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Analysis of Biochemical Markers in Sera of Patients with Febrile Disease During the Fall

  • Kim, Chong-Ho;Park, Seung-Taeck;Seo, Young-Mi
    • Biomedical Science Letters
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    • v.16 no.4
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    • pp.311-316
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    • 2010
  • We studied a comparison of the concentration of biochemical markers in sera of patients hospitalized with high fever (n=296) in Jeonbuk province during the last 2 years (2008 to 2009). The patients were divided into three patient groups of viral hemorrhagic fever (VHF) patient group tested positive for Hantavirus (n=53), leptospirosis (LEP) patient group tested positive for Leptospira interrogans (n=137) and scrub typhus (TSU) patient group tested positive for Orientia tsutsugamushi (n=106). We analyzed the concentration of ALP, AST, ALT, blood urea nitrogen, creatinine and glucose and compared the mean levels of them to normal range, the first sample and last sample. The frequencies of abnormal patient elevated above the upper limit of normal for ALP, AST and ALT were 18~43.4%, 78~97% and 62.3~92.7% in patient groups, and 24.5~47.4% (total protein) and 13.2~50.0% (albumin) of patients in patient groups had decreased below the lower limit of normal. The patients showed higher abnormal levels of glucose in patient groups were 58.5% (viral hemorrhagic fever patient group), 66.4% (leptospirosis patient group), 71.7% (scrub typhus patient group) and 66.9% (total patient group). There were significant difference between the first sample and the last sample in the mean levels of AST (decreased 22.2% in viral hemorrhagic fever patient group, 30.2% in leptospirosis patient group, 20.4% in scrub typhus patient group and 24.1% in total patient group), BUN (43.0% in viral hemorrhagic fever patient group, 41.6% in leptospirosis patient group, 47.4% in scrub typhus patient group and 43.0% in total patient group) and glucose (20.2% viral hemorrhagic fever patient group, 17.9% in leptospirosis patient group, 18.6% in scrub typhus patient group and 18.9% in total patient group) in the first sample and the last sample. According to these results, those diseases may cause liver damage and have high concentration of ALP, AST, ALT and glucose in blood even though the patients get out of the hospital.

Influence of Physician's Communication Style and Quality, and Physician-Patient Relationship on Patient Satisfaction (의사의 커뮤니케이션 스타일과 질, 의사-환자관계 유형에 따른 환자만족 요인)

  • Im, Jee-Hye;Lee, Key-Hyo;Paik, Soo-Kyeong
    • Korea Journal of Hospital Management
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    • v.14 no.3
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    • pp.83-103
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    • 2009
  • The main objective of this study is to investigate the influence of physician's communication styles and quality, and physician-patient relationship on patient satisfaction for improving physician's communication which is one of factors determining service quality in health care services, and providing the suggestion for building the positive physician-patient relationship. Data were collected from 341 inpatients in 13 general hospitals and university hospitals located in Busan Metropolitan City and Kyeongsang-do area using structured self-administered questionnaires. Major results of the empirical analysis are as follows; First, mutual-opened-cooperative physician-patient relationship, patient's communication receptive attitude, patient-oriented physician's communication style, and quality were significantly varied by respondents' characteristics such as age, consensual, job, and income. Second, empathy, patient's communication receptive attitude, physician-patient relationship, and patient satisfaction were significantly varied by respondents' medical-related conditions. Third, there was a significant correlation between active communication receptive attitude of patient and mutual-opened-cooperative physician-patient relationship. Fourth, patient-oriented physician's communication style and physician-patient relationship were found to have positive influence on total communication quality and effectiveness and empathy facet of communication quality both. Finally, patient-oriented physician's communication style, empathy, active communication receptive attitude of patient, and mutual-opened-cooperative physician-patient relationship were found to have positive influence on patient satisfaction. This research findings suggest that putting emphasis on effective physician's communication and enhancing positive physician-patient relationship are crucial for marketing activities and customer satisfaction management in health care settings.

