• Title/Summary/Keyword: Local Health Center

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Demonstration Project on Utilization of Telephone Consulting and Telemedicine System for Home Health Care of the Elderly (노인건강상담전화 운용과 가정간호사업 활성화를 위한 원격의료 시범사업)

  • 김정은;박현애
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.576-590
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    • 1996
  • Advanced countries such as the USA and Japan are eagerly seeking ways to improve health and welfare of the elderly. One of the services is home health care service using the telephone. Various types of services using the telephone have been developed, improved and are being utilized ranging from the basic consulting to emergency response systems in the area of health care for the elderly. A demonstration project was launched to study the feasibility of a consulting system and telemedicine for the elderly using the public phone system in Korea. For this project, a gathering site for the elderly was selected and those who visited this place were interviewed to find out what kinds of services they wanted and what kind of system they needed to provide the required services. Based on the users' requests and the surrounding environment, a telephone consulting facility was established at the Research Institute of Nursing Science at Seoul National University and consulting personnel was recruited, trained and posted at the center. An Application program for home health care nurses to use when they visited the patients at their homes was developed. This system operates on a notebook Computer and allows nurses to communicate with a doctor at a local hospital through a modem and telecommunication line. These systems were implemented for three months and problems which developed during operation of the systems were identified and progressively modified. Through system evaluation, it was found that a consulting system using phone service will be an invaluable system for the welfare of the elderly in the future. But in order to meet the elderly's need, more services than mere consultation are needed. That is, communication with physicians and hospitals are needed. Thus, when there is any need for physicians' attention, physicians or hospitals should be contacted directly. Similarly for telemedicine, when the home health care nurse visits elderly patients she can assess the patient's problem and provide nursing care, access a physician or hospital to refer her patient to or consult directly using the telecommunication the system. The above mentioned system is a basic form of futuristic telemedicine for the elderly and those who have chronic disease problems. This kind of system will be of great value when it is used on the national information super-highways in the future. In order to get to that stage, of course, this project needs great improvement in the technical, academic, and legal aspects.

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A Study on the Current Status and Satisfaction of the Art, Music, and Physical Education in Local Child Care Center (지역아동센터의 예체능교육에 대한 현황과 만족도에 관한 조사 연구)

  • Bae, Na-Rae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.163-169
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    • 2017
  • The purpose of this study is to present the basic data needed to improve the arts, music, and physical education provided by local child care centers based on an investigation of the current status of and satisfaction with the education. The subjects of this study were 17 local child care centers in Gyeonggi-do, South Korea, and the situation of the arts, music, and physical education programs operated from 2014 to 2016 were examined. In addition, 419 children who received the education were surveyed to evaluate their level of satisfaction. The results of this study are as follows. As regards the status of the arts education from 2014 to 2016, it was observed that three of the 17 local child care centers did not have any arts, music or physical education at all, while six of them continuously implemented all three of these programs during this period of time. Two and six of the 17 institutes had arts, music, and physical education programs for two years and one year, respectively. All of the teachers who ran the arts and music education programs of the 17 institutes were arts and music majors who were certified teachers of the liberal arts. However, the physical education programs were run as volunteer activities by college students majoring in physical education. The survey on the level of satisfaction of the children who participated in the arts, music, and physical education programs showed that they were helpful for the overall life experience of the children and that they were more helpful for the boys than for the girls. The level of satisfaction with the education was high for most of the students who participated in the programs, however the boys were more satisfied than the girls. When asked whether they would participate in the arts, music, and physical education programs again, most of the respondents answered that they would do so. The boys were more likely to participate again than the girls. Based on this study, in order to enhance the creativity and personality education of the children using the local child care centers, higher quality education is needed. Arts and music education can be used to help children to learn to communicate smoothly with their friends. In addition, it seems to be necessary to enhance the education by setting goals that are suitable for its purpose, in order to provide creative arts and music education that contributes to the physical health and emotional stability of the children.

