• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7501-7506
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• 2015

Background: Oncology nurses play a crucial role in cancer pain management and must be highly informed to ensure their effective practice in the cancer setting. The aim of this study was to determine the baseline level of knowledge and attitudes of oncology nurses regarding cancer pain management. Materials and Methods: A cross-sectional survey research design was employed. The sample comprised 58 cancer nurses working in Shahid Sadoughi hospital, Yazd, Iran. The "Nurses Knowledge and Attitudes Survey Regarding Pain" (NKAS) tool and a demographic form were utilized to ascertain the knowledge and attitudes of oncology nurses working in oncology settings. Results: The average correct response rate for oncology nurses was 66.6%, ranging from 12.1% to 94.8%. The nurses mean score on the knowledge and attitudes survey regarding pain management was 28.5%. Results revealed that the mean percentage score overall was 65.7%. Only 8.6% of nurse participants obtained a passing score of 75% or greater. Widespread knowledge deficits and poor attitudes were noted in this study, particularly regard pharmacological management of pain. Conclusions: The present study provides important information about knowledge deficits in pain management among oncology nurses and limited training regarding pain management. Our results support the universal concern of inadequate knowledge and attitudes of nurses regarding cancer pain. It is suggested educational and quality improvement initiatives in pain management could enhance nurses knowledge in the area of pain and possibly improve practice.

• 융합정보논문지
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• 제9권3호
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• pp.140-145
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• 2019

IT 기술의 발달과 함께 의료 서비스 환경이 과거에 비해 많은 변화가 일어나고 있다. 그러나, 의료 기술이 IT 기술과 융합하더라도 의료비 문제와 의료 서비스 관리에 대한 문제는 여전히 해결해야할 사항 중 하나이다. 본 논문에서는 IoT 시스템을 구축한 병원을 대상으로 의료 서비스를 제공받는 사용자의 개인 정보를 의료진이 효율적으로 분석 관리할 수 있는 모델을 제안한다. 제안 모델은 병원내 구축된 IoT 시스템을 통해서 사용자의 의료 정보를 효율적으로 체크하고 관리하는 것이 목적이다. 제안 모델은 다양한 이기종의 클라우드 환경에서 사용될 수 있으며, 사용자의 의료 정보를 추가적인 인적 물적 자원 없이 효율적이면서 빠르게 관리할 수 있다. 특히, 제안모델에서 수집된 사용자의 의료 정보는 IoT 게이트웨이를 통해 서버에 저장되기 때문에 의료진이 시간과 장소에 상관없이 사용자의 의료 정보를 정확하게 분석할 수 있다. 성능평가 결과, 제안 모델은 IoT 시스템을 사용하지 않은 기존 의료 시스템 모델보다 직군별 의료진의 의료 서비스에 대한 효율성이 19.6% 향상되었고, 의료 서비스를 제공받은 사용자의 사후 의료관리 개선율이 22.1% 향상된 결과를 얻었다. 또한, 의료진의 업무 부담률은 기존 의료 시스템 모델보다 평균 17.6% 낮게 나타났다.

• 한국의료질향상학회지
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• 제16권1호
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• pp.27-40
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• 2010

• 한국비블리아학회지
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• 제22권3호
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• pp.25-55
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• 2011

국내 공공도서관의 사서들을 대상으로 설문조사를 함으로써 CHI 서비스 현황을 명확히 파악할 수 있으며, 설문결과를 바탕으로 국내 공공도서관의 CHI 서비스 개발방향을 모색하는데 기여할 수 있다. 본 연구에서는 현재 공공도서관이 CHI 서비스를 제공하고 있는지를 조사하고, CHI 관련 참고서비스 경험 및 제공빈도를 분석하였으며, 국내 공공도서관에 서 CHI서비스를 제공하는 것의 필요성에 대한 인식조사를 수행하였다. 1) 국내 공공도서관은 건강관련 서적이나 의학저널을 구비하고 있는 것 외에 CHI 관련 웹사이트 정보원을 구축하고 있는 도서관의 비율은 5% 정도의 매우 낮은 비율이었다. 2) CHI 참고서비스 제공비율은 조사대상 도서관 중 30%에 지나지 않았다. 3) 국내 공공도서관의 82.1%가 CHI 관련 교육 프로그램을 제공하지 않았다. 4) CHI 관련 취약계층에 대한 서비스를 제공하지 않는 공공도서관의 비율이 82.1%나 되었다. 5) 국내 공공도서관 중 CHI 관련 아웃리치 프로그램 제공비율 및 CHI 관련기관과 협력체계를 구축하고 있는 비율은 약 20% 정도에 지나지 않았다. 본 연구 결과는 국내 공공도서관에서 CHI 서비스를 제공하는 것에 대한 공공도서관 사서들의 관심을 유도하고 관련 연구활동 활성화에 기여할 수 있을 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.5029-5034
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• 2014

