• Title/Summary/Keyword: Medical persons

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A Study in the Medical Service Improvement at University Hospitals with Concentration upon Life in Hospital Guide (입원환자의 의료질 향상(QI)을 위한 입원생활 안내문의 효과)

  • Park, Sun-Kyung;Han, Sang-Sook;Paik, Seung-Nam
    • Journal of East-West Nursing Research
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    • v.9 no.1
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    • pp.74-82
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    • 2004
  • Purpose: This study has been conducted as a quality improvement activity in order to confirm the assessment of patients, their guardians and nurses by providing them with a Life in Hospital Guide. Method: Nursing with Life in Hospital Guide provision was conducted at an University Hospital with patients admitted within 5 days or less and their guardians, a control group of 375 persons and a comparison group of 372 persons, and the data have been collected from the 26th of May to the 10th of October 2003. A Life in Hospital Guide, in the form of a leaflet, that contained useful information such as meals, facilities, car parking, documents, linen products etc, was used. The collected data have been analysed using SPSS windows programme 11.0 for percentage, $X^2$-test, and t-test. Result: The comparison group who were provided with a Life in Hospital Guide will know better about the articulars needed to live in hospital than the control group who were not,' the average of the comparison group (4.04) was higher than the control group (3.04), which is a significant difference (t=-27.06, p=.000). Conclusion: As a results of this study, it was confirmed that life in hospital guidance through a leaflet each as a quality improvement activity, are effective.

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Disparities in Health Care Utilization Among Urban Homeless in South Korea: A Cross-Sectional Study

  • Yoon, Chang-Gyo;Ju, Young-Su;Kim, Chang-Yup
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.6
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    • pp.267-274
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    • 2011
  • Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.

Internal Dosimetry: State of the Art and Research Needed

  • Francois Paquet
    • Journal of Radiation Protection and Research
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    • v.47 no.4
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    • pp.181-194
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    • 2022
  • Internal dosimetry is a discipline which brings together a set of knowledge, tools and procedures for calculating the dose received after incorporation of radionuclides into the body. Several steps are necessary to calculate the committed effective dose (CED) for workers or members of the public. Each step uses the best available knowledge in the field of radionuclide biokinetics, energy deposition in organs and tissues, the efficiency of radiation to cause a stochastic effect, or in the contributions of individual organs and tissues to overall detriment from radiation. In all these fields, knowledge is abundant and supported by many works initiated several decades ago. That makes the CED a very robust quantity, representing exposure for reference persons in reference situation of exposure and to be used for optimization and assessment of compliance with dose limits. However, the CED suffers from certain limitations, accepted by the International Commission on Radiological Protection (ICRP) for reasons of simplification. Some of its limitations deserve to be overcome and the ICRP is continuously working on this. Beyond the efforts to make the CED an even more reliable and precise tool, there is an increasing demand for personalized dosimetry, particularly in the medical field. To respond to this demand, currently available tools in dosimetry can be adjusted. However, this would require coupling these efforts with a better assessment of the individual risk, which would then have to consider the physiology of the persons concerned but also their lifestyle and medical history. Dosimetry and risk assessment are closely linked and can only be developed in parallel. This paper presents the state of the art of internal dosimetry knowledge and the limitations to be overcome both to make the CED more precise and to develop other dosimetric quantities, which would make it possible to better approximate the individual dose.

A Study on Relation between So-eumin(少陰人) and Inseong(仁性) (소음인(少陰人)과 인성(仁性)의 관계에 대한 고찰(考察))

  • Baik, You-Sang;Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.21 no.3
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    • pp.91-102
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    • 2008
  • The most important part of understanding properties of Sasang-in(四象人) is analysis of human characters. In spite of that aspect, there are not enough explanations of human characters like natural virtues, for example Inseong(仁性), in Ijema(李濟馬)'s writings. In this examination we mainly investigated particular relationship between So-eumin(少陰人) and Inseong(仁性). But revelation and practice of Inseong(仁性) are not only belonged to So-eumin(少陰人), also applied to all people of Sasang-in(四象人). Specially for the purpose of recognizing human characters, Ijema(李濟馬) assigned virtues that is to say Inuiyeji(仁義禮智), to each persons of Sasang-in(四象人). We have explained which properties of such Sasang-in(四象人), not limited to So-eumin(少陰人), is concerned with natural virtue In(仁), actually that explanations are more concentrated to relation between Taeyang-in(太陽人) and Inseong(仁性).

