• Healthcare Informatics Research
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• 제24권4호
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• pp.317-326
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• 2018

Objectives: The demand for hospice has been increasing among patients with cancer. This study examined the current hospice referral scenario for terminally ill cancer patients and created a data form to collect hospice information and a modified health information exchange (HIE) form for a more efficient referral system for terminally ill cancer patients. Methods: Surveys were conducted asking detailed information such as medical instruments and patient admission policies of hospices, and interviews were held to examine the current referral flow and any additional requirements. A task force team was organized to analyze the results of the interviews and surveys. Results: Six hospices completed the survey, and 3 physicians, 2 nurses, and 2 hospital staff from a tertiary hospital were interviewed. Seven categories were defined as essential for establishing hospice data. Ten categories and 40 data items were newly suggested for the existing HIE document form. An implementation guide for the Consolidated Clinical Document Architecture developed by Health Level 7 (HL7 CCDA) was also proposed. It is an international standard for interoperability that provides a framework for the exchange, integration, sharing, and retrieval of electronic health information. Based on these changes, a hospice referral scenario for terminally ill cancer patients was designed. Conclusions: Our findings show potential improvements that can be made to the current hospice referral system for terminally ill cancer patients. To make the referral system useful in practice, governmental efforts and investments are needed.

• 대한암한의학회지
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• 제25권2호
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• pp.37-49
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• 2020

Objective: Constipation is the most common adverse effect of opioid analgesic therapy in cancer patients. This can be associated with physical and emotional distress to cancer patients. The purpose of this study is to review the standard and alternative interventions of the management for opioid-induced constipation (OIC). Methods: The studies were searched from databases, including Pubmed, Google scholar, KISS, NDSL, and OASIS. The main search terms included such as constipation, opioid, opioid-induced constipation, cancer, management, herb, and acupuncture. Results: The prevention and usual care of constipation is a key tool for the management of OIC. Also, prophylactic laxatives starting concurrently with opiates helped to prevent developing constipation. Peripherally acting μ-opioid receptor antagonists (PAMORAs) significantly reduced OIC and well-tolerated. In addition, acupuncture, herb medicines, and interferential current or transcutaneous electrical nerve stimulation to acupoints had effectiveness in reducing constipation. Conclusion: Preliminary data indicate that PAMORAs and Traditional Korean Medicine may be considered as the management of unresolved OIC. However, due to the limited articles, more systematic and rigorous clinical trials are needed.

• 한국의상디자인학회지
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• 제18권2호
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• pp.177-190
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• 2016

On-line consumer reviews are good references for consumers to evaluate and buy apparel products. The objective of this study is to facilitate communication about performance textiles between consumers and merchandisers who buy and sell apparel products on online. The survey was based on standardizing words used in consumer reviews written after purchase of summer knit t-shirts at internet shopping mall and evaluating the performance textiles including cellulose fibers. We collected reviews of five sorts of the clothing products including cotton/modal, tencel/polyurethane, polyester/rayon, linen, cotton and selected 1000 reviews related to textiles. For classifying each word used in the reviews by the performance textiles, they were quantified applying same standards. The results were as follow: First, the standard for consumer to consider importantly was tactile sensation, appearance, pilling, thickness, dimensional stability in washing. Second, the important category of performance textiles was healthy-comfort and psychological-comfort. Third, there were difference performance textiles for consumer to recognize, e.g. cotton/modal was important to air-permeability, tencel/polyurethane was noticed about tactile sensation, polyester/rayon was perceived about pilling unlike other things, linen had a problem of clothing care-convenience, then cotton was familiar fiber to important for appearance. The last, consumers usually focused on writing the most positive or negative online reviews. Although not familiar with professional terminologies, consumers are sensitive to physical properties of textiles. Therefore, standardizing and evaluating performance textiles are expected to improve satisfaction as providing objective information to consumers considering in buying apparel products at online shopping mall and increase in revenue to manufacturer.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.246-254
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• 2015

본 연구는 유아교사의 안전지식, 안전통제가 안전수행에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료 수집은 P, K, Y시에 소재한 어린이집, 유치원에서 재직하고 있는 유아교사 187명을 대상으로 2014년 10월 10일에서 10월 30일까지 진행하였다. 연구도구는 안전지식, 안전통제, 안전수행을 사용하였다. 자료 분석은 실수와 백분율, 평균 및 표준편차, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis를 이용하였다. 대상자의 일반적 특성에 따른 안전수행은 결혼상태, 근무경력, 안전교육 도움 정도에서 유의한 차이가 있었다. 안전지식, 안전통제와 안전수행은 유의한 정적 상관관계가 있었다. 유아교사의 안전수행에 영향을 미치는 요인은 안전지식과 안전통제로 나타났으며, 설명력은 60.0% 이었다. 본 연구결과를 통해 유아교사의 안전수행을 향상시키기 위해 안전지식과 안전통제를 증진시킬 필요가 있다.

