• 대한의용생체공학회:의공학회지
• /
• 제41권6호
• /
• pp.256-263
• /
• 2020

The importance of quality control has been emphasized to maintain safety of patients and satisfaction of medical service with medical devices used in clinic. Accordingly, objective evaluation method and standards consistently has been brought up for demand to replace outdated medical devices in appropriate time and to maintain the quality of medical service. Though many studies made suggestions methods to determine what medical devices to be replaced first, these methods were difficult in practice for its complex evaluation criteria and long time to evaluate. Therefore, in this study, a simple evaluation method is developed to identify and prioritize medical devices that are ought to be replaced. For the development of this simple evaluation method, four major characteristics of technology, safety, finance, and user satisfaction, which are considered in clinics to evaluate medical device replacement, and 14 minor attributes are distinctively selected. Each characteristic is assessed in binary form of "YES" or "NO" to minimize its subjective nature. Using this method to evaluate sampled medical devices belonging to four different characteristics, devices are suggested to be replaced in the current financial year or in the following financial year, or re-evaluated by the end of this financial year. Such results of evaluation can amend the subjective nature of existing evaluation method and give objective standards more promptly.

• 임상간호연구
• /
• 제18권1호
• /
• pp.159-170
• /
• 2012

Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

• 유통과학연구
• /
• 제18권11호
• /
• pp.31-39
• /
• 2020

Purpose: This study attempts to explain why online luxury shopping malls have implemented a difficult registration process and membership fees. These features weaken online shopping convenience, one of the major reasons why people shop online instead of offline. Therefore, this study scrutinizes the effects of membership features on trust, focusing on the moderating effects of registration difficulty and membership fees. Research design, data and methodology: A survey method with a total of 296 survey data was used. A 2 × 2 × 2 factorial design was employed. The three independent variables are price discount rate (20% vs. 70%), registration difficulty (low vs. high), and membership fees (yes vs. no). Results: The results reveal that a price discount rate has a negative effect on trust, whereas membership fees and registration difficulty moderate its negative effect on trust. Conclusions: A high price discount rate lowers trust for online luxury shopping malls. Meanwhile, registration difficulty and membership fees can be used to prevent consumers from losing trust caused by the high price discount rate. Therefore, registration difficulty and membership fees are signals implying that not everyone can use these private online shopping malls, which provide low prices for luxury items.

• 대한간호학회지
• /
• 제37권2호
• /
• pp.201-207
• /
• 2007

Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

• 대한한의학원전학회지
• /
• 제25권1호
• /
• pp.69-87
• /
• 2012

Objective: "Nan Jing Hui Zhu Jian Zheng" published in 1923 is a book that 'Jiang Shan-Lei' wrote. He selected the past footnotes about "Nan Jing(難經)" and developed his own medical ideas on its base. Method : We will try to understand on scholarship paradigm of 'Jiang Shan-Lei' focus on his "Nan Jing Hui Zhu Jian Zheng". Result and Conclusion : He introduced the western medicine system to the Chinese medicine education, and he introduced a viewpoint of the human body of the western medicine to the structure of the human body as well. He judged yes or no of the Chinese medicine theory on the base of his human body viewpoint focused on an anatomy and a physiology. His human body viewpoint like this helped prove actually some of the Chinese medicine theory that was explained ideally. However, it had inappropriate aspects in explaining the Chinese medicine, which has a low alteration of a theory by inferring from the principle, due to a changeability of the western medicine theory itself. Moreover, his rash judgement concerning the Chinese medicine theory on its base brought about even side effects hampering efforts which reveal the Chinese medicine essence.

