• Title/Summary/Keyword: Patients Value

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The Effect of Characteristics of Hospital Choice, Security and Hospital Service Quality Characteristics on Revisiting Intent (병원 선택 특성과 보안성 및 병원 서비스 품질 특성이 재이용의도에 미치는 영향)

  • Park, Junghong
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.57-76
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    • 2019
  • The purpose of this study was to investigate the effect of characteristics of hospital choice and hospital service quality on service value, customer satisfaction and hospital revisiting intent and a survey involving patients and their caregivers who used the hospital before was conducted for empirical analysis. Thus, the theory and factors concerning the characteristics of hospital choice, hospital service quality, service value, customer satisfaction and hospital revisiting intent and relevant preceding research were explored after examining the preceding research, the research model was developed accordingly. A total of 459 collected questionnaires were analyze after carrying out the survey on a national scale. The findings of this study have significance since it identified the motivation that affect the choice of hospital and provide information. Also, this study could be utilized as reference data for hospitals to survive in the fierce competition, as it carried out factual survey on considerations when making choice of hospital. Furthermore, due to the low expectation of patients and caregivers for hospital administration, the study indicated that it's linked to a significantly low chance of customer satisfaction and provide the cause. This study was differentiated with other research on hospital choice since it selected security as a factor of hospital choice, though it's not discussed in the preceding research and moreover, conducted the empirical analysis. And the results of empirical analysis revealed that customers felt that service value was improved when the information security was strengthened. In other words, the strengthening of hospital information security could be hospital choice motivation, which means this study provided practical implication.

Comparison of the copy-neutral loss of heterozygosity identified from whole-exome sequencing data using three different tools

  • Lee, Gang-Taik;Chung, Yeun-Jun
    • Genomics & Informatics
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    • v.20 no.1
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    • pp.4.1-4.8
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    • 2022
  • Loss of heterozygosity (LOH) is a genomic aberration. In some cases, LOH can be generated without changing the copy number, which is called copy-neutral LOH (CN-LOH). CN-LOH frequently occurs in various human diseases, including cancer. However, the biological and clinical implications of CN-LOH for human diseases have not been well studied. In this study, we compared the performance of CN-LOH determination using three commonly used tools. For an objective comparison, we analyzed CN-LOH profiles from single-nucleotide polymorphism array data from 10 colon adenocarcinoma patients, which were used as the reference for comparison with the CN-LOHs obtained through whole-exome sequencing (WES) data of the same patients using three different analysis tools (FACETS, Nexus, and Sequenza). The majority of the CN-LOHs identified from the WES data were consistent with the reference data. However, some of the CN-LOHs identified from the WES data were not consistent between the three tools, and the consistency with the reference CN-LOH profile was also different. The Jaccard index of the CN-LOHs using FACETS (0.84 ± 0.29; mean value, 0.73) was significantly higher than that of Nexus (0.55 ± 0.29; mean value, 0.50; p = 0.02) or Sequenza (0 ± 0.41; mean value, 0.34; p = 0.04). FACETS showed the highest area under the curve value. Taken together, of the three CN-LOH analysis tools, FACETS showed the best performance in identifying CN-LOHs from The Cancer Genome Atlas colon adenocarcinoma WES data. Our results will be helpful in exploring the biological or clinical implications of CN-LOH for human diseases.

Relationship between Uncertainty, Sick Role Behaviors, and Quality of Life of Rehospitalized Patients underwent Percutaneous Coronary Intervention (관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계)

  • Kim, Hye Ran
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.279-289
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    • 2014
  • Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future, sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, and quality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods: A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, and Pearson's Correlation Coefficient. Results: The mean score for uncertainty was $3.45{\pm}1.08$. Sick role behavior of the patients showed a moderate value with a mean of $3.68{\pm}0.79$. The mean score for quality of life was $3.52{\pm}0.64$. Uncertainty in illness and the future was significantly correlated to sick role behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27, p=.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to quality of life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels of uncertainty and reinforce positive behaviors by patients in order to improve their quality of life.

