Journal of the Korea Society of Computer and Information
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v.16
no.11
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pp.189-200
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2011
With rapid development and contribution of IT technology IT fushion healthcare service which is a form of future care has been changed a lot. Specially, as IT technology unites with healthcare, because delicate personal medical information is exposed and user's privacy is invaded, we need preperation. In this paper, u-healthcare service model which can manage patient's ID information as user's condition and access level is proposed to protect user's privacy. The proposed model is distinguished by identification, certification of hospital, access control of medical record, and diagnosis of patient to utilize it efficiently in real life. Also, it prevents leak of medical record and invasion of privacy by others by adapting user's ID as divided by user's security level and authority to protect privacy on user's information shared by hospitals.
Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and χ2 test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.
This primary study was done to develop an ethical guideline for organ transplantation, a life-saving treatment which helps improve the quality of life. This study tried to identify the current situation in Korea, in terms of ethical considerations in organ transplantations. This study collected basic data in organ transplantations, in the hope that procedure of organ transplantations could be developed that would be fair to both organ donors and recipients. The immediate goals of this study were : 1)to identify staff in charge of organ transplantations and their jobs in the hospital, 2)to survey whether there exists a Hospital Ethics Committee(HEC), 3)to research what consideration are formally taken in selecting recipients, and 4)to accumulate data on how consent from donors are currently obtained. The study used a survey questionnaire and received responses from 31 hospitals out of 45 hospitals where organ transplantation are being done. Organ transplantation coordinators were found in 16 hospitals, but the job description varied among hospitals. The survey showed that all 16 hospitals with an HEC that health care personnel unnecessarily dominate the committee. The study notes that HECs should be vitalized by recruiting, as members, ethicists, theologians, patients, guardians, as well as the general public outside of the hospital. The study revealed that in selecting recipients the hospital take into account ABO blood type, histocompatibility, age, waiting time. and level of patient compliance. Finally, it was shown that in the cases of living donors the transplanting hospitals seek a formal consent, whereas there are no common consenting practice established for cadaveric donors. The study concludes with three proposals. First, a nationwide institution responsible exclusively for procurement and distribution of cadaveric organs for transplantation should be established. Second. we should rebuild the national health insurance system so that have costly organ transplantation expenses are substantially covered. Last, but certainly not least. there is a need to emphasize the HEC's committment to prepare a proper ethical guideline for organ transplantation in general.
There is a need to investigate folk remedies used by patients with breast cancer because there is little information about the subject, even though many Korean women with breast cancer have used folk remedies during and after their treatment. The purpose of this study was to investigate and describe the phenomena and the meaning of folk remedies in order to better understand patients with breast cancer and to suggest directions for comprehensive nursing care. The Questions for the study were as follows What kinds of folk remedies do patients with breast cancer use\ulcorner What are the routes of knowing about folk remedies in patients with breast cancer\ulcorner What are the patterns of the usage of the folk remedies\ulcorner Why do patients with breast cancer use folk remedies\ulcorner What are the meanings of folk remedies to patients with breast cancer\ulcorner To answer these questions, a qualitative research method was used. Thirty-nine patients were recruited from university teaching hospitals from March, 1993 to November 1994. Many of them underwent either modified radical mastectomy or received various adjuvant therapy including chemotherapy, radiation therapy, and hormonal therapy. Data were collected by in-depth interviews, observations, medical records, and analyzed step-by-step using qualitative analysis. The results were as follows : 1. Patients with breast cancer have used many different kinds of folk remedies. 2. Patients with breast cancer did not know the exact effects of the folk remedies. Also the effects could not be exactly proven by the patients. 3. Patients with breast cancer received information about many kinds of folk remedies through various communication systems, such as other patients, their families and relatives, friends, and many types of mass media. 4. To use the folk remedies was one kind of illness behavior that was used by these patients. 5. Folk remedies were used to deal with not only anxiety by the patients themselves but also as the expression of affection and concern by families and relatives. 6. The use of folk remedies was one of the adaptation behaviors in patients with breast cancer whose disease was in the terminal stage. Based on the above findings, one suggestion was made : To continue further studies on folk remedies used by other patients with cancer in order to further explain health and illness behavior of Korean people.
Background: The number and curriculum of dental hygienists in Korea have dramatically increased. Controversies have since resulted from insufficient job descriptions of the work performed by a dental hygienist. A dentist's perception was examined to legally reflect the actual work of dental hygienists. Methods: Four hundred and nineteen dentists were surveyed about the duties of a dental hygienist. Their views on the career and availability of each job were examined. The duties of the dental hygienist include 13 items in dental treatment preparation, 14 items of radiography, 21 items of preventive dentistry, 6 items of periodontal treatment, 12 items of oral medicine, 12 items of conservative dentistry, 8 items of prosthetics, 10 items of orthodontics, 7 items of oral and maxillofacial surgery, 6 items of implantation, 6 items of impression taking and model fabrication, 5 items of anesthesia and injection, 11 items of management and administrative, and 3 items of self-development. Results: Most of the duties were doable by a dental hygienist. Many dentists reported that managing implants, oral hygiene of special patients, some duties in oral medicine, teeth brightening, making temporary crowns, making individual trays, selecting shades, ligaturing, and precision impressions need ≥3 years of experience. Duties perceived by dentists not to be performed by dental hygienists were reading radiographs (55.4%), suture and stitch out (48.0%), intramuscular injection (36.0%), root planning (27.2%), cementation and removal of prostheses (23.2%), and examining pulp vitality (22.0%). Conclusion: Current laws are to be revised to include, the care provided by dental hygienists and under a physician's supervision. Flexibility is also needed to cope with rapidly changing dental technology.
