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The purpose of this study was to identify the correlations between medical students’ communication skills and patient-physician interaction of clinical performance examination. A total of 36 fourth-year medical students were enrolled in this study and were surveyed concerning communication skills during clinical performance examination. The survey included 20 items in 4major areas: pre-interview (greeting, verifying patient’s name, introducing self, expressing interest, and confirming major symptoms), data collection (asking open-ended questions, reflecting, facilitation, clarifying information, and mid-point summarizing), data provision and patient education (finding out what the patient is thinking, responding to the patient’s emotions, explaining in a manner easy to understand, checking for the patient’s comprehension, taking additional questions), and non-verbal communication (professional appearance, active and respectful listening, appropriate eye contact, appropriate nodding, appropriate silence). 20 items of communication skills were reclassified to 5 patient-physician interaction items, and compared with patient-physician interaction scores of clinical performance examination. There were no correlations between communication skills and patient-physician interaction scores in two examination items (breast pain and acute abdominal pain). This study demonstrated that medical education of communication skills could not be transferred to improvement of patient-physician interaction in clinical skills assessment.

Madhya Pradesh is rich in plant wealth and endemic flora. As a part of conservation programme, institute has established an arboretum-cum-botanic garden in 1976, covering an area of 7.34 ha. The garden complex includes various sections situated in the campus and nursery. The main forest botanic garden is situated in 4.25 ha area and houses a wide array of forest flora including trees, shrubs, climbers and herbal plant species in various sections. Of the total species planted, over 50% were threatened and ascribed with conservation value. The garden was of scientific and educational utility. The institute provides diploma and degree courses in collaboration with Universities and colleges. The institute forest botanic garden has been registered under the network of Indian Botanic Gardens in 2005. It was one among the 140 Botanic gardens of India registered by Botanic Garden Conservation International under BGCI-Investing in Nature-India programme. Detailed online information was available on the IBGN website (http//www.ibgn.org). SFRI-BG is unique in terms of its scientific arrangement of plants. The species wise conservation status and uses pertaining to ethnic, medicinal and economic importance were described here.

There are several methods of psychophysiological data collection from humans such as, Electrocardiogram (ECG), Galvanic Skin Response (GSR), Electromyography (EMG), and Electroencephalography (EEG). This paper is presenting the emotion recognition of EEG brain signals using Support Vector Machine (SVM). The emotions were elicited in the subjects using emotion related stimuli. We used the emotional stimuli from the International Affective Picture System (IAPS) database in this research. These stimuli belonged to five types of emotions in our experiment such as, happy, calm, neutral, sad and scared. The raw EEG brain signals were preprocessed to remove the artifacts. We introduced a feature extraction method using Hjorth parameters. The set of features were extracted from preprocessed EEG signals of each subject, separately. The combined feature set of all subjects was processed through SVM. The results had shown the 70 % accuracy of emotion recognition in arousal-valence domain over 30 subjects.

Ventricular fibrillation (VF) and ventricular tachycardia (VT) are life-threatening signals. Automated external defibrillators can decrease the fatality rate if the VF/VT detection is stable and quick. This thesis proposes improved VF/VT detection. For our experiments, we use the complete Creighton University Ventricular Tachyarrhythmia Database. Samples are analyzed under the same conditions in intervals of 7 s. Based on this data, we propose a time-delay transform. Then, we extract six shockable features, three known and three new, which are used to construct our Neural Network with Weight Fuzzy Membership Functions model (NEWFM). The result is better than the phase space reconstruction algorithm.

The potential of computer science of integrating various other branches of science with the technology of computer machine has changed the various trends in human being's life by providing the health as service too. With the development of new technology of cloud computing which have the ability to provide the software on rent allowed the cheaper medium of services to the customer. In this paper, we will make a survey of the various wheezes detection system that have been used for detecting the chronic disease like asthma. We will also make a comparative study at the end of the paper.

