• Title/Summary/Keyword: health tools

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Medication Use Review Tools for Community Dwelling Older Patients: A Systematic Review (지역사회 거주 노인을 위한 약물사용검토 도구에 대한 체계적 문헌고찰)

  • Park, Ji-Young;Jun, Kwanghee;Baek, Yang-Seo;Park, So-Young;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.1
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    • pp.61-78
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    • 2021
  • Background and Objective: The use of potentially inappropriate medications (PIMs) increases the risk of negative health outcomes, including drug-related admissions. Tools for structured medication review have been developed to ensure optimal medication use and safety. Here, we aimed to evaluate medication use review (MUR) tools for community-dwelling older patients. Methods: We performed a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). We searched PubMed, Embase, and the Cochrane Library from 1991 to 2020, excluding tools that are specifically applied to hospitalized patients or nursing home residents. We identified the most common inappropriate medications, drug-disease interactions, drug-drug interactions and prescribing omissions presented among tools. Results: From among 9,788 identified reports screened, 60 met our inclusion criteria; finally, 27 were eligible for data analysis considering originality and up-to-dateness. Most tools presented explicit criteria (93%), and only one was specific to community-dwelling elderly. The most common PIM was tricyclic antidepressants. Use of diltiazem and verapamil in patients with heart failure and the combination of nonsteroidal anti-inflammatory analgesics and warfarin were the most frequent disease-specific PIM and drug-interaction, respectively. Conclusions: Although several medication review tools have been developed for older adults, specific guidelines for community-dwelling populations remain limited. Furthermore, the list of PIMs differed among available tools. In future, specific but integrating MUR tools need to be developed for clinical practice considering this population.

Improving Public Medical and Social Services Market Management: Application of Information Technologies

  • Barzylovych, Anastasiia;Malinina, Olena;Gnyloskurenko, Ganna;Borysiuk, Iryna;Yuriy, Rayisa
    • International Journal of Computer Science & Network Security
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    • v.21 no.7
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    • pp.257-266
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    • 2021
  • This article examines the features of improving the public management of the market of medical and social services using information technology to improve the efficiency of public activity in modern conditions. The interpretation of the essence of the categories "information technologies" and "information support" is analyzed. The importance of the organization of information support of public authorities in the insurance of the state apparatus of information management for the adoption and solution of state issues of the market of medical and social services has been studied. Issues and system of information support of public management of the market of medical and social services are considered. The stages of the ICT implementation process in the market of medical and social services are described. The tools of state regulation in the market of medical and social services and the introduction of targeted programs for the development of the social sphere and health care are highlighted. Recommendations for improvement are formulated public management of the market of medical services and social way introduction of ICT tools, which provide for the implementation of a set of measures aimed at intellectualizing the entire system public data management spheres. The necessity of development of innovative tools of public management of the market of medical and social services of Ukraine for the purpose of working out of strategies of increase of quality of medical and social services in the XXI century is substantiated. A number of benefits from the implementation of an effective process of application of information support of public management of the market of medical and social services to ensure the efficiency of public authorities of Ukraine. It is proposed to create a "Department of information support of self-government" and electronic health care system (e-Health) to improve the management decision-making process, which will provide an opportunity to accumulate, process, analyze, and as a result, get the expected effect in the form of balanced management decisions by public authorities of Ukraine.

Work-Related Stress Risk Assessment in Italy: A Methodological Proposal Adapted to Regulatory Guidelines

  • Persechino, Benedetta;Valenti, Antonio;Ronchetti, Matteo;Rondinone, Bruna Maria;Tecco, Cristina Di;Vitali, Sara;Iavicoli, Sergio
    • Safety and Health at Work
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    • v.4 no.2
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    • pp.95-99
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    • 2013
  • Background: Work-related stress is one of the major causes of occupational ill health. In line with the regulatory framework on occupational health and safety (OSH), adequate models for assessing and managing risk need to be identified so as to minimize the impact of this stress not only on workers' health, but also on productivity. Methods: After close analysis of the Italian and European reference regulatory framework and workrelated stress assessment and management models used in some European countries, we adopted the UK Health and Safety Executive's (HSE) Management Standards (MS) approach, adapting it to the Italian context in order to provide a suitable methodological proposal for Italy. Results: We have developed a work-related stress risk assessment strategy, meeting regulatory requirements, now available on a specific web platform that includes software, tutorials, and other tools to assist companies in their assessments. Conclusion: This methodological proposal is new on the Italian work-related stress risk assessment scene. Besides providing an evaluation approach using scientifically validated instruments, it ensures the active participation of occupational health professionals in each company. The assessment tools provided enable companies not only to comply with the law, but also to contribute to a database for monitoring and assessment and give access to a reserved area for data analysis and comparisons.