The purpose of this study was to investigate the stress and effects of stress on dietary habits, food preferences and food frequencies of young children in Kyungbuk province. The study subjects were 271 children, aged $3\sim5$, and attending child care centers within the Kyungbuk area. The general characteristics, dietary habits, stress, food preferences, and food frequencies of the young children were assessed, as were the general characteristics of their parents. The results were analyzed using $\chi^2-or$ t-tests employing the SPSS program package. The subjects were classified into two groups according their level of stress. One hundred and nine of the subjects had high stress(HS) and 162 had low stress(LS). The male HS group ate breakfast more regularly, skipped meals more frequently and ate protein-containing foods everyday compared to the male LS group. The female HS caught colds more easily and were more constipated than the female LS group. The preferences for chicken and hamburgers were higher in the male HS group than LS group; whereas, those for noodles and soybean milk were lower in the male HS than LS group. The preferences for soybean milk was higher in the female HS than LS group. The frequencies for stir-fried foods and spinach were higher in the male HS than LS group; whereas, those for curried rice, noodles, apples and soybean milk were higher in the male LS than HS group. The frequency for kimbab was higher in the female HS than LS group; whereas, those for steamed foods, shells and mushrooms were lower in the female HS than LS group. Therefore, our results suggest that young children, as well as their parents, need better dietary habits and strategies for actively coping with stress to maintain health.
The Journal of the Convergence on Culture Technology
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v.6
no.1
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pp.179-183
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2020
Seligman argues that an optimistic athlete wins based on a study of US professional baseball and professional basketball players.(trans. Choi, 2008). So, the purpose of this study was to investigate whether optimism can predict the performance of badminton youth representatives. 60 high school students were divided into two groups according to their performance. We used the revised Life Orientation Test (LOT-R) developed by Scheier, Carver and Bridges(1994) and translated into Korean version by Shin Hyun-sook(2005). For this study, the data were analyzed by frequency analysis, reliability analysis, and independent t - test. As a result, there was a statistically significant higher level of optimism in the excellent group than in the non-excellent group. So, in order to improve sports performance, we need psychological skills training that can improve optimism as well as physical training and skills training.
This study analyzed how the situation of the elderly problems around the issue appeared on theory and field. First was to identify elderly issues with a theoretical argument about the elderly problem, from the perspective of structural functionalism, conflict theory, symbolic interaction theory. The issues of older issues was selected to increase, divorce increases and remarried decline in the elderly, exclusion from the labor market, and dilemmas, such as political participation and volunteering in the elderly households study the current situation and their problems for them. the results in terms of social issues the first solution to the problem, the elderly, it is necessary to switch recognition for the elderly. Second, we need to remove negative perceptions about older people. Third, we must establish a complementary relationship between the state and the private sector.In conclusion, it should be full in order to solve the elderly problem in terms of social issues, not limited to the elderly problem in the elderly subject matter of an individual or family corresponds to publicize it as a social problem social preemptively.
This study was aimed to explore the relations between Father's language interaction and self-leadership, preschool adjustment of young children. The subjects consisted of 253 four- and five-years-old children and their father's. Data were analyzed by Pearson's r. The results of study were as follows; First, there were significant correlations between father's language and self-leadership of young children. Second, there were significant correlations between father's language and preschool adjustment of young children. The educational implications of these indicate that we need to actively develop programs to increase self-leadership and preschool adjustment of young children through parents education.
This study focused on science activities that need collaborative inquiry process and evaluate the effects of small group's science cooperative learning according to personality types on young children's science activities. The subjects are 30 five-year-old kindergarteners. They have been divided equally into three groups, extroversion(E), interversion(I), and heterogeneous group of EI mixed group depending on EI indicators through K-ABC cognitive ability tests and MMTIC personality types targeting. Both of groups have 10 members each. For data analysis, scientific attitude was analyzed with ANCOVA, scientific knowledge development was done with frequency analysis. As a result, first there was a difference in scientific knowledge development between the homogeneous group and heterogeneity group in small group's cooperative learning. Through the results of a Scheffe post-hoc test, there was a significant difference between E and I homogeneous groups but there was no difference between I homogeneous group and the heterogeneity group, and between E homogeneous group and the heterogeneity group, I homogeneous group had the most effective group composition in scientific attitude improvement.
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