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Problems of Traditional Medicine Research Papers in Korea (한국 한의학 논문의 몇 가지 문제점 -학술논문작성법과 비교를 중심으로-)

  • Lee Sun-Dong;Lee Yong-Bum
    • Journal of Society of Preventive Korean Medicine
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    • v.7 no.2
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    • pp.35-44
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    • 2003
  • Research papers must be expression given by letter that had fixed types, rules and universal sentence languages to inform many persons about study results until present when these research paper was considered review, oriental medical papers had some problems, as like difficult contents not to inform absolutely, usage of past language, not considerable in logic history and continuity, and have used not fixed types and rules, error of statistical analysis and research construction. Also centered clinic that had trends important treat tools by drugs ,acupuncture and moxa studies. In briefly, papers of korea traditional medicine had some several problems. Oriental medicine has very concerns not only korean but other countries in present and then it will increases much more study in future. For the purpose cope with this concerns korea traditional medicine researchers need much educations of relation department and must recognized much concerns.

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The Elderly Welfare Facilities Unit-Care Type Development According to the Atmosphere of a Traditional Korean House (한옥의 공간을 적용한 노인복지시설 유니트케어의 평면 유형)

  • Nam, Yun-Cheol
    • Journal of The Korean Digital Architecture Interior Association
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    • v.12 no.2
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    • pp.5-13
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    • 2012
  • After elderly long term care insurance implementation (July 1, 2008), the elderly medical and welfare facilities covered by medical insurance continuously increases 30 to 63% sanction annually. Rapid growth of senior citizen welfare facilities arises in a poor residential environment issues. In most cases, it is the legal minimum criteria tailored for 4 persons accommodated in nature, such as the hospital. Therefore, 'Hometown-style traditional Korean House' is needed to rest comfortable for elderly people. Research goal is to provide direction and design materials by developing a type of architectural planning for the elderly welfare facilities unit care of the atmosphere of a traditional Korean House. The following two elements are applied to the elderly welfare facilities. Senior citizen welfare facilities in the main living space are applied to modern residential space of the elderly-friendly atmosphere of a traditional Korean House. It is applied for the Korean lifestyle and residential culture are through an analysis of Japan's leading development unit care system.

A study of Archery therapy on ABR-2000 (ABR-2000상의 변화를 통해 본 궁도요법의 효과연구)

  • Lee Je-Young;Jang Jong-Sung
    • Journal of Korean Medical Ki-Gong Academy
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    • v.7 no.1
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    • pp.77-97
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    • 2003
  • Objective : This study is perfomed to evaluate the effect of Archery therapy by means of data measured from ABR-2000 Method : Among the outpatients who visited Wolgot oriental medicine clinic from 1, June 2003 to 28, June 2003, I selected 30 persons. they were divieded into two groups. One group was patients pretreated with Archery therapy and the other was patients after treated Archery therapy. Before and after Archery therapy, I measured the outcome from ABR-2000. Consideration : I studied Archery therapy a point of oriental medicine. And also I studied between modern times and archery. Results : Patients before and after Archery therapy, there were significant differences. Conclusion : This result indicated that the Archery therapy was effective and so the more study is needed continuously.

Morbidity Patterns and Health Care Behavior of Residents in Urban Low Income Area (도시영세지역(都市零細地域) 주민(住民)의 상병(傷病)및 의료이용(醫療利用) 양상(樣相) -대구직할시를 중심으로-)

