• Title/Summary/Keyword: Foreign Patients

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Healthcare Workers' Cultural Competence and Multi-Cultural Job Stress (의료종사자의 다문화 역량과 직무스트레스)

  • Kwon, Su A;Yang, Nam Young;Song, Min Sun;Kim, Nam Yi
    • Journal of Home Health Care Nursing
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    • v.23 no.2
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    • pp.206-215
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    • 2016
  • Purpose: The purpose of this study was to investigate the level of cultural competence, intercultural communicative competence, and multi-cultural job stress among healthcare workers and to explore factors that are related to their cultural competence. Methods: The study subjects were 142 healthcare workers at a general hospital. Data were collected using a questionnaire on cultural competence, intercultural communicative competence, and multi-cultural job stress. A t-test, ANOVA Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS. Results: Cultural competence was significantly related to the necessity of multi-cultural education, and intercultural communicative competence was significantly related to age, a vocational career, communication in foreign languages, and having multi-cultural neighbors. Moreover, multi-cultural job stress was significantly related to religion. In multiple regression results, cultural competence was found to be related to intercultural communicative competence and multi-cultural job stress. Conclusion: Healthcare workers who are set to care for multi-cultural patients should improve intercultural communicative competence and reduce multi-cultural job stress.

A Study on the Government Regulation with Systems Thinking - Focus on tile Medical Fee Regulation - (시스템사고로 본 정부의 규제정책 - 의료수가 규제를 중심으로 -)

  • Kim, Do-Hoon;Hong, Young-Kyo
    • Korean System Dynamics Review
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    • v.6 no.2
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    • pp.53-71
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    • 2005
  • In the short view, the medical fee regulation has contributed for patients by reducing their hospital expenses and helping them to visit hospital more easily. But, some medical parts have gone into red ink because the medical fee has been different with each item. So, that medical parts have been experienced the medical specialist shortage. And some hospitals have been interested in high-priced medical services to cover their deficit. Moreover, most medical doctors don't need to use low-priced medicine undergo these circumstance, domestic small and medium pharmaceutical company has been going into bankruptcy and the dependence on foreign drug company has been rising. If these abnormal medical service keep to patience, people will get more burden of medical fee cause 9 casual loop work very complicated. In other words, present medical fee regulation were made by some politicians who had plain thinking. Those who govern the people, therefore, stand for not present medical service user but the welfare and health promotion of people and give attention to desirable medical fee with systems thinking.

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Application of Clinical Laboratory Tests in Musculoskeletal Diseases (근골격계 질환에서 진단의학검사의 활용)

  • Ha, Won-Bae;Geum, Ji-Hye;Shin, Seon-Ho;Lee, Jung-Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.2
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    • pp.109-125
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    • 2018
  • Objectives : It is difficult to make accurate diagnosis of musculoskeletal disease because of its multiple, subjective and non-specific symptoms. It is possible to reduce errors of differential diagnosis through detailed history taking and physical examination in parallel with laboratory tests based on clinical decision. Methods : Korean and foreign on-line databases(Pubmed, Cochran Library, NDSL, KISS and OASIS) were researched for articles discussing laboratory tests in musculoskeletal diseases. Results : Laboratory tests could be applied usefully for various musculoskeletal diseases, In this review, available laboratory components in these musculoskeletal diseases are summarized, and then significance and usefulness of disease-specific laboratory examination are described. Conclusions : When examining musculoskeletal patients, it needs to accurate differential diagnosis by full interview and physical examination, to select required tests by understanding laboratory tests thoroughly, and to judge the prognosis precisely.

A case of intra-abdominal abscess caused by unconsciously ingestion of fish bone in elderly patient

  • Kim, Bo Ra;Kim, Hong Jun;Hahm, Jong Ryeal;Ha, Chang Yoon;Jung, Woon Tae;Lee, Ok Jae
    • Kosin Medical Journal
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    • v.33 no.3
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    • pp.415-421
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    • 2018
  • Cases showing complications such as esophageal injury, deep neck infection, and mediastinitis caused by accidental ingestion of fish bone are common. But ingestion of fish bone rarely causes perforation of the gastrointestinal tract or an intra-abdominal abscess. We report herein a case of a 78-year-old man with a periumbilical mesenteric abscess caused by fish bone which was ingested unconsciously. The fish bone was found in the terminal ileum and it was removed by colonoscopy. The patient improved and he was discharged after systemic antibiotic therapy. Occasionally, when patients swallow fish bone without a foreign body sensation, clinicians should suspect perforation caused by fish bone in case of an intra-abdominal abscess of unknown cause.

