• Title/Summary/Keyword: Healthcare systems

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The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress (대학생 집단에서 사회적 지지와 대사증후군 예방 건강 행동 간의 상관관계: 지각된 스트레스의 매개효과)

  • Park, Sooyeon;Cho, Suah;Lee, Eugene;Choi, Sungchul;Choo, Jina
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.404-414
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    • 2021
  • Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

Serial line multiplexing method based on bipolar pulse for PET

  • Kim, Yeonkyeong;Choi, Yong;Kim, Kyu Bom;Leem, Hyuntae;Jung, Jin Ho
    • Nuclear Engineering and Technology
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    • v.53 no.11
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    • pp.3790-3797
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    • 2021
  • Although the individual channel readout method can improve the performance of PET detectors with pixelated photo-sensors, such as silicon photomultiplier (SiPM), this method leads to a significant increase in the number of readout channels. In this study, we proposed a novel multiplexing method that could effectively reduce the number of readout channels to reduce system complexity and development cost. The proposed multiplexing circuit was designed to generate bipolar pulses with different zero-crossing points by adjusting the time constant of the high-pass filter connected to each channel of a pixelated photo-sensor. The channel position of the detected gamma-ray was identified by estimating the width between the rising edge and the zero-crossing point of the bipolar pulse. In order to evaluate the performance of the proposed multiplexing circuit, four detector blocks, each consisting of a 4 × 4 array of 3 mm × 3 mm × 20 mm LYSO and a 4 × 4 SiPM array, were constructed. The average energy resolution was 13.2 ± 1.1% for all 64 crystal pixels and each pixel position was accurately identified. A coincidence timing resolution was 580 ± 12 ps. The experimental results indicated that the novel multiplexing method proposed in this study is able to effectively reduce the number of readout channels while maintaining accurate position identification with good energy and timing performance. In addition, it could be useful for the development of PET systems consisting of a large number of pixelated detectors.

Progress and Future Tasks of Korean Health Promoting Schools (한국형 건강증진학교 추진 경과와 향후 과제)

  • Kim, Miju;Kim, Seokhwan
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.111-120
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    • 2018
  • Purpose: The purpose of this review is to introduce the progress of health promoting schools in Korea and future tasks. Method: From 2009 to 2018, we reviewed the literature on health promotion schools in Korea conducted by the Ministry of Education Results: Over the past decade, Korean health promoting schools have operated from a minimum of 14 schools to a maximum of 98 schools each year. As a result of the effectiveness evaluation, it was found that the students had a positive influence not only on the health behavior but also on the whole school life. Under the organic cooperation of the Ministry of Education, the Office of Education, the Korean Educational Development Institute and the schools, consulting, provision of educational opportunities for teachers, promotion of good practices, and public relations support systems for generalization are well established. Conclusion: Promotion and support system for Korean health promoting schools are already well established. Nevertheless, there are limitations on the universalization of health promoting schools, so various attempts such as introduction of certification system should be continued to overcome them.

Need Assessment for Smartphone-Based Cardiac Telerehabilitation

  • Kim, Ji-Su;Yun, Doeun;Kim, Hyun Joo;Ryu, Ho-Youl;Oh, Jaewon;Kang, Seok-Min
    • Healthcare Informatics Research
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    • v.24 no.4
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    • pp.283-291
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    • 2018
  • Objectives: To identify the current status of smartphone usage and to describe the needs for smartphone-based cardiac telerehabilitation of cardiac patients. Methods: In 2016, a questionnaire survey was conducted in a supervised ambulatory cardiac rehabilitation (CR) program in a university affiliated hospital with the participation of heart failure or heart transplantation patients who were smartphone users. The questionnaire included questions regarding smartphone usage, demands for smartphone-based disease education, and home health monitoring systems. Results were described and analyzed according to principal diagnosis. Results: Ninety-six patients (66% male; mean age, $5{\pm}11$ years), including 56 heart failure and 40 heart transplantation patients, completed the survey (completion rate, 95%). The median daily smartphone usage time was 120 minutes (interquartile range, 60-300), and the most frequently used smartphone function was text messaging (61.5%). Of the patients, 26% stated that they searched for health-related information using their smartphones more than 1 time per week. The major source of health-related information was Internet browsing (50.0%), and the least sought source was the hospital's website (3.1%). Patients with heart failure expressed significantly higher needs for disease education on treatment plan, home health monitoring of blood pressure, and body weight (${\chi}^2=5.79$, 6.27, 4.50, p < 0.05). Heart transplantation patients expressed a significant need for home health monitoring of body temperature (${\chi}^2=5.25$, p < 0.05). Conclusions: Heart failure and heart transplantation patients show high usage of and interest in mobile health technology. A smartphone-based cardiac telerehabilitation program should be developed based on high demand areas and modified to suit to each principal diagnosis.

