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A Survey on Patient's Experience on Health Care Utilization and Perception of Health Care System for Developing of a Korean Medicine Clinical Practice Guideline for Traffic Injuries (교통사고상해증후군 한의표준임상진료지침 개발을 위한 환자의 의료이용 경험과 의료체계 인식도 설문조사 연구)

  • Park, Sun-Young;Lee, Sang-Hyun;Heo, In;Hwang, Man-Suk;Kim, Koh-Woon;Cho, Jae-Heung;Park, Kyoung Sun;Ha, In Hyuk;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.2
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    • pp.139-152
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    • 2020
  • Objectives To explore the traffic injury patients' experience on health care utilization of Korean Medicine (KM) practice and perception of health care system for developing a Korean medicine clinical practice guideline (CPG) of traffic injuries by survey method. Methods Two hundred ten patients in suffering from traffic injuries were surveyed from September 1st, 2019 to January 31th, 2020 at 2 University Hospitals (Pusan National Korean Medicine Hospital and Kyung Hee Korean Medicine Hospital at Gangdong) and 1 Spine Specialty Hospital (Jaseng Hospital of Korean Medicine). A structured questionnaire of experience on health care utilization of KM practice and perception of health care system of was distributed to responders by visits and all data were statistically analysed. Results Survey results showed high satisfaction of patients with the experience of KM treatments in order of daoyin exercise (7.8±2.3), chuna manual therapy (7.7±4.0), pharmacoacupuncture (7.4±3.0) etc. Safety concerns were reported in 9.1% subjects and 205 (97.6%) patients answered that collaboration with KM and western medicine is necessary for patients with traffic injuries. For the patients' requirement for extending insurance coverage, the most required therapy was chuna manual therapy (57.5%) and pharmacoacupuncture (42.0%). Conclusions This study presented the realistic patient-centered perception of KM practice and health care system in Korea. These results will provide basic data to be reflected in the process of adaptation for the revision of Korean Medicine CPG for traffic injuries.

Clinical Effect of Cupping Therapy on Cerebral Infarction Patients with Hyperlipidemia (뇌경색환자의 고지혈증에 대한 부항요법의 임상적 효과)

  • Park, Hoi-Jin;Hwang, Kyu-Sun;Park, Hyun-Ae;Lee, Chang-Hee;Park, Hyun-Ho;Song, Soo-Cheol;Jeon, Seong-Ha
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.41-49
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    • 2008
  • Objectives : This study was aimed at examining significant curative effects of Cupping therapy on Cerebral infarction patients with hyperlipidemia. Methods : The subjects in this study were fifty-two patients visited or admitted to Dong-seo Oriental Hospital who broke out with Cerebral infarction from March 2007 through February 2008, with high total cholesterol(240mg/$d\ell$ above) or high triglyceride(200mg/$d\ell$ above) or low density lipoprotein(160mg/$d\ell$ above) Before prescription, they were tested for total cholesterol, triglyceride, low density lipoprotein with fasting and were then rescribed the cupping therapy for 4 weeks(take an average ten times), after which they were retested for total cholesterol, triglyceride, low density lipoprotein. Results : 1. In the high total cholesterol group(triglyceride and low density lipoprotein are normal), statistical significance of total cholesterol changes was recognized before and after the treatment. 2. In the high triglyceride group(total cholesterol and low density lipoprotein are normal), statistical significance of triglyceride changes was recognized before and after the treatment. 3. In the high low density lipoprotein group(total cholesterol and triglyceride are normal), statistical significance of triglyceride changes was recognized before and after the treatment. 4. In the high total cholesterol and high triglyceride group(low density lipoprotein is normal), statistical significance of total cholesterol changes was recognized before and after the treatment. But, triglyceride changes was not that. 5. In the high total cholesterol and high low density lipoprotein group(triglyceride is normal), statistical significance of total cholesterol and low density lipoprotein changes were recognized before and after the treatment. 6. In the high triglyceride and high low density lipoprotein group(total cholesterol is normal), statistical significance of triglyceride changes was recognized before and after the treatment. But, low density lipoprotein changes was not that. 7. In the high total cholesterol and high triglyceride and high low density lipoprotein group, statistical significance of total cholesterol changes and low density lipoprotein changes were recognized before and after the treatment. But, triglyceride changes was not that. Conclusions : Cupping therapy decreased total cholesterol in whole hyperlipidemia group including high total cholesterol.

