• 가정∙방문간호학회지
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• 제14권2호
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• pp.98-105
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• 2007

Home health care system in Korea has been classified into three types of home care programs based on different laws and regulations; for example, home health care nursing(HHCN) is based on medical laws, visiting health care nursing (VHCN) is based on long-term health care insurance, and visiting health care(VHC) is based on the regional health care act. HHCN in Korea has taken on an important role under the mandate of the national health care system since 2000. VHCN will commence its role under the long term health care insurance system in 2008. The strengthening of VHC commanded health promotion and prevention for vulnerable families in the community in 2007. This is an important turning point for increasing quality management for home health care program; it suggests certain possibilities for building a foundation for further changes in the service delivery structure. Accordingly, the home health care policy makers in Korea have a major function and role that consists of developing an agenda and alternatives for policy making in a systematic manner and clearly presenting implementation strategies for elderly health care system.

• 핵의학기술
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• 제16권1호
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• pp.12-16
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• 2012

서론: 종래의 PET 영상 재구성에 있어서 FBP 등에 비해 3차원 반복 재구성 방법이 일반적으로 대체하고 있으며, 이것은 검출기 기하학적 특성과 완벽한 3차원 산란 평가 및 저잡음 randoms 평가 등의 더 진보된 재구성 알고리즘을 제공하고 활용되고 있다. 최근에 SharpIR알고리즘은 3차원 반복 재구성 알고리즘으로 PET 검출기 응답 정보를 통합하여 PET 영상의 잡음을 효과적으로 감소시켜 대조도를 향상 시키기 위한 것으로 알려지고 있다. 본 연구에서는 새로운 반복 시스템 모델인 SharpIR에 대한 성능 평가와 임상에서의 적용 가능성에 대해 알아보고자 한다. 실험재료 및 방법: 검출기 응답에 대한 분해능을 측정하기 위해 유리관(내경 1.1 mm, 두께 0.2 mm)에 $^{18}F$-FDG (250 MBq/mL)을 주입하여 축 방향 시야의 중심과 축 방향으로 5, 10, 15, 20 cm만큼 떨어진 지점에서 획득하였고 VUE point HD와 VUE point HD-SharpIR로 재구성하여 각각의 영상에서 반치폭을 구하였다. 또한 영상품질평가로 image quality phantom (NU2-2001)을 이용하여, 여러 개의 각각 다른 반지름을 가지는 원형구에 cold (직경 28, 37 mm)와 ho (직경 10, 13, 17, 22 mm)부분을 나누어 배경잡음을 주고 영상의 대조도를 평가하였다. 획득된 영상은 VUE point HD와 VUE point HD-SharpIR로 재구성을 하였다. 임상실험에서는 전신검사를 시행받은 환자 중 병소가 있는 환자 10명을 대상으로 VUE point HD와 VUE point HD-SharpIR로 재구성하였다. 이때 iterations을 1~10까지 변경하여 병소 부위와 간 부위에 관심영역을 설정하여 대조도를 평가하였다. 결과: VUE point HD로 재구성한 영상에서는 시야 중심으로부터 축방향 거리 증가와 함께 반치폭이 함께 증가하였지만 VUE point HD-SharpIR로 재구성한 영상에서는 거리가 증가하여도 일정한 반치폭을 나타냈다. 대조도는 팬텀 실험과 임상 실험에서 VUE point HD-SharpIR이 VUE point HD보다 대조도의 향상을 나타냈다. 결론: 검출기 시스템 응답에 대한 더 많은 정보를 포함시킴으로써 SharpIR 알고리즘은 VUE point HD에서 사용되는 기본 모델의 정확성을 향상시켰다. 또한 SharpIR은 VUE point HD보다 각각의 복셀에 관련된 더 많은 측정 위치를 가지는 시스템 모델이기 때문에 더욱 정교한 재구성 모델의 결과를 나타내기 위해 더 많은 반복이 걸린다. 결론적으로 SharpIR은 PET 영상에서 대조도를 향상시켰고 임상에서 적용할 수 있는 최적화된 재구성 조건을 알아보기 위해 종단적 연구를 통해 적용한다면 임상에서 유용하게 사용될 것이다.

• 동서간호학연구지
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• 제18권1호
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• pp.25-30
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• 2012

Purpose: The purpose of this study was to verify the influence of health point system on the lifestyle among the patients with chronic diseases listed in iCDMS, a project of the Incheon Metropolitan Center for Chronic Disease Control and Prevention. Methods: The data were collected 1,000 persons among the patients listed in iCDMS from March 16, 2009 to December 21, 2010 by telephone survey. The data were analyzed by descriptive statistics, ${\chi}^2$-test, odds ratio and logistic regression with the SPSS 18.0 program. Results: The higher the percentage of the accumulation of the points of necessary medical examinations they have, the better the lifestyle the participants practice moderation in drinking, exercise, and diet (p<.05). Also the higher the percentage e accumulative points of education and visit, the stronger the intention to improve the lifestyle such as for example, receiving the guidance of no smoking, giving up drinking, or being conscious of nutrition and obesity (p<.05). Conclusion: This study suggests that the motivation through an incentive system can increase self-care make an effect on the care of patients with chronic diseases.

