• Title/Summary/Keyword: Adult Service

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A Meta-analysis of Intervention Studies on the Effects of Self Management and Education in Adult Asthmatic Patients (성인 천식환자의 자가관리교육 중재의 효과 메타분석)

  • Kim, Chae-Bong;Han, Min-Kyung;Jeong, Mi-Seon;Choi, Bo-Young;Choi, Kil-Yong;Kim, Moo-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.175-185
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    • 2015
  • Objectives : This study was did a meta-analysis of emergency room visits decreased effectiveness of self management education interventions in asthma among adult patients with asthma. Methods : A search of the database PubMed resulted in identifying 8,619 studies done between January 1990 and November 2012. STATA version 10.0 was used to analyze the effect size, explore possible causes of heterogeneity, and determine publication bias with a funnel plot. Results : We included 7 cases on emergency room visits decreased effectiveness of self management and education. Asthmatic patients experienced fewer attacks (summary effect size, 0.75; 95% confidence interval [CI], 0.65-0.95). We found that emergency room visits decreased effectiveness of self management and education were associated with statistically significant effects. Conclusions : Based on these finding, self management and education on interventions are necessary to prevent asthmatic attacks in patients and to reduce the severity of the attacks, and self management and education programs are needed in Korea.

Effect of Kegel Exercise on Urinary Incontinence after Radical Prostatectomy: Systematic Review of Randomized Controlled Trials (근치적 전립선적출술 후 요실금에 대한 케겔운동의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰)

  • Park, Seong-Hi;Cho, Yun Su;Kwack, Mi Jeong;Lee, Hee Seon;Kang, Chang-Bum
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.219-230
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    • 2013
  • Purpose: This study is reviewed of the available literature to identify the evidence of the value of Kegel exercise programs as an intervention to decrease urinary incontinence and the improvement of the quality of life following a radical prostatectomy in localized prostate cancer. Methods: We searched studies of randomized controlled trials that utilized the Kegel exercise programs with patient with a radical prostatectomy. The review was conducted electronic bibliographic database of Ovid-Medline, Embase, Scopus, KoreaMed and NDSL, etc. Of 630 publications identified, seven studies that met the inclusion criteria, and all studies analyzed by meta-analysis. To ensure the quality of the studies, we used Cochrane's Risk of Bias. Results: Kegel exercise helped patient to achieve continence more quickly (after 1, 3, 6, 12 months) than men not using Kegel exercises. Especially, Kegel exercise significantly reduced the development of urinary incontinence at one month after prostatectomy. The effectiveness of Kegel exercise after prostatectomy was found to improve the quality of life at a significant level. Conclusion: Based on available evidence, Kegel exercise that nurses can teach improved the return to continence more than usual care in men with prostatectomy urinary incontinence.

Oral Antihyperglycemic Medication Adherence and Its Associated Factors among Ambulatory Care with Adult Type 2 Diabetes Patients in Korea (우리나라 성인 2형 당뇨환자에서의 외래 투약 순응도와 관련요인 분석)

  • Hong, Jae-Seok;Kang, Hee-Chung
    • Health Policy and Management
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    • v.20 no.2
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    • pp.128-143
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    • 2010
  • Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.

Prevalence of surgical affections with their clinical management in crocodiles (Crocodylus porosus) in Bangladesh

  • Arif, Abu S.M.;Hashim, M.A.;Runa, R.A.;Chowdhury, E.H.;Rahman, Md Siddiqur;Song, Hee-Jong
    • Korean Journal of Veterinary Service
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    • v.33 no.3
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    • pp.313-317
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    • 2010
  • This study was conducted in the saltwater crocodile (Crocodylus porosus) for the occurrence of various surgical affections with their clinical management. During the period of January 2006 to June 2008, a total of 68 adult crocodiles were considered as reference population from the Reptiles Farm Ltd. at Bhaluka, Mymensingh. The occurrence of surgical affections of adult female (88.9%) was significantly (P<0.01) higher than male (11.1%). Prevalence of common surgical affections were wound: 72.2%, fibroma: 11.1% abscess: 5.6%, fracture: 5.6%, tail necrosis: 2.8%, myiasis: 2.8%. Wound was the highest among the affections. Among the identified wounds, biting wound was higher. In summer (57.7%) the occurrence of wound was higher compared to other seasons. In winter season (7.7%) the occurrence of abscess, myiasis, fibroma were higher compared to other seasons. Wounds and fibroma are the major surgical affections in salt water crocodile. The most common site of surgical affection was recorded in crocodile's tail (30.6%). It was suggested that minimal stress, allowing constant and easy access to water, removal of roots of the tree in the basking land of crocodiles pen, basking land of the pen is better filling up by sand, clinical surgical managements are essential for better health and production.

