• 제목/요약/키워드: Healthcare decline

검색결과 45건 처리시간 0.027초

새로운 화장료 함침재의 개발과 이를 활용한 메이크업 유중수형 에멀전에 관한 연구 (Development of the Novel Cosmetics Impregnation Material and Study on Makeup W/O Emulsions using It)

  • 강성수;김현정;오세웅;박상욱;김경섭
    • 대한화장품학회지
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    • 제43권1호
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    • pp.27-33
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    • 2017
  • 지금까지 저점도 메이크업 유중수형 에멀전을 함침재에 침적시켜 휴대 간편성과 사용 편리성을 높인 화장품이 개발되어 왔다. 종래에는 주로 경도가 높고 다공의 망상구조를 갖는 폴리우레탄 스펀지가 함침재로서 사용되어 왔으며, 이러한 스펀지는 구조적인 특성상 화장료 함침이 잘 되기 때문에 제조가 용이하다는 장점을 가지고 있지만, 초기 토출량이 높고, 사용 횟수에 따라 토출량의 감소가 큰 특징을 가지고 있었다. 본 연구에서는 이러한 문제를 해결할 수 있는 새로운 발포형태의 스펀지를 개발하고 이를 활용한 다양한 특징을 갖는 메이크업 유중수형 에멀전에 관하여 연구하고자 한다. 우선 상기 목적에 맞는 다양한 소재를 조사하고, 이를 토대로 natural rubber (NR)와 styrene butadiene rubber (SBR)의 조합을 통해 성형성이 우수하며 화장료 조성물의 적절한 흡수 및 배출 능력을 가지는 새로운 물질을 개발하였다. 이러한 함침재는 고무와 같은 탄성성질의 부드러움과 높은 신율 및 균일한 토출력을 가지는 특징을 확인할 수 있었다. 화장료 조성물로 사용되는 여러 종류의 오일의 극성도(polarity)에 따른 신규 스펀지의 특성을 이해하고, 메이크업 유중수형 에멀전의 점성을 조절하여 메이크업 제품 개발이 가능함을 확인하였으며, 향후 새로운 특성을 갖는 화장료 함침재로써의 가치가 매우 높을 것으로 기대된다.

Issues in Adults Prader-Willi Syndrome

  • Park, Sung Won
    • Journal of mucopolysaccharidosis and rare diseases
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    • 제1권2호
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    • pp.40-43
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    • 2015
  • Prader-Willi syndrome (PWS), a complex genetic disorder, arises from suppressed expression of paternally inherited imprinted genes on chromosome 15q11-q13. Characteristics include short stature, intellectual disability, behavioral problems, hypogonadism, obesity, and reduced bone and muscle. The life expectancy of persons with PWS has increased in recent years. Cardiovascular diseases, diabetes, dermatological, and orthopedic problems are common physical complaints in older people with PWS. Behavioral problems are major concerns in adults with PWS into old age. And aging is also associated with significant social and economic changes. Age-related physical morbidity, physical appearance, behavioral and psychiatric problems, functional decline and economic problems can be combined in older PWS. The care for older people with PWS requires a life span approach that recognizes the presence, progression, and consequences of specific morbidity.

Discriminative Power of Seoul Cognitive Status Test in Differentiating Subjective Cognitive Decline, Amnestic Mild Cognitive Impairment, and Dementia Based on CERAD-K Standards

