• Title/Summary/Keyword: free medical service

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Nursing Education in North Korea: Past 50 Years and Future (북한의 간호교육 -반세기동안의 변화와 전망-)

  • Yi, Ggod-Me
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.437-449
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    • 2001
  • Purpose: To understand the development of nursing education of North Korea after 1945. Method: First, collecting primary sources published in NK. Second, collecting secondary sources published in South Korea. Third, interview with South Korean medical personnels who visited NK. Forth, interview with medical personnels who escaped NK. Result: After 1945 NK increased health care facilities in short time and had the policy of training medical personnel in short time. Nursing education was focused on the basic practice. NK could begin free medical treatment for the laborer in 1947. Post Korean War restoration and free medical treatment system of national level in 1950s and 1960s served to the health promotion of NK population. The medical personnel training policy continued and the number of R.N. in NK had increased 13 times in 15 years. NK has tried to increase the quality of health care service and medical personnel since 1970s. Nursing education in medical colleges is three-year course but 6 month training courses in general hospitals continue. They focus on primary prevention and oriental medicine in nursing curriculum reflecting the characteristics of NK medial care. But English and high technology is very poor, and there is no computer related curriculum. Conclusion: nursing education in NK has developed reflecting the changes of NK society and health care since 1945. After 1980s NK is in deep economic depression and it is hard to recover from the state with their hands. In this state, we cannot expect the development of nursing education in NK.

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System for Supporting the Decision about the Possibility of Concluding the Civil Law Agreements for Medical, Therapeutic and Dental Services

  • Hnatchuk, Yelyzaveta;Hovorushchenko, Tetiana;Shteinbrekher, Daria;Kysil, Tetiana
    • International Journal of Computer Science & Network Security
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    • v.22 no.10
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    • pp.155-164
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    • 2022
  • The review of known decisions showed that currently there are no systems and technologies for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper models the decision-making support process on the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which is the theoretical basis for the development of rules, methods and system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper also developed the system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which automatically and free determines the possibility or impossibility of concluding the corresponding civil law agreement for the provision of a corresponding medical service. In the case of formation of a conclusion about the possibility of concluding the agreement, further conclusion and signing of the corresponding agreement takes place. In the case of forming a conclusion about the impossibility of concluding the agreement, a request is made for finalizing the relevant agreement for the provision of the relevant medical service, indicating the reasons for the impossibility of concluding the agreement - missing essential conditions in the agreement. After finalization, the agreement can be analyzed again by the developed system for supporting the decision.

Time Measurement Study of Certified Clinical Dietitians from Tertiary Hospital in Seoul and Gyeonggi-do (병원 임상영양사의 업무별 소요시간 분석: 서울 및 경기 일부의 상급종합병원을 중심으로)

  • Um, Mi Hyang;Park, Yoo Kyung;Lee, Song Mi;Cha, Jin A;Lee, Eun;Lyu, Eun Soon
    • Journal of the Korean Dietetic Association
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    • v.21 no.2
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    • pp.123-139
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    • 2015
  • The objective of this study was to document how clinical dietitians working at tertiary hospitals spend their time based on several categories of activities using a time measurement study. The questionnaires were distributed to 14 tertiary hospitals, and dietitians answered by classifying their work activities into several categories such as general care, indirect care, direct care, outpatient care, and food service management. A total of 129 clinical dietitians replied and their answers were analyzed according to the categories of activities. The times spent on the categories are as follows: general care (76.7 mins/day, 14%), indirect care (228.4 mins/day, 35%), direct care (120.1 mins/day, 22%), outpatient care (61.5 mins/day, 11%), and food service management (99.0 mins/day, 18%). The total working hours for dietitians was 590.0 mins, which exceeds the standard working hours of 540.0 mins (9 hrs) a day. From this study, we found that clinical dietitians spent very limited time on direct care. Times spent on activities were different according to type of employment and food service. Internship dietitians spent their more time on general care (P<0.001) while irregular dietitians spent more time on outpatient care (P<0.05). In contracted managed food service hospitals, clinical dietitians spent significantly less time on food service management (P<0.001). Regardless of doctors' order and consultation fees, clinical dietitians performed more than 95 percent of free consultation to patients. Entry-level knowledge and skills of dietitians working at hospitals are very important for quality service, but it is equally important to create an administrative and social environment that encourages clinical dietitian to spend more time on direct patient care.

