• Title/Summary/Keyword: Patterns of care

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Medical Accessibility and Its Effects on Medical Care Utilization -Experiences from Yonsei Health Insurance Cooperatives- (의료근접도 및 용이성이 의료이용에 미치는 영향 -연세건강공제회원의 외래의료이용을 중심으로-)

  • Oh, Hee-Chul
    • Journal of Preventive Medicine and Public Health
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    • v.12 no.1
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    • pp.99-106
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    • 1979
  • Accessibility to medical facilities and personnels has been known as one of important determinants of medical care utilization. This study attempted to identify the effects of medical accessibility in terms of geographical distance and occupational opportunity to the medical utilizations. Two-year-experiences of Yonsei University Health Insurance Cooperatives were used as the sources of data. Out patient utilization patterns of 713 members sampled from 4,352 members of Health Insurance Cooperatives were analyzed in order to identify the effects of medical accessibilities. Findings: 1 Average clinic visit rate of Yonsei Health Insurance is 1.66 per person per year. 2. The utilization rates of geographically more accessible group were 33% higher than that of less accessible group. 3. No marked difference in clinic visit rate were observed between medical and non-medical personnel and their family members. 4. Clinic visit rates among occupationally accessible group were slightly higher than those of less accessible. The utilization rate was more sensitively changed by the insurance policy changes in occupationally accessible group.

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Strategy of Research for Developing Model of Community Based Non-Communicable Diseases Control and Prevention (지역사회 기반 만성질환 관리모형 구축을 위한 연구방안)

  • Park, Yoon Hyung
    • Health Policy and Management
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    • v.26 no.1
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    • pp.1-3
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    • 2016
  • The prevalence of non-communicable disease (NCD) has been continuously increasing due to population ageing, and the change in consumption and lifestyle patterns. Cancers, cerebrovascular diseases, and hypertensive diseases have been the major causes of deaths in the Republic of Korea since 1983. Numerous studies have suggested the need for a sustained comprehensive treatment tailored for individual patients and recommend the development of a systematic program to manage NCD patients to provide such care. It's necessary to develop the Korean model of the community based NCD prevention and control, consisting strategy of community movement, education for the NCD patients, and partnership the primary care clinic with public health organization to meet the needs in community people.

The Survey of Nausea-vomiting and Diet Patterns among Pediatric Cancer Patient Received Chemotherapy (화학요법을 받고 있는 암환아의 구토 및 식이양상)

  • Park Sung Hee
    • Child Health Nursing Research
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    • v.3 no.1
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    • pp.62-70
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    • 1997
  • The incidence of chemothrapy related among pediatric cancer patient was 90.1%. Adequate oral intake and nutrition have been shown to be important. These consideration prompted the decision to survey by means of a questionaire. The questionaire were included nausea-vomiting peak time, causing factor, coping method, education need, diet pattern change and food preference. Results are fellow 1. Almost(90.1%) pediatric cancer patient experienced nausea-vomiting during chemotherapy and required coping method or reducing method. 2 . The food preference form were Identified. Those were fluid form, cold and small amout and frequentry eating form. The patients preferred noodles, chickens, soap, juice. The results of the survey indicate that nasea-vomiting relief nursing intervention are required pediatric cancer patient received chemotherapy. Health care personnels recognize the pediatric cancer patient's diet pattern and encourage the nutritional counselling. The care of patient should be multidisciplinary team approach and the nurse occupies a key position with in this team, which includes the pediatrician, nutrionist.

