This study analyzes the content of YouTube Vlog videos created by patients of Coronavirus disease 2019 ("COVID-19") in South Korea and viewer comments on those videos. As this new infectious disease started to sweep the world in late 2019 and early 2020, the public started facing fear and uncertainty stemming from the lack of sufficient and accurate information about the virus. At the same time, as COVID-19 patients in South Korea were treated in isolation to prevent the spread of the virus, the patients themselves were experiencing anxiety and exclusion from the society. During this period, there was an increase in YouTube Vlog videos created by the patients in which they shared their experiences going through the treatment and recovery processes. To understand how these YouTube Vlog videos were being used by the patients to connect with the society and seek support in a state of isolation and anxiety, this study conducted a qualitative multi-case analysis of three sample YouTube Vlog video channels to analyze their content, as well as a lexicon-based sentiment analysis of viewer comments to understand the experiences and reactions of viewers. The patients' YouTube Vlog videos showed that they shared similar stages of progress, despite each emphasizing a different main theme. Overall, the tone of the viewer comments became increasingly positive over time, although with some variance among different patient cases and stages. The results confirmed that Vlogs of patients played a significant role in reducing the uncertainty around COVID-19 and strengthening social support for the patients. The findings of this study can improve an understanding of the psychological and behavioral aspects of patient experience in isolated treatment and the impact of shared communication among members of society in times of crisis.
Journal of the Korea Society of Computer and Information
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v.28
no.11
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pp.53-63
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2023
This study developed a cognitive impairment predictive model as one of the screening tests for preventing dementia in the elderly by using Automated Machine Learning(AutoML). We used 'Wearable lifelog data for high-risk dementia patients' of National Information Society Agency, then conducted using PyCaret 3.0.0 in the Google Colaboratory environment. This study analysis steps are as follows; first, selecting five models demonstrating excellent classification performance for the model development and lifelog data analysis. Next, using ensemble learning to integrate these models and assess their performance. It was found that Voting Classifier, Gradient Boosting Classifier, Extreme Gradient Boosting, Light Gradient Boosting Machine, Extra Trees Classifier, and Random Forest Classifier model showed high predictive performance in that order. This study findings, furthermore, emphasized on the the crucial importance of 'Average respiration per minute during sleep' and 'Average heart rate per minute during sleep' as the most critical feature variables for accurate predictions. Finally, these study results suggest that consideration of the possibility of using machine learning and lifelog as a means to more effectively manage and prevent cognitive impairment in the elderly.
Objectives : The purpose of this study was to examine the subjective awareness and expectations of implant patients. Methods : The subjects in this study were 200 implant patients at three different dental clinics in the region of Busan. Results : Concerning awareness of implant, the patients aged between 41 and 50 were best aware of implant with 2.85(p<0.05). By education, those who received college or higher education were best aware of it with 3.53(p<0.001). By income, those whose income was three million won or more were best aware of it with 2.95(p<0.05). As for expectations for implant, the women expected more from it with 2.89(p<0.01). By age, those aged between 41 and 50 had the biggest expectations with 3.63(p<0.001). By education, the patients whose income ranged between 2 and 2.99 million won had the greatest expectations with 2.91(p<0.05). Education and occupation made no significant differences to that. In regard to correlation among their knowledge, awareness and expectations for implant, there was a positive correlation between their knowledge and awareness(0.439), and their awareness had a negative correlation to their expectations(-0.147). Conclusions : The above-mentioned findings suggested that what patients expect from implant should accurately be grasped when counseling is provided, and that accurate information should be provided to them as well. Their cooperation should be requested during implant treatment, and special post-care programs should be prepared to boost their quality of life after receiving implant treatment. Quality medical services should be offered in proportion to the cost of treatment in order to satisfy their expectations.
