• Title/Summary/Keyword: medical interview

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Controlled Inquiry Rates of Clinical Interviews in Telehomecare

  • Moskowitz, Samuel E.
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.1945-1950
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    • 2003
  • Conceived to acquire personal information for an electronic medical record, the clinical interview contains probing questions. The number and type of inquiries are assumed to fulfill medical protocols, and therefore are deemed essential for treatment - but the rate can and should be controlled. High rates of inquiry merely intimidate the patient and affect replies. The purpose of this paper is to mathematically formulate permissible rates of clinical interviews held during telehomecare virtual visits and designed to avoid patient anxiety. Mental stress is derived as a function of the weight of importance assigned by the patient, virtual visit duration, and the rate of questioning in the direction of greater sensitivity. Two operations are of interest: Collecting and recording information by the provider, and maintaining synchrony of questions and answers by the patient. The Lorentz transformation yields the patient’s view of the operational rates. Conservation of information momentum is postulated and applied before and after replies are recorded. It is shown that the weight of importance designated by the patient to collecting and recording personal information is driven by a singularity that depends on the rate of questioning. The findings should serve as a guideline in interviewer training programs.

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한의과대학생의 유급경험에 관한 현상학적 연구 (The phenomenological study on the Experience of Korean Medicine Students who have academic failure)

  • 신헌태
    • 대한예방한의학회지
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    • 제20권2호
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    • pp.53-67
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    • 2016
  • Objectives : The aim of this study was to explore the academic failure experiences of Korean Medicine Students. The academic failure in a medical school is defined as the situation the student who have academic failure need to repeat their academic year again. Methods : Data were collected through in-depth individual interviews from April to May 2016 and analyzed through Colaizzi's phenomenological methodology. The participants were interviewed twice, for 30minutes to 60minutes per interview. Results : Eight theme-clusters of were identified from 21 themes. The theme-clusters were 'Dream of university life and freedom', 'Meeting Stranger academic field and growing study stress', 'Difficulty of self-management', 'Weak supporting system', 'Feeling of guilty, sense of isolation and decreasing in self-esteem', 'The experience during the vacation after the academic failure', 'The experience of returning to school' and 'Self growing through hard experience'. Conclusions : Understanding of academic failure experience of Korean Medicine Students is an important approach to counsel them and an important way to reach a good model of education at a medical college.

서울, 경기지역 종합병원의 흉부물리치료 실태조사 (An Investigation on chest physical therapy of hospital in seoul and Kyungido)

  • 이윤섭;임승건
    • The Journal of Korean Physical Therapy
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    • 제14권2호
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    • pp.153-161
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    • 2002
  • The purpose of this study was to investigate the chest physical therapy in the hospital of seoul, kyungido and to activate the chest physical therapy. Dept. of physical therapy in 15 hospitals, 65 physical therapists disabled and analysis of interview. The results are as follows: 1) $86.7\%$ of respondents were not chest physical therapist in the hospital. $79.4\%$ of respondents were a lack of 5 patients per month. 2) The chief diagnosis of chest physical therapy was respiretory muscles weakness by reason of spinal cord injury and muscle diseases. Many physical therapists was obtain the chest physical therapy information from university or collage. 3) Management of chest Physical therapy Patient was to be alike physical therapist and doctor A problem of chest physical therapy was a lack of chest physical therapy information, cognition of a physician. The results of this study suggested that chest physical therapy need to organization of the treatment and magnification of the treatment area.

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A Brief Screening Tool for PTSD: Validation of the Korean Version of the Primary Care PTSD Screen for DSM-5 (K-PC-PTSD-5)

  • Jung, Young-Eun;Kim, Daeho;Kim, Won-Hyoung;Roh, Daeyoung;Chae, Jeong-Ho;Park, Joo Eon
    • Journal of Korean Medical Science
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    • 제33권52호
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    • pp.338.1-338.5
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    • 2018
  • The purpose of this study was to develop and evaluate psychometrically the Korean version of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual-fifth edition (K-PC-PTSD-5). In total, 252 participants were interviewed with the Structured Clinical Interview for Diagnostic and Statistical Manual-fifth edition-research version (SCID-5-RV). The K-PC-PTSD-5 showed good internal consistency (${\alpha}=0.872$), test-retest reliability (r = 0.89), and concurrent validity (r = 0.81). A score of 3 was identified as the threshold for clinically significant posttraumatic stress disorder (PTSD) symptoms. Overall, the results indicate that the K-PC-PTSD-5 is a useful, timesaving instrument for screening PTSD symptoms.

