• 제목/요약/키워드: medical theory

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다중흐름모형을 적용한 서울형 유급병가 정책 도입과정에 관한 연구 (A Study on the Policy Decision Making Process of Seoul-Type Paid Sick Leave: Applying Kingdon's Multiple Streams Model)

  • 정현우;박소현;손민성;정혜주
    • 보건행정학회지
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    • 제30권3호
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    • pp.286-300
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    • 2020
  • In 2019, the Seoul metropolitan government established its own 'Seoul-type paid sick leave project'. Although the central government had to introduce such a system, which is also called sickness benefits, it was not implemented. In order to understand the process by which the Seoul government has implemented such a policy, this study used Kingdon's multiple streams framework. As a result, in the problem stream, it was found that the economic burden of sickness has been considered only in terms of medical expenses in the past of Korea. Then Songpa's three women and Middle East respiratory syndrome incidents raised awareness of the necessity of the sickness benefit system in 2014 and 2015. In the political stream, several social affairs such as national health insurance huge surpluses and the 2017 presidential election opened policy window. At that time, Seoul Mayor actively promoted sickness benefits as a policy entrepreneur. In the policy stream, the sickness benefit system has gained new attention through political events. To summary, these three streams flowed separately and then they assembled around huge political affairs. As a result, it was confirmed that Kingdon's model is the most effective theory than any other models in analyzing the health care policy decision process in Korea.

임상문서표준규격내 검사실 용어의 LOINC 매핑을 위한 LMOF 전처리 도구 (The LMOF Preprocessing Tool for Mapping Laboratory Vocabulary to LOINC in Clinical Document Architecture)

  • 도형호;김일곤;이성기;곽연식
    • 한국정보과학회논문지:시스템및이론
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    • 제35권4호
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    • pp.158-165
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    • 2008
  • LOINC(Logical Observation Identifiers Names and Codes)는 Regenstrief Institute에서 제공하는 병원 검사 명칭 및 임상용어를 위한 표준체계이다. 평생전자건강진료정보에서 검사결과의 교류는 매우 중요한 영역 중 하나이며, 이를 위해서는 현재 각 병원의 표준화되지 않은 검사 명칭을 표준화하는 일이 시급하다. 본 논문에서는 병원의 로컬데이타베이스를 Regenstrief에서 제공하는 LOINC 검색 매핑도구인 RELMA(Regenstrief LOINC Mapping Assistant)가 요구하는 LMOF(Local Master Observation File) 포맷으로 미리 전처리 해주는 도구를 개발함으로써, LOINC 매핑작업을 보다 효율적으로 할 수 있는 해결책을 제시한다. 제안한 도구를 이용하여 로컬데이타베이스를 전처리 한 후 RELMA로 검색하였을 때, 인터페이스 측면에서 기존 전처리하지 않고 RELMA를 사용한 방법에 비해서 사용자의 편의성이 향상되었고 검색되는 키워드가 15% 감소하는 검색의 효율성을 가져올 수 있었다.

체질의학의 체질분류법에 따른 식품기호도와 영양상태의 상관성에 관한 연구 (A Comparison of Nutritional Status Among Eight Constitutional Groups in Relation to Food Preference on the View Point of Constitutional Medicine)

  • 김숙희;김화영;이필자;권도원;김용옥
    • Journal of Nutrition and Health
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    • 제18권2호
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    • pp.155-166
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    • 1985
  • This study was carried out to compare the nutritional status with food preference of subjects in eight constitutional groups on the view point of constitutional medicine. The constitutions of 124 college women was classified by Kwon's theory. Food preference of the subjects was surveyed in accordance with the suggested foods for each constitution and the health status was investigated by Cornell Medical Index. The following determinations were also made to compare food preference score with the nutritional status : Hb, Hct, WBC, serum levels of albumin, protein, IgG, IgA, IsM, $C_3$, Triglyceride, cholesterol, and total lipids, and lipoprotein fraction ratio. The distribution of the constitution revealed that Jupito individuals accounts 51.6%, the most followed by ; Saturno, 21.8%: Hespero, 10.5%: Jupita, 8.1%: Hespera, 3.2%: Mercurio, 3.2%, no subject belonged to satura. There were no difference among constitutional groups in food preference score, health status and the values of most blood components. Only significant difference was that the percentage of mental complaints in Mercurio was lowest and serum IgG level in Jupito was the highest among groups. Correlation between values of blood component and food preference score shows variety of different trends. However, the results suggested that the better food consumption of the subjects was in accordance with the suggested foods for the constitution, the better the nutritional status of the subjects was.

