• Title/Summary/Keyword: absence of care

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A Study of After School Care Services in the Child Welfare System (아동복지제도 방과 후 돌봄서비스에 관한 연구)

  • Yeon Ja Kim;Hyun-Seung Park
    • Industry Promotion Research
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    • v.9 no.1
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    • pp.103-111
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    • 2024
  • In this study, the problem of child care gaps has arisen due to the expansion of women's entry into the workforce and the increase in working couples, and the care cliff phenomenon after children enter elementary school has been identified as one of the causes of women's career disconnection and low birth rates, and child care services have been initiated to solve care problems and balance work and family. The importance of childcare services to the safety and well-being of children has been highlighted by the restrictions on school attendance and the absence of caregivers during the COVID-19 pandemic. The government has been making policy efforts to reduce the gap in child care, but problems with the effectiveness and efficiency of the child care system have arisen due to unstable target selection and delivery systems by ministries and projects in the implementation of child care services. Therefore, this study examines the child care services implemented by each ministry to reduce the blind spots of after-school care services in the community and prepare efficient operation plans for various delivery systems, and seeks directions for the development of child care services.

A Clinical Study on Case 4, Hospitalized after Total Hysterectomy (자궁적출술 후 입원 관리를 한 환자 치험 4례)

  • Kim, Mi-Rim;Lim, Eun-Mee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.4
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    • pp.109-120
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    • 2014
  • Objectives: The purpose of this study is to report the effect of Korean medicine treatments on Postoperative symptoms. Methods: The patient was treated with herbal medicine, acupuncture and electronic moxibustion. The efficacy of treatment was evaluated with visual analogue scale (VAS), the degree of symptom relief and presence or absence of symptoms. Results: After hospital care with korean medicine treatments, symptoms such as fatigue, lower abdominal pain, thirst, hot flush, cold hypersensitivity of hands and feet and tinnitus were disappeared. Conclusions: To promote physical strength and reduction of fatigue, intensive hospital care with korean medicine treatment seems to be effective. After discharge, continued outpatient treatment for complications of surgery and menopausal disorder seems to contribute to quality of life and satisfaction for patient who undergoing hysterectomy.

A Study on the Architectural Planning for Prevention of Nosocomial Infection in Intensive Care Unit (병원감염 방지를 위한 중환자부의 건축계획적 연구)

  • Kim, Sang-Bok;Yang, Nae-Won;Kim, Hong-Kye
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.10 no.2
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    • pp.29-37
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    • 2004
  • Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.

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Analysis of Time Use of Mother and Father in Single-Parent Family (한부모가족 부 .모의 생활시간 분석)

  • 조영희
    • Journal of Families and Better Life
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    • v.22 no.1
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    • pp.139-151
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    • 2004
  • The purposes of this study were to examine the time use on weekdays and weekends by the time amount of each activities and compare time amounts of single parent with that of two parents family. So two methods were applied, one was secondary data analysis ,the other was deep-interview. The major findings of analysis of time use were as follows; 1) Mothers in single parent family used significantly less time amount of household labor and family care than them in two parent family 2) Fathers in single parent family used significantly more time amount of household labor but used significantly less time amounts of family care than them in two parent family And 3) Mothers in single parent family used significantly more time amounts of household labor and family care than fathers in single parent family. The results of deep-interview were as follows; roughly the amounts of household labor time, family care time, leisure time were of little quantity and absence of spouse, family size, family life cycle stage, economic condition, sex role identity, psychological factor maybe seemed important.

Characteristics of Long-term Care Patients at a Tertiary Referral Hospital and Factors Influencing the Decision of prolonged Care-giving (일 상급종합병원 장기재원환자의 특성과 전원 결정 여부에 영향을 미치는 요인)

  • Lee, MiJin
    • Journal of Home Health Care Nursing
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    • v.31 no.1
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    • pp.56-65
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    • 2024
  • Purpose: This study aimed to explore the association between demographic characteristics, hospitalization-related characteristics, and the severity of long-term hospitalization in a high-level general hospital, and to analyze the factors influencing decisions of all patients. Methods: General and clinical characteristics of the participants were analyzed using frequency, percentage, mean, and standard deviation. Differences in these characteristics, contingent upon whether a power source was requested, were analyzed using independent t-Test and Chi-squared tests. Logistic regression analysis was used to identify the factors related to the presence or absence of power requests. Results: The factors impacting the decision to refer a dependent variable include medical treatment (neurosurgery) (B=2.118, SE=0.960, p-value=.027, OR=8.314, 95% CI=1.267-54.551), infection isolation (CRE) (B=1.336, SE=0.666, p-value=.045, OR=3.804, 95% CI=1.032-14.021), and the utilization of tertiary antibiotics (B=3.076, SE=1.362, p-value= .024, OR=21.663, 95% CI=1.502-312.530). Conclusion: This study found a significant association between medical treatment (neurosurgery), infection isolation (CRE), and the use of tertiary antibiotics as dependent variables. These findings indicate that continuous monitoring can contribute to a reduction in long-term financial burdens.