  • Hasom Moon;Eek-Sung Lee;Seunghee Na;Dayeong An;Joon Soo Shin;Duk L. Na;Hyemin Jang
    • 대한치매학회지
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    • 제23권3호
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    • pp.136-145
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    • 2024
  • Background and Purpose: We developed a new digital cognitive assessment called Seoul Cognitive Status Test (SCST), formerly called Inbrain Cognitive Screening Test. The purpose of this study was to validate the clinical utility of the SCST by comparing its scores of those with subjective cognitive decline (SCD), amnestic mild cognitive impairment (aMCI), and dementia diagnosed by the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K). Methods: All participants (n=296) who completed the CERAD-K, SCST, and Instrumental Activities of Daily Living tests were included in this study. Total score, cognitive domain scores, and subtest scores of the SCST were compared among the 3 groups (SCD, aMCI, and dementia). Additionally, correlations between SCST and CERAD-K subtests were examined. Results: Cognitive domain scores and total score of the SCST showed significant differences among the three groups, with scores being the highest in the order of SCD, aMCI, and dementia (p<0.001). Most subtests of the SCST also showed higher scores in the order of SCD, aMCI, and dementia (p<0.001). However, SCD and aMCI groups showed no significant differences in scores of the Phonemic Word Fluency Test (p=0.083) or Korean Trail Making Test-Elderly version Part A (p=0.434). Additionally, there was no significant difference in the score of Place Recognition (p=0.274) of the Word-Place Association Test between aMCI and dementia groups. Conclusions: In conclusion, differences in total score, cognitive domain scores, and subtest scores of the SCST among the 3 groups of participants diagnosed using CERAD-K confirm the clinical utility of the SCST for cognitive assessment.

유아·아동 동반 가족의 아산온천지구 관광형태에 관한 예비 연구 (A Pilot Study on the Tourism Behavior of Family Groups with Children at the Asan Hot Springs)

  • 우종민
    • 대한통합의학회지
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    • 제12권3호
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    • pp.61-70
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    • 2024
  • Purpose: The Asan Hot Springs are adjacent to the Seoul Metropolitan area and have excellent traffic access. However, a steady decline in tourist numbers followed the decline in the urban population. This study aims to provide participants with a hot springs visit as part of their independent tourism experience and then analyze their feedback to obtain meaningful suggestions to enhance local tourism. Methods: We recruited 12 families interested in taking a two-day, one-night tour, including a visit to the Asan Hot Springs. Participating families were grouped into two cohorts (Type C and Type A) depending on whether they included children aged one to ten. Each family answered a survey regarding their overall satisfaction with the Asan Hot Springs and provided targeted feedback regarding hot spring resorts, accommodations, restaurants, adjacent tourist spots, and tourism costs. Results: Most of the families that participated in the study were residents of Seoul, Incheon, or Kyunggi (74.47%); the majority were two-generation families (75%) with children (75%). The Type C group enjoyed the campsite (55.56%) accommodations at the Asan Hot Springs more than their Type A counterparts. Families visited an average of 3.6 places during their stay, and 61.11% of participating families visited entertainment and tourist attractions, including the Type C visit to the thermal bath. Compared with Type A, Type C families spent more on tourism and were more satisfied with the entertainment and tourist attractions experience. Overall, all study participants were satisfied with the thermal sources. Conclusion: Our results indicate that families with children have a higher added value than visitor groups consisting only of adults. Considering the significant impact on the local economy, the Asan Hot Springs and associated tourist attractions and services should be developed with these visitors in mind.

청소년의 식습관이 건강행위실천에 영향을 미치는 요인 (Affecting Factors on Food Habits related Health Behavior Activities of Adolescents)

  • 서화정;박민애;장재선
    • 한국식품영양학회지
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    • 제30권2호
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    • pp.297-304
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    • 2017
  • Although adolescents' obesity prevalence increases recently in Korea due to Westernized dietary life, according to social and economic development, and physical activity decline, distorted body image and improper dietary habits are prevalent, because of excessive obsession with weight control, deriving from psychological impacts including appearance supremacy. This study conducted a survey on health oriented awareness and attitude related with dietary habits targeting adolescents, such as high school students and college students, younger than 24, from May 11 to May 29, 2015. In this study, 280 questionnaire copies were collected out of 300 distributed questionnaire copies, and used 269 copies as analysis data, except 11 copies of which responses were inadequate. The results of this study are as follows: First, the high school students showed higher dietary regularity than the college students. Especially, 95.5% of the college students showed very high irregularity of lunch, compared with just 4.5% of the high school students. Second, the adolescents showed distorted perceived body image in comparison with body mass index (BMI). As a result of examining BMI relationship, according to one's own perception on body type, 28.6% of the respondents perceived themselves fat, despite normal BMI, and 40.4% of the respondents perceived themselves normal, despite low BMI. Third, health behavior activities level was higher, as the regularity of breakfast (B=1.093), lunch, (B=0.650), and dinner (B=0.765) was higher. The variable affecting the most ( ${\beta}=0.372$) was the regularity of breakfast. As interest in weight control was higher, health behavior activities was lower. Because over-interest in weight control may be linked with improper dietary habits or weight control, a caution is needed. The results of this study are expected to be utilized as the basic data for the policy and health-oriented program development to improve adolescents' health behavior practice.