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의료영상 가시화를 위한 셀 경계 방식 체적 재구성 방법 (Volume Reconstruction by Cellboundary Representation for Medical Volume Visualization)

  • 최영규;이의택
    • 한국정보과학회논문지:시스템및이론
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    • 제27권3호
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    • pp.235-244
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    • 2000
  • 본 논문에서는 단층 촬영 영상(tomographic cross-section image)에 포함되어 있는 볼륨 정보를 표현하기 위한 새로운 방법을 제안하였다. 이 방법은 큐베릴 공간을 셀 공간으로 변환하고 경계셀들을 추출하여 볼륨을 재구성하는 방법이다 셀 경계 표현은 이러한 경계셀들과 이들의 지지 복셀들의 구조에 의해 표현되어 지는데, 항상 볼륨 정보를 정확하게 표현해낼 수 있다. 이 표현에서부터 가시화등의 작업에 필요한 표면모델을 추출하기 위해 19개의 모델링 원형을 제안하고 체적형, 표면형 그리고 선형으로 분류하였으며, 이들로부터 3차원 표면을 표 참조방식으로 빠르게 추출할 수 있는 알고리즘을 제안하였다. 제안된 방법의 장점은 기존에 제안된 마칭 큐브나 PVP알고리즘 등에서 흔히 발생하는 표면생성시의 모호성문제가 전혀 발생하지 않으며, 마칭 큐브 알고리즘에서 발생하는 표면의 크랙문제도 완전히 해결된다는 장점이 있다. 또한 알고리즘이 표 참조방식을 취하므로 하드웨어화 하기가 매우 용이하여 고속의 모델링이 필요한 분야에 매우 적합한 방법이다.

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Detecting of Periodic Fasciculations of Avian Muscles Using Magnetic and Other Multimedia Devices

  • Nakajima, Isao;Tanaka, Sachie;Mitsuhashi, Kokuryo;Hata, Jun-ichi;Nakajima, Tomo
    • Journal of Multimedia Information System
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    • 제6권4호
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    • pp.293-302
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    • 2019
  • In the past, there was a theory that influenza wasn't transmitted directly from birds but was infected to humans via swains. Recently, molecular level research has progressed, and it was confirmed that the avian influenza virus can directly infected to human lung and intestinal epithelial cells. Three pandemicsin the past 100 years were also infected to humans directly from birds. In view of such scientific background, we are developing a method for screening sick birds by monitoring the physiological characteristics of birds in a contactless manner with sensors. Here, the movement of respiratory muscles and abdominal muscles under autonomic innervation was monitored using a magnet and Hall sensor sewn on the thoracic wall, and other multimedia devices. This paper presents and discusses the results of experiments involving continuous periodic noise discovered during flight experiments with a data logger mounted on a Japanese pheasant from 2012 to 2015. A brief summary is given as the below: 1. Magnet and Hall sensor sewn to the left and right chest walls, bipolar electrocardiograms between the thoracic walls, posterior thoracic air sac pressure, angular velocity sensors sewn on the back and hips, and optical reflection of LEDs (blue and green) from the skin of the hips allow observation of periodic vibrations(fasciculations) in the waves. No such analysis has been reported before. 2. These fasciculations are presumed to be derived from muscle to maintain and control air sac pressure. 3. Since each muscle fiber is spatially Gaussian distributed from the sympathetic nerve, the envelope is assumed to plot a Gaussian curve. 4. Since avian trunk muscles contract periodically at all time, we assume that the sympathetic nerve dominates in their control. 5. The technique of sewing a magnet to the thoracic wall and measuring the strength of the magnetic field with a Hall sensor can be applied to screen for early stage of avian influenza, with a sensor attached to the chicken enclosure.

