• Title/Summary/Keyword: Patient's data

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Exclusive Enteral Nutrition for the Treatment of Pediatric Crohn's Disease: The Patient Perspective

  • Stephanie Christine Brown;Catherine L Wall;Richard B Gearry;Andrew S Day
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.26 no.3
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    • pp.165-172
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    • 2023
  • Crohn's disease (CD) is a chronic, incurable and relapsing disease involving any part of the gastrointestinal tract and exclusive enteral nutrition (EEN) is first-line therapy. Few studies have examined the patient experience of EEN. The aim of this study was to assess the child's experiences of EEN, to identify problematic themes and understand the child's mindset. Children with CD who previously completed EEN were recruited to complete a survey. All data were analyzed using Microsoft Excel and reported as N (%). Forty-four children (mean age 11.3 years) consented to participate. Sixty-eight percent of children reported limited formula flavors as the most challenging aspect and 68% of children identified 'support' to be important. This study highlights the psychological impact of chronic disease and its therapies on children. Providing adequate support is essential to insure EEN is successful. Further studies are required to determine psychological support strategies for children taking EEN.

Imputation of Medical Data Using Subspace Condition Order Degree Polynomials

  • Silachan, Klaokanlaya;Tantatsanawong, Panjai
    • Journal of Information Processing Systems
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    • v.10 no.3
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    • pp.395-411
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    • 2014
  • Temporal medical data is often collected during patient treatments that require personal analysis. Each observation recorded in the temporal medical data is associated with measurements and time treatments. A major problem in the analysis of temporal medical data are the missing values that are caused, for example, by patients dropping out of a study before completion. Therefore, the imputation of missing data is an important step during pre-processing and can provide useful information before the data is mined. For each patient and each variable, this imputation replaces the missing data with a value drawn from an estimated distribution of that variable. In this paper, we propose a new method, called Newton's finite divided difference polynomial interpolation with condition order degree, for dealing with missing values in temporal medical data related to obesity. We compared the new imputation method with three existing subspace estimation techniques, including the k-nearest neighbor, local least squares, and natural cubic spline approaches. The performance of each approach was then evaluated by using the normalized root mean square error and the statistically significant test results. The experimental results have demonstrated that the proposed method provides the best fit with the smallest error and is more accurate than the other methods.

The Effect of Perception the Importance of Patient safety Management, Professional Autonomy and Safety Climate on Patient Safety Nursing Activity on Hospital Nurses (병원 간호사의 환자안전관리 중요성 인식, 전문직 자율성 및 안전분위기가 환자안전간호활동에 미치는 영향)

  • Kim, Seul-Gi;Kang, Da-Hai-Som
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.715-724
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    • 2022
  • The purpose of this study was investigates the effects of perception the importance of patient safety management, professional autonomy and safety climate on patient safety nursing activity on hospital nurses. Participants were 211 nurses working in 4 general hospitals. Data were collected with structured questionnaires from January 11 to January 25, 2021. Data were analyzed descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression with SPSS 21.0 program. Factor affecting the patient safety nursing activity were safety climate(β=.297, p<.001), perception the importance of patient safety management(β=.287, p<.001), and work place(β=.169, p=.004). In summary, in order to promote patient safety nursing activities, it is necessary to develop and apply educational programs considering the work of nurses' working place and various characteristics, improve perception the importance of patient safety, and positive safety climate. This study is meaningful in providing basic data for the development of programs related to the promotion of patient safety nursing activities for hospital nurses.

Comparative Research of Patient Safety Culture Long-term Care Hospital Nurses and General Hospital Nurses (종합병원과 요양병원 간호사의 환자 안전 문화 인식에 관한 비교 연구)

  • Hyojin, Won;Eunju, Seo
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.149-155
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    • 2022
  • This study conducted a descriptive research to compare the degree of patient safety culture awareness among general hospitals and long-term care hospital nurses. The subjects of this study were 150 nurses who worked for more than 6 months at 2 general hospitals and 4 long-term care hospitals located in 3 cities, the data has collected from October to December 2021. To Measure patient safety culture, the patient safety culture measurement tool developed by Soon Gyo Lee was used. Data were analyzed by 𝑥2-test, ANOVA, and t-test using SPSS 20.0 program. As a result of the study, the variables with high patient safety culture were the nurse's age(F=44.17, p=.000), clinical career(F=62.86, p=.000), and current workplace career(F=26.27, p=.000). Among the subdomains of patient safety culture, leadership(t=2.07, p= .040) and patient safety priorities(t=2.18, p=.031) were found to be higher in long-term care hospital nurses than general hospital nurses. Based on this result, we expected that it can be used as data in developing programs to raise the level of patient safety culture in hospitals and long-term care hospitals.