This study aimed to summarize published epidemiological evidence for the relationship between pancreatitis and subsequent risk of pancreatic cancer (PC). We searched Medline and Embase for epidemiological studies published by February $5^{th}$, 2014 examining the risk of PC in pancreatitis patients using highly inclusive algorithms. Information about first author, year of publication, country of study, recruitment period, type of pancreatitis, study design, sample size, source of controls and attained age of subjects were extracted by two researchers and Stata 11.0 was used to perform the statistical analyses and examine publication bias. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated with the random effects model. A total of 17 articles documenting 3 cohort and 14 case-control studies containing 14,667 PC cases and 17,587 pancreatitis cases were included in this study. The pooled OR between pancreatitis and PC risk was 7.05 (95%CI: 6.42-7.75). Howeever, the pooled ORs of case-control and cohort studies were 4.62 (95%CI: 4.08-5.22) and 16.3 (95%CI: 14.3-18.6) respectively. The risk of PC was the highest in patients with chronic pancreatitis (pooled OR=10.35; 95%CI: 9.13-11.75), followed by unspecified type of pancreatitis (pooled OR=6.41; 95%CI: 4.93-8.34), both acute and chronic pancreatitis (pooled OR=6.13; 95%CI: 5.00-7.52), and acute pancreatitis (pooled OR=2.12; 95%CI: 1.59-2.83). The pooled OR of PC in pancreatitis cases diagnosed within 1 year was the highest (pooled OR=23.3; 95%CI: 14.0-38.9); and the risk in subjects diagnosed with pancreatitis for no less than 2, 5 and 10 years were 3.03 (95%CI: 2.41-3.81), 2.82 (95%CI: 2.12-3.76) and 2.25 (95%CI: 1.59-3.19) respectively. Pancreatitis, especially chronic pancreatitis, was associated with a significantly increased risk of PC; and the risk decreased with increasing duration since diagnosis of pancreatitis.

• Asian Pacific Journal of Cancer Prevention
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• 제15권10호
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• pp.4265-4269
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• 2014

Purpose: This study aimed at summarizing epidemiological evidence of the association between gestational diabetes mellitus (GDM) and subsequent risk of cancer. Materials and Methods: We searched Medline, Embase, Cancer Lit and CINAHL for epidemiological studies published by February 1, 2014 examining the risk of cancer in patients with history of GDM using highly inclusive algorithms. Information about first author, year of publication, country of study, study design, cancer sites, sample sizes, attained age of subjects and methods used for determining GDM status were extracted by two researchers and Stata version 11.0 was used to perform the meta-analysis and estimate the pooled effects. Results: A total of 9 articles documented 5 cohort and 4 case-control studies containing 10,630 cancer cases and 14,608 women with a history of GDM were included in this review. Taken together, the pooled odds ratio (OR) between GDM and breast cancer risk was 1.01 (0.87-1.17); yet the same pooled ORs of case-control and cohort studies were 0.87 (0.71-1.06) and 1.25 (1.00-1.56) respectively. There are indications that GDM is strongly associated with higher risk of pancreatic cancer (HR=8.68) and hematologic malignancies (HR=4.53), but no relationships were detected between GDM and other types of cancer. Conclusions: Although GDM increases the risk of certain types of cancer, these results should be interpreted with caution becuase of some methodological flaws. The issue merits added investigation and coordinated efforts between researchers, antenatal clinics and cancer treatment and registration agencies to help attain better understanding.

