• The Journal of Korean Medicine
• /
• v.33 no.1
• /
• pp.107-120
• /
• 2012

Objectives: Clinically, patients with dyspepsia often complain of several gastrointestinal (GI) and extra-GI symptoms. However, there have been few studies investigating the relationship between GI symptoms and extra-GI symptoms. The aim of this study was to characterize the clinical features of the 991 outpatients with GI and extra-GI symptom and the relationships between GI and extra-GI symptoms. Methods: 991 patients newly visiting Weedahm Oriental Hospital for GI symptoms were included. Those who had disorders caused by the hepatobiliary-pancreatic system were excluded. The 991 outpatients were interviewed with a standardized questionnaire inquiring about demography, past medical history, past institutional care, GI symptoms and extra-GI symptoms. Results: Among 991 patients, 780 (78.7%) had more than three GI symptoms and 451 (45.5%) had more than five. Among 991 patients, 545 (55.0%) had more than three extra-GI symptoms and 285 (28.8%) had more than five. There was a statistically significant correlation between GI symptoms and extra-GI symptoms such as headache, fatigue, forgetfulness, eyeball pain, unrest, dizziness, muscle pain, chest pain, and dyspnea. Conclusions: We found that there was statistically significant correlation between GI symptoms and extra-GI symptoms, which suggests the possibility of main common pathophysiology between GI symptoms and extra-GI symptoms. Further studies will be required to elucidate the main common pathophysiology between GI symptoms and extra-GI symptoms.

• Journal of Korean Public Health Nursing
• /
• v.34 no.2
• /
• pp.211-224
• /
• 2020

Purpose: This study was conducted to investigate death attitude, death anxiety, and knowledge toward advance directives of nursing students. Method: Participants were 157 nursing undergraduates in Korea. The students responded to a self-reporting questionnaire that included demographics, Death Attitude Profile-Revised (DAP-R), Revised Death Anxiety Scale (RDAS), and knowledge toward advance directives. The data collection period was December, 9-13, 2019. Data were analyzed by descriptive test, independent t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS/WIN 23.0. Results: The mean scores for death attitude, death anxiety, and knowledge toward advance directives were 2.70±0.58, 2.45±0.49, and 7.94±2.04, respectively. Knowledge toward advance directives was significantly different according to age, grade, and experience of end-of-life care education. Death attitude was significantly associated with death anxiety (r=. 27, p<.001). Conclusion: Knowledge toward advance directive was relatively low compared to the findings of previous studies. Therefore, nursing colleges need to include legal and institutional aspects when writing written letters on advance directive, death attitude, and ethical approaches to death anxiety.

• The Journal of Information Systems
• /
• v.19 no.1
• /
• pp.149-177
• /
• 2010

Radio Frequency Identification(RFID) is rapidly growing the attention of many firms as a care technology for their businesses. As RFID moves into the mainstream, it replaces the standard barcodes that is used to identify and track products for a long time. With the intention of gaining competitive advantages, some firms have started the changeover to RFID technology while others have been disinclined to adopt it. Thus, this study examines firms as an attempt to identify key organizational characteristics driving the ear1y adoption and successful implementation of RFID. Results from 228 adopting organizations show Organizational Needs(Ubiquity and Performance Gaps), Technological Factors(Perceived Benefits and Perceived Cost Savings) and RFID Reduced Risk have a significant influence on RFID initiation. In addition, Trust Factors(Institutional Trusts and Inter-organizational Trusts) have a significant impact on RFID Reduced Risk. Finally, Organizational Readiness(Financial Resources and Technological Knowledge) have a significant influence as moderating effects between RFID initiation and adoption. The implications of the findings propose a new theoretical framework for the future IT/IS adoption study and offer suggestions for RFID researchers and practitioners in the development of the technology.

• The Korean Society of Law and Medicine
• /
• v.7 no.1
• /
• pp.323-386
• /
• 2006

A combination of information technology and medical care has given rise to a new type of medicine, i.e., telemedicine. Broadly defined, telemedicine is the transfer of electronic medical data from one location to another. Both at home and abroad, telemedicine has come to success in establishing appropriate equipment and solutions for such non-conventional medicine. Sooner or later, telemedicine is believed to find itself as one of the universal treatments. In order to facilitate the full-fledged development of telemedicine, a number of legal and institutional problems have to be settled. In Korea, the Medical Act was amended to include such provisions as telemedicine, electronic medical records, electronic prescriptions, etc. and the Act came into force on March 31, 2002. Telemedicine is in common with the conventional medicine in that a physician treats a patient. However, telemedicine is basically differentiated in the followings: - The offer and acceptance of treatment and medication are usually made on-line; - Telemedicine is inherently dangerous because a physician cannot meet face-to-face with a patient; and - Joint and several liability is borne by all the physicians involved in a telemedical consultation. As a result, telemedicine is vulnerable in nature to medical malpractice. Accordingly, there must be some new theories and arguments in the formation of contract and torts. The discussion on the civil liability covers the above-mentioned issues, and would give an insight or guidelines in the concerted operation of provisions with respect to telemedicine. This study delves into the civil liability of physicians involved in telemedical consultations and treatments based upon the conventional malpractice theory.

