• Title/Summary/Keyword: Health Center Utilization

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Development of severity-adjusted length of stay in knee replacement surgery (무릎관절치환술 환자의 중증도 보정 재원일수 모형 개발)

  • Hong, Sung-Ok;Kim, Young-Teak;Choi, Youn-Hee;Park, Jong-Ho;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.215-225
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    • 2015
  • This study was conducted to develop a severity-adjusted LOS(Length of Stay) model for knee replacement patients and identify factors that can influence the LOS by using the Korean National Hospital Discharge in-depth Injury Survey data. The comorbidity scoring systems and data-mining methods were used to design a severity-adjusted LOS model which covered 4,102 knee replacement patients. In this study, a decision tree model using CCS comorbidity scoring index was chosen for the final model that produced superior results. Factors such as presence of arthritis, patient sex and admission route etc. influenced patient length of stay. And there was a statistically significant difference between real LOS and adjusted LOS resulted from health-insurance type, bed size, and hospital location. Therefore the policy alternative on excessive medical utilization is needed to reduce variation in length of hospital stay in patients who undergo knee replacement.

Development of recipe for promoting consumption of Haetsun sprouts and their nutrient evaluation (햇순나물의 소비확대를 위한 조리기술 개발 및 영양성 평가)

  • Jang, Hye-Lim;Kim, Na-Hyung;Im, Hee-Jin;Park, Chu-Ja;Woo, Sang-Cheul;Yoon, Kyung-Young
    • Food Science and Preservation
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    • v.21 no.5
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    • pp.710-717
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    • 2014
  • This study was designed to develop dish recipes using Heatsun sprouts to improve the sprouts' utilization and consumption. We created four kinds of dishes with Heatsun sprouts, including Acanthopanacis cortex, Kalopanax pictus, Aralia elata, and Cedrela sinensis, and analyzed their sensory properties and nutrients. In the sensory evaluation, the overall preference for all the dishes was scored higher than 3.0, Unnaumsun-dakgoginaengchae had the highest score (4.48) among the dishes. Unnamusun-dakgoginaengchae contained higher values of protein; vitamin A, E, and B6; and folic acid than the recommended dietary allowances (RDAs). The recipe for Dureupgokgammuchim was created to reduce the bitterness and the astringent taste of Aralia elata, and it was rich in vitamin C, E, and B6, as well as in folic acid and iron. Ogapisunkkonchijolim was cooked to reduce the fishy smell of a saury with the addition of Acanthopanacis cortex. It contained 1.5 times the protein RDAs, and high levels of antioxidant vitamins, including vitamin A, C, and E. Chamjugmandu was made by the mixing tofu and various vegetables without adding meat. It had the highest calorie count among the dishes, and its vitamin A, C, and E contents were higher than the corresponding RDAs.

The Tourism Development Plan of Muan County in relation to the Construction of the Um International Airport (무안 국제공항 건설에 따른 주변지역 관광개발 방안)

  • 이덕안
    • Journal of the Economic Geographical Society of Korea
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    • v.1 no.1
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    • pp.173-191
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    • 1998
  • The Purpose of this study is to Present the tourism development Plan of Muan County in relation to the establishment of the Muau international Airport. This study criticizes the stereotypical tourism development plans carried out by numerous loyal self-governments. The highest purpose of tourism is to create an experience that cannot be had In a Person's daily life. Tourism development in Muan must be loyal to this philosophy of tourism. This study raises three key questions: What is the nature of tourism\ulcorner; For whom is tourism developed\ulcorner , Why is tourism being developed\ulcorner The answers to the three key questions are very basic ones. but are not being fulfilled in the tourism development of Korea, as fellows. Firstly, tourism development should be carried out to strengthen the special characteristics of tourism resources. Secondly, tourism development should encourage the participation of local residents within the Process, and it should be helpful to the local industry and the resident's income. lastly, the development should refrain from relying heavily on money-making businesses but seek to enrich the lives of visitors and hosts together. This study presents five distinctive tourism development schemes for Muan. They are as follows: the establishment of a scenic byway leading to the Airport: the development of Hoeshan lotus reservoir as a tourist resort for Buddhists and as a traditional health care center: the utilization of the .Japanese military airport relics as an historical and cultural tourist attraction: the establishment of a salt-water spa complex: and the vitalization of agricultural tourism by utilizing the advantage of the Muan international Airport.

