• Title/Summary/Keyword: Care system

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Health Risk Management using Feature Extraction and Cluster Analysis considering Time Flow (시간흐름을 고려한 특징 추출과 군집 분석을 이용한 헬스 리스크 관리)

  • Kang, Ji-Soo;Chung, Kyungyong;Jung, Hoill
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.99-104
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    • 2021
  • In this paper, we propose health risk management using feature extraction and cluster analysis considering time flow. The proposed method proceeds in three steps. The first is the pre-processing and feature extraction step. It collects user's lifelog using a wearable device, removes incomplete data, errors, noise, and contradictory data, and processes missing values. Then, for feature extraction, important variables are selected through principal component analysis, and data similar to the relationship between the data are classified through correlation coefficient and covariance. In order to analyze the features extracted from the lifelog, dynamic clustering is performed through the K-means algorithm in consideration of the passage of time. The new data is clustered through the similarity distance measurement method based on the increment of the sum of squared errors. Next is to extract information about the cluster by considering the passage of time. Therefore, using the health decision-making system through feature clusters, risks able to managed through factors such as physical characteristics, lifestyle habits, disease status, health care event occurrence risk, and predictability. The performance evaluation compares the proposed method using Precision, Recall, and F-measure with the fuzzy and kernel-based clustering. As a result of the evaluation, the proposed method is excellently evaluated. Therefore, through the proposed method, it is possible to accurately predict and appropriately manage the user's potential health risk by using the similarity with the patient.

Intravenous Fluid Selection for Unruptured Intracranial Aneurysm Clipping : Balanced Crystalloid versus Normal Saline

  • Kang, Jian;Song, Young Joo;Jeon, Sujeong;Lee, Junghwa;Lee, Eunsook;Lee, Ju-Yeun;Lee, Euni;Bang, Jae Seung;Lee, Si Un;Han, Moon-Ku;Oh, Chang Wan;Kim, Tackeun
    • Journal of Korean Neurosurgical Society
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    • v.64 no.4
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    • pp.534-542
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    • 2021
  • Objective : While balanced crystalloid (BC) could be a relevant fluid regimen with buffer system compared with normal saline (NS), there have been no studies on the optimal fluid for surgery of an unruptured intracranial aneurysm (UIA). This study aimed to compare the effects of fluid regimens between NS and BC on the metabolic and clinical outcomes of patients who underwent surgery for UIA. Methods : This study was designed as a propensity score matched retrospective comparative study and included adult patients who underwent UIA clipping. Patient groups were categorized as NS and BC groups based on the types of pre-operative fluid and the amount of fluid administered during surgery. The primary outcomes were defined as electrolyte imbalance and acidosis immediately after surgery. The secondary outcomes were the length of stay in the intensive care unit (ICU) and duration from the end of the operation to extubation. Results : A total of 586 patients were enrolled in this study, with each of 293 patients assigned to the NS and BC groups, respectively. Immediately after surgery, serum chloride levels were significantly higher in the NS group. Compared to the NS group, the BC group had lower incidence rates of acidemia (6.5% vs. 11.6%, p=0.043) and metabolic acidosis (0.7% vs. 4.4%, p=0.007). As compared to NS group, BC group had significantly shorter duration from the end of the operation to extubation (250±824 vs. 122±372 minutes, p=0.016) and length of stay in ICU (1.37±1.11 vs. 1.12±0.61 days, p=0.001). Throughout multivariable analysis, use of BC was found to be significant factor for favorable post-operative results. Conclusion : This study showed that the patients who received BC during UIA clipping had lower incidence of metabolic acidosis, earlier extubation and shorter ICU stay compared to those who received NS. Therefore, using BC as a peri-operative fluid can be recommended for patients who undergo surgery for UIA.

Ilong Choehuilyang's life and poetry as warrior (일옹(逸翁) 최희량(崔希亮)의 무인(武人)의 삶과 시세계(詩世界))

  • Kwon, Hyok Myong
    • (The)Study of the Eastern Classic
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    • no.68
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    • pp.9-34
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    • 2017
  • The purpose of this paper is to examine the unmanned life and poetic world of Ilong Choehuilyang. Choehuilyang is uninhabited and rarely left 227 poems and being recognized for his poetic achievements by later writers. Therefore, it would be meaningful to look at Choehuilyang's poetic world in the point of studying the unmanned poetry system. In Chapter 2, I looked at life as a base stage to understand Choehuilyang. Choehuilyang from his youth while studying at the age of 21, but turned to 武科. This is due to the gauntlet of the family who does not care about the 文武, Choehuilyang's grand physical condition and the resulting unattended temperament. Choehuilyang passed the exam in the past. And he won the war seven times under General Admiral Yi. However, when Admiral Yi Sun - shin was killed in Noryang, Choehuilyang returned to his hometown. After that, he died without going out until he was 92 years old. In Chapter 3, we examined Choehuilyang's spoetic world based on Chapter 2. Choi 's poetry can be divided into revealing the temperament of the unmanned, living peacefully in his hometown after returning home, and revealing his concern for the country. The poems revealing the unattended temperament are created by sensuous sheer or direct narrative when they are on the battlefield, when they watch the war after returning home. Peaceful life in Kangho was created in Naju, the hometown. And the poem that worried about the country was created by seeing the sick horan. I hope that the research that has been discussed so far will help to understand Choehuilyang's life and world.

