• 제목/요약/키워드: health care system

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의료기관 전자결제시스템 도입을 위한 Human-Technology Integration에 관한 연구 (Human-Technology Integration for Implementing Electronic Approval System in a Hospital)

  • 박재성;박기수
    • 한국병원경영학회지
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    • 제7권3호
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    • pp.102-120
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    • 2002
  • The purpose of study is to understand human-technology integration mechanism by using the study model that takes the core concept and motivation assumptions of technology acceptance model(TAM) into account. This study identifies three motivation mechanisms in adopting or using computer mediated communication(CMC) tool for work. The mechanism comprises with extrinsic, extrinsic motivation, and subjective norm pressure. One hospital with 430 beds and 367 human power was identified and we administered the questionnaire during their work hours. There is 32.4% response rate. The fitting index of the study model surpass the acceptable level, GFI = .980 for none-users, GFI =.986 for users, NNFI = .973 for none-users, and NNFI = .989 for users. In the case of none-users, perceived ease of use determines perceived usefulness that explains behavioral intention to use. As a result, adotpers' usage motivation is based on extrinsic motivation that does not consider their affective factor, attitude, in use of CMC. Users considers their attitudes as the mediating factor of all behavioral beliefs for using CMC continually. Thus, users are likely to depend their adoption behaviors on their affective factor. Moreover, users' behavioral intention is subject to pressures of use from other persons who are important to them, such as supervisor, director, or boss. Achieving human-technology integration in a hospital may cause cost saving and work efficiency. However, the success of information system should base on a profound understanding of employees' adoption behaviors in rejecting, adopting, using, continually using of IT, and organization culture in using IT.

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여성농업인에 대한 정책적 지원 강화 방안;여성농업인 육성 5개년계획 평가와 제언을 중심으로 (A Study on the Support Policy for Woman Farmers by Role Types in Korea)

  • 김경미;최윤지;이진영;고운미
    • 농촌지도와개발
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    • 제12권1호
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    • pp.29-44
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    • 2005
  • The objectives of this study were: a) to analyze the upbringing policy for woman farmers in Korea, b) to find out the needs for the policy related to women's roles in decision making of farming activities, and c) to promote the programs in agricultural system for supporting rural women according to their role types and needs. This study was based on a literature review and discussions with the panel of experts witness and professionals including rural women. The major findings and conclusions from this study were as follows: 1 ) First of all, the policy for upbringing woman farmers had been improved. however, policy measures were still inadequate and were plenty of room for development. 2) Government policies were not focussed directly to meet the actual needs of rural women according to their various roles. 3) More government efforts should be enhanced to modify the policy and social system for rural women, and should be organized into the practical programs after careful considerations on the status of woman farmers according to their role types. 4) The five-year upbringing plan for woman farmers should be expanded to include strengthening economic power, widening woman farmers' influence. development of intellectual capacity and strengthening of self-enlightenment better health care and welfare services. and providing equal opportunities for women farmers.

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플루오레세인 유도체를 갖는 잔틴계 염료의 형광안료 제조로의 응용 및 제조된 안료의 광학 특성 분석 (Application of Xanthene Dyes with Fluorescein-Derived Structures for Production of Fluorescent Pigments, and The Analysis of The Optical Properties of The Pigments)

  • 배수환
    • 대한화장품학회지
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    • 제44권3호
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    • pp.303-316
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    • 2018
  • 플루오레세인 구조를 갖는 잔틴계 염료의 형광안료로의 응용 가능성 및 제조되는 안료들의 광학 특성 조절 가능성을 확인하기 위하여 본 연구를 진행하였다. 안료 제조에는 수용성 잔틴계 염료인 eosin Y (D&C Red No.22), phloxine B (D&C Red No.28)를 주로 사용하였으며, 염료를 용매에 용해시켜 분체와 분산, 교반하고 이를 건조시켜 분쇄함으로써 안료를 제조 하였고, 제조된 안료들에 대해서는 형광과 관련한 광학 특성을 측정하였다. 사용한 용매의 종류, 염료의 함량, 그리고 염료의 혼합 투입 비율에 따라서 안료의 광학적 특성이 변함을 관찰하였다. 실험 결과에 따르면, 분체에 흡착된 염료 중 일부분이 형광 발색을 하며, 나머지는 형광에 기여하지 않는 것으로 보인다. 안료를 구성하는 분체-염료 계 내부의 결합 (혹은 상호작용) 세기와 그 특성을 파악하기 위한 안료 수세실험 결과, 안료 계 내에는 서로 다른 2개 이상의 상호작용이 존재하며, 그 중 하나는 용매-염료 상호작용보다 비교적 강하였다.