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Caring Experience of Mothers with IDDM Children (인슐린의존형 당뇨병 환아 어머니의 돌봄 경험)

  • 최미혜
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.81-92
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    • 1998
  • This study is to define the caring experience of mothers with insulin-dependent diabetes mellitus children, by finding core category, contextual factors, ntervening factors, and the patterns of caring, and to velop a practice theory on it. Research method followed grounded theory methodology by Strauss & Corbin. Subjects were six mothers. whose children have had insulin-dependent diabetes mellitus for 4 months to 14 years by the interview time. They were selected by theoretical sampling. Data were collected from September, 1995 to January, 1996. Interview were done by long interview technique and observation. Each interview took 50 minutes to 2 hours. Content of interview was recorded and transcribed later. Based on the results of previous interview, content of next interview was planned until data reached to the saturation point. Results were as follows : One hundred and forty concepts were found. These concepts were grouped into thirty-three categories, and then to ten categories. Mothers with diabetic child were revealed to face “being overwhelmed by burden”. Overwhelming by burden is found to be progressed through the cycle production-coping-decrease or in crease process. Mothers showed four patterns of adaptation in caring the diabetic children. 1) If mothers felt large amount of overwhelming by burden because of difficulty of caring and unsympathizing but they had sufficient support, no condition of the child, and their coping mechanism was positive, most of them overcome with strong will, but some fell into burnout. 2) If mothers felt large amount of overwhelming by burden because of difficulty of caring, unsympathizing, insufficient support. serious condition of the child, and their coping mechanism was negative, they fell into burnout by coping with feeling. 3) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and sympathizing, sufficient support. no serious condition of the child, but their coping was negative, most of them fell into burnout by coping with feeling, but some overcome. 4) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and unsympathizing, sufficient support, no serious condition of the child, and their coping was positive, they overcome with strong will. On the basis of the above result, in order to help mothers take good care of their children, nursing assesment and intervention on life readjustment, and getting support should be required. Especially, through understanding mothers' personalities, individual support consistent with each of them should be required. Therefore education. counseling, mutual support and exchange of information will have to be accomplished.

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Smartphone Addiction Detection Based Emotion Detection Result Using Random Forest (랜덤 포레스트를 이용한 감정인식 결과를 바탕으로 스마트폰 중독군 검출)

  • Lee, Jin-Kyu;Kang, Hyeon-Woo;Kang, Hang-Bong
    • Journal of IKEEE
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    • v.19 no.2
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    • pp.237-243
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    • 2015
  • Recently, eight out of ten people have smartphone in Korea. Also, many applications of smartphone have increased. So, smartphone addiction has become a social issue. Especially, many people in smartphone addiction can't control themselves. Sometimes they don't realize that they are smartphone addiction. Many studies, mostly surveys, have been conducted to diagnose smartphone addiction, e.g. S-measure. In this paper, we suggest how to detect smartphone addiction based on ECG and Eye Gaze. We measure the signals of ECG from the Shimmer and the signals of Eye Gaze from the smart eye when the subjects see the emotional video. In addition, we extract features from the S-transform of ECG. Using Eye Gaze signals(pupil diameter, Gaze distance, Eye blinking), we extract 12 features. The classifier is trained using Random Forest. The classifiers detect the smartphone addiction using the ECG and Eye Gaze signals. We compared the detection results with S-measure results that surveyed before test. It showed 87.89% accuracy in ECG and 60.25% accuracy in Eye Gaze.

A Study on the Biography of Men in International Marriage - A Story of Neo-diaspora of Seven Men - (국제 결혼한 남성들의 생애사 연구: 7인의 새로운 디아스포라(neo-diaspora) 이야기)

  • Lee, Keun-Moo;Kim, Jin-Sook
    • Korean Journal of Social Welfare
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    • v.61 no.1
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    • pp.135-162
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    • 2009
  • The purposes of this study were to investigate Korean men that chose international marriage in terms of motivations, relationships with their spouses in terms of content and process, and quality changes by approaching them in a biography research method, as well as to look into the world of their specific experiences. Ten Korean men in international marriage participated in the study. In-depth interviews with them generated plenty of data. The analysis results of the data indicate that the instrumental nature was strong as for their motivation to marry a woman of a different nationality. They maintained partner relationships with their spouses until the exchange values became equal between them, when tension and conflicts started to happen. The ways they reacted to the crisis determined whether their marital relationships would continue or end. Most of the subjects that succeeded in maintaining their marital relationships deconstructed their own culture, reorganized it at the contact points with the culture of their spouses, and then moved to a new diaspora. The research implications emphasize an academic need to regard female marriage immigrants as a neo-diaspora in the global age. And suggestions were made as to intercultural education.