A study on the preference of necktie design according to the demographic characteristic of adult man - Focused on stripe pattern - (성인 남성의 인구통계학적 특성에 따른 넥타이 디자인 선호도 연구 - 스트라이프 패턴을 중심으로 -)

  • Park, Young-Hee
    • Journal of Fashion Business
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    • v.16 no.4
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    • pp.152-165
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    • 2012
  • The purpose of this study was examining the preference difference of the necktie design for the stripe patterns according to the demographic characteristics. The study method was a research study through a survey. The study subject was the adult men in their from 20's to 50's. The study stimulative was the stripe patterns of man's necktie which were made by Adobe Photoshop 9 with using the color, the arrangement, the interval, and the width of necktie. The results of study are as follows. As the difference analysis result for the color preference for stripe pattern according to the demographic characteristic, men in their 20's preferred most gray series, men whose monthly income is less than two millions won and men of owner-operator preferred most red series, and all the rest of men preferred blue series. As the difference analysis result for the preference of arrangement type, men in their 20's preferred most the stripe pattern of width, students preferred most the stripe pattern of length, all the rest of men preferred most the stripe pattern of diagonal. As the difference analysis result for the preference of stripe interval for necktie, unmarried men, students, men in their 20's, and men engaging in sales/service and production work preferred most the interval of 0.6cm, all the rest of men preferred most the interval of 1.2cm. As the difference analysis result for the preference of necktie width, unmarried men, men in their 20's, men engaging in sales/service and production work, and students preferred most the width of 7cm, all the rest of men preferred most the interval of 8cm.

Adult Patients with Peptic Ulcer in Korea-related Factors, Flexible Workers (한국 성인 변형근로자의 소화성궤양 환자 관련요인)

  • Park, Sun-Hee;Oh, Hyang-Suk;Kim, Chang-Hwan
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.211-217
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    • 2012
  • To identify health behavior of Peptic ulcer patients among all employees in Korea and examine relevant factors to present basic data for improving Korean adult employees' health conditions and quality of living, 3,515 employees aged 20 to 69 were sampled from the group that responded to the question concerning the presence of Peptic ulcer in the fourth Korea National Health and Nutrition Examination Survey for the third year (2009). After logistic regression analysis was carried out to see the effects of working conditions, harmful factors, shift work, stress perception, and experience of depression on the presence of Peptic ulcer, it was found that unsafe or unpleasant working conditions led to higher risk of getting Peptic ulcer, that flexible workers were more likely to get Peptic ulcer, and that depression or stress perception exerted almost no effect on Peptic ulcer. With the increase in the number of flexible workers, increasingly more interest is taken in the effects of shift work on health; occupational Peptic ulcer tends to become chronic as compared with the condition in the general population and reappear even after recovery in many cases; therefore, it is necessary to take special management measures by estimating the number of those at a risk of getting Peptic ulcer and by finding out its risk factors.

A Study on the Current State and Improvements of the Public Library Services for Older Adult in Korea (우리나라 공공도서관 노인서비스 현황과 개선방안에 관한 연구)

  • Bae, Kyungjae
    • Journal of the Korean Society for information Management
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    • v.38 no.3
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    • pp.199-214
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    • 2021
  • This study was conducted with the aim of identifying the current state and improvements of the public library services for older adult in Korea. According to the online survey of public libraries in urban areas across the country, a total of 172 libraries responded. Research shows that public libraries generally recognize the importance of elderly users, but there are limitations in active efforts. The priority area for library collection and space/facilities was to be strengthened by the expansion of large type and voice books/periodical books, as well as the need to ask librarians for help to find books in high bookshelves. In the case of library services/programs, the areas that need to be strengthened first were analyzed as social participation programs and humanities programs. The librarians in charge of information services expressed their opinions that more specialized services and programs should be planned and subdivided for the elderly generation in order to provide older adults' services unique to other older adults' service institutions.

