• Title/Summary/Keyword: Public Health Nursing

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A policy study for the voice recognition technology based on elderly health care (음성인식기술의 노인간병 적용을 위한 정책연구)

  • Cho, Byung-Chul;Cheon, Sooyoung;Kim, Kab-Nyun;Yuk, Hyun-Seung
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.9-17
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    • 2018
  • The purpose of this study is to find out how voice recognition technology can be utilized to solve the elderly problem rapidly aging in Korea. Public support services and civilian nursing services for the elderly are expected to expand in Korea. In this case, voice recognition technology can be used variously for the elderly who are not familiar with the media interface. To this end, our researchers visited Japan and examined the achievements obtained by voice recognition technology in the elderly care. Especially, when caregivers write reports, they have greatly reduced their working hours by replacing the handwritten reports with ones using voice recognition technology. This method can be easily implemented in Korea. In addition, the social cost of the elderly support can be gradually reduced through the development of a robot equipped with voice recognition technology. Consequently, we realize that when voice recognition technology is combined with artificial intelligence programs of various emotion recognition functions and various policy possibilities as well.

Analyses on the Use Pattern of a General Hospital - With Cases of Seoul-KyungKi and DaeGu-KyungBuk Area- (민간의료보험 도입 활성화 방안도출을 위한 지역별 인식 비교 분석 -서울경기와 대구경북 지역을 중심으로-)

  • Park, In-Suck;Kang, Chang-Yeol
    • The Korean Journal of Health Service Management
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    • v.3 no.2
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    • pp.65-75
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    • 2009
  • This study aims at deriving any useful information necessary to strengthen the competitiveness for growth through empirical analyses on a general hospital located in a province in order to countermeasure the opening and competition of medical markets. The characteristics of user were identified on the basis of disease groups under KCD in the research method. In addition, the analysis on the expenses of diagnosis and treatment was divided into the treatment progress and degree of hospital resource utilization. And the regression was carried out to identify the impacts of characteristics of inpatient users on the degree of hospital resource utilization. As a result of major research, the inpatient users of the general hospital located in the provincial area in consideration of inpatient users were formed around the inpatient disease groups representative for Korea. And it was understood that most of residents within a distance of 40 minute by the public transportation were using. Although there are restrictions that the analyses were carried out for a general hospital in a province, the findings of this study can be considered a generalized model for the management of provincial general hospitals when we consider the current circumstance that the diagnosis and treatment are carried out by provincial medical institutions primarily for patients in general within the province, along with implications that any general hospital in Korea should be equipped with the facilities, equipments and human resources under the Medical Treatment Act.

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A Review on the Baby Hotel in Japan (일본(日本)의 「베이비·호텔」에 관(關)한 고찰(考察) - 동경도(東京都)의 현황(現況)을 중심(中心)으로 -)

  • Hwang, Young Ja
    • Korean Journal of Child Studies
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    • v.2
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    • pp.83-103
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    • 1981
  • 1. Outline of the Study A boom of baby hotels is taking place in Japan. Baby hotel means day care centers that renders services day and night for babies of working mothers. These baby hotels are thriving because many mothers welcome the system because of their needs. However, accidents occurred in a row recently and therefore baby hotel has suddenly become a social issue. According to the ministry of health welfare, there are 587 baby hotels in Japan accommodating about 10,000 children and they are mostly located around amusement centers. The reasons that these baby hotels thrive in spite of the fact that there are 22,000 day care centers in Japan are : (1) shortage of day care centers compared to the needs (2) most centers do not take in babies below 1 year. This study aims to describe the present status of the baby hotels and the background of the phenomena that made it possible for them to thrive with no permission from the government. This study mostly deals with the phenomena in Tokyo. 2. Day Care Policy in Japan and the Problems of Baby Hotels The present review deals with the problems from the following 6 dementions. (1) the shortage of day care centers (2) inadequate system for the care of babies (3) inadequate daily hours of day care centers (4) Unflexable enrollment system of day care centers (5) imperfect enfollment process & guidelines (6) lack of alternative institutions 3. Result The Ministry of Health & Welfare affered the following ways to cape with the problems of baby hotels : (1) restraint of the baby hotels (2) utilization of existing day care centers for the care of babies. In my opinion, these suggestions seem too superficial in solving the problems. I would rather suggest that the Japanese government review the whole system of child welfare administration. The Child welfare Law of Japan made a clear statement in its article 24 that, "if day care centers are not available, alternative institution for proper care of children must be sought for." My suggestions for the alternative care are : (1) public nursing rooms (2) family day care (3) extention of kindergarten hours (4) foster family care.

