• Title/Summary/Keyword: personal health records

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A study of the hologram which records the interference of light with computer (컴퓨터로 빛의 간섭을 기록하는 홀로그램(CGH)의 특성 연구)

  • Lee, Jeong-Yeong;Jang, Woo-Yeong
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.4
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    • pp.305-312
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    • 2005
  • In this thesis, Lohmann's algorithm and FFT (fast Fourier transform) are used to synthesize binary-phase holograms. FFT computing is carried out for the calculation of complex wavefronts of $128{\times}128$ sampling points of an object that is numerically specified. Then using the Lohmann's algorithm, the amplitude and the phase of complex wavefronts are encoded in binary holograms on each sampling points. PC (personal computer) and laser printer are used to plot binary-phase holograms and CGH (computer generated holograms) films are obtained from this plot by photographic reduction. Holographic images of numerically specified objects are reconstructed from the He-Ne laser and the inverse Fourier optics system. We estimate the quality of holographic images according to the sampling number, application of random phase, amplitude clipping and bleaching the CGH film. We derive optimized conditions to reconstruct better holographic images and to reduce the speckle noise. FFT and Lohmann's algorithm are implemented with MS Visual BASIC 6.0 for the programming of binary-phase hologram.

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A study on influence factors of quality of life and health behavior of cancer patients for the PHR service (PHR 서비스를 위한 암환자의 건강관리행태 및 삶의 질 영향 연구)

  • Yang, Junggi;Park, Minsu;Lee, Youngho
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.249-256
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    • 2014
  • Advancing health screening and treatment of cancer techniques, they contribute to grow the probability of survival of cancer patients for a long time. So health behavior and quality of life of the patients are getting important. This study analysed correlation between healthy person and cancer patient's EQ-5D index, social demographic characteristics, health behavior and so on by the multiple regression analysis. The result was that EQ-5D index of cancer patients is lower than healthy persons. Patients of cervical cancer and lung cancer had very low the index especially. In conclusion, cancer have a bad influence on the quality of life. For cancer patients, smoking and drinking are a major factors of correlation. The number of non-smokers among the patients is lower than the number of smokers among healthy persons. This conclusion means that the importance of health behaviors and quality of life for cancer patients is established so that this will be used for basic reference of PHR models and service enhancing quality of life.

A Preliminary Study for Curriculum Building in Nursing (교육과정개발을 위한 학생측면의 기초연구 - 간호학과 학생의 자아개념과 교육자의 인식을 중심으로 -)

  • Jung Moon-Hee;Lim Nan-Young;Choi Sun-Ha;Do Keong-Jin
    • Journal of Korean Public Health Nursing
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    • v.4 no.2
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    • pp.35-57
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    • 1990
  • This study was conducted to provide information useful in developing a nursing curriculum. The sample consisted of 158 nursing students in Hanyang University and 34 faculty members who has taught them in their college & the practical area. Data were collected by using a structured questionnaire, which consisted of general characteristics of the students & their self-concept, teacher's perception of student's professional roles. The results are summarized as follows; 1. General characteristics of the students When the students applied for the university, they decided what they would specialized in. Because the motive of application for their major was simply based on their high school records, they were admitted to their university without previous knowledge of their major. The reason why they wanted to tranfer to another course after the admission was the same as above. The level of satisfaction of their major was the highest in Freshman, but in other grades the higher the;, grades were, the more they satisfied with their major and they had a better prospects about their speciality. 2. Self-concept in profermance for their major Self-concept in horne aspects was more positive perception than in social aspects & self control aspects. It resulted from tile fact that all students were females and the nursing uniqueness was based on the spirit of humanity & service. The students who had graduated from the high school in rural area wanted to tranfer to another course and taken counsel their personal problems with their parents had higher self-concept in horne aspects. As their grades were higher, the self-concept in social aspects bacame higher. The students who were satisfied with their major and took counsel their personal problems with their parents had more positive self - concept in social aspects. Self-concept in self control aspects was lower than other aspects. The students who didn't take counsel their problems with their parents, were burdened with their educational expenses and their curriculum had more negative self-concept in self control aspects. Therefore the university should be concerned about student's welfare and provide detailed orientation about their curriculum. 3. Teacher's perception about learner's professional role The role model of democratic group leader, role models for learners facilitator in a students' reach for knowledge and teaching based on soundly researched theory showed more positive perception than other factors. Their mean values were over 4. 32. The professionalism of allnurshing area, reinforcement with reinforcement for learning, nursing as part of the meaningful context of the whole showed nagative perception. Their mean values were below 3. 00. Therefore the nurse as a teacher should try to promote the locus of nursing profession and participate in their research actively.

