• Title/Summary/Keyword: healthcare environment

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Status and related factors of private health insurance for severely ill patients (중증질환자의 민간의료보험 가입 현황 및 관련요인)

  • Kim, Seok-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.497-505
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    • 2018
  • This study was conducted to investigate the characteristics of private health insurance subscribers and non-subscribers as they relate to severely ill patients, and to identify the factors of participation. The study was conducted using the National Health and Nutrition Examination Survey for 2015, and data were analyzed using SPSS ver. 23.0. The subjects were 417 patients with severe disease (cancer, heart disease, cerebrovascular disease) over 19 years of age. Crossover analysis was employed to identify differences between the state of private health insurance participation, while binary logistic regression analysis was used to confirm the factors affecting private health insurance subscription. Analysis of the effects of the subjects on the private health insurance participation rate revealed that the social and demographic characteristics were higher in younger individuals regardless of sex, residence, or marital status. Moreover, higher household income, regardless of the education level, was associated with a higher participation rate of health insurance target individuals compared to medical benefit target individuals. The private health insurance participation rate was low and the explaining power was 51.7%, regardless of subjective health awareness and walking practice. Therefore, efforts should be made to improve the living environment and support local governmental programs for the elderly, low income households, socially vulnerable groups with limited activities and groups with limited health behavior. It is also necessary to consider various health policies, such as providing government health education or programs to prevent severe illness.

The study on the effectiveness of smart home network service for IT underprivileged people and growth service model (IT소외 계층을 위한 실질적 스마트홈네트워크서비스의 영향 및 성장형 서비스모델에 대한 연구)

  • Kim, Byoung-Soo;Ji, Yeong-Soo;Han, Kyeong-Seok
    • Journal of Advanced Navigation Technology
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    • v.15 no.6
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    • pp.1000-1007
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    • 2011
  • Home Networking will be implementing the interactive network by home appliances over wireless/wireline network framwork. That is, Home appliances, which are being operated within home space configure the network through wireline/wireless network infrastructure for interworking and interacitive services by external internet access. Based on home networking, smarthome is home space where can use automatic telecommunication and interactive service by home appliances. we can call smarthome based on home networking infrastructure as the conceptual gateway for evolving future converged space like u-city. From simple home control service to home automation service over home networking infrastructure, smarthome service is evolving to up-to-date intelligent life environment in growth of IT technology. however, its service model development was based on supplier-centered based on advanced IT technology. because of this situation, smarthome service has not been acknowledged IT underprivileged people as well as IT early-adaptor. so, this research paper will consider and try to find out what will be the feasible factors to make the best service for IT underprivileged people.

Convergence Study of Antimicrobial Resistance of Escherichia coli Isolated from Cheonho Reservoir in Cheonan (천안 천호지에서 분리한 대장균의 항생제 내성에 관한 융합연구)

  • Lee, Jin Kyung;Lee, Young ki;Yuk, Young Sam;Kim, Ga-Yeon
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.141-149
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    • 2017
  • This study was to investigate the sanitary microbiological aspects of Cheonho Reservoir and its antibiotic resistance in the natural environment to contribute to the public healthcare improvement. Groups of coliforms, were counted at three sites of the Cheonho Reservoir in July and September 2013, and the isolates were identified according to the water pollution process test standards. Antibiotic resistance was evaluated using the Korea National Institute of Health's standard antibiotic susceptibility test. The average coliform counts in Cheonho Reservoir were $2.0{\times}10^3CFU/mL$, 41% of which were identified as Escherichia coli(E. coli). Antibiotic resistance rate in E. coli isolated from Cheonho reservoir was highest in Ampicillin 31.3%, Ticarcillin 25.0%, Cefaxolin and Cefoxitin 18.8% respectively. Convergence multiple resistance patterns, 38,5% presented resistance to 4 durgs, 6 drugs resistance were 7.7%. The more than 2 drugs resistance were 92.3%. Cheonho Reservoir is a public park that accessible to the citizens, further convergence studies are needed to develop sanitary microbiological management practices and study antibiotic resistance of the reservoir.

The Concept Analysis of the Organizational Culture of Nursing Service in Hospital Setting (병원 간호조직문화 규명을 위한 연구(2);간호조직문화 개념 분석)

  • Kim, Moon-Sil;Chun, Mi-Soo;Bang, Hee-Sook;Moon, Sun-Young;Lee, Soon-Hee;Han, Soo-Jung;Kim, Jung-A;Park, Hyun-Tae
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.1
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    • pp.87-97
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    • 1999
  • Rapidly changing healthcare environment and professional nursing practice need a strategy for the organizational development and goal attainment. An understanding of organizational culture could help managers enhance or expend their management strategy, thus increasing the probability of their success in the organization. On the other hand. organizational culture is an abstract concept and can show several views between sciences applying it. Therefore. organizational culture can be described to different ways with roots in each other discipline. Thus. it is necessary to define the concept of organizational culture in nursing perspective. This article reports a study conducted to analyze the concept of Nursing Service Organizational Culture. This study is performed by the guideline of Walker and Avant for concept analysis : selecting a concept. detering aim of analysis, identifying all use of concept. defining attributes. constructing model. contrary, borderline. related cases. identifying antecedents and consequences. According to the results of this study. the following definition attributes of Nursing Service Organizational Culture was suggested. We could define that nursing service organizational culture is the pattern of basic assumption and common belief that shared by the subordinates of nursing service. So, it provides a shared identity for all employees. Attributes of Nursing Service Organizational Culture were defined as (1) it is performed by the result of the interaction through formal. informal communication among nursing service organizational subordinations. (2) it has been performed unconsciously and reacts without ever thinking about the behavior. (3) it makes a unique pattern of behaviors to each nursing organization. which is different from other groups. (4) it has a broad and subtle forces to its subordinates. (5) it provides subordinates with the way of thought and behavior. (6) it influences on the output. stability. and de velopment of nursing service.