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Effect of a Yoga-based Exercise Program on Psychological, Physiological Factors and Physical Fitness in Elderly Women (요가운동이 여성노인의 심리적, 생리적 변화 및 운동능력에 미치는 영향)

  • Kim, Yi-Soon;Kwak, Yi-Sub;Cho, Bong-Soo
    • Journal of Life Science
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    • v.16 no.4
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    • pp.584-588
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    • 2006
  • Physical activity has been effective in enhancing quality of life and physical fitness of older adults over relatively short periods of time. However, little is known about the Yoga-based exercise program on physiological changes and physical fitness with psychological variables in elderly women. The purpose of this study is to investigate the effect of Yoga- based exercise program on physiological, psychological factors and physical fitness in elderly women. Forty-four elders were recruited from the public health center. They were divided into exercise training group(n=22) and control group(n=22). The training group participating in 10 weeks of Yoga-based exercise program. Data was analyzed with descriptive statistics, the chi-square test, Fisher's Extract test, and ANCOVA to evaluate body fat, spine ROM, blood pressure, cholesterol, depression, life satisfaction, ADL and physical fitness. There was a significant improvement in blood pressure, total cholesterol, precent of body fat, physiological function, depression, life satisfaction, ADL and physical fitness in the exercise training group than that of the control group. From the results, Yoga-based interventions designed to improve various variables were equally acceptable to elderly women.

An Intelligent Self Health Diagnosis System using FCM Algorithm and Fuzzy Membership Degree (FCM 알고리즘과 퍼지 소속도를 이용한 지능형 자가 진단 시스템)

  • Kim, Kwang-Baek;Kim, Ju-Sung
    • Journal of Intelligence and Information Systems
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    • v.13 no.1
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    • pp.81-90
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    • 2007
  • This paper shows an intelligent disease diagnosis system for public. Our system deals with 30 diseases and their typical symptoms selected based on the report from Ministry of Health and Welfare, Korea. Technically, the system uses a modified FCM algorithm for clustering diseases and the input vector consists of the result of user-selected questionnaires. The modified FCM algorithm improves the quality of clusters by applying symmetrically measure based on the fuzzy theory so that the clusters are relatively sensitive to the shape of the pattern distribution. Furthermore, we extract the highest 5 diseases only related to the user-selected questionnaires based on the fuzzy membership function between questionnaires and diseases in order to avoid diagnosing unrelated disease.

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The Actual Status of Elderly Orofacial-Function Improvement Program in Seoul and Gyenggi-Area

  • Lim, Do-Seon;Kim, Ju-hee;Lee, So-yeon;Jung, Im-Hee
    • Journal of dental hygiene science
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    • v.21 no.4
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    • pp.267-274
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    • 2021
  • Background: Although the orofacial-function improvement exercise (OFIE; oral exercise) was first introduced in Korea 10 years prior, it is still not covered by medical insurance, and no detailed survey on the dissemination of related programs has been conducted. Therefore, this study investigated the actual status of the education and practice of OFIE among the elderly and at elderly welfare institutions in the Seoul and Gyeonggi Provinces. Methods: Senior citizens aged more than 65 years old, public health centers (total of 69) and elderly welfare institutions (including nursing homes and elderly welfare centers, total of 56) per administrative area in the Seoul and Gyeonggi Provinces were targeted. We analyzed 200 elderly people and 93 institutions who agreed to participate in the survey. For the elderly, general characteristics, experience and route, current practice, and necessity regarding OFIE were investigated. For institutions, the history and plan of education programs on OFIE were investigated. Results: Regardless of the general characteristics, both the rate of experience and practice for OFIE were low overall; moreover, although they felt it was necessary, they had insufficient motivation for its implementation. Moreover, only a few institutions which were operating the education about OFIE regardless of the COVID-19 situation. Conclusion: Although OFIE is necessary for the elderly, its distribution remains insufficient. Therefore, further efforts are needed to expand the education and raise the awareness of oral exercise among elderly individuals and senior welfare institutions.