Assessment of coagulation function by thromboelastography in dogs with mitral valve insufficiency

  • Jeong, Chorok;Seo, Minwoong;Chang, Ocki;Park, Jinho;Park, Chul
    • Korean Journal of Veterinary Service
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    • v.45 no.1
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    • pp.55-61
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    • 2022
  • In veterinary medicine, a variety of disease are known to cause coagulation abnormalities. Identification of these coagulation abnormalities have been relied on traditional coagulation assays(platelet concentration, aPTT, PT, D-dimer, fibrinogen) which take only a small part of the coagulation pathways rather than global hemostatic capacity. Among of the hypercoagulable diseases, cardiovascular disease, such as mitral valvular disease, was not regarded as the cause of the hypercoagulability. The value of a thromboelastography (TEG) as an early predictor of coagulopathy, especially hypercoagulability, has been founded. It was associated with decreased R and K values, and increased MA and α angle. The objective of this study was to compare thromboelastography results and those of traditional coagulation tests between twenty adult dogs with mitral insufficiency (MVI group) and eleven adult healthy dogs (Healthy group). As a results, MA values in the patients with mitral insufficiency (68.8±7.8 mm) were significantly higher than the normal patients (60.4±4.8 mm) (P value<0.05). Although a little report has been reported in veterinary medicine, platelet activation seems to be related with hypercoagulability in MVI patients in human medicine. The result of this report can support this pathophysiology in veterinary medicine. In addition to traditional coagulation assay, global assessment of coagulopathy using TEG, especially ability to detect hypercoagulability, may be useful for customized treatment in MVI patients. To achieve this, further study is needed to define pathophysiology and effect of medication.

A Survey on Public Preference for Image Styles of Dining Space Depending on Types of Passage Rites in Korea - Focused on University Students - (통과 의례 종류에 따른 식 공간 이미지 스타일 선호도 조사 - 대학생 대상으로 -)

  • Kim, Mi-Ja;Park, Geum-Soon
    • Journal of the Korean Society of Food Culture
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    • v.25 no.6
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    • pp.719-724
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    • 2010
  • The purpose of this study was to survey public preferences for dining space image styles depending on the types of passage rites in Korea and to determine potential differences in public preferences for dining space image styles depending on the types of passage rites in terms of various general characteristics such as gender, age, family type, and preference for the image and color styles of the dining space. As a result, this study determined the following: According to a public preference survey of dining space image styles depending on the type of passage rites, our respondents showed the highest preference for casual images (27.1%) at a party for a 100-day-old baby. Additionally, our respondents showed the highest preference for casual images (27.4%) when celebrating a baby's first birthday but showed the highest preference for romantic images (35.8%) when celebrating a baby girl's first birthday. Our respondents showed the highest preference for casual images (21.4%) for graduation ceremonies. Our respondents showed the highest preference for classic images (21.7%) at coming-of-age ceremonies for new adult men, but also showed highest preference for elegant images (26.2%) at coming-of-age ceremonies for new adult women. Moreover, the respondents showed highest preference for classic images (41.0%) at traditional wedding ceremonies but elegant images (24.1%) at modern wedding ceremonies. In contrast, the respondents showed highest preference for classic images (31.3%) for a 60th birthday party. The highest preference for classic images (28.9%) was found for a diamond wedding ceremony. Respondents showed highest preference for classic images (30.4%) for a funeral ceremony Finally, our respondents showed highest preference for classic images (32.5%) at memorial services (religious ceremonies).

Motor and cognitive function according to level of physical activity in stroke patients (뇌졸중환자의 신체활동수준에 따른 운동기능과 인지기능)

  • Jeong Ja Kim;Jong Won Lee
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.29-43
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    • 2023
  • Background: In the rehabilitation of stroke patients, regular physical activity is very important not only as a treatment for maximal functional recovery but also as a strategy to prevent the recurrence of stroke. The purpose of this study was to objectively measure the amount of physical activity in people with stroke, and to examine the differences in motor and cognitive function according to a level of physical activity. Design: A cross-sectional study. Methods: Physical activity (GENEActiv), motor function (Fugl-Meyer Assessment), cognitive function (Montreal Cognitive Assessment-Korean version), and the Korean version of Modified Barthel Index were evaluated in adult stroke patients with hemiplegia. Results: There was no statistically significant difference in the level of physical activity according to the motor and cognitive function. There was no statistically significant difference in motor and cognitive function according to the level of physical activity, but there was a statistically significant difference in the MBI (p<.01). Conclusion: As a result of the difference in the MBI according to the level of physical activity, it was found that the more moderate to vigorous physical activities are performed, the higher the independence in daily living. These results can be interpreted as that the more often you participate in physical activities such as physical therapy (gait training), the better your independence in ADL. Since regular physical activity participation of adult stroke patients can improve daily living performance, it is considered necessary to participate in physical activities such as continuous physical therapy.