Robotic Surgery in Cancer Care: Opportunities and Challenges

  • Mohammadzadeh, Niloofar;Safdari, Reza
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1081-1083
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    • 2014
  • Malignancy-associated mortality, decreased productivity, and spiritual, social and physical burden in cancer patients and their families impose heavy costs on communities. Therefore cancer prevention, early detection, rapid diagnosis and timely treatment are very important. Use of modern methods based on information technology in cancer can improve patient survival and increase patient and health care provider satisfaction. Robot technology is used in different areas of health care and applications in surgery have emerged affecting the cancer treatment domain. Computerized and robotic devices can offer enhanced dexterity by tremor abolition, motion scaling, high quality 3D vision for surgeons and decreased blood loss, significant reduction in narcotic use, and reduced hospital stay for patients. However, there are many challenges like lack of surgical community support, large size, high costs and absence of tactile and haptic feedback. A comprehensive view to identify all factors in different aspects such as technical, legal and ethical items that prevent robotic surgery adoption is thus very necessary. Also evidence must be presented to surgeons to achieve appropriate support from physicians. The aim of this review article is to survey applications, opportunities and barriers to this advanced technology in patients and surgeons as an approach to improve cancer care.

Pediatric Mycoplasma pneumoniae Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia

  • Song, Won Jae;Kang, Ben;Lee, Hwa Pyung;Cho, Joongbum;Lee, Hae Jeong;Choe, Yon Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.2
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    • pp.124-129
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    • 2017
  • Mycoplasma pneumoniae infections mainly involve respiratory tract; however, also can manifestate other symptoms by site involved. Extrapulmonary manifestations of M. pneumoniae infection are rarely known to occur without pneumonia. Herein we report a case of a 9-year-old boy who presented with acute cholestatic hepatitis in the absence of pneumonia. Rhabdomyolysis, skin rash, and initial laboratory results suspicious of disseminated intravascular coagulopathy were also observed in this patient. M. pneumoniae infection was identified by a 4-fold increase in immunoglobulin G antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. This is the first pediatric case in Korea of M. pneumoniae infection presenting with acute cholestatic hepatitis in the absence of pneumonia.

Isolated Unilateral Absence of Pulmonary Artery Associated with Contralateral Lung Cancer

  • Kim, Kun Woo;Lee, Jae-Ik;Son, Kuk-Hui;Kim, Eun Young;Park, Kook-Yang;Park, Chul-Hyun
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.280-282
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    • 2018
  • Unilateral absence of a pulmonary artery (UAPA) is a rare congenital anomaly that may present with various symptoms, depending on the nature and severity of other cardiovascular anomalies. Furthermore, contralateral lung surgery in patients with UAPA is extremely rare, and clinical experience is limited. This report describes a case of surgical treatment of contralateral primary lung cancer in a patient with isolated UAPA. A 56-year-old man was diagnosed with primary lung cancer accompanied by isolated UAPA on the contralateral side. He underwent meticulous cardiorespiratory function tests preoperatively. We performed a right lower lobectomy. Although in the immediate postoperative period, the patient suffered from a mild decline in his respiratory function, he recovered uneventfully. The present case shows that preoperative awareness of UAPA and meticulous perioperative management enable contralateral lung surgery to be performed safely.

Development of a public health care linkage model within the community care system in Daejeon City (대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발)

  • Lim, Ji-Yeon;Ahn, Na-Na;Lee, Seok-Goo;Ahn, Soon-Ki
    • Journal of agricultural medicine and community health
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    • v.47 no.1
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    • pp.1-13
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    • 2022
  • Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

Development and Evaluation of Comprehensive Health Care Program for Infectious Disease Management in Child Care Centers by Doctor of Korean Medicine (보육시설 아동의 감염성 질환 예방 관리를 위한 한의사 주치의 프로그램 개발 및 평가)

  • Park, Jimin;Park, Minjung;Cho, Byonghee
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.65-81
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    • 2013
  • Objectives: The present study was carried out to develop and evaluate comprehensive health care program to prevent infectious disease and promote health in child-care centers by Doctor of Korean medicine. Methods: A nonequivalent control group pretest-posttest design study was conducted on 568 children and 85 child care teacher at 12 child care facilities for 12 weeks from July to October 2012. The program was consist of management, education, screening under concepts of traditional preventive medicine, Yangsaeng and Chimibyeong. Children's medical utilization due to infectious disease and attendance means functional status were measured by reports from parents. The Difference in difference(DID) estimator was applied data analysis, and added Zero-inflated negative binomial regression model. Also, attitudes on the infection of teacher was measured and analyzed through t-test. Results: After the intervention, the total medical utilization due to infectious disease decreased, but not significantly. Total absence, early leave and lateness decreased significantly. But, Attitude on the infection of child care teacher was not changed. The parent's satisfaction showed positive overall. Conclusions: The intervention program may be effective in preventing infectious disease and managing health in child-care center partially. To measure long-term effect, long-term study improved is requested.