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Characteristics of Breast Cancer Patients, their Understandings and Attitude towards the Disease (유암환자의 제 특징 및 유암에 관한 태도와 그 인식도)

  • 노유자
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.30-38
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    • 1977
  • Breast cancer is one of the most feared health problems in women ; Recent studies revealed that it had come up to be the second most in this country and high prevalent disease in the western countries among breast disease in women. However, early detection of the cancer mass is known to be easier than in many other malignancies. This study was performed to investigate the various characteristics of patients of breast cancer ; by the structural variables, menstrual, marital, and child bearing, and also their understandings and attitude towards the disease. A hundred any in- and out- patients of 51. Mary's Hospital and National Atomic Institute, Seoul were sampled. Data were gathered through direct interview by the researcher from February 1976 to January 1977 and the clinical records were used as references. Results are as follows ; 1. Breast cancer revealed to be most prevalent in the forties ; average age of 45.2 years. 2. The average age of menarche revealed to be 15.4 years ; the largest group were the 16-20 years (N=75, 68.2%). In 55 cases (50%) menstruation were normal, 38 (34.5%) postmenopausal and only in 17 (15.5%), menstruation revealed irregularity. 3. The average marital age revealed to be 22.3 years ; the largest group were 21-25 group (N=43, 39.1%). The average duration of marital life revealed to be 24.7 years ; 11-20 years group were the largest (M=34, 30.9%). 4. Most of the patients revealed to have pregnancy experiences(N=100, 90.9%) ; the average rate of experience were 5, 3 times the largest group were 3.4 times group(N= 32, 29.1%). 54 patients (49.1%) revealed to have had abortion experience ; the average were 3.4 times. 5. The largest group(N=77, 70%) had been breast feeding : followed by mixed feeding (N=12, 10.9%) and artificial feeding(N=10, 9.1%). 6. Personal health history revealed that in 20 patients (18.2%) revealed to have the past history of Purulent mastitis, 5 patients(4.5%) of breast cancer and 3 patients(2.7%) of uttering cancer family history. 7. In the one half (N=56, 50.9%, they had some information about breast cancer :27 (24.5%) by mass media, 12 (10.9%) through personal contacts and 17 (15.5%) were not able to classify the source of information. 8. In 55 cases (50%) the canoe, mass were discovered incidentally, in 39 cases (35.5%) by manual detection by self, in 10 cases (9%) by others and in 6 cases(5.5%) by observing subjective symptoms. 9. The average duration lapsed between the discovery of cancer mass and the visit to the hospital revealed to be 9.4 month. Chief reason for the delay revealed to be the non-chaplaincy due to the absence of pain(N=50, 45.5 %) followed by the administration of herb and commercial medication (N=19, 17.3%). 10. The left side breast was more affected than the right side breast, represent by 60 cases in the left and 39 cases in the right. The most frequent site of the breast cancer was the upper- outer quadrant in 53 cases (47.7%), and followed by the center in 20 cases(18 %), and the upper inner quadrant, in 19 cases (17.1%). There was / cases of bilateral carcinoma. The most prominent symptom was painless mass.