A Study on the Spatial Configuration of Type of Health Examination Center (건강검진센터의 공간유형과 구조체계에 관한 연구)

  • Song, Seung-Eon;Kim, Suk-Tae
    • Korean Institute of Interior Design Journal
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    • v.21 no.5
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    • pp.399-410
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    • 2012
  • Due to development of modern medical services and economics, people raised expectation and demand about medical services from previous disease treatment to comprehensive health care covering prevention and health care. Responses of each medical facility to these social needs and the evolution of concept of medicine rapidly occur. The health examination centers are being operated with the purpose of health examination and this trend is reflected on several aspects such as the size of the facilities, function and configuration of space in health examination centers. Thus, health examination centers consisting of various space systems appear, but this trend and interpretations are lacking. Therefore, the purpose of this study is to draw trends of system through analysis of types and its evolved space systematic analysis and establish it. Analysis targets were classified into small, medium and large groups by sizes based on number of space and a total of 12 health examination centers in four for each category were selected. As research methods, functional relationship of space was examined through analysis of type in which segmentalized type tools were applied in local units. The flow diagram was established based on direction turning point and was classified into sub-flow and main-flow in local units and the systems between local units were derived. Finally, the results of this study can be summarized as the following three results. 1) The space connection system of health examination center showed four systems such as circulation, independence, continuation, and network. 2) Local type indicators and global type indicators which were evolved more from limitation of type analysis tools in existing research were derived so that more systematic analysis could be made. 3) Network system is distributed approach system and space for each function is formed around public space.

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Mediating Effects of Resilience on the Relationship between Stress and Therapeutic Compliance in Patients with Systemic Lupus Erythematosus (루푸스 환자의 스트레스와 치료지시이행의 관계에 미치는 극복력의 매개효과)

  • Lee, Mi Hye;Min, Hye Sook
    • Journal of muscle and joint health
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    • v.24 no.3
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    • pp.196-204
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    • 2017
  • Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.

Evaluation of Hand- Arm Vibration of Steel Processing Factory Workers (금속가공 작업자의 국소진동 평가)

  • Youn, Jeong Taek;Park, Sang Kyu;Kim, So Yeon;Lee, Tae Yeoung;Jang, Jae Yeon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.9 no.2
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    • pp.52-65
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    • 1999
  • This study was performed to evaluate the hand-arm vibration of the steel processing factory workers. Measurement, evaluation and as sessment were based on the International Standard(ISO 5349). The frequency weighted accelerations of the various hand-held tools and total exposure time were measured to assess the periods for the white finger symptom to occur. As a result, it was found that the air angle grinder and the air baby grinder are more harmful than other hand-held tools. It was also found that using various vibratory tools together is more harmful than using a single tool.

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A Systematic Review of Clinical Nurses' Patient Safety Culture for Improving Nursing Work Environment (간호사의 근로환경 개선을 위한 환자안전문화의 체계적 문헌 분석)

  • Kim, Jong Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.2
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    • pp.67-79
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    • 2014
  • Purpose: The purpose of this study was to review the articles and theses on the patient safety culture of clinical nurses for identifying overall research trends regarding patient safety culture among hospital nurses, and to suggest strategies for improving nursing work environment related to patient safety culture. Methods: The subjects for this study were 17 articles selected according to inclusion criteria from five databases in Korea. Results: Seven articles were collected from nursing journals and ten from master's theses. The studies on the 17 articles were conducted at 66 hospitals from seven regions of Korea. The tools for patient safety culture were selected among the three tools from AHRQ and two Korean translation tools. The mean score of patient safety culture was 3.43. Conclusion: The findings from the article review indicate that, in order to improve nursing work environment for patient safety culture, the hospital and nursing manager should emphasize the education for patient safety, communication and open-minded reporting, and cooperation among the departments of hospital.

