• 제목/요약/키워드: Health Center Utilization

검색결과 398건 처리시간 0.026초

미용실(Beauty salon) 근로자들의 유기용제 폭로와 자각증상에 관한 연구 (Exposure of Organic Solvent Mixtures and Subjective Symptoms to Beauty-Salon Workers)

  • 이창은;심상효
    • 한국환경과학회지
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    • 제18권3호
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    • pp.345-353
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    • 2009
  • The purpose of this study is to examine the health of beauty salon workers through the utilization of questionnaires concerning the extent of exposure to organic solvents found in the air of some beauty salons and any resultant symptoms in employees. The subjects were 36 employees from 10 beauty salons who agreed to participate in this study. The degree of exposure to organic solvents in the air of beauty salons was measured from September 1, 2008 to September 30, 2008. A survey of symptoms that occurred due to exposure to these solvents was also performed. The results were as follows: questionnaires were collected and analyzed from a total of 36 subjects. Of these, 28(77.8%) were female and 8(22.2%) were male. The mean age was 29.08. The mean working period was 7.13 years. Sixteen subjects attended programs at universities while 11 went to beauty schools for vocational education. When testing the concentration of organic solvents in the air of beauty salons, the highest value found was Isopropyl alcohol 511.85 ppb followed by butyl acetate, toluene, acetone, xylene, ethyl benzene, styrene, and chlorobenzene. A logistic regression analysis was performed as follows: the point of each factor was the dependent variable while sex, age, drinking, smoking, educational level, work experience, hairdresser's license, and organic solvents were the independent variables. Statistically significant difference (p<0.05) was shown in the hairdresser's license among Factor 1 and in Xylene among Factor 2; however, difference was not shown in the other variables.

The Related Factors to Urgent Disease in Triaging Patients with Acute Abdominal Pain in Emergency Department

  • Lee, Sang Rim;Lee, In Sook;Jung, Eunhee;Kim, Ju Won;Chin, Young Ran;Hong, Hyunsook;Yu, Daewon
    • 지역사회간호학회지
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    • 제30권4호
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    • pp.581-587
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    • 2019
  • Purpose: Abdominal pain is the most common symptom of patients visiting the emergency department (ED). Abdominal pain is caused by a variety of causes, so it is difficult for a triage nurse to determine the urgency of a patient, but it is still a must. The purpose of this study was to identify the related factors to the urgent diseases of patients with abdominal pain visiting ED. Methods: This study was a retrospective descriptive study. The study setting was an ED in a tertiary hospital in Korea. Data were collected from September 1, 2017 to October 15, 2017. During the study period, of a total of 6,181 patients visiting the ED, 731 complained of abdominal pain. Patients with obvious cause of pain and patients who could not express detailed symptoms were excluded. The 573 patients were included in the final analysis. We collected demographics, clinical characteristics, and final diagnosis. We divided final diagnoses into urgent diseases which were more likely to be life-threatening without treatment and non-urgent diseases. We identified the related factors to the urgent diseases of patients with abdominal pain using the logistic regression. Results: 173 (30.2%) patients had urgent diseases. Age (OR=1.02, 95% CI=1.00~1.03), referral from other clinics (OR=2.92, 95% CI=1.86~4.60), ambulance utilization (OR=2.00, 95% CI=1.27~3.15), diarrhea (OR=0.44, 95% CI=0.25~0.76), and tachycardia (OR=2.27, 95% CI=1.44~3.58) were related to urgent diseases. Conclusion: Triage nurse should take into account the patient's age, mode of visiting, and route of visiting ED; and check the symptom of tachycardia or diarrhea.

일개 종합병원의 위 절제 환자에 적용한 Critical Pathway의 효과 (Effects of a Standardized Critical Pathway for Gastrectomy Patients in a General Hospital)

  • 김은옥;권순만
    • 한국병원경영학회지
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    • 제9권3호
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    • pp.128-142
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    • 2004
  • To evaluate the effects of critical pathway on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a tertiary care academic medical center. The basic research design is a retrospective case-control comparative study. 470 patients of gastrectomy were included in the study; 180 before pathway development (control), 163 right after pathway implementation (path group I) and 127 one year after pathway implementation (path groupII). 476 patients of modified radical mastectomy were also analyzed to examine whether the reduction of the length of hospital stay is from the hospital-wide trend or due to the critical pathway. Death after operation, ICU stay, unplanned re-operation, readmission after discharge, the length of hospital stay and cost were analyzed. 2-test, one-way ANOVA, Bonferroni and Turkey's test were used for statistical analysis. (1) There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. (2) The length of hospital stay was 13.0 days in control group, 12.2 days in path group I and 10.0 days (p<0.01) in path groupII. (3) The total costs during the hospital stay were reduced. However the cost per day was significantly increased from reduction of hospital stay (358,488won in control, 366,017won in path group I and 413,220won (p<0.01) in path groupII). Critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care.