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The Design Project Based on the Proference and the Actual Condition of Patient's Clothes (환자복(患者腹)의 실태(實態)및 선호도(選好度)에 따른 디자인 기획(企劃))

  • Ryu, Mi-Ae;Park, Ok-Lyun
    • Journal of Fashion Business
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    • v.8 no.1
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    • pp.61-75
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    • 2004
  • This paper has the meaning to plan new design of patient's cloth focusing on its aesthetic aspect through surveying actual condition of use of patient's cloth and reflecting color or pattern that patient prefers to it. Substantial purpose of this paper is 1) to survey actual condition of patient's cloth on the basis of general hospital of downtown of Busan City, 2) to revise difficulty of patient's cloth and survey and analyze color and pattern that patient prefers and 3) to suggest new patient's cloth design using color and pattern that meets function that is not difficult for patient's activity and cure and stabilizes patient's mind on the basis of the result of analysis. The result of this paper is like follow. 1. Problem of current patient's cloth is that most hospital uses patient's cloth having white background and hospital logo of blue or green color and its length is too long so it requires adjustment of length of sleeves and pants 2. The result from analyzing preferred patient's cloth is that patient prefers patient's cloth classified by man and woman, one that its length of sleeves and pants are adjusted and one that there is no collar in its neckline. Regarding color, male patient prefers mild indigo color(5PB7/7) and mild green color (5G9/2) and female patient prefers bright purple color and bright scarlet color(5YR8/7). Regarding pattern, both of man and woman prefers natural pattern. 3. This paper planned total 6 kinds of patient's cloth (common patient's cloth: 2 kinds, male patient's cloth: 2 kinds and female patient's cloth: 2 kinds) through revising difficulty and using new color and pattern according to result of preference.

Relationship between Perceived Patient Safety Culture and Patient Safety Management Activities among Health Personnel (의료인의 환자안전문화 인식과 환자안전관리 활동 간의 관계)

  • Cho, Hye-Won;Yang, Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.35-45
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    • 2012
  • Purpose: This study was done to explore the relationship between perceived patient safety culture and patient safety management activities among health personnel. Methods: This study was a cross-sectional survey. Participants were 342 health personnel working in two tertiary hospitals. Self-administered questionnaires were used to collect data from a convenience sample of 254 nurses and 88 doctors. Results: Scores on participants' perceived patient safety culture and patient safety management activities were just over the mean. There were significant differences in patient safety management activities by type of occupation, nurses' position, length of service, and work week. Doctors scored perceived patient safety culture and patient safety management activities significantly lower than nurses. In addition, perceived patient safety culture was significantly related to patient safety management activities. Factors which influence participants' patient safety management activities were communication, type of occupation, overall evaluation of patient safety, supervisor/manager, frequency with which events were reported, and nurse's position. Conclusion: Findings provide significant evidence that patient safety management activities are associated with perceived patient safety culture. Therefore, to build a positive safety culture, health personnel, especially doctors and general nurses need to visibly commit to patient safety management activities and be role models to ensure patient safety.

The Patient-Doctor Relationship in Eastern Medicine (한의학에서의 환자-의사 관계)

  • Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.97-112
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    • 2007
  • Objectives : This study aimed for desirable cure through the investigation of The Patient-Doctor Relationship in Eastern Medicine. Methods : Research materials is data of the patient the doctor and the Patient-Doctor Relationship in Eastern Medicine bibliography except medical theory and clinical contents. Results and Conclusion :. 1. Relatively the doctor's position origin from exorcist has it over patient's that. 2. In spite of clinical doctor, Confucian physician have Confucianism and the ethics so they set The Patient-Doctor Relationship in Eastern Medicine essentially. 3. Each of doctor(the doctor-doctor relationship) emphasize the partnership in the Patient-Doctor Relationship. 4. Patient's choice for doctor is source of the Patient-Doctor Relationship basically and the choice are prudent. 5. The patient must carry into practice psychological and body medical affairs related to health preserving 6. For desirable Patient-Doctor Relationship, doctor's inquire is considered with temper and circumstance and a consultation room are also required stability. 7. Poor Patient-Doctor Relationship are come about when patient is not trust doctor, patient is not follow doctor's order and doctor's indifference to patient.

