• 제목/요약/키워드: iCARE

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공간효과분석을 이용한 건강보험 환자 관외 의료이용도와 관련된 요소분석 (Analysis on Factors Relating to External Medical Service Use of Health Insurance Patients Using Spatial Regression Analysis)

  • 노윤호
    • 보건행정학회지
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    • 제23권4호
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    • pp.387-396
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    • 2013
  • Background: The purpose of this study was to analyze the association between areas of Korea Train Express (KTX) region and external medical service use in Korean society using spatial statistical model. Methods: The data which was used in this study was extracted from 2011 regional health care utilization statistics and health insurance key statistics from National Health Insurance Corporation. A total spatial units of 229 districts (si-gun-gu) were included in this study and spatial area was all parts of the country excepted Jeju, Ulleungdo island. We conducted Kruskal-Wallis test, correlation, Moran's I and hot-spot analysis. And after, ordinary linear regression, spatial lag, spatial error analysis was performed in order to find factors which were associated with external medical service use. The data was processed by SAS ver. 9.1 and Geoda095i (windows). Results: Moran's I of health insurance patients' external medical service use was 0.644. Also, population density, Seoul region, doctor factors positively associated with health insurance patients' external medical service. In contrast, average age, health care organization per 100 thousand were negatively associated with health insurance patients' external medical service use. Conclusion: The finding of this study suggested that health insurance patient's external medical service use correlated for seoul region in korea. The study results imply the need for more attention medical needs in the region (si-gun-gu unit) for health insurance patients of seoul region. It is important to adapt strategy to activation of primary health care as well as enhancing public health institution for prevent leakage of patients to other areas.

부모의 육아종합지원센터와 유아교육진흥원의 가정양육지원 서비스 제공에 대한 적합성 인식 (Parent's Perception of the Suitability of the Childcare Support Center and the Early Childhood Education Promotion Institute for the Providing Home Childcare Support Services)

  • 정슬기;강정원
    • 한국보육지원학회지
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    • 제20권3호
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    • pp.107-124
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    • 2024
  • Objective: This study aims to analyze parents' perception of the suitability of the 'Childcare Support Center (C.S.C.)' and the 'Early Childhood Education Promotion Institute(E.C.E.P.I)' as home care support service providers. Methods: The goals and content of the home parenting support service offered by the C.S.C. and E.C.E.P.I. were analyzes based on information collected from their websites, publications, and various promotional materials. There were categories into 18 services across 5 categories. Responses of 421 parents, gathered through a questionnaire developed with reference to previous studies, were collected and analyzed. Results: Parents reported high degree of suitability for the organizations they used. Those familiar with both institutions found E.C.E.P.I. more suitable overall. However the C.S.C. was considered particularity suitable by parents of children aged 0-2 years and by those with no prior experience with either institution. The perceived suitability of the two institutions varied by service, depending on factors such as the age group of the children, whether the parents lived in the metropolitan area, and whether they were part of a double-income household. Conclusion/Implications: These findings have practical implications for development of integrated policies for early childhood education and childcare, which should take into account parents' perceptions of the functions of institutions.

A Multicenter Study of Pertussis Infection in Adults with Coughing in Korea: PCR-Based Study