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Growth patterns of preterm infants in Korea

  • Lim, Joohee;Yoon, So Jin;Lee, Soon Min
    • Clinical and Experimental Pediatrics
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    • v.65 no.1
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    • pp.1-9
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    • 2022
  • With advancements in neonatal care and nutrition, the postnatal growth of preterm infants has improved; however, it remains an issue. Accurate assessments of growth using a standardized reference are needed to interpret the intrauterine and postnatal growth patterns of preterm infants. Growth in the earlier periods of life can contribute to later outcomes, and the refinement of postnatal growth failure is needed to optimize outcomes. Catch-up growth occurs mainly before discharge and until 24 months of age, and very low birth weight infants in Korea achieve retarded growth later in life. Knowing an infant's perinatal history, reducing morbidity rates during admission, and performing regular monitoring after discharge are required. Preterm infants with a lower birth weight or who were small for gestational age are at increased risk of poor neurodevelopmental outcomes. Furthermore, poor postnatal growth is predictive of adverse neurodevelopmental outcomes. Careful monitoring and early intervention will contribute to better development outcomes and national public health improvements.

Food Habits of Korean Immigrants Living at Pacific Coast Areas by Length of Residence

  • Park Young Sook;Barr Su San
    • Journal of Community Nutrition
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    • v.7 no.1
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    • pp.36-41
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    • 2005
  • A convenience samples of Korean-Canadian/American adults who lived in Pacific coast areas, were studied in 2000. Total of 130 adults of 37 ($29\%$) from Vancouver, 45 ($35\%$) from San Jose and 47 ($36\%$) from Los Angeles were analyzed by length of residence, as the shorter residence group resided for less than 20 years and the longer residence group resided for 20 years or more. It was observed that the Korean-Canadians/Americans, who resided there for almost two decades, still kept Korean foods and food-patterns very strongly, even though parents' generation showed less acculturated food patterns than children's generation. In spite of those practices, they gave high values mostly on their dietary acculturation and on educating their children about diets. However the longer residence group showed slightly less positive acculturation attitudes than the shorter one. Therefore the longer abroad seemed to make immigrants more for their children to keep dietary traditions. It is recommended that length of residence should be considered when planning dietary foodservices at nursing care systems for Korean Canadians/Americans.

Content Analysis on Psychosocial Adjustment of Adolescent Survivors of Leukemia (백혈병 생존 청소년의 심리사회적 적응에 대한 내용분석)

  • You, Mi-Ae
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.304-313
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    • 2006
  • Purpose: This study was done to describe psychosocial adjustment of adolescents who have survived childhood acute lymphocytic leukemia (ALL). Method: Out of a total of 16 adolescents ($11{\sim}20$ years old) registered at the Pediatric Oncology Clinic at one university affiliated hospital, 13 adolescents agreed to participate in this study. The data were collected through in-depth interviews using a semi-structured questionnaire. The contents of the interviews were analyzed using the inductive content analysis method. Result: Three main categories were identified 'personal characteristics', 'coping patterns', and 'interpersonal relationship'. Personal characteristics included self-praise, self-confidence, altruism, being worrisome, and being difficult. Coping patterns included positive thinking, activeness, and avoidance. Interpersonal relationship included appreciation, intimacy, burdened by over protectiveness, and feelings of regret and equality as peers. Conclusion: The results indicate that adolescents who have survived childhood cancer have both positive and negative experiences. It is suggested that care providers identify and support the strengths of the adolescents in order to help them to adjust more positively after the experience of childhood cancer.

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Effect of Family Environment and Parent-Child Bondings Patterns in Childhood on Adolescents' Depression. (가족환경변인 및 아동기 부모-자녀 결합 형태가 청소년의 우울성향에 미치는 영향)

  • 최선남
    • Journal of the Korean Home Economics Association
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    • v.33 no.3
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    • pp.31-42
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    • 1995
  • The purpose of this study was to investigate the effect of parent-bonding patterns and family environmental variables on adolescents' depression. the subjects were college students in Taegu, An-dong, and Pusan city. the adolescents' depression, parent-bonding style, and family environmental variables were measured by BDI(Beck Depression Inventory), PBII(Parent-Bondning Instrument), Family environmental scale. The data were analyzed by Frequency and Regression analysis. The results were as follow. First, in parent-bonding styles, the frequencies of mother's care and overprotection wee higher than those of father's Second, a half of all subjects were under the state of depression ranging from low level to high level. Third, the satisfaction of family life amomg family environmental variables had the most effects on PBI. fourth, the degree of adolescents' depression was affected by family satisfaction, parents' occupation, monthly income, and mother's overprotection n parent-bonding style and family environmental variables.

