• Title/Summary/Keyword: Community Health Act

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A study on the job of paramedic (1급 응급구조사 직무에 관한 연구)

  • Yun-Deok Jang;Hee-Jeong Ahn;Eunjung Ko;Hyo-Ju Lee
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.127-137
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    • 2024
  • Purpose: This study aimed to analyze the jobs of paramedics who are diversifying by deriving duties in accordance with occupational group-related laws, although they are not directly specified in the job description of paramedics or the Emergency Medical Act. Methods: This study selected four paramedics who randomly extracted participants that submitted consent to participate between March 2023 and October 2023. Their occupational groups were the Korea coast guard and air rescue, health centers, and industries; they met on September 19, 2023, and directly transcribed the recorded contents through a three-and-a-half-hour focus group interview for analysis. Results: In the results, although the job description was not directly specified in the job description or emergency medical law, five areas of work applied to practice were derived: "rescue," "administration," "education," "industry," and "tactical." Conclusion: To expand jobs according to the diversification of the occupational field of paramedics, job analysis of paramedics belonging to various occupations is required.

Relationships among Social Support, Social Networks and Drinking Behavior by Gender Differences in Residents of an Apartment Complex in Seoul (성별에 따른 아파트 주민의 음주, 사회적 지지와 사회적 연결망과의 관계)

  • Kim, Jin-Hee;Choi, Man-Kyu
    • The Korean Journal of Community Living Science
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    • v.21 no.1
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    • pp.105-115
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    • 2010
  • This study explores the gender differences in the relationship between social support, social networks and drinking behavior and illustrates gender differences in drinking behavior in order to provide evidence in planning a community health promotion program. Data was collected from 444 surveys (Male=190, Female=244) from a total of 1,899 adult residents in 738 households in the "Y" Apartment Complex in the Gangnam area of Seoul, Korea. Results show significantly higher rates of drinking frequency and alcohol consumption volume in males. Women with high-risk drinking behavior have fewer social relationships than women with normal drinking behavior. Within social networks, friends were significantly associated with drinking behavior and alchol abuse. Drinkers had more friends than non-drinkers in both genders. However, in association with alchol abuse, while male abusers had less friends than normal male drinkers, women abusers had more friends, indicating women who have drinking problems have a stronger social network. This pattern suggests gender differences in the association between social networks and alchol abuse. Therefore in approaching drinking issues, social support and social networks act as a key factor. For men, alcohol prevention programs should be aimed at achieving healthy drinking behavior at the aggregate level including people in his social support and social network groups. For women, the priority is alchol abuse. More attention is required in revealing the context between female social networks and alchol abuse and in developing coping strategies other than drinking.

A Study on Needs of Teachers in Community Children's Centers for Oral Health Education in Incheon (인천광역시 지역아동센터 교사의 구강보건교육 요구도 조사)

  • Kim, Jin-Hee;Kim, Hyun-Jin;Kim, Hye-Jin;Park, Ji-Hye;Bang, Woo-Ri;Shin, Hye-Ju;Han, Su-Jin
    • Journal of dental hygiene science
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    • v.11 no.6
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    • pp.505-512
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    • 2011
  • The purpose of this study was to examine the oral health behavior and awareness of teachers in community children's centers, the state of oral health care among children in the centers and the opinions of the teachers on child oral health education in a bid to gather information required for the development of oral health education programs geared toward community children's center teachers. The subjects in this study were 178 teachers who worked in 98 community children's centers in the city of Incheon. After a survey was conducted from April 28 to June 4, 2010, the collected data were analyzed. The findings of the study were as follows: The 57.3% of the teachers investigated provided toothbrushing guidance from time to time or couldn't do it at all. As for the reason why toothbrushing guidance was scarcely conducted, the largest group cited shortage of sinks(27.5%) as the reason, and the second biggest group replied they couldn't afford to pay attention to that due to heavy workload(20.6%). The third greatest group was pressed for time(16.7%). The teachers got a mean of 3.27 in oral health behavior, and 87.7% were concerned about children's oral health. The group of teachers who ever received oral health education was significantly better at oral health behavior and showed significant more interest in oral health(p<0.01). The 97.2% of the respondents considered oral health important. Concerning the reason, they replied it was crucial for systemic health (74.2%). The 89.4% of the teachers viewed child oral health education as necessary, and 86.5% had an intention to provide oral health education for children. They hoped to receive education on the oral health control act(4.52) and the prevention of dental caries(4.40). The above-mentioned findings confirmed that in order to step up the oral health promotion of child users of local children's centers, it's necessary to provide secondhand education for them through their teachers who have a great impact on them. Therefore the development of oral health education programs that cater to local children's center teachers is required.