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Analysis of the Factors and the Differences in the Awareness about the Capability Groups of the Mediator Manager in General Hospital and the Level of Performance (종합병원 중간관리자의 역량군별 중요도 인식과 수행수준 차이 및 요인분석)

  • Kim, Hee-Sook;Jo, Woo-Hyun;Kim, Young-Hoon;Kim, Tae-Hyun
    • Korea Journal of Hospital Management
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    • v.16 no.3
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    • pp.92-114
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    • 2011
  • The study has its purpose on providing basic resource to enforce the capability of the middle managers by examining the level of performance and the level of awareness about the capabilities of the managers and by understanding the significance of the difference and the reasons for the differences. The source of the study was 195 survey questionnaires that were carried out to the managers of the 9 general hospitals and the method of the analysis was the frequency analysis, analysis of the credibility, matching to sample T-test, independent sample T-test, dispersion analysis, correlation analysis, and multiple linear regression analysis using accumulated variables. The followings are the main result of the study. First, the difference between the level of awareness about the capabilities and the level of performance of the mediator managers in general hospitals had high capability in change management. The following orders were: competence in achievement and behavior, competence in management, competence in recognition, competence in influence, competence in individual effectiveness, and competence in personal relationship service. Second, as the result of the relation analysis in order to understand the correlation between awareness and performance of the mediator managers, everything had significant positive correlation. In the study about the level of importance, the cognitive capability and the management capability had the highest correlation with the correlation number of 0.88. In the study about the level of performance, the cognitive capability, individual capability, and the management capability had the highest correlation with the correlation variable number of 0.79. Third, as the result of studying the reason for the difference between the level of the awareness capability and the level of the performance, lack of the support recognition compensation in the organization level, inappropriate work environment, limit in the regulation were found as the highest reason in the order. As the result of the study, it was concluded that the creation of the efficient capability estimation model and the securement of the system that estimate the capability of the managers should be carried out in order to enforce the capability of the mediator managers in general hospitals.

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A Study on the Application of the Korean Valuation Weights for EuroQoL-5 Dimension (EuroQoL-5 Dimension 한국 가중치 모형의 적용 연구)

  • Lee, Young-Hoon;Choi, Jin-Su;Rhee, Jung-Ae;Ryu, So-Yeon;Shin, Min-Ho;Kim, Jin-Hee
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.1-13
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    • 2009
  • Objectives: This study was conducted to estimate the health-related quality of life (HRQOL) using EuroQoL-5 Dimension (EQ-5D) and to identify its related factors among urban-dwelling adults. Methods: The data for this study were obtained from 1,134 subjects aged $20\sim91$, who participated in 'Survey on the health status and demand for health' in two cities of Korea (Dong-gu, Gwangju and Suncheon-si, Jeollanamdo). The HRQOL was measured using the EQ-5D instrument and EQ-5D index scores were calculated by two Korean valuation study model using time trade-off method. Results: The mean EQ-5D index scores for all subjects were $0.865{\pm}0.218$ (model A), and $0.921{\pm}0.170$ (model B). The EQ-5D index score was significantly different according to demographic and socioeconomic characteristics (gender, age, marital status, education, occupation, income, and health security system), self-rated health condition, health-related psychological assessments (enough sleep, fatigue rate, stress rate, and degree of satisfaction on the residence). The results of multiple linear regression showed that age, marital status, income, coverage of medical insurance, self-rated health condition, and fatigue rate were significantly related common statistical factors of HRQOL in two Korean valuation study model. Conclusion: Among the adults residing in urban environment, the HRQOL was significantly lower on the subjects with following conditions: higher age, being alone without a spouse as a result of death, divorce or separation, low income, medical aid program, poor self-rated health condition, and chronic fatigue. In order to improve the urban adults' quality of life, healthcare policy and health promotion program must be developed with considerations to factors related to the HRQOL.

