• Title/Summary/Keyword: green hospitals

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A Case -Control Study on Dietary and Other Factors Related to Stomach Cancer Incidence (위암 발생의 식이 및 관련요인에 대한 환자군-대조군 연구)

  • 염필영
    • Journal of Nutrition and Health
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    • v.31 no.1
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    • pp.62-71
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    • 1998
  • As stomach cancer is very prevalent in Koreans, various factors, especially dietary factors, related to stomach cancer incidence were examined in a case-control study. The study population consisted of 105 individual s diagnosed for stomach cancer in two general hospitals and 124 control subjects, matched for age and sex, in Seoul. Data for general characteristics, family history, smoking and alcohol consumption, personality , dietary habits and food preference were obtained by self-administered questionnaire and personal interview. Heredity was found to be one of the most important factors causing stomach cancer. In addition, genetic inheritance tended to differ between the sexes. The male patients showed significantly higher incidence of their father's relatives than mother's relatives but the female patients showed higher incidence of their mother's relatives that father's relatives. Smoking was significantly related to stomach cancer. It was also found that the cases drank alcohol more frequently and in much greater quantity than the controls. Personality was related to the incidence of stomach cancer. The cases tended to be more sensitive , impatient, and anxious to do things quickly. With regards to dietary habits, the male cases had meals significantly more irregularly than the male controls. The relative risk of preferencefor salty food and ramen showed to be significantly very high. The male cases consumed carbonated beverages and instant foods, low intake of green yellow vegetables, smoking of cigarettes and drinking of alcohol may contribute to the risk of stomach cancer.

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The Analysis of Factors Affecting Quality of Life of Disabled Persons Living at Home in Rural Community - Using the PRECEDE Model - (농촌지역 재가 장애인의 삶의 질 영향 요인 분석 -PRECEDE 모형을 이용하여-)

  • Kim, Hyunli;Jung, Mi Sook;Ju, Kyoungok
    • 재활복지
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    • v.21 no.1
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    • pp.47-70
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    • 2017
  • The aim of this study was to explore the effects of the epidemiological factor (depression), the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), reinforcing factors (family support, professional support), and enabling factor (resource availability, accessibility) on quality of life in home-dwelling disabled people in rural areas. The conceptual model for this study was established on the basis of the PRECEDE model which was developed by Green and Kreuter. Data were drawn from the "Preliminary Investigation for Community-centered rehabilitation" conducted by a public health center located in the O province in 2011 and 186 of 190 disabled people who participated in the survey were included in the final analysis. Data were analyzed using Direct effects on quality of life arose from latent variables depicting the epidemiological factor (depression)and reinforcing factor (family support, professional support), while indirect effects arose from the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), and enabling support (resource availability, accessibility). This model explained 85.5% of the variance in quality of life among rural disabled individuals. These findings may have shed some light on the necessity of including strategies to reduce depression and to strengthen supports from family and healthcare professionals when performing rehabilitation programs to improve quality of life in home-dwelling disabled people in rural areas. Furthermore, it suggested that it would be useful to develop specific strategies and tactics which might increase self-efficacy and to expand linkages between public health centers and other professional institutions such as hospitals for community-centered rehabilitation services for individuals with disabilities.

The Post-occupancy Evaluation of Roofgarden at Hospital - A Case Study of Asan Medical Center - (병원 옥상정원의 이용후 평가 - 서울아산병원을 대상으로 -)