Performance Improvement of Distributed Consensus Algorithms for Blockchain through Suggestion and Analysis of Assessment Items (평가항목 제안 및 분석을 통한 블록체인 분산합의 알고리즘 성능 개선)

  • Kim, Do Gyun;Choi, Jin Young;Kim, Kiyoung;Oh, Jintae
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.41 no.4
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    • pp.179-188
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    • 2018
  • Recently, blockchain technology has been recognized as one of the most important issues for the 4th Industrial Revolution which can be represented by Artificial Intelligence and Internet of Things. Cryptocurrency, named Bitcoin, was the first successful implementation of blockchain, and it triggered the emergence of various cryptocurrencies. In addition, blockchain technology has been applied to various applications such as finance, healthcare, manufacturing, logistics as well as public services. Distributed consensus algorithm is an essential component in blockchain, and it enables all nodes belonging to blockchain network to make an agreement, which means all nodes have the same information. For example, Bitcoin uses a consensus algorithm called Proof-of-Work (PoW) that gives possession of block generation based on the computational volume committed by nodes. However, energy consumption for block generation in PoW has drastically increased due to the growth of computational performance to prove the possession of block. Although many other distributed consensus algorithms including Proof-of-Stake are suggested, they have their own advantages and limitations, and new research works should be proposed to overcome these limitations. For doing this, above all things, we need to establish an evaluation method existing distributed consensus algorithms. Based on this motivation, in this work, we suggest and analyze assessment items by classifying them as efficiency and safety perspectives for investigating existing distributed consensus algorithms. Furthermore, we suggest new assessment criteria and their implementation methods, which can be used for a baseline for improving performance of existing distributed consensus algorithms and designing new consensus algorithm in future.

German Heilpraktiker system, its history and current status (독일 자연치료사(Heilpraktiker) 제도 현황과 형성과정)

  • Park, Inhyo;Kim, Dongsu
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.3
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    • pp.45-60
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    • 2018
  • Background : There have been a variety of healthcare systems related to CAM practitioners developed in each country. However, the European cases have not been widely introduced in Korea so far. In the case of Germany, CAM practices have been developed in the frame of "Heilpraktiker" system. Objectives : The objectives of this study were to review the historical development and current situation of German Heilpraktiker system and its conflicting relationship with Western medical doctors, in order to utilize it as basic data for the conflict resolution between Western- and KM doctors in Korea. Methods : The historical development, current regulations and education system of Heilpraktiker were assessed. Research articles, reports, government publications and websites dealing with this issue were searched for and analyzed. Results : Heilpraktiker system was developed within German historical and cultural situation where naturopathic traditions were reilluminated in connection with modernization process of the state under the influence of romanticism formulating German nationalism. Between the concept of "Kurierverbot"(prohibition on medical treatment by non-physicians) and "Kurierfreiheit"(freedom of medical treatment), Heilpraktiker achieved a limited but legitimated right to conduct non-biomedical treatments from the state in the process of the formulation of modern German medical system. In this process, the conflicts between medical doctors and heilpraktikers have been also growing up to now. Conclusions : Heilpraktiker system, officially recognized with the legislation of Heilpraktiker law in 1939, stands at a crossroads between the continual development through strengthening its professionality, and abolition of the system due to its lack of quality control and medical evidence mostly argued by Western medical doctors, which has considerable implications for Korean situations in terms of the conflicting relationship between KM- and Western medical doctors. In this regard, it is necessary to discuss the debates on the concept "Kurierfreiheit"(freedom of medical treatment) developed within German tradition of medical pluralism.

