• 제목/요약/키워드: Value-based health care

검색결과 208건 처리시간 0.028초

경주, 포항, 울산지역 보건.환경성 질환 위해 인자 (Risk Factors for Health and Environmental Disease in Gyeongju, Pohang, and Ulsan)

  • 정종현;최봉욱;문기내;석성자;김현규;손병현
    • 한국환경보건학회지
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    • 제36권2호
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    • pp.82-94
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    • 2010
  • This study was undertaken in an attempt to provide scientific grounds in explaining the causes of environmental and respiratory diseases resulting from air pollutants in Gyeongju and its neighboring areas. In relation to heavy metals, lead (Pb) was $0.0135{\sim}0.1744\;{\mu}g/m^3$ and high in order of Pohang, Ulsan, and Gyeongju while nickel (Ni) was $0.0023{\sim}0.0115\;{\mu}g/m^3$. The concentrations of heavy metals in the investigated areas did not exceed the environmental standards or Guideline Value of Korea or other countries. However, it is considered necessary to apply intensive control to some heavy metals including cadmium (Cd) that show a relatively high level of hazard. Based on the responses to the survey, measured personal interest in environmental pollution and the basic knowledge of the causes of the respiratory diseases was higher in those with a family history of allergic reactions to metals and bronchial asthma. The incidence of allergic disease was higher in those who are currently in poor health state. In addition, the general knowledge of environmental pollutants was higher in those with higher educational level and those with a higher interest in environmental pollution. Personal interest in environmental pollution was higher in those with higher basic knowledge of environmental pollutants. Therefore, it is necessary to increase the awareness through better education and campaigns on environmental pollution.

스토리텔링 지원을 위한 효율적인 VR 콘텐츠 저작도구 개발 (Development of Efficient VR Contents Writing Tools for Support Storytelling)

  • 이양민;이재기
    • 한국멀티미디어학회논문지
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    • 제23권5호
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    • pp.700-709
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    • 2020
  • With the development of virtual reality (VR)-related technology and the advent of the 5G era, VR-based streaming games or content have been developed and transmitted at high speed. Although VR technology is also being applied in education, health care, manufacturing, and production fields, its main application is for entertainment. VR technology has been developed based on hardware and various contents have been developed accordingly; however, the number of VR content with high entertainment value is insufficient, and there are primarily hands-on contents. In this paper, we propose a method for developing an writing tool that can enhance the productivity in the development and editing of VR content and create VR contents based on a timeline by reflecting the storytelling rather than by a simple empirical type to solve the bias in content style. The proposed VR content writing tool is expected to increase the productivity in VR content development and contribute to the creation of various styles of content. Its implementation can enable developers to create specific stories in a timeline and support several animation effects.

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2329-2336
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    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

헬스케어 정보 수집을 위한 딥 러닝 기반의 서브넷 구축 기법 (Subnet Generation Scheme based on Deep Learing for Healthcare Information Gathering)

  • 정윤수
    • 디지털융복합연구
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    • 제15권3호
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    • pp.221-228
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    • 2017
  • 최근 IoT 기술이 발달함에 따라 헬스케어 서비스를 제공하는 많은 의료기관에서는 IoT 기술을 이용한 의료 서비스가 점점 증가하고 있는 추세이다. 그러나, 사용자 신체에 부착된 IoT 센서의 갯수가 증가하면서 서버에 전달되는 헬스케어 정보는 점점 복잡해져서 서버에서 사용자의 헬스케어 정보를 분석하는 시간이 증가하는 문제점이 발생하고 있다. 본 논문에서는 사용자에 부착된 IoT 장치를 통해 전달되는 다량의 헬스케어 정보를 서버에서 의료 목적에 맞게 헬스케어 정보를 수집 및 처리하기 위한 딥 러닝 기반의 헬스케어 정보 관리 기법을 제안한다. 제안 기법은 서버에 전달된 헬스케어 정보에 속성값을 부여하여 속성값에 따른 서브넷을 구축한 후 서브넷간 연계 정보를 시드로 추출하여 계층적 구조로 그룹화 한다. 제안 기법은 서버에서 그룹화된 헬스케어 정보를 딥 러닝에 적용하여 사용자의 치료 및 처방에 대한 관찰 속도 및 정확도를 향상시킬 수 있어 최적화된 정보를 추출할 수 있는 특징이 있다. 성능평가 결과, 제안기법은 헬스케어 서비스 모델에서 동작되는 의료 서비스의 처리속도가 기존기법에 비해 평균 14.1% 향상되었고, 서버의 오버헤드는 기존 기법보다 평균 6.7% 낮았다. 헬스케어 정보 추출에 대한 정확도는 기존 기법보다 평균 10.1% 높은 결과를 얻었다.

