• Title/Summary/Keyword: health resources

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Application of Ecological Momentary Assessment in Studies with Rotation Workers in the Resources and Related Construction Sectors: A Systematic Review

  • Bernard Yeboah-Asiamah Asare;Suzanne Robinson;Dominika Kwasnicka;Daniel Powell
    • Safety and Health at Work
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    • v.14 no.1
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    • pp.10-16
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    • 2023
  • Whilst Ecological momentary assessment (EMA) can provide important insights over time and across contexts among rotation workers whose work periods alternate with leave at home, it can also be challenging to implement in the resources and construction sectors. This review aimed to provide a summary of the methodological characteristics of EMA studies assessing health outcomes and related behaviors in rotation workers. Systematic searches in PubMed, Medline, EMBASE, CINAHL, PsycINFO, and Scopus were done to include 23 studies using EMA methods in assessing health-related outcomes and behaviors. EMA designs included daily diary: assessments once per day typically fixed at the end of day (47.8%), within day fixed interval time-based design: assessments on multiple times per day at certain times of day (17.4%) and combination of both designs (34.8%). Studies employed paper and pencil diaries (73.9%) and one or more electronic methods (60.9%): wrist-worn actigraphy device (52.2%) and online-based diaries (26.1%) for data collection. Most of the studies (91.3%) did not report prompting -EMAs by schedule alerts or compliance. Daily diary and within day fixed interval dairies designs are common, with the increasing use of electronic EMA delivery techniques. It is unclear how well participants adhere to assessment schedules, as these are inadequately reported. Researchers should report compliance-related information.

Identification of Inflammation-related Genes Altered in the Cystic Ovary and Endometritis of Korean Cattle (난소낭종 및 자궁내막염 한우에서 염증유래 유전자 발굴)

  • Choe, Chang-Yong;Park, Sun-Young;Kim, Eun-Sook;Moon, Yoon-Ja;Park, Hye-Jin;Son, Dong-Soo;Cho, Sang-Rae;Kim, Hyun-Jong;Kim, Jae-Bum;Park, Jae-Yong;Hong, Seong-Geun;Han, Jae-Hee;Kang, Da-Won
    • Journal of Embryo Transfer
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    • v.23 no.3
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    • pp.211-216
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    • 2008
  • This study was carried out to investigate inflammation-related gene expression altered in ovary and endometrium of Korean cattle with reproductive disorders using microarray. In the present study, nine inflammation-related differential1y expressed genes (DEGs) were identified in the cystic ovary and endometrium with endometritis. In the follicular cyst, eotaxin and alpha-2-HS-glycoprotein (AHSG) were up-regulated, whereas complement component 3 (C3) and oxidised low density lipoprotein (lectin-like) receptor 1 (OLR1) were down-regulated. Complement component 4A (C4A) was up-regulated in luteal cyst. In the endometritis, chemokine 1igand l and 2 (CXCL1 and CXCL2), protein C (inactivator of coagulation factors Va and VIIIa), and complement component C5 were up-regulated, whereas kininogen was down-regulated. Of these genes, we focused on eotaxin and kininogen, which were highly regulated in the follicular cyst and endometritis, respectively and on C3 commonly regulated in both reproductive disorders. The microarray data of eotaxin, kininogen, and C3 were validated by semi-quantitative PCR. Consistent with microarray data, eotaxin was up-regulated by 4-fold in the follicular cyst, while kininogen was down-regulated by 5-fold in the endometritis. C3 was down-regulated in the both follicular cyst and endometritis. Our results suggest that these inflammation-related genes could be useful markers for diagnosis of cystic ovary and endometritis of Korean cattle.

Development of efficiency indicators for medical resources use using Delphi technique (델파이 조사법을 이용한 의료 자원 사용의 효율성 평가지표 개발)

  • Choi, Yoon-Jung;Kwon, Young-Dae;Kim, Chang-Soo;Kim, Yoon
    • Health Policy and Management
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    • v.22 no.1
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    • pp.65-84
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    • 2012
  • Because of the rising healthcare costs, there is a growing need for developing efficiency indicators for medical resources use and measuring efficiency of healthcare providers and healthcare systems using them. In this study, we aimed to develop efficiency indicators for medical resources use by means of Delphi technique. We systematically reviewed the existing measures of medical resource use. Thirty nine indicators were selected as a candidates across the six domains: medical personnel, medical equipment, medical facilities, ethical management, resource efficiency, and drug use. To develop efficiency indicators with professional consensus, a 2-round Delphi survey was conducted among 29 professional experts. The following indicators were selected based on the Delphi survey results: adjusted number of the patient per day and level of the nurse number medical personnel in medical personnel domain; the number of the scan a professional physician and the quality of the scan in medical equipment domain; bed utilization rate in medical facility domain; drug price reported pharmaceutical price by medical institutions, medical fee billing transparency, and medical care appropriateness in ethical management domain; costliness index in resource efficiency domain; and utilization of high cost drug and items per prescription in drug use domain. The efficiency indicators could provide valid information about efficiency of healthcare providers and healthcare systems with respect to their resources use and facilitate policies to improve their efficiency.