  • 김인혜;허근영;최아현;김유일
    • Journal of the Korean Institute of Landscape Architecture
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    • v.31 no.5
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    • pp.58-72
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    • 2003
  • Rooftop greenery has been used as a way to solve urban environmental problems by creating green space in densely populated cities. This study was carried out to suggest more effective designs for roof-garden at hospitals through a post-occupancy evaluation. The roofgarden of Asan Medical Center was evaluated with regards to setting, proximate environmental context, users, and design activity by a multi-method including plan investigations, observations, in-depth interviews and questionnaires. The results are summarized as follows; the users' main activities included resting, walking, and talking. A number of users were observed at shaded spaces sitting on such things as benches, pergolas, and shelters. The satisfaction of the users showed high satisfaction level except in the amount of shade, facilities, and shelter. The variables affecting a overall satisfaction were ‘accessibility’, ‘safety’, ‘quality of surroundings’, and ‘suitability for speculation’. By comparing the design concept with using pattern, designer's intention was not reflected sufficiently in several aspects such as ‘event deck for therapy programs’, ‘grove and path’, and ‘low planters’. This study suggests some design implications; it is necessary to furnish shaded sitting places for passive behaviors and pathways for walking or a light exercise. A wind-break wall with glass windows could widen the users' views in a limited space. Natural shade like tree shade or pergola are more desirable than artificial shades. As for the vertical location of the roofgarden, the middle floor could be better than top area for accessibility. Characteristics of building and users should be considered in detail to provide distinct spaces. Proper technical standards for the greening of artificial ground should be established.

Development of the Sentiment Indicators of Housing Welfare (주거복지지표 개발에 관한 연구 II - 수요자 측면의 주거복지체감지표와 지수를 중심으로 -)

  • Jee, Eun-Young;Eun, Nan-Soon;Hong, Hyung-Ock
    • Journal of the Korean housing association
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    • v.19 no.5
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    • pp.85-92
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    • 2008
  • The aim of this research is to develop the sentiment indicators of housing welfare for evaluating housing welfare policies conducted by the Korean government. The methods of this research are used by analysis of related documents, FGI (Focus Group Interview), and survey. The survey was made by experts and consumers. To analyze the survey, this research also uses confirmatory factor analysis by SPSS (Statistical Package for the Social Science) program, AHP (Analytical Hierarchy Process) by Expert Choice program, frequency, average, percentages, Factor analysis etc. As a result of this research, selected housing welfare indicators are settled as follows: In the housing welfare aspect, 11 indicators in the department of 'Housing Satisfaction' and 11 indicators in the department of 'Community Satisfaction' (22 in total) are suggested. The indicators are 1) Water Supply and Distribution Equipment 2) Heating equipment 3) the size of the exclusive residential area 4) the number of rooms 5) Ventilation and Lighting 6) Sound Insulation (Indoor Noise) 7) Air Pollution/Odor 8) House Deposit 9) Rent Paid 10) Maintenance (Dwelling) Cost 11) The length of Occupation 12) Proximity to Welfare Facilities 13) Educational Environment 14) Convenience of Facilities (shops, hospitals etc.) 15) Convenience of Transportation and Commuting 16) Distance from Workplace 17) Landscape and Green Space (Tree, Flowers, Grass etc.) 18) Vandalism (Destruction Behavior, graffiti etc.) 19) Privacy 20) Noise in Public Places (Drinking, Loudly Talking etc.) 21) Safety from Crime 22) Safety from a Disaster. As of 2007, the housing welfare sentiment index is measured by the survey of 1,000 inhabitants in the public housing, which shows 3.51.

Three-dimensional analysis of dermal backflow in cancer-related lymphedema using photoacoustic lymphangiography

  • Oh, Anna;Kajita, Hiroki;Imanishi, Nobuaki;Sakuma, Hisashi;Takatsume, Yoshifumi;Okabe, Keisuke;Aiso, Sadakazu;Kishi, Kazuo
    • Archives of Plastic Surgery
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    • v.49 no.1
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    • pp.99-107
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    • 2022
  • Background Dermal backflow (DBF), which refers to lymphatic reflux due to lymphatic valve insufficiency, is a diagnostic finding in lymphedema. However, the three-dimensional structure of DBF remains unknown. Photoacoustic lymphangiography (PAL) is a new technique that enables the visualization of the distribution of light-absorbing molecules, such as hemoglobin or indocyanine green (ICG), and can provide three-dimensional images of superficial lymphatic vessels and the venous system. This study reports the use of PAL to visualize DBF structures in the extremities of patients with lymphedema after cancer surgery. Methods Patients with a clinical or lymphographic diagnosis of lymphedema who previously underwent surgery for cancer at one of two participating hospitals were included in this study. PAL was performed using the PAI-05 system. ICG was administered subcutaneously in the affected hand or foot, and ICG fluorescence lymphography was performed using a near-infrared camera system prior to PAL. Results Between April 2018 and January 2019, 21 patients were enrolled and examined using PAL. The DBF was composed of dense, interconnecting, three-dimensional lymphatic vessels. It was classified into three patterns according to the composition of the lymphatic vessels: a linear structure of lymphatic collectors (pattern 1), a network of lymphatic capillaries and lymphatic collectors in an underlying layer (pattern 2), and lymphatic capillaries and precollectors with no lymphatic collectors (pattern 3). Conclusions PAL showed the structure of DBF more precisely than ICG fluorescence lymphography. The use of PAL to visualize DBF assists in understanding the pathophysiology and assessing the severity of cancer-related lymphedema.