A Planning Study on the Improvement of Public Hospital Patient Room based on the Understanding of User - Focused on the Case Study of District-Based Public Hospital in Korea (사용자 이해에 기반한 공공병원 병실환경 개선에 관한 계획적 연구 - 지역 거점 공공병원의 사례연구를 중심으로)

  • Oh, Kyoung Mi;Park, Jae Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.49-56
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    • 2014
  • Purpose : This purpose of this study is to make a better public hospital patient room to reflect the views of the patient. Methods: Survey to examine patient experience on healing environment in public hospital have been conducted for the data collection. 229 open-ended answers have been analysed statistically by MS Excel program. Results : 1) If there is no toilet space in the six-patient room, installation of toilet in the patient room is necessary. 2) The most Frequently used patient furnitures are necessary to accomodate the patients needs. Depending on the patient condition, installation of a portable or fixed the room furniture for the convenience to the using furniture. 3) According to the flow of modern times, wireless internet access is required to install of expand the space. Also be used to establish a regulations of internet space. 4) To create healing environment infection free environment should be provided. 5) Need for improvements of patient room for relatives of patient. It is necessary to secure a comfortable space to stay. 6) Separation is needed among the patients through therapeutic classification. Implication : In order to provide a better patient room environment, it is necessary to reflect the patient's opinion.

Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals (중소병원 간호사의 사건보고태도와 환자안전간호활동의 관계에서 환자안전관리 중요성 인식의 매개효과)

  • Park, Young Mi;Nam, Keum Hee;Kang, Ki Noh;Nam, Jeong Ja;Yun, Yeon Ok
    • Journal of Korean Critical Care Nursing
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    • v.12 no.2
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    • pp.85-96
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    • 2019
  • Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

Effects of Rehabilitation Hospital Nurses' Perception of Patient Safety Culture, Nursing Professionalism, and Nursing Work Environment on Patient Safety Nursing Activities (재활전문병원 간호사의 환자안전문화인식, 간호전문직관, 간호근무환경이 환자안전간호활동에 미치는 영향)

  • Jung, Hyun Min;Lee, Jeong Hwa;Kwon, Ryeo Won
    • Korean Journal of Occupational Health Nursing
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    • v.33 no.3
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    • pp.83-94
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    • 2024
  • Purpose: This study aimed to investigate the effects of rehabilitation hospital nurses' perception of patient safety culture, nursing professionalism, and nursing work environment on patient safety nursing activities. Methods: A cross-sectional design was used with a convenience sample of 230 nurses with more than six months of experience working in rehabilitation hospitals located in D Metropolitan City, South Korea. Data were collected from October 23 to 31, 2023 through a self-administered questionnaire and analyzed by descriptive statistics, independent t-test, one-way ANOVA with post-verification of Scheffé test, Pearson's correlation coefficient, and multiple stepwise regression analysis using SPSS 28.0. Results: The average scores were 3.73±0.35 for perception of patient safety culture, 3.54±0.47 for nursing professionalism, 2.67±0.49 for nursing work environment, and 4.68±0.45 for patient safety nursing activities. Patient safety nursing activities was significantly positively correlated with perception of patient safety culture, nursing professionalism, and nursing work environment. Experience of reporting incidents (β=.19, p=.002), communication and procedure (β=.18, p=.003), frequency of reporting (β=.18, p=.002), total clinical experience (β=.17, p=.004), patient safety (β=.17, p=.005), and direct supervisor/manager (β=.17, p=.008) affected patient safety nursing activities in rehabilitation hospitals. Conclusion: Perception of patient safety culture may increase rehabilitation hospital nurses' patient safety nursing activities.

