• 제목/요약/키워드: care policy

검색결과 2,551건 처리시간 0.027초

아토피피부염을 유발한 마우스에서 청기해독탕의 항염증 효과 (Anti-inflammatory effect of CGT in atopic dermatitis model mice)

  • 승윤철
    • 디지털융복합연구
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    • 제12권8호
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    • pp.361-368
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    • 2014
  • 본 실험에서는 CGT의 항염증과 관련한 다양한 실험을 실시하였다. In-vitro 실험에서 MTT, NO, ROS와 같은 염증 매개 물질 실험은 RAW 264.7 세포를 이용하여 실시하였다. In-vivo 실험은 아토피피부염 동물 모델인 NC/Nga 생쥐에서 항염증과 관련한 인자 및 조직학적 변화 등을 관찰하였다. CGT는 RAW 264.7 세포에서 100% 이상의 생존율을 나타냈으며, LPS를 이용한 NO와 ROS의 검사에서도 효과를 나타내었다. CGT 처치 그룹은 혈청 내 IL-$1{\beta}$와 IL-6, TNF-흰 에서 53%, 43%, 57%의 유의성 있는 감소를 나타내었고, IgE 역시 56%의 감소를 보였다. 또한, 피부에 지방세포의 침윤을 억제하고, 표피 및 진피의 두께 역시 감소하였다. 그 결과 CGT는 NC/Nga 생쥐에서 항염증에 효과를 나타내었다. 따라서 CGT는 아토피피부염과 염증 치료에 좋은 효과가 있다고 제안하는 바이다.

EQ-5D Index 이용 성인 암 환자의 인구사회학적 특성별 건강관련 삶의 질 측정 -국민건강영양조사를 중심으로- (Measurement of Quality of Life related to Health by demographic characteristics of adult patients with cancer using EQ-5D Index -Focused on the Korea Health & Nutrition Examination Survey-)

  • 김종규;권이승
    • 디지털융복합연구
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    • 제11권8호
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    • pp.281-291
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    • 2013
  • 본 연구는 국내 처음으로 2007년부터 2011년까지 지난 5개 년간 국민건강영양조사 자료를 근거로 19세 이상 성인을 대상으로 위암, 유방암, 자궁경부암, 간암, 대장암 및 폐암 환자의 인구사회학적 특성과 삶의 질을 EQ-5D 측정도구로 분석하였다. 측정 결과 전체 연구대상자 26,260명 중에서 암 유병은 201명으로 조사대상자의 약 0.8%이다. 암 환자의 삶의 질은 연령이 낮을수록(p<0.0001), 전문직 종사자일수록(p<0.0001), 고학력일수록(p=0.0002) 높았고, 또한 아파트 거주자(p<0.0001)와 미혼자(p<0.0001)의 암 환자 삶의 질이 높았다. 특히 우리나라 의료보장 형태변수에 따른 암 환자의 삶의 질 측정은 국내 최초로 시도한 연구이다.

고혈압 환자를 위한 블루투스 기반의 포터블 헬스케어 게이트웨이 개발 (Bluetooth based Portable Healthcare Gateway Development for Hypertention Patients)

  • 김종탁;소재영;김종훈;강운구
    • 디지털융복합연구
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    • 제11권12호
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    • pp.339-344
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    • 2013
  • 최근 만성질환자의 증가로 생활 속에서 건강관리의 중요성이 증대되고 있다. 일상생활 중에 사용자에 의해서 측정된 생체신호가 특정 건강관리 디바이스에 의해서 자동으로 건강관리센터의 서버에 전송된다면 환자의 건강증대 및 건강관리 서비스의 확산에 기여할 것으로 예상된다. 본 논문에서는 사용자가 휴대 가능한 포터블 헬스케어 게이트웨이(Portable Healthcare Gateway)를 개발한다. 본 게이트웨이는 USB형으로 설계되고 표준화된 데이터 전송이 가능하여 사용자의 위치 및 PHD(Personal Health Device)에 제약을 받지 않고 데이터 전송이 가능하다. 개발된 포터블 헬스케어 게이트웨이는 유비쿼터스 환경에서 고객의 건강을 증진시킬 수 있는 효과적인 서비스를 제공한다.

