• 제목/요약/키워드: Global health

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국가별 산업안전관리 및 인증 체계와 산업안전보건 경영시스템의 국제표준화 방향 (A Comparative Review of the International Occupational Health and Safety Management Systems for Global Standardization)

  • 김상호
    • 대한안전경영과학회지
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    • 제3권2호
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    • pp.33-49
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    • 2001
  • This article is concerned with various aspects of establishing the global standard for occupational safety and health management system (OHSMS). The notion, main features, and brief history of the OHSMS are presented. The OHSAS 18000, its assets and liabilities, are reviewed as a prototype of the global standard. It is also addressed the possibility of combining ISO 9000(quality management system), 14000(environmental management system) and the OHSMS into the integrated management system (IMS) as a whole. The concepts of internal and external customers are presented to explain why the environment, safety and health should be incorporated into the notion of total quality 'Participation of the members' and 'standardization of the 4Ms (Man, Machine, Materials and Method)'are emphasized as the major enablers of the IMS. Finally, the industrial, academic and governmental roles are discussed for developing the IMS and setting it down into the Korean industries.

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Pre-Natal Epigenetic Influences on Acute and Chronic Diseases Later in Life, such as Cancer: Global Health Crises Resulting from a Collision of Biological and Cultural Evolution

  • Trosko, James E.
    • Preventive Nutrition and Food Science
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    • 제16권4호
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    • pp.394-407
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    • 2011
  • Better understanding of the complex factors leading to human diseases will be necessary for both long term prevention and for managing short and long-term health problems. The underlying causes, leading to a global health crisis in both acute and chronic diseases, include finite global health care resources for sustained healthy human survival, the population explosion, increased environmental pollution, decreased clean air, water, food distribution, diminishing opportunities for human self-esteem, increased median life span, and the interconnection of infectious and chronic diseases. The transition of our pre-human nutritional requirements for survival to our current culturally-shaped diet has created a biologically-mismatched human dietary experience. While individual genetic, gender, and developmental stage factors contribute to human diseases, various environmental and culturally-determined factors are now contributing to both acute and chronic diseases. The transition from the hunter-gatherer to an agricultural-dependent human being has brought about a global crisis in human health. Initially, early humans ate seasonally-dependent and calorically-restricted foods, during the day, in a "feast or famine" manner. Today, modern humans eat diets of caloric abundance, at all times of the day, with foods of all seasons and from all parts of the world, that have been processed and which have been contaminated by all kinds of factors. No longer can one view, as distinct, infectious agent-related human acute diseases from chronic diseases. Moreover, while dietary and environmental chemicals could, in principle, cause disease pathogenesis by mutagenic and cytotoxic mechanisms, the primary cause is via "epigenetic", or altered gene expression, modifications in the three types of cells (e.g., adult stem; progenitor and terminally-differentiated cells of each organ) during all stages of human development. Even more significantly, alteration in the quantity of adult stem cells during early development by epigenetic chemicals could either increase or decrease the risk to various stem cell-based diseases, such as cancer, later in life. A new concept, the Barker hypothesis, has emerged that indicates pre-natal maternal dietary exposures can now affect diseases later in life. Examples from the studies of the atomic bomb survivors should illustrate this insight.

간호학의 미래 : 국제적 조망 (Future for Nursing Discipline: Global Perspective)

  • 김미자
    • 대한간호학회지
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    • 제30권5호
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    • pp.1099-1110
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    • 2000
  • This paper aims to examine what nursing discipline has accomplishd to date and projects what could be its preferred future from global perspective. Major contextual factors that influence nursing are examined in light of their significance on the progress of nursing discipline. These include evolution of society, and trends in higher education and health care market. The perspective of world health is gained from WHO, an organization recognized for its mission for the health of people worldwide. As the future builds on the present that, in turn, builds on the past, major milestones of nursing discipline, particularly that of education system from the inception of nursing to present is highlighted. The importance of research to advance science and improve peoples health are presented along with a call for nursing research to be responsive to societal needs. The preferred future for nursing discipline is presented integrating the trends of society, higher education, and health care environment. Doctoral education that is the hallmark of nursing scholarship is further elaborated in terms of its mission, needs, and quality attainment. Data from the International Network of Doctoral Education in Nursing are presented along with information about current attempts in developing quality criteria and indicators for doctoral education in nursing worldwide. Majority of information in this paper comes from the United States, unless specified otherwise.

