Measuring the Level of Health Literacy and Influence Factors: Targeting the Visitors of a University Hospital s Outpatient Clinic

Purpose: The objective of this research was to measure health literacy level of the visitors of a university hospital's out patient clinic and to consider its influence factors. Methods: Subjects were 400 visitors in an outpatient clinic of a university hospital. By using self-report questionnaire which included Newest Vital Sign (NVS) and general information inquiry, the level of health literacy and its influence factors were measured. The data were analyzed by using t-test, ANOVA, and Pearson's correlation. Results: The NVS score of subjects was 3.54 (±1.91) out of maximum 6 scale. The factors that have significant relationships with the health literacy were age, sex, marital status, educational background, monthly income, health information source, number of diseases, number of medications and drinking status. Participants who are men, in old age, having lack of supportive relationship, having low levels of education, having low income, having more comorbid diseases & medications, tend to have lower NVS score compared to others. Conclusion: We suggest extending our research results for evaluating the risky group to improve the health literacy and to develop the strategic methods for better health outcomes.OAIID:oai:osos.snu.ac.kr:snu2011-01/102/0000028528/3SEQ:3PERF_CD:SNU2011-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:37 건강정보이해능력 수준과 영향요인에 대한 고찰 (1).pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

의료건강 기능성 게임의 현황과 가능성에 대한 조망

21세기 정보화 사회는 새로운 것들에 대한 다양한 시도가 가속화되며 융합하는 시대로서 용 어에 있어서도 여러 가지 다양한 결합의 시도가 발견된다. 예를 들변 Fun-tainment, Edutainment, Health-tainment 똥이 그것 이 다. 이러한 단어들에서 공통적으로 발견되는 것은 재미 또는 흥미로서， 21세기는 가허 재미를 통 인간의 행복추구권을 적극적으로 찾아나서는 시대로 보인다. 지식은 경헝이라는 논리상에서 볼 때， 사회의 구성원으로서 가져야 할 경험을 흥미로운 tool쓸 풍해 제공하는 것이 게임이라고 할 수있다. 미국에서는 시리어스 게임 (serious game) 이라고 불리우는 기능성 게임 (functional game) 이란 게임적 요소인 재미에 특별한 목적을 부가하여 제작한 게임을 말한다. 가능성 게임은 초기에는 군사용으로 사용하였으나 현재는 의료건강 분야의 전문가 교육과 훈련， 그리고 환자의 교육이나 정보제공 등의 목적성 게임으로 게임 산업의 장르 다변화와 영역 확대는 물혼 게임에 대한 부정적 인식 해소와 건전한 게임 문화 조성에도 기여할 수 있게 되었다.OAIID:oai:osos.snu.ac.kr:snu2010-01/102/0000028528/1SEQ:1PERF_CD:SNU2010-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:33 의료건강 기능성 게임의 현황과 가능성에 대한 조망.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

Study of u-Health Definition using Q methods Subjectivity Analysis

Objective: This study attempted to analyze and to give a concrete form of u‐Health concept which has very broad and diverse definitions until now, because of the newness of the concept. Method: Q method was adopted to unravel the concept, and 50 Q‐statements were selected and rated by 48 P‐samples, and the resulting data were analyzed by factor analysis of SPSS. Result: Six factors were drawn as to Potentiality, Functionality, Technology, Integrity, Futuristic and Consumer‐centered. The concept u‐Health was defined as Futuristic functional healthcare service which is consumercentered and has enormous potentiality utilizing technology. Conclusion: Based on the definition, u‐Health should be expanded and extended crossover the boundaries of disciplines and professionals to make it the real fruition of Consilience.OAIID:oai:osos.snu.ac.kr:snu2008-01/102/0000028528/2SEQ:2PERF_CD:SNU2008-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:21 Q method의 주관성 분석을 이용한 유헬스의 정의.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