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Comparison of X-ray Image Quality Between Multi-Function Device(MFD) and Weight Bearing Platforms(WBPs) (다기능 보조기구와 체중부하검사 보조기구의 X선 화질 비교)

  • Gil, Jong-Won;Lee, Kwang-Sung
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.605-611
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    • 2019
  • The purpose of this study is to manufacture a multi-function device (MFD) which can be applied to various types of weight-bearing view of the lower leg, and to compare the results with the images from the existing weight-bearing platforms (WBPs), thereby suggesting a clinical utilization. The MFD was manufactured, by considering the minimum adjustable heights of the platform for weight-bearing foot/ankle, platform for hindfoot alignment view, and X-ray tube of the X-ray device. A foot/ankle phantom was used to take the images of weight-bearing lateral foot in MFD and WBPs to compare the resolutions of the X-ray images using a quick modulation transfer function (MTF) program. Between both the images taken from the MFD and WBPs, there was no statistically significant difference found in the mean cycles per pixel (C/P) and the lines per image height (LPH) of the 50%-Contrast Spatial Frequency (MTF50), and 10-90% of Maximum Energy Rise Distance (10-90%), where p>0.05. The MFD is suggested for its clinical trial as a useful positioning device that can secure the patient's safety and manifoldly perform various inspections. Also, the recommendation of the positioning device as a policy can activate dedicated manufacturers, while also improving the quality of medical services.

Mulberry Low-Fat Ice Cream Supplemented with Synbiotic: Formulation, Phytochemical Composition, Nutritional Characteristics, and Sensory Properties

  • Kittisak Thampitak;Rattanaporn Pimisa;Pongsanat Pongcharoen;Suppasil Maneerat;Noraphat Hwanhlem
    • Microbiology and Biotechnology Letters
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    • v.50 no.3
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    • pp.361-374
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    • 2022
  • For this study, we designed and produced mulberry low-fat ice cream supplemented with synbiotics (MLF-ISS). The sensory characteristics and physical, chemical, and microbiological qualities of MLF-ISS were then determined. Mulberry juice inoculated with or without probiotic (Lactobacillus plantarum TISTR 926 and Saccharomyces boulardii CNCM I-745) was also tested at 37℃ for 24 h to determine probiotic growth rate, pH, total anthocyanin content (TAC), total phenolic content (TPC), and antioxidant activity (AA). Only the TAC of mulberry juice inoculated with S. boulardii CNCM I-745 increased considerably (p < 0.05) among these parameters. MLF-ISS was produced with varied mulberry fruit concentrations (0, 10, 20, 30, or 40%) (w/w). The MLF-ISS prepared with 30% mulberry fruit (w/w) (30-MLF-ISS) had a higher score in appearance, color, and sweetness (p < 0.05) when sensory qualities were measured using the 9-point hedonic scale method. In the CIE lab system (L*, a*, b*), the color values of 30-MLF-ISS were 27.80 ± 0.26, 12.99 ± 0.59, and 1.43 ± 0.05, respectively. The 30-MLF-ISS was also subjected to a proximate analysis. The melting rate of 30-MLF-ISS was 0.29 ± 0.03 g/min and the time it took for the first drop to fall was 37.00 ± 7.00 min. TAC, TPC, and AA of 30-MLF-ISS were observed to alter significantly (p < 0.05) during varied intervals of storage at - 18℃ (0, 30, and 60 days). The viability of probiotics in 30-MLF-ISS slightly decreased after storage at -18℃ for 8 weeks, but remained about 6 log CFU/g. During storage at -18℃ for 0 and 120 days, no pathogenic bacteria were detected in 30-MLF-ISS. These findings show that 30-MLF-ISS has nutritional and functional value, is free of foodborne pathogenic bacteria, is safe for consumers' health, and is suitable for application in the ice cream and related food industries.

Utilizing Abandoned Mines in Regional Development: Feasibility of Underground Data Centers and Public Sports Facilities (폐광지역발전을 위한 폐광산 활용방안 연구: 지하 데이터센터 및 공공체육시설로의 운용성 평가)

  • Hyeong-Geol Kim;Ganghui Kim;Sanghyun Bin;Won-Sik Woo;Jongmun Cha;Chang-Uk Hyun
    • The Journal of Engineering Geology
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    • v.33 no.4
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    • pp.737-753
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    • 2023
  • Abandoned mines represent unused space resulting from resource use and changes in industrial environments. Efforts are underway to repurpose such underground spaces, leveraging their unique attributes of temperature stability, shading, and security. This study aimed to assess the feasibility of operating high-demand data centers and public sports facilities as potential recycling options for abandoned mine spaces. The status of data centers located in abandoned mines abroad was examined, including their operational technology capitalizing on the advantages of underground spaces. Considering the varying sizes of underground spaces in different types of abandoned mine in South Korea, the suitability of installing facilities for 12 different sports was evaluated for potential contributions to the health and welfare of local residents. The utilization of abandoned mine spaces as data centers and public sports facilities is expected to not only recycle industrial heritage but also to allow new development opportunities for local communities.

