• Title/Summary/Keyword: Medical delivery system

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A Study on the Actual Condition and Service Contents of Rental Apartment for the Low Income in Yangcheon-Gu - Basic Study for the Expansion of the Rental Apartment - (양천구에 위치한 저소득 임대공동주택의 현황과 서비스 내용 분석 - 임대공동주택 확산을 위한 기초연구 -)

  • Hwang, Yun-Jung;Noh, Sang-Wan;Yoon, Won-Young;Moon, Hak-Cho;Jang, Sang-Ock;Shin, Kyung-Joo
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2006.11a
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    • pp.205-208
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    • 2006
  • This research investigated the public rental houses In Yangchon-gu, whose locational attribute are suitable for the public rental house and has superior position in both inhabitants' participation and public welfare program. The public rental house has several types, such as permanent lease house, public lease. And several programs, the aged support police and medical services delivery system, have been the leading models for other local governments. Also, there are residents who are in their forties and fifties in the public rental houses in Yangchon-gu. un occupied is less than 1% and it seems that there is few turnover rate. 1 household rate and 2 households rate look like similar in the number of family member, total social public welfare program is focus on family welfare, juvenile welfare, teenager welfare, handicapped person welfare local, welfare and old people welfare. Accordingly, this research is used for base data of questionnaire and the first data for grope various improvement while planning group public rental house for low income group. And this research will be improved directional grope for improve livable public rental house around residents.

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Endovascular Repair in Acute Complicated Type B Aortic Dissection: 3-Year Results from the Valiant US Investigational Device Exemption Study

  • Lim, Chang Young
    • Journal of Chest Surgery
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    • v.50 no.3
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    • pp.137-143
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    • 2017
  • Acute complicated type B aortic dissection (TBAD) is a potentially catastrophic, life-threatening condition. If left untreated, there is a high risk of aortic rupture, irreversible organ or limb damage, or death. Several risk factors have been associated with acute complicated TBAD, including age and refractory hypertension. In the acute phase, even uncomplicated patients are more prone to develop complications if hypertension and pain are left medically untreated. Innovations in stent graft technologies have incrementally improved outcomes since their first use for this condition in 1999, though improvement is needed in mitigating periprocedural complications, adverse events, and mortality. In the past decade, endovascular repair has become the preferred treatment because of its superior outcomes to open repair and medical therapy. The Valiant Captivia Thoracic Stent Graft System is a third-generation endovascular stent graft with advancements in minimally invasive delivery, conformability to the anatomy, and the minimization of adverse sequelae. Herein, this stent graft is briefly reviewed and its 3-year outcomes are presented. Freedom from all-cause and dissection-related mortality was 79.1% and 90.0%, respectiv ely. The Valiant Captiv ia Stent Graft represents a safe, effective intervention for acute complicated TBAD. Continued surveillance is needed to verify its longer-term durability.

Nursing cost in Operating Room applying the Resource-Based Relative Value Scale(RBRVS) (수술간호행위별 상대가치(Resource-Based Relative Value)의 측정 및 간호수가 산정)

  • Kim, Myung-Soo;Kim, Young-Hae;Kim, Jung-Soon;Lee, Hae-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.283-293
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    • 2002
  • Purpose: The purpose of this study was to define cost-countable perioperative nursing activities and to analyze the cost of each nursing activities based on the Resource-Based Relative Value Scale (RBRVS). Method: Researcher and 3 research assistants observed and documented the 83 operating patients in order to measure nursing time for each of the perioperative nursing activities. And then, 35 operating room nurses with at least one year of perioperative nursing experience were observed for the RBRVS of perioperative nursing activities. Finally, the direct and indirect nursing costs were estimated. Result: Nursing costs of 25 nursing activities were estimated using the RBRVS. Most expensive nursing activities were delivery of the instrument and implement for OP team (9,780 won per hour) and behavior of wash, pack, disinfect the instrument (6,770). Conclusion: Based on the relative values of each perioperative nursing activities estimated in this study, proper medical reimbursement system should be established in a near future.

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Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?