  • Woo, Kuck-Hyeun
    • Journal of Preventive Medicine and Public Health
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    • v.18 no.1
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    • pp.25-39
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    • 1985
  • This study was conducted to assess the morbidity and medical facilities utilization patterns of the residents in urban low income area. Study population included 2,002 family members of 468 households in the low income area (LA) of Nam-san 4 Dong, Jung Gu of Taegu city and 1,709 family members of 374 households in surrounding neighbourhood control area (CA). Well trained nursing school students interviewed mainly with housewives according to the pretested questionaire between July 1 and July 30, 1984. Age-sex distribution of the study population in LA was similar to that in CA. The average monthly income of a household in LA was 236,000 won and 356,000 won in CA. Educational level of the residents in LA was lower than that in CA; average years of school education of the 20 years old or above in LA was 6.9 years compared with 8.5 years in CA. The average family members per room in LA was 2.6 and 2.2 in CA, and proportion of Medicaid program beneficiary was 29.4% in LA and 1.9% in CA. Prevalence rate of illness during 15-day period was 131 per 1,000 population in LA and 71 in CA(p<0.01) and that of the chronic illness for 1 year was 134 per 1,000 population in LA and 89 in CA(p<0.01). The most common illness experienced during 15 days was respiratory disease(24.0% in LA ana 29.8% in CA) and followed by gastro-intestinal disorders(21.0% in LA, 20.6% in CA). Injury or poisoning was 10.3% in LA and 3.3% in CA. Castro-intestinal disorder was the most common chronic illness in both LA (22.7%) and CA (21.7%), and followed by musculoskeletal disease in LA and neuralgia in CA. Mean activity restricted days among the persons with illness during 15-day period was 4.0 days in LA and 2.2 days in CA. Among persons with illness during 15 days, 17.9% in LA and 11.6% in CA did not seek any medical treatment and the most frequently utilized medical facility was pharmacy in LA (35.5%) and local clinic or hospital OPD in CA (42.1%). Among persons with chronic illness, 15.2% in LA and 9.2% in CA did not seek for medical treatment, and residents in LA as well as residents in CA utilized local clinic or hospital OPD more frequently than pharmacy or drugstores, especially those who have medical insurance. The most common reason for not treating illness experienced during 15-day period and chronic illness was economical constraint in both LA and CA. The higher prevalence rate of illness during 15-day period and chronic illness in LA than that in CA seems to be highly correlated with their lower economic status and educational level and crowded living condition. The utilization pattern of medical facilities was associated with the medical security status. A program to improve the economic status and living condition should be integrated with the health program to promote the health of the population in low income area.

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Information Searching Behavior of Health Care Consumers by Types of Medical Institutions (의료소비자들의 의료기관 종별 정보탐색 행태에 관한 연구)

  • Lee, Sun-Hee;Cho, Woo-Hyun;Chae, Yoo-Mi
    • Korea Journal of Hospital Management
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    • v.8 no.1
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    • pp.95-111
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    • 2003
  • The purpose of this study was to evaluate the information searching behavior of consumer by type of medical institution. A questionnaire survey was conducted of 1,507 persons who were selected through a multi-stage stratified area cluster sampling in nationwide level, excluding Jeju-Do. Personal survey was conducted through door-to door survey from 27 July to 10 August 1999. The main results of this research was as following; 1. The proportion of information searching of respondents ranged from 91.5-95.2%. Even though the proportion of user in university hospital was slightly high, there was not significant statistically by type of medical institution. In terms of information source, personal informer was most common information source in all type of medical institution. Public informers were more frequently used in university hospital visitors and professional informer in general and university hospital visitors. 2. Comparing to searching intensity, user informer and professional informer's influences were more powerful, but not statistically significant. In analysis of unit influence for information source, written informer or public informer was more powerful in clinic visitor, professional informer and written informer in university hospital visitor. 3. Information which consumer want to know mostly were about on special potential and career of physician. The clinic visitor wanted to know about institutional location and kindness of medical personnel. The university hospital visitor also wanted to know about facilities and convenience of process. Comparing to institution selection criteria of consumers at 1991, quality related criteria were recognized more importantly in outpatient and dental services. But in case of inpatient services, convenience factor was recognized more importantly. In conclusion, the effort for specific marketing plan by type of medical institution should be needed. And more concern on information searching behavior of consumer will be needed.

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Lack of Altered BECN1 Gene Expression in Iranian Patients with Acute Myeloid Leukemia

  • Keyvan, Ladan;Bidoki, Seyed Kazem;Abdollahi, Davood Zare;Mansouri, Neda;Hashemi, Mehrdad;Tabatabaei, SA Mortazavi;Fardmanesh, Hediyeh;Meimandi, Mansour;Ayatollahi, Seyed Majid;Movafagh, Abolfazl
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5173-5177
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    • 2016
  • Acute myeloid leukemia (AML), one of the most prevalent leukemia types in adults, demonstrates great heterogeneity in molecular and clinical terms. Hence, there is a necessity to the mechanisms involved in AML generation in order to determine optimal treatment. This cross sectional study aimed to assess changes in BECN1 gene expression in with blood samples from 30 AML patients, compared with samples from 15 healthy persons. RNA was extracted and cDNA was synthesized and Real Time PCR applied to determine BECN1 gene expression. The results showed no significant differences in BECN1 gene expression between patients with AML and normal controls (P > 0.05). It appears that expression of BECN1 does not play a significant role in genesis of AML leukemia.