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Burden Assessment of Thyroid cancer in Iran from 1990 to 2010: Lessons Obtained from Global Burden of Disease Report 2010

  • Modirian, Mitra;Cheraghi, Zahra;Rahimzadeh, Shadi;Moghaddam, Sahar Saeedi;Jarrahi, Alireza Mosavi
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7743-7748
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    • 2015
  • Background: Thyroid tumors are generally regarded as rare malignancies. Nowadays, however, their global incidence is growing continuously partially due to western life style and utilization of more sensitive methods of early detection. It is approximately three times more prevalent in females than in males. Most cases of thyroid cancer are asymptomatic nodules or just have local cervical symptoms or adenopathy in early stages. Materials and Methods: The Global Burden of Diseases report 2010 study (released 3/2013) profited from 100 collaborators worldwide and used a vast network of data on health outcomes, vital registries, and population surveys. It shared many of the Global Burden of Diseases 1990 principal databases such as all available data on injuries, diseases, risk factors, as well as comparable metrics, and used different scientific approved methods to estimate important health status data like: death rate, life expectancy, healthy adjusted life expectancy, disability-adjusted life years (DALY), years of living lost due to premature death and years of life with disabilities. Results: DALY as thyroid cancer burden per 100,000 Iranian populations had increased by about 14% during 1990 to 2010 in all ages; from 6.1 (95% UI 4.2-9.74) years in 1990 to 6.95 (95% UI 5.06-9.18) years in 2010 in both sex. The 2010 peak age-group was estimated at 45-49 years in males and 40-45 years in females.

부산 일부지역에 유행한 장티푸스 환자에 대한 역학적인 조사 (An Epidemiological Study for on Outbreak of Typhoid Fever in Busan Area)

  • 박진형
    • Journal of Preventive Medicine and Public Health
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    • 제10권1호
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    • pp.86-93
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    • 1977
  • 부산시 남구 문현동 고지대 일원에서 유행한 장티푸스의 전염원과 감염경로를 규명하고 그 관리사업을 1975년 4월 28일부터 동년 6월 3일까지 실시하여 얻은 결과는 다음과 같다. 1. 원인불명의 고열질환은 장티푸스로 동정되었으며 주증상은 복통, 설사, 간장비대, 오심 구토, 비장비대장미진, 회맹부압통등이었다. 2. 평균이병기간은 25.2일이었고 발생율은 1000명당 35.6였다. 3. 장티푸스유행의 전염원은 행려환자로 추정되었다. 4. 발병으로 부터 신고까지의 기간은 $10{\sim}19$일사이가 제일 많았다. 5. 1차 대변배양검사 양성은 38.9%였고 2차 검사성적은 5.6%였다. 6. 연령별 발생분포는 $5{\sim}9$세군이 30.5%로 가장 높았으며 남녀 발생비는 남자가 여자보다 약간 높았다. 7, 교육정도는 국민학교 이하가 66.6%, 생활정도로는 저소득층이 77.8%로 각각 최고율을 점하고 있다. 8. 발병후 의료시설의 이용은 약국이 제일 높고 다음이 한약방, 의원의 순서였다.

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산모의 심장소리가 미숙아의 체중, 생리적 반응 및 행동상태에 미치는 효과 (The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants)

  • 염미경;안영미;서화숙;전용훈
    • Child Health Nursing Research
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    • 제16권3호
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    • pp.211-219
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    • 2010
  • Purpose: The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants. Methods: Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed. Results: There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323). Conclusion: The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.

보완대체요법에 대한 당뇨병환자의 인식 및 이용현황 (Perception and Use of Complementary and Alternative Medicine in Diabetic Patients in Busan Area)

  • 김혜령;손은주;김미경;류은순
    • 대한지역사회영양학회지
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    • 제16권4호
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    • pp.488-496
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    • 2011
  • The purpose of this study was to investigate the perception and utilization of Complementary and Alternative Medicine (CAM) for diabetic patients in Busan. The subjects were 227 patients at two general hospitals (over 400 bed). This study was performed through the interviewing process using questionnaires conducted from January to April, 2010. Of a total of subjects, 109 patients (48.0%) had taken CAM at least one time. The patients used CAM recognized that they were 'auxiliary medicines' (39.4%), 'supplementary health foods' (32.1%) and 'medicines' (19.3%), but inexperienced patients perceived them as 'supplementary health foods' (29.6%), 'unscientific treatment' (22.6%) and 'medicines' (20.2%), It was significantly different between two groups of patients (p < 0.001). The number of CAM types used for the patients was 51. The CAM types were plant foods (64.3%), dietary supplement (23.6%) and animal diets (12.1%). The patients used an average of 5.9 different kinds of CAM and an average of 3.8 years them and paid \93,345 per month. The patients with diabetic complications and for longer morbidity periods used CAM for significantly (p < 0.05) longer periods. The mean effectiveness scores of the patients used CAM were 3.31/5.00 for efficacy satisfaction, 3.58/5.00 for fewer side effects compared to those of oral drugs, 3.60/5.00 for psychological stability, 3.81/5.00 for easiness to use, and 3.06/5.00 for economic satisfaction. Of the patients that used CAM, 55.9% did not consult with doctors about CAM. More than two-thirds of the patients (77.1%) did not feel the need to consult with doctors.

