• Title/Summary/Keyword: Patterns of care

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A Study of Factors Influencing the Intention of University Students to Accept Healthcare Information Technology Services (대학생의 건강정보기술서비스 수용의도에 미치는 영향요인)

  • Chung, Young-Soon;Han, Hyun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5698-5706
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    • 2013
  • This study presents research into the patterns that affect the understanding and acceptance of healthcare management systems as part of a healthcare information technology infrastructure targeted at university students. The participants were 623 university students in D city and K province. This study employed a descriptive and correlational cross-sectional survey and made use of the ubiquitous healthcare management services measurement scale. 48.5% of respondents had accessed healthcare-related information on the Internet. Among the independent variables of general characteristics related to perceived susceptibility was found to have adj $R^2$ of 11% while the other dependent factors reported much lower between 0.5 to 4.7%. Female respondents, medical-related majors, self-efficacy, and intention to use had significant positive effects while health beliefs and concern had a significant negative effect on the intentional acceptance of healthcare information technology systems.

The Study on Respiratory Function, Spirometric Lung Pattern and Fatigue of Elderly in a Facility

  • Shin, Hee Joon;Kim, Ji Sung;Wang, Joong San;Choi, Yoo Rim;Kim, Hong Rae;Park, Si Eun;An, Ho Jung;Min, Kyung Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.1
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    • pp.488-493
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    • 2013
  • The purpose of this study was to investigate spirometric lung pattern, respiratory function and degree of fatigue by lung function tests and fatigue tests of 39 elderly people in a care facility aged 65 and over. The respiratory function tests were used to the Spirovit SP-1 and fatigue tests were used modified Piper fatigue scale(mPFS). Regarding the respiratory function, the FVC was $1.41{\pm}0.36$l, the FVC % predicted was $69.10{\pm}14.98$%, the $FEV_1$ was $1.02{\pm}0.31$l, the $FEV_1$ % predicted was $63.27{\pm}16.05$%, the $FEV_1$/FVC was $72.77{\pm}13.40$%, and the fatigue score was $5.83{\pm}1.09$. As for the spirometric lung pattern, 19 patients had a restrictive pattern(48.7%), followed by 11 with a mixed pattern(28.2%), 5 with an obstructive pattern( 12.8%), and 4 with a normal pattern(10.3%). Regarding the respiratory function and fatigue by spirometric lung pattern, the FVC and the FVC % predicted of patients with a normal pattern or an obstructive pattern were greater than other groups at a statistically significant level. As for the $FEV_1$, that of patients with a normal pattern was significantly higher than others, and for the $FEV_1$ % predicted, that of patients with a normal pattern or a restrictive pattern was significantly higher(p<.001). Fatigue score by patients with a normal pattern was significantly less than patients of other patterns(p<.001). Therefore, pulmonary physical therapy is considered necessary to improve respiratory function and fatigue degradation of elderly in a facility.

The Impact of Weekend Admission and Patient Safety Indicator on 30-Day Mortality among Korean Long-Term Care Insurance Beneficiaries

  • Shin, Jaeyong;Kim, Jae-Hyun
    • Health Policy and Management
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    • v.29 no.2
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    • pp.228-236
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    • 2019
  • Background: This study investigates the impact of weekend admission with a patient safety indicator (PSI) on 30-day mortality among long-term insurance beneficiaries. Methods: Data were obtained from the National Health Insurance Service-Senior claim database from 2002 to 2013. To obtain unbiased estimates of odds ratio, we used a nested case-control study design. The cases were individuals who had a 30-day mortality event after their last medical utilization, while controls were selected by incidence density sampling based on age and sex. We examined the interaction between the main independent variables of weekend admission and PSI by categorizing cases into four groups: weekend admission/PSI, weekend admission/non-PSI, weekday admission/PSI, and weekday admission/non-PSI. Results: Of the 83,400 individuals in the database, there were 20,854 cases (25.0%) and 62,546 controls (75.0%). After adjusting for socioeconomic, health status, seasonality, and hospital-level factors, the odds ratios (ORs) of 30-day mortality for weekend admission/PSI (OR, 1.484; 95% confidence interval [CI], 1.371-1.606) and weekday admission/PSI (OR, 1.357; 95% CI, 1.298-1.419) were greater than for patients with weekday admission/non-PSI. Conclusion: This study indicated that there is an increased risk of mortality after weekend admission among patients with PSI as compared with patients admitted during the weekday without a PSI. Therefore, our findings suggest that recognizing these different patterns is important to identify at-risk diagnosis to minimize the excess mortality associated with weekend admission in those with PSI.

