This study suggests basic data on optimum thermal insulation for spring wear through an investigation of subjective thermal sensation, self-health image and actual wearing conditions. A survey of university students using a self-administered questionnaire was conducted to collect data on subjective thermal sensation, self-health image, wearing conditions, demographics and physical characteristics. The variable of wearing conditions was measured as the response to the clothing they were wearing. Garment items (26 types for males and 41 types for females) were suggested and the items worn by the students were converted into the thermal insulation values for clothing. The main results are as follows. As for the body type perception, males perceived themselves as not fat while females perceived themselves as not thin. As for the health perception, males perceived themselves healthier than females. As for the climate adaptability perception, females were more sensitive to cold than males. The average thermal insulation of clothing was 0.97clo (0.34-1.95clo) with higher insulation for males than females. Students were more sensitive to the cold when their BMI was lower, their body surface area per body weight was larger, and the more they perceived themselves as not healthy. There was a significant correlation between the self-health image of sensitiveness to cold and the thermal insulation of clothing. The results were synthetically discussed in terms of environmental physiology.
It is generally believed that the medical profession in Korea is an well-paid field along with legal profession. In this vein, the nursing is regarded one of well-paid profession. The actual data, however, reveals that nurses belong to low income bracket. We carefully compare the nurse's earnings with those of other professions. We selected 58 professions, which are similar in vocational characteristics and education background to nurses and conduct a regression analysis to estimate earning functions. Using the estimated coefficients, we project an optimum salary level for nurse, and compare it with the actual salary level. The estimated results show that the nurses are underpaid : their actual salary is less than the optimum level. We provide several explanations for this phenomenon : a tradition based on Confucian value, wage discrimination for women, and wage inequality among hospitals. Undercompensation will result either ratard professional development, or block the motivation for high quality of nursing care. If the current underpaying situation is not improved, a shortage of nurses along with an noticeable decline in the quality of medical services are expected. Therefore an adequate compensation for nurses must be properly assessed and addresed not only be health care authorities but also by legislators. Further research is needed to explain why there is such as wide salary inequality among nurses, and to find what cause it.
The purpose of this article is to examine the cause of policy non-compliance in the case of pharmaceutical rebates from the perspective of rational choice institutionalism. In Korea, there have been rebates practices between pharmaceutical companies and hospitals since the introduction of the Actual Remuneration System for insured medicine in 1999. The government has chosen the policy means of punishment to eliminate pharmaceutical rebates but the illegal practices are still widespread. Institution in rational choice institutionalism usually reflects the incentives and preferences of actors, and the Actual Remuneration System has resulted in a the lack of procedures to ensure savings on drug expenditures. Pharmaceutical rebates are the product of the institutions which reflect their incentives: the Actual Remuneration System, the current pricing policy for generic drugs, the drug distribution system, and so on. In the end, the problem of the rebates is the consequence of policy non-compliance as actors' rational choice because their incentives lead to opportunistic behaviors. We should therefore understand the incentive structure of policy stakeholders, which is derived from the view of new institutionalism; also, the newly designed Korean drug pricing policy reform must be compatible with the incentive structure.
Purpose: The goal of this paper is to offer practical suggestions for developing, implementing, and maintaining a successful school mental health program based on the model of a school mental health program for middle school students at the Namgu Hyosarang adolescent Mental Health Center. The model will be divided into six areas and the challenges and future direction of this program: creative approach to funding, creative staffing, education, training, needs assessment & resource mapping, collaboration and partnerships in a school mental health program, and developing an outcome evaluation research. Method: This is a descriptive study of the school mental health program model for middle school students of Namgu Hyosarang Adolescent Mental Health Center implemented over a four year period. Conclusion: Within this paper, a blueprint that can guide the development and implementation of school mental health programs has been offered. The actual application of this model will vary depending on the structure and goals of individual programs and schools. This model of our center has been identified as an effective school mental health program and the actual application program in regular learning times to middle school students. Establishing guidelines about the types of activities necessary for the successful implementation and sustainability of a school mental health program constitutes the first step in standardizing this process, and the school mental health movement continues to receive national recognition as a viable services delivery model for adolescents in need of mental health services. The recommendations outlined indicate that a school mental health program is more effective and necessary than the clinical service of a psychiatric hospital for adolescents' emotional/behavioral problems.
Purpose. This study assessed the actual status of oral health behaviors, oral health consciousness and oral health belief with workers at work sites in some regions and would utilize the results of changes in the hygiene status in the oral cavity as basic materials for developing an education program for the oral health promotion of workers at work sites with the implementation of oral health education and oral health promotion program. Methods. The subjects of the study were 106 workers who expressed their intention to participate in a program in SMEs that agreed on the activities of an oral health education program through an education once per week, of the SMEs with less than 500 persons, located in G. City. General characteristics and the questionnaires of the items on the survey were investigated with a self-administered method, and the collected data were statistically analyzed, using SPSS 20.0. Results. As a result of research, it was noted that PHP-Index, the dental plaque index in the oral cavity became lower from 2.02 points to 1.00 point with continuous management and practice of oral promotion behaviors, and that the oral hygiene status improved. Conclusions. In order to promote the oral health of workers at work sites, substantially, it would be necessary to introduce an oral health promotion program they can practice themselves and through continuous education of oral health by assessing their consciousness and the actual status of their oral health behaviors, and it is expected that their oral health would be promoted ultimately by changing workers' oral health behaviors and consciousness.