• 혜화의학회지
• /
• 제2권2호
• /
• pp.219-246
• /
• 1993

In 1991, Obesity rate of South Korea has reached to 18.7%. Because of economical development, the pattern of diet is exchanged from carbohydrate to rich protein and fat. The more problem is not only obesity of adult but also one of little child. Obesity is induced to diabetes mellitus, hypertension, artherosclerosis, hyperlipoidemia. heart and C.V.A disease, etc. In Woman, special important ploblem is the complex of beauty about Woman's figure. In Oriental Medicine, the factor of obesity is mainly regarded as dampness. And there are many treatments and methods to body weight loss, but obesity patients dislike to use them because of their side effects and inconvenience, intolerance. Now ear acupuncture is applied on so many disease because of its easy handly, non-side effect and high efficiency in clinics. Here obesity acupuncture is used to ear and whole body acupuncture. Because they react eachother for lack point. Therefore, in order to investigate the effect of obesity acupuncture and develop non-drug, non-starvation etc, we analyzed 453 the cases of body weight loss patients treated with ear and whole body acupuncture in Oriental Medicine Hospital of Jeon-Ju Woo-Sug University from April.1.1992. to March.17. 1993. The results were summarized as follows. 1. Distribution of sex ; male (4.4%), Female(95.6%) 2. Distribution of age in descending order ; 30s, 20s, 40s, 10s, 50s, below 10s, abowe 60s. The 20s-30s are group made up 60.7% of the group. 3. Distribution of occupation in descending order; housewife, student, service, salaried, merchant, teacher, farmer, inoccupation. 4. Distribution of human coporal constitution in descending order : Tae-Eum-In, So-Eum-In, So-Yang-In. 5. Distribution of body height and weight, 155-164cm ; 71.1%, 60-70kg, 74.6% are majority. 6. Distribution of weight variation, 2-6kg(71.0%) is majority, also 13-14kg(0.4%). 7. Distribution of duration in descending order ; 1-3 years, 3-6 years, 1-12months, above 10 years but in success, 1-12 months, 1-3 years, 3-6 years, above 10 years. Therefore, we know that the shorter duration of obesity is, the more loss of body weight. 8. Past experiences to body weight loss; Yes(69.5%), No(30.5%). The success rate accordant with the past temporary experiences shows that the cases without experience is higher than the ones with experience. 9. In distribution of times(treatments), 10 times is top. The rate of body weight loss is the highest in 14 times. Therefore, I think that one would need at least 10 times. in order lose body weight 10. Distribution of body weight variation in treatments times is at 2 times(3-4kg loss), and surprisingly is 14kg loss at above 15 times. 11. Distribution of symptoms improvement, in descending order ; heavy sense in body, dec. of appetite, inc.of exercise, lumbago, edema, knee pain, inc.of urine, inc. of fullness sense, thirsty, disease of gynecology, white tung, chest burning, heart burning, dec.of tobacco, drink taste. motion sickness, allergy, water eczema, arthma, belching. 12. Distribution of snack; Yes(87.4%), No(78.6%) 13. Distribution of exercise; Yes(21.4%), No(78.6%) 14. Distribution of sleeping times, above 7 hours(79.0%) 15. Distribution of the reason to body loss, the complex of beauty(68.7%) is top. 16. Distribution of side effect in obesity acupuncture, constipation (17.4%) is top. 17. Distribution of method in body weight loss ; dietary treatment (31.1%), sauna(26.7%), exercise(19.7%), the center of body weight loss (15.0%) herb-med and starvation treatments (5.1%), hand-finger acupuncture (hand-foot acupuncture) is 1.6%, diet pill(0.3%), etc(0.6%).

• 대한한의진단학회지
• /
• 제16권2호
• /
• pp.59-70
• /
• 2012

Objectives : Pulse diagnosis by Expert is the only way to classify 8 Constitutions so the study to supplement classifying method by the questionnaire has developed and modified and ECM-32 System has designed in 2010. But analyzing with Decision tree had many nodes and 32 important questions omitted while processing the data. So this study was to classify the 8 constitution patients into 2 groups first and analyze its characters in consecutive order. Methods : The participants of this study were 1027 patients who classified into one of the 8 constitutions according to pulse diagnosis and answered 251 questionnaires in 2010. They were divided into sympathetic nerve acceleration constitution and parasympathetic nerve acceleration constitution and analyzed with decision tree. Results : The reponses of the questionnaire were analyzed with 4 methods of 5 scales interval method from 0 to 5, Na, Low(1,2), Medium(3), High(4,5), average value, Y/N dichotomy. Average Value had no significance. 1. From the 5 scale interval method 6 questionnaires with 7 nodes (F5e, B1d, F7f, F2a, F1b, C4L) were significant. The accuracy was 92.5%. 2. From L, M, H method 7 questionnaires with 7 nodes(F5e, B1d, F7f, F1a, B1c, C4L, P3d) were significant. The accuracy was 92.5%. 3. From Y/N dichotomy 9 questionnaires with 9 nodes( F5e, B1d, F7f, F1a, B1c, C4L, B1b, P1i, B2a) were significant. The accuracy was 93.18%. Conclusions : Based on this study, Yes or No dichotomy method was most significant and categorized among the 4 methods. Unlike previous studies which used interval scale method only, Y/N dichotomy method was more statistically significant with the questionnaire to supplement the method of pulse diagnosis. For further study by analyzing decision tree method in consecutive order, the patients can be divided into 8 Constitutions with higher significance with less questionnaires.

