• Title/Summary/Keyword: Health Protocols

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Development of Protocols for School Health Practice: Focusing on Primary School (학교보건 실무 프로토콜 개발: 초등학교를 대상으로)

  • Kim, Jin Hee;So, Hyang Sook
    • Journal of the Korean Society of School Health
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    • v.32 no.3
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    • pp.152-164
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    • 2019
  • Purpose: This study was a descriptive methodological study to develop protocols for school health practice to manage health problems of primary school students effectively. Methods: The protocols were verified by 12 experts and 10 health teachers, respectively, to secure a two-step content validity. Results: The main 8 health problems of primary school students were headache, abdominal pain, musculo-skeletal, respiratory, circulatory, ophthalmic, and oral-dental problems, and fever. The developed protocols consist of 8 algorithms, which are to help decision making in the course of assessing health problems and to identify and link related factors and associated symptoms, 8 school nursing records based on the Omaha classification system, and the list of 441 links between nursing assessment and nursing intervention. Conclusion: The use of the protocols is expected to make it easier for health teachers to apply the nursing process in solving the health problems of primary school students and supporting the rational decision making process, eventually improving the quality of primary school health. Repeated studies for protocol standardization as well as studies dealing with various health problems not included in the protocols should be performed for the development of school health practice protocols.

Offline Shopping During the COVID-19 Pandemic: Between Need and Fear

  • USMAN, Hardius;PROJO, Nucke Widowati Kusumo;CHAIRY, Chairy
    • Fourth Industrial Review
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    • v.2 no.2
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    • pp.25-37
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    • 2022
  • Purpose - The purposes of this research are: (1) Building and testing a research model that integrates Theory of Reasoned Action (TRA) with fear, perceived risk, and health protocols; (2) Examining the impact of compliance with health protocols on consumer behavior when offline shopping. Research design, data, and methodology - The data collection uses the self-administered survey method, and the questionnaire is distributed online. A total of 504 Indonesian population aged 18 years old or more participate in this research. Data are analyzed using factor analysis, multiple regression, and multiple regression with interaction. Result - This study reveals several findings: (1) Attitude and subjective norm have a significant effect on offline shopping behavior; (2) fear has a direct and indirect effect on offline shopping behavior; (3) the effect of perceived risk on the intensity of offline shopping is determined by compliance with health protocols. Conclusion - This paper discusses the direct influence of attitudes and subjective norms on behavior. This research also integrates fear, perceived risk, and health protocol factors in TRA, which may not have been done much, especially in the COVID-19 pandemic context.

A Survey on Communication Protocols for Wireless Sensor Networks

  • Jang, Ingook;Pyeon, Dohoo;Kim, Sunwoo;Yoon, Hyunsoo
    • Journal of Computing Science and Engineering
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    • v.7 no.4
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    • pp.231-241
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    • 2013
  • Improvements in wireless sensor network (WSN) technology have resulted in a large number of applications. WSNs have been mainly used for monitoring applications, but they are also applicable to target tracking, health care, and monitoring with multimedia data. Nodes are generally deployed in environments where the exhausted batteries of sensor nodes are difficult to charge or replace. The primary goal of communication protocols in WSNs is to maximize energy efficiency in order to prolong network lifetime. In this paper, various medium access control (MAC) protocols for synchronous/asynchronous and single/multi-channel WSNs are investigated. Single-channel MAC protocols are categorized into synchronous and asynchronous approaches, and the advantages and disadvantages of each protocol are presented. The different features required in multi-channel WSNs compared to single-channel WSNs are also investigated, and surveys on multi-channel MAC protocols proposed for WSNs are provided. Then, existing broadcast schemes in such MAC protocols and efficient multi-hop broadcast protocols proposed for WSNs are provided. The limitations and challenges in many communication protocols according to this survey are pointed out, which will help future researches on the design of communication protocols for WSNs.

Korean Brain Tumor Society Consensus Review for the Practical Recommendations on Glioma Management in Korea

  • Chul-Kee Park;Jong Hee Chang
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.308-315
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    • 2023
  • Recent updates in genomic-integrated glioma classification have caused confusion in current clinical practice, as management protocols and health insurance systems are based on evidence from previous diagnostic classifications. The Korean Brain Tumor Society conducted an electronic questionnaire for society members, asking for their ideas on risk group categorization and preferred treatment for each individual diagnosis listed in the new World Health Organization (WHO) classification of gliomas. Additionally, the current off-label drug use (OLDU) protocols for glioma management approved by the Health Insurance Review and Assessment Service (HIRA) in Korea were investigated. A total of 24 responses were collected from 20 major institutes in Korea. A consensus was reached on the dichotomic definition of risk groups for glioma prognosis, using age, performance status, and extent of resection. In selecting management protocols, there was general consistency in decisions according to the WHO grade and the risk group, regardless of the individual diagnosis. As of December 2022, there were 22 OLDU protocols available for the management of gliomas in Korea. The consensus and available options described in this report will be temporarily helpful until there is an accumulation of evidence for effective management under the new classification system for gliomas.