  • Park, Sunghoon;Lee, Myung-Gu;Lee, Kwan Ho;Park, Yong Bum;Yoo, Kwang Ha;Park, Jeong-Woong;Kim, Changhwan;Lee, Yong Chul;Park, Jae Seuk;Kwon, Yong Soo;Seo, Ki-Hyun;Kim, Hui Jung;Kwak, Seung Min;Kim, Ju-Ock;Lim, Seong Yong;Sung, Hwa-Young;Jung, Sang-Oun;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • 제73권5호
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    • pp.266-272
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    • 2012
  • Background: Limited data on the incidence and clinical characteristics of adult pertussis infections are available in Korea. Methods: Thirty-one hospitals and the Korean Centers for Disease Control and Prevention collaborated to investigate the incidence and clinical characteristics of pertussis infections among adults with a bothersome cough in non-outbreak, ordinary outpatient settings. Nasopharyngeal aspirates or nasopharyngeal swabs were collected for polymerase chain reaction (PCR) and culture tests. Results: The study enrolled 934 patients between September 2009 and April 2011. Five patients were diagnosed as confirmed cases, satisfying both clinical and laboratory criteria (five positive PCR and one concurrent positive culture). Among 607 patients with cough duration of at least 2 weeks, 504 satisfied the clinical criteria of the US Centers for Disease Control and Prevention (i.e., probable case). The clinical pertussis cases (i.e., both probable and confirmed cases) had a wide age distribution ($45.7{\pm}15.5$ years) and cough duration (median, 30 days; interquartile range, 18.0~50.0 days). In addition, sputum, rhinorrhea, and myalgia were less common and dyspnea was more common in the clinical cases, compared to the others (p=0.037, p=0.006, p=0.005, and p=0.030, respectively). Conclusion: The positive rate of pertussis infection may be low in non-outbreak, ordinary clinical settings if a PCR-based method is used. However, further prospective, well-designed, multicenter studies are needed.

임산부의 산전관리와 산욕기 영양실태에 관한 연구 (Clinical Study on Prenatal care, and Dietary Intakes for Pregnant Women and new Mothers)

  • 차순향;박재순
    • Journal of Nutrition and Health
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    • 제9권4호
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    • pp.36-46
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    • 1976
  • This study was projected to provide basic data on prenatal care for future direction in maternity and child care, and also to investigate the diet of women during pregnancy and the period directly afterwards in order to offer to mothers appropriate advice for the improvement of nutritional standards. A clinical study on prenatal care was based on 1054 delivery cases. A nutritional survey was performed on 174 mothers admitted to the department of obstetrics at St. Mary's Hospital during the period of March, 1975 to February, 1976. The results obtained are summarized as follows; I. Clinical study on prenatal care 1) The age distribution showed 59.4% of the mothers were between the ages of 25 to 29 years old. 2) The gestational period was highest between the 37th and 40th gestational weeks. 33.7% of the mothers were primigravidae and 31.8% of them primiparae. 3) 41.3% of the mothers had not received prenatal care or had only received it once before. 4) Induced deliveries were 61.8% and spontantaneous deliveries 38.2%. 61.9% of the mothers had received prenatal care, while those without prenatal care accounted for 61.6% of the total induced deliveries. 5) Low birth weights were 7.7% and 5.0% of the mothers had received prenatal care, while 11.5% had no prenatal care. 6) There were 1.13% of still births, 0.32% of the mothers had prenatal care and the remainder did not have prenatal care. 7) Of those receiving prenatal care, 2.1% showed in the $0{\sim}3$ Apgar score group, 6.3% in the $4{\sim}6$ Apgar score group, and 91.6% in the $7{\sim}10$ Apgar score group. Among the non-prenatally cared for group 5.0% of the newborns were in the $0{\sim}3$ Apgar score group, 9.7% were in $4{\sim}6$ Apgar score group and 85.3% were in the $7{\sim}10$ Apgar score group. 8) Obstetrical complications were developed in 11.86% of the pregnant women when they were hospitalized. Among the group receiving the prenatal care 8.1% of the mothers had obstetrical complications. In the group without prenatal care 17.16% of the mothers had obstetrical complications. The most common obstetrical complication was malpresentation. 9) The first prenatal care was received between the 37th and 40th gestationl weeks. II. Food intake during pregnancy The following are the results from the questionnaires of the mothers concerning diets during pregnancy; 1) Main meals and snacks In 32.2% of the cases, their main meals during the diet amounted to more than was usually eaten at other times. In 67.8% of the cases, their main meals during the diet were the same as that usually eaten. In 22.4% of the cases, snacks during the diet amounted to more than usually eaten at other times. In 77.6% of the cases, snacks during the diet were the same as usually eaten. 2) Itemized list The mothers made a special effort to include certain items in their diets, the following is a breakdown of those items; a. egg, meat, fish 33.3% b. fruit, vegetables 32.2%. c. milk, fruit juice 18.4% d. cake, bread 2.9% e. nothing special 13.2% 3) Milk 44.8% of the mothers had at least one cup of milk everyday. 33.4% of the mothers had at least one cup of milk on occasion. 15.5% of the mothers did not have any milk. 4) Vitamins 39.7% of the mothers had vitamins everyday. 24.7% of the mothers had vitamins occasionally. 35.6% of the mothers did not have any vitamins. 5) Anemic symptoms 9.2% of the mothers very often had anemic symptoms during pregnancy. 39.1% of the mothers often had anemic symptoms during pregnancy. 51.7% of the mothers did not have anemic symptoms at all. 6) Taboos on food 23% of the mothers recognized 'taboos' on food during pregnancy 27% of the mothers displayed on uncertainty about the 'taboos' on food during pregnancy 50% of the mothers displayed indifference toward the taboos. III. Nutritional survey on the new mothers diet. 1) The diets for new mothers can be divided into four categories, such as general diet, low sodium diet, soft diet and liquid diet. 2) Cooked rice and seaweed soup were the main foods for the new mothers as has been the traditional diet for Korean mothers. 3) The average diet contained 1,783g. And the average consumption of the basic food groups per capita per day was 1,265g for cereals and grains, 456g for meats and legumes, 58g for fruits and vegetables, 0g for milk and fish and 4g for fats and oils. 4) In addition to the 1,783g of food in the main diet there was also 142.8g of food taken as snacks. 5) The average daily consumption of calories and nutrients was 2,697 Kcal and 123.4g for proteins, 44.9g for fats, 718.2mg for calcium, 14mg for iron, 2,101.4 I.U. for vitamin A, 0.43mg for thiamine, 1.02mg for riboflavin, 15.88mg for niacin, 5.26mg for ascorbic acid. When these figures are compared with the recommended allowances for new mothers in Korea, the calories and nutrients taken in were satisfactory. But the intake of minerals and vitamins was below the recommended allowance.