Concept Analysis of Fear of Recurrence in Breast Cancer Survivors

  • Kim, Yoonjung
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.220-228
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    • 2020
  • Breast cancer incidence continues to increase, and survival rates are also increasing compared to the past. An increase in breast cancer survivors means an increase in the number of women who return to their life after treatment. These patients feared cancer recurrence, which makes it an important aspect to be studied among breast cancer survivors. Therefore, this study was aimed at analyzing the concept of breast cancer survivors' fear of recurrence. The procedure of concept analysis developed by Walker and Avant (2011) was used to clarify and describe the concept. Studies published from 2007 to 2017 were searched through domestic and foreign electronic databases. Finally, 15 studies were selected and included in analysis. Through concept analysis, the scope of use of the fear of recurrence among breast cancer survivors was confirmed, and concept analysis was performed to confirm the antecedent, consequences, attributes and empirical criteria. Based on the analysis, the attributes of the fear of recurrence among breast cancer survivors included 1) worry about health status, 2) ineffective coping, and 3) possibility of changes. The antecedents of the fear of recurrence among breast cancer survivors were 1) healthcare-related activity, 2) perception of cancer, and 3) perceived severity; the consequences were 1) increase in distress, 2) difficulty in role function, and 3) decrease in the quality of life. This study provides a clear definition of the fear of recurrence among breast cancer survivors, and the results can be applied to improve the understanding of breast cancer survivors who have finished treatment and to help them return to daily life.

A study on maxillofacial prosthesis: systematic considerations (악안면 보철 연구: 체계적 고찰)

  • Hwang, Seong-Sig;Im, Yong-Woon
    • Journal of Technologic Dentistry
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    • v.43 no.4
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    • pp.139-144
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    • 2021
  • Purpose: This study aimed to provide basic data to identify the current status of use of maxillofacial prosthesis across the world and discuss its application and research directions in Korea. Methods: Existing literature (study period, 2010 to 2020) from international studies was collected from PsycINFO, CINAHL, and PubMed, whereas domestic studies were searched using KISS and RISS. Maxillofacial prosthesis was used as the search word. A total of three foreign and two domestic articles were searched, and as a result, a total of 12 documents were selected for analysis. Results: A total of 3,311 studies were searched in this study. Among them, 3,253 articles contained in duplicate inspection and exclusion criteria were removed, and 12 articles were selected by removing literature that did not meet the research criteria through title and green and text reviews. Finally, two researchers selected the final 12 articles through handwritten searches. Eleven of them were case studies, and the remaining one was a descriptive study. Conclusion: This study identified the current status of studies that implemented maxillofacial prosthesis, published from January 2010 to January 2020. Facial prosthetics improve the quality of life of patients by restoring defects that appear on different types of mouth and face and promote both function and aesthetics. Therefore, they can be used to treat various conditions and have a positive impact on the future.

Recent Research Trends of Sayeok-tang Used in Ischemic Heart Disease (허혈성 심질환에 활용된 사역탕(四逆湯)의 최신 연구 동향)

