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    • v.12 no.2
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    • pp.347-365
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    • 1995
  • A survey was conducted to study perception and attitudes of health workers towards health center's activities and organization of health services, from August 15 to September 30, 1994. The study population was 310 health workers engaged in seven urban health centers in Taegu City area. A questionnaire method was used to collect data and response rate was 81.3 percent or 252 respondents. The following are summaries of findings: Profiles of study population: Health workers were predominantly female(62.3%); had college education(60.3%); and held medical and nursing positions(39.6%), technicians(30.6%) and public health/administrative positions(29.8%). Perceptions on health center's resources: Slightly more than a half(51.1%) of respondents expressed that physical facilities of the centers are inadequate; equipments needed are short(39.0%); human resource is inadequate(44.8%); and health budget allocated is insufficient(38.5%) to support the performance of health center's activities. Decentralization and health services: The majority revealed that the decentralization of government system would affect the future activities of health centers(51.9%) which may have to change. However, only one quarter of respondents(25.4%) seemed to view the decentralization positively as they expect that it would help perform health activities more effectively. The majority of the respondents(78.6%) insisted that the function and organization of the urban health centers should be changed. Target workload and job satisfaction: A large proportion (43.3%) of respondents felt that present target setting systems for various health activities are unrealistic in terms of community needs and health center's situation while only 11.1 percent responded it positively; the majority(57.5%) revealed that they need further training in professional fields to perform their job more effectively; more than one third(35.7%) expressed that they enjoy their professional autonomy in their job performance; and a considerable proportion (39.3%) said they are satisfied with their present work. Regarding the personnel management, more worker(47.3%) perceived it negatively than positive(11.5%) as most of workers seemed to think the personnel management practiced at the health centers is not fair or justly done. Health services rendered: Among health services rendered, health workers perceived the following services are most successfully delivered; they are, in order of importance, Tb control, curative services, and maternal and child health care. Such areas as health education, oral health, environmental sanitation, and integrated health services are needed to be strengthening. Regarding the community attitudes towards health workers, 41.3 percent of respondents think they are trusted by the community they serve. New areas of concern identified which must be included in future activities of health centers are, in order of priority, health care of elderly population, home health care, rehabilitation services, and such chronic diseases control programs as diabetes, hypertension, school health and mental health care. In conclusion, the study revealed that health workers seemed to have more negative perceptions and attitudes than positive ones towards organization and management of health services and activities performed by the urban health centers where they are engaged. More specifically, the majority of health workers studied revealed to have the following areas of health center's organization and management inadequate or insufficient to support effective performance of their health activities: Namely, physical facilities and equipments required are inadequate; human and financial resources are insufficient; personnel management is unsatisfactory; setting of service target system is unrealistic in terms of the community needs. However, respondents displayed a number of positive perceptions, particularly to those areas as further training needs and implementation of decentralization of government system which will bring more autonomy of local government as they perceived these change would bring the necessary changes to future activities of the health center. They also displayed positive perceptions in their job autonomy and have job satisfactions.

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Effect of Self-esteem and Life satisfaction on Quality of life of Elderly School Program Participants (노인대학의 프로그램 참여 노인들의 자아존중감과 생활만족도가 삶의 질에 미치는 영향)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5078-5087
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    • 2014
  • The aim of this study was to examine the effect of self-esteem, life satisfaction and quality of life of older people's in an elderly school program. A cross-sectional descriptive study was conducted with a survey of 269 older people in 3 elderly schools at G city from November 29, 2013 to 18. The data was analyzed using a t-test, ANOVA, Pearson's correlation coefficients and multiple regression using the SPSS WIN 20.0 program. As a research finding, an analysis of the quality of life between of the self-esteem (r=-.338, p<.001) and life satisfaction (r=-.507, p<.001) revealed significant correlations. The life satisfaction was the significant factor influencing the quality of life (${\beta}$=-.512, p< .001) and this variable explained 25.1% of the quality of life. The findings of this study should be integrated into elderly health and care services in the community and older people in elderly school programs to improve the quality of life through the systematic developments of intervention programs for health care.

The CloudHIS System for Personal Healthcare Information Integration Scheme of Cloud Computing (클라우드 컴퓨팅 환경에서 개인의료정보를 통합한 CloudHIS 시스템)

  • Cho, Young-Bok;Woo, Sung-Hee;Lee, Sang-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.5
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    • pp.27-35
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    • 2014
  • The characteristics of today's health care industry, based on the state of the art IT can be represented as a paradigm of human-oriented ubiquitous and accessible as possible by U-Health care. In addition, the healthcare industry is information and communication technologies (ICT) developments regarding the many advances and applications based on the research being carried out actively. Medical information system has been developed toward combining information systems of medical IT and it sets its sights on the fusion of developed IT and u-healthcare system. So changing distributed medical information systems into a safe PHR integrated system based on IaaS cloud computing is suggested in order to forge u-healthcare system with the times in this paper. Our experimental results show that our proposed system increased the data access time by about 24% and reduces the waiting time for processing service by about 4.3% over the web-based PHR.