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The Effect of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities in Public Hospital Nurses (공공의료기관 간호사의 조직몰입, 환자안전문화인식이 환자안전간호활동에 미치는 영향)

  • Lee, Hyun Kyung;Kim, Geun Myun;Kim, Eun Joo
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.2
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    • pp.145-154
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    • 2019
  • Purpose: This study was conducted to identify and analyze organizational commitment, patient safety culture, and patient safety nursing activities on patient safety in public hospitals. Methods: The data were collected from 190 nurses in 6 public hospitals within the Gyeonggi region and were analyzed using SPSS 23.0 for descriptive statistics and multiple regression. Results: Patient safety nursing activity was positively correlated with the number of participants in patient safety training programs, organizational commitment, and patient safety culture awareness. Patient safety culture awareness was positively correlated with the number of participants in patient safety training programs and organizational commitment. Organizational commitment was positively correlated with age and total work experience. Factors affecting patient safety activities, frequency of patient safety training, and patient safety culture awareness were significant influencing factors with an explanatory power of 30.1%. Conclusion: In order to increase patient safety nursing activities in public hospitals, systematic patient safety training policies are required. In addition, diverse interventions are required to increase organizational commitment.

RADIOGRAPHIC COMPARATIVE STUDY OF FACIAL SKELETAL ASYMMETRY IN CRANIOMANDIBULAR DISORDER PATIENTS (두개하악장에 환자의 안면골 비대칭성에 관한 방사선사진상 비교분석)

  • Park Won-Kyl;Choi Eui-Hwan;Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.291-304
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    • 1994
  • The purpose of this study was to analyze the facial asymmetry of the patients with the craniomandibular disorder. In this study, 50 patients, who have joint clicking and pain, mouth opening limitation, and 40 dental students, Chosun University, who did not posses any restoration and orthodontic treatment, joint clicking and pain, mouth opening limitation, were selected as the control group. Both the control group and the patient group were takened skull P-A, submento-vertex radiogram by standized methods. After that, the deviation and facial asymmetry were measured and analyzed. The results of the this study were as follows: 1. In the Skull P-A radiogram, the width difference of control group and patient group measured that the △ Cg-Go-Cl: control group were 3.35㎜, patient group were 4.51㎜ (P<0.05), the △Cg-Zy-Go: control group were 1.83㎜, patient group were 3.27㎜(P<0.001). 2. In the Skull P-A radiogram, the height difference of control group and patient group measured that the △ Cg-Go-Cl: control group were 131.85㎜, patient group were 188.45㎜(P<0.05), the △Cg-Zy-Go: control group were 1.58㎜, patient group were 2.68㎜(P<0.00l). 3. In the Skull P-A radiogram, the area difference of control group and patient group measured that the △ Cg-Go-Cl: control group were 120.76㎟, patient group were 185.49㎟(P<0.05), the △Cg-Zy-Go: control group were 2.29㎟, patient group were 3.37㎟(p<0.05). 4. In the submento-vertex radiogram, the width difference of control group and patient group measured that the △Mr-Cl-Ia: control group were 1.50㎜, patient group were 2.35㎜(P<0.05), the △Mr-Cm-Ia: control group were 1.75㎜, patient group were 3.17㎜(P<0.05), the △Mr-Go-Ia: control group were 1.96㎜, patient group were 3.24㎜(P<0.001), the △Mr-Cp-Co: control group were 1.74㎜, patient group were 2.73㎜(P<0.05). 5. In the submento-vertex radiogram, the height difference of control group and patient group measured that the △Mr-Cp-Ia: control group were 1.68㎜, patient group were 2.46㎜P<0.05), the △Mr-CI-Ia: control group were 2.38㎜, patient group were 3.74㎜(P<0.05), the △Mr-Co-Ia: control group were 1.63㎜, patient group were 2.80㎜(P<0.05), the △Mr-Cm-Ia: control group were 1.45㎜, patient group were 3.12㎜(P<0.001). 6. In the submento-vertex radiogram, the area difference of control group and patient group measured that the △ Mr-Cp-Ia: control group were 73.17㎟, patient group were 110.16㎟(P<0.05), the △Mr-Cl-Ia: control group were 105.09㎟, patient group were 180.87㎟(P<0.001), the △Mr-Co-Ia: control group were 103.31㎟, patient group were 148.48㎟(P<0.05), the △Mr-Cm-Ia: control group were 97.01㎟, patient group were 167.83㎟(P<0.05), the △Mr-Go-Ia: control group were 104.24㎟, patient group were 205.90㎟(P<0.05).

