• Title/Summary/Keyword: Medical Service Characteristics

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Correlation Analysis According to Consumption Trend using Association Rule (연관규칙을 이용한 가구별 소비 트렌드의 상관분석)

  • Choi, Jung-Ah;Jung, Yong-Gyu
    • Journal of Service Research and Studies
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    • v.5 no.1
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    • pp.105-111
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    • 2015
  • According to Korea Social Trends 2012 report presented in National Statistical Office, based on 2010, single-person household out of all households in Korea ratio is 23.9%, not only this ratio is beyond a family of four's ratio (22.5%) but also overtake couple-person household. Last year, according to financial industry and National Statistical Office, Korea's single-person household is estimated 4 million Five hundred and thirty thousand nine thousand family (25.3%). this mean is Korea's One of four household furniture is single-person household. Furthermore. According to National Statistical Office's report 'Future household projections 2010~2035 Report', In 2035, Korea's single-person household is assumed to increase by 34.3%. Korea's causes an increase of single-person household causes an increase is reduced marriage, increase in divorce, low fertility, increasing older singles etc. also Around the World as well as Korea single person household is increase. Based on 2011, single-person household is reached at 2 hundred million 42 million furniture (This ratio is 13%), China and U.S.A's single-person household ratio close in upon 30%. Sweden and Norway, the Philippines, Denmark is also approximately 40% of all households. Up to now, Not reached at OECD average, but this is increasing at a very fast pace. and then It will overtake this ratio. so government, regarding single-person household upsurge, try to find definitive solution. Appeared to statistics through the data, this find out the single-person household characteristics. Using association rule, the association between consumption trend and single-person.

Concept Analysis of the Role in Nursing Profession (간호전문직에서의 역할의 개념분석)

  • Kang, Sung-Rye;Park, Jung-Ho
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.431-439
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    • 2002
  • Purpose : Nursing profession has been rapidly changed due to the development of bioscience and the change of medical service environment. Nursing profession that has been focused on only care giver's role like mother's in tradition, is required careful reflection new nursing role to cope properly to the change of medical service environment. In nursing profession, the concept of the role was used without an accurate definition, as a results, the concept of the role was mixed with the concept of the "activity", "job" and "function". Therefore, concept analysis of the role in nursing profession is needed to remove conceptual ambiguous and make confirm the true meaning of the role. Concept analysis is a strategy that examine the characteristics of a concept. It is a formal linguistic exercise to determine those defining attributes. The basic purpose of concept analysis is to clarify ambiguous concept in theory, and propose operational definition which reflects the theoretical base of the concept. Method : In this study, the concept of the role in nursing profession which was analyzed based on the steps of concept analysis by Walker & Avant(1988). Results : The attributes of the concept of the role in nursing profession are : 1. Basic factors to construct social structure. 2. Expected attitudes, values, behavior patterns according to the social status and position in social structure. 3. Perceptive attitudes, values, behavior patterns in order to social interaction. 4. Acquiring through continuous communication and learning. 5. Not fixative but changeable. The antecedents of the role in nursing profession are : 1. The social status and position which is possessed by a person. 2. Expected attitudes, values, behavior patterns according to the social status and position in social structure. 3. Acquiring through continuous interaction, communication, and learning process. And the consequences of the role in nursing profession are : 1. The role maintenance and the role expansion as a positive consequences. 2. The role conflict and the role loss as a negative consequences. Conclusion : Through this concept analysis, the concept of the role in nursing profession is defined as As basic factors to construct social structure, person's attitudes, values, behavior patterns which are expected from other social members according to person's social status and position, and perceived and acquired through continuous interaction, communication, and leaning process.

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Knowledge and Educational Needs Related to COVID-19 Infection Control among 119 Paramedics (119구급대원의 COVID-19감염관리에 대한 지식 및 교육 요구도)

  • Park, Jeong-Hee;Lee, Mi-Hyang;Yoon, Byoung-Gil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.65-73
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    • 2021
  • This study aimed to provide the basic data for the development of a simulation training program for new infectious diseases by analyzing the knowledge and educational needs of 119 paramedics regarding COVID-19 infection control. Data was obtained through a structured questionnaire survey of 186 paramedics from November 15th to 30th 2020. The study showed that 98 of the 119 paramedic subjects (52.7%) had not been educated regarding COVID-19. The knowledge level was 18.21±1.98 out of 25 points, with environmental control securing the lowest correct answers. The highest need for education was in the areas of prevention of transmission and spread, and employee safety control. The total average for educational needs was 3.81±.28 (4 point scale) with the highest educational need in the area of prevention of the spread and dispersion of the disease and employee safety management. There was a statistically significant difference in the knowledge of the general characteristics according to gender (t=-1.999, p=.047) and the educational demand was related to career (t=-1.999, p=.047) and, education levels (t=2.336, p=.021). Accordingly, it is necessary to plan a new infectious disease simulation education program that addresses the low-scoring areas and items with high educational needs which include the propagation path and spread prevention, environmental management, and employee safety management as per the findings of this study.