영양플러스 사업의 비용편익분석 - 대전 동구보건소를 중심으로 - (The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center)

  • 김현주;김성한
    • 한국식품영양학회지
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    • 제28권4호
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    • pp.717-727
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    • 2015
  • Although the NutriPlus program has shown considerable evidence of enhancing users' nutritional status, the budget does not cover all eligible mothers and children. This study aimed to conduct a cost-benefit analysis of the NutriPlus program to assess its economic efficiency. 53 families with 79 users in the NutriPlus program at Daejeon Dong-gu Health Center participated in this study with informed consent. The costs and benefits were estimated from both the administrator's and users' perspectives. We converted the time cost into Korean currency based on the minimum wage in 2014. The value of nutrition education and service (B2), estimated by contingency valuation method (CVM), was counted as an economic benefit. 6 families (11.3%) were recipients of national medical care and 22 families (41.5%) paid 10% of the food package cost by themselves. The total cost was \7,450,167 and the total benefit was \12,402,239. The budget for the health center (C1+C2+C3+C4) was \5,984,381 a month. Time and transportation cost for receiving nutrition education (C6) differed significantly according to the economic status of families. Household food consumption increase (C4-B4) was 40,379 in the poverty group, which was four times more than in the other groups. The net benefit (B-C) was \4,852,172 and the B/C ratio was 1.66. Therefore, the NutriPlus program is beneficial in the economic aspect as well as in the nutritional aspect. If the enhancement of nutritional status was also considered, the total benefit would be even higher. These results confirm the legitimacy of a secure budget for the NutriPlus program. And we suggest expanding its budget to cover more eligible individuals to improve people's health and welfare.

농촌보건사업지역(農村保健事業地域)의 아동영양(兒童營養) 실태조사(實態調査) (Child Nutrition Survey in Rural Health Project Areas)

  • 박명윤;장영자;서정숙;모수미
    • Journal of Nutrition and Health
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    • 제13권1호
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    • pp.15-26
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    • 1980
  • The main purposes of the nutrition and clinical surveys were to provide baseline information on the nutritional status of pre-school children in rural health demonstration project areas of the Korea Health Development Institute (KHDI) for nutrition guidance services for the MCH target group. The survey covered a total of 222 pre-school children and 135 mothers in Okgu Gun, Cholla Pukto Province from August 10 to August 17, 1979. The survey results are summarized as follows: 1) Family Environment Seventy percent of the households had more than three children, and the mean family sire was 6. Sixty-nine percent of the mothers and 47% of the fathers of the surveyed households were educated at or below the primary school level. The majority, 70% of the mothers, were aged between 20 years and 35 years. 2) Anthropometric Measurements and Hemoglobin Value 4.5% of the children were lower than 80% weight for age of the Korean standard, and 5.4% were lower than 85% arm circumference for age of the Jelliffe's standard resectively, and those were suffering from protein-energy malnutrition. Angular stomatitis were observed on 66.2% of the subjects. Mean hemoglobin value was 11.1g/100m1, and 44.2% of the subjects were categorized as anaemia. 3) Food and Nutrient Intake of animal foods was very low, ranging from 2.9 to 17%. Consumption of eggs was less than 2% of total food intake, and intake of legumes was also very scanty, between 0.8 to 3.7%. These data present evidence of very poor protein intake, quality as well as quantity. Energy intake of children was 60.0 to 64.4% of the recommended allowance, and mean protein intake only met 47.4% of the recommendation. Low intake of vitamins except thiamin were also found. 4) Mother's Nutrition Knowledge Eighty-five percent of the mothers were entirely ignorant regarding the 'five basic food group' which is most important fact on food and nutrition guidance. Mean knowledge score from 14 basic questions about food and nutrition was as low as 5.1. There was a significant positive correlation between mother's educational level and nutrition knowledge score. 5) Family Planning Variable There were significant correlation among maternal, family planning variables, and some of the nutritional and physical measurements. The study revealed that the mother's educational level and nutrition knowledge score are more crucial factors than the family planning variables on effecting food intakes on children. Recommendation : According to the results of the surveys, there were high incident rates of nutritional anaemia and angular stomatitis among pre-school children, and most of rural women had very limited knowledge about food and nutrition. As a main part of the health education activities, the community health workers should provide nutrition education to the village mothers to improve the nutrional status of young children in rural areas. Nutrional promotion at the primary health care level should be mainly based on appropriate nutrition education.

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CIE L*a*b* 칼라 공간의 성분 영상 a*을 이용한 효과적인 여드름 검출 (Effective Acne Detection using Component Image a* of CIE L*a*b* Color Space)

  • 박기홍;노희성
    • 디지털콘텐츠학회 논문지
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    • 제19권7호
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    • pp.1397-1403
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    • 2018
  • 오늘날 현대인들은 피부 관리를 신체적 건강관리의 일환으로 인식하고 있으며, 일반적으로 얼굴에서 발견되는 피부 질환 문제는 여드름이다. 본 논문에서는 CIE $L^*a^*b^*$ 칼라 공간을 이용한 효과적인 여드름 검출 알고리즘을 제안하였다. 성분 영상$a^*$의 값이 양수일 경우에 적색이므로 피부 영상에서 적색 계통의 여드름 검출에 적합하다. 먼저 RGB 칼라 공간 기반의 피부 영상은 칼라 밸런싱을 통해 광 보상을 수행하고, CIE $L^*a^*b^*$ 칼라 공간으로 변환한다. 추출된 성분 영상 $a^*$을 정규화하고, 임계값 처리를 통해 피부 영역과 여드름 영역을 추정하였다. 실험 결과, 제안하는 방법이 기존의 밝기 정보를 이용한 방법보다 효과적으로 여드름을 검출하였고, 반사되는 광원에 강인함을 보였다.