A study on the EGT(Extra Gigong Therapy) with Hypertension (고혈압(高血壓) 환자를 대상으로 시행한 외기발공(外氣發功)의 유효성(有效性) 고찰)

  • Kim, Ju-mee;Park, Jong-woong;Park, Ryung-joon;Pi, Chiem-mei;Sun, Jae-guang
    • Journal of Korean Medical Ki-Gong Academy
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    • v.9 no.1
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    • pp.1-48
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    • 2006
  • This is a paper on the validity of Extra Gigong Therapy(EGT) on Hypertension patients. We've treated hypertension patients EGT, used IEMD for analysis, so that come to these conclusions. 1. Average value of treatment group was 4.215, this is higher than one of control group. They had differences up to the standard. 2. Hypertension patients are divided into EGT treated group(treatment group) and non-treated one(control group). 3. Light stomach meridian has differences in treatment group and no differences in control group before and after EGT. That means EGT is effective. So does Spleen meridian. 4. With 12 meridians' electric potential values, we come to conclusion that EGT is likely to do hypertension patients good, especially on the point of view of liver, kidney, stomach and spleen meridian pathways. And bibliographies back up in this conclusion. 5. We classified hypertension patients into 4 factors: that is a spiritual factor, a physical factor, an eating factor and a circulation factor. Among these, a physical factor was seen of high frequency. There is a close connection between a physical factor and liver, kidney, spleen meridian pathways. The consequence was that subjects are suburban residents in the prime of time who had overworked.

Prognostic Significance of the Mucin Component in Stage III Rectal Carcinoma Patients

  • Wang, Meng;Zhang, Yuan-Chuan;Yang, Xu-Yang;Wang, Zi-Qiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.19
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    • pp.8101-8105
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    • 2014
  • Background: Although mucinous adenocarcinoma has been recognized for a long time, whether it is associated with a poorer prognosis in colorectal cancer patients is still controversial. Many studies put emphasis on mucinous adenocarcinoma containing mucin component ${\geq}50%$. Only a few studies have analyzed cases with a mucin component <50%. Objectives: This study aimed to analyze the prognostic value of different mucin component proportions in patients with stage III rectal cancer. Materials and Methods: Clinical, pathological and follow-up data of 136 patients with the stage III rectal cancer were collected. Every variable was analyzed by univariate analysis, then multivariate analysis and survival analysis were further performed. Results: Univariate analysis showed pathologic T stage, lymphovascular invasion, and histological subtype were statistically significant for DFS. Pathologic T stage was significant for OS. Histological subtype and lymphovascular invasion were independent prognostic factors in multivariate analysis for DFS, and histological subtype was the only independent prognostic factor for OS. Survival curves showed the survival time of mucinous adenocarcinoma (MUC) was shorter than non-MUC (adenocarcinomas with a mucin component <50% and without mucin component). Conclusions: Histological subtype (tumor with different mucin component) was an independent prognostic factor for both DFS and OS. Patients with MUC had a worse prognosis than their non-MUC counterparts with stage III rectal carcinoma.

Study on the Thermography of Dysmenorreic women (월경통 환자의 체열분포에 대한 연구 (소음인, 태음인을 대상으로))

  • Kim, M.J.;Lee, I.S.;Kim, J.W.
    • Journal of Oriental Medical Thermology
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    • v.2 no.1
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    • pp.11-16
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    • 2003
  • Purpose D.I.T.I. can be used to diagnose the dysmenorrhea and prove the Oriental Medical Theory and the Sasang Constitutional Medicine concerning Dysmenorrhea. According to the Sasang Constitutional Medicine, we chose 39 dysmenorrhea patients (Soeumin 26 Patients, Taeumin 13 Patients) and expremented D.I.T.I. to find difference of chilliness and fever in the upper part of body and the lower part of body. Methods We expremented 39 dysmenorrhea patients chosena expremental group from Apr 1. 2002 to May 30, 2002. We diagnosed the constitution by Q.S.C.C. and selected six acu-points CV-17, CV-12, CV-4, G-21, B-15 and B-23. To appraise difference of temperature according to constitution we compared skin temperature of front to back. Result Mean Absolute Value of ${\Delta}T$ in body (front and back) shows significant difference. Totally the temperature of front is higher than the temperature of back. the temperature of Soeumin is higher than the temperature of Taeumin in whole. Conciusion Especially the upper abdomen area(CV-17) shows high temperature in 39 dysmenorrhea patients, the lower abdomen area (CV-4) of Soeumin shows lower temperature relatively.

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Effects of Mental Practice on Function and Muscle Activation of Upper Extremity in Stroke Patients

  • Park, Ju-Hyung
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.3
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    • pp.125-131
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    • 2016
  • PURPOSE: The objective of this research is to investigate the effectiveness of mental practice on function and muscle activation of upper extremity (UE) in stroke patients. METHODS: The mental practice was conducted on 12 subjects for 10 minutes and the related existing work treatment for 20 minutes. The evaluation for the function of UE proceeded with Fugl-Meyer assessment of motor function (FMA) and muscle activity analysis instrument. Furthermore we analyzed patients' reaching activity by two stages, reaching phase and returning to original position phase. RESULTS: According to the research results, the subjects' upper limb function improved in all of the measured items and the total scores after the mental practice (p<.05). In muscle activity, CCR value was used to efficiently analyze the patients' reaching activity in the two stages of reaching stage and returning to the original position phase. While the elbow movement only had a bit of positive change (1.1%) in the reaching stage, both the shoulder (-12.3%) and elbow (-18.2%) movements had a positive change in the returning to original position phase. CONCLUSION: This research confirmed that the mental practice is effective for the enhancement of UE function for stroke patients. The result of this research can contribute to the progress of mental practice in clinical environment.

