• Journal of Home Health Care Nursing
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• v.12 no.1
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• pp.41-69
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• 2005

Purpose: This study was performed to evaluate the outcomes of the home care nursing program conducted jointly by thirty two catholic churches and C hospital in Seoul. Method: The subjects included 173 patients who registered for the program during a 4 month-period from November 1, 2004 to February 28, 2005 and received home care services for more than 4 times and 32 professional nurses participating in the program. Using the concept of medical outcome study (MOS), the structure, process, outcome elements were analyzed. Result: 1) A Catholic homecare nursing center and nurses of the C hospital played a central role in providing nursing care, and each church operated its own vehicle from its own office. Home care nurse's job satisfaction was 2.8 out of total score of 4. The major illness was cerebrovascular disease including stroke followed by skeletomuscular disease including degenerative arthritis cancer, and diabetes. Among reasons for accessing the home care nursing program, hypertension management was most prevalent. More than half of the registration was done through catholic churches. Most people who referred the patient to the program was through the church. Most patients received home care nursing 1-2 times a week for 30 to 60 minutes in average and the most frequent type of service provided was basic nursing. 3) The most frequent reason for terminating home care services was death. The change in PPS(Palliative Performance Scale) level from the time of registration and after 4 visits was the same in 45%, decreased in 30%, and improved in 25%. Patient satisfaction was very high, showing 3.4 out of total score of 4. Conclusion: These results proved that the home care nursing program was highly appreciated by subjects and nurses were providing professional care. Thus the two parties involved in the program were actively supporting the program to fulfill their mission. However, several areas needed to be improved such as relating with local community, relating with family doctor, and issue of improving the working conditions for home care nurses.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2008.10a
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• pp.728-731
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• 2008

Recently demands in construction of the stand-alone networks and interconnection between convergence devices have led an increase in research on IETF MANET working group, Bluetooth, and HomeRF working group and much attention has been paid to the application of MANET as a Ubiquitous network which is growing fast. With performance both as hosts and routers, easy network configuration, and fast response, mobile nodes participating in MANET are suitable for Embedded computing, but have vulnerable points, such as lack of network scalability and dynamic network topology due to mobility, passive attacks, active attacks, which make continuous security service impossible. For perfect MANET setting, routing is required which can guarantee security and efficiency through secure routing. In routing in this study, hashed AODV is used to protect from counterfeiting messages by malicious nodes in the course of path 'finding and setting, and disguising misrouted messages as different mobile nodes and inputting them into the network.

• Asian Oncology Nursing
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• v.11 no.2
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• pp.155-162
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• 2011

Purpose: The purpose of this study was to examine the actual care costs paid to Korean Oncology Advanced Practice Nurses (KOAPN). Methods: We collected data using a group discussion and questionnaire identified 115 tasks from job descriptions developed by the Korean Accreditation Board of Nursing. Forty-two KOAPN working at three university hospitals in Seoul were asked to evaluate each task as to type and whether the cost is paid or not. They were also asked to indicate the tasks in urgent need of development of a care cost with high priority. Results: Only five tasks (4.3%) related to treatment and complication related interventions or education were paid, and they were paid only once during the entire treatment period and were not covered by national health insurance. It was approved as a medical fee by health insurance review & assessment service. Furthermore, the names of the authority (doctor) and the actual provider (nurse) of the prescriptions were different for three of those tasks. Most of the suggested tasks needing development of care costs were actions specifically performed by nurses (physical-psychosocial-spiritual assessment, independent nursing interventions). Conclusion: KOAPN are currently paid for few tasks. To maximize the utilization of KOAPN, the establishment of a clear rational payment system directly related to their actual activities is needed.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.40 no.6
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• pp.581-585
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• 2016

Nowadays medical treatment service increase due to ageing population and improving the quality of life. Accordingly it is predicted that drug discovery market will expansion continuously. Therefore it is necessary that profit creation by drug discovery on the global market is important. HCS(High Contents Screening) has been emerging as a potential method to solve problems of the present drug discovery. This research is about liquid dispenser for HCS. The purpose of this research is to manufacture high performance liquid dispenser for HCS. The dispenser is designed to control 5 liquids separately. The liquid contact parts are designed disposably, biocompatibly and chemically inertly. Air curtain is equipped at the side of tip to dispense very small liquid volume and to prevent hanging drop on tip. Valving is performed by just controlling the pressure of the pressure driven pump without valve.