Prevalence of Types of Cancers in the Elderly Covered by Insurance of the Islamic Republic of Iran Broadcasting Company in 2015 - Comparison with Younger Groups

  • Roshani, Zahra;Kamrani, Ahmad Ali Akbari;Shati, Mohsen;Sahaf, Robab
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.269-273
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    • 2016
  • Presently, the world population of the elderly is growing. By improving health hygiene and welfare indicators, mortality and birth rates decrease and life expectancy increases, making the present century the century of elderly. Aging is one of the main risk factors for development of cancer, which itself is the second cause of death in old people. This study was conducted to assess the prevalence of cancer in the elderly covered by the Islamic Republic of Iran Broadcasting (IRIB) insurance program and to obtain suitable programs for cancer screening and early detection, increase patient survival, improve elderly care and to reclaim the cost of treatment in comparison to the national and international statistics. This is a cross-sectional study conducted on all elderly patients diagnosed with malignancy based on their pathology reports. In this study, of the total 75,500 patients covered by IRIB insurance, 17.2% belonged to the elderly group, males accounting for 53.3%. The most common cancers in old men were prostatic cancer (61.3%), colon cancer (10.3%) cancer of the hematologic system, bladder cancer (9.6%), lung cancer (9.1%), thyroid cancer (3.9%) and brain tumors (1.3%). In the elderly women, the most common cancers were breast cancer (80.1%), colon cancer (5.1%), thyroid cancers (4.4%), bladder and hematologic system malignancies (3.6), lung cancer (2.9%) and brain tumors (0.7%). In addition, the prevalence of cancer was almost the same as national and international statistics. With the exception of non-melanoma skin cancer no difference was shown in prevalence of cancer between IRIB elderly patients and the other groups of cancer patients in Iran.

Factors Related to Treatment Refusal in Taiwanese Cancer Patients

  • Chiang, Ting-Yu;Wang, Chao-Hui;Lin, Yu-Fen;Chou, Shu-Lan;Wang, Ching-Ting;Juang, Hsiao-Ting;Lin, Yung-Chang;Lin, Mei-Hsiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3153-3157
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    • 2015
  • Background: Incidence and mortality rates for cancer have increased dramatically in the recent 30 years in Taiwan. However, not all patients receive treatment. Treatment refusal might impair patient survival and life quality. In order to improve this situation, we proposed this study to evaluate factors that are related to refusal of treatment in cancer patients via a cancer case manager system. Materials and Methods: This study analysed data from a case management system during the period from 2010 to 2012 at a medical center in Northern Taiwan. We enrolled a total of 14,974 patients who were diagnosed with cancer. Using the PRECEDE Model as a framework, we conducted logistic regression analysis to identify independent variables that are significantly associated with refusal of therapy in cancer patients. A multivariate logistic regression model was also applied to estimate adjusted the odds ratios (ORs) with 95% confidence intervals (95%CI). Results: A total of 253 patients (1.69%) refused treatment. The multivariate logistic regression result showed that the high risk factors for refusal of treatment in cancer patient included: concerns about adverse effects (p<0.001), poor performance(p<0.001), changes in medical condition (p<0.001), timing of case manager contact (p=.026), the methods by which case manager contact patients (p<0.001) and the frequency that case managers contact patients (${\geq}10times$) (p=0.016). Conclusions: Cancer patients who refuse treatment have poor survival. The present study provides evidence of factors that are related to refusal of therapy and might be helpful for further application and improvement of cancer care.