국내 간호사 관련 동영상 키워드의 네트워크 분석: 유튜브 동영상 제목을 중심으로 (Network Analysis of Keywords Related to Korean Nurse: Focusing on YouTube Video Titles)

  • 이동균;이영진;이보경;김수진;박해진;배선형
    • 가정∙방문간호학회지
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    • 제29권3호
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    • pp.278-287
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    • 2022
  • Purpose: To analyze Korean nurse-related channels and video titles on YouTube, the world's largest online video sharing and social media platform, to clarify public opinion and image of nurses. We seek utilization strategies and measures through current status analysis. Methods: Data is collected by crawling video information related to Korean nurses, and correlation is analyzed with frequent word analysis and keyword network analysis. Results: Through the YouTube algorithm, 2,273 videos of 'Nurse' were analyzed in order of recent views, relevance, and rating, and 2,912 videos searched for with the keyword 'Nurse + Hospital, COVID-19, Awareness, University, National Examination' were analyzed. Numerous videos were uploaded, and nursing work that was uploaded in the form of a vlog recorded a high number of views. Conclusion: We could see if the YouTube video shows images of nurses. It has been confirmed that various information is being exchanged rather than information just for promotional purposes.

Effects of exogenous lactate administration on fat metabolism and glycogen synthesis factors in rats

  • Kyun, Sunghwan;Yoo, Choongsung;Hashimoto, Takeshi;Tomi, Hironori;Teramoto, Noboru;Kim, Jisu;Lim, Kiwon
    • 운동영양학회지
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    • 제24권2호
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    • pp.1-5
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    • 2020
  • [Purpose] Lactate has several beneficial roles as an energy resource and in metabolism. However, studies on the effects of oral administration of lactate on fat metabolism and glycogen synthesis are limited. Therefore, the purpose of the present study was to investigate how oral administration of lactate affects fat metabolism and glycogen synthesis factors at specific times (0, 30, 60, 120 min) after intake. [Methods] Male Sprague Dawley (SD) rats (n = 24) were divided into four groups as follows: the control group (0 min) was sacrificed immediately after oral lactate administration; the test groups were administered lactate (2 g/kg) and sacrificed after 30, 60, and 120 min. Skeletal muscle and liver mRNA expression of GLUT4, FAT/CD36, PDH, CS, PC and GYS2 was assessed using reverse transcription-polymerase chain reaction. [Results] GLUT4 and FAT/CD36 expression was significantly increased in skeletal muscle 120 min after lactate administration. PDH expression in skeletal muscle was altered at 30 and 120 min after lactate consumption, but was not significantly different compared to the control. CS, PC and GYS2 expression in liver was increased 60 min after lactate administration. [Conclusion] Our results indicate that exogenous lactate administration increases GLUT4 and FAT/CD36 expression in the muscle as well as glycogen synthase factors (PC, GYS2) in the liver after 60 min. Therefore, lactate supplementation may increase fat utilization as well as induce positive effects on glycogen synthesis in athletes.

랜덤 포레스트 모델을 활용한 국내 청소년 성경험 영향요인 분석 연구: 2019~2021년 청소년건강행태조사 데이터 (Factors Influencing Sexual Experiences in Adolescents Using a Random Forest Model: Secondary Data Analysis of the 2019~2021 Korea Youth Risk Behavior Web-based Survey Data)

  • 양윤석;권주원;양영란
    • 대한간호학회지
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    • 제54권2호
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    • pp.193-210
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    • 2024
  • Purpose: The objective of this study was to develop a predictive model for the sexual experiences of adolescents using the random forest method and to identify the "variable importance." Methods: The study utilized data from the 2019 to 2021 Korea Youth Risk Behavior Web-based Survey, which included 86,595 man and 80,504 woman participants. The number of independent variables stood at 44. SPSS was used to conduct Rao-Scott χ2 tests and complex sample t-tests. Modeling was performed using the random forest algorithm in Python. Performance evaluation of each model included assessments of precision, recall, F1-score, receiver operating characteristics curve, and area under the curve calculations derived from the confusion matrix. Results: The prevalence of sexual experiences initially decreased during the COVID-19 pandemic, but later increased. "Variable importance" for predicting sexual experiences, ranked in the top six, included week and weekday sedentary time and internet usage time, followed by ease of cigarette purchase, age at first alcohol consumption, smoking initiation, breakfast consumption, and difficulty purchasing alcohol. Conclusion: Education and support programs for promoting adolescent sexual health, based on the top-ranking important variables, should be integrated with health behavior intervention programs addressing internet usage, smoking, and alcohol consumption. We recommend active utilization of the random forest analysis method to develop high-performance predictive models for effective disease prevention, treatment, and nursing care.