• 한국보건간호학회지
• /
• 제11권2호
• /
• pp.121-130
• /
• 1997

The community health nursing process is essential in providing community health nursing service to the community. It helps to identify community health problems. to prioritize problems, to provide service. and to evaluate service results. However. it is very rare to find a study which applies the community health nursing process. This study intended to apply the community health nursing process to a urban community. The focus of the study was a community consisting of 533 families in a region of Seoul. The study process was as follows: 1) The data was collected by conducting interviews with community leaders and by collecting surveys from the people of the community. 2) The data was summarized and analyzed. 3) The community nursing diagnosis was identified. 4) The nursing diagnosis was prioritized. 5) The general and specific objectives for service were identified. 6) A specific nursing plan was set up. 7) A detailed evaluation plan was established. Four community nursing diagnoses were identified from the community. 1) The utilization rate of health center was found to be low due to lack of knowledge about the health center and low accessibility. 2) High trafic accident rate due to narrow roads. 3) High prevalence of chronic disease due to inappropriate health behavior. 4) High noise level and foul smell due to inappropriate waste management. Among the four community nursing diagnoses. 'High prevalence of chronic diseases was identified as a priority community nursing problem. The criteria for prioritizing community nursing problems were as follows: number of people involved, fragility of clients. severity of the problem. availability. of resources. concern of the people. readiness of nurses. relevance to the national policy. This study describes the general and specific objectives to solve the high prevalence of chronic health problems. nursing plans. and an evaluation plan.

• 대한세포병리학회지
• /
• 제16권1호
• /
• pp.18-24
• /
• 2005

The objective of this study was to ascertain whether or not the high-risk human papillomavirus (HPV) test, when coupled with Papanicolaou (Pap) smears, would prove useful in the screening and management of patients in whom abnormal Pap smear results had been obtained. Concomitant high-risk HPV detection using the hybrid capture II test and colposcopy with a Pap smear were performed with 176 patients, all of whom had been screened for both cervical carcinoma and precancerous lesions. We concomitantly performed colposcopies on these patients. Upon the follow-ups, the histologic diagnoses of these patients were confirmed via either biopsy or hysterectomy. The rate of high-risk HPV detection was correlated with cytologic diagnoses and colposcopic findings. The group composed of the high-risk HPV-positive ASCUS patients exhibited a 55.7% rate of cervical intraepithelial neoplasia (CIN), a significantly higher rate than the 7.5% result obtained in the high-risk HPV-negative ASCUS group. HPV test showed high sensitivity (87%) and low specificity (62.6%) in detection of CIN and colposcopy also showed high sensitivity (88%) and low specificity (22%). Any combination of these tests improve sensitivity, but not specificity. High-risk HPV tests, when coupled with Pap smears, constituted a useful triage approach with regard to colposcopy-directed biopsies in patients in whom a cytologic diagnosis of ASCUS had been rendered.

• 동의생리병리학회지
• /
• 제20권1호
• /
• pp.215-223
• /
• 2006

This research surveyed oriental medicine therapies currently used in oriental medicine circles by referring to oriental medicine books-based existing traditional authentic therapies, as well as market-sold supplementary therapy-related ordinary health books and Internet information, and supplementary therapy-related dissertations, reviewed the fundamental operating significance of these therapies, and pursued their clinical operating measures based on their clinical information as follows Various therapies currently used in oriental medicine circles are categorized into authentic therapies and supplementary therapies in oriental medicine. Authentic therapies in Oriental medicine are based on bodily self-vitality abilities, pursue positive methods of treating diseases, and include medication therapies, acupuncture therapies, and external therapies. Supplementary therapies in oriental medicine are based on bodily self-vitality abilities, pursue indirect methods of treating diseases, and consist of lifestyle therapy and body management therapy. Authentic and supplementary therapies in Oriental medicine are used either separately or together according to clinical treatment methods. In treating diseases, clinical operating methods exclusively based on traditional authentic therapies and supplementary therapies include Donguibogam (anthology of ancient oriental medicine), Uihakipmun (introduction to medicine), Somun school, and bodily acupuncture according to diagnoses of symptoms, as well as sasangbang (prescription based on four types of bodily constitution), myeongribang prescription, hyeongsangbang prescription, and bodily constitution-based acupuncture according to diagnoses of bodily constitutions. In clinical operation of Oriental medicine, supplementary therapies are parity duplicated dy alternative medicine. However, given patients' needs and clinical practicality, Oriental medicine circles should establish a system based on the fundamental viewpoint of Oriental medicine theories, and corresponding policies should also be researched.

• Journal of Yeungnam Medical Science
• /
• 제31권2호
• /
• pp.89-93
• /
• 2014

Background: This study was conducted to investigate the epidemiological features, clinical courses, and diagnoses of neonates who are transferred to neonatal intensive care unit of Yeungnam University Hospital due to tachypnea soon after birth. Methods: Based on medical records, we performed a retrospective study of neonatal intensive care unit admissions due to tachypnea from January 2010 to December 2013. Results: A total of 311 neonates were included in this study. The patient characteristics showed male predominance at 2.65:1. Among the 311 neonates with tachypnea, 127 (40.8%) neonates needed oxygen supply, and 54 (17.4%) neonates needed assisted mechanical ventilation. Transient tachypnea of the newborns (TTN) (158, 50.8%) showed the highest incidence, followed by pneumonia (63, 20.3%), extrapulmonary infection (37, 11.9%), respiratory distress syndrome (21, 6.8%), air leak (16, 5.1%), meconium aspiration syndrome (12, 3.9%), congenital heart disease (5, 1.6%), metabolic acidosis (3, 1%), primary pulmonary hypertension of newborns (2, 0.6%) and anemia (2, 0.6%). Conclusion: Although the neonates with tachypnea showed no other respiratory distress symptom, clinicians should be aware of the possibility of other pulmonary diseases as well as TTN and their extra-pulmonary causes. If tachypnea does not improve within a few hours, the clinician should consider further evaluation and management as soon as possible.