의약분업 전.후 3차 진료기관 외래이용 변화 (The Change in the Outpatient Visit to Tertiary care Hospital after the Implementation of the Separation of Prescription and Drug Dispensing Policy)

  • 조동영;유승흠;손태용
    • 한국병원경영학회지
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    • 제7권1호
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    • pp.19-40
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    • 2002
  • The purpose of this study is to find out if there has been any change in the outpatient visit to tertiary care hospitals after the introduction of the new healthcare program that divides the roles of doctors and pharmacists and the reason for the change if there is any. Two tertiary care hospitals with the largest capacity of 1200 beds and two tertiary care hospitals with the lowest capacity of 600-700 beds were randomly selected. Data of the outpatient visits from March-May 2(xx), before the new healthcare system was adopted, were compared with the data from March-May 2001, after the new policy was adopted. Outpatient visits have decreased 5.8% after the new system. There has been a dramatic decrease, especially, in the department of OB-GYN and Pediatrics of tertiary hospitals. Decrease in re-visits is much higher than the first visits. Female patients decreased more than the male patients. Outpatient visits by economically active patients group aged 25-44 declined much. Tertiary hospitals in Seoul and Kyonggi Province, as well. Outpatient income of tertiary hospitals has dropped up to 14.7% due to the decline in outpatient visits and pharmaceutical income, and resell price system which in turn has caused the hospital financial deficits. While the new program has succeeded in lowering the use of antibiotics and injections, it has the pitfall of prescribing long days and expensive drugs. A full-fledged review of the system should be conducted for the establishment of the new system and I believe this study may be a useful references. Furthermore, more profound and overall studies on the chance in the patients use of hospitals are needed.

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6 시그마와 SERVQUAL을 활용한 병원서비스 혁신지표 개발 (Developing Innovation Index of Hospital Service Using 6 Sigma and SERVQUAL)

  • 오가은;박원숙;한상숙;박상찬;이상철
    • 품질경영학회지
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    • 제41권4호
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    • pp.555-566
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    • 2013
  • Purpose: The purpose of this study is to develop innovation index of hospital service integrating 6 sigma and SERVQUAL. Methods: This study used DMA(Define, Measure and Analysis) from 6 sigma and 5 Factors from SEVQUAL. To test data, chi-squire text, association analysis and behavior analysis was conducted. Results: This study indicated the management index through CTQ (Critical to Quality) and Chosen few X using 6 sigma process. Finally, And this study developed 5 Factors; Equipment Utilization in Tangibility, Ratio of Patients/Disease/Behavior/Treatment in Reliability, Survival RAte, Canselation Rate of Reservation, Churn Rate, Interval of Treatment and Confidence in Responsiveness, Frequency of Patients/Disease/Behavior/Treatment in Assurance and Contrast to Best Department/Best Doctor/Best Doctor in Faculty/Average of Mine in Empathy. Conclusion: This study developed innovation index of hospital service. Managing this index, hospital is able to achieve the decline of total treatment cycle, adjustment of patients behavior and increase of equipment utilization. Ultimately, hospital is able to accomplish innovation of healthcare service.

