• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.16 no.1
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• pp.72-78
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• 2005

Objectives : This study is to investigate the clinical characteristics of psychiatric consultation for children and adolescents in a general hospital. Methods : Hospital records of 302 children and adolescents who were referred for psychiatric consultation in a general hospital over 4 years were reviewed and analyzed. Results : The mean referral rate for psychiatric consultation for school age children and adolescents was $2.15\%$. While more girls were referred in middle and high school age group, more boys were referred in pre-school age group. Fifty percent of the consultation was requested from department of internal medicine and pediatrics. Main reason for requesting psychiatric consultation was fur the assessment of the patients from psychiatric point of view $(31.1\%)$, followed by the management of depression $(11.6\%)$ and anxiety $(11.3\%)$. Most frequently rendered psychiatric services for the treatment was psychosocial education and supportive therapy $(21.2\%)$. Conclusion : There are differences in clinical nature of psychiatric consultation and referral patterns between adult patients and child and adolescent patients. Future research is needed to strengthen the services for child and adolescent psychiatric consultation.

• YAKHAK HOEJI
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• v.55 no.5
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• pp.432-439
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• 2011

The effects of characteristics of community pharmacists on consultation time for prescription (RX) and nonprescription drugs (nRX) were investigated. A crosssectional descriptive design was established with a self-administered anonymous mail survey. Response rate was 52%. Significant pharmacists' factors related to having less than 3 minutes consultation for RX were one's dispensing duties exceeding 50%, low satisfaction with one's own level of consultation, working at the pharmacies nearby clinics, or shorter duration of consultation time for nRX. Consultation promoting conditions should be built up for the provision of sufficient consultation.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.6
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• pp.2861-2866
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• 2012

Background: The aim of our study was to assess the practical utility of the palliative prognostic index (PPI) as a prognostic tool used by nurse specialists in a hospice consultation setting in Taiwan. Methods: In total, 623 terminal cancer patients under hospice consultation care from one medical center in northern Taiwan were enrolled between January 1 and June 30, 2011. PPI was assessed by a nurse specialist at first hospice consultation and patients categorized into groups by prognosis (good, intermediate, poor). Patient survival was analyzed retrospectively to determine significance of between-group differences. Results: By PPI sum score, 37.2% of patients were in the good prognosis group, 18% in the intermediate prognosis group and 44.8% in the poor prognosis group. The death rates were 56%, 81.2% and 89.6% and median survivals were 76, 18 and 7 days, respectively. The hazard ratio was 0.19 (95% confidence interval [CI] 0.10-0.24, p<0.001) for the poor versus good prognosis group and 0.54 (95% CI 0.43-0.69, p<0.001) for the poor versus intermediate prognosis group. The sensitivity and specificity for the poor prognosis group was 66% and 71%; the positive predictive value and negative predictive value were 81% and 52%, respectively, to predict patient death within 21 days (area under the curve of the receiver operating characteristic was 0.68). Conclusions: Assessment by PPI can accurately predict survival of terminal cancer patients receiving hospice consultation care. PPI is a simple tool and can be administered by nurse members of hospice consultation teams.

• Korean Journal of School Psychology
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• v.16 no.1
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• pp.39-63
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• 2019

The purpose of this study was to explore how teachers perceive barriers to consultation with school counselors. For this purpose, the opinions of 16 teachers working in Seoul, Gyeonggi, Incheon, Chungcheong, and Daegu were collected through one-on-one interviews and qualitatively analyzed using the concept-mapping method. A second set of data was gathered to classify the similarity and importance of the teachers' statements through one-on-one interviews or the mail. The data was analyzed using multidimensional scaling and hierarchical cluster analyses. The results were as follows. The barriers to the consultation with school counselors as perceived by teachers were represented in 51 statements. Dimensional statement analysis revealed two dimensions: (a) 'School counseling's traits - School counselors' traits' and (b) 'Psychological difficulties - Environmental difficulties' Hierarchical cluster analysis identified 5 clusters: 'The responsibilities as homeroom teachers interfere with communication with counselors', 'Teachers lack of awareness of their ability to seek consultation with counselors', 'Teachers lack of trust in school counselors', 'Perceptions of the school counselors' role and lack of relevant experience with school counselors prevent teachers from seeking consultation', and 'School counselors are overworked due to the school counseling environment' The most important cluster was 'Teachers lack of trust in school counselors'.

• Journal of The Korean Association of Information Education
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• v.8 no.1
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• pp.101-110
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• 2004

The researcher designed and applied the cyber consultation system by making use of high-speed information networks and getting away from the established face-to-face consultation patterns in our society. The system is characterized by the means of communications to hold consultation with interviewees which enables us to feel free to converse with students in trouble and to more actively engage in interaction with the help of client-centered system. And it can also be used to help clients to change their attitudes towards consultation by relieving them of distrust, dislike and vague anxiety and to take active part in consultation. The established on-line consultation websites fail to continue consultation due to being able to hold secret consultation through e-mails. In this context, the researcher has produced the cyber consultation system to continuously hold various kinds of consultation including closed consultation between consultants and interviewees with the help of web servers where individual homepages are used.