Impact of Registration Program after Hypertensive or Diabetic Patient Detection through Community Partnership on Compliance and Blood Pressure or Blood Sugar Control (고혈압·당뇨병 신규 환자 발견 이후 지역사회 협력을 통한 등록관리가 치료순응도 및 혈압 및 혈당 조절에 미치는 영향)

  • Hong, Du-Ho;Seo, Hwa-Jeong;Kang, Kyoung-Hee;Kim, Eun-Ju;Im, Jeong-Soo;Oh, Dae-Kyu;Yim, Jun
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.316-323
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    • 2008
  • = ABSTRACT = Objectives : Incheon metropolitan city has set a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005. This study examines the effects of the model on the compliance and the control of blood pressure or blood sugar level Methods : Telephone-surveys were done for 140 persons selected from 408 patients who were detected newly as hypertensive or diabetic patients at Gangwha-Gun and Seo-Gu in Incheon between January 1st and August 31th in 2006, and finally completed in 110 patients(78.6%). Survey questionnaires included socio-demographic(age, gender, and educational level), health behavioral (smoking, drinking, physical activity, and diet), and therapy-related (registration state, compliance, blood pressure or blood sugar control) variables. Odds ratio and 95% CI were derived from logistic regression model. Results : Registered group exhibited high compliance and well managed blood pressure or blood sugar level. The odds ratio of registration were 5.55(95% CI:1.83~16.89) for compliance and 3.78(95% CI:1.43~9.99) for blood pressure or blood sugar control after adjusting for age, gender, disease, and area Conclusions : It is independently related to compliance and blood pressure or blood sugar control whether the patient is registered or not. To control hypertension or diabetes mellitus in terms of compliance and control state, a community-based registration program through community partnership could be a powerful tool.

Changes of Risk factors of Metabolic Syndrome among the Elderly in the Rural Area after Two Years (농촌지역 노인에서 대사증후군 위험인자의 2년 후 변화)

  • Oh, Suk-Hee;Kim, Ha-Jeong;Sohn, Seok-Joon;Sim, Jeong-Sin
    • Journal of agricultural medicine and community health
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    • v.35 no.1
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    • pp.36-45
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    • 2010
  • Objectives: This study was performed to examine the healthy lifestyle influenced on the metabolic syndrome among the elderly in the rural area. We examined the changes of risk factors of metabolic syndrome after two years. Method: Out of 134 who did health screening at the J county health center from July 1 to August 31, 2006, 65 aged people confirmed to metabolism syndrome were selected as subjects. For the final analysis, 62 aged people who revisited after two years were selected our subjects. The data were analyzed using SPSS PC+ 12.0 program for descriptive, Chi-square test, t-test and ANOVA analysis. Result: The result of this study indicated that 62 metabolic syndrome patients in 2006 decreased into 53, and women were higher than men. The difference in the metabolic syndrome came from level of education, smoking, health practices, and past illness history. Conclusion: Therefore, the change of lifestyle needs to be induced by the level of education, and for the group of smoking, non-exercise, and past illness history not only regular checkups to prevent metabolic syndrome but also education to have interest on themselves may need intensively.

Prevalence of Hyperhomocysteinemia and Related Factors in a Community-based Health Examination Survey: A Cross-sectional Study (경기도 일개 지역사회 대표집단에서 고호모시스테인혈증의 유병률 및 관련요인에 대한 단면조사연구)

  • Kim, Soo-Jeong;Lim, Kyung-Sook;Song, Mi-Sook;Kang, Yeon-Ji;Lee, Soon-Young
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.5
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    • pp.337-342
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    • 2009
  • Background : Many previous studies have shown that elevated homocysteine in the serum is a well known risk factor for cardiovascular disease and this is associated with other risk factors for cardiovascular disease, but any Korean data on this is limited. Objectives : This study aimed to calculate the prevalence of hyperhomocysteinemia and to analyze the relation between elevated homocysteine and the lifestyle factors of Korean adults. Methods : We conducted a cross-sectional survey that included 650 men and 743 women (age range, 20 to 79 years) who were residents of Gwangju City in Gyeonggi-do. These subjects participated in the health interview and examination survey from November to December 2005. The total homocysteine, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride in the serum were measured. All the participants had their body composition measured such as height and weight, and we obtained health-related behavioral information through the self-entry questionnaire. Results : Very right-handed skewed distributions of homocysteine were shown in men and women. The prevalence of hyperhomocysteinemia was 22.6% in men and 13.7% in women in Gwangju city. On the multiple logistic regression analysis, hyperhomocysteinemia was associated with age (OR=1.02, 95% CI=1.01-1.04), male gender (OR=1.60, 95% CI=1.02-2.52), severe general physical activity (OR=0.32, 95% CI=0.15-0.69) and nutrient consumption (OR=0.49, 95% CI=0.31-0.76). Conclusions : There is a great prevalence of hyperhomocysteinemia in adults of Gwangju City, Korea and it was associated with both genetic factors and lifestyle risk factors. This study can suggest that comprehensive lifestyle modification is needed in order to diminish the prevalence of hyperhomocysteinemia and to prevent CVD.