• 대한예방한의학회지
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• 제20권2호
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• pp.27-38
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• 2016

Backgrounds : Taiwan has similar national health insurance (NHI) system for traditional medicine with South Korea. Recently, new quality improvement policies for traditional medicine is being attempted in Taiwan. Objectives : This study aimed to review the Taiwanese NHI system for Chinese Medicine (CM) and introduce quality improvement policies. Methods : Research articles, reports, government publications and year books which handled traditional medicine system and NHI system in Taiwan were searched and collected. The authors analyzed and summarized the contents in a qualitative manner. Results : In Taiwanese NHI system, CM procedures and medication for outpatients are reimbursed through a mix of fee-for-service and global budget payment system. CM shares 4% of total expenditure of NHI in Taiwan. Mostly, the expenses for procedures are reimbursed regardless of disease type, however, in the specialized program for quality improvement, CM doctors have to comply with standard operating procedures (SOPs). Conclusions : Taiwanese NHI system implemented SOP-based new reimbursement system for CM. Yet, the scientific evidences for SOPs are not sufficient, it can be useful references when we develope disease related reimbursement system for Korean Medicine in South Korea.

• Human Ecology Research
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• 제53권2호
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• pp.119-130
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• 2015

In this study, we examined the effects of a mother's reading motivation on the home literacy environment. Seven hundred fifty-seven mothers with three to five year old children participated in this study and completed the Adult Motivation for Reading Scale and the Home Literacy Environment Questionnaire. The subcategories of the Adult Motivation for Reading Scale are "reading as part of self," "reading efficacy," "reading for recognition," and "reading to do well in other realms." The Home Literacy Environment Questionnaire has three subcategories, namely reading books, reading behavior and modeling of parents, and literacy learning. The mean, standard deviation, one-way analysis of variance (ANOVA), and hierarchical multiple regression analysis were used to analyze the data. The results showed that (1) the home literacy environment was significantly different depending on the mother's education and family income levels, (2) the mother's reading motivation also differed significantly depending on the mother's education and family income levels, and (3) the mother's reading motivation has a significant explanatory effect on the home literacy environment. In addition, the mothers falling into the reading motivation subcategories of "reading part of self" or "reading to do well in other realms" were found to enrich their home literacy environment. Therefore, this study demonstrates that the mother's reading motivation is an important factor affecting the home literacy environment.

• The Journal of Korean Physical Therapy
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• 제30권3호
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• pp.90-95
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• 2018

Purpose: To investigate the relationship between gross motor capacity and neuromuscular function in children with cerebral palsy (CP) through a short-term intensive intervention. Methods: Twenty-four children younger than 6 years of age (17 boys, 7 girls, mean $age{\pm}standard$ deviation, $42.71{\pm}14.43months$) who were diagnosed with CP underwent short-term intensive treatment for 8 weeks. An evaluation of gross motor function capacity using the gross motor function measure (GMFM-66 and GMFM-88) was performed to measure muscle strength, selective motor control (SMC), and spasticity, factors related to neuromusculoskeletal function. Changes in spasticity, strength, range of motion, selective motor function, and exercise intensity scores were evaluated in terms of the gross motor function classification system (GMFCS) and ages. Results: The GMFM-88 and GMFM-66 scores significantly increased, by $4.32{\pm}4.04$ and $2.41{\pm}1.51%$, respectively, following the 8-week intervention. The change in the GMFM-66 score did not reflect a statistically significant difference in the GMFCS level. However, there was a statistically significant difference in the GMFM-88 score change in individuals at GMFCS Level III, the strength and spasticity of subjects at GMFCS Levels I-II did not significantly differ (p<0.05). The changes in the GMFM-66 scores for strength, SMC, range of motion (ROM), and spasticity significantly differed according to age (p<0.05) in children aged 36 months and older. Overall, there was a statistically significant difference in strength, SMC, and spasticity (p<0.05) before and after intensive short-term treatment. Conclusion: The 8-week short-term intensive care intervention improved the motor function score of study participants, emphasizing the need for early intervention and additional research in this area.