사상체질형의 전기자극에 의한 피부온도, 맥박수 및 피부콘덕턴스 수준의 변화 (Variations of Skin Temperature, Heart Rates and Skin Conductance Level in Physical Constitutional Types by Electrical Stimulation)

  • 조봉관;허화라
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 춘계학술대회
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    • pp.271-274
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    • 1997
  • Skin temperatures, heart rates and skin conductance levels were tested in order to extract the biological characteristics of the physical constitutional types in according to the Lee's 4 type physical constitutional theory. The subjects of this experiment were 14 ; 5 Macro-Negative subjects, 5 Micro-Negative subjects, 3 Micro-Positive subjects and 1 Macro-Positive subject. All subjects were stimulated with 2.5Hz 30V peak-peak pulses for 2 minutes. As the results, in normal prestimulation state the skin temperatures of the trunk in Micro-Positive and Macro-Positive subjects were higher than those of Macro-Negative and Micro-Negative subjects. In Macro-Negative subjects the reflected skin temperature of lever was the highest in the anterior trunk. In Micro-Negative subjects the reflected skin temperature of kidney was the highest in the trunk. In Micro-Positive subjects the reflected skin temperature of stomach was the highest in the trunk. In Macro-Positive subject the reflected skin temperature of lung was the highest in the trunk. In transient poststimulation state, heart rate was decreased in 7 cases among of 10 Macro-Negative and Micro-Negative subjects, but it was iscreased in 3 cases among of 4 Micro-Positive and Macro-Positive subjects. And the hand temperature was increased in 8 cases among of 10 Macro-Negative and Micro-Negative subjects, but it was decreased in 3 cases among of 4 Micro-Positive and Macro-Positive subjects.

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한의학(韓醫學)에 나타난 음양관(陰陽觀) - 사상의학(四象醫學)의 성립배경(成立背景)과 사상의학(四象醫學)에 나타난 음양관(陰陽觀) - (The Yin-Yang in Korea Traditional Medicine - Focusing the establishment and the Yin-Yang of Sasang Constitutional Medicine -)

  • 송일병
    • 사상체질의학회지
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    • 제9권1호
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    • pp.1-12
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    • 1997
  • Neiging Medicine(內經醫學) based on Yin-Yang and Five elements was the main stream of Korea Traditional Medicine until the end of 19th century. And the establishment of Sasang Constitutional medicine. In this paper, author proved that the Yin-Yang of Sasang Constitutional Medicine was different from that of Neiging Medicine and that explained the Yin-Yang of Sasang Constitutional Medicine as our own medicine. After considering the philosophical and medical background of Sasang Constitutional Medicine, and author researched the Yin-Yang of ontology, structure, function, symptoms in Sasang Constitutional Medicine. Also we compared this with that of Neiging medicine. The results were as follows 1. Neiging Medicine was based on the Yin-Yang and Five elements centering on the nature and Sasang joy, and pleasure centering on the human. 2. The ontology of Sasang Constitutional Medicine were the mind as a unitary substance, the mind and body as a dual substance, and affair, mind, body, and objects as a four substance which were the basic theory of philosophy. 3. Sasang Constitutional Medicine explained social phenomenon with a four substancial structure consisted of affairs, mind, body, and objects, a complex four substancial structure consisted of heaves, human, nature and order, and a three dimension structure including time. 4. On the other hand Neiging Medicine recognized seven emotions as five emotions, Sasang Constitutional Medicine recognized seven emotions as qi, nature, and emotions which consisted of sorrow, anger, joy, and pleasure. The qi had an effect on internal and external part of body and the nature and the emotion had an effect on the upward and downward of body. 5. It was taked great importance to control the up and down balance and the internal and external balance in Sasang Constitutional Medicine instead of reinforcing and reducting method of Neiging Medicine. 6. The Yin-Yang of Korean Traditional Medicine developed centering on the human from centering on the nature and Sasang Constitutional Medicine was a practical medicine compared with Neiging Medicine.