Study of the Influence of a Park Project within Unpleasant Facilities on Residents' Satisfaction in the Community - Targeting Maru Park (Tancheon Sewage Treatment Center) - (혐오시설 공원화에 따른 주민만족도가 커뮤니티 의식에 미치는 영향 연구 - 마루공원(탄천 물 재생센터)을 대상으로 -)

  • Choi, Bong-Soo;Cho, Yeong-Eun;Kang, Eun-Jee;Kim, Yong-Geun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.42 no.6
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    • pp.39-49
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    • 2014
  • Unpleasant facilities have been unwelcomed by residents within the region since they are considered to negatively influence the living conditions of the region. Yet recently, a park project within these unpleasant facility areas has begun to improve the negative impression of the region and the satisfaction of local residents has been shown to be very high. Also a park project within unpleasant facilities is found to have significant influence on the community, including resolving conflicts and building mutual friendships among residents by creating pleasant living conditions and improving the quality of life of local residents. The purpose of this study is to investigate how the park project within unpleasant facilities changes the satisfaction level of local residents and affects the sense of community. In order to do so, surveys were given to visitors of Seoul Maru Park, which was turned into a park from a sewage treatment center. According to the analysis result, after the sewage treatment center was recreated as Maru Park, citizen satisfaction was found to be very high. The sense of community that the visitors feel was found to be high in general, but the 'sense of connection and neighbor bonds' turned out to be lower compared to the 'sense of settlement and belonging.' A regression analysis was performed to determine the relative influence of visitor satisfaction on the sense of community. As a result, in the division of 'sense of settlement and belonging,' the satisfaction with ecological health was affected the most, followed by satisfaction with scenic beauty, whereas satisfaction with cleanness had no influence. In the division of 'sense of connection and neighbor bond,' none of the satisfaction with cleanness, ecological health and scenic beauty showed any influence in the analysis. According to the above result, a park project within unpleasant facilities brings a positive influence on the 'sense of settlement and belonging,' yet in order to improve the 'sense of connection and neighbor bond,' which is not influenced by the project, the adequate facilities and activity programs are considered to be necessary to change the residents' of sense of community.

A study on physical examination of middle school students (중학교 체질검사 실태에 관한 연구)

  • Park, Sung-Hee
    • Journal of the Korean Society of School Health
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    • v.14 no.1
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    • pp.131-143
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    • 2001
  • The primary aim of this dissertation is to contribute to the improvement of methods in physical examination by providing quality information for the current school system and advice for improving status. Present status, controversial points and possible remedies in physical examination were analyzed on a frequency and percentage basis. An $x^2$-test was used to verify the statistics between the results from the examination and each variable. In case of multiple categories of variables, an $x^2$ cs was adopted. Chronological data as well as both total and sampling physical examination data verified the statistics using an $x^2$-test. This thesis is based both on the data from middle school health care specialists in Gyunggi Province and on the analysis of physical examinations reported from local schools to the municipal education agency from 1997 to 1999. The results of the study are as follows: First, according to the survey, only 29.0% of the total schools had their school doctors examine all the students while most of the educational institutions failed to implement the whole process of physical examination on the list. It also turned out that the more students the schools have, the lower the rate of implementation of physical examination by school doctors(p=0.014). Second, the average time a school doctor spends for checkup turned out to be approximately 1.7 minutes per student This means that the quality of the physical examination is not guaranteed in the process. Third, 47.7% of those surveryed say that a dental examination was performed, each taking 21.24 seconds on average. In addition, it shows that some 31.5% wanted to have a task force team for dental checkups at the local health center. Given the fact that dental caries among students is progressively on the rise, the dental health centers that are now set up in some elementary schools should be expanded to cover the whole educational institution in order to raise awareness of the importance of dental care. Fourth, 48.5% of those surveyed say that a comprehensive physical examination should be adopted to promote the health of high schoolers. Since it takes a lot of public funds to implement a comprehensive method, it is essential to make sure that in-depth studies should be based on the frequency and methods of physical examination. Fifth, regarding such diseases among 3rd year middle school students in 1999, statistics shows that there was a slight difference in the prevalence rate of color blindness, and allergic diseases for male students ; and color blindness, hearing disturbance and allergic disease for female students. For those items, however, it is too little to say that there is a significant difference and accordingly it is assumed to be a problem of the measuring process. Sixth, the result of analysis on the sample physical examination and the total physical examination of the year 1999 shows as follows: For male students in the 3rd year of middle school, a slight difference appeared to those students in 11 items including eye problems and eye disease, otitis media, tonsillar hypertrophy, spinal shape, respiratory urinary allergic disease and other abnormal diseases(p<0.05). Particularly, the prevalence rate between students with and without disease was shown to be two times more in the following: eye problems, otitis media, tonsill hypertrophy, allergic diseases, etc. For female students in the 3rd year, prevalence rate showed little difference in 14 items(p<0.05). For items including eye problem, otitis media, tonsill hypertrophy, allergic disease, etc. it was shown that the rate was two times more between students with and without diseases. Physical examinations under the current school system are not producing any fundamental results for the health of the students. Methods and results are not trustworthy. Accordingly, a drastic overhaul of the current practices is needed in frequency, methods and items on the list in order to promote the health of the students. Cost-benefit studies as well as political considerations to ensure the development of efficient methods for physical examination are urgently needed at this moment.

