• Therapeutic Science for Rehabilitation
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• v.10 no.3
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• pp.71-81
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• 2021

Introduction : The purpose of this article was to introduce the theory of flow experience to occupational therapy for various therapeutic interventions to improve the subject's physical function, activity, and participation. Review : To understand the flow experience in occupational therapy, this study summarized the concept and characteristics of the flow experience, the stages and the scientific characteristics of the brain, measurement methods, and related studies through a review of domestic and foreign literature. In occupational therapy, the subject's flow experience can be defined as 'a psychological state in which the subject is completely flow in the therapeutic activity he is doing while forgetting the passage of time'. Subjects perceived a clear goal for the task and experienced engagement when the challenge was balanced with a high level of skill. In a previous study, positive changes in attention and concentration, executive function, upper extremity function, and performance of daily living activities were confirmed in subjects who encountered the flow experience. Conclusion : If the subject's flow experience in various therapeutic interventions in domestic occupational therapy is considered, the treatment effects will be further promoted.

• Korea Journal of Hospital Management
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• v.27 no.1
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• pp.1-10
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• 2022

Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

• Korean Journal of Veterinary Service
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• v.44 no.4
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• pp.217-225
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• 2021

We investigated the effect of temperature and stock density on the collection efficiency of oral fluid in the pig farm in Korea. Three pig farms with similar breeding environmental conditions were selected and four pens of each farm (total 12 pens) were tested for the collection efficiency of oral fluid from pigs. Collection rate was considered as significant when oral fluid was collected from 70% of pigs within a pen. In the case of growing pigs, when internal temperature of pig barn increased by one designated degree (5℃), the oral fluid collection rate significantly decreased by 24.7% (P<0.05). The collection rate of oral fluid also decreased by 7.1% (P<0.05) as the density rate increase by one designated degree (12.5%). It was estimated that the collection efficiency of oral fluid decreased when the internal temperature of pig barn was 30℃ or higher, or barn density is higher 25% or high. On the other hand, in the case of stall-housing sows, unlike growing pigs, there was no significant differences according to the temperature, so oral fluid collection was considered to be efficient even in hot season.

• The Journal of the Korea Contents Association
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• v.22 no.10
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• pp.475-487
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• 2022

The purpose of this study is to comprehensively examine the facilitators and barriers to social participation of older adults in the society through systematic review of qualitative research. Through PubMed, Embase, Cochrane, data from 2012 to 2022 were collected. The main search keywords were 'elderly', 'older adults', social participation', 'engagement', 'motiv^*', 'barrier', 'facilitat^*'. 7 articles that satisfy the inclusion criteria were selected for analysis. Facilitators and barriers of older adults' social participation were analyzed. The analyzed factors were assorted into 'personal/ internal factors', 'environmental factors', 'social network factors'. The results of this study emphasize not only logistical factors, but also motivation, desire, social context of older adults' as factors to social participation. To prevent older adults' social isolation, a broad understanding of what promotes and inhibits the participation of the older adults is needed.

• Health Policy and Management
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• v.33 no.1
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• pp.55-64
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• 2023

Background: Despite the various activities of the regional public hospitals, discussions are being made as to whether or not to continue due to the issue of financial deficit. Therefore, the main factors affecting the fiscal deficit were analyzed with 10-year data. Methods: This study is a panel analysis that analyzed the characteristics of 34 regional public hospitals and influencing factors on medical benefits for 10 years from 2010 to 2019. First, we analyze the determinants of medically vulnerable areas set by the government, analyze the trend of medical profit per 100 beds and medical profit rate from 2010 to 2019, and identify the factors that affect them. Results: Differences in medical profit per 100 beds and medical profit-to-medical profit rate were caused by market share representing regional characteristics, and both indicators improved as the number of outpatients increased. The important influencing variables are the number of doctors and nurses, and both indicators improve when there are specialists, but medical benefits decrease as the number of doctors increases when judged by the number of people per 100 beds. In addition, the number of nurses per 100 beds does not contribute to medical profit and has a negative effect on the medical profit ratio. Conclusion: As only regional characteristics were taken into account for medically vulnerable areas, operational characteristics need to be considered. The greatest impact on the finances of local medical centers is the proper staffing of doctors and nurses, and their efficient arrangement is the most important factor in financial stability.