치과용 DICOM encoder와 viewer의 특성과 개발

  • Lee, Seung-Won;Ju, Seong-Dae;Lee, Seok-Yeong;Gang, Seung-Hun
    • The Journal of the Korean dental association
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    • v.43 no.1 s.428
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    • pp.41-52
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    • 2005
  • Information Technology has extended its scope to the medical field as well as dental field. Like medical field, network ststem for dental field requires acquisition, storage, and display of images. However, unlike the medical field, the system to integrate several information including medical images has not been developed according to industrial standard for management of digital image for medical use, so called DICOM conformance. which makes the digital environment in dental field more and more difficult and expensive for this standardization and comfortable communication in LAN and WAN. To solve this problem, the DICOM encoder and server has to be developed because the DICOM file can be easily retrieved with patient's information from the DICOM server in the system as DICOM file has the standard specification to integrate the patient's information. The information including image and other discrete data can be easily integrated in DICOM file and can be used without any difficulty for precise diagnosis and for contribution to the decision making for each treatment protocol. Therefore, the system composed of DICOM encoder and server in dental practive for DICOM file must be developed with prudent consideration of the several strategic factors: I) Enhanced diagnostic capability through the integrated information of image and clinical data. ii) Clinician-friendly interface to simulate the systemic treatment procedure in clinical practice iii) Implementation of multidisciplinary treatment protocol The development of DICOM encoder and server based on these strategic considerations will provide paperless and filmless hospital environments by the seamless integration and management of patient's history, several clinical data and clinical images through image processing for quantitative analysis. The system also allows clinicians to provide more predictable dental care for the patients.

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A study on the Factors of the patient satisfaction for nursing care in general hospital (종합병원 간호단위에서의 간호만족 영향요인 분석)

  • Kim, Kyeong-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.1
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    • pp.53-64
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    • 2001
  • The study was done to evaluate patient satisfaction with nursing care. The study subjects were patients admitted in a general hospital in Gangwon province. The instrument used in the study was developed by Lamonica. The reliability alpha of this tool 0.8596. The survey method was applied to collect data period of data collection was total 21days from September 4rd to September 24th in 2000. The data was analysed by statistical method of %, mean, ANOVA, Pearson's Correlation Coefficients though SPSS program. The follows are the summaries of results of the study. 1. The highest scores of satisfaction was shown in the area of technical professional nursing and the lowest scores was shown in area of nursing education. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a significance by marriaged status(p<0.05) but no significance by factors of sex, ages, education, religency. 3. Job satisfaction of nurses showed 2.79 in average on the basic of 5 marks. 4. The significant Correlation were found between job satisfaction degree and bed rotation rates , number of patients by one nurse, experience of nurse(p<0.05). 5. The significant Correlation were found between nursing satisfaction degree and ages, job satisfaction, bed rotation rates, number of patients by one nurse(p<0.05), experience of nurse(p<0.01). On basis of the above findings the following recommendations are made : to suggest to improve environment of nursing unit. And to suggest to improve job satisfaction for improvement of nursing satisfaction in practice.

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Security Issues in Combined Protocol Between RFID Application and Wireless Sensor Network (RFID와 무선 센서네트워크를 융합한 프로토콜에서의 보안 문제)

  • Kim, Jung Tae
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.10a
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    • pp.154-155
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    • 2013
  • This paper presents a user authentication scheme for healthcare application using wireless sensor networks, where wireless sensors are used for patients monitoring. These medical sensors' sense the patient body data and transmit it to the professionals. Since, the data of an individual are highly vulnerable; it must ensures that patients medical vital signs are secure, and are not exposed to an unauthorized person. In this regards, we propose a user authentication scheme for healthcare application using medical sensor networks. The proposed scheme includes: a novel two-factor user authentication, where the healthcare professionals are authenticated before access the patient's body data; a secure session key is establish between the patient sensor node and the professional at the end of user authentication. Furthermore, the analysis shows that the proposed scheme is safeguard to various practical attacks and achieves efficiency at low computation cost.

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