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수유 형태에 따른 초산모의 신생아에 대한 지각 비교 (Primiparas' Perceptions of their Newborns related to Feeding Methods)

  • 이애란;박문희
    • Child Health Nursing Research
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    • 제1권1호
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    • pp.16-25
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    • 1995
  • The purpose of this study was to estimate primiparas' perceptions of their newborns and compare the changes of their perceptions related to feeding methods between the time I (post-partum 2nd-3rd day) and the time ll (post-partum 1st month). At the time Ⅰ, bottle-feeding method was 100% because mothers were separated from their babies. At the time Ⅱ, the methods of feeding were breast-feeding(29.7%), bottle-feeding(30.7%), mixed feeding(39.6%) .The subjects of this study were 101 primiparas. Data were collected between May to October 1994, using the Neonatal Perception Inventory devised by Broussard(1963) and added by Lee Ja Hyurg(1986) .The results of this study are as follows : 1. There was no significant difference of primiparas' perceptions of their newborns according to general characteristics. 1) The younger tended to estimate that newborns were less capable, and perceived that it would be more difficult for them to take care of babies. 2) There was no difference of mothers' perceptions of their babies according to having a job or not. 3) The lower educated tended to estimate that newborns were less capable, and perceived that it would be more difficult for them to take care of babies. 2. There were some changes of primiparas' perceptions of their babies related to feeding methods between the time I (post-partum 2nd-3rd day) and the time Ⅱ (post-partum 1st month).1) At the time Ⅰ, Breast-feeding mothers estimated that newborns were less capable, and perceived that it would be more difficult for them to take care of babies. But they showed positive perceptions at the time Ⅱ (P<0.05, p<0.1) 2) At the time Ⅰ, Bottle-feeding mothers tended to estimate that newborns were more capable, and perceived that it would be more easy for them to take care of babies. But they showed negative perceptions at the time Ⅱ 3) For breast-feeding mothers, positive-positive group was 53%, positive-negative group was 20%, negative-positive group was 10%, negative-negative group was 17%. For bottle-feeding mothers, positive-positive group was 55%, positive-negative group was 32%, negative-positive group was 10%, negative-negative group was 3%.

