• 제목/요약/키워드: Value-based healthcare

검색결과 178건 처리시간 0.027초

한국 성인의 천식 발생 영향요인: 비만 및 전신적 염증 상태를 중심으로 (Factors Influencing Asthma in Korean Adults: A Focus on Obesity and Systemic Inflammation)

  • 이혜순;박재원
    • 가정∙방문간호학회지
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    • 제26권3호
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    • pp.288-299
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    • 2019
  • Purpose: This study was conducted to identify factors influencing asthma, with a focus on obesity and systemic inflammation, in Korean adults. Methods: This study was a secondary analysis of data from the sixth Korea National Health and Nutrition Examination Survey (2015). A total of 3,693 individuals aged ≥19 years were included. The prevalence of asthma was 1.6% in the normal weight group (n=23), 1.4% in the overweight group (n=13), and 2.9% in the obese group (n=39). Data included markers associated with systemic inflammation such as high sensitivity C-reactive protein level, leukocyte count, hemoglobin level, and hematocrit value based on previous studies. The results were analyzed using a complex sampling design analysis and by multiple logistic regression analysis with SPSS WIN 24.0 program. Results: In the obese group, age between 50 and 59 years (adjusted odds ratio [AOR]=14.06, 95% confidence interval [CI]=1.84-27.14); age between 60 and 69 years (AOR=3.30, 95% CI=1.34-8.14); age ≥70 years (AOR=3.22, 95% CI=1.31-7.93); female gender (AOR=2.32, 95% CI=1.12-4.78); leukocyte count (AOR=1.18, 95% CI=1.01-1.38), and hemoglobin levels (AOR=0.60, 95% CI=0.45-0.81) were identified as factors influencing asthma. Conclusion: The results can be used to develop nursing interventions to prevent asthma associated with obesity in hospitals or home-based healthcare settings.

Standard based Deposit Guideline for Distribution of Human Biological Materials in Cancer Patients

  • Seo, Hwa Jeong;Kim, Hye Hyeon;Im, Jeong Soo;Kim, Ju Han
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5545-5550
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    • 2014
  • Background: Human biological materials from cancer patients are linked directly with public health issues in medical science research as foundational resources so securing "human biological material" is truly important in bio-industry. However, because South Korea's national R and D project lacks a proper managing system for establishing a national standard for the outputs of certain processes, high-value added human biological material produced by the national R and D project could be lost or neglected. As a result, it is necessary to develop a managing process, which can be started by establishing operating guidelines to handle the output of human biological materials. Materials and Methods: The current law and regulations related to submitting research outcome resources was reviewed, and the process of data 'acquisition' and data 'distribution' from the point of view of big data and health 2.0 was examined in order to arrive at a method for switching paradigms to better utilize human biological materials. Results: For the deposit of biological research resources, the original process was modified and a standard process with relative forms was developed. With deposit forms, research information, researchers, and deposit type are submitted. The checklist's 26 items are provided for publishing. This is a checklist of items that should be addressed in deposit reports. Lastly, XML-based deposit procedure forms were designed and developed to collect data in a structured form, to help researchers distribute their data in an electronic way. Conclusions: Through guidelines included with the plan for profit sharing between depositor and user it is possible to manage the material effectively and safely, so high-quality human biological material can be supplied and utilized by researchers from universities, industry and institutes. Furthermore, this will improve national competitiveness by leading to development in the national bio-science industry.

다중상황의 군집분석과 연관규칙을 이용한 지식추론 모델 (Knowledge Reasoning Model using Association Rules and Clustering Analysis of Multi-Context)