Application of smart piezoelectric transducers to structural health monitoring (구조물 건전성 감시를 위한 스마트 PZT센서의 적용성 연구)

  • Park, Seung-Hee;Yi, Jin-Hak;Lee, Jong-Jae;Yun, Chung-Bang;Noh, Yong-Rae
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2003.10a
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    • pp.549-555
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    • 2003
  • The objective of かis study is to investigate the feasibility of piezoelectric transducers as a damage detection system for civil infrastructures. There have been considerable amount of efforts by the modal analysis community to localize damage and evaluate its severity without looking at a reliable way to excite the structure. The detection of damages by modal analysis and similar vibration techniques depends upon the knowledge and estimation of various modal parameters. In addition to the associated difficulties, such low-frequency dynamic response based techniques fail to detect incipient damages. Smart piezoelectric ceramic (PZT) transducers which act as both actuators and sensors in a self-analyzing manner are emerging to be effective in non-parametric health monitoring of structural systems. In this paper, we present the results of an experimental study for the detection of damages using smart PZT transducers on the steel plate. The method of extracting the impedance characteristics of the PZT transducer, which is electro-mechanically coupled to the host structure, is adopted for damage detection. Two damages are simulated and assessed by the bonded PZT transducers for characterization. The experimental results verified the efficacy of the proposed approach and provided a demonstration of good robustness at the realistic steel structures, emphasizing the great potential for developing an automated in situ structural health monitoring system for application to large civil infrastructures without the need to blow the modal parameters.

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Current Problems of Parasitic Zoonoses in Rural Korea (한국농촌(韓國農村)의 기생충성인축공통질환(寄生蟲性人畜共通疾患)의 현황(現況)과 문제점(問題點))

  • Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.15 no.1
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    • pp.49-55
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    • 1990
  • Zoonoses are those diseases and infections that are naturally transmitted between vertebrate animals and man. At present, approximately 175 diseases caused by virus, rickettsia, bacteria, protozoa and helminthes as well as some of arthropods and the number is continually increasing. Although zoonoses are generally recognized as significant health problems, the actual prevalence and incidence of zoonotic infections is difficult to determine. Medical services in a rural area are scarce and ill persons may have little chance to see a physician. Furthermore, a lack of physician awareness and of appropriate diagnostic support is made often misdiagnosis. In rural Korea, parasitic disease is still important subject in the field of zoonotic infections considering its number and morbidity. Recently there was conspicuous reduction of soil-transmitted parasitic diseases (i.e. ascariasis. hookworms, trichuriasis), but clonorchiasis. intestinal trematodiases and taeniasis are a considerable problem. This is often significantly related to human behavioral patterns based on socio-economic and cultural conditions and linked with the local biologic and physical environment. The most of all parasitic zoonoses to man and animals are the food-transmitted parasitic diseases, and domestic animals such as dog, cat, pig, as well as fat and some mammals, ruminants and birds are act as reservoir hosts. In the present topics, current problems of parasitic zoonoses caused by protozoan infections (i. e. toxoplasmosis, pneumocystosis and cryptosporidiosis) which are the most common opportunistic in AIDS or immunocompromised persons, trematode infections (i.e. clonorchiasis, paragonimiasis and some intestinal tremadodiases). cestode infections such as cysticercosis and sparganosis, and some nematode infections of anisakiasis, thelaziasis and strongyloidiasis, are discussed here those on the occurrence in man and animals and the source of transmission as well as prevention and control measures in Korea.