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미용 왁싱에 대한 동기요인과 정보탐색유형이 왁싱관리의도에 미치는 영향 (The Effect of Motivational Factors and Information Search Types on Waxing Care Intention)

  • 송선화;김상수
    • 한국융합학회논문지
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    • 제11권10호
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    • pp.329-335
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    • 2020
  • 본 연구는 개인이 어떤 동기를 가지고 왁싱관리를 받고자 하는지, 또 어떤 과정을 거쳐서 왁싱관리의도가 형성되는지 그 메커니즘을 살펴보고자 하였다. 이를 위하여 연구모형을 설정하고 서울 및 경기 지역의 성인 남녀를 대상으로 설문조사를 실시하여 얻은 160건의 응답데이터를 구조모형 분석에 활용하였다. 그 결과 미용 왁싱에 대한 동기요인(관심도, 중요성, 시선)은 정보탐색유형(탐색도, 관찰도)을 통해 왁싱관리의도에 영향을 미치는 것으로 나타났다. 본 연구는 왁싱관리의도의 선행요인과 과정에 대한 탐색을 통해 미용 학문의 영역 확장과 미용 왁싱의 잠재 수요자에 대한 이해 증진의 효과라는 실무적 시사점을 내포한다. 더불어 본 연구를 통하여 미용 왁싱 시장의 활성화에 일조할 것으로 사료된다.

고혈압 노인의 자기역량강화 교육에 대한 요구 분석 (Analysis of the Health Care Empowerment Educational Needs of the Elderly with Hypertension)

  • 정윤경;유은영
    • 디지털융복합연구
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    • 제18권11호
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    • pp.409-415
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    • 2020
  • 본 연구는 고혈압 노인의 자기역량강화 프로그램 개발을 위해 IPA(Important-Performance- Analysis)기법을 적용하여 자기역량강화 교육 요구를 파악하기 위한 서술적 조사연구이다. 연구대상은 A와 B지역의 65세 이상 고혈압 노인 128명이었으며' 2020년 5월 11일부터 6월 26일까지 연구자와 연구보조원 총 6인을 통해 자료를 수집하였다. 수집된 자료는 빈도분석' 기술통계' t-test로 분석하였다. 분석결과 교육요구도가 가장 높은 문항은 '나는 의료인에게 나의 질환관리와 관련된 사항을 적극적으로 이야기 한다' 문항이며' 중요도와 수행도의 차이가 가장 큰 문항은 '나는 질환관리와 관련된 약속을 지킨다' 문항으로 나타났다. 본 연구를 토대로 고혈압 노인의 자기역량강화 프로그램 개발 시 교육 요구가 높은 문항을 반영하는 전략이 필요하다고 사료된다.

20대 미용소비자의 DiSC행동유형에 따른 두피·모발관리 연구 (A study on the scalp, hair care according to DiSC behaviors of cosmetic consumer in their 20s)

  • 조민혜;양은진
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.415-421
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    • 2018
  • 본 연구의 목적은 미용소비자의 DiSC행동유형에 따른 두피 모발관리행동의 차이를 분석하는 것에 있다. 연구를 위해 20대 미용소비자를 대상으로 설문지 251부를 SPSS v.18.0 통계 패키지 프로그램을 활용하여 분석하였다. 분석 결과 첫째, DiSC행동유형에 따른 두피,모발관리 인식은 심리적 안정, 호감적 이미지, 건상상태유지에 대해 통계적으로 유의미한 차이가 나타났으며, 신중형(C)의 경우 다른 유형에 비해 심리적 안정, 호감적 이미지, 건상상태유지가 높은 것으로 나타났다. 둘째, DiSC행동유형에 따른 두피,모발관리 행동은상태인지관리, 제품사용관리에 대해 통계적으로 유의미한 차이가 나타났으며, 신중형(C)이나 사교형(I)의 경우 상대적으로 상태인지관리, 제품사용관리가 높은 것으로 나타났다. 본 연구결과를 통해 나타난 소비자의 DiSC행동유형에 따라 달라지는 모발관리인식 및 행동을 기업 마케팅전략의 기초자료로 제공하고자 한다.