The purpose of this study is to investigate the effect of sit to stand movement on the muscle activity of lower extremities muscles by the different type of chair and posture. Total 52 healthy adult between 19 and 26 were selected as subject for the study. The muscle activities of vastus lateralis, rectus femoris, vastus medialis, tibialis anterior and gastrocnemius by the different types of chair during sit to stand movement were measured by using surface electromyography WEMG. Sit to stand movement was performed by the different types of chair. For both fixed and wheeled chairs, rectus femoris and vastus lateralis showed a statistically significant difference (p<.05) when standing, while vastus medialis, rectus femoris, and vastus lateralis showed a statistically significant difference when sitting (p<.05). Comparison of standing and sitting positions revealed that all muscle types except gastrocnemius showed a statistically significant difference. This study suggests that it can be useful for providing fundamental data regarding the muscle activation of lower limbs according to chair type.

This study was attempted to investigate an empirical application of an information system to relieve chronic obstructive pulmonary disease. The subjects of this paper were 128 patients who had visited a general hospital which located in Chungnam area. As a result, first, for gender, the experimental group in a female with 64.1% showed higher than female with 60.9% in the control group. There was a significant difference in subjects who had intaked daikon after information intervention(t=-2.75, p=.000). In conclusion, a comprehensive adoption of an information system to minimize the damage of COPD will contribute effectively to the COPD recovery and prevention.

Numerical methods have had a tremendous effect in optimization of heart devices. Among all methods meshing independentalgorithms, as modern methods in simulations, have solved most problems related to meshing and reduced its complexity. In this paper, blood flow in heart centrifugal pump is simulated by dynamic of particles and based on this model, governing equations of velocity field and stress distribution, are determined. Also, the harmful locations in which hemolysis and thrombosis occur, are detected. In the present work we explore the feasibility of performing computations of such flows using SPH.To evaluate the accuracy of the computations the results are compared to other researches in [7,4] .The analysis results can also be used as the basis for further researches and the improvement of centrifugal pump.

The purpose of this study was to examine the effects of the core-stability training on postural control ability and respiratory function in patients with chronic stroke. 30 subjects were randomly assigned to 2 groups. Experimental group (n=15) received core-stability training and control group (n=15) received general exercise. Each program was performed 30 min, 4 times a week for a period of 8 weeks.Core-stability training included a therapeutic program to train abdominal muscle strength. General exercise include weight bearing and weight shifts and joint movements to improve flexibility and the range of motion. For all 30 subject, the items measured before the training were measured after the therapeutic intervention. To observe postural control changes, we measured maintenance & change of posture, balance and coordination ability with postural assessment scale for stroke (PASS) and trunk impairment scale (TIS). The respiratory functions were measured forced vital capacity (FVC), forced expiratory volume at one second (FEV1) using spirometer. After training, the PASS and TIS scores was significantly improved in experimental group (p<.05), and the experimental group showed significantly difference from control group (p<.05). In respiratory function test, experimental group more significantly increased than before (p<.05), and showed significantly difference from control group (p<.05). The results of this study showed that the core-stability training may be appropriate for improving the trunk stability and respiratory function in chronic stroke patients.

A survey was conducted among medical professionals including hospices, nurses, and administrative personnel who often heard the concept of AD and had many chances to observe related medical occasions to grasp their attitudes toward the preparation of AD. The logistic regression analysis was conducted to examine whether the objects agreed upon preparation of the form of AD and its effect on decisions about meaningless life-prolonging treatment. Factors affecting decisions about the preparation of AD included religion and education in the case of hospices, income and education in the case of nurses, and marriage, income, working experience, legislative institutionalization, and education in the case of administrative personnel. Factors affecting the decision of rejecting meaningless life-prolonging treatment (life-prolonging equipment) included working experience and the one who would make out the form in the case of hospices, income, and working experience in the case of nurses, and income and working experience in the case of administrative personnels. Factors affecting the decision of rejecting meaningless life-prolonging treatment (artificial nutrient supply) included working experience and the one who would make the form in the case of hospices, working experience in the case of nurses, and income and working experience in the case of administrative personnel. It turned out that there was a difference in the recognition of AD and meaningless life-prolonging treatment among medical professionals. Hence, it is vital to deliver accurate information on Advanced Directives, reduce differences among the members, and form a social consensus so that patients' right of autonomous choice and dignity can be guaranteed.