A Study on the Regional Difference of Obesity in the Social Vulnerabilities -Focused on the Suwon City (사회취약계층 비만의 지역 격차에 관한 연구 -수원시를 중심으로)

  • Kim, Han-Yee;Kim, Yong-Jin
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.682-689
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    • 2019
  • This study aims to spatialize the gap between obesity levels through the body mass index, an objective indicator of the level of health among vulnerable people. Thus, areas where the BMI showed cluster patterns with spatial high and low values were extracted and the characteristics of the region were analyzed. The analysis showed that the I statistics for the obesity rate were 0.07 and the z-score was 4.39, confirming spatial autocorrelation. For z-score, it was much larger than the maximum threshold of 2.57. This means that the rate of obesity among the socially vulnerable is regional, and this gap is spatially significant. The results of comparing and analyzing the local environment for these areas of obesity and health care were found to be areas with poor public transportation, less readily available parks, and a concentration of single and multi-generation housing. The analysis results of this study are meaningful in that they provide spatial implications for the health of the socially vulnerable class that previous studies have neglected.

Effects of a Mother-fetus Interaction Promotion Program on Sleep and Activity in Mothers and Infants (모-태아 상호작용 증진 프로그램이 임부 및 영아의 수면-활동 양상에 미치는 효과)

  • Han, Kyung-Ja;Kwon, Mi-Kyung;Bang, Kyung-Sook;Choi, Mi-Young
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.239-248
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    • 2010
  • Purpose: This study was done to evaluate effects of a mother-fetus interaction promotion program on maternal and infant sleep/activity regulation, and examine the correlation between maternal and infant sleep/activity. Methods: Thirty-four mother-infant dyads were recruited from an OB-GY clinic with postpartum care center, and assigned to the intervention group (17) or control group (17). Data were collected from January 18 to August 5 2005. A programmed education focused on mother-fetus interaction was provided to the intervention group in the 3rd trimester. Maternal sleep/activity record was completed at 32-36 weeks gestation and infant sleep/activity record was completed for one month after birth. Results: During the 3rd trimester, there were no significant differences in maternal sleep/activity between the groups, except for frequency of mothers' night awakening and urination at night. There were no significant differences in infant sleep, but significant difference was found in feeding times between the groups. Correlation of maternal sleep in the 3rd trimester and infant waking times was significant. Conclusion: The results of this study indicate that maternal sleep/activity during pregnancy influences infant sleep/activity at 3-4 weeks, and that nursing interventions to regulate maternal sleep/activity provided to primiparas can be beneficial to the regularity of infant sleep/activity patterns.

A Study Over the Relationship Between Apartment Prices and Distances from Expressway interchanges (In the case of the Seoul Beltway) (고속도로 인터체인지 이격거리와 주변 아파트 가격의 관계연구 (서울외곽순환고속도로 영향권을 중심으로))

  • O, Heung-Un;Kim, Tae-Ho
    • Journal of Korean Society of Transportation
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    • v.27 no.6
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    • pp.89-96
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    • 2009
  • The present study is performed to identify the relationship between apartment prices and distances from freeway interchanges. To collect consistent data and to simplify the sphere of the influence, the Seoul beltway was selected as the target road. Two sides of the Seoul beltway such as the inner side and the outer side are partitioned following the whole beltway line. The maximum distance to be taken care of in data collection was 6.0km from freeway interchanges. Results show that there exist consistent patterns between apartment prices and distances from freeway interchanges. In detail, if the apartment is located on the sphere of the influence, it is shown that a) the prices are increased overall b) the prices are low at very near of interchanges c) the prices are increasing up to the points of about 2.0~4.0km from interchanges d) the prices are decreasing after the points. Additionally, it is shown the pattern observed was following approximately a quadratic curve which is different from the liner curve obtained from the similar study over the sphere of the influence in railway(Subway).

A Study on Consumption of Convenience Foods of University Students by Residing Types in Changwon and Masan Area (마산.창원지역 대학생의 거주형태에 따른 편의식품 이용 실태)

  • Lee, Kyung-A;Cho, Eun-Jeong;Yoon, Hyun-Sook
    • Journal of the Korean Dietetic Association
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    • v.16 no.3
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    • pp.279-290
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    • 2010
  • The purpose of this study was to investigate the dietary habits and the consumption patterns of convenience foods by university students according to where they reside. The subjects were 572 university students in Changwon and Masan who were divided into three groups by their residential type; students living with their parents (n=297), self-boarding students (n=139), and students living in a dormitory (n=136). This survey was conducted using a self-administered questionnaire. Among all students, 22.4% skipped breakfast, and the major reason was lack of time (38.1%). Convenience food intake at lunch was 39.1%, and that of snacks was 35.4%. In particular, convenience food intake at lunch was 45.9% for students living with their parents, 30.9% for those self-boarding, and 32.6% for those living in a dormitory (P<0.01). Approximately 66% of the students said that the reason they bought convenience food was that it was easy to cook. Those who were residents of a house (P<0.001) believed that nutritional imbalance was a problem with convenience food. The students who lived in the dormitory ate frozen fried pilaff (P<0.01), canned vegetables (P<0.05), packed kimchi (P<0.001), and Ramyon cups (P<0.001) more, while the self-boarding students ate Ramyon (P<0.05) more. The results suggest that it is necessary to educate people how to buy reasonably by understanding the interrelationship between convenience food and health care and by checking the nutrition index label on convenience foods.