A study on TOC monitoring and spatial distribution analysis using a spectrometer in rivers (하천에서의 분광측정기를 이용한 TOC 모니터링 및 공간분포 분석 연구)

  • Yoon, Soo Bin;Lee, Chang Hyun;Kim, Young Do
    • Journal of Korea Water Resources Association
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    • v.56 no.11
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    • pp.815-822
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    • 2023
  • Organic pollution is one of the most common forms of water contamination. Under the Water Quality Conservation Act, indicators for measuring organic substances include BOD, COD, and TOC. Analysis of BOD and COD is labor-intensive, and in the case of organic substances where biological decomposition is not feasible or toxic substances are present, the accuracy is often low. Therefore, the Ministry of Environment is shifting towards TOC-centric management. With advancements in sensor technology today, various parameters can be monitored using sensors. In this study, digital monitoring of river TOC using a spectrophotometer called Spectro::lyser V3 was conducted. Initially, experiments were carried out at the Andong River Experiment Center to assess the applicability of the measurement equipment. Subsequently, data collected at the confluence of the Nakdong River was analyzed for the spatial distribution of TOC using the Kriging technique. This research proposes the utilization of sensors for river TOC monitoring and spatial distribution analysis. Real-time monitoring of changes in river TOC concentration can serve as fundamental data for pollution monitoring and response. Sensor-based river monitoring offers advantages in terms of temporal resolution and real-time data acquisition. When various spatial information interpretation methods are applied, it is expected to contribute to diverse studies such as aquatic ecological health, river water source selection, and stratification analysis in the future.

Assessment of the Application Status of Transcutaneous/Percutaneous Vagus Nerve Stimulation for Musculoskeletal Pain: A Scoping Review for Utilization in Korean Medicine and Subsequent Research (경피적 미주 신경 자극술의 근골격계 통증에 대한 적용 현황 파악: 한의학적 활용 및 후속 연구를 위한 Scoping Review)

  • Gun Hee Bae;Jeong Hoon Ahn;Dong Jin Jang;Jeong Hee Noh;Jae Kwon Shin;Eun Seok Jin;Sun Kyu Yeom;Seung Ju Oh
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.1
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    • pp.65-81
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    • 2024
  • Objectives This study aimed to understand the general research trends, applicated disease, and methodology of transcutaneous/percutaneous vagus nerve stimulation, contemplating its clinical use in traditional Korean medicine and future research directions. Methods A scoping review was conducted following Arksey and O'Malley Framework Stage and adhering to the PRISMA extension for scoping reviews: checklist and explanation. Papers published until October 30, 2023, were investigated across 10 databases (PubMed, Embase, Scopus, Web of Science, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, KMbase, Science ON, Research Information Sharing Service. The search terms used were 'Transcutaneous/Percutaneous vagus nerve stimulation'. Results Since 2021, the application of transcutaneous/percutaneous vagus nerve stimulation for musculoskeletal symptoms has been actively researched, predominantly in Asia (37%), Europe (37%), and North America (21%). All 19 papers were part of clinical studies. Chronic pain was noted that most applied disease, it also was found to potentially aid in acute post-surgical pain relief. Major assessment tools include not only simple pain metrics but also pain perception, vagal nerve tension, quality of life, and inflammatory markers. Most procedures were carried out through the ear, which offers a favorable site for therapeutic stimulation without notable side effects. And parameter analysis, frequencies typically ranged around 25 Hz to 30 Hz, while pulse widths were commonly set at 250 ㎲ or 300 ㎲. Conclusions Transcutaneous/percutaneous vagus nerve stimulation is easily accessible through acupuncture in Korean medicine. Therefore, if future studies establish parameters and clinical significance, it could be utilized as a therapeutic modality.