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Authentication and quality control of Cordyceps sinensis, a traditional Chinese medicine known as winter-worm summer-grass

  • Cheung, Jerry KH;Li, Shao P;Tsim, Karl WK
    • Advances in Traditional Medicine
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    • v.5 no.4
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    • pp.262-271
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    • 2005
  • Cordyceps, one of the most valued traditional Chinese medicines, consists of the dried fungus Cordyceps sinensis growing on the larva of caterpillar. It is also known as 'winter-worm and summer-grass' because of its appearance during different seasons. The parasitic complex of the fungus and the caterpillar is found in soil of a prairie at an elevation of 3,500 to 5,000 meters in northwestern part of China. According to Chinese medicinal theory, Cordyceps is used to replenish the kidney and soothe the lung, and indeed many clinical applications have been reported. The natural Cordyceps is rare and expensive on the local market, and therefore, several mycelial strains have been isolated from natural Cordyceps and manufactured in large quantities by fermentation technology, and they are commonly sold as health food products in Orient. The adulterants of Cordyceps are commonly found on the market, and therefore the authentication of these products has to be defined. Having the urgent need from current market, different chemical markers such as nucleoside, ergosterol, mannitol and polysaccharide are being used for quality control of Cordyceps. Unfortunately, these markers are far from optimization, and therefore extensive works are needed to define the pharmacological efficiency of these markers.

Nutritional Status and Risk Factors for Malnutrition in Low-income Urban Elders (도시 빈곤노인의 영양상태와 영양불량 위험 요인)

  • Hyun, Hye Sun;Lee, Insook
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.708-716
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    • 2014
  • Purpose: The purpose of this study was to evaluate the nutritional status of low-income urban elders by diversified ways, and to analyze the risk factors for malnutrition. Methods: The participants in this study were 183 low-income elders registered at a visiting healthcare facility in a public health center. Data were collected using anthropometric measurements, and a questionnaire survey. For data analysis, descriptive statistics, ${\chi}^2$-test, t-test, Fisher's exact test, multiple logistic regression analysis were performed using SPSS 20.0. Results: Regarding the nutritional status of low-income elders as measured by the Mini Nutritional Assessment (MNA), 10.4% of the elders were classified as malnourished; 57.4% as at high risk for malnutrition; and 32.2% as having normal nutrition levels. The main factors affecting malnutrition for low-income elders were loss of appetite (OR=3.34, 95% CI: 1.16~9.56) and difficulties in meal preparation (OR=2.35, 95% CI: 1.13~4.88). Conclusion: In order to effectively improve nutrition in low-income urban elders, it is necessary to develop individual intervention strategies to manage factors that increase the risk of malnutrition and to use systematic approach strategies in local communities in terms of a nutrition support system.