The Direction of Public Rental Apartment Supported by Community Service Viewed from the Livable Community - A Qualitative Comparison Study on the Rental Apartment in Seoul and ST. Paul - (살기 좋은 지역 만들기 관점에서 본 생활지원서비스와 연계한 공공 임대아파트의 방향 - 서울 SH공사 아파트와 미국 세인트폴 시 PHA 아파트의 질적 연구 -)

  • Shin, Kyung-Joo;Jang, Sang-Ock
    • Journal of the Korean housing association
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    • v.18 no.6
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    • pp.25-34
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    • 2007
  • The purpose of this qualitative research is to compare the community service and situation of SH apartment in Yangcheon-Gu and PHA apartment in Minnesota in order to grasp the requirement for livable community. For the study, depth-interview method was used to collect the data. Throughout this research, we found the ways to create a livable community as follows: Rental apartments are supplied by Seoul Housing agency in Korea while in US by PHA, an independent government agency. Both of them are in direct management. There are five main topics to be discussed. First, as a main supplier of services, it is Yangchun-Gu's social welfare center in Korea, while PHA in US. Second, as a mean of giving services, Korean residents visit the welfare center. On the other hand, PHA apartments enforces service-to-customer policies. Third, as a Korean service, they are consultation targeting families, children, teenagers, disabled, olds, education, medical examinations, rehabilitation and free meals. In US PHA apartments, they are medical health professionals, social worker, beauty salon or barber shop, bus to shopping area, bookmobile, OK card program, CHSP, ASI, ALP, personal care, senior/congregate dinning and etc. Fourth, both Korean and US have same hindrance for the 'livable community' policies which is funding and conflict of residents. Fifth, both Korean and US think that the key for the success of 'livable community' are resources, service and residents. The differences between Korea and US concerning service conditions such as supply of rental apartments, management and services are caused by cultural, ethnic and economical differences. From another point of view, Korean apartments are predicted to have similar problems like PHA apartments, and preparative attitude for this is needed.

An Energy Efficient MAC Protocol Providing Guaranteed Service for Wireless Sensor Network

  • Kim, Dong-Won;Park, Tae-Geon
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.5 no.1
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    • pp.123-140
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    • 2011
  • In this paper, we propose an Energy Efficient Media Access Control (EE-MAC) protocol for wireless sensor networks. The proposed scheme is designed to save power consumption and guarantee quality-of-service for real-time traffic. EE-MAC uses the superframe structure which is bounded by the transmission of a beacon frame and can have an active and an inactive portion. The active period is divided into the contention free period (CFP) for real-time traffic transmission and the contention access period (CAP) for non-real-time traffic transmission. We propose the exclusively allocated backoff scheme which assigns a unique backoff time value to each real-time node based on bandwidth allocation and admission control. This scheme can avoid collision between real-time nodes by controlling distributed fashion and take effect a statistical time division multiple access. We also propose the algorithm to change the duty cycle adaptively according to channel utilization of media depending on network traffic load. This algorithm can prolong network lifetime by reducing the amount of energy wasted on idle listening.

Clinical research methodology for Traditional Korean Medicine treatment of lung cancer : Evidence-based approach (폐암(肺癌)의 한방치료 임상연구 방법론)

  • Kim, Kyung-Suk;Kim, Sme-Hyun;Eo, Wan-Kyu;Cheon, Seong-Ha;Eom, Seok-Ki;Jo, Hak-Jun
    • Journal of Korean Medical classics
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    • v.23 no.4
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    • pp.39-62
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    • 2010
  • Background : I investigated clinical research methodology of Traditional Korean Medicine(TKM) for treatment of lung cancer with Evidence Based Medicine(EBM) approach. Methods : I conducted the internet search of National Central Library, the National Assembly Library, Korea Education & Research Information Service, Korea Institute of Science and Technology Information for Korean theses and papers, and MEDLINE for the outside articles. Conclusion : In addition to outcomes of clinical trial, abundant clinician's experience and patients' preference are also considered. Pragmatic trials and quasi-experimental trials are better than clinical trials to plan clinical design of TKM for lung cancer and appropriate endpoints includes overall survival, disease-free survival, patient reporting outcome.

A Study for Increasing Satisfaction of Transfer Facilities, Services & Transit Tour by Analyzing Air Passengers' Behaviors (항공여객 특성분석을 통한 환승시설·서비스 및 환승투어 만족도 제고 연구)

  • Kim, Kwang-Ok;Kim, Kee-Woong;Kim, Kwang-Il;Kim, Nam-Sun;Park, Sung-Sik
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.23 no.2
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    • pp.89-97
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    • 2015
  • The volume of transfer passengers now faces a crisis because the number of Chinese and Japanese passengers, the majority of transfer through Korea, is decreasing. This paper is analyzing the their air travel behaviors as well as characteristics of their transfer behaviors at airport. According to the research, it is suggested that transfer passengers perceive the importance of duty-free stores but their satisfaction of using duty-free stores during their transfer at Icheon airport was proven to be low. Considering the characteristics of transfer service quality at Incheon airport, waiting time of transfer is important but not satisfactory for them. Moreover, information of free transfer tour to city downtown and paid-in transfer tour for medical tourism is not known very well among North East Asian passengers. Thus, it is necessary to do detailed research of North East Asian transfer passengers, who have transferred through Incheon airport more than twice a year, to find out their exact needs of transfer tour in Korea.