An Effect of Aquatic Exercise Program with Self-help Group Activites and Strategies for Promoting Self-efficacy on Pain, Physiological Parameters and Quality of Life in Patients having Rheumatoid Arthritis. (자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향)

  • Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.1-30
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    • 1994
  • Rheumatoid arthritis is a chronic systematic disease with unpredictable course of exacerbation and remission, characterized by pain, joint deformity and reduced activity by joint limitation. The growing public awareness of the need for health management of chronic illnesses, provides impetus for nursing to demonstrate social effectiveness by active nursing intervention in this vast area in general, and with rheumatoid condition in particular. However, nursing interventions to date have not demonstrated its active participation in the management of chronic conditions. Nursing intervention for the patients having rheumatoid arthritis is one such area that needs to be studied intensively and to demonstrate their effectiveness empirically. The purposes of this study were two fold : first, to develop a comprehensive program that was intensified with therapeutic joint exercises in water, self-help group activities and utilization of self-efficacy promoting strategies : and secondly, to determine the effect of aquatic exercise program on pain, physiological changes and quality of life in the rheumatoid arthritis patients. Thirty five female subjects participating in this study were selected from outpatients in the Rheumatism Center, Hanyang University hospital. The period of data collection was from December, 1992 to March, 1993 in seoul and Taejeon. Subjects in Taejeon were assigned to the experimental group. The comprehensive aquatic exercise program for the experimental group was carried out three times a week for 6 weeks in regular swimming pool. Subjects in Seoul did not participated in the program, and treated as the control group. Data were analyzed with repeated measure MANCOVA, t-test, ANCOVA, percentage of change, Kruskal-Wallis 1-Way ANOVA using SPSS $PC^+$ program. Results were obtained as follows : 1) Scores on Korean pain scale, Numeric pain score, and RAI score of the experimental group were significantly lower than those of the control group (t=2.11, p=0.022 ; F=4.40, p=0.044 : t=3.10, p=0.002). 2) There was significant improvement in the physiological parameters (higher joint movement parameters, F=15.64, p=0.024 ; higher lean body mass, percentage of change=+12.2, lower body weight, t=1.01, p=0.026 : lower ESR, t=1.69, p=0.001) in the experimental group compaired with subjects In the control group. 3) There was significant improvement in the specific self-efficacy score through the comprehensive aquatic exercise program(t=2.73, p=0.011), but not in the general self- efficacy score(t=0.62, p=0.113). 4) The quality of life failed to show significant improvement in the experimental group as compaired with the control group (F=3.69, p=0.064). 5) In the experimental group, findings from additional analysis showed no significant difference in the specific self-efficacy between those who continued to aquatic exercise after completing 6 week program and those who stopped (X2=0.086, p=0.690). Therefore, adherence to aquatic exercise program for 6 weeks seem to be affected mainly by self-help group activities. An indepth study to delve into articulation of mechanisms affecting the effect of aquatic exercise program be recommended. A further study is necessary to determine the difference in the effect of group and individual aquatic exercise program, to assess factors affecting adherence to exercise for an extended length of time.

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Difference in the Quality of Life and Related Factors according to the Employment Status (경제활동 상태에 따른 삶의 질 차이와 관련요인)

  • Gim, Mi-Seon;Han, Ji-Yeon;Kim, Chul-Woung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6080-6088
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    • 2015
  • The purpose of study is to find difference in the quality of life and related factors according to the employment status. Using data from the fifth National Health and Nutrition Survey, economically active population of 20-69 years old 3,429 participants who said to questions of 'economic activity status' were finally used as analysis subjects in Korea. According to economic activity status, individuals were divided by the six different employment status and their quality of life was inspected using the EQ-5D dimensions and index score as well as analyzing the factors affecting the quality of life. As a result, unemployed compared to full-time workers, had significantly higher needs of four dimensions and Unpaid family workers had in the dimensions of Mobility, Self-care and Usual activities and temporary job had in the dimensions of Self-care and Usual activities. After figuring out life quality factors according to employment status, it was found that compared to full-time workers greater age(${\beta}=-0.089$, p<0.001), more stress(${\beta}=-0.143$, p<0.0001), hyperlipidemia(${\beta}=-0.064$, p<0.0001), stroke, arthritis(${\beta}=-0.160$, p<0.0001), respiratory diseases(${\beta}=-0.055$, p<0.001) and chronic health conditions were more influential to low quality of life for temporary job(${\beta}=-0.034$, p<0.05), day workers(${\beta}=-0.078$, p<0.0001) and unemplyed(${\beta}=-0.052$, p<0.01). The study is reported that it is to find difference in the quality of life and related factors according to the employment status and it is considered to provide basis for health evaluation of utilization in the same field of study.