e-Health/u-Health 시대를 대비한 간호의 역할 확대

e‐Health/u‐Health has generally been considered as an expansion of current medical and medicalrelevant segments. However, as e‐Health/u‐Health has been known to have typical attributes and characteristics of services supporting a physically and mentally well‐balanced life of its users, we can rationally assume that e‐Health/u‐Health can be not only an expansion of the existing medical field but also a result of the complex and sophisticated convergence among diverse industries such as the ICT industry, traditional care‐relevant segments, etc. Thus, in this study, we carefully and cautiously consider e‐Health/u‐Health in accordance with both possible scenarios: 1) an expansion of a typical industry, and 2) a result of a convergence among various industries. The advent of new technologies, rapid development of current technologies, and convergence trends in various fields are creating dramatic innovations in the next generation health services market. Consumerism as a characteristic of e‐Health/u‐Health can be expected to find a solution of the existing healthcare service problems. In the initial phase, mainly due to the absence of a vanguard, as well as to various legalistic and regulative limitations, the role of the government would be immensely critical for the successful early settlement of the e‐Health/u‐Health industry. Both the government and private sector need to practice continuous and effective public education and publicity mainly to increase the overall recognition and usability of e‐Health/u‐Health services. Nursing as a unique professional discipline should be well aware of the new paradigm shift of the healthcare market, and make maximum use of the possibility of this trend to the advent of the professional nursings new role.OAIID:oai:osos.snu.ac.kr:snu2008-01/102/0000028528/4SEQ:4PERF_CD:SNU2008-01EVAL_ITEM_CD:102USER_ID:0000028528EMP_ID:A076124DEPT_CD:811FILENAME:22 e-Health u-Health 시대를 대비한 간호의 역할 확대.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

A Study for Building a System of Consumer Vocabulary for Health Information

Objectives: The purposes of this study were to identify the difference between consumer vocabulary and medical vocabulary in terms of health information; to understand the features of consumer vocabulary; and to contribute by building a system that is able to link consumer vocabulary with medical vocabulary. Methods: Data collection was conducted using articles in the knowledge corner of a portal web-site. A total of 43,304 health-related terms (total terms extracted) were collected as objects of this study and these terms were analyzed for their mapping rate and frequency of use (the repeated number of a term). Results: The rate of mapping between the consumer vocabulary for health information and the medical vocabulary was not high. However, the number of unmapped terms was decreased by linking terms having similar forms to preferred terms and by extending synonyms. Conclusion: Linking with preferred terms and extending synonyms are, thus, required to increase the mapping rate between consumer vocabulary for health information and medical vocabulary, and the terms that consumers use are essential to further be researched in order to understand their morphology and features; hence, increasing consumer accessibility to the medical field.OAIID:oai:osos.snu.ac.kr:snu2009-01/102/0000028528/2SEQ:2PERF_CD:SNU2009-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:건강정보 소비자 용어 시스템 구축을 위한 기반연구.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

Utilization of the Computerized Medical Error Reporting System for Improving Patient Safety among Korean Hospitals

This study aimed (1) to investigate the utilization of the reporting system for the medical errors among Korean hospitals. (2) to investigate the utilization of computerized reporting system for the medical errors among Korean hospitals. Methods: Among 283 Chairs of the nursing department surveyed, 99(34.98%) returned the completed self-report questionnaire. A questionnaire devised by researchers was used for a survey through mail. Data were analyzed using SPSS 10.0. Results: Seventy four hospitals(75.51%) had official reporting systems, and 46 hospitals(47.42%) had official reporting procedures of medical error. The responsible staffs reporting to the president include department head(91.14%), administrative officer(8.86%), and the involved person(s)(5.06%). Forty four hospitals(44.90%) did not guarantee anonymity in reporting or recording medical errors. Medical errors were reported mostly on the paper(75hospitals, 76.53%) or verbally, and only three hospitals(3.06%) used the computerized reporting system. Conclusion: Systemic evaluation of the medical errors based on the prompt and voluntary report is an essential step to reduce systemic errors and improve patient safety. To guarantee anonymity and non-punitive treatment to the reporting, a computerized reporting system should be actively utilized in Korea.OAIID:oai:osos.snu.ac.kr:snu2004-01/102/0000028528/2SEQ:2PERF_CD:SNU2004-01EVAL_ITEM_CD:102USER_ID:0000028528EMP_ID:A076124DEPT_CD:811FILENAME:03 환자안전 향상을 위한 종합병원의 전산화된 사건보고 시스템 운영 실태조사.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