당일 입원 환자의 치과 수술 시 Propofol을 이용한 Monitored-Aesthesia Care (MAC)의 안정성 및 유용성에 관한 연구 (Safety and Availability of Monitored-Anesthesia Care using Propofol during Implant Surgery of the One-day Admission Patients)

  • 김범수;김영균;윤필영;이용인
    • 대한치과마취과학회지
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    • 제7권2호
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    • pp.120-125
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    • 2007
  • Background: Propofol has been used extensively for short-acting intravenous sedative agent during monitored anesthesia care (MAC). This study was designed to evaluate the safety and availability of MAC using propofol in implant surgery of the one-day admission patients. Methods: In this study, subjects were divided into two groups according to ASA physical status. The heart rate, blood pressure, peripheral oxygen saturation and ECG of a patient were estimated under MAC by an anesthesiologist and the vital signs were recorded in recovery room periodically afterwards. The subjective satisfaction with regard to outpatient ambulatory surgery under MAC procedure was evaluated the next day. Results: Systolic and diastolic blood pressure were significantly decreased during MAC in ASA I group, but other remarkable changes in vital sign were not observed. There was no significant difference in pain and anxiety level between ASA I and ASA II, III group. Satisfaction rate was high in both groups. Conclusion: Monitored-Anesthesia Care using propofol during implant surgery of the one-day admission patients might be safe and available procedure because heart rate, blood pressure and oxygen saturation are stable before and during surgery, and adequate control of pain and anxiety is supported.

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Role of AMP-Activated Protein Kinase (AMPK) in Smoking-Induced Lung Inflammation and Emphysema

  • Lee, Jae Seung;Park, Sun Joo;Cho, You Sook;Huh, Jin Won;Oh, Yeon-Mok;Lee, Sang-Do
    • Tuberculosis and Respiratory Diseases
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    • 제78권1호
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    • pp.8-17
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    • 2015
  • Background: AMP-activated protein kinase (AMPK) not only functions as an intracellular energy sensor and regulator, but is also a general sensor of oxidative stress. Furthermore, there is recent evidence that it participates in limiting acute inflammatory reactions, apoptosis and cellular senescence. Thus, it may oppose the development of chronic obstructive pulmonary disease. Methods: To investigate the role of AMPK in cigarette smoke-induced lung inflammation and emphysema we first compared cigarette smoking and polyinosinic-polycytidylic acid [poly(I:C)]-induced lung inflammation and emphysema in $AMPK{\alpha}1$-deficient ($AMPK{\alpha}1$-HT) mice and wild-type mice of the same genetic background. We then investigated the role of AMPK in the induction of interleukin-8 (IL-8) by cigarette smoke extract (CSE) in A549 cells. Results: Cigarette smoking and poly(I:C)-induced lung inflammation and emphysema were elevated in $AMPK{\alpha}1$-HT compared to wild-type mice. CSE increased AMPK activation in a CSE concentration- and time-dependent manner. 5-Aminoimidazole-4-carboxamide-1-${\beta}$-4-ribofuranoside (AICAR), an AMPK activator, decreased CSE-induced IL-8 production while Compound C, an AMPK inhibitor, increased it, as did pretreatment with an $AMPK{\alpha}1$-specific small interfering RNA. Conclusion: $AMPK{\alpha}1$-deficient mice have increased susceptibility to lung inflammation and emphysema when exposed to cigarette smoke, and AMPK appears to reduce lung inflammation and emphysema by lowering IL-8 production.