• Title/Summary/Keyword: Treatment support

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The Utilization of Health Service by Psychiatric Outpatients (정신과 외래환자들의 의료이용에 관한 연구)

  • Kim, Chae-Bong;Hwang, Sung-Wan
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.77-86
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    • 2012
  • Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.

A study of the value of Korean medical text "Uibang Yuchi(醫方類聚)" as a representative Database for developing new diseases treatment skills (『의방유취』를 이용한 한의학 치료기술 개발의 가능성에 대한 모델링 연구)

  • CHA Wung-seok;JANG Young-jae;NA Ji-won;AHN Sangwoo
    • The Journal of Korean Medical History
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    • v.36 no.1
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    • pp.143-154
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    • 2023
  • This paper is a study that considers how current scientific medicine could be supported by traditional medicine, and if the scope of this support is expected to gradually widen. This study begins by understanding the process by which Traditional Chinese Medicine (TCM) has developed interventions for COVID-19. We then examine what support is offered by the ancient Korean medical text "Uibang Yuchi". This paper insists that a key database is absolutely necessary to develop treatment techniques for new diseases. The key database should be considered not only from the point of view of knowledge but also from the point of view of intellectual property rights, and for this reason, the text of "Uibang Yuchi" is important. This paper shows the process of how a new treatment technique can be derived from the ancient book "Uibang Yuchi". We expect that the suggested model would play a role as a reference model in the process of pursuing similar strategies in the future.

Extracorporeal Life Support in Treatment of Poisoning Patient: Systematic Review (체외 생명유지술을 이용한 중독 환자의 치료: 체계적 고찰)

  • Lee, Yong Hee;Ko, Dong Ryul;Kong, Taeyoung;Joo, Young Seon;You, Je Sung;Chung, Sung Phil
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.1
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    • pp.1-8
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    • 2016
  • Purpose: Extracorporeal life support (ECLS) is a term used to describe a number of modalities including extracorporeal membrane oxygenation (ECMO) to support cardiac and/or pulmonary systems. The purpose of this study is to review the available evidence regarding the effect of ECLS in patients with acute poisoning. Methods: Electronic literature searches with PubMed, Embase, Cochrane library, and KoreaMed were conducted for identification of relevant studies addressing ECLS in treatment of acute poisoning. The literature search was conducted by two investigators in March, 2016 with publication language restricted to English and Korean. The toxic substance, technique of ECLS, and final outcome of each case were analyzed. Results: The final analysis included 64 articles including 55 case reports. There were no articles classified according to a high level of evidence such as randomized trial and prospective cohort study. ECLS treatment was used in the management of patients poisoned with 36 unique substances. Venovenous ECMO was performed in 4 cases. Among the reported cases, 10 patients died despite treatment with ECLS. Conclusion: Evidence supporting ECLS for patients with acute poisoning is inadequate. However, many case reports suggest that early consideration of ECLS in poisoned patients with refractory cardiac arrest or hemodynamic compromise refractory to standard therapies may be beneficial.

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The status and improvement course of dental treatment for the disabled in Korea (Original Article 1 - 한국 장애인의 치과의료 이용실태와 개선방향)

  • Shim, Su-Hyun;Lee, Won;Choi, Bohm
    • The Journal of the Korean dental association
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    • v.48 no.4
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    • pp.280-287
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    • 2010
  • Objective: In spite of increasing dental treatment for the disabled, there was a few collected data on dental treatment status and dentists' perception in Korea. The purpose of this' study is to research the current dental treatment status for the disabled in Korea and to suggest public health policies for the disabled. Material and methods: Total of 68 dentists who have treated the disabled regularly were asked to fill questionnaires regarding dental treatments for the disabled. Results: 1. It is necessary to set up public dental center for the disabled in rural area. 2. In case of dental treatments relating to cerebral palsy, ADHD, autism, the compensation for treatment time and extra investment is needed. 3. Only 39.7% of dentists charged treatment fees to the disabled as same as normal patients. Moreover 38.2% of dentists answered that they didn't charge treatment fees at all when their patient are disabled. 4.23.5% of dentists provided all of dental treatments including dental implant and orthodontic appliances in Korea. However, 54.3% of dentists reported the improvement of access to dental implant, orthodontic and esthetic treatment is needed. 5. It is imperative for the government to improve the support system for the disabled. Conclusions: Through this research only 26.5% of dentists answered that they had received the fund from the government and 11.1% of them were satisfied with the support for the disabled in Korea. This indicated the improvement of government financial support system for the disabled is needed.