Assessment Tools for the Mental Health of School-Aged Children and Adolescents Exposed to Disaster: A Systematic Review (1988-2015)

  • Lee, Mi-Sun;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.3
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    • pp.88-100
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    • 2018
  • Objectives: In this study, we aimed to conduct a systematic review of studies investigating psychosocial factors affecting children exposed to disasters. Methods: In total, 140 studies were retrieved. The studies were published from 1988 to 2015. A systematic review was performed using the PRISMA guidelines. MEDLINE, EMBASE, Cochrane Central, Web of Science, PsycINFO, PubMed, and Google Scholar were searched. Each database was searched using the following terms: 'Child,' 'Adolescent,' 'Youth,' 'Disaster,' 'Posttraumatic,' 'Psychosocial,' 'Assessment,' 'Evaluation,' and 'Screening.' The identified studies were subjected to data extraction and appraisal. Results: The database search identified 713 articles. Based on the titles and abstracts, the full texts of 118 articles were obtained. The findings of this review can be used as a basis for the design of a psychosocial evaluation tool for disaster preparedness. Conclusion: Given the paramount importance of post-disaster evaluation and the weaknesses of current disaster evaluation tools, the need to develop valid and reliable tools and psychometric evaluations cannot be overstated. Our findings provide current evidence supporting various assessments in children, who are very vulnerable psychologically following disasters.

Understanding the Current Trend of Home Care Assessment in the Post-COVID-19 Era by Comparing Outcome and Assessment Information Set (OASIS)-D and E (미국 환자사정도구(OASIS) 개정 사례를 통한 포스트코로나 시대의 가정간호 환자사정 동향 파악)

  • Hwang, Jinkyoung;Lee, Hana;Kim, Aeri;Woo, Kyungmi
    • Journal of Home Health Care Nursing
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    • v.30 no.1
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    • pp.105-114
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    • 2023
  • Purpose: This study aimed to comprehensively analyze the recent revision of the Outcome and Assessment Information Set (OASIS)-D to version E in the United States to identify the most recent trends in home health care and provide suggestions for implementing home health care in Korea. Methods: This study is a comprehensive literature review. We compared all items in OASIS-D and OASIS-E and identified the most significant changes. Additionally, we have discussed the context in depth. Results: The addition of items related to health literacy and medication reconciliation, strengthening assessment in the cognitive and mood domains, and improving items related to pain assessment were identified. These major revisions resulted from a greater emphasis in the healthcare field on social determinants of health. Additionally, the COVID-19 outbreak highlighted the importance of monitoring and managing the symptoms of home care patients in the community. Conclusion: The key items of the OASIS amendment and their background analysis proposed in this study could serve as a cornerstone for the revision of home health care assessment tools or the development of systematic common assessment tools in Korea.

Analysis of Gerontological Nursing Researches in Korea from 1997 to 2003 (국내 노인간호연구 분석 (1997년부터-2003년까지))

  • Yang, Kyung-Mi;Park, Chai-Soon;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.419-437
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    • 2004
  • Purpose: This study aims to analyze the trends of the gerontological nursing researches in Korea and suggest the direction for research in this nation. Method: A total of 241 dissertations and other published articles in Korea from 1997 to 2003 were analyzed in this study focusing on the design of the research, key words, measurement tools for basic concepts, and the intervention outcomes in the case of the experimental research. Result: Of those analyzed researches. it was found that 80.9% accounted for the published articles and 19.1% dissertations. There were no clear criteria for the classification of the old men. The most popular research design was an exploratory/descriptive study (54.4%). The major concepts were about 'physical and mental health'. Most of the measurement tools used were developed by foreigners. which were translated into Korean. Among 56 experimental studies, nursing intervention programs in 22 studies were based on physical exercise programs. Conclusion: It is necessary to analyze the trend of gerontological health research in comparison with multidisciplinary researches for elderly people. In addition, the experimental researches for both development and verification of nursing intervention programs are needed. Also, accumulation of research outcomes and development of a standardized instrument for the measurement of Korean elderly people are required.

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