Toegye(退溪) Yi Hwang(李滉)'s Moral Education Theory - Focused on the system and contents of the 'Ten Diagrams of Sage Learning' (퇴계 이황의 도덕교육론 - 『성학십도』 체계와 내용을 중심으로 -)

  • Chi, Chun-Ho
    • The Journal of Korean Philosophical History
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    • no.59
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    • pp.287-312
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    • 2018
  • Confucianism which pursues the right relationship between person and person, depicts the ideal that moral individuals contribute to community development. In the 16th century, Toegye Yi Hwang, the authority of Korean Confucianism, reflected his educational intentions and interests and made the whole of the body of Confucianism and the whole process of the study into a series of 10 paintings 'Ten Diagrams of Sage Learning'. The purpose of the education which is claimed in the 'Ten Diagrams of Sage Learning' is to become a saint, and it ultimately coincides with the purpose of moral education which is to be introspective and practical moral man. The whole theme of 'Ten Diagrams of Sage Learning' is related to revealing the principles of humanity and morality in order to restore human nature on the basis of piety. Piety(敬) is also a purpose and a method of self-discipline, and is the main content. The method of education for traditional confucianism is aiming for the organic integration of purpose, content and method of education and reveals the consistency of the combination of knowledge and behavior in content and method. Exploring the universal value of traditional culture and re-raising moral culture that is important in traditional education is to discuss that what is valid for the present and the future is derived from the past tradition. That may be useful in solving today's educational problems. Especially, it is very meaningful to adopt a reflective approach to cultivate talented people who can 'realize oneself' and 'care for the community' which is the ultimate goal of education through analyzing the essence of moral education pursued by traditional education.

Countermeasures and Mobile Terminal Threats to harm the Financial Market Soundness(focusing on the Financial Investment Companies) (금융시장 건전성을 해치는 모바일단말 위협에 대한 대응방안(금융투자회사를 중심으로))

  • Yoo, Kil-Sang;Park, Tae-Hyoung;Lim, Jong-In
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.21 no.6
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    • pp.119-132
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    • 2011
  • Mobile devices such as smart phones have brought big changes to be called as 'mobile big bang' against which we can't go. Mobile banking service and MTS(Mobile Trading System) are freely available at any time, anywhere and we are able to activate communications between financial company staffs out of the office and take care of business works even remotely by using mobile devices. Mobile devices are approaching as 'smart mobile innovation' to improve an enterprise productivity and competitiveness, but threats which engaged in unfair trading behaviors or unwholesome business works in finance companies are increasing and the customer's information can be leaked out by using the nonpublic official information and mobile devices. Therefore, we have to analyze the potential problems and take the necessary countermeasures with preemptive steps to protect the customer's information and improve the financial trading soundness and fairness. In this paper, we would like to suggest countermeasures and threats against using the financial company's mobile devices focusing on the financial investment companies by 'Capital Market and Financial Investment Business Act'.

The Analysis and Preparation Guideline of Survey for Smart-City -Focused on the Case Study of Geumsan-gun- (스마트시티사업을 위한 설문결과 분석과 추진 방향 -도농복합도시 금산군의 사례-)

  • Nam, Yun-Cheol;Park, Eun-Yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.422-428
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    • 2021
  • This study surveyed residents and public officials for the projects to make smart-city plans of Geumsan-gun. First, domestic and foreign cases related to smart city projects were reviewed. The local status of Geumsan-gun was investigated regarding various aspects of the natural, social, urban environment, and smart-city facilities. The survey results were as follows. Overall, more than half of the survey respondents said they were satisfied with their housing quality. Several problems in their areas, such as inefficient welfare system, shortage of parking space, and industrial infrastructure, were reported. On the other hand, tourism and leisure facilities, health care support systems, industries to boost the economy, and the job market were also important issues. The problem was that the regional problems mentioned above were not in line with their preferences for smart-city services. The implications of the survey results could be summed up as follows. The groupware surveys of Geumsan-gun should be used as survey tools, whereas IT survey tools (Google, Survey Monkey, etc.) should be used for locals. In particular, a survey targeting residents should ask plain and compact questions taking advantage of local gatherings. It is also important to have a pilot-survey with relevant public officials and select related projects and regional issues. The survey of local residents and public officials is a prerequisite for promoting smart city projects. The smart city project shall reflect the needs of residents while solving community problems by considering the survey results and local conditions.