An Analysis Study on stress factor of Emergency medical Students during preparing Examination for Korea Registered licence (국시를 앞둔 응급구조과 학생의 스트레스 영향 요인에 관한 연구)

  • Jung, Ji-Yeon;Yun, Jong-Geun;Oh, Jin-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.194-200
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    • 2012
  • The purpose of this study was to analyze the factors on stresses to Emergency Rescue students' who have national examination ahead. In this descriptive research, 87 3rd-degree-Emergency Rescue students from K city were selected. Collected data was analyzed by using the SPSS PC program for descriptive data, t-test, ANOVA and Pearson's Correlation. In result, stress factors are categorized by curriculum($3.67{\pm}.74$), homework ($3.39{\pm}.93$), environment($3.37{\pm}.93$), examination($3.35{\pm}.74$), employment($3.04{\pm}.75$) and total mean was ($3.36{\pm}.59$). The way to adjust stresses characterized by long-term($3.14{\pm}.54$) and short-term($2.55{\pm}.44$), also the short-term is used more than the other ways. The significant differences between general characteristics and stress factor were gender(t=4.466, p=.040), grade(F=2.53, p=.047). In the correlations between categories of the stress factor and stress degree, the examination(r=.81, p=.000), curriculum(r=.66, p=.000), homework(r=.80, p=.000), environment (r=.74, p=.000), and employment(r=.62, p=.000) were significant. In conclusion, it is needed to study for managing stress according to various subjects.

A Study on the Propriety of the Medical Insurance Fee Schedule of Surgical Operations - In Regard to the Relative Price System and the Classification of the Price Unit of Insurance Fee Schedule - (수술수가의 적정성에 관한 연구 - 상대가격체계와 항목분류를 중심으로 -)

  • Oh Jin Joo
    • Journal of Korean Public Health Nursing
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    • v.2 no.2
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    • pp.21-44
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    • 1988
  • In Korea, fee-for service reimbursement has been adopted from the begining of medical insurance system in 1977, and the importance of the relative value unit is currently being investigated. The purpose of this study was to find out the level of propriety of the difference in the fees for different surgical services, and the appropriateness of the classification of the insurance fee schedule. For the purpose of this study, specific subjects and the procedural methodology is shown as follows: 1. The propriety of the Relative Price System(RPS). 1) Choice of sample operations. In this study, sample operations were selected and classified by specialists in general surgery, and the number of items they classified were 32. For the same group of operations the Insurance Fee Schedule(IFS) classified the operations into 24 separate items. In order to investigate the propriety of the RPS, one of the purpose of this study, was to examine the 24 items classified by the IFS. 2) Evaluation of the complexity of surgery. The data used in this study was collected The data used in this study was collected from 94 specialists in general surgery by mail survey from November I to 15, 1986. Several independent variables (age, location, number of bed, university hospital, whether the medical institution adopt residents or not) were also investigated for analysis of the characteristics of surgical complexity. 3) Complexity and time calculations. Time data was collected from the records of the Seoul National University' Hospital, and the cost per operation was calculated through cost finding methods. 4) Analysis of the propriety of the Relative Price System of the Insurance Fee Schedule. The Relative Price System of the sample operation was regressed on the cost, time, comlexity relative ,value system (RVS) separately. The coefficient of determination indicates the degree of variation in the RPS of the Insurance Fee Schedule explained by the cost, time, complexity RVS separately. 2. The appropriateness of the classification of the Insurance Fee Schedule. 1) Choice of sample operations. The items which differed between the classification of the specialist and the classification of medical, Insurance Fee Schedule were chosen. 2) Comparisons of cost, time and complexity between the items were done to evaluate which classification was more appropriate. The findings of the study can be summarized as follows: 1. The coefficient of determination of the regression of the RPS on-cost RVS was 0.58, on time RVS was 0.65, and on complexity RVS was 0.72. This means that the RPS of Insurance Fee Schedule is improper with respect to the cost, time, complexity separately. Thus this indicates that RPS must be re-shaped according to the standard element. In this study, the correlation coefficients of cost, time, complexity Relative Value System were very high, and this suggests that RPS could be reshaped I according to anyone standard element. Considering of measurement, time was thought to be the most I appropriate. 2. The classifications of specialist and of the Insurance Fee Schedule were compared with respect to cost, time, and complexity separately. For complexity, ANOVA was done and the others were compared to the different values of different classifications. The result was that the classification of specialist was more reasonable and that the classification of Insurance Fee Schedule grouped inappropriately several into one price unit.