• Korean Journal of Health Education and Promotion
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• v.1 no.1
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• pp.72-82
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• 1983

The purpose of this study is to provide the basic data necessary for the effective performance of administrative readjustment and demend and suppley medical care service by of analysing the extent of satisfaction of outpatient toward hospital. The subjects of this study are the 832 outpatients (398 male and 434 female) visit to 2 different university hospital in Seoul. The data were collected through self-administered techniques with a structured questionnaire from Oct.21 to Nov. 9, 1982. All the collected data were analyzed by means of percentage, mean and standard deviation. The results were as follows: 1. Those who are between :30 and 39 of age constitute the largest part of them as being 31.7 percent of the whole body. 40.0 percent of them graduated from the college and they take the lergest part of those who answered the questionnaire. 43.3 percent of the patients visit to the hospital by the reason for the reputation of a doctor and they take the largest part of the subjects. 2. The extent of satisfaction for hospital system. The mean extent of satisfaction for hospital system was revealed 2.50 scores, which is evaluated to neutral. The mean extent of satisfaction for waiting time of prescribed medicine presented 1.51 scores, the lowest among the component of hospital system, which is evaluated to high dissatisfaction. 3. The extent of satisfaction for the environment and facilities of hospital. The mean extent of satisfaction for the environment and facilities of hospital was revealed 3.08 scores, which is evaluated to moderate satisfaction. 4. The extent of satisfaction for doctor and other hospital employees. The mean extent of satisfaction for doctor and other hospital employees was revealed 3.05 scores which is evaluated to moderate satisfaction. The mean extent of satisfaction for doctor presented 3.39 scores, the highest among the components of doctor and other hospital employees. 5. The extent of satisfaction for charge of hospital. The mean extent of satisfaction for charge of hospital was revealed 2.74 scores, which is evaluated to neutral. 6. The extent of whole satisfaction for hospital. The mean extent of whole satisfaction for hospital was revealed 2.84 scores which is evaluated to neutral.

• Journal of the Korea Society of Computer and Information
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• v.15 no.2
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• pp.27-34
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• 2010

Recently, lots of internet service companies provide on-line health diagnosis systems. But general persons not having expert knowledge are difficult to use, because most of the health diagnosis systems present prescriptions or dietetic treatments for diseases based on western medicine. In this paper, a self health diagnosis system of oriental medicine coinciding with physical characteristics of Korean using fuzzy ART algorithm, is proposed. In the proposed system, three high rank of diseases having high similarity values are derived by comparing symptoms presented by a user with learned symptoms of specific diseases based on treatment records using neural networks. And also the proposed system shows overall symptoms and folk remedies for the three high rank of diseases. Database on diseases and symptoms is built by several oriental medicine books and then verified by a medical specialist of oriental medicine. The proposed self health diagnosis system of oriental medicine showed better performance than conventional health diagnosis systems by means of learning diseases and symptoms using treatment records.

• Journal of muscle and joint health
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• v.21 no.2
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• pp.153-163
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• 2014

Purpose: This study was to analyze the job of coordinators working in the regional cardiocerebrovascular center. Methods: Using Developing a Curriculum (DACUM) method, the role of coordinators was defined and their duties and tasks were identified. The developed duties and tasks were classified and validated according to importance, difficulty, and frequency of the job. Results: A coordinator is defined as a clinical nurse specialist affiliated in a cardiocerebrovascular center. The coordinator is responsible for managing the major critical pathway to provide adequate medical service and providing education to the patient with myocardial infarction and cerebrovascular attack admitted via emergency room for prevention and management of disease. Ten duties and sixty-nine tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks showed as A, B, C respectively. Based on determinant coefficient of the task, the highest ranked task was 'analysis for variation of CP' and the lowest was'investing the articles in stock'. Conclusion: The results of study showed that coordinators were doing various duties and tasks and they felt burden from their work and were in confusion. The results of this study can be used to develop training programs for coordinators and evaluation-scale of the coordinators' job performance as the basic data.

• Journal of Korean Academy of Nursing
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• v.33 no.4
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• pp.510-518
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• 2003

Background. Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life. Objectives. To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease. Methods. Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening self-efficacy with four self-efficacy sources-performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge. Results. Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.0l). There was also a significant difference in the total quality of life scores increments between the two groups (p<.0l). However, no significant changes were noted in the increments of total health behavior scores between the two groups. Conclusion. A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.

• Journal of Convergence for Information Technology
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• v.8 no.3
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• pp.63-69
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• 2018

Recently, healthcare services are using cloud services to efficiently manage users' healthcare data. However, research to ensure the stability of the user's healthcare data processed in the cloud environment is insufficient. In this paper, we propose a partial random encryption scheme that efficiently encrypts healthcare data in a cloud environment. The proposed scheme generates two random keys (p, q) generated by the user to optimize for the hospital medical service and reflects them in public key and private key generation. The random key used in the proposed scheme improves the efficiency of user 's healthcare data processing by encrypting only part of the data without encrypting the whole data. As a result of the performance evaluation, the proposed method showed 21.6% lower than the existing method and 18.5% improved the user healthcare data processing time in the hospital.

• Journal of the Korea Convergence Society
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• v.10 no.6
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• pp.365-379
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• 2019

This review aimed to analyze characteristics and performances of patient and family-centered care interventions and evaluate the convergence effectiveness. Randomized controlled trials were searched, selected, data extracted and quality-assessed using the Risk of Bias in 15 databases. Characteristics suggested from 21 studies were provision of information, education, communication and family and friend participation. There were 89 measurement variables of performances. Patient outcome was measured by mortality, length of hospitalization, etc., indicated as significantly improved in 18 studies. This review has provided evidence that patient and family-centered care improved experience and performance of diverse patients, families and health-care providers. There is need to convergence adopt patient and family-centered care and conduct evidence-based studies for improvement of quality of healthcare and patient safety in the future.