Nurses' perception of the hospital environment and communication process related to patient safety in Korea

A survey was conducted with 886 nurses working at the university hospitals using the AHRQ_KR. Nurses perception of patient safety was described regarding the seven areas: working environment, manager's perception of patient safety, communication channel and process, frequency of report, overall patient safety, cooperation of managers and collaboration between units, and the number of reported cases for the medical error during the last 12 months. We found that Korean nurses perception evaluated by the AHRQ_KR ranged from 3.33 to 4.03. Nurses' perception of their work environment and communication process related to patient safety varies depending on their age, working experience, and working area. Nation wide surveys need to be conducted with other health professionals such as physicians, pharmacists, and hospital administrators. Additionally, call for investment to develop a hospital information system that can be the most cost-effective and innovative way to improve patient safety is urgent.OAIID:oai:osos.snu.ac.kr:snu2004-01/102/0000028528/1SEQ:1PERF_CD:SNU2004-01EVAL_ITEM_CD:102USER_ID:0000028528EMP_ID:A076124DEPT_CD:811FILENAME:01 환자안전과 관련된 병원환경 및 의사소통과정에 대한 한국 간호사의 인식조사.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

Development and Usability Test of a Website for Cancer Symptom Management

Objective: This study was conducted to develop cancer patients' symptom management guideline, and to develop and test the utility of the web-based guideline service system. Methods: Based on the literature review, guidelines for symptom management for nausea/vomiting, fatigue, constipation, diarrhea, and oral mucositis were developed. A web-based cancer patients' symptom management system was developed on the basis of guideline developed in the first stage of the study. Forty-five oncology nurses were recruited and asked to evaluate and validate the system by rating level of satisfaction with function, content and effectiveness of the web-based service after they used the website for cancer patients care. Results: Regarding the function of the system around 50% of oncology nurses expressed satisfaction with the system. Regarding the content of the system, nurses expressed highest satisfaction with reliability of information(66.7%) and lowest satisfaction with sufficiency of information (37.7%). Regarding the effectiveness of the system in terms of knowledge enhancement, about 40% of nurses indicated that they satisfied with the system. In terms of usefulness of the system, 48.9% of nurses expressed their satisfaction with the system. Conclusion: The result of this study has implications on future use of a web-based guideline for managing symptoms of cancer patients.OAIID:oai:osos.snu.ac.kr:snu2005-01/102/0000028528/3SEQ:3PERF_CD:SNU2005-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811FILENAME:06 암환자의 주요증상 관리를 위한 웹사이트 개발 및 활용성 평가.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