Korean Pediatric Patients' Preferences for Patient Room Design (한국 소아환자들의 병실색채 선호도에 관한 연구)

  • Park, Jin Gyu Phillip;Park, Changbae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.2
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    • pp.45-52
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    • 2011
  • The visual sensory information in physical environments can induce or reduce occupants' stress. In healthcare settings, positive environmental stimulations can promote patient well-being by reducing their stress: poor health environments work against a patient's health. Changing the color in a patient room is an inexpensive process and thus finding better colors for healthcare settings is a cost effective method of improving healing environments. Color may have important implications for pediatric patients, but the investigation of Korean populations has been non-existent. The purpose of this study was to investigate Korean pediatric patients' color preferences for patient room design. The color preferences from 50 Korean pediatric patients were recorded and investigated for gender effects. A simulation method was used because of its reliability and feasibility, allowing for investigating the value of color in real contexts and controlling confounding variables. The overall color preferences from Korean pediatric patients showed that they preferred blue the most and white the least. Gender differences were found in red and purple. Girls preferred red and purple more than boys. The results from this study can help healthcare providers and designers better understand appropriate colors for Korean pediatric patient populations.

Noninvasive Estimation of Moxibustion Effect on Peripheral Blood Flow by Doppler Ultrasound in Stroke Patients with Hemiplegia: Case Series (뜸치료가 뇌졸중 편마비의 요골동맥 혈류변화에 대해 미치는 영향)

  • Yoon, Seung-Kyou;Lee, Sang-Hoon;Jung, Woo-Sang;Bae, Young-Min
    • The Journal of Korean Medicine
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    • v.31 no.4
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    • pp.178-186
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    • 2010
  • Objectives: This study was to investigate the effect of moxibustion on peripheral blood flow by Doppler ultrasound in post-stroke hemiplegia patients. Methods: Moxibustion was applied on the points of LI4, TE3, TE5 and LI11 on the affected side, and blood flow of the radial artery was measured using the Minimax-Doppler-K device. Blood flow velocity and pulsation index were analyzed before, during, and after moxibustion. Results: The mean value of blood flow velocity in 13 patients showed a tendency of increase during moxibustion, but there was no significant difference in blood flow velocity before and after moxibustion, or pulsation index during and after moxibustion. In addition, among the five patients who showed marked increase tendency on the blood velocity graph, there was significant increase in blood velocity during, and after moxibustion compared with before moxibustion. Conclusions: This study suggests that moxibustion has an effect on peripheral blood flow in stroke patients with hemiplegia. Further validity tests with a larger scale sample are needed for the evidence of its practical use.

Effects of Hanghaedan on the Cytokine Secretory Function of Monocytes of Atopic Dermatitis Patients (항해단(沆瀣丹)이 아토피 피부염 환자 단핵세포의 Cytokine 분비능에 미치는 영향)

  • Lee, Jin-Yong;Kim, Woo-Yeoun
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.2
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    • pp.169-184
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    • 2007
  • Objetives The late research tendency on atopic dermatitis is mainly focused on the experiment of unbalance of cytokine released from T cell subtype. Merhods As there's no experiment with herbal medicine using Hanghaedan(HHD), we isolated and cultured monocytes of atopic dermatitis pateints (AD) peripheral blood, for knowing the influence of HHD on the secretory function of IL-4, IL-5, $IFN-{\gamma}$. Results 1. In AD group, HHD exhibits statistically significant inhibitory effect on IL-4(p<0.05). 2. In AD group, HHD exhibits statistically significant inhibitory effect on IL-5(p<0.05). 3. In AD group, HHD exhibits statistically significant inhibitory effect on $IFN-{\gamma}$ (p<0.01). 4. Sample group comparing with the cytokine concentration rate value of AD patients and that of NAD patients IL-4 of AD patients exhibits statistically significant decrease(p<0.05). 5. In AD group, there is no significant relation between serum IgE and cytokines. 6. In AD group, there is no significant relation between total eosinophil and IL-5. Conclusions Effects of Hanghaedan on the cytokine(IL-4, IL-5, $IFN-{\gamma}$) secretory function of monocytes of atopic dermatitis patients is recognized.

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