• The Journal of the Korea Contents Association
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• v.7 no.4
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• pp.213-223
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• 2007

In this paper, we carry out a cyber group consultation by means of the video-based education system, and verify the effects. For the verification of this study, two assumptions were set up. These assumptions were inspected by selecting 45 students of D elementary school located in a big city, and coming up with a test utilizing one of video-based education systems. Following up, a self-respect test form and a questionnaire were made to verify of the group consultation to the video-based education system, and by analyzing the test form and the questionnaire, the conclusion of this study was finally drawn. The conclusion gained through the process adove is as follows: It turned out that real-time video-based cyber group consultation promoted self-respect and enthusiastic participation of consulters as well as formed emotinal stability and a close affinity between the consultant and the consulter through active interaction. The results of this video-based education system operation will be helpful to broaden the area of elementary school cyber group consultation. Further, it is thought that it will contribute to the basic investigation to verify the educational effects of Multi-point imaging system in the run-up to the operation of full-scale real-time video-based education systems.

• Korean Journal of Psychosomatic Medicine
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• v.19 no.1
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• pp.28-33
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• 2011

Objective: This study aimed to investigate the pattern of psychiatric consultation-liaison in a new general hospital over a 5-year period. Method: Retrospective chart review was conducted for psychiatric consultations performed from May 2004 to December 2008 in a new general hospital in Hwasun, Korea. Results: A total of 1,852 patients who were referred to the Department of Psychiatry for consultation were included in the analysis. The main reasons for psychiatric consultation were changes in mental status(20.5%), depression(16.8%), insomnia(12.8%), and anxiety(7.9%). Psychiatric consultations were conducted with diagnoses of delirium(39.7%), depressive disorder(28.2%), adjustment disorder(7.9%), and anxiety disorder(4.1%). Patients with delirium were significantly older than were those with other psychiatric diagnoses(p<0.001). Delirium was more common in male patients than in female patients(47.1% vs. 29.9%, respectively), and depression was more common in female patients than in male patients(48.3% vs. 33.9%, respectively)(p<0.001). Delirium was more common in patients who underwent surgical operation than those who did not(p=0.010). Conclusion: Delirium was the most common diagnosis for psychiatric consultation followed by depression in a university hospital. Delirium was more prevalent in men than in women, while depression was more common in women.

• Journal of Digital Convergence
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• v.14 no.11
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• pp.149-162
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• 2016

This paper aims to examine the mediating effects of client involvement and client utilizing willingness among consultant competency, consultation process and consulting performance. To accomplish the purpose, the analysis was conducted with 446 SMEs which had a consulting experience. The collected data were analyzed with SPSS and AMOS for Windows. This study used several statistical techniques such as descriptive analysis, confirmatory factor analysis, reliability analysis, feasibility analysis, Sobel test and the significance test of indirect effects. All studied factors presented meaningful results(+) except the path of consultant competency and client involvement. The client utilizing willingness presented the mediating role between consultation process and consulting performance. Consequently, it said that consultation process with client utilizing willingness was more important than consultant competency itself.

• Korea Journal of Hospital Management
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• v.26 no.1
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• pp.42-54
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• 2021

The purpose of this study is to analyze that ICT-based primary health care affects clinical changes of participants in the primary care chronic disease management pilot project using ICT medical care. Customized health information data, provided by National Health Insurance Service, was used for the analysis. The study targeted a total of 676 people that participated in primary care chronic disease management pilot project using ICT medical care from 2017 to 2018. Hierarchical regression was used to test three model. First, there were many subjects who used face-to-face consultation and non-face-to-face consultation(messaging), but less than half of patients using non-face-to-face consultation(telephone). Second, after participating in the pilot project, the fasting blood sugar level decreased. Third, the clinical condition of the subjects appeared to be an important factor in controlling blood sugar levels. Finally, patients using the non-face-to-face consultation(messaging) had reduced blood sugar levels after participating in the project. This results imply that non-face-to-face consultation is effective in reducing fasting blood sugar level with hospital intervention, and there are effects of the primary care chronic disease management project using ICT.

• ETRI Journal
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• v.41 no.4
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• pp.515-527
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• 2019

This paper discusses the design, implementation, and potential use of an ontology-based mobile pediatric consultation and monitoring system, which is a smart healthcare expert system for pediatric patients. The proposed system provides remote consultation and monitoring of pediatric patients during their illness at places distant from medical service areas. The system not only shares instant medical data with a pediatrician but also examines the data as a smart medical assistant to detect any emergency situation. In addition, it uses an inference engine to infer instant suggestions for performing certain initial medical treatment steps when necessary. The applied methodologies and main technical contributions have three aspects: (a) pediatric consultation and monitoring ontology, (b) semantic Web rule knowledge base, and (c) inference engine. Two case studies with real pediatric patients are provided and discussed. The reported results of the applied case studies are promising, and they demonstrate the applicability, effectiveness, and efficiency of the proposed approach.