• 제목/요약/키워드: Academic Medical Center

검색결과 436건 처리시간 0.03초

일 지역 컨택센터 상담사의 건강증진행위와 건강문제에 관한 연구 (A Study on Health Promoting Behaviors and Health Problems in Contact Center Consultants)

  • 서인주;박정숙
    • 한국직업건강간호학회지
    • /
    • 제19권1호
    • /
    • pp.14-27
    • /
    • 2010
  • Purpose: The purpose of this study was to identify health promoting behaviors and health problems in contact center consultants, and to provide basic data in order to develop health promoting interventions for these people. The subjects were 680 consultants randomly selected from 6 contact centers out of 31 in D city. The data were collected from March 20, to March 28, 2008. Methods: The tools for this study were HPLP II developed by Walker et al. (1995) that was modified and translated by Park (2005) and modified CMI for contact center consultants based on CMI developed by Bordman (1994). The data were analyzed by descriptive statistics, t test, ANOVA, and Scheffe test with the SPSS WIN 14.0 program. Results and Conclusion: The contact center consultants' health promoting behavior was in a low level and they had certain health problems related to their job such as eye, ear and throat. In consideration of contact center consultants' job characteristics, health education should be provided with the development of systematic health programs.

일개 항공사 객실 여승무원의 기초 체력에 관련된 요인 (The Factors Affecting Physical Fitness Level of Female Flight Attendants)

  • 이현주;박정일;김용규;이윤정
    • 한국직업건강간호학회지
    • /
    • 제21권1호
    • /
    • pp.66-75
    • /
    • 2012
  • Purpose: This study is aimed at obtaining the information on the physical fitness level of female flight attendants at a local airline. Methods: The subjects are 2,409 female flight attendants who have had medical examination and physical fitness tests at an airline medical center from January 2 to December 30, 2008. The independent variables include socio-demographic & behavioral characteristics, and medical examination results, whereas the dependent variable is their physical strength score representing their fitness level. Results: Factors that affect the fitness strength score are age, flight hours per year, and fasting blood sugar level. It is found that physical fitness level is higher when the subjects are over 35, on board for over 850 hours per year and their fasting blood sugar level is over 100 mg/dL. Conclusion: It is concluded that for the improvement of flight attendants' health, more exercise to develop cardio-respiratory endurance and muscular strength is needed, and further study needs to be done to develop fitness enhancement programs considering flight attendants' job characteristics, working years, and flight hours per year, and programs for those returning to their workplace after a long-term leave, and new employees.

당뇨병성 족부궤양 환자의 치료형태 및 가정간호 연계 (An Analysis of Treatment Types and Home Care Services Referral for Patients with Diabetic Foot)

  • 송종례;한승환;이영아;김미영;채선미
    • 가정간호학회지
    • /
    • 제18권1호
    • /
    • pp.32-39
    • /
    • 2011
  • Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20 years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes, 5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.

  • PDF

파킨슨병 환자의 자가간호수행에 영향을 미치는 요인 (Factors Influencing Self Care Performance in Patients with Parkinson's Disease)

  • 김유리;민혜숙
    • 재활간호학회지
    • /
    • 제13권2호
    • /
    • pp.140-150
    • /
    • 2010
  • Purpose: This study aims to find the factors that affect the degree of self-care performance in Parkinson's disease (PD) patients. Method: This study used a descriptive correlational design. The data were collected using a sample of 80 PD patients, from the university affiliated Parkinson Center in Busan. Pearson's correlations and multiple regression analyses were conducted using the SPSS 18.0. Results: The mean score of the self-care performance was 3.61 (${\pm}0.40$). The highest score observed of self-care performance subscale was medication subscale ($4.55{\pm}0.50$) and the lowest score was observed in the exercise subscale ($3.03{\pm}0.64$). The self-care performance had significant correlations with depression (r=-.32, p<.01), self-care knowledge (r=.28, p<.05), function of motion (r=.25, p<.05), ability of daily activity (r=.22, p<.05), self-efficacy (r=.24, p<.05), and support from medical staff (r=.24, p<.05). The significant predictors of self-care performance included depression (${\beta}=-.28$), status of employment (${\beta}=-.27$), self-care knowledge (${\beta}=-.21$), support from medical staff (${\beta}=-.28$), and educational level (${\beta}=-.28$), accounting for 34% of the variance in the self-care performance. Conclusion: Depression, self-care knowledge, medical support are significant predictors which affect the self-care performance with PD patients.