  • 신동훈;김민정;오상엽;정경용
    • 한국융합학회논문지
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    • 제10권9호
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    • pp.11-16
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    • 2019
  • 사람들은 바쁜 현대사회 속에서 시간적 제재를 받고 있다. 이에 따라 사람들은 건강에 나쁜 영향을 미치는 간편한 인스턴트 식품을 섭취하고 간단한 운동조차하기 어려운 상황에 놓여있다. 또한 불필요한 정보과부화 현상으로 인해 개인의 특성에 적합하고 정확한 추론을 하는 것에 대한 중요성이 커지고 있다. 따라서 본 논문에서는 다중상황의 군집분석과 연관규칙을 이용한 지식추론 모델을 제안한다. 제안하는 방법은 상황정보에 따른 군집을 기반으로 연관규칙을 생성함으로써 사용자들에게 개인화된 헬스케어 방법을 제공한다. 이를 통해 각 질병에 대한 위험도를 추론함으로써 해당 질병에 대한 발병률을 낮출 수 있다. 또한 성능 평가를 통해 제안하는 모델이 비교 모델보다 수치상으로 F-measure 값이 0.027 더 높게 나타나며, 비교 모델 보다 우수하게 평가된다.

육안검사기술의 실무적 이해 (Practical Understanding of Gross Examination Techniques)

  • 지우현
    • 대한임상검사과학회지
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    • 제56권1호
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    • pp.89-98
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    • 2024
  • 육안검사는 정확한 병리조직학적 진단을 위해 수술, 내시경 검사에서 채취된 검체를 육안검사를 통해 암의 육안정보를 기록하고 병변은 현미경 표본을 만들기 위해 절편을 채취하는 행위이다. 육안검사의 기술은 간결하고 정확한 표현, 적절한 구조화, 충분한 절제, 중요정보에 대한 오류가 없는 표준화, 복잡한 검체의 사진 도표화가 이루어져야 한다. 병리학적 판독의 만족도를 높이기 위해서는 육안검사에 대한 이해가 충분한 이론적 실무적 바탕에서 신뢰를 얻기 위한 정확하고 신중히 수행해야 하는 업무이다. 육안검사 분야에서 임상병리사들의 경험을 바탕으로, 추가 표본 유형이 실행 가능한 후보로 식별되고 치료 측면에서 요구와 우려 사항을 신중하게 고려해야 한다. 또한, 각 기관의 부서에서는 임상과의 파트너쉽, 지속적인 전문인력 양성, 진단오류 및 가치 기반의 의료제공에 대한 국가적 초점 측면에서 검토해야 할 것이다.

청소년의 스마트폰 사용시간 표준화 연구 : 2017년 청소년건강행태온라인조사 원시자료를 이용하여 (Standardization of Time of Smartphone Use in Adolescents : Using Data from Korea Youth Risk Behavior Web-based Survey of 2017)

  • 문종훈;전민재;김진욱
    • 한국엔터테인먼트산업학회논문지
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    • 제14권5호
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    • pp.277-287
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    • 2020
  • 본 연구는 청소년의 하루 평균 스마트폰 사용시간에 대한 표준화를 조사하고자 하였다. 자료는 2017년 청소년건강행태온라인조사의 원시자료를 이용하였고, 분석된 인원은 54,603명이었다. 통계분석은 빈도분석, 독립 t 검정, 피어슨 상관분석, 일원분산분석을 사용하였다. 연구결과, 스마트폰 사용시간과 나이, 학년 사이에 상관계수는 매우 낮았다(r=.025~.039). 중학생과 고등학생의 스마트폰 사용량은 유의한 차이가 없었다(p>.05). 중학생에서 학년이 높아질수록 스마트폰 사용량이 유의하게 많았다(p<.05). 고등학생에서 2학년은 1학년과 3학년보다 스마트폰 사용량이 유의하게 많았다(p<.05). 본 연구는 54,603명의 청소년에서 성별(남, 여), 사용기간(주중, 주말), 학교(중학교, 고등학교), 학년(1학년, 2학년, 3학년)에 대한 각각의 하루 평균 스마트폰 사용량(분)을 7분위수로 제시하였다. 스마트폰 사용량의 기준치 제공은 청소년의 신체 및 정신 건강관리에 근거자료로 사용될 수 있다. 추후 연구를 통해 스마트폰 과사용을 증명할 수 있는 기준값 제시가 필요하다.