재원일별 진료비 발생양상과 재원일수의 결정요인 (The Determinant Factors and Medical Charges Pattern by Length of Stay in Hospital)

  • 김영훈;문재우;김기훈
    • 한국병원경영학회지
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    • 제15권2호
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    • pp.15-26
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    • 2010
  • Stroke is a high-risk disease. The future of the medical environment is that the proportion of elderly population is increasing, the average life expectancy is being increased, while the fatal rate of stroke will be low. These situation will due to the financial burden on medical insurance. The most important factor that affects on the medical costs of stroke patients is the length of stay. In this study the mean length of hospital for stroke stay was 21.81days(37.97days for intracerebral hemorrhage, 18.89 days for cerebral infarction). The payment per case of stroke was 6.86 million won(12.6 million won for intracerebral hemorrhage, 5.72 million won for cerebral infarction). The payment per case of intracerebral hemorrhage was 2.2 times more than that of cerebral infarction. The payment in the day of hospitalization was the highest and until the second day medical costs was high. After the third day medical costs tended to decline, after that seemed to show an almost constant level. The length of hospital stay was found to be the most important determinant of inpatient charges for stroke. Accordingly rational management of the length of stay will be beneficial to health care consumers, providers, states.

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Differences in Ankle Muscle Activity During Static Balance According to Age and Ankle Proprioception

  • Kim, Seo-hyun;Yi, Chung-hwi;Han, Gyu-hyun;Kim, Su-bin
    • 한국전문물리치료학회지
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    • 제29권3호
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    • pp.194-199
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    • 2022
  • Background: Older adults use different ankle muscle activation patterns during difficult static balance conditions. It has been suggested that this is related to a decline in proprioception with age, resulting in reduced postural balance. However, the association between proprioception and ankle muscle activity during quiet standing has not been directly assessed. Objects: This study aimed to investigate the effects of age and sensory condition on ankle muscle activity and the association between ankle proprioception and ankle muscle activity. Methods: We recruited 10 young women and 9 older women. Ankle proprioception was evaluated using joint position sense (JPS) and force sense (FS) divided by dorsiflexion and plantarflexion. The electromyographic activity of the tibialis anterior (TA) and gastrocnemius (GCM) muscles was collected during quiet standing. Results: Older women activated GCM muscle more than young during quiet standing and when performing difficult tasks. Older women had more errors in JPS dorsiflexion and FS plantarflexion than did young. The GCM muscle activity is related to JPS dorsiflexion and FS plantarflexion. Conclusion: Lower proprioception of the GCM with age leads to increased muscle activity, resulting in reduced postural balance. There was no difference in TA proprioception or muscle activity among older women with frequent physical activity.

The Role and Necessity of Public Health Services in a Remote Area

  • Lee-Seung KWON
    • 웰빙융합연구
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    • 제6권4호
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    • pp.63-68
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    • 2023
  • Purpose: This study aims to investigate the national obligation of public health support for residents in medically vulnerable areas in Korea, and to propose a suitable model for public health institutions in this region. Research design, data, and methodology: A survey targeting residents was conducted from August 10 to August 17, 2021, with a sample size of 177 general citizens. The survey utilized a structured questionnaire administered online through Google, employing convenience random sampling. After an editing process to ensure data accuracy, the final dataset of 174 valid samples underwent encoding, coding, and cleaning using the IBM SPSS Statistics 22.0 program for analysis. Results: Health status revealed a moderate level, and 63.8% reported having chronic diseases, particularly prevalent among the elderly. External healthcare institutions were commonly utilized, with proximity and competence of doctors being primary reasons. Respondents expressed a need for improving the public health and medical system, emphasizing the establishment of a County Health Centre and expanding medical departments. Conclusions: In this region, the region's unique challenges, including education, employment, population decline, aging, and transportation, require multidimensional efforts and urgent intervention by public entities. Long-term strategies involve considering the establishment of a health and medical institute, adjusting health centre resources to local realities, and fostering a cooperative system for collaboration among residents and institutions.