Can Panax ginseng help control cytokine storm in COVID-19?

  • Choi, Jong Hee;Lee, Young Hyun;Kwon, Tae Woo;Ko, Seong-Gyu;Nah, Seung-Yeol;Cho, Ik-Hyun
    • Journal of Ginseng Research
    • /
    • 제46권3호
    • /
    • pp.337-347
    • /
    • 2022
  • Coronavirus disease 2019 (COVID-19) is currently a pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 are directly associated with hyper-activation of innate immune response that excessively produce pro-inflammatory cytokines and induce cytokine storm, leading to multi-organ-failure and significant morbidity/mortality. Currently, several antiviral drugs such as Paxlovid (nirmatrelvir and ritonavir) and molnupiravir are authorized to treat mild to moderate COVID-19, however, there are still no drugs that can specifically fight against challenges of SARS-CoV-2 variants. Panax ginseng, a medicinal plant widely used for treating various conditions, might be appropriate for this need due to its anti-inflammatory/cytokine/viral activities, fewer side effects, and cost efficiency. To review Panax ginseng and its pharmacologically active-ingredients as potential phytopharmaceuticals for treating cytokine storm of COVID-19, articles that reporting its positive effects on the cytokine production were searched from academic databases. Experimental/clinical evidences for the effectiveness of Panax ginseng and its active-ingredients in preventing or mitigating cytokine storm, especially for the cascade of cytokine storm, suggest that they might be beneficial as an adjunct treatment for cytokine storm of COVID-19. This review may provide a new approach to discover specific medications using Panax ginseng to control cytokine storm of COVID-19.

Cut-off Value for Body Mass Index in Predicting Surgical Success in Patients with Lumbar Spinal Canal Stenosis

  • Azimi, Parisa;Yazdanian, Taravat;Shahzadi, Sohrab;Benzel, Edward C.;Azhari, Shirzad;Aghaei, Hossein Nayeb;Montazeri, Ali
    • Asian Spine Journal
    • /
    • 제12권6호
    • /
    • pp.1085-1091
    • /
    • 2018
  • Study Design: Case-control. Purpose: To determine optimal cut-off value for body mass index (BMI) in predicting surgical success in patients with lumbar spinal canal stenosis (LSCS). Overview of Literature: BMI is an essential variable in the assessment of patients with LSCS. Methods: We conducted a prospective study with obese and non-obese LSCS surgical patients and analyzed data on age, sex, duration of symptoms, walking distance, morphologic grade of stenosis, BMI, postoperative complications, and functional disability. Obesity was defined as BMI of ${\geq}30kg/m^2$. Patients completed the Oswestry Disability Index (ODI) questionnaire before surgery and 2 years after surgery. Surgical success was defined as ${\geq}30%$ improvement from the baseline ODI score. Receiver operating characteristic (ROC) analysis was used to estimate the optimal cut-off values of BMI to predict surgical success. In addition, correlation was assessed between BMI and stenosis grade based on morphology as defined by Schizas and colleague in total, 189 patients were eligible to enter the study. Results: Mean age of patients was $61.5{\pm}9.6years$. Mean follow-up was $36{\pm}12months$. Most patients (88.4%) were classified with grades C (severe stenosis) and D (extreme stenosis). Post-surgical success was 85.7% at the 2-year follow-up. A weak correlation was observed between morphologic grade of stenosis and BMI. Rates of postoperative complications were similar between patients who were obese and those who were non-obese. Both cohorts had similar degree of improvement in the ODI at the 2-year followup. However, patients who were non-obese presented significantly higher surgical success than those who were obese. In ROC curve analysis, a cut-off value of ${\leq}29.1kg/m^2$ for BMI in patients with LSCS was suggestive of surgical success, with 81.1% sensitivity and 82.2% specificity (area under the curve, 0.857; 95% confidence interval, 0.788-0.927). Conclusion: This study showed that the BMI can be considered a parameter for predicting surgical success in patients with LSCS and can be useful in clinical practice.