Bicycle Riding-State Recognition Using 3-Axis Accelerometer (3축 가속도센서를 이용한 자전거의 주행 상황 인식 기술 개발)

  • Choi, Jung-Hwan;Yang, Yoon-Seok;Ru, Mun-Ho
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.6
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    • pp.63-70
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    • 2011
  • A bicycle is different from vehicles in the structure that a rider is fully exposed to the surrounding environment. Therefore, it needs to make use of prior information about local weather, air quality, trail road condition. Moreover, since it depends on human power for moving, it should acquire route property such as hill slope, winding, and road surface to improve its efficiency in everyday use. Recent mobile applications which are to be used during bicycle riding let us aware of the necessity of development of intelligent bicycles. This study aims to develop a riding state (up-hill, down-hill, accelerating, braking) recognition algorithm using a low-power wrist watch type embedded system which has 3-axis accelerometer and wireless communication capability. The developed algorithm was applied to 19 experimental riding data and showed more than 95% of correct recognition over 83.3% of the total dataset. The altitude and temperature sensor also in the embedded system mounted on the bicycle is being used to improve the accuracy of the algorithm. The developed riding state recognition algorithm is expected to be a platform technology for intelligent bicycle interface system.

Human-Powered Generator designed for Sustainable Driving (고출력 지속이 가능한 인체 구동 방식의 자가 발전기 개발)

  • Lim, Yoon-Ho;Yang, Yoonseok
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.7
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    • pp.135-142
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    • 2015
  • Human-powered self-generating devices have been attractive with its operation characteristic independent from outer environment such as weather condition and wind speed. However, conventional self-generators have low electric power output due to their weakly-coupled electromagnetic structure. More importantly, rotary crank motion which is usually adopted by conventional self-generator to generate electricity requires specific skeletal muscles to maintain large torque circular motion and consequently, causes fatigue on those muscles before it can generate enough amount of electricity for any practical application. Without improvement in electric power output and usability, the human-powered self-generator could not be used in everyday life. This study aims to develop a human-powered self-generator which realized a strong electromagnetic coupling in a closed-loop tubular structure (hula-hoop shape) for easy and steady long-term driving as well as larger electric output. The performance and usability of the developed human-powered generator is verified through experimental comparison with a commercial one. Additionally, human workload which is a key element of a human-powered generator but not often considered elsewhere, is estimated based on metabolic energy expenditure measured respiratory gas analyzer. Further study will focus on output and portability enhancement, which can contribute to the continuous power supply of mobile equipments.

Molecular Genetic Characteristics of Methicillin-Resistant Staphylococcus aureus Isolated from University Campus Environment and Students

  • Park, Heechul;Park, Sung-Bae;Kim, Junseong;Jeon, Hyeonjeong;Choi, Sein;Lee, Seungyeon;Oh, Eunchong;Hwang, Soenghwi;Kim, Hyunjung;Kim, Jungho;Kim, Sunghyun
    • Biomedical Science Letters
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    • v.26 no.3
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    • pp.230-237
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    • 2020
  • Staphylococcus aureus (S. aureus) is known as a bacterium that can cause skin infections, respiratory system infections, and sinusitis; however, it can exist as a normal flora rather than a pathogen. Recently, methicillin-resistant S. aureus (MRSA) infections have emerged in the community as a new variant of community-associated (CA)-MRSA. In the present study, S. aureus and MRSA were isolated and cultured by collecting samples from facilities and environments where students and educational personnel have multiple contacts on university campuses; specifically, the nostrils and hands of college students were tested from July to September of 2019. The molecular properties of the isolated MRSA were analyzed, and the one MRSA strain was isolated from the university campuses. One MRSA that was isolated and cultured on campus was the mec complex group A and staphylococcal cassette chromosome (SCC) mec type II, which is a characteristic of healthcare-associated (HA)-MRSA, and SCCmec type V, which is a characteristic of CA-MRSA. This result was similar to other studies wherein the SCCmec type II was detected in SCCmec typing analysis in CA-MRSA. To confirm whether there is a new variant of CA-MRSA in the Republic of Korea, additional follow-up studies on the analysis of virulence factors of MRSA are needed by additionally separating CA-MRSA from the body parts of university students and educational personnel.

Vapor Recognition Using Image Matching of Micro-Array Sensor Response from Portable Electronic Nose (휴대용 전자 후각 장치에서 다채널 마이크로 센서 신호의 영상 정합을 이용한 가스 인식)

  • Yang, Yoon-Seok
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.2
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    • pp.64-70
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    • 2011
  • Portable artificial electronic nose (E-nose) system suffers from noisy fluctuation in surroundings such as temperature, vapor concentration, and gas flow, because its measuring condition is not controled precisely as in the laboratory. It is important to develop a simple and robust vapor recognition technique applicable to this uncontrolled measurement, especially for the portable measuring and diagnostic system which are expanding its area with the improvements in micro bio sensor technology. This study used a PDA-based portable E-nose to collect the uncontrolled vapor measurement signals, and applied the image matching algorithm developed in the previous study on the measured signal to verify its robustness and improved accuracy in portable vapor recognition. The results showed not only its consistent performance under noisy fluctuation in the portable measurement signal, but also an advanced recognition accuracy for 2 similar vapor species which have been hard to discriminate with the conventional maximum sensitivity feature extraction method. The proposed method can be easily applied to the data processing of the ubiquitous sensor network (USN) which are usually exposed to various operating conditions. Furthermore, it will greatly help to realize portable medical diagnostic and environment monitoring system with its robust performance and high accuracy.