• 제목/요약/키워드: complementary service

검색결과 213건 처리시간 0.031초

Why do registered nurses choose to offer complementary and alternative medicine?

  • Johannessen, Berit
    • 셀메드
    • /
    • 제2권1호
    • /
    • pp.7.1-7.4
    • /
    • 2012
  • The use of Complementary and Alternative Medicine (CAM) is increasing in Norway. A growing number of nurses choose to offer CAM, and the purpose of the study presented in this article was to examine the reasons for their choices. Fieldwork including interviews with 20 nurses offering CAM was conducted. The results showed that the nurses in general are not satisfied with the public health service. They had four main reasons for their choice to offer CAM: 1. A desire to perform holistic nursing. 2. A tendency to value self-realization. 3. A wish to experience meaning in their work and develop a stronger professional identity. 4. A freedom to mix care and cure. The results of this study are also discussed in view of medicalization.

서비스 품질 보장을 위한 상보형 MPLS를 이용한 라우팅 최적화 (Routing Optimization using the Complementary MPLS for QoS Provisioning)

  • 장석기;이경수;박광채
    • 한국정보통신학회:학술대회논문집
    • /
    • 한국해양정보통신학회 2004년도 춘계종합학술대회
    • /
    • pp.381-385
    • /
    • 2004
  • 본 논문에서는 앞으로 광대역통합망에서 사용자의 요구사항에 따른 QoS를 제공하기 위한 연구의 일환으로 여러 가지 서비스 모델과 메커니즘을 살펴보고, 라우팅 최적화를 위한 유전 알고리즘과 hybrid 유전알고리즘에 대하여 논한다. OSPF에 바탕을 둔 라우팅 최적화만으로 QoS가 충분하지 않은 경우 약간의 MPLS 경로가 QoS를 개선하기 위해 설정될 수 있다. 이러한 상보형 MPLS 라우팅을 위한 두 개의 MIP 모델을 제안하고, 적절한 네트워크 QoS 대책으로 네트워크 내의 최대 링크 이용을 고찰한다.

  • PDF

재활치료 중인 뇌졸중환자의 한의약의료에 대한 태도 (Attitude towards Traditional Korean Medicine Use among Hemiplegic Patients after Cerebrovascular Accident)

  • 한동운;안택수;최수정;김지우
    • 대한예방한의학회지
    • /
    • 제15권3호
    • /
    • pp.67-81
    • /
    • 2011
  • Background : Complementary and alternative medicine has bee used to cardiovascular diseases. In recent years, many hospitals have tried to integrate complementary and alternative medicine(CAM) with conventional medical approaches for patients with chronic diseases. Recently, the prevalence of the use of traditional Korean medicine(TKM) among patients with chronic diseases, expecially, hemiplegia patients after cerebrovascular accident is increasing in Korea. To date, however, there were only few studies addressing the patients' attitudes, and utilization of TKM, compared to the well-documented escalating use of TKM among consumers in Korea. Objectives : The objective of this study was to analyze the prevalence of TKM use among hemiplegia patients after cerebrovascular accident and to determine what factors affect to use CAM among the patients. The study also aims to provide information on TKM and assist therapy selection among various CAM therapies for hemiplegia patients after cerebrovascular accident within health care system in which both practitioners of TKM and practitioners of modern Western medicine coexisted. Methods : The design of the study was descriptive cross-sectional, and data were collected using a 32-items questionnaire. The subjects were one hundred fifty nine patients with chronic diseases who visited or admitted to health care facilities in a hospital in Seoul Metropolitan city, Korea. Data were analyzed using 'SPSS Statistics 18.0 Network Version(on release 18.0.1 of PASW Statistics)' program. Various statistical methods were used to obtain a profile for participants and the therapies most frequently used by hemiplegia patients of TKM. Logistic regression analysis was employed in order to determine the predicting variables of TKM use. Results : The prevalence of the use of TKM was 51.6%. The most common TKM therapies used by the patients included acupuncture(93.2%), herbal medicine(64.8%), and cupping(37.5%). Results of logistic regression analysis revealed that the variables significantly related with TKM use were gender, marital status, job, No. of visiting health care facilities/week. Conclusions : This study shows that the use of TKM among the hemiplegia patients is relatively high in Korea, this topic should be taken into account in the development of a holistic approach for patients with chronic diseases and an efficient chronic disease management system in Korea.

