• 제목/요약/키워드: Medical care services

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임플란트 시술환자의 주관적 인식 및 기대도 (A study on subjective awareness and expectations of implant patients)

  • 고은정;장계원
    • 한국치위생학회지
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    • 제10권1호
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    • pp.107-125
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    • 2010
  • Objectives : The purpose of this study was to examine the subjective awareness and expectations of implant patients. Methods : The subjects in this study were 200 implant patients at three different dental clinics in the region of Busan. Results : Concerning awareness of implant, the patients aged between 41 and 50 were best aware of implant with 2.85(p<0.05). By education, those who received college or higher education were best aware of it with 3.53(p<0.001). By income, those whose income was three million won or more were best aware of it with 2.95(p<0.05). As for expectations for implant, the women expected more from it with 2.89(p<0.01). By age, those aged between 41 and 50 had the biggest expectations with 3.63(p<0.001). By education, the patients whose income ranged between 2 and 2.99 million won had the greatest expectations with 2.91(p<0.05). Education and occupation made no significant differences to that. In regard to correlation among their knowledge, awareness and expectations for implant, there was a positive correlation between their knowledge and awareness(0.439), and their awareness had a negative correlation to their expectations(-0.147). Conclusions : The above-mentioned findings suggested that what patients expect from implant should accurately be grasped when counseling is provided, and that accurate information should be provided to them as well. Their cooperation should be requested during implant treatment, and special post-care programs should be prepared to boost their quality of life after receiving implant treatment. Quality medical services should be offered in proportion to the cost of treatment in order to satisfy their expectations.

고혈압 환자를 위한 블루투스 기반의 포터블 헬스케어 게이트웨이 개발 (Bluetooth based Portable Healthcare Gateway Development for Hypertention Patients)

  • 김종탁;소재영;김종훈;강운구
    • 디지털융복합연구
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    • 제11권12호
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    • pp.339-344
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    • 2013
  • 최근 만성질환자의 증가로 생활 속에서 건강관리의 중요성이 증대되고 있다. 일상생활 중에 사용자에 의해서 측정된 생체신호가 특정 건강관리 디바이스에 의해서 자동으로 건강관리센터의 서버에 전송된다면 환자의 건강증대 및 건강관리 서비스의 확산에 기여할 것으로 예상된다. 본 논문에서는 사용자가 휴대 가능한 포터블 헬스케어 게이트웨이(Portable Healthcare Gateway)를 개발한다. 본 게이트웨이는 USB형으로 설계되고 표준화된 데이터 전송이 가능하여 사용자의 위치 및 PHD(Personal Health Device)에 제약을 받지 않고 데이터 전송이 가능하다. 개발된 포터블 헬스케어 게이트웨이는 유비쿼터스 환경에서 고객의 건강을 증진시킬 수 있는 효과적인 서비스를 제공한다.

지역사회에 거주하는 55세 이상의 건강한 집단과 뇌졸중 집단의 활동보유수준: 예비 연구 (The Retained Activity Level of the Community Dwelling Healthy Group and Stroke Group Aged More Than 55 years: A Preliminary Study)

  • 이상헌
    • 한국산학기술학회논문지
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    • 제13권11호
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    • pp.5337-5344
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    • 2012
  • 본 연구는 지역사회에 거주하는 55세 이상의 건강한 집단과 뇌졸중 집단의 보유 활동 및 수준을 분석하고 후속 연구를 위한 집단 특이성을 알아보고자 하였다. 연구 자료 수집을 위하여 한국형 활동분류카드를 사용하였고, 기술통계 방법을 이용하여 건강한 집단과 뇌졸중 집단에서 활동보유수준을 확인하였으며, 스피어만 상관계수를 이용하여 일반적 정보와의 활동보유수준의 상관성을 분석하였고, 다중회귀분석을 사용하여 활동 보유 수준에 영향을 미치는 변인을 분석하였다. 건강한 집단의 구성원들이 수행하는 활동들이 뇌졸중 집단에서는 감소함를 확인할 수 있었으며, 상관관계 분석과 회귀분석 시 건강한 집단과 뇌졸중 집단에서 활동보유수준과 대상자의 일반적 정보간에 통계학적으로 유의미한 변인이 달랐다. 결과를 통하여 55세 이상의 건강한 집단과 뇌졸중 집단에서 활동보유수준과 집단별 특이성을 확인할 수 있었으며 결과 자료에 기초하여 해당 집단의 활동 참여 조정과 대치 시에 기초 자료로 사용할 수 있을 것이다.