A Clinical Study of Elderly Patients with Skin Diseases (한방병원에 내원한 노장층 피부과 환자에 관한 임상적 고찰)

  • Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.15 no.2
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    • pp.289-301
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    • 2002
  • Background: It is axiomatic that average life span is prolonged in proportion to the advance of socio-economic improvements and medical science. Consequently, the number of elderly patients with skin diseases is increasing. Objective: This study was performed to examine the patterns of skin diseases in elderly patients that had visited Dongguk Oriental Medical hospital, Dept. of Dermatology. We also compared these patients to the young generational groups. Methods: We studied 67 elderly patients with complaints of skin diseases who had visited our hospital from March 2000 to February 2002. We analysed their skin diseases and compared them with the younger group's. Results: The results were as follows; 1. The common disease groups were eczema(32.8$\%$); pruritus(23.9$\%$); viral infections (13.4$\%$); psoriasis(9.0$\%$); fungal infections and urticaria(6.0$\%$). 2. The disorders prevalent in men were eczema(30.0$\%$); herpes zoster & pruritus(23.3$\%$); fungal infection(13.3$\%$); psoriasis (3.3$\%$); melasma(6.7$\%$). 3. The common diseases of women's group were observed in the following order; eczema(35.l$\%$); pruritus(24.3$\%$); psoriasis(13.5$\%$); urticaria(10.8$\%$); other dermatoses(8.1$\%$); herpes zoster(5.4$\%$). 4. The most frequent skin disease for those in their 50's was eczema(32.3$\%$); 60's, pruritus(36.8$\%$); 70's, eczema(50.0); and over eighties., eczema and pruritus(40.0$\%$). Conclusion: This study suggests that dermatologic problems in the elderly are very common, especially eczema, pruritus. It is a very different pattern from the younger group's. And we have to better consider more effective management and treatment for them; especially further dermatologic studies including substantial medical care. Usually Oriental medicine is good at treating chronic diseases and less harmful. So we expect it to be generally better for elderly patients than western medicine.

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The Spawning Behaviour of the Endangered Freshwater Fish Koreocobitis naktongensis (Cypriniformes: Cobitidae) under Artificial Conditions (멸종위기어류 얼룩새코미꾸리 Koreocobitis naktongensis (Cobitidae)의 수조 내 산란행동)

  • Hong, Yang-Ki;Yang, Hyun;Bang, In-Chul
    • Korean Journal of Ichthyology
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    • v.33 no.1
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    • pp.15-21
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    • 2021
  • The Nakdong nose loach, Koreocobitis naktongensis is an endangered freshwater fish endemic to Korea. The spawning behaviour of the K. naktongensis was observed after treating Ovaprim in laboratory aquarium from 20~27 April 2010. The behavioral patterns were categorized into three stages of pre-spawning, spawning and post-spawning behaviors. Before spawning K. naktongensis usually repeated taking a rest and swimming. On average, initial spawning activity started 11 to 12 hours later after injection with Ovaprim. During the spawning period, the number of spawning acts ranged from 1 to 18. The spawning ratio of female to male was 1 : 1. The male embraced the back of the female's dorsal fin with his lamina circularis. It looked like a complete circle at that time. After spawning, parental care was not observed. Individuals not participating in spawning have been observed to feed on some of the fertilized eggs.

A Study on Self-medication for Health Promotion of the Silver Generation

  • Oh, Soonhwan;Ryu, Gihwan
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.82-88
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    • 2020
  • With the development of medical care in the 21st century and the rapid development of the 4th industry, electronic devices and household goods taking into account the physical and mental aging of the silver generation have been developed, and apps related to health and health are generally developed and operated. The apps currently used by the silver generation are a form that provides information on diseases by focusing on prevention rather than treatment, such as safety management apps for the elderly living alone and methods for preventing diseases. There are not many apps that provide information on foods that have a direct effect and nutrients in that food, and research on apps that can obtain information about individual foods is insufficient. In this paper, we propose an app that analyzes food factors and provides self-medication for health promotion of the silver generation. This app allows the silver generation to conveniently and easily obtain information such as nutrients, calories, and efficacy of food they need. In addition, this app collects/categorizes healthy food information through a textom solution-based crawling agent, and stores highly relevant words in a data resource. In addition, wide deep learning was applied to enable self-medication recommendations for food. When this technique is applied, the most appropriate healthy food is suggested to people with similar eating patterns and tastes in the same age group, and users can receive recommendations on customized healthy foods that they need before eating. This made it possible to obtain convenient healthy food information through a customized interface for the elderly through a smartphone.