뉴로테크를 활용한 헬스케어 디바이스의 수용의도에 관한 연구 (An Exploratory Study on the Acceptance Intention of Converged Healthcare Equipment Using Neuro-Tech)

  • 강희경;고영삼
    • 한국멀티미디어학회논문지
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    • 제24권1호
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    • pp.134-145
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    • 2021
  • The purpose of this study is to explore the acceptance intent of groups of experts and users for converged medical equipment using NeuroTech. This healthcare equipment is applied with technology that simultaneously enhances body function and cognitive function. Interviews were conducted with groups of experts and users to investigate the acceptance of equipment. The interviews include health problems for the elderly, the need to develop medical equipment, and the effectiveness. After recording the collected historical data, we performed the data analysis in accordance with the procedures of the phenomenological analysis method. The total number of people interviewed was 27, 16 experts and 11 users. As a result of the interview, we derived seven topic groups for each of the 12 topic groups and user groups. The implications were derived based on the results.

한국판 단축된 자기보고형 MINI (MINI 정신건강 평가)의 타당도 연구 (A Validation Study of the Abbreviated Self-Rated Korean Version of MINI (MINI Patient Health Survey))

  • 임세원;송한수;오윤희;신호철;조광현;정상근;오강섭
    • 대한불안의학회지
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    • 제3권1호
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    • pp.32-40
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    • 2007
  • Objectives : To investigate the validity of an abbreviated self-rated Korean version of MINI (Mini International Neuropsychiatric Interview) patient health survey which screening social anxiety disorder, panic disorder, generalized anxiety disorder, and major depressive disorder. Methods : 115 subjects completed MINI and MINI patient health survey. The validity of MINI patient health survey was assessed by whether the results from MINI patient health survey were compatible with the results from MINI or not. The Cohen's kappa value, specificity, sensitivity, positive predictive value, and negative predictive value was calculated for this purpose. Results : The Kappa values of social anxiety disorder (0.60), panic disorder (0.49), generalized anxiety disorder (0.60) and major depressive disorder without other co-morbid disorder (0.59) were at least moderate in strength of agreement. Conclusion : The abbreviated self-rated Korean version of MINI patient health survey has the moderate to good validity in social anxiety disorder, panic disorder, generalized anxiety disorder, and major depressive disorder without other co-morbid disorders. Our result suggests that this instrument might be useful for screening above 4 disorders if it is used under careful supervision of experienced clinicians.

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Occupational Health Protection for Health Workers in China With Lessons Learned From the UK: Qualitative Interview and Policy Analysis

  • Xu, Huan;Zhang, Min;Hudson, Alan
    • Safety and Health at Work
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    • 제12권3호
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    • pp.304-310
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    • 2021
  • Background: Healthcare settings have been recognized among the most hazardous places to work. Based on the five categories of occupational hazards that were identified by the ILO and WHO, this study aimed to analyze policy framework relevant to occupational health protection of health workers (HWs) in public health service in China, then discussed how to share the experience of the National Health Service (NHS) England for improvement. Methods: Based on policy learning theories, policy analysis and qualitative interview were used in this study. Results: In the Chinese public health service, at least five laws related to the regulation of occupational health protection for HWs; however, enforcement of relevant laws was separated and multi-centered; the national monitoring system, which targeted to occupational hazards and health outcome for HWs in China, had yet to be developed; the top three priorities were workplace violence, bloodborne pathogens, and musculoskeletal disorders; national strategies included Security Hospital, and Healthy China 2030. In NHS England, three laws were fundamental; several monitoring systems had been set up, including NHS Staff Survey, Commissioning for Quality and Innovation incentive scheme; mental health, musculoskeletal problem, and nutrition disorder and overweight were raised great concern; Health and Safety, and NHS Healthy Workforce Program were critical nationwide strategies. Conclusion: There were several similarities as well as differences between the Chinese public health system and NHS England, which laid foundation of learning by China. Recommendations of improving occupational health policies in China were provided, based on the lessons learned from the NHS England.