신경망을 이용한 생활습관성 질환 시스템 설계 (Design of Life Habits Disease System using Neural Network)

  • 이영호;정경용;강운구
    • 디지털융복합연구
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    • 제10권6호
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    • pp.1-6
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    • 2012
  • 현대사회는 IT융합기술의 발달로 정보의 양이 급속도로 늘어나고 있으며, 이로 인하여 많은 데이터 속에 원하는 정보를 용이하게 획득하거나 검색하는 기술도 발전되고 있다. 이에 따라 다양하고 많은 건강정보 제공 사이트가 개발되어 운영되고 있지만, 웹서비스에 기반한 정보 제공의 한계와 개인화의 부족으로 사용자의 건강관리와 증진에 효과적이지 못한 결과를 보이고 있다. 건강정보 지원 서비스는 생체정보를 획득하고, 획득된 데이터를 다시 컴퓨터에 입력하여 기존 네트워크 기반을 통하여 전송하는 형태로 개발되고 있기 때문에 불편함은 물론 비효율적이다. 본 논문에서는 기존의 의료 데이터와 Framingham 위험인자(FRS)를 활용, 신경망을 이용한 생활습관성 질환 시스템 설계를 제안한다. 제안하는 시스템을 통하여 생활습관성 질환 환자의 고통호소를 의사가 신속하게 파악할 수 있도록 기초자료와 가이드라인을 제공하게 되고, 따라서 환자의 안위 증진이 향상되게 된다.

스마트 헬스를 위한 마이닝 기반의 정신 건강과 혈압 관리 서비스 (Mining based Mental Health and Blood Pressure Management Service for Smart Health)

  • 정은진;김주창;정호일;유현;정경용
    • 한국융합학회논문지
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    • 제8권1호
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    • pp.13-18
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    • 2017
  • 유비쿼터스 스마트 헬스케어에서 융합기술 급격히 발달하고, 이동식 모바일 장치가 보급됨에 따라 사용자는 스마트 헬스 플랫폼을 통해 의료 정보를 손쉽게 얻을 수 있게 되었다. 이러한 급격한 산업화, 웰니스 케어, 고령화 사회, 정보화 사회, 질병양상 및 생활습관의 변화, 의약분업 실시 등에 따라, 사용자 중심의 건강관리 및 건강증진 콘텐츠가 제공되고 있다. 이에 본 논문에서는 스마트 헬스를 위한 마이닝 기반의 정신 건강과 혈압 관리 서비스를 제안한다. 제안하는 방법은 마이닝 기반의 스마트 헬스 플랫폼에서 정신 건강관리 서비스와 혈압관리 서비스를 만성질환자를 위해 제공한다. 사용자는 PHR 기반의 스마트 헬스 플랫폼에서 시간과 장소에 구애 받지 않고 최적화된 건강관리 서비스를 제공받는다. 제안한 마이닝 기반의 정신 건강과 혈압 관리 서비스의 성능평가 결과, F-검증에서 우수한 성능을 보인다.

한방 공공보건사업의 운영실태와 정책과제 (Current Status and Policy Recommendations of Oriental Public Health Programs)

  • 장동민
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.101-112
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    • 2007
  • Oriental public health programs have been introduced for the purpose of providing comprehensive oriental health care services to community people including vulnerable classes, increasing the accessibility of oriental medicine and the public benefit, and further more elevating the health promotion and the quality of life of community people. Promoting these programs since 2002 in earnest, it is evaluated that it has made a lot of performances. In the other side, it showed many problems and policy issues also. This study is accomplished to analyze the problems made since the system was introduced and until now, 2007, and with this analysis, to examine policy issues and the reasonable recommendations for its development Major problems are as follows. First, fundamental notions and identity of oriental public health programs are not positioned accurately. Second, the infra-structure construction for effective propulsion of business is insufficient. Third, it is short of the capacity for program implementation of oriental public health doctors, related manpower, and health centers. Fourth, oriental health promotion programs that can fulfill the various health needs of community people are deficient. Fifth, active aid of the government and the oriental medical world as well as legal and systematical support for oriental public health programs is insufficient. As a result, to solve the problems and induce the successful settlement of the program, the policy recommendations such as (i) the fundamental notions of the program and establishment of approach strategies, (ii) reinforcement of the foundation of the program implementation, (iii) capacity enhancement of the manpower of the program implementation, and (iv) effective building of supportive system of the program are presented.

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Gender Differences in Marital Disruption among Patients with Cancer: Results from the Korean National Health and Nutrition Examination Survey (KNHANES)

  • Song, Hai-Yan;Kwon, Jeoung-A;Choi, Jae-Woo;Kim, Sun-Jung;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6547-6552
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    • 2014
  • Background: Cancer is a major life event that imposes huge economic and mental burdens on patients and families. In addition, the diagnosis of cancer also causes significant family discordance that can lead to marital problems such as divorce or separation. The aim of this study was to investigate the association and any related gender differences between cancer diagnosis and marital disruption among cancer survivors. Materials and Methods: We used the recent cross-sectional Korea National Health and Nutrition Examination Survey ($4^{th}$ and $5^{th}$; Years 2008-2012). The study participants were 623 married cancer survivors over the age of 19. A multivariate logistic regression analysis was conducted to estimate odds ratios. Results: After adjusting for socioeconomic status and health-related behaviors, the odds ratio of marital disruption among female cancer survivors compared with male cancer survivors was 3.94 (95%CI 1.30-11.94; p=0.02). The odds ratio of marital disruption for the below-average economic level compared with the above-average economic level was 5.64 (95%CI: 1.03-31.02; p=0.05). When compared with the non-smoking cancer survivors, the smoking cancer survivors had an OR of marital disruption equal to 2.94 (95%CI: 1.08-8.00; p=0.03). Conclusions: The findings of this study suggest that the odds of marital disruption among female cancer survivors are higher than those among their male couterparts. Medical practitioners should be sensitive to early signs of marital discord in couples affected by a cancer diagnosis. Early identification and psychosocial intervention might reduce the frequency of divorce and separation and thus improve quality of life and quality of care for cancer survivors.