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A Study on the Legislation of Telemedicine in France (프랑스 원격의료 법제에 관한 고찰)

  • JUNG, Kwanseon
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.141-169
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    • 2022
  • Article 34 of 'Medical Service Act' of Korea provides telemedicine service between medical personnel. Telemedicine between medical personnel and patients, therefor, in principle, is not recongnized. Increasing demand for telemedicine fueled by COVID-19 pandemic and accumulation of telemedicine experience lead a change in stubborn opposition of the medical community, tenuous though it may be. This article focuses on the telemedicine legislation in France, which can be used as a reference for the telemedicine legislation premised on telemedicine between medical personnel and patients. The legislation stipulates the concept, types, and conditions of telemedicine performance through 'Code de la santé publique'. The principle that telemedicine shall be performed alternately with direct medical treatment to a patient and details relating to such telemedicine performance as telemedicine costs, medical fees, and telemedicine equipment support are stipulated through an agreement between the medical community and health insurance organizations. From this point, the implications for our legal system were presented.

Proposal of Urban Agricultural Park Management and Operation Plan Using the Public Service Design Process

  • Lee, Sang-Mi;Yun, Hyung Kwon;Jung, Young-Bin;Hong, In-Kyoung
    • Journal of People, Plants, and Environment
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    • v.24 no.2
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    • pp.153-167
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    • 2021
  • Background and objective: With the revision of the Act on Urban Parks, Green Areas, Etc. in 2013, the "urban agricultural park" was newly established under the subcategory of "themed park," thereby establishing the institutional basis for the creation of urban agricultural parks. However, urban agricultural parks are still in the early stages of their introduction. There is a lack of research on direction setting and specific operation management that considers urban residents' needs and the city's physical infrastructure. Methods: We utilized the public service design process suggested by the Ministry of the Interior and Safety of the Republic of Korea in 2019 to identify problems and develop directions for urban agricultural parks. The process consisted of the following four steps: Understanding, Discovering people's needs, Defining real problems, and Developing ideas. Results: As four types of ideas for revitalizing urban agricultural parks, 'information users want to know,' 'user participation in design,' 'venue for local communities,' and 'urban agricultural parks as health and rest areas' were derived. This means that urban agricultural parks must provide the information users want; users must plan, decide, and implement such information by directly participating in the creation and efficient management and operation of urban agricultural parks; and urban agricultural parks must be used as a venue for local communities. Urban agricultural parks should also be spaces for health and relaxation. Conclusion: Urban agricultural parks should avoid the unified space and passive participation patterns of existing urban parks, and become real spaces for resident participation that can satisfy all the production, leisure, landscape, ecology, and psycho-social needs of the users of urban agricultural parks. Furthermore, it is necessary to introduce a more systematic and diverse operating system so that it can work to revitalize the local community and connect organically with the function of the city.

Parish Nursing : A New Challenge for Primary Health Care (지역교회간호(Parish Nursing) - 일차건강간호를 위한 새로운 도약)

  • No, Yu-Ja;Baek, Yeong-Mi
    • The Korean Nurse
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    • v.37 no.2
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    • pp.53-62
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    • 1998
  • ursing as a profession is characterized by its holistic, mind-body-spirit approach to the patient. Also, nurses have historically been the leaders in health education and promotion. Parish nursing has a great potential for providing primary preventive health care. services as well as assisting people to access the health care system. While working in the community, parish nurses see the church as the new arena for delivering health care services. The parish nurse program was introduced by Granger Westberg in 1984. The concept of parish nursing is based on several beliefs; health is multidimensional and affects all aspects of an individual-physical, psychological, social, and spiritaul being. Parish nursing is one model in which churches can cooperatively work with health care institutions to address the needs of their parishioners. The role of the parish nurse is emphasized in four basic area: a) health education, b) health counseling, c) referal services, and d) facilitation and organization of support groups within the congregation. The parish nurse programs work chiefly in congregation or commuity where a certain language of faith is ready at hand. This means that the parish nurse works in an ecology of meanings and care which encourages the drawing on the message of God's grace, the practices and habits it encourages. The parish nurse may be involved in the church's health ministries and may work on either paid or volunteer basis; however, one of the most important qualification of the parish nurse is to have the nursing knowledge and skills to practice within the standards of Nursing Practice Act. The completion of standards of practice for professional nurses practicing as parish nurses had been identified as a priority by the HMA Executive Board (1996, HMA). In conclusion, parish nursing promotes health and healing by empowering the faith community, family, or individual to incorporate health and healing practices. There are several preconditions that should proceed to establish the foundation for successful development of the parish nursing program in Korea. First, reciprocal relationship with home health nursing should be considered. Second, correct terms and concepts of parish nursing should be studied and understood. Third, systematic study and investigation should be followed for further development of parish nursing. Fourth, strengths and weaknesses of different models should be studied to develop proper model of parish nursing for Korean situation. Finally, consensus of standardized education program and corporation with various religious communities as well as health institutions should be established. When these preconditions are met, the role of parish nursing as a new program for the promotion of holistic health will be established.