Wu, Baijian;Li, Zhaoxia;Chan, Tommy H.T.;Wang, Ying
Smart Structures and Systems
/
제14권4호
/
pp.679-697
/
2014
The strain data acquired from structural health monitoring (SHM) systems play an important role in the state monitoring and damage identification of bridges. Due to the environmental complexity of civil structures, a better understanding of the actual strain data will help filling the gap between theoretical/laboratorial results and practical application. In the study, the multi-scale features of strain response are first revealed after abundant investigations on the actual data from two typical long-span bridges. Results show that, strain types at the three typical temporal scales of $10^5$, $10^2$ and $10^0$ sec are caused by temperature change, trains and heavy trucks, and have their respective cut-off frequency in the order of $10^{-2}$, $10^{-1}$ and $10^0$ Hz. Multi-resolution analysis and wavelet shrinkage are applied for separating and extracting these strain types. During the above process, two methods for determining thresholds are introduced. The excellent ability of wavelet transform on simultaneously time-frequency analysis leads to an effective information extraction. After extraction, the strain data will be compressed at an attractive ratio. This research may contribute to a further understanding of actual strain data of long-span bridges; also, the proposed extracting methodology is applicable on actual SHM systems.
Purpose: In Japan, the Long-Term Care Insurance Act has stipulated visiting rehabilitation since 2000. This study aimed to identify the actual conditions of visiting rehabilitation in Japan through a literature review of reports published by the Japanese government. Methods: This literature review was conducted on eight articles among various government reports on the topic of the actual conditions of visiting rehabilitation. These reports were published by the Ministry of Health, Labor and Welfare of Japan based on their own investigations or reports from an external agency entrusted with the task, and were issued between 2000 and 2021. Results: The characteristics of the visiting rehabilitation offices, their number, manpower allocation, the number of users, and their visits to each office were identified. Also, the characteristics of the users, number of users, age and required degree of long-term care, causative disease, and required medical care were identified. To evaluate the actual status of the visiting rehabilitation service, the service use time, frequency, period of use, intervention by doctors and the degree of such intervention, therapist's service content, visitors' address before the use of the service, reason, and timing of the service introduction, evaluation of the service effectiveness, combination of services and transfer destination after termination, and status after service termination were checked. Conclusion: Based on the Japanese experience where visiting rehabilitation was introduced and applied to long-term care insurance, it would be meaningful to review the factors that required benchmarking among the Japanese service models while designing a similar model in Korea.
Objectives : The purpose of this study is to improve the oral health knowledge in children education institute teacher. Methods : Data were selected by convenience sampling method. A self-administered questionnaire was filled out by the children education institute teachers. Frequency analysis and $x^2$ test were used to analyze the actual condition of oral health education and utilizing media contents. Pearson's Results : 1. The teachers received the oral health education (94.3%) twice to five times. 2. There was a difference between position and career of teacher in implementing oral health education. 3. Most of the oral health education were done by the dentists. Tooth brushing method was the most common education contents. Skill demonstration was the most common teaching method. 4. There was a positive correlation between experience and implementation of oral health education. 5. Use of education media accounted for 74.1% in oral health education. The number of media was more than two to five. 6. Self-devised media contents were the most commonly used in oral health education. Visual materials, dentiform and tooth brush were the most common contents in oral health education. Conclusions : It is necessary to develop the systematic and repetitive oral health education curriculum for the children education institute teachers. The dissemination of media for oral care is needed for oral health care knowledge acquisition.
The actual condition of drug abuse by some Juveniles in our country and effects of some elements on their drug abusing were observed providing basic materials for health education to juveniles to contribute to the health improvement of them and the reduction of the harmfulness of drug abuse. 1035 third school year students of some senior high schools in Seoul were subjected to the questionnaire survey. The results could be summarized as follows : 1. Among the twelve kinds of drug involved in the study, alcohol (72.0%), cigarette (44.2%), stimulants (23.9%), analgesics (7.9%) appeard abused in the order named. 2. As for the motives of using antitussives, 30.1% of students answered because of curiosity, then 28.8%, in order to get a calm condition, and then 16.4%, to get along with friends. 3. As the result from seeing how much each drug abuser is contact with his family, frends, school, social surroundings and himself, every abuser appeared having higher degree of discontentment with family, school, society and himself excepting friends. 4. And when analyzed the relationship between their misconducting and drug-abusing, a close relationship was shown : mere abusers among misconduct-experienced students, and more misconduct-experienced students among abusers.
Based on five types of health KF masks currently being commercialized, this study analyzed results of a survey of 316 male and female college students with experience in wearing health masks in Seoul metropolitan area. By identifying problems and improvement requirements according to current status of wearing health masks, results of this study could be used as basic data for designing ergonomic health mask with improved ease of wearing and satisfaction for human safety protection in the future. SPSS 26.0 statistical program was used for all data analyses, including post-hoc test, χ2 test for cross-analysis, frequency analysis, independent samples t-test, ANOVA, and Duncan test. Considering that masks are worn for more than 8 hours a day on average, it is necessary to design masks considering materials, sizes of mask ear straps, elasticity and thickness of straps. The design should minimize contact with lips and cheeks with improved fit and comfort, blocking performance, and aesthetics. According to this survey, nearly 50% of respondents said they were willing to wear masks even after the end of COVID-19. Thus, it is necessary to perform research and improve masks to have excellent colors, designs, shapes, fit, and functions suitable for both pandemic and post-pandemic era when wearing masks is common.
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