Symptom Experiences and Coping Strategies among Multi-ethnic Solid Tumor Patients Undergoing Chemotherapy in Malaysia

  • Yahaya, Nor Aziyan;Subramanian, Pathmawathi;Bustam, Anita Zarina;Taib, Nur Aishah
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.723-730
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    • 2015
  • Background: This study was performed to assess patient symptoms prevalence, frequency and severity, as well as distress and coping strategies used, and to identify the relationships between coping strategies and psychological and physical symptoms distress and demographic data of cancer patients. This cross-sectional descriptive study involved a total of 268 cancer patients with various types of cancer and chemotherapy identified in the oncology unit of an urban tertiary hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Medical characteristics, Memorial Symptom Assessment Scale (MSAS) and Brief COPE scales and analyzed for demographic, and disease-related variable effects on symptom prevalence, severity, distress and coping strategies. Results: Symptom prevalence was relatively high and ranged from 14.9% for swelling of arms and legs to 88.1% for lack of energy. This latter was the highest rated symptom in the study. The level of distress was found to be low in three domains. Problem-focused coping strategies were found to be more commonly employed compared to emotion-focused strategies, demonstrating significant associations with sex, age group, educational levels and race. However, there was a positive correlation between emotion-focused strategies and physical and psychological distress, indicating that patients would choose emotion-focused strategies when symptom distress increased. Conclusions: These findings demonstrate that high symptom prevalence rates and coping strategies used render an improvement in current nursing management. Therefore development of symptoms management groups, encouraging the use of self-care diaries and enhancing the quality of psychooncology services provided are to be recommended.

병원감염관리에 대한 문헌적 고찰 (A Study of Literature of the Hospital Infection Control.)

  • 손영희
    • 기본간호학회지
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    • 제2권2호
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    • pp.213-227
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    • 1995
  • Today, although hospital infectious diseases are readily diagnosed, are treatable and preventable, many of these continues to be a major health problem in the developing countries, as well as the advanced nations. In the advanced countries efforts for hospital infection control has been presented but in Korea. The importance of being knowledgeble concerning hospital infection control is not much recognized yet. Presently in Korea good quality of care and services in the hospital is a main issue of discussion, therefore the subject of hospital infection control can't be over emphasized. Hospital infection control measures ranged from almost non existent to none when the pathogen transmission were not fully understood. As the knowledge of the transmission and contraction of the diseases expanded, newer and more effective procedures evolved. To be vital it is required to have good system for hospital infection control and inspection, rules and regulations and many numbers of persons with dedication. The strategy has been applied for hospital infection control standards as outlined by the centers for disease control and prevention(CDC). The hospital infection control committee is the factor to be well managed. Especially nurses are the important part of any hospital infection control program because they are the one who makes function properly. It is also required the responsibility of every employer who has employees who are exposed to blood, blood products or other potentially hospital infectious materials. Laws enacted by agencies of the federal government but the emphasis, and the demands for initiating and maintaining these control measures should be practiced on a routine and daily basis. The forgoing facts and requirements will assist us in assuring our hospital infection control program is successful.

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보건의료 빅데이터 플랫폼에서 LOD를 활용한 데이터 연계 방안 (Data Linkage Method Using LOD in the Healthcare Big Data Platform)

  • 이경희;김기남;조완섭
    • 한국빅데이터학회지
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    • 제4권2호
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    • pp.195-205
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    • 2019
  • LOD(Linked Open Data)는 데이터 공개방식 중에서 가장 우수한 수준으로 평가받고 있으며, 인터넷 상에서 서로 관련있는 데이터를 표준방식으로 연결하여 하나의 거대한 데이터베이스처럼 검색할 수 있도록 한다. 글로벌 환경에서 관련있는 데이터들이 LOD 형태로 구축되는 사례가 증가하고 있으나 국내 보건의료 분야에서 LOD 형태의 데이터 공개는 아직 초보적인 수준에 머물러 있다. 본 논문에서는 한국의학연구논문 데이터와 보건의료 빅데이터 연계 플랫폼 데이터를 중심으로 국내외 관련있는 DB들을 LOD 방식으로 연계하여 서비스하는 LOD 플랫폼 구축사례를 소개한다. 각 DB의 모든 데이터를 LOD로 연계하는 것은 시간과 노력이 많이 필요하며, 기본적으로 민간보다 국가나 공공기관이 담당해야 하는 인프라성 연구이다. 본 연구에서는 각 DB의 일부만을 대상으로 하여 LOD국내외 10개 사이트를 연계하였으며, 이를 통해 사용자는 편리한 방식으로 국내외 여러 기관의 데이터를 연계하여 검색할 수 있게 된다.

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