Long-tenn Patients' Reasons for Stay in Some General Hospitals (종합병원 장기입원환자들의 재원사유)

  • Park, Hee-Ok;Park, Chong-Yon;Kang, Hye-Young;Cho, Woo-Hyun;Chung, Hye-Young
    • Korea Journal of Hospital Management
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    • v.6 no.1
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    • pp.107-119
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    • 2001
  • There has been pointed out that a great portion of hospitalized patients stay in hospitals longer than necessary, often even after the completion of necessary care. This causes that hospital resources are not used efficiently. In order to identify underlying forces in postponing inpatients' discharge, this study aimed to investigate reasons for long-term stay of patients admitted in general hospitals. A total of 135 patients, who were staying at 7 general hospitals in Inchon and Kyonggi-Do for more than 60 days, were surveyed with a self-administered questionnaire between April 3 and April 10, 2000. Medical reasons including incompleteness of necessary care, difficulty in receiving outpatient-based care, and being under physical therapy were the most significant factors associated with long-term stay, followed by the lack of familial resources to take care of patients after discharge. Financial problems such as inability to pay for hospital bills were not significant factors influencing long-term stay. Regression analyses were conducted for medical reasons, familial resources, and financial problems, respectively. It was shown that receiving physical therapy and the number of admission in the past were significant predictors for medical reasons. The lack of familial resources as a reason for long-term stay had a positive relationship with the degree of need for aid in daily living. It may be recommended for the hospitals to cope with administrative problems due to the patients' long-term stay, considering the reasons of it, and their characteristics. And also, institutional efforts like vitalizing the home care service systems by hospitals as the continuing care after discharge should be needed.

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Design of a Data Grid Model between TOS and HL7 FHIR Service for the Retrieval of Personalized Health Resources (개인화된 건강 자원 조회를 위한 TOS 와 HL7 FHIR 서비스간의 데이터그리드 모델 설계)

  • Jeon, Young-Jun;Im, Seok-Jin;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.4
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    • pp.139-145
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    • 2016
  • On the ICT healing platform designed to issue early disease alerts, TOS connected between the provider of personal health-related data and the service provider and relayed personalized health data. In the previous study, TOS proposed how to monitor the retrieval and management of document/measurement resources by taking mobile devices into account. Recently the healthcare field, however, defined the standard items needed for communication and data exchanges with a mobile device through HL7 FHIR. This study designed a data grid model between TOS and FHIR to provide personal health resources relayed through TOS in FHIR bundle search sets. The proposed design was organized as follows: first, it stated similarities between the method of TOS resource request and that of FHIR observation request. Then, it designed an eventbus module to process a retrieval request for FHIR service based on the imdb and cluster technologies. The proposed design can be used to expand the old service terminals of ICT healing platform to mobile health devices capable of using FHIR resources.

Evaluation of the Home-based Rehabilitation Program Based on CBR Model Through In-depth Interviews With Visiting Physical Therapists

  • Lee, Minyoung;Chung, Jinjoo;Hong, Hye Jung;Yoon, Bum Chul
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.68-77
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    • 2015
  • Purpose: This study was conducted in order to explore home visiting therapists' self-perceived role, problems, and supplement points of the home-based rehabilitation (HR) program based on the community-based rehabilitation (CBR) model. Methods: Four home visiting physical therapists, who conducted the HR program, participated in this study. After completion of the HR program, in-depth interviews were conducted using a semi-structured questionnaire for participants to explore their self-perceived role, problems, and supplement points of the HR program. Results: Participants regarded the role of the HR program as for "the linkage between recipient & society", "maintenance & improvement of recipients' physical function", and "education of recipient about the way of self rehabilitation". The problems and supplement points were derived from all phases of the HR program, including "human & material resources", "training program for human resources for HR service", "selection of recipient of HR service", "contents of the intervention for HR service", and "duration of HR service". Conclusion: These findings indicate that participants well recognized the intention of the HR program based on the CBR model, and suggest that high-quality human resources with rich expertise and experiences, a training program for HR service led by experts, and selection of recipients led by experts are necessary for an effective HR program. In addition, strategies and capacities specified to HR service should be identified, and applied to the training program for human resources for HR service. The results of this study could provide useful information when the government decides on the next guideline for home visiting health service.

A Study on the Regional Specialization Tourism of National Health Seeking Spa in Japan (일본 국민보양온천의 지역 특성화 관광에 관한 연구)

  • Woo Youn-Sub
    • Journal of the Economic Geographical Society of Korea
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    • v.8 no.2
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    • pp.301-314
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    • 2005
  • The purpose of this study is to inquiry specialized development strategies to revive the declining regional tourism in Japan, through the general characteristics of tourists and the evaluation of various tourism resources. Reaching its period of maturity after the bubble economy collapse, domestic tourism in Japan requires a change in quality of the regional tourism industry. The Kakeyu spa region, which has long history and abundant cultural resources, is specializing through rehabilitation strengthening theme of 'health seeking and recuperation'. The rate of the elderly women visitors is high in the Kakeyu spa, and the visitors use public transport and make a relatively long stay, because they want to recuperate their health or to cure their disease. In the evaluation of tourism resources, the visitors showed an increasing interest in the solemn temple scenery and the tranquil stroll road which are near by their lodgings. To reflect such demand characteristics, the Kakeyu community is actively developing the business such as rehabilitation, health-food development, voluntary service, and barrier free based on spa, culture, and nature.