Relationship between Hospital Safety Symbol Shapes and Memory (병원 안전 심볼의 형태와 기억과의 관계)

  • Seok-Hwan Bae;Myung-Chul Park;Jae-Sang You;Yong-Gwon Kim;Cheul-Ho Ryoo;Dong-Hyun Oh
    • Journal of radiological science and technology
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    • v.46 no.2
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    • pp.115-122
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    • 2023
  • The purpose of this study was to examine the association between the shapes and colors of emergency exit symbols, magnetic field warning symbols, and radiation zone symbols used in hospitals for staff and patient safety and their effects on cognitive memory. The hippocampal region's signal intensity(SI) was analyzed using fMRI. The Symbol 2 (1.75±0.54) with a green background had the highest signal intensity (SI) for emergency exits, according to the findings. The black symbol 2 (1.60±0.51) with a yellow background had the highest signal intensity (SI) for the magnetic field warning symbol, followed by the black symbol 1 (1.59±0.65) with an orange background. The black symbol 2 (1.59±0.59) with a yellow background and the black symbol 3 (1.58±0.52) with an orange background had the low signal intensity with slight differences as for the radiation zone symbols. In conclusion, it was determined that the signal intensity of the black symbol with a yellow background was the highest in the magnetic field area and radiation area. This implies that symbols with a high signal intensity (SI) must be utilized intensively. To ensure that the correct meaning of the symbols is communicated in the future, they must also be utilized regularly and continually in disaster safety education.

A Multicenter Pilot Study of Biliary Atresia Screening Using Digital Stool Color Imaging

  • Kannamon Waitayagitgumjon;Wannisa Poocharoen;Suchin Trirongjitmoah;Kriengsak Treeprapin;Arada Suttiwongsing;Thetiya Wirifai;Chira Trirongchitmoh;Pitiporn Tangkabuanbutr
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.3
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    • pp.168-175
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    • 2024
  • Purpose: The presence of alcoholic stool in biliary atresia (BA) patients is the basis of a stool color card (SCC), a screening tool that has led to more patients receiving Kasai portoenterostomy earlier. This study aimed to evaluate the color image processing of stool images captured using smartphones. We propose that measuring digital color parameters is a more objective method for identifying BA stools and may improve the sensitivity of BA screening. Methods: A prospective study was conducted in five hospitals in Thailand between October 1, 2020, and December 31, 2021. Stools from infants presenting with jaundice, acholic stool, or dark-colored urine were photographed. Digital image color analysis was performed, and software was developed based on the color on the original SCC. Sensitivity and specificity for predicting BA stools were compared between the SCC and the software. Results: Of 33 infants eligible for data collection, 19 were diagnosed with BA. Saturation and blue were two potential digital color parameters used to differentiate BA stools. The receiver operating characteristic curve was used to determine the optimum cutoff point of both values, and when saturation ≤56 or blue ≥61 was set as a threshold for detecting BA stool, high accuracy was achieved at 81.8% and 78.8%, respectively. Conclusion: Digital image processing is a promising technology. With appropriate cutoff values of saturation in hue, saturation, value and blue in red, green, blue color models, BA stools can be identified, and equivocal-colored stools of non-BA patients can be differentiated with acceptable accuracy in infants presenting with jaundice.