우리나라 소화기암 환자들의 대체의료이용에 관한 연구 (Use of Complementary and Alternative Medicine among Cancer Patients in Korea)

  • 정은영;한동운;최병희;김유겸;박연희
    • 동의생리병리학회지
    • /
    • 제21권6호
    • /
    • pp.1590-1596
    • /
    • 2007
  • Complementary and alternative medicine (CAM) has gained in popularity among cancer patients in recent years. The use of CAM in cancer patients is common with about one third of patients using some form of CAM in Western countries. The purpose of this study was to analyze the use of CAM and determine what factors affect to use CAM among cancer patients to provide CAM therapy information and assist therapy selection among various CAM therapies to cancer patients. The design of the study was descriptive cross-sectional, and data were collected using a 16-item questionnaire. This study was conducted in subjects with confirmed diagnosis of stomach, colon, liver, or pancreas cancer, in both out-patients clinics and inpatients setting in a tertiary hospital in Seoul Korea. As a result, among the participants, past or current CAM use was reported by 75%, which shows a statistically significant difference in income groups(P<0.05), but no difference in age and religion groups. The most common therapies use by cancer patients included traditional Korean medicine (32.1%), folk remedies (26.6%), exercise (14%), dietary supplements (11.6%), physical therapy (9.9%), diet therapy (5%), and meditation (4%). 77.8% of patients show satisfaction and 64.4% shows perceived effectiveness of CAM. Male patients with higher income, and previous treatment were more likely to use CAM. The main benefits from CAM reported by cancer patients were psychological improvement and symptom improvement. Of the cancer patients used CAM, 30.9% were dissatisfied, 25.8% did not have benefits from the use, and 7.6% experience side effects. Cancer patients who prefer CAM (more than 3 kinds) used it to cure cancer, on the contrary, the one who do not prefer CAM used to improve symptoms and psychological stability. The main sources of information about CAM were family and friends(54.4%), and media(24.5%), doctor and nurse(18.3%), and religion group(2.6%). Findings suggest that due to the relatively high use of CAM among cancer patients in Korea, this topic should be taken into account in the development of a holistic approach to cancer patients and efficient cancer patients management system and proactive and consistent management of CAM is necessary in the health care system in Korea.

한의 암 증상 완화에 대한 한의사 대상 설문 조사 (A Survey on Korean Medicine Doctors for Cancer Symptoms Care in Korean Medicine Treatments)

  • 류한성;이지영;오혜경;윤성우
    • 대한암한의학회지
    • /
    • 제22권1호
    • /
    • pp.23-35
    • /
    • 2017
  • Backgrounds: The demand of complementary and alternative medicine (CAM) including Korean Medicine (KM) is increasing worldwide. But cancer patients (CP) still have a difficulty in gathering CAM information or communicating with their doctors, and clinical status in cancer care is unclear in the field of KM in Korea especially. The aim of this study is to examine clinical status of KM for cancer symptom care by KM doctors in medical service institutions. Methods: Total forty nine KM doctors completed the site survey questionnaire. The questionnaire items were to list chief symptom complaints of CP treated with KM and effective KM therapies. Results: The majority of the respondents were general physicians without KM specialist board (67.4%) who have 10-20 years clinical experience with CP (55.1%). Primary cancer lesion, diagnostic status, and treatment period were not different in KM clinical service institutions. In chief symptom complaints of CP treated with KM, gastrointestinal (32.9%), musculoskeletal (19.9%), circulatory & respiratory (16.2%), psychiatric (14.1%), urinary (5.8%) symptoms were in turn. In effective KM therapies assessed by KM doctors, xerostomia (45.7%) and cancer-related fatigue (44.8%) were more effective with herbal treatments. Peripheral neuropathy (43.4%), depression, insomnia (38.2%), and cancer pain (31.9%) were preferred to treat using acupuncture. Conclusion: The CP treated with KM used evenly KM medical service institutions regardless of hospital size, and there will be further survey for CP treated KM in the future.

문헌고찰을 통해 알아본 2020년 체질 의료 서비스 시장 규모 (The Predicted Scale of Sasang Constitutional Medical Service Market in 2020)

  • 장은수
    • 사상체질의학회지
    • /
    • 제29권1호
    • /
    • pp.14-20
    • /
    • 2017
  • Objectives Recently, the demand for complementary & alternative and personalized medical service has increased in the world. The purpose of this study was to predict the future market size of constitutional medical service in Korea through past surveyed studies Methods The portal sites of OASIS, NDSL, RISS, KISS, Koreamed, were used to select the researches related with constitutional medical service market. Total 1,477 papers were identified and 43 of them were fully reviewed. Finally, three of them picked up. Two specialists joined this review. Results and Conclusion The rate of constitutional medical service market among Korean medical service market was 23.2% in 2004 survey, 26.6% in 2007, and 23.5% in 2010. The number of Korean medical clinics and hospital was assumed 17,118 in 2020. The market size of Korean medicine was predicted 698,929 ten million won and among them, the scale of constitutional market size was 181,171 ten million won which meaned 25.9% proportion of Korean medical market size. Conclusion Constitutional medical market seems to be developed faster than Korean medical market in future.