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Development of Time-location Weighted Spatial Measures Using Global Positioning System Data

  • Han, Daikwon;Lee, Kiyoung;Kim, Jongyun;Bennett, Deborah H.;Cassady, Diana;Hertz-Picciotto, Irva
    • Environmental Analysis Health and Toxicology
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    • 제28권
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    • pp.5.1-5.7
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    • 2013
  • Objectives Despite increasing availability of global positioning system (GPS), no research has been conducted to analyze GPS data for exposure opportunities associated with time at indoor and outdoor microenvironments. We developed location-based and time-weighted spatial measures that incorporate indoor and outdoor time-location data collected by GPS. Methods Time-location data were drawn from 38 female subjects in California who wore a GPS device for seven days. Ambient standard deviational ellipse was determined based on outdoor locations and time duration, while indoor time weighted standard deviational ellipse (SDE) was developed to incorporate indoor and outdoor times and locations data into the ellipse measure. Results Our findings indicated that there was considerable difference in the sizes of exposure potential measures when indoor time was taken into consideration, and that they were associated with day type (weekday/weekend) and employment status. Conclusions This study provides evidence that time-location weighted measure may provide better accuracy in assessing exposure opportunities at different microenvironments. The use of GPS likely improves the geographical details and accuracy of time-location data, and further development of such location-time weighted spatial measure is encouraged.

기능주의 관점에서 본 세계보건기구의 설립과 역할 (Establishment and Functions of World Health Organization: With a Functionalism Perspective)

  • 고한수;김창엽
    • 보건행정학회지
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    • 제22권1호
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    • pp.1-28
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    • 2012
  • Since its establishment in 1948, World Health Organization (WHO) has tried and facilitated international cooperation of public health under the goal of "the highest attainable health," and gained outcomes like the eradication of smallpox and polio, turning itself into the representative of international public health. However, there was discord between member nations during the cold war era, and the status of WHO experienced rise and fall after its establishment. WHO, the representative international health organization, also has not been freed from influences from international regime changes, which means that the discussion on the internal causes of WHO functionings should be expanded more. In this study, functionalism was tested as one of international relations theory that tries to explain the establishment and role of WHO. Especially, this study analyzed the problems and problem-solving process that WHO had to face by using Imber's five steps theory that arranged chronologically the theory of Mitrany. We mainly investigated the secondary source that described historic facts on the rise and fall of WHO in terms of roles and functionings during establishment of WHO, the cold war era, and international cooperation of public health. The roles of WHO were analyzed by selecting the gains of WHO in the post cold war era. The functionalism arrangement of Imber was appropriate to some extent in explaining the establishment and role of WHO. The first step was International Sanitary Conference in 1851 that made nations to recognize international cooperation of public health, and the second step was the establishment of WHO that handles public health as an international organization. Recent cases of the Framework Convention on Tobacco Control and International Health Regulations showed that each nation agreed with an international norm that they had to cooperate each other to tackle infectious diseases and smoking, and this implies that these were emergence of global governance. This process was the third step of Imber's theory (nations had a gain from international cooperation would agree with the expansion of authority of international organization). However, the last two steps of the theory are still not realized. The partial success of WHO was based on the functional elements that WHO deals with non-political elements, human resources centering on professionals, and democratic decision making process. This essential and non-political characteristics mean that necessity of international cooperation catalyzed by WHO would continue despite of the global governance era when global health governance get faced more challenges.

Changes in Labor Regulations During Economic Crises: Does Deregulation Favor Health and Safety?

  • Jhang, Won-Gi
    • Journal of Preventive Medicine and Public Health
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    • 제44권1호
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    • pp.14-21
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    • 2011
  • Objectives: The regulatory changes in Korea during the national economic crisis 10 years ago and in the current global recession were analyzed to understand the characteristics of deregulation in labor policies. Methods: Data for this study were derived from the Korean government's official database for administrative regulations and a government document reporting deregulation. Results: A great deal of business-friendly deregulation took place during both economic crises. Occupational health and safety were the main targets of deregulation in both periods, and the regulation of employment promotion and vocational training was preserved relatively intact. The sector having to do with working conditions and the on-site welfare of workers was also deregulated greatly during the former economic crisis, but not in the current global recession. Conclusions: Among the three main areas of labor policy, occupational health and safety was most vulnerable to the deregulation in economic crisis of Korea. A probable reason for this is that the impact of deregulation on the health and safety of workers would not be immediately disclosed after the policy change.