Software Development and Clinical Application of a Multileaf Collimator on Linear Accelerator (치료용 가속기에 대한 Multileaf Collimator의 소프트웨어 개발 및 임상적용)

  • Chung, Kap-Soo
    • Journal of radiological science and technology
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    • v.22 no.1
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    • pp.61-66
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    • 1999
  • The use of multileaf collimator(MLC) to replace conventional field-shaping techniques is not in itself expected to improve the local control of malignancy. The purpose for using MLCs in conventional radiation oncology is to improve the efficiency of treatment delivery. For effective clinical application of MLCs to shaped radiation field, field outline must be translated into MLC leaf position tables. The intended leaf positions contained in these tables must then be communicated to the control computer that drives the MLC. There are currently at least three techniques utilized by manufacturers of MLCs and treatment planning systems for doing this. The Varian series use a workstation employing a manual digitizer and light box especially. It has a third level MLC configuration and also has the option of placing the wedges above or below the block tray. The C language are used for development of software and three leaf coverage have been used for positioning MLC loaves at the nominal field boundary. The fit of the leaf shape to treatment target volumes are optimized by the rotation of the direction in leaf travel. The clinical application of this software are investigated for Varian MLCs used in linear accelerator of Yonsei Cancer Center. The advantage of the results with using this software is to prescribe and calculate exposed and blocked area in MLCs field.

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Sensor Network-based u-Healthcare System (센서네트워크 기반 u-Healthcare 시스템)

  • Back, Yun-Suk;Lee, Bong-Hwan;Bang, Min-Young;Hwang, In-Chan
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.10a
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    • pp.312-315
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    • 2008
  • Recently, owing to the development of ubiquitous, RFID and local area wireless communication technology, many studies on the system which can measure biomedical signals are being carried out. In this paper, we have designed and implemented an u-Healthcare system based on sensor network using biomedical signal measurement sensors such as ECG, blood pressure, and heartbeats. The biomedical signals from sensor nodes pass through the gateway and are finally transmitted to a healthcare renter. The acquired biomedical signals are processed in the healthcare center and the analyzed results are transmitted to the patients to improve patients' health using either kinesitherapy or dietary treatment.

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A Study on the Factors Influencing the Number of Network Organizations, Network Continuity and Service Continuity of Community Child Centers - Focusing on Chonbuk Province - (지역아동센터의 네트워크 연계기관수 및 네트워크 지속성, 서비스 지속성 영향요인 연구 - 전북지역을 중심으로 -)

  • Kim, Hyeon Suk;Seo, Yoon
    • Korean Journal of Child Studies
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    • v.34 no.6
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    • pp.159-175
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    • 2013
  • The purpose of this study was to explore how the number of network organizations, network continuity and service continuity of community child centers were affected by the charge factors, organizational factors and environmental factors of community child centers. To better understand this, we researched 107 community child centers in Chonbuk Province. The key results are as follows. The interpersonal connections of the charge factors had a strong effect on the number of network organizations, but organizational factors and environmental factors appeared to have no effect on the number of network organizations. The operational type(religious group), organizational support level of the organizational factors and public-private cooperation, regular consultative group operation(no) of the environmental factors appeared to have an effect on the level of network continuity. The region(local), regular consultative group operation(yes) and public-private cooperation of the environmental factors appeared to have an effect on the level of service continuity. It was hoped that the results would enable us to explore how factors related to a network had an effect on the service continuity, the number of network organizations and clients referral network continuity, and they appeared to have an effect on the service continuity.

Reflections on the Distribution of Gift Certificates for Stimulation of Traditional Markets - With a focus on gift certificates in traditional markets - (전통시장 활성화를 위한 상품권 유통방안에 관한 소고 - 전통시장 상품권을 중심으로 -)

  • Kim, Yoo-oh;Ji, hae-Myoung;Youn, Myoung-kil
    • Journal of Distribution Science
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    • v.7 no.4
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    • pp.37-45
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    • 2009
  • As part of the government's efforts to stabilize the people's livelihood in response to the economic downturn arising from the global financial crisis, this research focuses on a more efficient and appropriate political operation of gift certificate issuance (Onnuri, Hope Labor, regional gift certificates) to support the socially disadvantaged class and increase the income of less affluent regions to stimulate local economy through employment opportunities. This study extends beyond a short-term solution for distributors in traditional markets to provide a framework to improve regional competitiveness.

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