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Evaluation on the Accuracy of Vaccination Card for National Immunization Program in a 2005 Population-Based Survey in Nonsan, Korea (일개 도농복합시 영유아 예방접종 수첩의 정확도 평가)

  • Lee, Moo-Sik;Kim, Jee-Hee;Kim, Kwang-Hwan;Hong, Jee-Young;Lee, Jin-Yong;Kim, Keon-Yeop
    • Journal of agricultural medicine and community health
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    • v.36 no.2
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    • pp.113-119
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    • 2011
  • The aims of this study were to survey, evaluate the accuracy of personal immunization record of vaccination card, and to establish the applicability of personal immunization record for presuming population based immunization rate and evaluation method. In 2005, a population-based survey of 12-35 months old children was carried out in Nonsan, Korea. We conducted household survey and provider check using questionnaire and checklist to obtain data on immunization status for children. Total 11 vaccinations were checked in vaccination card such as BCG, hepatitis b, polio, chickenpox vaccine. For estimating accuracy of immunization status and dates of immunization, we estimated correspondence rate between data from personal vaccination card and data from medical records and immunization registry data. Accuracy of the child's vaccination card by type of National Immunization Program vaccine in whole medical institutions were from 41.8% to 83.2%. Accuracy for the date of vaccination of vaccination card in National Immunization Programme vaccine were from 55.3% to 89.7%. In spite of this study limitations, this study verified the validity of vaccination record of vaccination card substantially, but suggests more efforts to reassure the validity of vaccination card.

Comparative Analysis of Community Health Practitioner's Activities and Primary Health Post Management Before and After Officialization of Community Health practitioner (보건진료원의 정규직화 전과 후의 보건진료원 활동 및 보건진료소 관리운영체계의 비교 분석)

  • Yun, Suk-Ok;Jung, Moon-Sook
    • Journal of agricultural medicine and community health
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    • v.19 no.2
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    • pp.141-158
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    • 1994
  • To provide better health care services to the rural population, the government has made the Community Health Practitioner(CHP) a regular government official from April 1, 1992. This study was carried out to study the impact of officialization of CHP on the activities and management system of Primary Health Post(PHP). Fifty PHPs were selected by two stage sampling, cluster and simple random, from 595 PHPs in Kyungnam and Kyungpook provinces. Data were collected by a personal interview with CHPs and review of records and reports kept in the PHPs. The study was done for the periods of January 1-March 31, 1992 (before officialization) and January 1-March 31, 1993 (after officialization). Ninety-six percent of the CHPs wanted to become a regular government official in the hope of better job security and higher salary. The proportion of CHPs who were proud of their iob was increased from 24% to 46% after officialization. Those CHPs who felt insecure for their job decreased from 30% to 10%. Monthly salary was increased by 34% from 802,600 Won to 1,076,000 Won and 90% of the CHPs were satisfied with their salary, also more CHPs responded that they have autonomy in their work planning, implementation of plan, management of the post, and evaluation of their activity. There were no appreciable changes in such CHPs' activities as assessment of local health resources, drawing map for the catchment area, utilization of community organization, grasping the current population structure in the catchment area, keeping the family health records, individual and group health education, and school health service. However, the number of home visits was increased from 13.6 times on the average per month per CHP to 27.5 times. More mothers and children were referred to other medical facilities for the immunization and family planning services. Average number of patients of hypertension, cancer, and diabetes in three months period was decreased from 12.7 to 11.6, from 1.5 to 1.2, and 4.3 to 3.4, respectively. Records for the patient care, drug management, and equipment were well kept but not for other records. The level of record keeping was not changed after officialization. The proportion of PHPs which had support from the health center was increased for drug supply from 14.0% to 30.0%, for consumable commodities from 22.0% to 52.0%, for maintenance of PHP from 54.0% to 68.0%, for supply of health education materials from 34.0% to 44.0%, and supply of equipment from 54.0% to 58.0%. Total monthly revenue of a PHP was increased by about 50,000 Won; increased by 22,000 Won in patient care and 34,700 Won in the government subsidy but decreased in the membership due and donation. However, there was no remarkable changes in the expenditure. The proportion of PHPs which had received official notes from the health center for the purpose of guidance and supervision of the CHPs was increased from 20% to 38% during three months period and the average number of telephone call for supervision from the health center per PHP was increased from 1.8 to 2.1 times(p<0.01). However, the proportion of PHPs that had supervisory visit and conference was reduced from 79% to 62%, and from 88% to 74%, respectively. The proportion of CHPs who maintained a cooperative relationship with Myun Health Workers was reduced from 42% to 36%, that with the director of health center from 46% to 24%, that with the chief of public health administration section from 56% to 36%, and that with the chairman of PHP management council from 62% to 38%. Most of the CHPs (92% before and 82% after officialization) stated that the PHP management council is not helpful for the PHP. CHPs who considered the PHP management council unnecessary increased from 4% to 16%(p<0.05). Suggestions made by the CHPs for the improvement of CHP program included emphasis on health education, assurance of autonomy for PHP management, increase of the kind of drugs that can be dispensed by CHPs, and appointment of an experienced CHP in the health center as the supervisor of CHPs. The results of this study revealed that the role and function of CHPs as reflected in their activities have not been changed after officialization. However, satisfaction in job security and salary was improved as well as the autonomy. Support of health center to the PHP was improved but more official notes were sent to the PHPs which required the CHPs more paper works. Number of telephone calls for supervision was increased but there was little administrative and technical guidance for the CHP activities.