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Assessment of anatomical characteristics of the medicinal plant African cherry (Prunus africana) for its accurate taxonomic identification

  • Komakech, Richard;Yang, Sungyu;Song, Jun Ho;Choi, Goya;Kim, Yong-Goo;Okello, Denis;Omujal, Francis;Kyeyune, Grace Nambatya;Matsabisa, Motlalepula Gilbert;Kang, Youngmin
    • Journal of Plant Biotechnology
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    • v.49 no.2
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    • pp.139-144
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    • 2022
  • The genus Prunus (family: Rosaceae) consists of over 400 plant species and exhibits vast biodiversity worldwide. Given the wide distribution of this genus, its taxonomic classification is important. Anatomical characteristics are conserved and stable and can therefore be used as an important tool for the taxonomic characterization of plants. Therefore, this study aimed to assess and document the anatomical characteristics of the leaf, stem, and seed of P. africana using micrographs and photographs for possible use in the identification, quality control, and phylogenetic analysis of the species. The anatomical sections of a young stem revealed a cortex consisting of isodiametric parenchyma cells, druse crystals, primary vascular bundles, and pith. The mature stem bark majorly consisted of the rhytidome, with the periderm densely arranged in multiple layers; a cluster of stone cells; and sclerenchyma. The leaf sections were hypostomatic, with stomata sizes ranging from 18.90-(22.34)-26.90 × 15.41-(18.40)-21.22 ㎛. The leaf sections showed the presence of characteristic druse crystals, vascular bundles, and mesophyll layers. The pericarp contained the epicarp, mesocarp, and endocarp, with their thickness being approximately 350-400, 300-350, and 30-50 ㎛, respectively. In addition, it contained a seed testa with a thickness of approximately 50-60 ㎛. The morphological and anatomical characteristics observed in P. africana leaves, stems, and seeds in this study could serve as useful data for the taxonomic identification of this species.

The Survey on the Health Status of an Islands-District Residents II. The Medical Utilization Pattern and Recognition of Medical Facilities (일부 도서지역의 보건의료에 대한 기초조사 II. 주민의 의료이용양상 및 의료기관에 대한 인식도)

  • Ko, Kee-Ho;Moon, Gang;Sohn, Seok-Joon;Choi, Jin-Su
    • Journal of agricultural medicine and community health
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    • v.17 no.2
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    • pp.113-121
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    • 1992
  • In order to estimate the pattern of medical care utilization and recognition for health factor among the inhabitants in Wan-do district which is located off the southern seashore from mainland Korea, household interview survey was performed from January 15 to 30, 1990 in Wan-do Gun area. The results observed were following: 1. Among the users of medical facilities 40.8% used public health facility as first contact facility. Lower the income level was and longer the residency duration was, the utilization rate of public health facilities was higher. By age groups and medical security status the utilization pattern was likely to disperse to local clinic and secondary contact medical resources. 2. Medical expense and access time were significantly different between primary contact and secondary contact medical resources. 3. Public health facility was recognized as the favoured institute having advantage of geographic and economic accessibility. 4. Statistically significant determinants in public health facility utilization among total medical service were the region, the medical expense, and the access time.

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Measuring of Cadmium Content in Sorghum(Sorghum bicolor (L.) Moench) (수수(Sorghum bicolor (L.) Moench)의 카드뮴 함량 측정 방법)

  • Park, Byung-Hoon;Lee, Su-Chan;Choi, In-Sub;Kim, Jun-Ho;Lee, Hyo-Jeong;Park, Mun-Soo;Kim, Sang-Deog A.
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.28 no.3
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    • pp.185-192
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    • 2008
  • We have studied effect of water treatment sludge (WTS) on trace metals of sorghum hybrid (Sorghum bicolor (L.) Moench). In the present report it was for cadmium (Cd) content on background correction (BGC) mode with an atomic absorption spectrophotometer. The four treatments were Control, Compost, Alum + nitrogen, phosphorus, potassium (NPK), Compost + NPK. In the analysis, burner height of the atomic absorption spectrophotometer was adjusted to three levels; 3 mm, 6 mm, 9 mm. As a conclusion, 3 mm and 6 mm burner height conditions were better than 9 mm height for Cd analysis. And the conditions for widening the range, the mean, and the standard deviation (SD) values of observed absorbances as well as the condition for lessening the mean of observed background values are necessary for getting the better measuring of Cd. At the present experiment, 6 mm burner height condition is the best among the three burner heights.