노인의 성별에 따른 건강관련 삶의 질 영향요인 (Gender Difference in Influencing Factors on Health related Quality of Life among the Elderly in Community)

  • 이승희
    • 디지털융복합연구
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    • 제11권12호
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    • pp.523-535
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    • 2013
  • 본 연구의 목적은 노인의 건강관련 삶의 질에 대한 인구사회학적 및 건강관련 요인의 영향력을 성별에 따라 확인하기 위한 것이다. 이를 위해 제5기 2차년도 국민건강영양조사 자료를 이용하여 65세 이상 노인 1,598명의 자료를 SPSS 통계 프로그램을 이용하여 분석하였다. 연구결과 남자노인의 경우 교육수준과 월 소득, 활동제한, 주관적 건강상태, 만성질환 수가 영향요인이었고, 여자노인의 경우에는 연령, 활동제한, 주관적 건강상태, 우울, 스트레스가 영향요인이었다. 남녀노인 모두에서 활동제한과 주관적 건강상태가 건강관련 삶의 질의 강력한 영향요인이었고, 특히 남자노인과 달리 여자노인에서는 우울, 스트레스와 같은 정신 건강특성이 건강관련 삶의 질에 유의한 영향을 미쳤다. 따라서 향후 노인을 대상으로 건강관련 삶의 질 향상을 위한 프로그램을 기획할 때 이러한 노인의 성별 특성을 고려하여야 할 것이다.

AIDS 환자 간호의도에 영향을 미치는 요인 (Factors Affecting the Nursing Intention of Nurses for AIDS Patients)

  • 양승애
    • 디지털융복합연구
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    • 제11권12호
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    • pp.673-683
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    • 2013
  • 본 연구는 AIDS환자 간호의도에 영향을 미치는 요인들, 즉 지식, 낙인, 편견, AIDS환자 간호에 대한 태도, 사회적 상호작용 간의 인과관계를 확인하고자 시도하였다. 대상자는 서울 및 경기도에 소재한 300병상 이상규모 3개의 종합병원에 근무하고 있는 간호사268명이었고 자료수집 기간은 2012년 6월 20일부터 8월 10일까지였다. AIDS환자 간호의도 가설적 모형에 대한 경로분석을 위해 수집된 자료는 SPSS Window18.0과 AMOS19.0을 이용하여 전산처리하였다. 본 연구에서 지식, 편견, 낙인, AIDS 환자간호에 대한 태도, 사회적 상호작용이 AIDS환자 간호의도 41%를 설명하였다. 간호의도에 직접적으로 영향을 주는 요인은 사회적 상호작용과 AIDS 환자간호에 대한 태도로 확인되었으며 그 중 사회적 상호작용이 가장 큰 직접효과를 주는 것으로 나타났다. 이상의 결과를 종합하여 볼 때 간호의도 제고를 위하여 사회적 상호작용 가능성을 높이고 AIDS 환자간호에 대한 태도를 긍정적으로 변화시키는 방안이 가장 효과적이라고 할 수 있다.

석탄가스 고압연소시 배기가스 배출특성에 관한 실험적 연구 (The experimental study on the emission characteristics of the coal gas in the condition of high pressure combustion)

  • 홍성주;이민철;김기태
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2010년도 추계학술대회 초록집
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    • pp.134-134
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    • 2010
  • Recently, the interest of the study about IGCC(Integrated Gasification Combined Cycle), one of New & Renewable Energy technologies, bas been increased due to the United Nations Framework Convention on Climate Change, the Low Carbon Green Growth policy, etc. Also, with this interest of IGCC, the study on the gas turbine utilizing the synthetic gas is performing actively. In the study of the gas turbine characteristic, the power performance and the combustion efficiency are mainly discussed and also the concern about the exhaust gas is being taken care of due to the increasing awareness of the environment. With this, we would like to go over the exhaust gas emission characteristic by the synthetic gas inflow in this test. In order to conduct such a test, we constructed a synthetic gas supplying system to supply the synthetic gases ($H_2$: hydrogen, $N_2$: nitrogen, CO: carbon monoxide, $CO_2$: carbon dioxide, and $H_2O$: steam) quantitatively and this combustion test was conducted by controlling the supplied synthetic gases artificially. The concentration of the exhaust gases appeared variously depending on the differences of the inflow nitrogen amount and the steam amount, whether or not the carbon dioxide flow in and so on. The results of the test can be able to be utilized for the IGCC study by understanding the exhaust gas emission characteristic of the coal gas turbine by synthetic gas composition.

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장애인의 치과의료서비스 이용 시 만족 요인에 관한 연구 (A STUDY ON THE SATISFACTION FACTORS OF THE DISABLED WHEN USING DENTAL CARE SERVICES)

  • 조혜림;김영재;윤태영
    • 대한장애인치과학회지
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    • 제10권1호
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    • pp.9-21
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    • 2014
  • This study aims to help utilize the dental treatment institutions for the disabled and provide high quality of medical services in the future by identifying the satisfaction factors for the patients of the dental clinics for the disabled. As a study method, surveys were completed 200 patients who visited the dental hospital for the disabled. Among these, the surveys from 187 patients were statistically analyzed. The main findings of this study are as follow. Since the study showed that there were differences in the satisfaction factors between the disabled and non-disabled people, subsequent studies needs to be done to develop measuring tools to accurately accommodate the satisfaction factors of the disabled. In addition, as the low spatial accessibility in terms of distance and location was found in this study, more dental treatment institutions for the disabled are required. In the meantime, the survey results found that the most satisfactory aspect was the lower treatment cost compared to other clinics, and that the most important factor when choosing a clinic was also treatment. In addition, given the fact that the group that took a prosthetic treatment, which was non-insured treatment, showed higher satisfaction compared to the group that did not, it suggests that the economic burden plays an important role for the dental treatment of the disabled.