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Analysis of Subgroups with Lower Level of Patient Safety Perceptions Using Decision-Tree Analysis (환자안전인식 취약군에 대한 의사결정나무모형)

  • Shin, Sun Hwa
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.686-698
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    • 2020
  • Purpose: This study was aimed to investigate experiences, perceptions, and educational needs related to patient safety and the factors affecting these perceptions. Methods: Study design was a descriptive survey conducted in November 2019. A sample of 1,187 Koreans aged 20-80 years participated in the online survey. Based on previous research, the questionnaire used patient safety-related and educational requirement items, and the Patient Safety Perception Scale. Descriptive statistics and a decision tree analysis were performed using SPSS 25.0. Results: The average patient safety perception was 71.71 (± 9.21). Approximately 95.9% of the participants reported a need for patient safety education, and 88.0% answered that they would participate in such education. The most influential factors in the group with low patient safety perceptions were the recognition of patient safety activities, age, preference of accredited hospitals, experience of patient safety problems, and willingness to participate in patient safety education. Conclusion: It was confirmed that the vulnerable group for patient safety perception is not aware of patient safety activities and did not prefer an accredited hospital. To prevent patient safety accidents and establish a culture of patient safety, appropriate educational strategies must be provided to the general public.

Effect of Doctors' Patient-centered Communication on the Patient Satisfaction and Treatment Outcomes : Focusing on Mediating Effect of Patient Participation (의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향 : 환자참여의 매개효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.249-260
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    • 2013
  • The main purpose of this study is to examine the effect of doctors' patient-centered communication on patient satisfaction and treatment outcomes, and the mediating effect of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. For the purpose of this study's goal, the 339 samples for this empirical study were collected from general hospital outpatient in C. The results of this study are as follows, First, except prohibition factor there are positive effect careful listening factor, consideration factor on patient satisfaction and treatment outcomes. Second, there are positive effects of careful listening factor, consideration factor on emotional factor and informational factor, but there are no significant effect of prohibition factor on three factors of patient. Third, There are partial mediating effects of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. Last, based on the results of this study, we suggested implications for heighten the alternatives of patient satisfaction and treatment outcomes.

Subjectivity on Patient Safety Recognized by Inpatients

  • Lee, HoYeon;Jang, SunYoung;Wang, MeeSuk
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.3
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    • pp.196-205
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    • 2020
  • The purpose of this study is to identify the subjectivity of patient and describe the characteristics of each type to understand the categorization of types on patient safety. Q methodology was applied to the study. A total of 40 patients admitted to the S hospital in Seoul were asked to categorize 33 statements on patient safety. The collected data was analyzed using QUANL PC Program. After analysis, patient safety as perceived by the admitted patient was categorized into 6 types. The types were as follows: Type 1 'Those who note adequate patient safety', Type 2 'Those who consider preventive safety to be lacking' Type 3 'Those who see the evaluation criteria to be met', Type 4 'Those who see the facility safety to be lacking', Type 5 'Those who find the patient and facility safety to be adequate', Type 6 'Those who see patient support to be lacking'. The study provides a basic set of data for developing mediation measures needed to identify the direction in which patient safety should be promoted.