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A Case Report of Hyperhidrosis Treated by Jisilchija-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 지실치자탕(枳實梔子湯)을 투여한 다한증 증례 1례)

  • Rho, Yeong-Beom;Lee, Kyoungjae;Lee, Ji-Hwan
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.145-153
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    • 2016
  • Objectives : This case report presents the effect of Jisilchija-tang on hyperhidrosis. The patient was diagnosed with Eumyangyukchahoonobok-byung based on Shanghanlun provisions. Methods : According to Shanghanlun seven meridian patterns diagnostic system, we diagnosed the patient as Eumyangyukchahoonobok-byung and she has been suffering from hyperhidrosis. The patient was treated with Jisilchija-tang. and it was provided for 3 months. Results : After the treatment, the degree of hyperhidrosis reduced from 10 to 2 on VAS. Conclusions : This case study show an effectiveness of using Jisilchija-tang according to Diagnostic system based on Shanghanlun provisions on hyperhidrosis.

The Actual Conditions, Problems and Design Preferences of Dementia Inpatient Clothing (치매환자복의 실태와 문제점 및 디자인 선호도 분석)

  • Ryou, Eun-Jeong;Park, Hye-Won
    • The Korean Fashion and Textile Research Journal
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    • v.8 no.6
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    • pp.618-626
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    • 2006
  • This research explored the actual conditions, problems and design preferences of dementia inpatient clothing. Data were collected by surveying 21 dementia hospitals and nursing care facilities and 87 caregivers and nurses of dementia hospitals. The collected data were analysed through frequency analysis, descriptive analysis and factor analysis. The results were as follows, First, the inpatient clothes of dementia hospitals were two-piece styles, the shirts of front opening with buttons and pants of no opening with elastic band. Those of dementia care facilities were two piece styles of shirts and pants, training suits or private plain clothes not uniform. Severe dementia inpatient dressed uniforms of the jump suits or two piece styles in some dementia care facilities. Second, the problems of dementia inpatient clothing were composed of suitability of raw and subsidiary clothing material, diversity of design and size, durability and form stability of clothes and elastic bands. Third, the design elements similar to those of existing inpatient clothing were preferred with regard to improving dementia inpatient clothing. That is, the design preferences of shirts showed front opening style with buttons, round neckline and a three-quarter-length sleeves. Those of pants came out no opening style with elastic band and full length. Also, pink color and natural patterns were preferred, and the private plain clothing of inpatient and fusion Han-bok style were somewhat preferred.

Subphenotypes of Acute Respiratory Distress Syndrome: Advancing towards Precision Medicine

  • Andrea R. Levine;Carolyn S. Calfee
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.1
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    • pp.1-11
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    • 2024
  • Acute respiratory distress syndrome (ARDS) is a common cause of severe hypoxemia defined by the acute onset of bilateral non-cardiogenic pulmonary edema. The diagnosis is made by defined consensus criteria. Supportive care, including prevention of further injury to the lungs, is the only treatment that conclusively improves outcomes. The inability to find more advanced therapies is due, in part, to the highly sensitive but relatively non-specific current syndromic consensus criteria, combining a heterogenous population of patients under the umbrella of ARDS. With few effective therapies, the morality rate remains 30% to 40%. Many subphenotypes of ARDS have been proposed to cluster patients with shared combinations of observable or measurable traits. Subphenotyping patients is a strategy to overcome heterogeneity to advance clinical research and eventually identify treatable traits. Subphenotypes of ARDS have been proposed based on radiographic patterns, protein biomarkers, transcriptomics, and/or machine-based clustering of clinical and biological variables. Some of these strategies have been reproducible across patient cohorts, but at present all have practical limitations to their implementation. Furthermore, there is no agreement on which strategy is the most appropriate. This review will discuss the current strategies for subphenotyping patients with ARDS, including the strengths and limitations, and the future directions of ARDS subphenotyping.