• Journal of Society of Preventive Korean Medicine
• /
• v.15 no.3
• /
• pp.83-99
• /
• 2011

Objective : To explore and describe coordinators' experiences in collaborative practices between the traditional Korean medicine doctors and the western medicine doctors. Methods : Five coordinators who agreed and completed the informed consent to take part in this qualitative study were interviewed thoroughly and tape-recorded. Transcribed data were analysed thematically with ground theory. Results : Most participants started their coordinating work without sufficient knowledge and systemic support. They, however, could find their identity as coordinators for collaborative practices through preparing manuals and protocols, providing comprehensive patients care, and experiencing the partnership with doctors. To coordinate Korean medicine and western medicine practices efficiently, participants have tried to enhance their professional knowledge and skills, and establish favorable networks. On the other hand, they were in dilemmas of being a multi-player and imbalance of responsibilities and powers in their jobs. Conclusions : It is recommended to clarify job description of coordinator for collaborative practices, develop training programme, and provide the institutional support for wider recognition of coordinator. Findings from this study should be considered in both Korean medicine-western medicine collaborative research and practice.

• The Journal of the Korea Contents Association
• /
• v.16 no.1
• /
• pp.558-567
• /
• 2016

In the case of France which was successful in improving the ultra-low fertility rates of birth and South Korea, from the late 1980s, the birth rate fell continuously. In 1994, total fertility rate fell 1.66, but thanks to the active family policy of the government in the mid 1990s, it grew and maintained 2.0 average since the year 2008 until now. This study examined carefully how France was not classified as advanced welfare state, overcame the obstacles of low fertility problem in the socio-economic and institutional side and trying to get some suggestions from South Korea in which it of such problems in the field of low fertility.

• The Journal of Internal Korean Medicine
• /
• v.27 no.4
• /
• pp.827-835
• /
• 2006

Objectives : This study investigated the actual condition of an oriental medical office in a public health center. Methods : We classified patients who visited an oriental medical office in the public health center of Gyeyang-gu over a 1-year period, according to age, sex, disease, etc. The number of patients was 6529. Results : Analyzing these 6529 persons, 65.8% were female, and 79.6% were seniors aged over 65. By disease category motor systemic disease or circulatory disease affected 84% of the patients. By medication or treatment category. O-Juk-San (五積散) at 38.3% was the greatest proportion, and Pal-Mul-Tang (八物湯) the second greatest. As to medical fee, 80.2% of the patients were not charged for treatment. Conclusions : The extract of herbal medication should be more expanded in the medical insurance, and should be improved in quality. The oriental medical office in a public health center should focus more on health promotion and disease prevention than patient care. For accomplishing this goal, the institutional position and rights of oriental medical doctors as civil officials should be equal to those of western medical doctors.

• The Korean Journal of Health Service Management
• /
• v.5 no.1
• /
• pp.133-145
• /
• 2011

The purpose of this study is to analyze the influence of external environment, organizational characteristics on informatization level in hospital settings, and to provide suggestions to improve the informatizaiton level of strategic information system of hospitals. In order to achieve study purpose, causal model was developed and empirically tested. Data were collected from 716 managers of 89 hospitals keeping information system in Busan and KyungNam Province using self-administered structured questionnaire. Major results of this study were as follows; First, among hospitals which had information training programs, informatization capacity was significantly higher. Moreover, informatization capacity was significantly varied by ownership type, institutional level, and number of beds of hospitals. Second, environmental uncertainty, intra-industry competition intensity, decision-making concentration, work standardization variables and perceived benefits were found to be significant affecting factors on informatization capacity as a result of path analysis. Third, support of top-management and perceived benefits were found to be significant affecting factors on informatization capability as a result of path analysis. Especially, informatization capability was positively affected by informatization capacity. Finally, perceived benefits was found to be significant affecting factors on informatization competency as a result of path analysis. Especially, informatization competency was positively affected by informatization capability.

• The Korean Journal of Food And Nutrition
• /
• v.31 no.1
• /
• pp.52-61
• /
• 2018

The purpose of this study is to examine the feeding and nutritional status of enteral tube-fed elderly patients. Subjects included 77 elderly hospitalized patients who had received enteral nutrition more than one week before admission. Medical records on admission and actual feeding volume were used to assess anthropometric, biochemical, and nutritional status. Most patients manifested disorders of the nervous system (93.5%) and the average duration of tube feeding was 13.9 months. The average feeding volume of formula was 1,107 mL per day and the mean ratios of calorie and protein (supplied vs. required) were 81.7% and 80.9%, respectively. At admission, 57.4% of the patients were malnourished according to the institutional criteria. Patients receiving less than 80% of the required calories were in worse nutritional status compared with those receiving more than 80% of the required calories. Body mass index, percent ideal body weight, serum albumin level and blood lipid levels (total cholesterol, HDL-cholesterol, triglyceride) were significantly lower in patients receiving less than 80% of the required calories. These results indicate the high prevalence of malnutrition and the need for increased attention and nutritional care of elderly patients undergoing long-term enteral nutrition.

• Journal of the Korean Home Economics Association
• /
• v.34 no.4
• /
• pp.49-62
• /
• 1996

This paper is to examine the development of Korean young children's judgement on moral and conventional rules. The subjects are 120 children, 30 each at four age levels; age 3(2.8-3.5), age 4(3.7-4.4), age 5(4.8-5.5), and age 6(5.7-6.5) in a day care center in Taegu. Results are summarized as follows: 1. In terms of nonpermissibility, there was a significant difference in regard to the moral and the conventional rule transgression between the group of age 3 years and three groups of ages 4, 5, and 6. 2. In terms of seriousness, there was a significant difference according to domain. Three groups ages 4, 5 and 6 years evaluate moral transgressions to be more serious than conventional transgressions. 3. In terms of rule contingency and generalizability, there was a significant difference in regard to the moral and conventional transgression between the group of age 3 years and three groups of ages 4, 5 and 6. 4. In terms of punishment, there was significant difference according to domain. Three groups of age 4, 5, and 6 years evaluate moral transgressions to be more punishable than conventional transgressions. 5. Children of age 5 with institutional experience do not make a distinction between moral and conventional rules on punishment criterion.