동시 복합 가교를 통한 알지네이트/젤라틴 블렌드 섬유의 제조

학위논문 (석사)-- 서울대학교 대학원 : 농업생명과학대학 바이오시스템.소재학부(바이오소재공학전공), 2019. 2. 이기훈.본 연구에서는 알지네이트와 젤라틴 메타크릴레이트를 블렌드하여 습식 방사를 통한 천연 고분자 기반의 섬유를 제조하고자 하였다. 방사 과정에서 원료인 젤라틴의 손실을 최소화하고 역학적 특성과 물에 대한 안정성이 향상된 섬유를 제조하고자 알지네이트는 칼슘 이온으로 이온 가교를 하였고, 동시에 젤라틴에 메타크릴레이트 작용기를 도입하여 광 가교를 시도하였다. 먼저, 동시 복합 가교의 효과를 확인하고자 알지네이트의 이온 가교만 이루어진 알지네이트/젤라틴 단순 블렌드 섬유와 젤라틴 개질을 통한 광 가교가 도입된 알지네이트/젤라틴 메타크릴레이트 블렌드 섬유의 젤라틴 유실도와 역학적 특성을 비교하였다. 그 결과, 광 가교 도입으로 인하여 젤라틴 유실도가 42.4% 감소하였고, 섬유의 강도와 탄성률이 증가하였다. 또한, 알지네이트와 젤라틴 메타크릴레이트의 블렌드 비율이 6:4 일 때, 젤라틴 유실도가 최소화되면서 역학적 특성이 향상되었다. 응고욕에 젤라틴의 비용매인 에탄올을 첨가하여 응고욕의 조성을 조절함에 따라 섬유에 미치는 영향을 확인한 결과, 섬유의 단면 형태는 콩 모양(bean-shape)으로 변화하였고, 젤라틴의 유실도는 감소하였다. 하지만 섬유의 취성이 강해지는 경향을 나타내었다. 반면 응고욕에서의 추가 광 가교를 진행한 결과, 기존의 응고욕에서 유실되던 젤라틴이 추가로 가교되어 젤라틴의 유실도는 추가 가교 전에 비해 33.5 % 감소하였다. 섬유의 인장 강도와 탄성률 역시 추가 가교로 인하여 향상되었다. 응고욕에 에탄올 첨가와 비교하였을 때, 비슷한 정도의 젤라틴 유실도를 개선할 수 있었지만, 물성은 더 향상된 것을 확인하였다. 다음과 같은 과정을 통해 원료인 젤라틴의 손실을 최소화하여 생산성을 높이면서 역학적 특성과 물에 대한 안정성이 개선된 젤라틴 기반의 천연 고분자 섬유를 제조하였다.In this study, we prepared alginate/gelatin methacrylate blend fibers by wet-spinning. In order to minimize the loss of gelatin during spinning process and improve mechanical properties and water stability of blend fibers, we introduce in-situ dual crosslinking method. Alginate was ionic-crosslinked by calcium ion and at the same time, photo-crosslinking was attempted by introducing methacrylate functional groups into gelatin. Firstly, to confirm the effect of dual crosslinking, gelatin leakage and mechanical properties of alginate/gelatin simple blend fiber were compared with those of alginate/gelatin methacrylate blend fiber. As a result, the gelatin leakage was decreased by 42.4% and the strength and modulus of blend fibers were improved due to the introduction of photo-crosslinking. In addition, when the blend ratio of alginate to gelatin methacrylate was 6:4, the gelatin leakage was minimized and the mechanical properties of fibers were confirmed. As a result of evaluating the effect of the composition of coagulation bath on the fiber, the cross-sectional shapes of the fibers were changed into bean-shape and the gelatin leakage was decreased. However, the brittleness of the fiber became stronger. Furthermore, as a result of additional photo-crosslinking in the coagulation bath, the gelatin leakage was decreased by 33.5% compared with that before additional crosslinking. The strength and modulus of blend fibers were also improved due to the additional crosslinking.초 록 i 목 차 ⅲ List of Tables ⅵ List of Figures ⅶ 제 1 장 서론 1 제 2 장 문헌 연구 5 2.1. 천연 고분자 기반 섬유 5 2.1.1. 천연 고분자 (Biopolymer) 5 2.1.2. 천연 고분자 기반 섬유 7 2.2. 젤라틴 10 2.2.1. 젤라틴의 특성 10 2.2.2. 젤라틴의 가교 10 2.2.3. 젤라틴 메타크릴레이트 11 2.3. 젤라틴 섬유 14 2.3.1. 가교 처리 14 2.3.2. 알지네이트/젤라틴 블렌드 15 제 3 장 재료 및 방법 17 3.1. 재료 17 3.2. 방법 17 3.2.1. 젤라틴 메타크릴레이트 합성 17 3.2.2. 젤라틴 메타크릴레이트 치환도 분석 18 3.2.3. 알지네이트/젤라틴, 젤라틴 메타크릴레이트 블렌드 섬유 제조 19 3.2.4. 알지네이트/젤라틴 메타크릴레이트 블렌드 용액의 유변학적 특성 분석 20 3.2.5. 알지네이트/젤라틴 메타크릴레이트 블렌드 섬유의 특성 분석 22 3.2.5.1. 역학적 특성 분석 22 3.2.5.2. 젤라틴 유실도 측정 22 3.2.5.3. 물에 대한 안정성 측정 23 3.2.5.4. 젤라틴 방출 거동 확인 23 3.2.5.5. 형태학적 특성 분석 24 3.2.5.6. 화학적 구조 특성 분석 24 3.2.6. 생물학적 특성 분석 24 3.2.6.1. 세포 독성 평가 24 제 4 장 결과 및 고찰 26 4.1. 젤라틴 메타크릴레이트의 도입량 분석 26 4.2. 알지네이트/젤라틴 메타크릴레이트의 복합 가교 30 4.2.1. 젤라틴 유실도 분석 30 4.2.2. 역학적 특성 분석 37 4.2.3. 형태학적 분석 39 4.2.4. 젤라틴 방출 거동 44 4.3. 알지네이트/젤라틴 메타크릴레이트 비율 조건 46 4.3.1. 알지네이트/젤라틴 메타크릴레이트 블렌드 섬유제조 46 4.3.2. 젤라틴 유실도 분석 47 4.3.3. 역학적 특성 분석 51 4.3.4. 형태학적 분석 51 4.4. 응고욕 조성 조건 58 4.4.1. 젤라틴 유실도 분석 58 4.4.2. 역학적 특성 분석 61 4.4.3. 형태학적 분석 61 4.5. 추가 가교 처리의 효과 65 4.5.1. 젤라틴 유실도 분석 65 4.5.2. 역학적 특성 분석 66 4.5.3. 물에 대한 안정성 평가 66 4.6. 생물학적 특성 분석 71 4.6.1. 세포 독성 71 제 5 장 결론 73 참고문헌 75 Abstract 86Maste