• 대한시과학회지
• /
• 제20권4호
• /
• pp.553-560
• /
• 2018

목적 : 국내 콘택트렌즈 착용자들의 렌즈 사용 후 폐기처분 방법, 잘못된 폐기방법으로 발생될 수 있는 미세플라스틱에 의한 환경오염에 대한 인식을 알아보고자 하였다. 방법 : 성인 261명(남자 124명, 여자 137명, 평균 나이 $21.48{\pm}3.14$세)을 대상으로 콘택트렌즈 주 구매처, 착용 콘택트렌즈 종류, 콘택트렌즈 착용 기간, 콘택트렌즈 폐기방법에 대한 정보나 교육을 받은 적이 있는지 여부, 콘택트렌즈 사용 후 폐기처분 방법, 환경오염 발생에 대한 인식에 대한 온라인 설문조사를 실시하였다. 결과 : 콘택트렌즈 주 구매처는 안경원(50.0%), 렌즈샵(48.3%) 순으로 나타났으며, 콘택트렌즈 종류로는 매일착용 렌즈 (52.5%), 일회용 렌즈(38.5%)를 가장 많이 착용하고 있었다. 콘택트렌즈를 착용해 온 기간은 5년 이상(29.3%), 1년 미만(26.0%), 1년 이상~3년 미만(26.0%) 순으로 나타났으며, 1주일 중 콘택트렌즈를 착용하는 기간은 1~2일 착용(32.0%)이 제일 많았고, 1주일 내내(28.0%), 5-6일 착용(22.4%), 3-4일(17.6%) 순으로 응답하였다. 콘택트렌즈 구매처에서 폐기처분에 대한 교육이나 정보를 접했는지 여부는 "아니다(78.3%)", "그렇다(21.7%)"로 나타났으며, 평소 학교나 공공기관, 인터넷 등 대중매체에서 콘택트렌즈 폐기처분에 대한 교육이나 정보를 접했는지 여부를 묻는 설문에는 교육받은 적 "없다(87.5%)", "있다(12.5%)"로 나타났다. 폐기처분 방법으로는 매립용 쓰레기(45.6%), 재활용 쓰레기(29.6%), 싱크대나 화장실을 통한 배수구(16.8%) 순으로 응답하였다. 남성이 여성보다 폐기처분에 대한 교육이나 정보를 더 많이 접했지만(t=3.63189, p<0.00001), 여성이 환경오염에 대한 인식이 더 높은 것으로 나타났다(t=2.44269, p=0.01605). 결론 : 하수처리 시설에서 분해되지 않고 미세플라스틱으로 변하는 콘택트렌즈로 인한 환경오염 문제를 줄이기 위해 콘택트렌즈 사용 후 올바른 폐기방법에 대한 정보를 제공하고 이에 대한 교육이 시급한 것으로 생각된다.

• 디지털융복합연구
• /
• 제11권12호
• /
• pp.649-656
• /
• 2013

본 연구는 치과위생사들의 치과진료 감염방지기준 이행실태를 파악하기위해 실시되었다. 설문조사는 충남 천안시 치과 의료기관에 근무하는 치과위생사를 대상으로 자기기입식 방법을 통해 2012년 7월 25일부터 2012년 8월 01일까지 이루어졌다. 수집된 자료는 SPSS 18.0을 사용하여 전산 통계 처리하여 분석 하였다. 그 결과 B형 간염 예방접종은 '예' 또는 자동능동면역이 75.0%로 높게 나타났으나 최종간염예방접종 경과기간은 5년 이상이 48.0%로 가장 높게 나타났다. 감염예방 중요성에 대해서는 중요하다고 응답한 경우가 93.0%로 높았으나 감염교육의 경험이 있다고 응답한 경우는 41.0%로 비교적 낮았다. 감염방지를 위한 개인보호용구 착용실태는 마스크착용, 의료용 장갑착용에 비해 보안경의 착용률이 낮았다. 진료 전 손세척은 '항상한다'가 56.0%로 진료 후 손세척 82.0%에 비해 비교적 낮게 나타났다. 치과진료 기자재의 멸균 전 기구세척, 포장 사용 및 포장 손상된 기구 재소독은 '예'가 높은 응답률을 보였으나 수관관리는 '아니오'라고 응답한 경우가 39%로 낮게 나타났다.

• 대한한방부인과학회지
• /
• 제34권1호
• /
• pp.1-14
• /
• 2021

Objectives: We studied for the adjustment of the patterns of 'The Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (hereinafter CaPSPI)' (studyI) and the correlation between CaPSPI and Korean medicine doctors' diagnosis which was carried out without knowing the results of CaPSPI (studyII). Methods: The studyI followed the previous study method in 2018 (2018-3). The studyII was conducted from June 1, 2019 to July 10, 2020 with ◯◯ University Korean Medicine Hospital IRB's approval (2019-4). Doctors' diagnosis was conducted face-to-face with the subjects. Doctors' diagnosis was carried out based on the Kupperman's questionnaire, 'Diagnosis System of Oriental Medicine (hereinafter DSOM)' and four examinations (四診) records. The diagnosis was marked with 0 for 'no', 1 for 'somewhat', 2 for 'yes' and 3 for 'very yes'. The correlation between CaPSPI and the mean of doctors diagnostic scores were investigated statistically. Results: The studyI showed that heart-heat (心火) pattern was added. The Factor loading coefficient for heart-heat was 0.551 to 0.789, and the Cronbach's coefficient was 0.896. The studyII showed that the diagnosis (Kappa statistic) of two doctors showed statistically significant concordance (all eight patterns), with correlation of them were 0.3 or higher. And the correlation between the CaPSPI score and the mean of doctors' diagnostic score showed a statistically significant correlation, with liver qi depression (肝鬱) being the highest at 0.552 and dual deficiency of the heart-spleen (心脾兩虛) being the lowest at 0.301. Conclusions: Since the diagnosis results of CaPSPI showed a significant correlation with the diagnosis of Korean traditional medicine experts, it was believed that the CaPSPI results can be trusted and used for clinical purposes.