임상병리학, 검사의학, 의료생물학 관련 지원보건직 명칭에 대한 제안 (Job Title Recommendations for Allied Health Professionals Related to Clinical Pathology, Laboratory Medicine, and Medical Biology)

  • 구본경;임대진;김상원;김철
    • 대한임상검사과학회지
    • /
    • 제55권1호
    • /
    • pp.1-8
    • /
    • 2023
  • 본 연구의 목적은 임상병리사의 전공과 직업에 정체성을 부여할 수 있는 용어를 찾는 것이다. 임상병리학이라는 용어는 병리학의 모든 분야, 즉 해부병리학, 화학병리학, 혈액학, 미생물학 및 이들의 모든 하위 전문 분야를 포함하도록 의도되었다. 불행히도, 많은 나라에서 임상병리학이라는 용어는 해부병리학을 배제하는 것으로 생각되었는데, 이는 이름이 영어 이외의 언어로 번역되었을 때 문제가 복잡해졌다. 임상병리학(미국, 영국)은 의학의 한 전문 분야이다. 유사한 용어로는 검사의학(독일, 폴란드), 의료/임상생물학(프랑스, 네덜란드) 또는 임상분석학(스페인)이 있다. 의료기술은 개인, 회사 및 기관과 같이 질문하는 사람에 따라 약간 다르게 정의된다. 물론, 질문하는 언어에 따라 다르다. 의료기술은 임상검사기술학, 지원보건과학, 의료기기, 의생명공학, 보건기술로도 번역될 수 있다. 지원보건과학에서는 '임상병리기술학·병리기술학'이라는 용어를 사용하지 않는다. '보건계열 임상병리학 및 임상병리사'의 명칭은 '의생명검험과학·의생명검험사' 또는 '임상검사분석학·임상검사분석사'로 대체할 수 있다. 본 연구에서는 학문과 자격의 명칭을 '의생명'이 결합된 용어로 '의료생물학·의료생물사'로 변경할 것을 제안해 본다.

국내 의료기관의 소독과 멸균 관리 실태 (Actual Disinfection and Sterilization Control in Korean Healthcare Facilities)

  • 정선영;최정화;김은경;김수미;손희정;조난형;최지연;박은숙;박진희;이지영;최순임;우진하;김옥선
    • 기본간호학회지
    • /
    • 제21권4호
    • /
    • pp.392-402
    • /
    • 2014
  • Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities. Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, ${\chi}^2$ test, Fisher's exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0. Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10. Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.

의료기관 보건관리자의 직무 수행도에 영향을 미치는 요인 (Factors Affecting the Job Performance of Occupational Health Manager at the Hospital)

  • 지선영;정혜선
    • 한국직업건강간호학회지
    • /
    • 제29권1호
    • /
    • pp.8-19
    • /
    • 2020
  • Purpose: To identify the importance and performance levels of health management duties, work-related and general attributes of health managers in medical institutions and analyze their impact on the performance of managing health-care related tasks. Methods: This research identified the performance levels of 150 health managers who have been executing industrial health-related duties for more than six months as nurses in medical institutions with more than 30 hospital beds. The variables which affect their performances were then analyzed. Results: The average importance of health care duties was 8.1 out of 10 and 5.5 for performance levels. Multi-regression analysis on the variables affecting performance levels of health managers in medical institutions showed that health managers exhibit higher numbers under the following conditions: over 300 full-time employees, more than 1 year but less than 3 years of experience, positions above section chief level, affiliation to the safety and health department, and high perception of duty importance. Conclusion: Improved cognizance of health manager importance should occur initially; then, health-care center setup, assigning of exclusive occupational health managers, and organizational efforts to improve the working environment in tandem with the provision of educational training programs to improve work quality are necessary.

A study on the classification system of herbology

  • Jang, Woo-Chang;Jeong, Chang-Hyun;Baik, Yoo-Sang;Mohk, In-Seok;Kim, Me-Riong;Kim, Yun-Ji
    • Advances in Traditional Medicine
    • /
    • 제7권5호
    • /
    • pp.447-458
    • /
    • 2008
  • This paper reviews the historic origin and traits of the classification system used in current Korean herbology textbooks. By reassessing its value, it proposes the most relevant path for future revisions and supplementations. Through an evaluation of the history of the modern style of classification in terms of its efficacy and statistic analysis of the distribution of individual herbs in each category, this paper shows how the classification systems of Korean herbology textbooks were influenced by contemporary Chinese herbology, particularly that of the Cheong [淸] Dynasty. An examination of the academic background, strengths and weaknesses of each classification system demonstrates the need for future research on classification systems to concentrate on resolving the following issues: how well the setting and composition of each classification system reflects reality, and how closely it is connected to related sciences such as etiology and pathogenesis, prescriptionology, and diagnosis.