Changes in upper limb muscle activity during smartphone usage while in stable and unstable positions and during gait

  • Kim, You Lim;Lee, Suk Min;Lee, Hyun-Soo;Song, Juyeong;Song, Si-On;Seol, Min-Ji;Jang, Yu-Mi;Im, Jin-Sik;Im, Ji-Woo
    • Physical Therapy Rehabilitation Science
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    • 제7권3호
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    • pp.119-126
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    • 2018
  • Objective: The objective of this study was to describe the influence of smartphone usage on the upper limb muscles while in stable and unstable positions and during gait. Design: Cross-sectional study. Methods: The study was conducted with 20 right-handed university students between 20 and 27 years of age. Experiments were carried out on students who have used cell phones for more than a year. In this study, experiments were performed with one-handed and two-handed smartphone operations while on stable ground, and the same parameters were measured during smartphone use on unstable ground and during gait. Subjects were instructed to write a text message in Korean on the smartphone for 3 minutes. This was repeated 3 times, with a rest period of 10 seconds given between each 3-minute period. Electromyography was used to record the muscle activity of the upper trapezius, extensor carpi radialis, extensor pollicis longus, and abductor pollicis (AP) during phone operation. Results: The muscle activity value for the right AP in one-handed and the left-AP in two-handed operations was statistically higher than the other muscles in the stable position and during gait (p<0.0001). Also, the right AP in the one- handed operation condition was statistically higher than the two-handed condition (p<0.0001). Conclusions: The use of smartphones while in a stable position resulted in high muscle activity of the right upper limb AP. However, in an unstable position, there were no significant differences from the other muscle activities. Using smartphone while assuming various positions may lead to musculoskeletal disorders in different places.

건강검진 수검자의 동선 효율화에 관한 연구 (A Study on the Efficient Flow of Health Examinees)

  • 박일수;김진수;김성수;김은주;최현숙;강성홍
    • 디지털융복합연구
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    • 제12권2호
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    • pp.379-389
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    • 2014
  • 본 연구는 시뮬레이션 모델을 기반으로 일개 건강검진기관의 수검자 동선을 최적화하여 기관 운영의 효율성을 높이 고자 수행되었다. 2가지의 시나리오를 설정하여 시뮬레이션 분석을 수행하셨으며 수검자의 전체 체류 시간, 직원 활용도, 검사실 가동률 지표를 비교하여 시나리오에 따른 수검자 동선 개선의 효과성을 평가하였다. 시뮬레이션 분석 결과, 각 수검자 동선 시나리오에 따른 평가지표들의 결과 값이 큰 차이를 보이지 않았다. 본래 최적의 수검자 동선 안을 제시하는 것이 연구의 목적이었으나, 효율적인 병원 운영 관리를 위한 시뮬레이션의 활용은 방법론으로서 그 의미가 있다. 왜냐하면 과거 경험, 감정, 직관에 의존하는 기존의 보건의료 관리 기법과 달리 시뮬레이션은 효율적인 의사 결정을 지원하는 강력한 기법이기 때문이다. 따라서 본 연구에서 제시한 연구 모델은 보건 의료시스템 상에 다양한 활용이 가능할 것으로 보인다.

장기요양보험제도의 도입에 따른 노인요양시설의 공간구조 변화에 관한 연구 (A Study on the Spatial Structure Change of Elderly Care Facility according to Introduction of Long-Term Care Insurance)

  • 윤소희;김석태
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제20권4호
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    • pp.67-80
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    • 2014
  • Purpose : Long-term Care Insurance sets up facility standard and installation standard of aged care facilities and decides the presence of minimum number of rooms and its size in care facilities by using systematic instruments. Therefore, most aged care facilities had renovation in expansion and reconstruction following the revised regulations and even facility space structure and space composition are continuously improving. The study is to determine the purpose and trend by comparing before and after space composition of facilities which followed the implementation of Long-term Care Insurance and also to suggest hierarchical space composition suitable for aged care facilities through derived problems and to provide basic materials to plan the most appropriate facility for the aged. Methods : J-graph based on Space Syntax Theory will be schematized through in-site facility survey and before and after facility floor plan. Space composition trend will be analyzed by comparing indexes through S3 program. Results : As a result of 5 cases analysis, the following results were found; the average of whole space depth is increasing due to the Extension, the number of volunteers is decreasing and rooms for geriatric care helpers are being created due to the geriatric care helper introduction duty. Also, there are solariums being created to improve the health of the aged and dispensaries are being placed on every floor with the increase of documentary work for geriatric care helpers. With the policy implementation, care facility space composition and structure are changing with facility standard and it was analyzed that facilities were mostly put under the control of limited number of people in care room and total ground area per person. It was also found that there is increase in care space integration through before and after comparison of whole integration value. This is considered as the important result not only in facility standard satisfaction, but also in care support of geriatric care helpers and the aged, its main users. Implication : In order for elderly care facilities to have quality improvement and to develop as suitable facilities for characteristics of the aged, independent environmental facility standard preparation of elderly care facilities is needed through mutual cooperation of construction fields with regulation and policy related researches.