Review on Diagnostic Criteria of Neurasthenia : Suggesting Pathway of Culture-bound dieases

  • Lee, Myeong Hun;Kim, Yunna;Cho, Seung-Hun
    • Journal of Pharmacopuncture
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    • v.20 no.4
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    • pp.230-234
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    • 2017
  • Objective: Neurasthenia is a disease which consists of increased fatigue or bodily weakness and exhaustion plus pantalgia, dizziness, headache and other symtoms relevant to autonomic nerve dysfunction. There are plenty of studies investigating the history of diagnostic criteria of neurasthenia, which is influenced by diverse cultural(or social) environment. The obejective of this study is to provide review of the previous studys on the changes of neurasthenia diagnoses in the context of local area to find meanings of these transition and improve health care for psychiatric patient. Methods: Literature review was conducted on studies demonstrating diagnostic criteria of neurasthenia with cultural(or social) environment. We investigated the literature reviews or observative studies which described alteration of diagnostic criteria of neurasthenia and assessed its significance. After selecting eligible studies, the authors read the articles and summarized the meaningful contents those were significant in clinical practice. Results: Transformation of Chinese Classification of Mental Disorder(CCMD) integrated with internationally utilized DSM-IV or ICD-10 is controversial about its significance in that it had limited effect on public health care due to the variables of sociocultural context, but primarily differentiated neurasthenia from other disorders. The latter one can be the directing point of the diagnostic criteria of other culture-bound diseases, which is the traits of not outstanding mood(or affect) than other neurotic disorders. Conclusion: As diagnostic criteria of neurasthenia varies, the significance of this variation is controversial, but could be the paragon of other culture-bound diseases.

Comparison of infant mortality and associated factors between Korean and immigrant women in Korea: an 11-year longitudinal study

  • Kim, Kyung Won;Nho, Ju-Hee;Kim, Sooyoung;Park, Byeongje;Park, Sanghee;Kang, Bobae;Kim, Sun-Hee
    • Women's Health Nursing
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    • v.27 no.4
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    • pp.286-296
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    • 2021
  • Purpose: This study compared infant mortality and its associated factors between Korean and immigrant women using vital statistics gathered by Statistics Korea. Methods: Birth and death statistics from the period between 2009 and 2019 were extracted from the census of population dynamics data of the Microdata Integrated Service, Korea. Statistical data were derived from a complete survey and infant mortality was analyzed from mortality statistics data. Descriptive statistics were used for comparison. Results: The average infant mortality rate (IMR) of Korean women was 2.7 in Korea, which did not change significantly between 2009 and 2019; however, the IMR of immigrant women increased significantly in 2018 to 4.2 and subsequently decreased to 2.6 in 2019. Moreover, the age of Korean and immigrant women at the time of infant death gradually increased from 31.1 years and 25.9 years in 2009 to 32.8 years and 30.9 years in 2019, respectively. The gestational age was lower for deceased infants born to immigrant women (mean, 31.04 weeks; standard deviation [SD], 6.42; median, 30.00) compared to infants born to Korean women (mean, 31.71 weeks; SD, 6.48; median, 32.00). Immigrant women (91.7%) received slightly fewer antenatal care visits compared to Korean women (93.1%). Conclusion: It is vital to devise a plan to lower the IMR of immigrant women in Korea. Moreover, it is necessary to explore the factors related to infant mortality among immigrant women within the context of Korean societal situation, culture, and home environment.

Impact of Nursing Students' Knowledge, Moral Sensitivity, and Behavioral Beliefs on the Nursing Intention of COVID-19 Patients

  • Jae eun LIM;Yunmi KIM;Jaemo AN;Sangwoo YU;Jisu YUN;Dayoung LEE;Yewon LEE;Minjeong LIM;Gyuri JEONG;Heekyung JUNG
    • The Korean Journal of Food & Health Convergence
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    • v.9 no.3
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    • pp.19-25
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    • 2023
  • This study is a descriptive survey research to identify factors affecting the nursing intention of nursing college students who will nurse COVID-19 patients. This study was analyzed through convenience sampling for freshmen, sophomore, junior, senior attending the Department of Nursing at E University in Gyeonggi-do from May 17 to August 11, 2022. As a result, it was found that the intention to care for COVID-19 patients increased by 20% every time the knowledge score on COVID-19 increased by 1 point . If the average score for each item in the moral sensitivity question increased by 1 point, the nursing intention increased significantly by 5.21 times, and it was found that the nursing intention for COVID-19 patients increased significantly by 6.93 times each time the average score for each behavioral belief item increased by 1 point. Based on the results of this study, it was confirmed that the higher the knowledge, moral sensitivity, and behavioral beliefs of nursing students, the higher the intention to care for new infectious disease patients. Based on the results of this study, it was confirmed that It is necessary to develop and apply educational and psychological intervention programs and integrated nursing ethics programs.