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Current State and the Future Tasks of Home Visit Nursing Care in South Korea (우리나라 가정방문간호의 현황과 향후 과제)

  • Park, Eunok
    • Journal of agricultural medicine and community health
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    • v.44 no.1
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    • pp.28-38
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    • 2019
  • Objectives: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in South Korea. Method: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in Korea. Results: There are three types of home care nursing in Korea. Public health center provides home visit nursing to vulnerable population by registered nurses for free, based on community health act in public health center. As of 2017, 1,261,208 people were enrolled in the visiting health program of public health center. Health behavior and disease management has been improved and showed having cost-benefit effect among the enrolled people in visiting health program. Visiting nursing care in long-term care services is provided by registered nurses or nurse aid, based on long-term care act. The cost is paid as the unit price according to service time. 1,095,764 older people used long-term care services in 2017, only 0.2% of total cost used for home visiting nursing. Even though the number of user of home visiting nursing, it was reported that users spent less medical cost and hospitalized shorter. Hospital-based home care nursing is provided to patients and their families under the prescription of a doctor by family nurse specialists who are employed by medical institute based on medical law. Four hundred sixty family nurse specialists worked for hospital-based home care nursing and hospital-based home care services accounted for 0.038% of total medical expenses in 2017. Conclusion: Even though home visit nursing care services are different in aspect of legal basis, personnel, running institutes, and cost basis, home visit nursing care showed cost-benefit effect and good health outcomes. In order to advance home visit nursing care, the integrated home visiting care, improvement of working condition, and revision of legal basis should be considered.

A study on the actual conditions of trade secrets in the MSDS and the improvement of the relevant system (사업장 MSDS 영업비밀 적용실태 및 제도 개선방안에 관한 연구)

  • Lee, Jong Han;Lee, Kown Seob;Park, Jin Woo;Han, Kyu Nam
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.21 no.3
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    • pp.128-138
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    • 2011
  • Objectives: It has been pointed out that there are problems in handling and managing chemicals due to trade secrets of Material Safety Data Sheet(MSDS). To date, some company intentionally leave out of several parts and use an inaccurate expression in MSDS. In particular, with the result of the inspection of the government and labour community, it is required that the 2nd section in MSDS included the composition and information on ingredients has to be provided with comprehensive expression to secure more reliability. Methods: Therefore, this study is aimed: 1) to recognize the current status of trade secrets of MSDS in workplaces with both domestic manufacturers of chemical products and multinational corporations; 2) to make contributions to prevention of the industrial accidents by providing the accurate information of MSDS; 3) to improve the risk communication system related with chemicals; 4) to impress workers on the importance of right of known for MSDS. With the result we analyzed the status of trade secrets in MSDS in 73 companies, such as petrochemistry production, paint production, metal processing oil production, detergent production, and international company related with chemicals, we have found that 38,150 (45.5%) have the trade secrets parts in the total number of 83,832 in MSDS. Also, based on the 288 MSDS gathered by the Occupational Safety and Health Research Institute (OSHRI) from 2005 to 2009, 41.7% of the MSDS are classified into the trade secrets. Conclusions: Therefore, to procure an assurance system of MSDS, we suggest that a MSDS picking up and checking system be legislated in the Occupational Safety and Health Act to protect workers from the unidentified chemical hazards due to the secret trade of MSDS.