Predictors of Health Status in Patients with Hemodialysis: A Two-year Longitudinal Study (혈액투석 환자의 건강상태 예측요인: 2년 종단연구)

  • Cha, Jieun
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.359-367
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of physical, psychological, and social factors on the health status of patients undergoing hemodialysis using longitudinal data. Methods: Two surveys were conducted within a period of two-year. A total of 75 patients participated in both surveys. Eight variables including symptoms, treatment belief, hope, meaning-focused coping, family support, friend/peer support, healthcare provider support, and health status were measured. Data were analyzed by paired t-test, Pearson's correlation coefficients, and hierarchical multiple regressions. Results: The mean age of the participants was 47.31 and the average duration of dialysis was 8.27 years. There was no difference in scores on perceived health status between the two year-interval surveys. The two-year follow-up on perceived health status was correlated with baseline perceived health status, friend/peer support, meaning-focused coping, hope, and symptoms. As the result of the regression analysis, friends/peer support (${\beta}=.31$, p=.013) and baseline perceived health status (${\beta}=.30$, p=.020) were found to be significant predictors of subsequent health status which explained 39.0% of the variance. Conclusion: This study suggests the importance of psychosocial resources for positive health outcomes in patients with a chronic illness. Nursing interventions aimed to provide renal peer support need to be developed and tested.

Descriptive Study of Relationships between Depression, Family Support, and Rehabilitation-motivation in Patients with Cerebrovascular Accident (통원 뇌졸중 환자의 우울 및 가족 지지가 재활 동기에 미치는 영향)

  • Lee, Hwa-Jin;Yi, Myung-Sun
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.188-196
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    • 2004
  • Purpose: This study was conducted to identify relationships between depression, family support, and rehabilitation-motivation in patients with cerebrovascular accident. Method: The data were collected from 'S' hospital in Seoul from Feb. 1, 2004 to Apr. 30, 2004. The data were analyzed using a SPSS 10.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Result: The results were as follows: The mean rehabilitation-motivation was 119.89, which was slightly high. The rehabilitation-motivation was influenced by religion, education level, occupation, economic status, treatment fee, duration of hospitalization, level of language ability and ADL. Rehabilitation-motivation has showed correlation with family support (r=.538, p=.000) and depression (r=-.417, p=.000). The variables related to rehabilitation-motivation were identified as family support, level of ADL, occupation, depression, and education level, using stepwise multiple regression. They were accounted for 57% of predictability of the rehabilitation-motivation, with the family support the highest at 29.3%. Conclusion: With increasing post stroke patients in Korea, we need to pay more attention to the rehabilitation of them. This study indicates that health professionals need to focus on the intervention especially in increasing family support and in decreasing depression of the patients with cerebrovascular accident.

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Effects of Irrational Parenthood Cognition, Family Support, and Resilience on Depression of Infertile Women (난임 여성의 비합리적 부모 신념, 가족지지, 회복탄력성이 우울에 미치는 영향)

  • Cho, Eun Young;Sung, Mi-Hae
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.60-72
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    • 2019
  • Purpose: To determine effects of irrational parenthood cognition, family support, and resilience on depression in infertile women. Methods: Subjects were 118 infertile women who agreed to participate in this study. Data were collected from April 16 to July 31, 2018. Collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Pearson's correlation and multiple regression with SPSS WIN 23.0 program. Results: Depression significantly differed according to the burden of treatment cost and presence of people giving stress. Depression showed significantly positive correlation with irrational parenthood cognition and significantly negative correlations with family support and resilience. Factors affecting depression were irrational parenthood cognition, family support, and resilience. Irrational parenthood cognition had the greatest effect on depression. These three variables explained 35.8% of total variance. Conclusion: Irrational parenthood cognition, family support, and resilience affected depression of infertile women, with irrational parenthood cognition having the greatest effect. Therefore, it is important to develop and implement programs that can reduce irrational parenthood cognition and increase family support and resilience in order to lower depression of infertile women. The authors declared no conflict of interest.