보건소 방문 제2형 당뇨병환자의 식행동 영향 요인 분석 (Analysis of Dietary Behavior of Type 2 Diabetic Patients Visiting Public Health Center)

  • 이혜진;윤진숙
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.223-232
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    • 2005
  • The purpose of this study was to investigate the dietary behavior of people with type 2 diabetes mellitus and to improve their quality of life through medical nutrition therapy. The subjects were 38 persons with type 2 diabetes mellitus visiting a public health center to participate in a dietary education program from Jun, 2003 to Nov. 2003 in Daegu, Korea. The interviews were tape-recorded and analyzed attitude, knowledge, and awareness of patients by focus group interview. Most of the patients were mainly dependent on drug therapy and had little experience of diet education. Barriers to dietary practice adherences were limitations in food selection, lack of will and feel of burden. Barriers to follow guidelines were lack of self-control, confliction with food habits of their family, accessibility, economical problems, fear for the change after dietary practice, food difficulties in meal distribution and difficulties for eating out. After 4 weeks of intensive nutrition education, fasting blood sugar levels were decreased and postprandial and waist circumference were significantly decreased in all patients and 26.9% of patients were under decreased oral hypoglycemic agent dosage due to improved blood sugar level. dietary knowledge of subjects were greatly improved in such items as dietary intake, saturated fat, HbA1C, ideal body weight, and waist circumference.

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The Pap-Smear Test Experience of Women in Turkey: A Qualitative Study

  • Arabaci, Zeynep;Ozsoy, Suheyla
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5687-5690
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    • 2012
  • Objective: The study was planned with the purpose of examining the attitude of women who have pap-smear test for the early diagnosis of cervical cancer, factors affecting their decisions and their feelings and experiences during this period. Materials and Methods: A phenomenological method was used. Data were collected between March 2012 and April 2012 using standard and purposive samplings from 17 women. A detailed interview with women were held in their houses and recorded. The data collection tool consisted of two parts, one of which is information form with 17 questions identifying sociodemographic and cervical cancer risk factors of women and the second part is made up of semi-structured interview form with 15 alternative questions taking literature and the pap-smear test into consideration. Collected data were put into a written document. Content analysis was held by loading the documents into NVIVO 8 Statistical Programme. Results: The study comprised themes such as cervical risk factor, decision of taking pap-smear test, taking pap-smear test, knowledge about pap-smear test, relieving factors during pap-smear test, obstructive factors during pap-smear test, gynecological examination and feelings of women during and after pap-smear test while waiting for the results. Conclusions: As women perceive gynaecological examinations differently from other examinations, they have different feelings in each process of the Pap smear test. Medical staff should advise women more clearly on the nature and advantages of the Pap-smear test.

Psychological Distress and Occupational Injury: Findings from the National Health Interview Survey 2000-2003

  • Kim, Jae-Young
    • Journal of Preventive Medicine and Public Health
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    • 제41권3호
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    • pp.200-207
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    • 2008
  • Objectives : This study examined whether serious psychological distress (SPD) is associated with occupational injury among US employees. Methods : The employed population aged 18-64 years was examined (n=101,855) using data from the National Health Interview Survey (NHIS) 2000-2003. SPD was measured using the Kessler 6-item Psychological Distress Scale (K-6), a screening scale designed to identify persons with serious mental illness. The predicted marginal prevalence of psychological distress and occupational injury with the adjusted odds ratio were estimated using multiple logistic regression analyses. Results : The age-adjusted 3-month prevalence of occupational injury was $0.80{\pm}0.12%$ in workers with SPD, which was 37% greater than in workers without SPD ($0.58{\pm}0.03%$). The odds of occupational injury in workers with SPD were higher compared to workers without SPD (OR=1.34, 95% CI=0.93-1.92), after controlling for sex, age, race, education, occupation, and activity limitation by at least one medical condition. Male, service and blue collar occupation, and activity limiation by co-morbidity showed significantly higher odds of occupational injury for workers with SPD. Conclusions : The findings suggest that SPD accounts for an increased likelihood of occupational injury among US employees. A further longitudinal study is needed to differentiate the mechanism or causal pathways linking individual injury risk at the workplace, SPD, and socioeconomic factors.