Every optical system is influenced with a set of aberrations. Some of them are corrected by the manufacturer of the optical system, other aberrations must be corrected additionally e.g. using methods of digital image correction. The presented paper describes a method which enables correction of a barrel or pillow distortion of an image of small range using the direct-mapping technique. The proposed method uses an algorithm of adaptive metaheuristics marked as jDE and a polynomial representation of the image distortion. The advantage of connecting direct mapping technique and adaptive metaheuristics is primarily high speed of finding basic coefficients of the correction polynomial; in our case it is polynomial of degree up to 7 and with a selectable combination of the used polynomial degrees. The disadvantage of the direct-mapping method is the necessity of reconstruction of the missing pixels in the final image, which is here solved very effectively by using optimizer jDE again. Using the proposed method it is possible to obtain high quality image free of barrel or pillow distortion. If the focus length of the used optical system is constant, values of the correction coefficients and positions of individual recovered pixels stay invariable as well

The study was conducted to determine the differences of research variables according general characteristics clinical nurses and to understand the factors affecting the job satisfaction of clinical nurses in Korea. Subjects were 330 clinical nurses. The results are as shown below; job stress burnout were different age groups, level education, work units, current positions, careers. For mindfulness, found positions. satisfaction, unit, positions There was positive influence between job satisfaction and mindfulness, but both job stress and burnout were negative influences. The findings of this study implied that mindfulness had a positive impact, but job stress and burnout had a negative impact, on job satisfaction.

The purpose of this study was to determine the association among critical thinking disposition, professional self-concept, and caring perception in nursing students and to identify its effects on professional self-concept. 161 nursing students, who were freshmen and sophomores having performed no clinical practice in Seoul, participated in this study. The data were collected from September to December 2013 and the collected data were analyzed using descriptive statistics, Pearson’s correlation coefficients, and stepwise multiple regression analysis. Significant positive correlation was found among critical thinking disposition, professional self-concept, and caring perception; critical thinking disposition and caring perception significantly affected professional self-concept and accounted for 15.7% of it. These results imply that efficient education programs can help establish a solid concept of caring and improve critical thinking ability, contributing to the development of the nursing profession.

Electrocardiogram and Respiratory signal are correlated to each other. In this paper respiration rate has been estimated from ECG. We purpose a novel combination of Ensemble Empirical Mode Decomposition (EEMD) and Canonical Correlation Analysis (CCA) in order to remove the artifacts and we have estimated the respiratory rate from the denoised ECG by creating the envelope of the denoised signal. The canonical components corresponding to the artifacts were removed on the basis of correlation coefficient of denoised signal and ground truth signal. The MIT- Polysomonographic and Apnea-ECG databases of physionet bank were used to acquire the ECG signals. Real time Baseline wander noise from MIT-NSTDB was added to each record and the respiratory rate determined was compared with the corresponding respiratory signals. The average snr improvement in case of denoising using EEMD-CCA is 20.8989db. The average BPM error in respiration rate derived from ECG denoised from EEMD is ±2.7 BPM.

This phenomenological study examined nursing students’ experiences of an educational emergency nursing-care simulation program on hypoglycemic patients. Participants comprised nine nursing students without prior simulation experience, selected from the present batch at the department of S university. One trained research assistant divided the students into three teams with three members each, and delivered two-hour theoretical lectures about diabetes and related nursing interventions. Subsequently, the assistant conducted two rounds of simulation tasks and debriefing. To understand the participants’ experiences of the program, focus group interviews were conducted. Data were analyzed by applying the Colaizzi phenomenological method. The simulation participation experience tended to be clustered into four categories and eleven sub- themes. The four areas were “first encounter with actual clinical cases,” “integrated application of individual nursing knowledge,” “discovering one’s identity as a future professional nurse,” and “learning through repetition and mistakes.” The participants showed a very positive attitude to the overall effectiveness of the practical session, although they were virtual situations. This suggests that simulation-based learning is an effective tool that should be employed in nursing education.