The Analysis of Need with Homebound Disabled Persons in a Country Area (일부 농촌지역 재가 장애인의 요구도 분석)

  • Jung, Byeong-Ok;Lee, Cu-Rie;Kim, Keun-Jo;Park, Heung-Ki;Kim, Bonn-Won
    • Journal of Korean Physical Therapy Science
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    • v.13 no.4
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    • pp.43-62
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    • 2006
  • The survey was conducted with participation of the 289 handicapped persons residing at the rural area OOeup-gun in Kyungbook for the period of March 2 - May 31, 2006, to study the nature in general of the handicapped and the boundaries of their need. For the nature in general of the handicapped, the study was done by gender iscrimination, age, marital status, religion, educational level, occupation, monthly income, disability cause, disabled duration, disability type, disability level. For the boundaries of their need, the study was done by demand of financial support, educational demand, demand of voluntary workers, need of rehabilitation and medical treatment, job training, improvement of living conditions, or so. Using the Win.SPSS program, we made a frequency analysis and conclusions on the nature in general of the handicapped and the boundaries of their need on a 2-test. Conclusions are : 1. Nature in general of the handicapped The existence of the handicapped shows high at the age over 51 (71.6%), male-handicapped (65.1%), primary school graduates (62.9%), farming engaging (65.2%), monthly income less than one million Won (80.5%), cause by disease (53.8%), duration more than 10 years (61.6%), disability at level 3 (39.8%), extremity disability (66.4%). 2. Correlation of nature in general with demand of the handicapped a. In demanding the financial support, support for helper’s compensation shows high (p<0.05). In demanding the necessity of voluntary workers, the male-handicapped appears high during the absence of family assistance and the female-handicapped appears differently per week and also appears high during the absence of family assistance (p<0.05). b. In educational demand of the handicapped by their age, the age below 30 demands technical-job training and the age over 31 demands medical education for health care (p<0.01). c. In demanding the financial support by educational level, support for living cost shows high (p<0.05). d. In demanding improvement of living conditions by postnatal cause of disability, improvement of house structure shows high (p<0.05). e. In demanding assistance of voluntary workers by disabled duration, "No Need" shows high in the disabled duration more than 4 years (p<0.05). f. In demanding rehabilitation and medical treatment by disability type, home-visiting treatment, oriental medical treatment and physical therapy show high (p<0.001). g. In educational demand by disability level, medical education for health care shows high (p<0.01).

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A Study on the Automation of Cam Heat Treatment Process using Deep Learning (딥러닝을 이용한 캠 열처리 공정 자동화에 관한 연구)

  • Choi, Sung-Yug
    • Journal of the Korean Society of Industry Convergence
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    • v.23 no.2_2
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    • pp.281-288
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    • 2020
  • In this paper, we propose a control method to solve the surface hardness non-uniformity due to flow non-uniformity occurring in the heat treatment process of marine CAM. In the water cooling method including the decarbonization method, an automation device for deformation control has been developed and applied. LSTM was used to estimate the water cooling conditions, and the proposed method was found to be meaningful by improving the prototype results.

Analysis of Mechanical and Ultrasonic Properties for the Evaluation of Material Degradation in Modified 9Cr-1Mo Steel (개량형 9Cr-1Mo 강의 열화도 평가를 위한 기계적 성질 및 초음파 특성 분석)

  • Hyun, Y.K.;Won, S.H.;Lee, S.H.;Son, Y.H.;Lee, J.H.;Kim, I.B.
    • Journal of the Korean Society for Heat Treatment
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    • v.23 no.4
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    • pp.198-204
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    • 2010
  • Modified 9Cr-1Mo steels possess excellent high-temperature mechanical properties and are widely used in energy conversion industries. However, in-service materials degradation, such as softening, carbide-induced embrittlement, temper embrittlement, etc., can take place during long-term operation. Evolution of microstructure due to service exposure to high temperature has a strong effect on the performance of heat resistant steels. In case of modified 9Cr-1Mo steels, precipitation of $Fe_2Mo$-type laves phases and coarsening of $M_{23}C_6$-type carbides are the primary cause of degradation of mechanical properties such as toughness, hardness, tensile strength and creep resistance. This study was aimed at finding reliable parameter for assessing the integrity of modified 9Cr-1Mo steels. Characteristic parameters were attained between mechanical and ultrasonic properties.