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Kwon I.S.,Inje Institute of Advanced Studies
Journal of the Korean Medical Association | Year: 2014

Comprehensive geriatric assessment (CGA) is a diagnostic process evaluating frail older patient's medical problems and functional status to make overall plan for treatment and long-term care plan. It emphasizes on functional status and quality of life and uses interdisciplinary team and assessment tool frequently. CGA is associated with significant benefit in improved diagnostic accuracy with increased survival, improved physical and cognitive function, appropriate medication use, reduced hospital and nursing home use and reduced health care costs. Although frailty patients might have greatest benefits, careful periodic screening and follow up monitoring of all older persons is also very important. The goal of CGA in the older patients might be independence. To improve the quality of life of frail old patients and to reduce long-term care population number and care costs, performing geriatric assessment would be the best choice in geriatric field. © Korean Medical Association.


Kim Y.-N.,Inje University | Cho Y.-G.,Inje University | Kim C.-H.,Inje Institute of Advanced Studies | Kang J.-H.,Inje University | And 6 more authors.
Korean Journal of Family Medicine | Year: 2012

Background: While smoking prevalence in Korean men has been decreasing, it is increasing in Korean women. Little is known about women's smoking inequalities in Korea. This study was conducted to investigate the association of socioeconomic indicators with the initiation and cessation of smoking among Korean women. Methods: This was a cross-sectional study on 9,089 women aged 25-64 years from the 2008 Seoul Community Health Survey. The data on smoking and socioeconomic status were obtained through face-to-face interviews. Smoking initiation rate was defined as the proportion of the individuals who had started smoking at least one cigarette among all subjects. Smoking cessation rate was calculated by dividing the number of individuals who had quit smoking by the number of ever smokers. Education level, total family income and occupation were investigated as socioeconomic indicators. Results: Education level was significantly associated with both initiation and cessation of smoking. Lower educated women had a higher likelihood of smoking initiation (odds ratio [OR], 1.72; 95% confidence interval [CI], 1.17 to 2.51) but lower likelihood of smoking cessation (OR, 0.38; 95% CI, 0.22 to 0.66) than higher educated women. Smoking initiation rate was higher in manual workers (OR, 1.65; 95% CI, 1.20 to 2.27) than in non-manual workers. However, there were no significant differences of both initiation and cessation of smoking according to total household income. Conclusion: This study shows that there are smoking inequalities among Korean women. It is thought that education level and occupation are important determinants of women's smoking status. © 2012 The Korean Academy of Family Medicine.


Sin H.,Inje Institute of Advanced Studies | Lee G.,Kyungnam University
American Journal of Physical Medicine and Rehabilitation | Year: 2013

OBJECTIVE: The aim of this study was to investigate the effects of additional virtual reality training using Xbox Kinect on upper extremity function, including range of motion, motor function, and gross manual dexterity, in stroke survivors with hemiplegia. DESIGN: This study is a randomized controlled trial. Forty participants were randomly allocated to either the experimental or control groups; the experimental group (n = 20) underwent virtual reality training using Xbox Kinect and conventional occupational therapy, and the control group (n = 20) underwent conventional occupational therapy alone. The mean time since the onset of stroke was 7.22 mos in the experimental group and 8.47 mos in the control group. At baseline and after 6 wks of intervention, range of motion of the upper extremity was measured, and the Fugl-Meyer Assessment and the Box and Block Test were performed. RESULTS: After intervention, significant improvements from baseline values in range of motion of the upper extremity, Fugl-Meyer Assessment scores, and Box and Block Test scores were observed in the experimental and control groups (P < 0.05). At follow-up, there were significant differences between the two groups in range of motion (except for the wrist), Fugl-Meyer Assessment scores, and Box and Block Test scores (P < 0.05). CONCLUSIONS: The hemiplegic stroke survivors who received additional virtual reality training using Xbox Kinect showed significantly improved function of the upper extremity. However, the effects of the virtual reality training using Xbox Kinect may have been a result of the greater total intervention time in the training group compared with the control group. Thus, the potential efficacy of Xbox Kinect in the rehabilitation of post-stroke survivors needs to be investigated in greater depth. Copyright © 2013 by Lippincott Williams & Wilkins.


Song T.-M.,Korea Institute for Health and Social Studies | Ryu S.,Inje Institute of Advanced Studies | Ho Lee S.,HealthMax Co.
Healthcare Informatics Research | Year: 2011

Objectives: We were to analyze the effect of managing metabolic syndrome using a u-health service in a health center. Methods: We collected biometric data from 316 subjects living in a county (gun) in South Korea before and after the introduction of u-health services in 2010. Analysis was done by contingency table using SPSS and latent growth model using AMOS. Results: We found that regional u-health services affected instance of metabolic syndrome. Further, biometrics and health behavior improved. After six months of u-health services, the number of subjects with three or more factors for metabolic syndrome decreased by 62.5%; 63.3% of regular drinkers stopped drinking; 83.3% of subjects who rarely exercised began to exercise twice a week or more; and 60.9% of smokers stopped smoking. Conclusions: U-health services can change health behavior and biometrics to manage metabolic syndrome in rural areas. The usefulness of u-health services is discussed. © 2011 The Korean Society of Medical Informatics.


Song T.-M.,Korea Institute for Health and Social Affairs | Ryu S.,Inje Institute of Advanced Studies
Healthcare Informatics Research | Year: 2015

We reviewed applications of big data analysis of healthcare and social services in developed countries, and subsequently devised a framework for such an analysis in Korea. Methods: We reviewed the status of implementing big data analysis of health care and social services in developed countries, and strategies used by the Ministry of Health and Welfare of Korea (Government 3.0). We formulated a conceptual framework of big data in the healthcare and social service sectors at the national level. As a specific case, we designed a process and method of social big data analysis on suicide buzz. Results: Developed countries (e.g., the United States, the UK, Singapore, Australia, and even OECD and EU) are emphasizing the potential of big data, and using it as a tool to solve their long-standing problems. Big data strategies for the healthcare and social service sectors were formulated based on an ICT-based policy of current government and the strategic goals of the Ministry of Health and Welfare. We suggest a framework of big data analysis in the healthcare and welfare service sectors separately and assigned them tentative names: ‘health risk analysis center’ and ‘integrated social welfare service network’. A framework of social big data analysis is presented by applying it to the prevention and proactive detection of suicide in Korea. Conclusions: There are some concerns with the utilization of big data in the healthcare and social welfare sectors. Thus, research on these issues must be conducted so that sophisticated and practical solutions can be reached. ©2015 The Korean Society of Medical Informatics

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