의료기관 평가제도에 대한 인식조사와 개선방안 고찰 (Opinions and Strategies on the National Hospital Evaluation Program)

  • 김은경;김윤;박재현;박종혁;강민아
    • 간호행정학회지
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    • 제13권1호
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    • pp.40-52
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    • 2007
  • Purpose: The purpose of this paper was to investigate opinions and experiences of hospital CEOs' and QI managers toward the National Hospital Evaluation Program which was implemented in 2004 and to recommend various strategies to improve the program. Methods: We conducted a mail survey with CEOs and QI managers' of 78 hospitals with 500 beds or more that participated the 2004 National Hospital Evaluation Program. Results: About 70.8% of the participating CEOs and 64.0% of the QI managers felt that the objectives of the evaluation program weren't fully achieved. Most respondents said that the current program required a partial or an overall change. Evaluation Criteria was the most often cited area for a change. Many respondents pointed out the importance of including clinical quality indicators in the evaluation tool. Conclusions: To upgrade hospital services with better quality, it is most important to first reach consensus on objectives and approaches of the evaluation program among various players. For a consistent planning and implementation, it is urgent to set up a more systematic organization and financing mechanism. Also, evaluation approaches, including evaluation criteria, methods, patient satisfaction assessment, as well as ways to summarize and publicize each hospital's performance should be improved.

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전문간호사를 위한 임상 전문실습교육프로그램 요구 (Needs of Training Programs for Practice Courses in Advanced Practice Nurse Education)

  • 유호신;오복자;임지영;강희선;양승희;김애경;함옥경;추상희;서문경애
    • 간호행정학회지
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    • 제13권4호
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    • pp.553-561
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    • 2007
  • Purpose: This study aimed to assess needs of training programs for APN practice courses and continuing education programs for APNs to provide baseline data to improve APN education and practice. Methods: A total of 98 questionnaires were distributed to professors in 38 nursing institutions and 64 (65.3%) were returned. Data collection was performed in November and December, 2007 through email. Results: Professors in charge of geriatric and home care nurse practitioner programs constituted 43.7% of the study participants. Forty-one percent answered that they were satisfied with the practice programs they currently have operated, while 36.5% responded to have difficulty in appointment of institutions for practice programs and 56.3% had problems in assignment of preceptorship. In case of developing training programs for APN practice courses, 58.7% answered that they are willing to participate, and 90.6% felt needs for development of continuing education programs for APNs. Regarding liability insurance for APN students, only 11.5% provided insurance policy. Conclusion: The study results indicated that standardized training programs are needed to assure quality of APN education, and continuing education programs are required to provide opportunities for APNs to improve competencies.

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전국 간호교육기관의 금연관련 교육내용 분석 (Tobacco-Related Education in Graduate, Baccalaureate and Associate Degree Programs in Korea)

  • 신성례
    • 대한간호학회지
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    • 제33권2호
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    • pp.256-264
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    • 2003
  • Purpose: The purpose of this research was to find out tobacco control education taught graduate, baccalaureate and associate degree-nursing programs in Korea. Method: A valid and reliable questionnaire previously used to assess tobacco use in medical and nursing schools in the United States was translated and revalidated. Surveys were sent out to all the graduate, baccalaureate and associate nursing programs in Korea. All 6-tobacco curricula content areas recommended by the United States National Cancer Institute and the Agency for Health Care Policy and Research was included. Result: Majority of BSN (93.2%-75%) and AD (92.3%-64.1%) programs were teaching health hazards, cancer risk, health effects of tobacco, effects of ETS, contents of cigarette, withdrawal symptoms and high risk groups of smoking as a part of required courses. However, 87.5% (14/16) of graduate, 50.0% (22/44) in baccalaureate, 53.8% (21/39) in associate degree programs were not teaching about the 5 A's. Of those who reported teaching smoking cessation strategies, they were covered most frequently in Community Nursing (50%), Adult Health Nursing (43.8%) on the graduate level, and in Community Nursing (65.9%-BSN, 76.9%-AD) and Adult Health (54.5%-BSN, 74.4%-AD) on the undergraduate level. 31.1% (5/16) in Graduate, 18.2%(8/44) in BSN, 10.3% (4/39) in Associate Degree programs reported that there are no smoking students in their schools and rest of the schools reported either do not know or they have 1 to more than 21% of students smoking. Conclusion: The study results identifies the quantity and level of tobacco control content in three different nursing programs and will help in developing curricular guidelines in the future. Further survey needs to be done on nursing students' knowledge, attitude and belief on smoking and smoking cessation.