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A Case Report of ROSC for Out-of Hospital Cardiopulmonary Resuscitation: Based on one Area Heart Saver (병원 전 심폐소생술에 의한 자발순환 회복 8례: 일 지역 하트세이버 수여자를 기준으로)

  • Bang, Sung-Hwan;Kim, Jee-Hee;Kim, Gyoung-Youg;Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.27 no.4
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    • pp.61-67
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    • 2013
  • This study was to investigate the cardiopulmonary resuscitation (CPR) outcomes and the clinical characteristics of outof- hospital cardiac arrest (OHCA) by analyzing date in one region. A total 8 patients, survived over 72 hours after ROSC. The cardiac arrest were caused by unknown (5 cases), cardiac disease (3 cases). The most common place of cardiac arrest was in the home (6 cases), witnessed cardiac arrest (8 cases), cardiopulmonary resuscitation by bystander was performed (4 cases), agonal respiration (3 cases). The initial electrocardiogram (ECG) showed ventricular fibrillation (VF) in 7 cases, pulseless electrical activity (PEA) other rhythms in 1 cases. Average time from call to scene arrival 6.1 minutes, call to hospital arrival 23.0 minutes, duration of total CPR was 8.7 minutes. The certificate of them were level 1 emergency medical technician (EMT) 6 cases, level 2 EMT 3 cases, total 3 members 7 cases. To improve the rate of survival for out-ofhospital cardiac arrest victims, development of continuous CPR educational program for lay rescue.

Diversity in Surgical Decision Strategies for Adult Spine Deformity Treatment: The Effects of Neurosurgery or Orthopedic Training Background and Surgical Experience

  • Kang, Jiin;Hosogane, Naobumi;Ames, Christopher;Schwab, Frank;Hart, Robert;Burton, Douglas;Shaffrey, Christopher;Smith, Justin S.;Bess, Shay;Lafage, Virginie;Cho, Kyu-Jung;Ha, Yoon
    • Neurospine
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    • v.15 no.4
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    • pp.353-361
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    • 2018
  • Objective: This study is aimed to investigate whether surgical strategies for adult spinal deformity (ASD) treatment differed among Korean physicians. Methods: This study is retrospective questionnaire-based study. ASD is challenging to manage, with a broad range of clinical and radiological presentations. To investigate possible nationality- or ethnicity-related differences in the surgical strategies adopted for ASD treatment, the International Spine Study Group surveyed physicians' responses to 16 cases of ASD. We reviewed the answers to this survey from Korean physicians. Korean orthopedic surgeons (OS) and neurosurgeons (NS) received a questionnaire containing 16 cases and response forms via email. After reviewing the cases, physicians were asked to indicate whether they would treat each case with decompression or fusion. If fusion was chosen, physicians were also asked to indicate whether they would perform 3-column osteotomy. Retrospective chi-square analyses were performed to investigate whether the answers to each question differed according to training specialty or amount of surgical experience. Results: Twenty-nine physicians responded to our survey, of whom 12 were OS and 17 were NS. In addition, 18 (62.1%) had more than 10 years of experience in ASD correction and were assigned to the M10 group, while 11 (37.9%) had less than 10 years of experience and were assigned to the L10 group. We found that for all cases, the surgical strategies favored did not significantly differ between OS and NS or between the M10 and L10 groups. However, for both fusion surgery and 3-column osteotomy, opinions were divided regarding the necessity of the procedures in 4 of the 16 cases. Conclusion: The surgical strategies favored by physicians were similar for most cases regardless of their training specialty or experience. This suggests that these factors do not affect the surgical strategies selected for ASD treatment, with patient clinical and radiological characteristics having greater importance.

An analysis of factors affecting aspects of disease and satisfied medical treatments for oriental medical users (한방의료(韓方醫療) 이용자의 질병양상(疾病樣相)과 치료만족도(治療滿足度)에 영향(影響)을 미치는 요인분석(要因分析))