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Cold-induced Vasodilation At Various Water Temperature And Its Reproducibility During Cold Water Finger Immersion (다양한 찬물 온도에서 손가락 추위유발성혈관확장의 재생산 반응)

  • Kim, Byeong-Jo;Lee, Dae-Taek
    • Aerospace Engineering and Technology
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    • v.9 no.1
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    • pp.143-150
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    • 2010
  • This study examined the effect of cold water finger immersion at various water temperature on cold-induced vasodilation (CIVD) and its reproducibility to the cold stress. Ten healthy collegiate men ($21.4{\pm}2.5$ yrs, $175.8{\pm}4.1$ cm, $69.6{\pm}7.6$ kg, $11.2{\pm}3.7$ %fat) underwent two tests. At the first test (1ST), subjects immersed their middle fingers at $43^{\circ}C$ water for 5 min followed by a resting at an ambient air for 25 min. Then they immersed the finger at one of the five water temperatures (Tw: 5, 8, 11, 14, or $17^{\circ}C$) at random order for 20 min. Once a testing at one Tw was completed, they immediately repeated the testing procedure for another Tw. The second test(2ND) was performed within a week after 1ST with having an identical procedure of 1ST except the order of Tw. During the test, rectal temperature, finger temperature from middle finger nail bed, and heart rate were measured every six second. In conclusion, maximal finger temperature(Tfmax), and Tfmax minus Tw was highly reproducible in this experiment. Minimal finger temperature (Tfmin) and Tfmax were higher as Tw decreased. And Tfdiff was higher as the colds tress decreased. No differences were found in time variables of temperature responses.

The Analytical Study on the Research Trends of Science Education in Korea(The period : 1992 ~ 1996) (국내 과학교육 연구 동향 분석(기간;1992년 ~ 1996년))

  • 송판섭;기수연;김석중;김정길;김해경;남철우;최도성;한광래;홍행화
    • Journal of Korean Elementary Science Education
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    • v.18 no.1
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    • pp.19-28
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    • 1999
  • This study aims to analyze tile research trends of science education in Korea, and suggest the direction of the desirable research, which is to help the improvement of science education practically. To achieve these aims, the papers related to the science education (paper;1288, master′s thesis;724, doctoral thesis;59), which were published from 1992 to 1996 in Korea, are classified by the criteria for the analysis and summed up. The condensed results of this study are as follows, 1. The papers published through this period, maintains the stability in aspect of quantity compared with 1980s. It is owing to the efforts of the prime investigator so that "the science education," as a part of normal science, may settle down in Korea. 2. In the case of thesis for the academic degree, the doctoral theses are rare, as the ratio of the doctoral vs. the master′s is 1:13. Even so, most of the theses were produced by a few universities(master′s thesis/Kor. Nat. Univ. of Edu.;28.3%, Ewha Woman′ Univ.;16.2%, doctoral thesis/Seoul Nat. Univ.;57.6%, Kor. Nat. Univ. of Edu.;22.0%). 3. Most of papers are preponderant at three categories among the ten categories proposed by this study (science teaching-learning material;23.5%, science teaching methods;21.4%, psychology of science education;21.1%). 4. Concerning the subject of research, these papers are not diversity and intensive, that is; the subject related to scientific concepts, scientific thinking and attitude, and analysis of scientific textbook is 17.7%, 14.3%, and 10.5% of the total, respectively. 5. Though not including this study, among the theses for the master of science education, many of theses are related to the subject of pure science. There are some suggestions related to tile results of this study. The severe preponderance ill the training process, the subject, and area of research, can be pointed out one of the flimsy in our researches of science education. Because these cannot be considered separately, the policy and support of educational administration must be needed to remove this phenomena. To improve the present situation of science education, the research funds have to be given to the practical than the theoretical subjects. Which can make promptly a settlement of tile problems and difficulties from the field of science education, and encourage the reseal,:h activities that tile front teachers take part in. Lately, the accumulation of literature and references are a prior condition in the development of academic knowledge. Therefore the data base system for the information of science education and translation of foreign literature related to science education must be achieved. In addition, the programs that tile teacher and the investigator can make good use of such an information without limited conditions, must be prepared.