This research looked into the impacts of the individual job attitudes of reception window staffs working in general hospitals on their job performance. It was conducted to provide hospitals with effective human resource management and baseline data about hospital management. The subjects of this study were the emotional workers in charge of tasks such as payments, receipts, consultations for first medical examinations, issuance of certificates, procedures for hospitalization and discharges, medical consultations, reception window for the descriptions of examinations, outpatient reception window, industrial accidents and traffic accidents at 15 general hospitals in Seoul. Sampling was done with a total of 350 persons, and 319 copies were analyzed. Through a self-administered questionnaire survey, a five-point scale was used. This study aims to look into the impacts of the job attitudes of the reception staff on adaptive work performance and the effects of the adaptive work performance on job performance. In the results of the study, it was found that the job attitudes of the reception staff in charge of customer service encounters in hospitals had significant positive impacts on job performance with work performance as a mediating factor. As for the impacts of adaptive work performance on job performance, adaptive response performance and adaptive knowledge performance had impacts on that. As for the impacts of job attitude and work performance on job performance, customized responses, adaptive response performance and adaptive knowledge performance had impacts on that. Therefore, applying a customer-oriented disposition and the element of learning orientation to any future staff at the reception windows in hospitals in the recruitment, education and training of employees will be able to improve job performance.

This research was conducted to know the effectiveness of filtrate bacteriocin Lactobacillus acidophilusaccording to concentrations toward zone of growth inhibition contaminant bacteria from swordfish(Auxis rochei)stew. This research was an experimentally research conducted in laboratory of Food Chemical Research Center of LIPI Bandung used completely randomized design with two replications. Species of contaminant bacteria used wereBacillus sp. (RR2) (Da, Te, Amp, Sxt), Staphylococcus aureus(R4) and Staphylococcus aureus (R5) (Da) witha range of concentration the filtrate bacteriocin culture L.acidophilus50, 60, 70, 80, 90 and 100%. The parameters were diameter (mm) of the zones of bacterial growth inhibition.The Results showed that treatment with filtrate of bacteriocin concentration 50 to 100% effective can inhibition the growth of bacterial contaminants. This treatment privide that the filtrate bacteriocin of culture L.acidophilus can be used as bio-preservativein the swordfish stew.

This research analyzed the effect that the factors of hospital choice of cancer patients have on customer satisfaction. For this study, a survey was conducted on 450 cancer patients who used hospitals in regional and Seoul metropolitan area from July, 1st to July 30th of 2014. The results of this study are as follows. First, this research points out that human factors of the medical staff have the greatest influence on customer satisfaction for cancer patients such as the medical team’s competence, friendliness, and detailed explanation. Second, the analysis indicates that physical factors also have positive influence on customer satisfaction such as latest medical equipment and hospital environment. Third, the data shows that the accessibility of the hospital does not have much effect on customer satisfaction for cancer patients. This research demonstrates that the satisfaction rate of most critically-ill patients is directly linked to the two main elements: human factors—medical team’s competence, detailed explanation, and friendliness; and physical factors—latest medical equipment, pleasant environment, and convenient facilities.

In the past decade, there has been a rapid increase in the use of mobile phones and other small hand-held devices for communication. A forward head posture (turtle neck posture) is becoming more common with the increasing popularity of smartphones. The aim of this study was to evaluate the craniovertebral angle, head position angle, pain threshold of the sternocleidomastoid and upper trapezius muscles, and presence of depression in heavy smartphone users compared to a control group. Twenty healthy students participated in the study. The participants were recruited from Sahmyook University and were divided into a heavy user group (n=10) and a control group (n=10) according to smartphone addiction proneness. All protocols and procedures were approved by the Institutional Review Board of Sahmyook University (Seoul, South Korea) and all the subjects signed a statement of informed consent. Participants in both groups were assessed for their pain pressure threshold of the sternocleidomastoid and upper trapezius muscles, craniovertebral angle and head position angle, and depression. When comparing the results between the two groups, there were significant differences in the pain threshold of the sternocleidomastoid and upper trapezius muscles, head position angle, and depression (p<.05), but not in the craniovertebral angle. Based on the results, this study shows that heavy smartphone use may produce considerable stresses on the cervical spine, thus changing the cervical curve and pain threshold of the muscles around the neck. Smartphones could also cause negative effects on a person’s psychological status, such as depression. Therefore, individuals should make an effort to look at their phones with a neutral spine and to avoid spending hours hunched over their screens each day.