  • An Chang-Su;Nam Chul-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.3 no.2
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    • pp.101-128
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    • 1999
  • A study on disease treated at oriental medical treatment facilities (OMTF) and patients' satisfaction levels was conducted in order to figure out why the patients visited oriental medical doctors and the level of satisfaction of the patients for the services offered to them by oriental medical doctors. This study was performed from March 2 through May 31, 1998 by interviewing 1.532 persons living in major and small cities in korea. The results obtained were summarized as follows; 1. The general characteristics of subjects. The highest portion of each part was, 66.9% female, persons in the age group of over 60's 22.7%, high school graduated 34.9%, house wife 30.8%, The married 65.0%, Buddhist 36.9%, maj or city residents 60.2%, company covered insurance benefiter 39.0% and etc. 2. 40.5% of subjects visited OMTF for skeletal and connective tissue diseases. 21.5% for digestive system diseases. 16.2% for respiratory system diseases. 13.3% for circulatory system diseases and 9.0% for neurological problems. 3. 42.7% of males visited OMTF for skeletal and connective tissue diseases, which were the highest and respiratory system disorders, digestive system disorders, circulatory system disorders and neurological diseases in order. 39.4% of females visited OMTF for skeletal and connective tissue disorders which were the highest and other conditions such as digestive system, circulatory, respiratory, and neurological disorders in order. 4. The males with circulatory system disorders were treated by herbal medicine, combination of herbal medicine and acupuncture, only in order. The females with the some conditions above were treated by combination of herbal medicine and herbal medical and acupuncture only in order. The males and females with respiratory system and digestive system diseases were treated by herbal medicine, combination of herbal medicine and acupuncture only in order. But the males and females with skeletal and connective tissue diseases were by acupuncture are the highest in order. 5. The females and persons in the age group of over 60' s and house wife. the not married, the unhealthy persons, residents living in small cities, the persons with high income by medical treatments frequency in circulatory system diseases are the highest. 6, The females, middle school graduated and the married, persons in the age group of over 60's, unemployed, sales and service industry workers, Buddhists, major city residents, the unhealthy persons, the persons with middle income by medical treatments frequency in respiratory system diseases are the highest. 7. The females, persons in the age group of over 60's, under graduated or elementary school graduated, the unemployed and house wife, the unmarried, Buddhists, major city residents, the unhealthy persons, the persons with low income by medical treatments frequency in digestive system diseases are the highest. 8. The males, major city residents, old ages, under graduated or elementary school graduated, go earn officials, people grown in small city, the persons who had health insurance policies, the persons with low income, the unhealthy persons by medical treatments frequency in skeletal and connective tissue disorders diseases. 9. 50.8% of the respondents said that the treatments at the OMTF were very effective. 47.7% of them said that the treatments were effective. The males, persons in the age group of 40's, high school graduates, official workes, the married, the persons who did not have religion, major city residents, the persons who had health insurance policies, the persons with high income and the healthy persons said that the treatment effects at OMTF were satisfactory. 10. The patients' satisfaction rate for OMTF on each disease is, 1st. Musculo-Skeletal system(most satisfied), 2nd. the pregnancy & delivery complications, 3rd. Eye & ophthalmics, 4th. Respiratory system, 5th. Mental & bodily disorder, 6th. Digestive system and etc. 11. The factors affect OMTF are age, satisfaction for OMTF, current disease, religion, efficiency of Oriental Medicine, health condition and etc. This explained power of variable were 39.0%. 12. The satisfied factors for OMTF is correlate to educational level, and economical variables.

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Kinematic Characteristics of the Thrower's COM and the Shot in Shot Put : The Woman Record Holder of Korea (포환던지기 동작 시 포환과 신체 무게중심의 운동학적 특성 : 한국 여자 기록보유자를 대상으로)

  • Lee, Dong-Jin;Cho, Byung-Jun;Lee, Myung-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5148-5154
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    • 2012
  • The purpose of this study was to analyze the kinematic characteristics of the thrower's center of mass (COM) and the shot that her performance hits record high for the 29th National Athletic Competition. Two S-VHS video cameras were used to visualize. The Direct Linear Transformation technique was employed to paint a clear picture in the three dimensional coordination. Kwon3D was used to analyze the data. The results showed that release velocity and height were 13.73 m/s and 198.6 cm(119% by height ratio), respectively, which is considered as peak performance comparing an extensive review of previous literature on the shot put. Release angle was $34^{\circ}$, which is lower than the previous studies. The path of thrower's center of mass is needed to travel in a release direction during the flight phase. The vertical movement of the thrower's center of mass during the driving should be controlled. At release, the perfact timing is required without vertical and horizontal movements of the thrower's center of mass.

Characteristics of First Visit Pediatric Patients with Suicidal Ideation and Behavior: An 8-Year Retrospective Chart Review

  • Song, Jungeun;Kweon, Yong-Sil;Hong, Sung Hee;Kim, Joonbeom;Chun, Ka Hye;Bahn, Geon Ho;Yook, Ki-Hwan;Shin, Dongwon;Hong, Hyun Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.4
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    • pp.185-192
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    • 2020
  • Objectives: Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later. Methods: This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively. Results: There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association. Conclusion: Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.