• 가족자원경영과 정책
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• 제20권4호
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• pp.49-68
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• 2016

Fathers are increasingly expected to participate in parenting due to the higher participation of women in economic activities, the growing awareness of gender equality, and the greater emphasis on the role of fathers. The purpose of this study was to examine the effects of paid work time and jobs' family-friendly policies on parenting participation in dual-earner families. Questionnaires were distributed to 577 fathers of dual earner families through a child care center in the Gyeongsangbukdo Province, and the results were analyzed using SPSS 18.0 for Windows. The statistical methods employed included mean, standard deviation, the Pearson correlation analysis, and a multiple regression analysis. The main results are as follows. First, the fathers of dual-earner families showed an above average level of participation in parenting (3.26). By category, they were less involved (2.89) in household chores, and more active in daily guidance and leisure activities (3.48). Second, the most significant variable affecting fathers' parenting participation was having a regular office-closing time. Fathers who were younger, had a higher level of education, had a regular office-closing time, had more vacation leave, and whose companies implemented family-friendly policies were more likely to participate more actively in parenting. Third, the key factors influencing fathers' parenting participation by sub-category were found to be having a regular office-closing time and jobs with family-friendly policies. Fathers with a greater awareness of gender equality were more inclined to participate in household chores, while those who were younger and more educated actively participated in daily guidance and leisure activities.

• Archives of Plastic Surgery
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• 제40권3호
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• pp.203-208
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• 2013

Background Preoperative volume assessment is useful in breast reconstruction. Magnetic resonance imaging (MRI) and mammography are commonly available to reconstructive surgeons in the care of a patient with breast cancer. This study aimed to verify the accuracy of breast volume measured by MRI, and to identify any factor affecting the relationship between measured breast volume and actual breast weight to derive a new model for accurate breast volume estimation. Methods From January 2012 to January 2013, a retrospective review was performed on a total of 101 breasts from 99 patients who had undergone total mastectomy. The mastectomy specimen weight was obtained for each breast. Mammographic and MRI data were used to estimate the volume and density. A standard statistical analysis was performed. Results The mean mastectomy specimen weight was 340.8 g (range, 95 to 795 g). The mean MRI-estimated volume was $322.2mL^3$. When divided into three groups by the "difference percentage value", the underestimated group showed a significantly higher fibroglandular volume, higher percent density, and included significantly more Breast Imaging, Reporting and Data System mammographic density grade 4 breasts than the other groups. We derived a new model considering both fibroglandular tissue volume and fat tissue volume for accurate breast volume estimation. Conclusions MRI-based breast volume assessment showed a significant correlation with actual breast weight; however, in the case of dense breasts, the reconstructive surgeon should note that the mastectomy specimen weight tends to overestimate the volume. We suggested a new model for accurate breast volume assessment considering fibroglandular and fat tissue volume.

• 한국콘텐츠학회논문지
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• 제10권10호
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• pp.304-317
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• 2010

본 연구는 일반성인의 존엄사의 법제화에 대한 의견을 살펴보고자 서울 경기지역에 거주하는 20세이상 남녀 561명을 대상으로 설문조사를 실시하였다. 응답자의 개인적 특성과 죽음과 관련한 개인적 경험, 죽음에 대한 생각, 존엄사 및 법제화에 대한 찬반여부, 법제화 요건에 대한 의견 등의 총 28개 항목에 대해 백분율, 평균분석 및 교차분석을 실시하였다. 조사결과 응답자의 87.3%가 존엄사법제화에 찬성하였으며, 연령이 높아질수록, 기혼인 경우, 부부가구의 경우, 불교를 믿는 경우, 자영업자나 생산직 종사자의 경우, 가족 친지의 투병 및 임종경험, 간병경험이 있는 경우, 사후세계에 대한 믿음이 강한 경우, 유언의 필요성을 느끼고 있는 경우 존엄사의 법제화 찬성율이 더 높은 것으로 조사되었다. 법제화를 위한 요건으로 '본인의사 판단의 근거'를 가장 중요시하였으며, '존엄사의 결정자'에 대해 본인 다음으로 가족의 의견을 중요시하는 것으로 나타났다. 필요서비스로 존엄사 결정시 '본인, 가족과 의사와의 의견조율'에 대한 도움과 '질병경과나 연명치료 과정에 대한 의학적 정보'와 '우울 등 심리상담'을 필요로 하는 것으로 나타났다.