Lee, Gyeong Sug;Kim, Mi Ja;Park, Sun Mi;Paek, Sun Young;Lee, Yang Sug;Bae, Sang Do;Choi, Jung Hoon
Quality Improvement in Health Care
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v.7
no.1
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pp.6-17
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2000
Background : This study was attempted to provide a basic information necessary for the development of measures evaluating perceived discomfort of the patients under local anesthesia and the developments of nursing intervention and nursing standard. Method : The study subjects were a convenience sample of 100 surgical patients under local anesthesia. The researcher visited the patients directly and explained the purpose of the study to them. Then they were asked to fill out questionnaires which were developed and structured by the researcher, under their prior permission. Out patient's data were collected at recovery room after operation. Results : Factor analysis on measures evaluating the patients under local anesthesia showed that the measures consisted of eight factors including "explanation", "humane treatment", "motion limitation", "pain", "no togetherness", "waiting", "the environment of operating room", and "unkindness". When analyzing each of the factors regarding their degree of contribution to perceived discomfort, it was found that "waiting" was highest in terms of the degree. According to general chara-cteristics of the sampled patients, the factor of "explanation" contributed to perceived discomfort more in male patients than female ones. Regarding parts of medical examination, the patients of otorhinolaryngology felt perceived discomfort most because of the factor of "pain". Conclusion : To relieve perceived discomfort the patients under local anesthesia require providing individually systematized nursing services which can reduce perceived discomfort according to each of the factors. In doing so, an unlimited attention and much effort should be given to realize CQI reaching the dimension of increase in comfort as well as decrease perceived discomfort.
This paper describes the development of smart sticks as walking assistance for elderly people that incorporate motion sensing, hear-beat sensing, data processing, and communication functions. Our sticks communicate with users' smart phones and upon a detection of falling-off, an alarm is generated and propagated to multiple guardians registered in advance. In addition, the sticks provide smart healthcare functionalities for elderly people thus suggest an health platform that is empowered by various health-related informations. The heartbeat sensors and motion sensors mounted on the sticks enable various additional functions. Our smart sticks are designed to function as stable walking assistance as well as to support elderly people by providing useful services in the convergence with information technologies.
Objectives : High-normal blood pressure' is a factor influencing decision to initiate targeted intensive intervention strategy in westernized populations. JNC-VI offered the vigorous lifestyle modification for persons with 'high-normal blood pressure', who could be early detected. As a hypertension seems to be the result of multiple genetic factors operating in concert with associated environmental factors, it will be necessary to identify the high-normal blood pressure as a risk factor of hypertension for applying primary prevention strategy in Korean people. Methods : Although cohort study design might be adequate to recruit incidence cases, to keep time sequence of events, and to prevent information bias, nested case-control study was chosen for avoiding measurement errors because hypertension is a benign disease. Source population was the 'Seoul Cohort' participants and follow-up was done by using Korea Medical Insurance Corporation's database on the utilization of health services from 1 Jan93 to 30Jun97. Incidence cases were ascertained through the chart review, telephone contacts, and direct blood pressure measurements. Controls included the pairing of 4 individuals to each case on the basis of age. Results : As 75% of 247 incident cases had high-normal blood pressure, the crude odds ratio for hypertension was 2.04 (95% CI 1.47-2.83). Another statistically significant risk factors of hypertension were body mass index, dietary fiber, alcohol consumption, weekly activity and history of quitting smoking. The multivariate odds ratio of high-normal blood pressure adjusted for all risk factors was 1.84 (95% CI 1.31-2.56). Among high-normal blood pressure group, body mass index, weekly ethanol amounts, weekly physical activity, and dietary fiber except history of quitting smoking were still risk factors of hypertension. Conclusion : 'High-normal blood pressure' is a risk factor for hypertension in Korean middle-aged men, which represents that the vigorous lifestyle modification for persons with 'high-normal blood pressure' is need.
The purpose of this study was to clarify differences between adolescents from multicultural and ordinary Korean families in subjective oral symptoms. Moreover, this will be provide information in the policy making process that enhancing health equity. Data of 66,857 adolescents aged 12 to 18 years were derived from the 10th Korean Youth's Risk Web-based Study, which was conducted in 2014. Multiple logistic regression analysis revealed that subjective oral symptoms were related with sex, age, academic achievement, paternal education, maternal education, subjective economic status, residential type, smoking, alcohol consumption, drinking soft drink, eating fruits, eating snacks, and tooth brushing frequency. In conclusion, welfare and health services for multicultural family should be expanded and those ought to focus on increasing multicultural youth at the same time.