간호대학생의 전공 만족도가 전공 몰입에 미치는 영향 (The Effects of Nursing College Students' Satisfaction with their Major on their Engagement in the Major)

  • 신승호;이정원;김창태
    • 한국산학기술학회논문지
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    • 제21권7호
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    • pp.136-145
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    • 2020
  • 본 연구는 간호학 전공 학생을 대상으로 전공에 대한 만족이 전공 몰입에 미치는 영향을 분석하기 위해 실시되었다. 이를 위해 부산·경북지역 소재 각각 1개 대학교 간호학과 학생 127명의 설문조사를 SPSS 22.0을 이용하여 분석하였다. 연구 결과 첫째, 전공 만족도 3.91점, 전공 몰입 3.69점으로 5점 리커트 척도에서 중간값 보다 높았다. 둘째, 학교생활에 만족하고, 건강 상태가 양호하며, 진학 동기가 본인의 의사일 때 전공 만족도와 전공 몰입의 정도가 높았다. 셋째, 전공 몰입의 영향요인으로는 학교생활 만족도의 만족, 진학 동기의 본인 의사, 평균성적의 상위권 순으로 영향을 미치는 것으로 예측되었으며 26.0%를 설명하였다. 전공 만족도 하위변인을 추가로 투입하여 분석한 결과에서는 일반만족과 교과·관계 만족이 영향을 미치는 것으로 예측되었으며 이에 대하여 65.4% 설명하였다. 이러한 결과를 바탕으로 간호대학생들의 전공 만족도와 전공 몰입 향상을 위한 논의를 하였다.

딥러닝 알고리즘을 이용한 인쇄된 별색 잉크의 색상 예측 연구 (A Study on A Deep Learning Algorithm to Predict Printed Spot Colors)

  • 전수현;박재상;태현철
    • 산업경영시스템학회지
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    • 제45권2호
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    • pp.48-55
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    • 2022
  • The color image of the brand comes first and is an important visual element that leads consumers to the consumption of the product. To express more effectively what the brand wants to convey through design, the printing market is striving to print accurate colors that match the intention. In 'offset printing' mainly used in printing, colors are often printed in CMYK (Cyan, Magenta, Yellow, Key) colors. However, it is possible to print more accurate colors by making ink of the desired color instead of dotting CMYK colors. The resulting ink is called 'spot color' ink. Spot color ink is manufactured by repeating the process of mixing the existing inks. In this repetition of trial and error, the manufacturing cost of ink increases, resulting in economic loss, and environmental pollution is caused by wasted inks. In this study, a deep learning algorithm to predict printed spot colors was designed to solve this problem. The algorithm uses a single DNN (Deep Neural Network) model to predict printed spot colors based on the information of the paper and the proportions of inks to mix. More than 8,000 spot color ink data were used for learning, and all color was quantified by dividing the visible light wavelength range into 31 sections and the reflectance for each section. The proposed algorithm predicted more than 80% of spot color inks as very similar colors. The average value of the calculated difference between the actual color and the predicted color through 'Delta E' provided by CIE is 5.29. It is known that when Delta E is less than 10, it is difficult to distinguish the difference in printed color with the naked eye. The algorithm of this study has a more accurate prediction ability than previous studies, and it can be added flexibly even when new inks are added. This can be usefully used in real industrial sites, and it will reduce the attempts of the operator by checking the color of ink in a virtual environment. This will reduce the manufacturing cost of spot color inks and lead to improved working conditions for workers. In addition, it is expected to contribute to solving the environmental pollution problem by reducing unnecessarily wasted ink.