  • Kim Young Ok Rhee;Telleen Sharon
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1460-1467
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    • 2004
  • Purpose. This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider. Methods. In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist. Results. The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on week-ends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist. Conclusion. The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

Nursing Case Management Program Development for the Elderly at Hospital (입원노인환자의 사례관리 프로그램 개발 연구)

  • Shin, Eun-Young
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.444-455
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    • 2002
  • Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

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Study of oriental medical science documentory records of tinnitus and neuropsychiatric aspect of hiccup (이명(耳鳴)에 관한 정신의학적 문헌고찰(文獻考察))

  • Jang, Young-Ju;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.67-81
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    • 2009
  • 1. According to causes of attack and symptoms, tinnitus is divided into two categories; deficiency and excess. Causes of excess syndrome of tinnitus were wind fire in the liver and gallbladder, phlegm fire, blood stagnation, and heat in meridian system and the causes of deficiency syndrome of tinnitus were qi deficiency or blood deficiency after an illness or delivery, yin deficiency of liver and kidney, and deficiency of sea of the marrow. 2. Tinnitus was related to the vicera and bowels, especially to liver, gallbladder and urinary bladder. 3. In regard of method of treatment, tonify kidney, nourish heart, clear the liver and discharge heat are used according to visera and bowel theory. Clear phlegm and downbear fire are used for phlegm fire. Tonify spleen and kidney is used for ancestral vessel deficiency. Dispel wind and dissipate fire can be used according to theory of five elements' motion and six kinds of natural factors. 4. The basal meridian of acupuncture and moxibustion treatment were the channels of Shaoyang.. 5. Regarding neuropsychiatric aspect of tinnitus, sudden anger and depression of mind were the main mechanism of disease and liver fire was the main cause. The prescriptions for neuropsychiatric tinnitus were Dangguiyonghuehwan, and Yongdamsagantang.

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Force Analysis on the Nano/Micro Particle in a Flow using Immersed Boundary-Lattice Boltzmann Method (가상경계-격자 볼츠만 방법을 이용한 유동장내 나노/마이크로 입자에 작용하는 힘의 해석)

  • Jo, Hong Ju;Lee, Sei Young
    • Journal of Biomedical Engineering Research
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    • v.43 no.1
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    • pp.35-44
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    • 2022
  • Immersed boundary-Lattice Boltzmann Method (IB-LBM) is used for the analysis of flow over the circular cylinder in the concept of fluid-structure interaction analysis (FSI). Recently, IB-LBM has shown the enormous possibility for the application of various biomedical engineering fields, such as the movement of a human body or the behavior of the blood cells and/or particle-based drug delivery system in blood vessels. In order for the numerical analysis of the interaction between fluid and solid object, immersed boundary method and lattice Boltzmann method are coupled to analyze the flow over a cylinder for low Reynolds laminar flow (Re=10, 20, 40 and 100) with Zhu-He boundary condition at the boundary. With the developed IB-LBM, the flow around the cylinder in the uniform flow is analyzed for the laminar flow and the drag and lift coefficients and recirculation length are compared to the previous results.

Risk Perceptions of Noncommunicable Diseases among Cambodian Adults: A Cross-Sectional Study

  • Bae, Sung-Heui;Hwang, Oknam;Jeong, Jieun;Yang, Youngran
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.259-268
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    • 2022
  • Purpose: In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians' risk perceptions of NCDs based on the health belief model. Methods: A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results: Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion: It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

Transfer Methods of Inorganic Thin Film Materials for Heterogeneously- Integration Flexible Semiconductor System (이종 집적 유연 반도체 시스템 구현을 위한 무기물 박막소재의 전사 방법)

  • Gyeong Hyeon Ju;Jeong Hyeon Kim;Sang Yoon Park;Kang Hyeon Kim;Han Eol Lee
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.37 no.3
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    • pp.241-252
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    • 2024
  • With the recent development of emerging technologies, information acquisition and delivery between users has been actively conducted, and inorganic thin film transfer technology that effectively transfers various materials and devices is being studied to develop flexible electronic devices accordingly. This is aimed at innovative structural changes and functional improvement of electronic devices in the era of the Internet of Things (IoT). In particular, advanced technologies such as microLEDs are used to realize high-resolution flexible displays, and the possibility of heterogeneous integrated technologies can be presented by precisely transferring materials to substrates through various transfer process. This paper introduced physical, chemical, and self-assembly transfer methods based on inorganic thin film materials to implement heterogeneous integrated flexible semiconductor systems and introduces the results of application studies of semiconductor devices obtained through different transfer technologies. These studies are expected to bring about innovative changes in the field of smart devices, medical technology, and user interfaces in the future.

The Want, its Determinants and the Willingness to Pay of the Long Term Care Service (장기요양 서비스를 누가, 얼마나, 얼마에 원하고 있는가? - 장기요양 서비스의 욕구와 결정요인 및 지불의사금액 -)

  • Kim Hyun Cheol;Hong Narei;Yeon Byeong Kil;Park Tae-Kyu;Chung Woo Jin;Jeong Jin Ook
    • Health Policy and Management
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    • v.15 no.4
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    • pp.136-160
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    • 2005
  • Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.