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A Study on the Correlation between Categorization of the Individual Exposure Levels to Agent Orange and Serum Dioxin Levels Among the Korean Vietnam Veterans (베트남 참전 제대 군인의 범주화된 에이전트 오렌지 개인 폭로량과 혈청 다이옥신 측정치와의 상관성에 관한 연구)

  • Kang, Han-K.;Lim, Hyun-Sul;Cheong, Hae-Kwan;Lim, Min-Kyung;Kim, Joung-Soon
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.80-88
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    • 2001
  • Objectives : In an epidemiologic study on the health impact of Agent Orange exposure, the valid estimation of exposure level is the most important step. Based on recent studies, we examined the correlation between exposure levels categorized by personal exposure estimates and serum 2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD, Dioxin), exploring the possibility of utilizing the exposure level as a surrogate for the estimate of exposure to agent orange. Methods : During the study period (Jan 1996-Feb 1996), blood specimens of 745 subjects taken randomly among 1,329 persons and kept frozen, were analyzed for 2,3,7,8-TCDO and six other dioxin congeners. The serum dioxin and congeners were measured in 1998 by CDC, adjusted for serum lipids. We categorized the total exposure scores into five groups based on Agent Orange exposure data collected by interview and military records. Pearson and Spearman's correlation coefficients & multiple regression analysis were used to identify the relationship of the exposure level categorized with serum concentration of 2,3,7,8-TCDD, and six other dioxin congeners. Results : Dioxin and the other congeners, except 1,2,4,6,7,8-HpCDD, showed significant correlations to exposure categories (p<0.005): 2,3,7,8-TCDD and OCDD showed positive correlations, whereas the other congeners did negative. The values of 2,3,7,8-TCDD differed according to exposure category and proportionally increased from the low exposure group to the high, a dose-response relationship, even after other possible confounding variables were adjusted for. In multiple regression analysis, age$(\beta=0.033)$, dioxin$(\beta=0.433)$, 1,2,3,7,8-PeCDD$(\beta=-0.998)$, 1,2,3,4,7,8-HxCDD$(\beta=-0.773)$, 1,2,3,6,7,8-HxCDD$(\beta=0.255)$, 1,2,3,7,8,9-HxCDD$(\beta=-3.468)$, 1,2,3,4,6,7,8-HpCDD$(\beta=0.109)$ we re found to be significantly related to the total exposure score(p<0.005). Conclusion : This study demonstrated that the use of such categorizations as a surrogate measure of agent orange exposure in identifying exposure degrees in a health impact study is valid.

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A Development of Remote Medical Treatment System for Stroke Recovery using ZigBee-based Wireless Brain Stimulator and Internet (ZigBee 기반의 무선 뇌 자극기와 네트워크를 이용한 원격 뇌졸중 회복 시스템의 개발)

  • Kim, G.H.;Ryu, M.H.;Kim, J.J.;Kim, N.G.;Yang, Y.S.
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.3
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    • pp.514-517
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    • 2008
  • Ubiquitous healthcare (U-healthcare) system is one of potential applications of embedded system. Conventional U-healthcare systems are used in health monitoring or chronic disease care based on measuring and transmission of various vital signs. However, future U-healthcare system can be of benefit to more people such as stroke patients which have limited activity by providing them proper medical care as well as continuous monitoring. Recently, an electric brain stimulation treatments have been found to be a better way compared to conventional ones and many are interested in using the method toward the treatment of stroke. In this study, we proposed a remote medical treatment system using ZigBee-based wireless electric brain stimulator that can help them to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receive personal information of the connected patients and cumulate the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can extend their coverage to outdoors being networked with hand-held devices through ZigBee.