Free Hand Pedicle Screw Placement in the Thoracic Spine without Any Radiographic Guidance : Technical Note, a Cadaveric Study

  • Hyun, Seung-Jae;Kim, Yong-Jung J.;Cheh, Gene;Yoon, Seung-Hwan;Rhim, Seung-Chul
    • Journal of Korean Neurosurgical Society
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    • v.51 no.1
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    • pp.66-70
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    • 2012
  • Thoracic pedicle screw fixation techniques are still controversial for thoracic deformities because of possible complications including neurologic deficit. Methods to aid the surgeon in appropriate screw placement have included the use of intraoperative fluoroscopy and/or radiography as well as image-guided techniques. We describe our technique for free hand pedicle screw placement in the thoracic spine without any radiographic guidance and present the results of pedicle screw placement analyzed by computed tomographic scan in two human cadavers. This free hand technique of thoracic pedicle screw placement performed in a step-wise, consistent, and compulsive manner is an accurate, reliable, and safe method of insertion to treat a variety of spinal disorders, including spinal deformity.

A Study on the Type of Violations of Medical Law Regulations Which Restrict Opening a Medical (의료법상 의료기관 개설제한의 위반유형에 관한 연구)

  • Kim, Joon Rae
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.345-366
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    • 2014
  • Because the health care or medical sector has such characteristics as publicity, professionality, and exclusivity, it cannot be left to the free market system. As a consequence, the state has restricted the establishment of medical institutions in order to protect the life and health of people. Also, the medical law has regulated to permit the establishment of medical institutions by only medical personnel and a few corporate bodies and to ban the establishment of medical institutions under disguised ownership as well as double opening of medical institutions by medical personnel. Nevertheless, there are still many cases that non-medical personnel have dominantly established medical institutions under disguised ownership of other medical personnel or nonprofit corporation. Because they are willing to recover their investment costs as soon as possible, these illegally established medical institutions are likely to make patients undergo unnecessary tests or to perform the excessive treatments and, as a result, are likely to cause infringement on the health and lives of the people. In addition, even if the misconduct is uncovered, the rate at which the costs already paid is very low and, as a result, the damages are straightly connected to the people's loss. On the other hand, there are also increasing number of cases that medical personnel or nonprofit corporations are establishing medical institutions against the medical law regulations. The examples of this illegality are also the double opening of medical institutions and the establishment of medical institutions under disguised ownership by medical personnel or nonprofit corporations. And the damages in these cases may not differ from those in the above cases. In this study, regarding medical law regulations restricting opening a medical institution, I will review the intent of those regulations, the type of violations and criminal punishments, and the possibility of recovery from unlawful profit by the National Health Insurance Act. And then, I would like to find a way for rational improvement of each.

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A Review of Cigarette Smoking-related Behaviors and Health Problems among University Students (대학생 흡연 관련 행태 및 흡연에 의한 건강문제)

  • Park, Soon-Woo
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.35-49
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    • 2011
  • Objectives: This article reviewed research on smoking behaviors and smoking-related health problems among university students to suggest evidences for developing smoking control strategies for them. Methods: Domestic research papers were screened through Research Information Sharing Service (RISS), Koreanstudies Information Service System (KISS), Medical Library Information System (MEDLIS), Korean Medical Database (KMbase), and digital national assembly library. International papers were searched mainly via PubMed. Results: Smoking prevalence among male college students were found to be over 50% in majority of Korean studies. While studies on smoking-related health problems were scant in Korea, several recent studies overseas showed possible effects of smoking on health among young adults, including decreased lung function, respiratory symptoms, cardiovascular problems, glucose intolerance, buccal disease, depressive symptoms, and so forth. Besides, smoking behaviors were closely related with other risk behaviors including drinking, and several psychosocial factors. Conclusions: To explore the smoking problem among college students, the first step should be a national representative survey with scientific methods. More research should be focused on the smoking-related problems among college students. To prevent smoking among college students, smoking prevention education, and smoking cessation counseling, and the initiatives of smoke free campus are needed.