Analysis of Blood pressure influence factor Correction for Photoplethysmography Fusion Algorithm Calibration (광전용적맥파 융합 알고리즘 보정을 위한 혈압 영향인자 상관관계 분석)

  • Kim, Seon-Chil
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.67-73
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    • 2019
  • The blood pressure measurement is calculated as a value corresponding to the pressure of the blood vessel using the pressure from the outside for a long time. Due to the recent miniaturization of measurement equipment and the ICT combination of personal healthcare systems, a system that enables continuous and real-time measurement of blood pressure with a sensor is required. In this study, blood pressure was measured using pulse transit time using Photoplethysmography. In this study, blood pressure was estimated by using systolic blood pressure. And it is possible to make measurement only with PPG itself, which can contribute to making a micro blood pressure measuring device. As a result, systolic blood pressure and PPG's S1-P and P-S2 were used to analyze the possibility of blood pressure estimation.

A Study on Implementation of Remote Control System using Wireless Technologies (무선통신을 이용한 원격제어 기술 구현)

  • Jang, Dong-won;Cho, In-Kwee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.307-309
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    • 2016
  • This paper present about the system for sensing and controlling a wireless power transfer system using bluetooth protocol in robot, healthcare, smart-grid, and autonomous car. Recently a variety of applications using the Internet of Things (Internet of Things) and machine to machine (Machine to Machine) have been raised in many industries. To do this, it requires the fusion technology which is constituted with control, computing and networking. Embedded system is centered existing control system and Cyber Physical System(CPS) is the systems which was converged of a computing technologies using a wired or wireless network. CPS was adopted in the future government-led technology in the United States and Europe and is being pursued in cooperation with institutes, industries, and academia. In this paper, we implement and describe a technique for controlling the system for transmitting power wirelessly by sensing method using the matching of CPS technology concepts.

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A Method to Provide Context from Massive Data Processing in Context-Aware System (상황인지 시스템에서 대용량의 데이터 처리결과를 컨텍스트 정보로 제공하기 위한 방법)

  • Park, Yoo Sang;Choi, Jong Sun;Choi, Jae Young
    • KIPS Transactions on Software and Data Engineering
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    • v.8 no.4
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    • pp.145-152
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    • 2019
  • Unlike a single value from a sensor device, a massive data set has characteristics for various processing aspects; input data may be formed in a different format, the size of input data varies, and the processing time of analyzing input data is not predictable. Therefore, context aware systems may contain complex modules, and these modules can be implemented and used in different ways. In order to solve these problems, we propose a method to handle context information from the result of analyzing massive data. The proposed method considers analysis work as a different type of abstracting context and suggests the way of representing context information. In experiment, we demonstrate how the context processing engine works properly in a couple of steps with healthcare services.

Analysis of factors related to suicidal ideation among people with and without disabilities in elderly living alone (장애인과 비장애인 독거노인의 자살생각 영향요인 분석)

  • Kim, Ye-Soon;Nam, Young-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.3
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    • pp.69-81
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    • 2021
  • Purpose: This study purposed to analyze of factors related to suicidal ideation among people with and without disabilities in elderly living alone Methods: The study examines the factors of suicidal ideation using over 65 years of age who participated in the 2017 National Survey of Older Koreans of the elderly living alone data. Subjects were 2,265 person among elderly living alone over 65 years of age. Data were analyzed using descriptive statistics, X2-test, t-test, logistic regression analysis with the SPSS win 26.0 program. Results: Suicidal ideation of the elderly living alone with disabilities were 13.6% and 9.0% of the elderly living alone without disabilities, and the elderly living alone with disabilities had higher suicidal ideation (p<.05). The significant predictors of the suicidal ideation in elderly living alone with disabilities were employment and depression. The significant predictors of the suicidal ideation in elderly living alone without disabilities were age, gender, number of chronic disease, economic state, SLCA(Society, leisure, culture, and activities) and depression. Depression was analyzed as a common factor related to suicidal ideation in disabled and non-disabled elderly living alone. Conclusion: Based on the results of this study, it is necessary to develop a program for people with and without disabilities. It is necessary to prepare various programs and community support systems to prevent and manage depression for people with and without disabilities in elderly living alone.