바이오리듬 분석을 통한 스마트조명 감성제어 서비스 개발 (Development of a Smart Lamp Control Emotion Service using a Biological Algorithm)

  • 박혜빈;박신우;조하나;윤용익
    • 정보과학회 컴퓨팅의 실제 논문지
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    • 제22권12호
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    • pp.687-692
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    • 2016
  • 현재, 스마트 삶을 구현하기 위하여 사물인터넷(IoT : Internet of Things)에 이목이 집중되고 있다. 언제 어디서나 스마트폰으로 연결되어 있는 사물을 제어할 수 있게 되었고, 생활 밀접한 곳까지 사물인터넷 기술이 침투하게 되었다. 이에 따라 사용자의 신체 정보와 감성 정보를 수집하는 서비스가 주목을 받고 있다. 따라서, 본 연구에서는 생체가 지닌 내인성(內因性) 리듬인 바이오리듬을 활용하여 추가적인 요소를 수집 분석, 그에 따라 감성에 영향을 끼치는 조명 제어 서비스를 개발한다. 바이오리듬 PSI 학설에 따라, 탄생 순간부터 지니고 있다는 바이오리듬과 신체에 영향을 끼치는 기상 정보, 이동 거리 정보를 수집하여 바이오리듬 분석 알고리즘으로 계산한다. 그 후, 계산된 바이오리듬에 따라 감성을 조절할 수 있는 컬러테라피 조명을 제공, 감성을 조절하고 제어할 수 있게 한다. 이로써 사용자가 보다 편리한 조명제어를, 자신의 감성에 따른 컬러테라피 조명으로 감성을 조절, 제어하여 심신의 안정, 건강 관리, 사고 예방 등의 효과를 가질 수 있도록 연구하고자 한다.

Towards Conservation of Omani Local Chicken: Phenotypic Characteristics, Management Practices and Performance Traits

  • Al-Qamashoui, B.;Mahgoub, O.;Kadim, I.;Schlecht, E.
    • Asian-Australasian Journal of Animal Sciences
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    • 제27권6호
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    • pp.767-777
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    • 2014
  • Characterizing local chicken types and their mostly rural production systems is prerequisite for designing and implementing development and conservation programs. This study evaluated the management practices of small-scale chicken keepers and the phenotypic and production traits of their chickens in Oman, where conservation programs for local livestock breeds have currently started. Free-range scavenging was the dominant production system, and logistic regression analysis showed that socio-economic factors such as training in poultry keeping, household income, income from farming and gender of chicken owners influenced feeding, housing, and health care practices (p<0.05). A large variation in plumage and shank colors, comb types and other phenotypic traits within and between Omani chicken populations were observed. Male and female body weight differed (p<0.05), being $1.3{\pm}0.65$ kg and $1.1{\pm}0.86$ kg respectively. Flock size averaged $22{\pm}7.7$ birds per household with 4.8 hens per cock. Clutch size was $12.3{\pm}2.85$ and annual production $64.5{\pm}2.85$ eggs per hen. Egg hatchability averaged $88{\pm}6.0%$ and annual chicken mortality across all age and sex categories was $16{\pm}1.4%$. The strong involvement of women in chicken keeping makes them key stakeholders in future development and conservation programs, but the latter should be preceded by a comprehensive study of the genetic diversity of the Omani chicken populations.

The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms

  • Kim, Myoung-Soo;Kim, Jung-Soon;Jung, In-Sook;Kim, Young-Hae;Kim, Ho-Jung
    • 대한간호학회지
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    • 제37권2호
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    • pp.185-191
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    • 2007
  • Purpose. The purpose of this study was to develop and evaluate an error reporting promoting program(ERPP) to systematically reduce the incidence rate of nursing errors in operating room. Methods. A non-equivalent control group non-synchronized design was used. Twenty-six operating room nurses who were in one university hospital in Busan participated in this study. They were stratified into four groups according to their operating room experience and were allocated to the experimental and control groups using a matching method. Mann-Whitney U Test was used to analyze the differences pre and post incidence rates of nursing errors between the two groups. Results. The incidence rate of nursing errors decreased significantly in the experimental group compared to the pre-test score from 28.4% to 15.7%. The incidence rate by domains, it decreased significantly in the 3 domains-"compliance of aseptic technique", "management of document", "environmental management" in the experimental group while it decreased in the control group which was applied ordinary error-reporting method. Conclusion. Error-reporting system can make possible to hold the errors in common and to learn from them. ERPP was effective to reduce the errors of recognition-related nursing activities. For the wake of more effective error-prevention, we will be better to apply effort of risk management along the whole health care system with this program.