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남성의 사상체질별 임상지표와 삶의 질 연관성 연구 (The Association between Symptom Evaluation Index and Quality of Life according to Sasang Constitution in Men)

  • 백영화;유종향;김호석;장은수
    • 사상체질의학회지
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    • 제22권2호
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    • pp.48-59
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    • 2010
  • 1. Objectives: Sasang Medicine has been based on different medicine approach because people were different, so, this was a little different concept about health compared to other oriental and western medicine focused on existing Yangsaeng theory. We were announced Constitution health indicators for women, and this was follow-up study designed to identify Constitutional health indicators in men. 2. Methods: We recruited 171 men between 10 and 80, excluding individuals who have physically or psychologically serious disease among Korean population in Traditional Korea Clinics. They were diagnosed by Sasang Constitution specialists and confirmed clinically with Sasang constitution drug response with past medical records. We used CRF(Case Report Form, C-2009-002439) as measurement of physiological and pathological symptoms and SF-36 (Short Form-36) as measurement of health state. We analyzed association between physiological and pathological symptoms and health state with Two-way ANOVA. 3. Results: 23 items of 82 indicators in physiological and pathological symptoms were related to the quality of life, regardless of the constitution. There are 4 different symptoms associated with health state in men, such as regular of feces, hard to fall asleep, no problem in chest, feel heavy in chest according to Sasang Constitution. 4. Conclusions: From these Results, there are different items of physiological and pathological affected the Quality of life according to Sasang Constitution.

혈액투석 환자의 치료에 대한 믿음, 질병 통제감과 우울, 건강 관련 삶의 질과의 관계 (Relationships between Treatment Belief, Personal Control, Depressive Mood and Health-related Quality of Life in Patients with Hemodialysis)

  • 차지은;이명선
    • 성인간호학회지
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    • 제26권6호
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    • pp.693-702
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    • 2014
  • Purpose: The purpose of this study was to examine the relationships between treatment belief, personal control, depressive mood, and health-related quality of life in patients with hemodialysis based on self-regulation theory. Methods: Data were collected from 220 patients at 27 local hemodialysis clinics in Seoul during 2013 and 2014. The Revised Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were used to measure outcome variables. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression using the 'enter' method. Results: Treatment belief and personal control scored 3.58 and 3.54 out of 5 points respectively, on average. Treatment belief and personal control of kidney disease were negatively correlated with depressive mood and positively correlated with health-related quality of life. According to the regression analysis, treatment belief, monthly income, and personal control were discovered to account for 21.8% of the variance in depressive mood, where as depressive mood, monthly income, treatment belief, and age were found out to account for 40.6% of the variance in health-related quality of life. Conclusion: Our study demonstrated significant positive relationships between treatment belief and illness outcome in hemodialysis patients. Interventions aimed to provide the necessary information and trust to maximize the effectiveness of treatment need be developed to improve patients outcomes.

경찰공무원의 외상 후 성장 구조모형 (A Structural Model on the Post-Traumatic Growth of Police Officers)

  • 한승우;최은숙
    • 지역사회간호학회지
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    • 제31권3호
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    • pp.348-359
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    • 2020
  • Purpose: The purpose of this study is to construct and test a structural model for the Post-traumatic Growth (PTG) of police officers. The conceptual model is based on Calhoun and Tedeschi's PTG theory. Methods: Data were collected from 269 police officers working at 10 police stations in Seoul from September 26 to October 9, 2017. The exogenous variable was traumatic experiences, and endogenous variables were pain perception, self disclosure, social support, deliberate rumination, and PTG. The collected data were analyzed in order to calculate the direct and indirect effects of factors affecting PTG using SPSS/WIN 23.0 and AMOS 21.0. Results: The hypothetical model showed a good fit to the data: 𝑥2/df=2.57, GFI=.90, CFI=.95, TLI=.91, RMSEA=.07, SRMR=.07. The hypothetical model showed a similar result with the data, and out of 10 paths, 7 were statistically significant. The model explained 36% of the variance in the PTG of police officers. The model confirmed that social support and deliberate rumination had a direct effect, and that self-disclosure had an indirect effect on police officers' PTG. Conclusion: Nursing intervention programs to increase PTG of police officers should focus on deliberate rumination, social support, and self-disclosure. In addition, they should be accompanied by various crisis managements and consultations that can promote PTG.