• 한국임상수의학회지
• /
• 제39권5호
• /
• pp.217-225
• /
• 2022

The population of pet cats has increased significantly, from 0.3% in 2002 to 5.6% in 2017. Large-scale feline demographic and disease data from Korea are lacking. The aim of this study was to investigate the demographic data (breed, sex, and age) and disease distribution of cats who visited private veterinary practices in Korea. Data including breed, sex, age, and disease, were compiled from 32,728 electronic medical records from 30 selected private veterinary practices, between January 1, 2016, and December 31, 2017. Diseases were classified based on the International Classification of Diseases 11 by the World Health Organization, and then compared and cross-analyzed according to breed, sex, and age. Korean shorthair was the most common breed. There was a high distribution of young cats, with 77.6% of the cats under 4 years of age, and an average age of 2.5 years. Diagnoses related to preventative medicine were the most frequent and diagnoses common to young cats had higher incidence. This demographic data and information about disease distribution can be used as a basis for future research and may be helpful for determining priorities in the diagnosis of diseases and establishing strategies for health management in cats.

• 보건행정학회지
• /
• 제20권2호
• /
• pp.17-39
• /
• 2010

This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences according to the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

• 한국정보시스템학회지:정보시스템연구
• /
• 제19권2호
• /
• pp.37-71
• /
• 2010

This article identifies factors affecting successful ERP systems by focusing on the stages after stabilizing ERP systems and overcoming temporary performance dip by introduction of ERP systems, and suggests change management tactics to control those identified factors. We can not expect that every users are familiar with the usage of an ERP system even after they are informed about the expected advantage of the newly implemented ERP system and trained intensively for changed business process and system usage while implementing a new ERP system. Moreover, even after more than six months usage of the system, the users may still have some trouble due to the reason why they have insufficient information about the expected advantage of the system (recognition gap) and insufficient knowledge about the changed usage of the system (knowledge gap). Hence, this article diagnoses by conducting a case study that those recognition and knowledge gap would have a severe bad influence upon the users' trust and satisfaction on ERP systems. This article suggests an appropriate change management tactics to overcome those recognition and knowledge gap by considering the relationship with the efforts for change management before, during, and after the introduction of ERP systems and performing an in-depth analysis on the users' dissatisfaction and request for update during the stages after the stabilization of the ERP systems. This article also shows a corroborative evidence that these efforts of change management consequently contributes to the solution of users' distrust and dissatisfaction. In sum, this article identifies the factors influencing badly on the magnitude and seriousness of knowledge and recognition gap, and suggests a conceptual research model which says that the satisfaction of ERP users could be uplifted by the solution of their knowledge and recognition gap if we keep making efforts on appropriate change management considering those identified factors during the stages after the stabilization of an ERP system.

• Archives of Plastic Surgery
• /
• 제43권3호
• /
• pp.229-236
• /
• 2016

Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, transcutaneous, and transnasal endoscopic approaches are discussed. Reconstruction methods including onlay covering, inlay implantation, and repositioning methods are also discussed. Consideration and understanding of these should lead to more optimal outcomes.

• 디지털융복합연구
• /
• 제4권2호
• /
• pp.143-151
• /
• 2006

The purpose of this paper is to make a design and implementation of a diagnosis system of learning misconception of students who learn 'be' verb in the English language by using fuzzy theory. In this system, a fuzzy cognitive map exposes the fact that students' perception and misunderstanding about 'the English' language have an intertwined relationship, and diagnoses causes of misconceptions of students by using fuzzy memory associative memory. It suggests that since most existing systems of rule based expert system have had several limitations, this system will be applied to diagnose learners' misconception of learning in varieties of education areas.

• 환경정책연구
• /
• 제1권1호
• /
• pp.91-110
• /
• 2002

Ecosystem health assessment is an emerging concept regarded as a useful diagnostic tool for evaluating ecosystems. The stability of ecosystem is the main theme in the assessment. Generally, two components - resilience and resistance - are involved in the mechanism of ecosystem stability. In this study, relative degrees of the resistance and the resilience were quantified for most aquatic Insects Inhabiting running waters in Korea. A total of 34 groups were newly categorized based on previous studies, and a conceptual model has been produced. The model was applied for the aquatic insect communities inhabiting different streams and demonstrated that each stream ecosystem possessed different degrees of stability. This study also indicated that it was possible to compare stabilities of different ecosystems using relative degrees of resilience and resistance. Using the conceptual model, suitable conservation and management strategies could be recommended in ecological assessments. The model can be used as a stepping-stone for developing more comprehensive methodology that objectively diagnoses and evaluates the ecosystem stability.