An Empirical Study on the Estimation of Terminal Storage Capacity

If the vessel is getting lager in size, the shipping company will reduce the port of call to cut down the staying time in port, and that reason classify the port part into the hub port and feeder port. By the reason of those, the competition between rival ports is the deeper and deeper. Generally, the container terminal is separated into Wharf, CY, and gate, but if to separate the terminal productive as special part is unreasonable on total terminal operation. The discharging and loading capacity in CY, the storage capacity for admitting them in storage yard and harmonized operation in gate have to be balanced. Especially on wharf capacity, there are many flowing items like skill of worker, the number of crane, discharging capacity. But on CY, the storage space for the capacity of discharging and loading for container in moment are the fixed items, in time of requirement for expanding and changing of them is difficult. Therefore, in this research, on considering those factors, we predict the most volume of throughput on discharging and loading from 8,000 TEU and 1,2000 class vessel, and then estimate the scale of CY for handing the volume of throughput and assessing the additional necessary space of CY comparing with new port in Pusan.제 1장 서론 1.1 연구의 배경 1 1.2 연구의 목적 2 1.3 연구의 방법 및 구성 3 제 2장 해운항만 환경 변화 2.1 선박의 대형화 및 수주현황 5 2.1.1 선박의 대형화 5 2.1.2 국내조선소의 수주현황 및 선박 규모 7 2.2 선박의 대형화로 인한 항만환경 변화 8 2.2.1 펜들럼 스비스 증가와 기항항만의 축소 8 2.2.2 중심항 및 피더항으로의 역할 구분 9 2.2.3 항만에 미치는 영향 10 제 3장 국내 컨테이너터미널 현황 3.1 부산 북항의 시설 현황 12 3.1.1 일반현황 12 3.1.2 장치장 현황 13 3.2 부산 북항의 처리능력 14 3.2.1 안벽 하역능력 14 3.3 장치장 처리능력 16 3.3.1 장치장 규모 산정 방법 16 3.3.2 계획 하역능력과 실제 장치능력 비교 17 3.4 국내 터미널의 현황 문제점 20 제 4장 실증자료 분석 4.1 선박규모별 특성 분석 21 4.1.1 선박규모별 양&#8228양하비율별 과부족 38 제 6장 결론 6.1 결론 및 시사점 40 6.2 연구의 한계 및 추후 연구방향 42 참고문헌 43적하 물동량 예측 26 4.2 장치장 특성 27 4.2.1 장치장 점유율별 일수 27 4.2.2 연속장치일수 분석 29 4.2.3 터미널에서 ODCY로 반출된 수입컨테이너 29 제 5장 장치장 규모 산정 5.1 장치장 규모 산정시 환경설정 31 5.2 1개 선석 운영시 장치장 규모 산정 33 5.3 4개 선석운영시 장치장 규모산정 37 5.4 선박규모&#8228적하 비율 22 4.1.3 대형선의 선박 규모별 처리량 24 4.1.4 선박당 접안시간 및 처리시간 25 4.1.5 대형선의 양&#8228적하 특성 분석 21 4.1.2 양&#822