• Health Policy and Management
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• v.33 no.2
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• pp.118-128
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• 2023

Background: Personal socio-economic abilities are crucial as it affects health inequalities. These multidimensional inequalities across the regions have been structured and fixed. This study aimed to analyze health vulnerabilities by regional cluster and identify regional health disparities of self-rated health, using nationally representative cross-sectional data. Methods: This study used personal and regional data. Data from the Community Health Survey 2021 were analyzed. K-means cluster analysis was applied to 250 si-gun-gu using administrative regional data. The clusters were based on three areas: physical environment, health-related behaviors and biological factors, and the psychosocial environment through the conceptual framework for action on the social determinants of health. And binary logistic regression analyses were conducted to examine the differences in self-rated health status by the regional clusters, controlling human biology, environment, lifestyle, and healthcare organization factors. Results: The most vulnerable group was group 3, the moderate vulnerable group was group 1, and the least vulnerable group was group 2. The group 2 was more likely to have high self-rated health status than the moderate vulnerable group (odds ratio [OR], 1.023; p<0.001). And the group 3 showed low self-rated health status than the moderate vulnerable group (OR, 0.775; p<0.001). However, the moderate vulnerable group had significantly higher self-rated health status than the most vulnerable group (group 2: OR, 1.023; p<0.001; group 3: OR, 0.775; p<0.001). Conclusion: These results demonstrate that community members' health status is influenced by regional determinants of health and individual levels. And these contribute to understanding the importance of specific and differentiated interventions like locally tailored support programs considering both individual and regional health determinants.

• Journal of Korean Academy of Nursing
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• v.53 no.1
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• pp.69-86
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• 2023

Purpose: This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community. Methods: A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis. Results: A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11). Conclusion: These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

• Journal of the Institute of Convergence Signal Processing
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• v.24 no.1
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• pp.15-20
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• 2023

In general, maintaining an incorrect sitting posture for a long time is widely known to adversely affect the spine. Recently, several researchers have been interested in the causal relationship between incorrect sitting posture and spinal diseases, and have been studying methods to precisely measure changes in sitting or standing posture to prevent spinal diseases. In previous studies, we have developed a sensor device capable of measuring real-time posture change, applied a momentum calculation algorithm to improve the accuracy of real-time posture change measurement, and verified the accuracy of the postural change measurement sensor. In this study, we developed a posture measurement and analysis device that considers changes in the center of body pressure through the developed sitting pressure measurement, and it confirmed the sensor as an auxiliary tool to increase the accuracy of posture correction training with improving the user's visual feedback.

• The Journal of the Korea institute of electronic communication sciences
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• v.18 no.5
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• pp.989-998
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• 2023

As diseases are already increasing due to aging population and changes in eating habits, interest in digital healthcare is increasing. According to the 2020 Elderly Status Survey, 84% of South Koreans aged 65 and older suffer from at least one chronic disease, and the number and duration of drugs taken by the elderly are also increasing. Effective management that enhances compliance of chronic disease patients can prevent the onset of complications, thereby averting progression to severe illnesses. Thus, a proper medication-taking habit is crucial. This paper proposes a medication information retrieval system using OCR technology. By leveraging Google Cloud Vision API, the system detects and recognizes the names of medicines. Once recognized, the medication name is searched in a database to provide users with medication information and medication schedule management services. By providing accurate medication information through the search, it is possible to induce changes in medication methods and habits. By eliminating the inconvenience of direct input through OCR technology, we anticipate enhancing user convenience by promptly delivering information.

• Journal of Technologic Dentistry
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• v.46 no.2
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• pp.42-48
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• 2024

Purpose: The purpose of this study is to investigate the applications and prospects of big data in digital dental healthcare. Methods: The study included 30 participants in the dental field (dentists, technicians, professors, and graduate students). From June 25 to 30, 2023, the contents of the study were thoroughly explained, consent was obtained from the research subjects, and a questionnaire was administered via an internet service. The questionnaires of 28 participants who responded completely were used for analysis. The collected data were statistically processed using IBM SPSS Statistics ver. 22.0 (IBM). Results: The use of big data in digital dental healthcare, digital dental health system, mobile dental health, dental health analysis, and telehealthcare were all heavily surveyed, with an average score of 3.97 or higher on a 5-point Likert scale. The areas where big data can be utilized in digital dental healthcare are as follows. The utilization rate for three-dimensional digital product development via linkage with big data systems and industrial field manufacturing technology was found to be 4.11±0.67, and the analysis of trends by age in the occurrence of various oral diseases was found to be 4.00±0.98. Conclusion: In the future, research into the viability of big data's success in the medical data field, which is directly related to human life, is needed. Additionally, social policies and regulations regarding big data-related information and standards in dental healthcare are necessary.