  • Jang, Il-Woong;Hong, Jun-yeong;Lee, Soong-in
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.1-19
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    • 2021
  • Purpose : Sayeok-tang (Sini decoction, SND) is a cold-dispelling formula used for cold deficiency syndrome and is composed of Aconiti Lateralis Radix Preperata, Zingiberis Rhizoma, and Glycyrrhizae Radix et Rhizoma. It is used for diseases such as myocardial infarction, heart failure, acute and chronic gastroenteritis, and gastric effusion. This study proposes the possibility of expansion of basic research and clinical applications for ischemic heart disease (IHD) through systematic analysis of domestic and foreign studies on SND. Methods : We collected studies within the last 10 years on the use of SND in IHD and excluded those lacking relevance. Selected studies were classified by research method and the main themes of the studies were analyzed for each classification. Result: Out of 15 studies, there were 5 animal studies, 8 metabolite analyses in animals, 1 in vitro study, and 1 systematic review. Our review suggests that SND may be used as an adjuvant to nitroglycerin and percutaneous transluminal coronary angioplasty, and may improve symptoms and quality of life of patients with IHD. Myocardial protective effects through antioxidant, anti-inflammatory, anti-apoptotic, and anti-hypertensive actions were confirmed through these studies. Effects on carbohydrate, protein, and lipid metabolism were also reported. Conclusions : This study suggests that SND has potential as a treatment for IHD.

COVID19 Related Keyword Analysis: Based on Topic Modeling and Semantic Network Analysis (코로나19 관련 키워드 분석: 토픽 모델링과 의미 연결망 네트워크 분석을 중심으로)

  • Kim, Dong-wook;Lee, Min-sang;Jeong, Jae-young;Kim, Hyun-chul
    • Journal of the Semiconductor & Display Technology
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    • v.21 no.2
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    • pp.127-132
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    • 2022
  • In the era of COVID-19 pandemic, COVID related keywords, news and SNS data are pouring out. With the help of the data and LDA topic modeling, we can check out what media reports about COVID-19 and vaccines. Also, we can be clear how the public reacts to the vaccine on social media and how this is related with the increasing number of COVID-19 patients. By using sentimental analysis methodology, we can get to know about the different kinds of reports that Korea media send out and get to know what kind of emotions that each media company uses in majority. Through this procedure, we can know the difference between the Korean media and the foreign ones. Ultimately, we can find and analyze the keyword that suddenly rose during the COVID-19 period throughout this research.

The Effect of Horticultural Therapy on Cognitive Function, Depression, Self-esteem and Activity Daily Living(ADL) in Dementia Care - A Systematic Review and Meta-Analysis - (치매환자의 인지기능, 우울, 자아존중감, 일상생활수행능력에 미치는 원예치유 효과 - 체계적 문헌고찰 및 메타분석 -)

  • Bae, Seung-Jong;Lee, Sun-Hee;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.27 no.4
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    • pp.97-107
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    • 2021
  • The purpose of this study is to systematically review and to objectively identify the effect size in order to understand the effects of horticultural therapy on cognitive function, depression, self-esteem, and activity daily living(ADL) of dementia patients. Related studies published in Korean and English were selected by searching domestic and foreign academic databases. The risk of bias assessment of individual studies was performed on the included 18 literatures. Horticultural therapy was found to be significantly effective in cognitive function(effect size=1.06), depression(effect size=0.64), self-esteem(effect size=0.99), and ADL(effect size=1.98) in dementia care. It is expected that related experimental studies will be repeatedly conducted to produce a more objective effect size calculation.

Therapeutic applications of gene editing in chronic liver diseases: an update

  • Shin, Ji Hyun;Lee, Jinho;Jung, Yun Kyung;Kim, Kyeong Sik;Jeong, Jaemin;Choi, Dongho
    • BMB Reports
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    • v.55 no.6
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    • pp.251-258
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    • 2022
  • Innovative genome editing techniques developed in recent decades have revolutionized the biomedical research field. Liver is the most favored target organ for genome editing owing to its ability to regenerate. The regenerative capacity of the liver enables ex vivo gene editing in which the mutated gene in hepatocytes isolated from the animal model of genetic disease is repaired. The edited hepatocytes are injected back into the animal to mitigate the disease. Furthermore, the liver is considered as the easiest target organ for gene editing as it absorbs almost all foreign molecules. The mRNA vaccines, which have been developed to manage the COVID-19 pandemic, have provided a novel gene editing strategy using Cas mRNA. A single injection of gene editing components with Cas mRNA is reported to be efficient in the treatment of patients with genetic liver diseases. In this review, we first discuss previously reported gene editing tools and cases managed using them, as well as liver diseases caused by genetic mutations. Next, we summarize the recent successes of ex vivo and in vivo gene editing approaches in ameliorating liver diseases in animals and humans.