• 한국환경보건학회지
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• 제28권1호
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• pp.1-10
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• 2002

This study was carried out to provide environmental information using geographic information system for the environmental manager engaged in governmental office. Point and nonpoint sources were classified by each small watershed and an administrative district. ArcView and ERDAS software were used to develop environmental information system. Small watershed was extracted into the DTEM using HEC-geoHMS which is ArcView extension. Study area was divided into 7 small watershed. Point sources were constituted as cattle, milk cattle, swine, and poultry. Land use was divided into forests, rice paddies, residential sites et al. User interface was designed to search information easily for the nonprofessional GIS users.

• 임상간호연구
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• 제19권3호
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• pp.357-368
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• 2013

Purpose: The purpose of this study was to investigate risk factors related to delirium and to develop screening model on delirium occurrence in MICU (Medical Intensive Care Unit) patients. Methods: For developing a preliminary tool for delirium, the data of 166 patients were collected and analyzed. In order to estimate the accuracy and discriminating power for the developed screening model, 98 patients were enrolled. The data used in this study were collected by EMR (Electronic Medical Record) review from January to September in 2012. The collected data were analyzed using SPSS/PC Win 18.0 program. Results: Screening model on delirium in MICU patients was developed using the results of logistic regression. The total score of screening model was 24 point and measuring point was 10 point. When the measuring point is over 10 point, it means that the risk of delirium occurrence is high. The discriminating power and the validity of screening model showed AUC .908 (p <.001) and .935 (p <.001) respectively. This result showed that the screening model on delirium which developed in this study was an appropriate model for screening the delirium risk group in MICU. The sensitivity of the screening model was 83%, specificity 89% and accuracy 84%. Conclusion: The developed screening model on delirium occurrence in MICU should be combined with EMR for screening and preventing delirium in a high risk group.

• 한국환경보건학회지
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• 제28권2호
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• pp.51-60
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• 2002

Concerning the water quality management plan about Buk-stream, Ohsip-stream and Gagok-stream water systems in this research, which objectives of abstract is as follows. The result of cleanness degree evaluation of water quality in this research, the first grade was 91% shared in Buk-stream water system. The most point of the middle and upper stream of Buk-stream was maintain extremely clean water quality. Among the researched water system, the first grade of water quality in Ohsip-stream water system was most poor, its first garde rate was 68%. In all water quality check point of Gagog-stream water system was accomplished extremely clean water quality condition of first grade of BOD. The calculation result of pollutant loading density, which were 8.2, 21.5, 4.0kg/day.$\textrm{km}^2$. respectively and basin of Buk-stream and Gagok-Stream have high development potentiality.

• Journal of Preventive Medicine and Public Health
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• 제26권1호
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• pp.86-95
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• 1993

To investigate perception and attitude toward Group Health Management and Service System for Small and Medium Industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon, at October 1992. Major dependent variables were perception, attitude, and practice related with Group Health Management and Service System; these variables were measured by 3-point Likert like scale consisted of 7, 5, and 5 items, respectively. Data were collected in 149 industries,72.7% out of 205. Perception nab slightly high, 1.25; attitude was some positive, 1.46; and practice was some passive,0.94. Major determinants of perception, attitude, and practice were sex and age of industry's health manager; perception influenced upon attitude, and perception and attitude had positive effect upon practice. To activate Group Health Management and Service System, it is necessary to develop education and promotion programs for industry's health managers of small and medium industries.

• 의학교육논단
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• 제20권2호
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• pp.72-77
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• 2018

Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

• 한국인터넷방송통신학회논문지
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• 제10권5호
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• pp.31-37
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• 2010

본 논문은 홈 케어를 위해 생체 센서 시스템으로 홈 네트워크 시스템을 구성하여 생체 신호가 전달되도록 생체 신호 알고리즘을 구현하였다. 알고리즘의 구성 조건은 입력함수, 주파수 변화 함수, 변위 점 산출 발생 함수, 위치 변동 축 발생 함수, 축 변화 흔들림 변위(Sway Displacement)의 함수에서 변위치의 최대 값과 최소 값을 기준에 조정할 수 있는 단계로 주파수 변동이 0.01 단위로 변화가 있도록 조정하였다. 산출되는 항목은 맥박(Heart Rate), 체온(Temperature), 체중(Weight) 로 구성되고, 파형으로 신체적 균형정도를 확인하고 건강의 상태를 확인하도록 의미를 부여하였다. 본연구의 결과로 홈 네트워크를 통해 헬스 센터 및 건강관리 중앙 시스템에 단말기를 통해 전송된 알고리즘으로 홈 내 건강 관리시스템이 진행되는 결과를 얻을 수 있고, 다양한 신체적 파라메타를 통한 모니터링 기능을 갖춘 시스템관리가 형성 될 것으로 예상된다.

• 재활간호학회지
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• 제17권2호
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• pp.57-63
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• 2014

Purpose: This study was to survey the recognition for the roles of health educator and knowledge about the examination system in health college students at a university located in Chungnam. Methods: The participants were 140 health college students. The survey was conducted using a questionnaire consists of 10 items. The knowledge about the examination system was checked for 9 items with a five-point scale. Recognition for the roles of health educator was divided into four categories from know very well to do not know at all. The data were analyzed using SPSS 18.0 program. Results: In this study, the mean score of knowledge about the examination system was 1.95 points out of 5, and the mean score of recognition for the roles of health educator was 3.01 points out of 4. According to the general characteristics, there were statistically significant differences in their knowledge about the examination system for health educator regarding their gender (p=.034) and grade (p<.001). Recognition for the roles of health educator showed a statistically significant difference only in their grade (p<.001). Conclusion: These results provide the basic data to prepare the necessary measures for the revitalization and promotion of the health educators.