Integration of Multipath Transmission into the IMS Framework

  • Liu, Shaowei;Lei, Weimin;Zhang, Wei;Li, Hao
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제11권8호
    • /
    • pp.3904-3917
    • /
    • 2017
  • IP multimedia subsystem (IMS) is an open standardized architecture for delivering multimedia service over IP network in a route-agnostic manner. With the increasing popularity of conversational class service, the delivery of a traffic flow with a certain bandwidth demand over a single network path is either not possible or not cost-effective. Multipath transmission is considered to be a promising solution to provide high-quality delivery service. This paper proposes a software defined service overlay network (SDSON) based multipath transmission framework for IMS, which is complementary to existing network architecture. The framework transforms original two-party session negotiation into three-party session negotiation that supports participants to negotiate multipath transmission capacity and path information by signaling message. Based on existing IETF standards, SIP and SDP are scalable to support these functions. Finally, the proposed framework is fully implemented on open source platform and examined by experiments. Experimental results show that multipath-enabled IMS is an effective way to improve the delivery performance of conversational class service.

Managing Service Recovery via Social Media: The Impact of Transparency and Service Recovery Type in the Distribution of Feedback

  • Jie CAI;Yoonseo PARK
    • 유통과학연구
    • /
    • 제22권1호
    • /
    • pp.79-94
    • /
    • 2024
  • Purpose: The popularity of social media has altered how customers interact with businesses, and an increasing number of customers prefer to voice their complaints on social media. Bystanders can observe the customer complaint process on social media, but the impact of transparency on bystanders remains uncertain. Therefore, this study established and verified a model for defining the effect of transparency and service recovery types on bystanders. Research Design and Methodology: In this study, we used the internet survey platform "So Jump" to collect data. And we validated three studies with SPSS 26.0 and Smart PLS 4.0. Result: First, we showed that the transparency process (vs. result) is more likely to increase customer forgiveness and E-loyalty and reduce E-NWOM intention among bystanders. Second, customer forgiveness also plays a complementary mediating role between transparency and E-loyalty, as well as between transparency and E-NWOM intention. Finally, we found a modest interaction effect between transparency (process vs. result) and service recovery types (psychological vs. tangible vs. hybrid) on bystanders' customer forgiveness and E-loyalty. Conclusions: This study provides actionable recommendations for how service managers can effectively employ social media as a means for distributing feedback information to manage service recovery in the future.

자원봉사 연계 유무에 따른 방문보건 노인대상자의 건강상태, 삶의 질 및 맞춤형 방문건강관리서비스 만족도 (Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism)

  • 박지은;김정남;권윤희
    • 지역사회간호학회지
    • /
    • 제21권4호
    • /
    • pp.448-457
    • /
    • 2010
  • Purpose: This study attempted to identify differences in elders' health status, quality of life, and satisfaction with customized home visiting health service depending on connection to volunteerism. Methods: A total of 400 subjects participated in this research. Data were collected from May to August of 2009 and the measurement tool used for this study was the house visiting health service recording sheet recommended by the Ministry of Health. Results: According to the results of this research on elders' health status in customized home visiting health service depending on connection to volunteerism, elders' connected to volunteerism positively showed a high level in functional health status areas such as daily life performance ability, instrumental daily life performance ability and Joint exercise capacity, and in the quality of life area. Conclusion: The results of this study can be utilized as complementary information when resources and networks are used for the effective management of house visiting health service subjects.

융합망에서 액세스 네트워크 관리 방안 (A Scheme of Access Network Management in Convergence Networks)

  • 박상준;이종찬;신성윤
    • 한국컴퓨터정보학회논문지
    • /
    • 제17권11호
    • /
    • pp.93-99
    • /
    • 2012
  • B3G 네트워크는 이종의 네트워크 시스템 및 서비스에 대한 연동을 제공하는 차세대 네트워크 기술로 사용자 요구에 맞는 서비스 제공을 목적으로 구성된다. 본 논문에서는 B3G 네트워크에서 액세스 네트워크로 사용될 수 있는 UMTS와 WLAN과 같은 이종 네트워크에 대한 시스템 연동 방안을 기술하며, 각 네트워크에서의 서비스 제공 및 이종 액세스 네트워크를 기반으로 한 서비스 연동 방안을 기술한다. UMTS와 WLAN 시스템은 각 네트워크 특성에 맞는 서비스를 제공하며 B3G 네트워크 구성에 참여하여 상호 보완적인 서비스 제공을 통하여 이동 가입자의 서비스 사용 효과를 증대시킬 수 있다.