Model Development of Affecting Factors on Health Behavior and Juvenile Delinquency of Adolescents (청소년의 건강행위와 비행의 영향 요인에 관한 모형 구축)

  • Kim, Hyeon Suk;Kim, Hwa Jung
    • Journal of the Korean Society of School Health
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    • v.11 no.2
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    • pp.171-187
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    • 1998
  • In recent years, adolescent issues including smoking, drinking, drug abuse, juvenile delinquency, deviant sexual behavior, mental health problems, high suicide rate, juvenile delinquency and absence without due notice, etc are emerging as serious social problems and the debate on these controversial issues is heating up. The previous studies on adolescent health behavior and social juvenile delinquency such as run-away from home and absence without due notice have been conducted mostly by cause analysis utilizing social demographic factors or biological factors. In other words, the main factors analyzed were demographic and economic factors or parent's educational level, etc, which were the fixed environmental ones that were unable to cause the change in the health behavior. Accordingly, the purpose of this study is to analyze factors which are changeable and fixable among the factors influencing the adolescent's health behavior and misconducts and, eventually influencing factors which can be used as the basis to establish health policies and health promotion program to reduce the health risk behavior and misconducts of adolescents. The study subjects were selected by dividing senior high school student in Seoul by region and through random sampling. The 890 subjects were selected from 10 schools including the preparatory school, vocational schools and institutional schools. The duration of the study was for July 1-5, 1997 for the first survey and the second one, for August 25-September 10. Regarding the analysis method, the SAS program was used. The adoptablity of theoretical model was tested through covariance structural analysis utilizing PC-LISREL 8.12 Program. The major findings of the study are as follows: As a result of establishing the model of factors influencing health behavior and juvenile delinquency, in case of male students as the health behavior self-efficacy, education level of fathers, economic level, self-control and the health interest of parent were higher, students were more likely to practice the health promoting behavior. Juvenile delinquency and health risk behavior were prevalent among those with the less shyness, the lower health behavior self-efficacy, lower self-control, lower self-assertiveness, lower economic level. The self-control was the most powerful factor. In case of female students, those with higher health behavior self-efficacy were more likely to practice the health promoting behavior whereas those with lower health behavior self-efficacy, lower self-control, lower self- assertiveness, less shyness were more likely to practice health risk behavior and juvenile delinquency. In case of prep schools, those with higher health behavior self-efficacy and better perceived health status were more likely to practice the health promoting behavior while those with less shyness, lower health behavior self-efficacy and lower academic achievement were more likely to engage in health risk behavior and juvenile delinquency. In case of vocational schools, as health behavior self-efficacy and economic level were higher, the practice rate of health promoting behavior was higher. As the self-control, shyness, self-assertiveness, health behavior self-efficacy were lower, the rate of health risk behavior and juvenile delinquency were higher. In case of social institutional schools, as, the health behavior self-efficacy, social support and economic level, health interest of parents were higher, the rate of health promoting behavior were higher. As the self-control, shyness, self-assertiveness, health behavior self-efficacy and social support were lower, the rate of health risk behavior and juvenile delinquency were higher. So the health promoting behavior was positively related to the health behavior self-efficacy, health interest of parents, social support, education level of fathers, level of perceived health status, economic level. The health risk behavior and juvenile delinquency were higher with the lower health behavior self-efficacy, self-control and self-assertiveness, lower health locus control, less shyness and loneliness, lower economic level and academic achievement. In conclusion, the health risk behavior and juvenile delinquency can be reduced by enhancing self-control, self-assertiveness, health behavior self-efficacy and social support. According to the final model drawn by connecting health behavior and juvenile delinquency, the reduction of health risk behavior can greatly contribute to decreasing social juvenile delinquency as the process of juvenile delinquency was extended from common behaviors to problem behaviors and further into juvenile delinquency.

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