성인의 수면의 질과 관련요인에 관한 연구 (Sleep Quality and its Associated Factors in Adults)

  • 이혜련
    • 한국보건간호학회지
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    • 제27권1호
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    • pp.76-88
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    • 2013
  • Purpose: The purpose of this study was to identify the degree of sleep quality and its associated factors in adults. Methods: The data was collected from 986 adults aged 19 to 64 by convenience sampling. Subjects completed a questionnaire composed of Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory, and other questions that self-rated health and sociodemographic variables. Statistical methods used included descriptive statistics, simple logistic regression, and multiple logistic regression analyses. Results: The global PSQI score was 5.7. About 45% of the subjects were poor sleepers (global PSQI score >5). Multiple logistic regression analyses showed that factors significantly associated with sleep quality were depression and poor self-rated health in young and middle-aged adults. Depression was the most significant associated factor. The presence of a spouse was also associated with sleep quality in young adults. Conclusion: These findings suggest that people with poor sleep quality should have their health carefully screened for depression. In addition, we recommend the development of a nursing program for improving sleep quality.

A Comparative Analysis of Undergraduate and Postgraduate Training in Health Care Management

  • Kong, Myung-Dalm
    • Industrial Engineering and Management Systems
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    • 제15권3호
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    • pp.239-250
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    • 2016
  • This study is to prepare curriculum in South Korea to train outstanding individual in the fields of Health Care Management for the global age, hospitals' administration managers, professors and students were targeted to carry out the survey and the collected questionnaires were processed with SPSS Ver. 21.0 statistic package, based on this the suitability of the current Health Care Management curriculum and postgraduate curriculum was inspected and improvement plan was deducted, and also through comparative analysis of the Health Care Management curriculum for undergraduate and postgraduate in the United Kingdom and United States, optimum improvement suggestions were made. Based on the research result, the priority to improve and consolidate from undergraduate curriculum was the strengthening of the working-level education, the most needed ability in the future is global negotiation and dispute/conflict adjustment which needs supplementation. Also, after analyzing the undergraduate curriculum of the United States and United Kingdom, it is needed that the development of the capacity to lead organizations for healthcare and subjects for the establishment of health policy should be reflected.

Effects of Civet Musk and Jincho Civet Musk Dan (Jin) in the health food market

  • Jincho Jeong;Junchul Park
    • 셀메드
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    • 제13권10호
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    • pp.13.1-13.4
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    • 2023
  • This paper presents the possibility of entering the global health food market as well as Korean market due to the expected effects such as satisfying the health-oriented desire of modern people and preventing diseases in advance by analyzing the consumers' reactionsto Jincho Civet Musk Dan(Jin), which uses Civet Musk, which has recently been in the limelight as a raw material for health foods, as its main ingredient and factors that can affect the demand for health food due to the aging of the population and the spread of well-being culture based on the characteristics and efficacy of each raw material.

Using Implementation Science to Advance Cancer Prevention in India

  • Krishnan, Suneeta;Sivaram, Sudha;Anderson, Benjamin O.;Basu, Partha;Belinson, Jerome L;Bhatla, Neerja;D' Cruz, Anil;Dhillon, Preet K.;Gupta, Prakash C.;Joshi, Niranjan;Jhulka, PK;Kailash, Uma;Kapambwe, Sharon;Katoch, Vishwa Mohan;Kaur, Prabhdeep;Kaur, Tanvir;Mathur, Prashant;Prakash, Anshu;Sankaranarayanan, R;Selvam, Jerard M;Seth, Tulika;Shah, Keerti V;Shastri, Surendra;Siddiqi, Maqsood;Srivastava, Anurag;Trimble, Edward;Rajaraman, Preetha;Mehrotra, Ravi
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.3639-3644
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    • 2015
  • Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.