Wireless sensor network protocol comparison for bridge health assessment

  • Kilic, Gokhan
    • Structural Engineering and Mechanics
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    • v.49 no.4
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    • pp.509-521
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    • 2014
  • In this paper two protocols of Wireless Sensor Networks (WSN) are examined through both a simulation and a case study. The simulation was performed with the optimized network (OPNET) simulator while comparing the performance of the Ad-Hoc on demand Distance Vector (AODV) and the Dynamic Source Routing (DSR) protocols. This is compared and shown with real-world measurement of deflection from eight wireless sensor nodes. The wireless sensor response results were compared with accelerometer sensors for validation purposes. It was found that although the computer simulation suggests the AODV protocol is more accurate, in the case study no distinct difference was found. However, it was shown that AODV is still more beneficial in the field as it has a longer battery life enabling longer surveying times. This is a significant finding as a large factor in determining the use of wireless network sensors as a method of assessing structural response has been their short battery life. Thus if protocols which enhance battery life, such as the AODV protocol, are employed it may be possible in the future to couple wireless networks with solar power extending their monitoring periods.

Effects of Oral Care on the Oral Health Status and Tooth Stain by Oral Solution Types for Elderly Patients Staying at Long-term Care Hospitals (구강 용액에 따른 구강 간호 수행이 요양병원 입원 노인의 구강건강상태와 치아착색에 미치는 효과)

  • Bae, Jisuk;Park, Heeok
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.278-289
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    • 2017
  • Purpose: This study was designed to investigate whether there were differences among three oral care protocols on participants' oral health status (oral status, dry mouth, halitosis, saliva pH, microorganism growth in oral cavity) and tooth stain. The three protocols were: 1) oral solution of 4% normal saline, 2) 0.1% Chlorhexidine and 3) Tantum. Methods: A nonequivalent control group pretest-posttest design was utilized. A total of 55 elderly patients residing at long-term care facilities(19 in the 4% normal saline group, 17 in the 0.1% Chlorhexidine group, 19 in the Tantum group) received oral care daily for four weeks. Data were analyzed using SPSS/WIN 22.0 program. Results: The halitosis (${\chi}^2=10.71$, p=.005) and saliva pH (${\chi}^2=6.84$, p=.033) scores were significantly improved after the oral care with 4% normal saline. Conclusion: These findings indicate that if elderly patients in long-term care facilities have complaint of the discomfort of using Chlorhexidine or Tantum, 4% normal saline is as effective at the other two. This can also be cost effective as there were no differences among the protocols in oral status, dry mouth, tooth stain or microorganism growth in oral cavity.

Schedule communication routing approach to maximize energy efficiency in wireless body sensor networks

  • Kaebeh, Yaeghoobi S.B.;Soni, M.K.;Tyagi, S.S.
    • Smart Structures and Systems
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    • v.21 no.2
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    • pp.225-234
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    • 2018
  • E-Health allows you to supersede the central patient wireless healthcare system. Wireless Body Sensor Network (WBSN) is the first phase of the e-Health system. In this paper, we aim to understand e-Health architecture and configuration, and attempt to minimize energy consumption and latency in transmission routing protocols during restrictive latency in data delivery of WBSN phase. The goal is to concentrate on polling protocol to improve and optimize the routing time interval and schedule communication to reduce energy utilization. In this research, two types of network models routing protocols are proposed - elemental and clustering. The elemental model improves efficiency by using a polling protocol, and the clustering model is the extension of the elemental model that Destruct Supervised Decision Tree (DSDT) algorithm has been proposed to solve the time interval conflict transmission. The simulation study verifies that the proposed models deliver better performance than the existing BSN protocol for WBSN.

Outcome of Childhood Acute Lymphoblastic Leukemia Treated Using the Thai National Protocols

  • Seksarn, Panya;Wiangnon, Surapon;Veerakul, Gavivann;Chotsampancharoen, Thirachit;Kanjanapongkul, Somjai;Chainansamit, Su-On
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4609-4614
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    • 2015
  • Background: In recent decades, the prognosis for childhood leukemia has improved, especially for acute lymphoblastic leukemia (ALL). In Thailand, though, the survival rate for ALL is unimpressive. In 2006, standard national protocols for childhood leukemia treatment were implemented. We herein report the outcome of the ALL national protocols and explanations behind discrepancies in outcomes between institutions. Materials and Methods: Between March 2006 and February 2008, 486 children with ALL from 12 institutions were enrolled in the Thai national protocols. There were 3 different protocols based on specific criteria: one each for standard risk, high risk and Burkitt's ALL. We classified participating centers into 4 groups of institutions, namely: medical schools in Bangkok, provincial medical schools, hospitals in Bangkok and provincial hospitals. We also evaluated supportive care, laboratory facilities in participating centers, socioeconomics, and patient compliance. Overall and event-free survival were determined for each group using the Kaplan Meier method. Statistical differences were determined using the log-rank test. Previous outcomes of Thai childhood ALL treatment between 2003 and 2005 served as the historic control. Results: Five-year overall survival of ALL treated using the Thai national protocol was 67.2%; an improvement from the 63.7% of the 12-institute historical control (p-value=0.06). There were discrepancies in event-free survival of ALL between centers in Bangkok and up-country provinces (69.9% vs 51.2%, p-value <0.01). Socioeconomics and patient compliance were key elements in determining the outcome (65.5% vs 47.5%, 59.4% vs 42.9%) (p-value < 0.02). Conclusions: Implementation of standard national protocols for childhood leukemia in Thailand did not significantly improve the outcome of ALL. Factors leading to better outcomes included (a) improvement of treatment compliance (b) prevention of treatment abandonment and (c) financial support to the family.

Development of Nursing Process Information System for the Home Health Care (가정간호를 위한 간호과정 정보시스템 개발)

  • Cho, Hyun;Kang, In-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.5
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    • pp.1126-1132
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    • 2009
  • We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.