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JYMS : Journal of Yeungnam Medical Science

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The art of diabetes care: guidelines for a holistic approach to human and social factors
Muhammad Jawad Hashim
J Yeungnam Med Sci. 2023;40(2):218-222.   Published online November 11, 2022
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  • 79 Download
AbstractAbstract PDF
A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients’ emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient’s perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient’s emotional state. Tailoring the level of advice and diabetes targets based on a patient’s personal and contextual factors requires mindfulness by clinicians.
Original Article
Status of the Use and Assessment of Order-Communicating System(OCS) in Emergency Care Center.
Sam Beom Lee, Jun Young Chung, Byung Soo Do
Yeungnam Univ J Med. 1997;14(1):85-93.   Published online June 30, 1997
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  • 1 Download
  • 1 Crossref
AbstractAbstract PDF
Hospital information system has been widely used and increased recently for a variety of many aspects. And Order-Communication System(OCS), as like as hospital information system, has been used in many medical care facilities, which is simple and easily accessible, useful system. Also then the use of OCS in emergency care center in YUMC has been introduced sine 1996. 10, above 70% of availability is notice at present and increasing in the use rate, is considered that is very simple and accurate, time-saving, widely applicable system. So authors say that, after the use of OCS in emergency care center, interhospital exchange of the patient's information and also accomplishment of EMSS can be possible.


Citations to this article as recorded by  
  • A CAOPI System Based on APACHE II for Predicting the Degree of Severity of Emergency Patients
    Young-Ho Lee, Un-Gu Kang, Eun-Young Jung, Eun-Sil Yoon, Dong-Kyun Park
    Journal of the Korea Society of Computer and Information.2011; 16(1): 175.     CrossRef

JYMS : Journal of Yeungnam Medical Science