• 디지털산업정보학회논문지
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• 제6권3호
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• pp.91-101
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• 2010

By using the U-Healthcare environment, it is possible to receive the health care services anywhere anytime. However, since the user's personal information can be easily exposed in the U-Healthcare environment, it is necessary to strengthen the security system. This thesis proposes the technique which can be used to protect the personal medical records at hospital safely, in order to avoid the exposure of the user's personal information which can occur due to the frequent usage of the electronic chart according to the computerization process of medical records. In the proposed system, the following two strategies are used: i) In order to reduce the amount of the system load, it is necessary to apply the partial encryption process for electronic charts. ii) Regarding the user's authentication process for each patient, the authentication number for each electronic chart, which is in the encrypted form, is transmitted through the patient's mobile device by the National Health Insurance Corporation, when the patient register his or her application at hospital. Regarding the modern health care services, it is important to protect the user's personal information. The proposed technique will be an important method of protecting the user's information.

• Child Health Nursing Research
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• 제14권2호
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• pp.146-154
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• 2008

Purposes: The purposes of this study are to describe the health problems experienced by VLBW premature infants and their health care services utilization during the first year of life Method: Eighteen mothers of VLBW premature infants completed a survey questionnaire, asking socioeconomic/demographic information, health/developmental problems experienced by their infants, and their use of health care services. Results: Of the 18 infants, 78% experienced respiratory problems such as cold/running nose and wheezing during the first year and 33% experienced gastrointestinal problems such as vomiting, diarrhea and constipation. Twelve (67%) infants visited the emergency department at least one time and 10 infants (56%) were hospitalized at least once during their first year of age. Interestingly, infants without chronic lung disease visited the emergency department more than infants without chronic lung disease (p=.213). Infants living in non-disadvantaged neighborhoods were hospitalized more than infants living in disadvantaged neighborhoods (p=.000). Conclusions: Health care providers should initiate educating mothers, particularly those living in disadvantaged neighborhoods, about post-NICU discharge health care needs of their VLBW premature infants while their infants were still in the NICU so that unnecessary visits to the emergency department and rehospitalizations can be possibly prevented.

• 대한지역사회영양학회지
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• 제5권2호
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• pp.343-351
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• 2000

The Korean government enacted the National Health Promotion Act in January, 1995 and proclaimed its regulations and rules in September 1995, which became the basis of the national health policy. The health promotion programs consist of education for health, prevention of diseases, improvement of nutrition, and practice of healthy life style as defined in that Act. The Community Health Act was amended in 1995, which included implementing nutrition services in community health centers. The purpose of this report is to summerize the nutrition services conducted in 32 community health centers. the main nutritional activities were as follows : 1) nutritional guidance by counseling and education for pregnant or lactating women, infants, preschool children, and those with chronic diseases, 2) collection, analysis, and interpretation of data collected from the community, on background conditions and target population for the assessment of community needs, 3) evaluation of nutritional status of population in the community 4) nutritional guidance for mass feeding in different institution including schools and welfare institutions. In order to meet the government's expectations and desires, the community health centers have made continuous efforts to put nutritional activities into practice in the community. However, there are constraints, such as relative staff shortages, lack of funds, and information which hampers the nutritional activities.

• 보건교육건강증진학회지
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• 제12권1호
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• pp.72-82
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• 1995

The purpose of this study was to review health and adjustment issues of Korean students in the context of international students' health in the United States. The number of international students studying in the United States has increased. In addition, more and more Koreans come to the United States for education. Korean students formed the fifth largest international group found on American campuses. As more and more international students study on American campuses, their health needs and problems became a concern to health professionals. Most health problems international students experience are stress related and psychosomatic. These students also have difficulties in using health care services. International students face barriers to obtaining health care because of differences in language and differences in cultural beliefs toward health. Korea manifests an eastern culture which is quite different from the western culture, so many Korean students studying in the United States experience difficulties in adjustment and using health care services. The study on the needs of Korean students in the U.S. reviewed in this research was a survey of 105 Korean students at the Pennsylvania State University, 1990. Korean students' health problems included stress, colds, fatigue, and headaches. Homesickness, financial problems, and academic problems were also important problems the Korean students faced. Korean students usually did not participate in any activities with Americans as much as with Koreans. Most Korean students did not participated in any health education workshops held on campus. This may be because the students had not participated previously in health education workshops conducted on campuses in Korea. Korean student's confidence with the English language appeared to be an important variable in using or not using the university health services. University health professionals in the United States need to develop better information system for international students so that they may better use the health services provided on campus. Also, university health professionals working on campuses in Korea need to put more attention on health of college students and provide on-campus health education workshops which meet the student's needs.