The electromyography (EMG) is the measure of electrical activity produced by the muscles which is usually represented as a function of time. This electromyography can be used in various applications including identifying neuromuscular diseases, control signal for prosthetic devices, controlling machines, robots etc. The existing system commercial EMG-controlled devices are limited to rudimentary control capabilities of either discrete states (e.g. hand close/open), or one degree of freedom proportional control. The proposed system investigates the relationship between forearm electrical activity and forces exerted by the fingertips. This system is used to calculate the muscular force while lifting, pulling, pushing the object in Hot Rolling Mill with the help of electromyography. The load cell is used to calculate the force exerted by the fingertips of the human. The value of the force exerted is displayed by using the LCD. A threshold force value is fixed and it is compared with the actual force exerted by the human being. If the actual force exceeds the threshold value human beings will be affected in a way like sprain and bone rubbing etc., so an alarm is provided to indicate this situation to avoid the above mentioned accidents. The proposed system is simulated by using keil C and the simulated results are verified.

The purpose of this study was to measure the lateral abdominal muscles (LAM) in stroke patients and the healthy adults and compare the symmetry and contracted ratio of LAM thickness of two groups. Twenty-six stroke patients and 35 healthy adults were participated. The thicknesses of transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles on the paretic/non-paretic (left/right) sides were measured by using ultrasonography during contraction and rest period. After measurements, we calculated symmetry and contracted ratio of LAM. Comparison of symmetric ratio of the two groups showed significant difference in all abdominal muscles, but not EO during contraction. Comparison of contracted ratio of the two groups showed significant difference in TrA, but not IO and EO. This study was investigated an asymmetry of LAM and decline of contracted ratio of TrA in stroke patients. These results revealed that recovery of TrA is needed for stroke patients. Further study on specific exercise for recovery of TrA in stroke patients will have to be conducted.

This study carried out size dimensional test selecting regular size implant fixtures that have similar upper diameter and the longest implant fixtures among four different types of fastening methods processed surface with SLA. Size test result of implant fixture upper diameter of 4 kinds by each conclusion method, all test pieces showed small variation less than standard size ± 1%, which is the norm standard size in exam specification standards of dental implant Dimensional medical devices test at the Republic of Korea Food and Drug Administration.

Now-a-days, in Pakistan especially in strategic, military and private sector hospitals, there is an increasing use of hospital information systems. It has been seemed that a localize approach for developing HMIS is prevailing i.e. conventional use of relational database system, which are isolated from others hospitals or remote data collection centers. In this, paper a framework is proposed for establishment of data warehouse to centralize data from remote hospitals and collection centers. Data mining and knowledge discovery modal is also discussed.

The purpose of this study was to identify the influencing factors that affect spiritual well-being of foreign immigrant women in Korea. Research design is descriptive survey study. The participants of this research were foreign immigrant women married to Korean men residing in the 5 cities, S, KG(H, Y), KN(J) and P. Structured questionnaire was used to verify the degree of spiritual well-being and acculturative stress level. Data were collected from August 2010 to May 2011 and were analyzed by SPSS. As a result, the mean score of spiritual well-being was 3.31±.48. Some of the variables studied prior to the research were , satisfaction of marriage life, life quality in Korea, acculturative stress level, duration of stay in Korea, degree of education and religion were the major factors that affected the spiritual well-being of the foreign immigrant wives. In order to increase the level of their spiritual well-being, the immigrant wives should be able to practice their religion of choice, and increasing the effectiveness of communication through various methods, such as Korean language education and learning the wives’ languages, would also help raise the level of marriage life satisfaction. More effort to develop other intercession methods should be made.

Remote sensor systems assume a critical part in different applications including human services checking. Health awareness application space is one of the developing areas in the present world. Remote Sensor Network is better known in social insurance applications and, it creates high volume of information in an occasional interim. The information ought to be adequately put away and later it ought to be handled and investigated by the specialists to comprehend the wellbeing states of the patients. Be that as it may, the primary disadvantage of WSN is it couldn't ready to store extensive measure of information. Subsequently there is a requirement for the adaptable situations like Grid to viably store the information and utilize later for transforming and examining the information. In this Paper the model presents Integrated Distributed Architecture (IDA), a sensor system administration empowering successful system wide vitality choice making. IDA incorporates into the sensor system application by giving an API. The proposed work planned to abatement the information exchange time and expands the achievement rate of information employment appeals and throughput.