The Effects of 12-Week Training for the Physical Fitness and Cardiovascular Factors to Examine Physical Fitness on Firefighters Test-Taker (소방공무원 수험생의 체력검정을 위한 12주간 훈련이 체력요인, 심혈관계요인에 미치는 영향)

  • Lim, Youn-Sub;Park, Jin-Hong;Kim, Jong-Hyuck;Kim, In-Dong;Kim, Jae-Joong;Park, Jeong-Beom;Lee, Chae-Mun
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.111-126
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    • 2021
  • The purpose of this study was to investigate the effects of 12-week training on changes in physical fitness and cardiovascular factors for firefighters. For this purpose, 40 men in their 20s and 30s who agreed to participate voluntarily were recruited. They were divided into four groups: the firefighters' physical fitness test training group (hereinafter referred to as PT group), firefighters' physical fitness test and aerobic training group (hereinafter referred to as PT+AR group), firefighters' physical fitness test and both aerobic and anaerobic training group (hereinafter referred to as PT+CO group). Physical fitness factors (grip strength, back muscle strength, seated forward bend, standing long jump, sit-ups, 20-meter shuttle run), cardiovascular factors (total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, glucose, waist circumference, systolic blood pressure, diastolic blood pressure) and the relationship between Framingham Heart Risk Score and physical/cardiovascular factors were compared and analyzed, and the following conclusions were obtained. Aerobic training, anaerobic training, and combined training, including 12 weeks of firefighter physical examinations, all had positive effects on fitness and cardiovascular factors, which would be an appropriate way for firefighter examinees to improve physical strength and reduce the risk of cardiovascular disease.

A study on the performance and necessity of dental hygienists for oral health promotion activities for the elderly according to their learning experiences and performance experiences (노인 구강건강증진 활동에 대한 치과위생사의 학습경험과 수행경험에 따른 수행가능성 및 필요성 조사)

  • Song, Ga-In;Shin, Sun-Jung;Shin, Bo-Mi;Yoo, Sang-Hee;Bae, Soo-Myoung
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.4
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    • pp.467-479
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    • 2021
  • Objectives: The purpose of this study was to investigate the awareness of the performance and necessity of oral health promotion activities and seek ways to revitalize the professional role of dental hygienists in oral healthcare for the efficient oral care of the elderly. Methods: Eighty-five dental hygienists in charge of oral health promotion projects at public health centers and 38 dental hygienists in network dental clinical trials were investigated for their learning experience, performance experience, feasibility, and necessity of dental hygienists for general and oral health service items for the elderly. The collected data were analyzed using frequency analysis, chi-square test, and Mann-Whitney U test. Results: The degree of performance possibility according to the learning experience and performance experience of the dental hygienist for the whole body and oral health promotion activity items for the elderly showed that the degree of performance possibility was higher among those with experience compared to the non-experienced person, and it was statistically significantly higher (p<0.05). Conclusions: The dental hygienist's professional oral health service is a necessary system to improve practical knowledge and skills and to provide a wide range of professional oral health services for the elderly.

Social Determinants of Health of Multicultural Adolescents in South Korea: An Integrated Literature Review (2018~2020) (국내 다문화 청소년의 사회적 건강결정요인: 통합적 문헌고찰(2018~2020))

  • Kim, Youlim;Lee, Hyeonkyeong;Lee, Hyeyeon;Lee, Mikyung;Kim, Sookyung;Kennedy, Diema Konlan
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.430-444
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    • 2021
  • Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl's guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

The Analysis of Research Trends in Korea on Nursing Informatics Competencies: A Scoping Review (간호정보역량 국내 연구동향 분석: 주제범위 문헌고찰)

  • Roh, Min;Kang, Hyun Seon;Kwon, Yong Eun
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.779-790
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    • 2022
  • The purpose of this study was to identify research trends related to nursing informatics competency and to present further directions. This study was scoping review designed and used methodological framework by Arksey and O'Mally. The reviewed study were found through electronic databases and published from January 2000 to December 2021. There were a total of 18 studies that were included in the analysis. The framework is comprised of evaluating the characteristics and the topic of research conducted. Research in regards to nursing informatics competency has increased after 2010, and quantitative research and research with nurses as the primary subject accounted for the majority of the studies performed. Factors that influenced the outcome for the nursing informatics competency were education, position, and key variables were work performance, self-leadership, job satisfaction, nursing work achievements, nursing organizational culture, and working environment. This research is significant that it systematically reviewed the nursing informatics competency and set a direction for further studies. In the further study, it is necessary to reflect changes in the health care system and nursing work environment and it is suggested to develop educational programs to improve nursing informatis competency for nurses and nursing students.