Current Status of Hip Fracture amongthe Elderly in Pusan (부산지역 노인들의 고관절골절발생실태에 관한 연구)

  • Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.841-850
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    • 2001
  • This study was conducted to find out current status and characteristics, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. The data were coolected from 199 cases hospitalized in 4 university hospitals in Pusan during three years period from January, 1966 to December, 1998. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed with x2-test. The results were as follow: The mean age of elderly hip fractured cases was 75.7 years, and 61.8% were female. The average hospital stay of the cases was 30.8 days, and 73.9% survived. Femur neck fracture cases comprised 51.7% of the toral cases, while trochanteric fracture cases comprised 48.3%. The hip fracture occurred more frequently during the day, shown as 66.9%, and the most frequently due to trips(44.2%), followed by slips(322%), c1ash(14.6%), dizziness(7.5%), and 00 on. Femur neck fracture, however, occurred the most frequently due to trips(51.5%) and, on the other hand, trochanteric fracture due to slips(40.6%) and trips(36.5%). About two third of hip fracture(67.8%) occurred inside of the building. The most frequently mentioned location for hip fractures was rooms or floors(32.1%), followed by streets(24.1%), bathrooms(17.6%), stairways(13.1%), and so on. Trochanteric fracture, especially, more frequently occurred inside of the building(71.9%) as compared to femur neck fracture(64.1 %). The rate of independent indoor walking in femur neck fractured cases reduced from 88.3% to 74.8% after fracture incidences, while the rate reduced from 86.0% to 45.8% in trochanteric fracture cases. It indicated that trochanteric fractures affected the walking ability of the elderly more severely that femur neck fractures. In conclusion, hip fracture occurs as a combined result of aging characteristics, environmental factors, and health related characteristics. Future studies that investigaterisk factors of hip fracture in elderly are recommended.

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Periodontitis among poor rural Indian mothers increases the risk of low birth weight babies: a hospital-based case control study

  • Jacob, Pulikottil Shaju;Nath, Sonia
    • Journal of Periodontal and Implant Science
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    • v.44 no.2
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    • pp.85-93
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    • 2014
  • Purpose: Low birth weight (LBW) is one of the major public health problems in India. Hence, there is a need to identify risk factors that, when modified, will reduce the burden of unhealthy children on the healthcare system. The objective of this study was to determine whether periodontitis among mothers in the rural population of India is a risk factor for LBW babies. Methods: A hospital-based case control study was conducted among 340 postpartum mothers. The cases consisted of 170 women who had given birth to babies weighing <2,500 g, while the control group consisted of 170 women who had given birth to babies weighing ${\geq}2,500g$. Details of the mothers were taken from the hospital records and through a personal interview, and a full-mouth periodontal examination was performed postpartum, which included probing depth, clinical attachment level, and bleeding on probing on six sites per tooth. Results: LBW cases had a significantly worse periodontal status than the controls, having an odds ratio (OR) of 2.94 (P=0.01). The multivariate logistic regression model demonstrated that periodontal disease is a significant independent risk factor with an adjusted odds ratio (aOR) of 2.85 for the LBW group (95% confidence interval [CI], 1.62-5.5). Other factors showing significant associations with LBW were pre-eclampsia (aOR, 4.49; 95% CI, 1.4-14.7), preterm labor (aOR, 5.5; 95% CI, 3.2-9.9), and vaginal type of delivery (aOR, 2.74; 95% CI, 1.4-5.2). Conclusions: Periodontitis represents a strong, independent, and clinically significant risk factor for LBW. Periodontal therapy should form a part of the antenatal preventive care among rural women in India.