Rising healthcare cost is a global phenomenon that justifies governments' introduction of 'incentive regulation' plan for the improvement of hospital efficiency. A number of previous studies tried to evaluate the efficiency of healthcare organization by using Data Envelopment Analysis(DEA), a common efficiency benchmarking method. However, there is a concern that this kind of efficiency evaluation could induce "quantity-quality trade-off". Moreover, as quality aspect is especially important in terms of 'effectiveness' of health care, it should be considered in efficiency evaluation of healthcare organization. A number of different models were tried so far to incorporate quality aspect into DEA, however, none is universally recognized as a standard. Thus, in this study, previous quality-incorporating DEA models were categorized into 6 types according to the way of incorporating quality aspect, and strengths and limitations of each type were reviewed with a set of artificial data as an example. Based on this review, a new quality-incorporating efficiency evaluation model, named Quality-adjusted output DEA(QAO-DEA), was suggested. As an exploratory empirical analysis, technical efficiency of human resource were measured with different quality-incorporating DEA models, using 2004 data from National University Hospitals. In conclusion, Quality-adjusted output DEA(QAO-DEA) model seems to be one of the most desirable alternatives to incorporate quality aspect in efficiency evaluation of hospital, and deserves the consideration as a policy tool to induce simultaneous improvement of both efficiency and quality.
Kim, Yoon Kyung;An, Sook Hee;Kim, Jae Yeon;Chung, Jee Eun;Gwak, Hye Sun
Korean Journal of Clinical Pharmacy
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v.26
no.3
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pp.195-200
/
2016
Background: Venous thromboembolism (VTE) is a common and life-threating condition in cancer patients. Low molecular weight heparins (LMWH), such as dalteparin, are recommended in the treatment of VTE. Also, rivaroxaban, an orally administered direct factor Xa inhibitor, was approved for the treatment of VTE. It showed similar efficacy to standard therapy (LMWH or warfarin) and was associated with significantly lower rates of major bleedings. However, in the real world, bleeding has been reported to occur frequently in cancer patient receiving rivaroxaban. The goal of this research was to analyze bleeding risks between rivaroxaban and dalteparin for treatment of VTE in cancer patients. Methods: Medical records of oncology patients who were treated with rivaroxaban or dalteparin for VTE from July 2012 to June 2014 were retrospectively reviewed. Data collected were as follows: age, sex, weight, height, cancer types and stages, ECOG (eastern cooperative oncology group) PS (performance score), VTE types, concurrently used medications, study drug information (dose and duration of therapy), INR (international normalized ratio), PT (prothrombin time), and platelet counts. Bleeding was classified into major bleedings, clinically relevant non-major bleedings, and minor bleedings. Results: A total of 399 patients were included in the study. Of these patients, 246 were treated with rivaroxaban and 153 with dalteparin. Bleeding rates were significantly higher in the rivaroxaban group than in the dalteparin group (adjusted odds ratio (AOR) 2.09, 95% CI 1.22-3.60) after adjusting for confounders. In addition, rivaroxaban remained independently associated with 1.78-fold (95% CI 1.14-2.76) shorter time to bleeding compared to dalteparin after adjusting other factors known to be associated with poor outcomes. Conclusion: This study suggested that rivaroxaban was associated with an increased risk of bleedings in cancer patients.
Lee, Hee Yun;Tran, Marie;Jin, Seok Won;Bliss, Robin;Yeazel, Mark
Asian Pacific Journal of Cancer Prevention
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v.15
no.4
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pp.1791-1796
/
2014
Background: Colorectal cancer (CRC) is a leading cause of cancer death among Vietnamese Americans, yet screening remains underutilized. We investigated the effectiveness of a culturally tailored DVD intervention in promoting CRC screening among unscreened Vietnamese Americans age 50 and over. Materials and Methods: Using a community-based participatory research approach, we conducted a trial comparing twenty-eight subjects who received a mailed DVD in Vietnamese, with twenty-eight subjects who received a mailed brochure in Vietnamese. Subjects completed telephone surveys at baseline, One-month, and one-year. The primary outcome was receipt of screening. Secondary measures were participants' knowledge, attitudes, and beliefs about CRC screening. Two focus groups explored the intervention's acceptability and effectiveness. Results: At one year, CRC screening rates of 57.1% and 42.9% were observed in experimental and control group respectively (p=0.42), Subjects in both groups showed increased knowledge about CRC after one month. Focus group findings revealed that the DVD was an effective method of communicating information and would help promote screening. Conclusions: The findings suggest that culturally tailored, linguistically appropriate content is more important than the type of media used. This relatively low intensity, low cost intervention utilizing a DVD can be another useful method for outreach to the often hard-to-reach unscreened population.
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