This study aims to identify the monthly average medical expenses of public pension recipients, and analyze the determinants of total medical expenses and Western and Oriental medicine expenses/expenditure, along with the determinants of health supplement expenses, medical service expenses, and medical supplies expenses. This study used the fifth year data of 2013 out of the raw data of the Korean Retirement and Income Study collected by the National Pension Research Institute. To compare with the determinants of health and medical expenses of public pension recipients, this study analyzed 1,136 respondents receiving public pension, while they were in the state of retirement, excluding no-responding persons and error responses, as the final subject of the analysis. According to the recipients’ monthly average household expenditure was about KRW 1.75 million. Total medical expenses were about KRW 131,000, Western and Oriental medicine expenses were about KRW 50,000, and health supplement expenses were about KRW 24,000. Medical service expenses were approximately KRW 42,000 and health and medical supplies and devices expenses were analyzed to be KRW 7,000. Multi-regression analysis results, all item expenses rose as expenditure size, which is income’s surrogate variable, increased. More family members living together had a significant influence on total health and medical expenses, as the number of chronic diseases increased, it became a factor in the increase of total health and medical expenses and Western and Oriental medicine expenses. The findings in this study have significance in that the health and medical expenses factors of Korean public pension recipients have been analyzed.

Robot-assisted MIDCAB and Endoscopic coronary artery bypass (TECAB) operations are being performed with the DaVinci system. In this paper, we propose an adaptive feedback linearization control scheme (AFC) for continuous-time,multiple input-multipleoutput (MIMO) linear time-varying uncertain robotic system. The AFC consists of a fuzzy controller with adaptivemechanism to reconstruct the system states using the trackingerror and to make the state error reach the equilibrium point ina finite time period quickly. The sliding surface is first employedto represent the state error to reach the equilibrium point ina finite time period using adaptive theory. Then, a fuzzy controller usingsliding surface is developed to achieve the feedback linearization control performanceand the state tracking errors performance quickly. The reachingmode of the uncertain system using the proposed fuzzy sliding surface adaptive feedback linearization controller is guaranteed.Moreover,thechatteringaround the slidingsurface for the proposedcontrolcan bereduced.This method has an acceptable accuracy regarding to three nonlinear method; sliding surface technique, fuzzy logic and feedback linearization method. Therefore it can guarantee the performance of multi degrees of freedom joint in robot-assisted MIDCAB.

Emotional intelligence (EI) has been highlighted as an important theoretical and practical construct. The attributes of EI are important for overall well-being and influence our ability to succeed in life. The purpose of this study was to investigate the relationship between the emotional intelligences and coping strategies in nursing students. The participants were 219 college students in Daejeon, Korea. All the students were administered two instruments, the EI and Korea version in coping strategy Indicator (K-CSI) scale. Descriptive statistics t-test, ANOVA, and Pearson correlations technique were used to analyze the data with the SPSS Win 15.0 programs. Emotional intelligence was positively related to problem solving coping and social support seeking coping. The findings suggest that increased feelings of control and emotional competence assist nursing students to adopt active and effective coping strategies when dealing with stress.

Environmental awareness is increasing all over the world. Concerns about the effects of global warming, such as rising sea levels, are inspiring growing interest in clean energy. The Fukushima nuclear disaster made renewable energy appear to be the main energy source of the future. This paper estimates the value of renewable energy as a substitute for nuclear energy by inferring Korean customers’ willingness to pay (WTP) for it. We use the contingent valuation methodology (CVM) to determine the WTP of renewable energy and thereby estimate its value. We also identify the direct and social factors that influence the WTP and study the relationships between them through multiple regression analysis. The per capita value of renewable energy is found to be 38,921 won, and renewable energy was found to be affected chiefly by ethical factors. Moreover, constructing renewable energy facilities instead of nuclear facilities would require an additional 40 trillion won (approximately), complicating the promotion of renewable energy generation in view of Korea’s public debt.