골반압박벨트를 착용한 상태에서의 도수치료가 슬관절 전치환술 환자의 고관절 외전근과 균형에 미치는 영향 (The Effects of Manual Therapy using Pelvic Compression Belt on Hip Abductor Strength and Balance Ability in Total Knee Replacement Patients.)

  • 신영일;김태원;전재국
    • 대한정형도수물리치료학회지
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    • 제24권1호
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    • pp.77-83
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    • 2018
  • Background: The purpose of this study is to investigate that effect of manual therapy using pelvic compression belt on hip abductor strength and balance ability in total knee replacement (TKR) patients. Methods: The subjects consisted of twenty two post-TKR patients. Participants were randomly assigned to a pelvic belt group (n=11) and a placebo group (n=11). All participants underwent manual therapy including range of motion exercise, soft tissue mobilization around knee joint, strengthening exercise (Quad set, SLR, sidelying hip abduction, standing hamstring curls, sitting knee extension, step-up, wall slide to $45^{\circ}$ knee flexion). Manual therapy was executed five times a week for 2 weeks. Outcome measures included hip abductor strength by using Biodex system 4 pro, anterior to posterior balance, medial to lateral balance, total balance by using Biodex balance system SD. Results: After the completion of the manual therapy, hip abductor strength was showed statistically significant improvements in pelvic belt group (p<.05). Anterior to posterior balance, medial to lateral balance, total balance were showed statistically significant improvements in pelvic belt group and placebo group (p<.05). There was a statistically significant difference between the two groups in hip abductor strength and there was no statistically significant difference in balance. Conclusions: This results suggest that manual therapy using pelvic compression belt has could be used for selective muscle activation of the hip abductor muscle and has useful in hip abductor strength and balance ability in TKR patients.

조식(調息)의 동서의학적(東西醫學的) 임상(臨床) 의의(意義) (Clinical Significant of Breathing in the oriental, western Medicine)

  • 박진성;박영재;박영배;허영
    • 대한한의진단학회지
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    • 제12권1호
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    • pp.63-79
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    • 2008
  • Background: The consequences of disordered breathing patterns are not only distressing to the patient but also expensive to our health care systems if they are not diagnosed and treated. So we performed this study to investigate clinical significants trough gigong, yoga and hyperventilation in oriental medicine and westen medicine Method: Voluntary control of respiration is one of the main methods of physical and mental training such as meditation, qigong meditation or Yoga. So, this study focuses on breathing in qigong and yoga. This study appreciates a role that a control of respiration has in physical, mental aspects and searches side-effects in qigong and yoga Conclusions: A control of respiration has a function that manages Jung(精), Qi(氣), Shin(神) in Oriental Medicine. It manages Autonomic Nerve system, Endocrine system and induces natural awareness. So Briging the body and mind work through a control of breathing. Breathing pattern disorder has Damum and Qiher pattern in Oriental Medicine pattern. This disease pattern concearnes ATP metabolism. Qiher is concearned with a mitochondria disorder and Damum is concearned with a products of lactate. we guess that Lactate analysis may be utilized as a diagonostic criteria of Breathing pattern disorder. After this, It needs a study that Lactate analysis is concearned with Breathing pattern disorder as Damum pattern. Result: A control of respiration is related not only breathing but also spiritual and physical state. Joo-hwa-ip-ma as Breathing pattern disorder is smiliar to hyperventilation. HVS is patternated Damum and Qi-Weakness pattern in oriental medicine. Lactate is an important complement that diagonates HVS and will be concearned with Damum.

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