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Study on Human Physiological Responses to Emotional Lighting System using LED Flat Lighting (LED 면조명을 이용한 감성조명시스템의 인체 생리학적 반응에 관한 연구)

  • Kim, Kyung-Tae;Oh, Seung-Yong;Yu, Mi;Yu, Chang-Ho;Kwon, Tae-Kyu
    • Science of Emotion and Sensibility
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    • v.17 no.3
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    • pp.29-38
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    • 2014
  • The purpose of this study was to verify human physiological responses to emotional lighting system using LED (light emitting diode) flat lighting. Subjects were ten males in their twenties without medical history to eyes. Colors of LED lighting are red, orange, yellow, green, blue, purple and colorless (white). They were stimulated by LED lighting for 5 minutes. We measured body temperature, heart rate variability (HRV) and electroencephalogram (EEG) before and after color stimulus. In case of EEG analysis, relative power ${\alpha}$ wave ratio decreased in the groups of colorless, red and orange color light. Also, sympathetic nerve was more activated than parasympathetic nerve and the body temperature was increased in the groups of colorless, red, orange, yellow color light. On the other hand, relative power ${\alpha}$ wave ratio increased and parasympathetic nerve was more activated than sympathetic nerve and the body temperature was decreased in the groups of green, blue and purple color light. The results imply that the LED color lighting system in the realistic experiment environment. In the future, studies with compounded both colors and modes according to situation or auditory as nature sound or olfactory as aroma will be required.

A Study on the correlation between the lunar cycle and M. M. P. I (우주변화(宇宙變化)와 인성(人性)과의 관련성(關連性)에 관한 조사연구(調査硏究))

  • Lee Seok-Jun;Yu Yeong-Su
    • Journal of Oriental Neuropsychiatry
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    • v.3 no.2
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    • pp.87-96
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    • 1992
  • In order to see the variation of human nature, M.M.P.I. was carried on 2, April 1992 (the last day of the second lunar month) and 15, June 1992 (the fifteenth day of the fifth lunar month). These experiments took male and female students who were in Won kwang University as subjects (108 students on 2, April, 105 students on 15, June). The results of it suggested the followings. 1) Every students' average of T-grades on each measure were in a normal scope. 2) There were no significant differences in comparison between the fifteenth day and the last day of the month. 3) On every measure except L, Mf, Si, the female students showed higher grade in the fifteenth day than the last day of the month. But there was no significant difference in male students. Both male and female students didn't show the significant one. 4) On the fifteenth day of the month, the female students showed higher T-grade then male did on every measure except Mf, Ma, Si. There was a significant difference on D, Pd, Mf(P<0.05) measure. 5) On the last day of the month, male students showed higher T-grade then female did on every measure except L, K, Hy, Pt. There was a significant difference on L(P<0.001), K(P<0.01). 6) On experiments about female students, there was no symptom of neurosis and psychosis on the last day of the month. But three of sixteen students(18.7%) showed symptom of neurosis, one of thirteen(6%) showed symptom of psychosis on the fifteenth day of the month. On experiments about male students, eleven of ninety-two(11.9%), four of ninety-two(4.3%) showed symptom of neurosis and psychosis respectively on the fifteenth day of the month. Ten of ninety-two(10.8%), six of ninety-two(6.5%) showed symptom of neurosis and psychosis respectively on the last day of the month. As the results of the above, human nature changes to some extend according to lunar cycle. And there are many changes in female than male. But it is difficult to generalize this fact by limited subject and only one experiments. So the controlled studies are needed on the basis of this result and have to take many person as a subject.

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Relationship Between Death Orientation of First Care Giver and Quality of Life of Hospice Patients (호스피스환자 주 수발자의 죽음에 대한 인식과 호스피스 환자의 삶과 질과의 관계)

  • Choe, Yeong-Sun
    • Korean Journal of Hospice Care
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    • v.6 no.2
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    • pp.55-68
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    • 2006
  • In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can't be perfectly cured. Due to patients' physical, psychological, and spiritual pain, quality of life drops dramatically. Patients' families also suffer from huge medical expenses while they have to take care of patients's suffering from pain. At the same time, family's attitude can influence on the quality of patients' life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon's structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver's death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient's quality of life are not statistically significant in correlation analysis.

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