Ivermectin, praziquantel, tamiflu, triclosan의 환경위해성평가 (Environmental Risk Assessment for Ivermectin, Praziquantel, Tamiflu and Triclosan)

  • 류태권;김정곤;김경태;이재우;김지은;조재구;윤준헌;이재안;김필제;류지성
    • 한국환경보건학회지
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    • 제44권2호
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    • pp.196-203
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    • 2018
  • Objectives: The purpose of this study was to assess environmental risk on the emerging contaminants of concern, such as ivermetin, parziquantel, tamiflu and triclosan. Furthermore, we tried to provide a more efficient management practice and a basis for future studies of risk assessment on those substances. Methods: Predicted no effect concentration (PNEC) and predicted environmental concentration (PEC) were determined through modeling and literature reviews. Environmental risk assessment was evaluated by calculating HQ (hazard quotient) by a comparison of PEC (or measured environmental concentration (MEC)) and PNEC. Results: HQ value of tamiflu calculated from MEC was 1.9E-03. For ivermectin and triclosan, the HQ values were not available because these were not detected in the aquatic environment. The toxicity of ivermectin and triclosan showed a very low value, indicating a high level of HQ. However, praziquantel can be categorized into the material that do not require management since they have less than HQ 1. Conclusion: Based on the results of the initial risk assessment, it is assumed that the ivermectin and triclosan have potential to cause direct adverse effects on the aquatic environment. To conduct an accurate environmental risk assessment, the further study on PEC estimation of such contaminants should be actively carried out.

영유아 행복을 위한 부모역량 실태 (The Current Status of Parental Capacity for Children's Happiness)

  • 장혜진;윤은주
    • 한국보육지원학회지
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    • 제10권2호
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    • pp.295-317
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    • 2014
  • 본 연구는 영유아 부모역량 제고를 위하여 영유아의 행복이라는 관점에서 부모역량 Self-checklist 를 개발하여 영유아 행복을 위한 부모역량 현황을 조사하였다. 연구방법으로 관련 선행연구 고찰을 바탕으로 학계 전문가, 유치원 어린이집 교사, 영유아 부모, 유아를 대상으로 면담을 실시하였으며 Self-checklist 최종 문항 선정을 위해 48인의 델파이 조사를 실시하였다. 부모역량 현황 조사를 위해 전국단위 지역별로 할당하여 영유아 부모 1,000명을 대상으로 조사를 실시하였으며 모 580명, 부 420명이 참여하였다. 부모역량 현황을 살펴보면 유형면에서는 인식, 실행, 성장역량 순으로 높게 나타났으며 내용면에서는 영유아 발달과 건강과 안전 영역 점수가 높았고 생활지도나 지역사회 연계가 가장 낮게 나타났다. 부모 관련 변인별로는 모든 측면에서 모에 비해 부의 역량이 낮았으며 전반적으로 부모 연령이 낮을수록, 부모 학력이 높을수록, 소득수준이 높을수록 부모역량이 높은 것으로 나타났다.

구매후기 정보의 충족/미충족에 따른 소비자의 만족/불만족 인식 및 구매후기 정보의 유형화 (Classification of Consumer Review Information Based on Satisfaction/Dissatisfaction with Availability/Non-availability of Information)

  • 홍희숙
    • 한국의류학회지
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    • 제35권9호
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    • pp.1099-1111
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    • 2011
  • This study identified the types of consumer review information about apparel products based on consumer satisfaction/dissatisfaction with the availability/non-availability of consumer review information for online stores. Data were collected from 318 females aged 20s' to 30s', who had significant experience in reading consumer reviews posted on online stores. Consumer satisfaction/dissatisfaction with availability or non-availability of review information on online stores is different for information in regards to apparel product attributes, product benefits, and store attributes. According to the concept of quality elements suggested by the Kano model, two types of consumer review information were determined: Must-have information (product attribute information about size, fabric, color and design of the apparel product; benefit information about washing & care and comport of the apparel product; store attribute information about responsiveness, disclosure, delivery and after service of the store) and attracting information (attribute information about price comparison; benefit information about coordination with other items, fashionability, price discounts, value for price, reaction from others, emotion experienced during transaction, symbolic features for status, health functionality, and eco-friendly feature; store attribute information about return/refund, damage compensation and reputation/credibility of online store and interactive and dynamic nature of reviews among customers). There were significant differences between the high and low involvement groups in their perceptions of consumer review information.