• Title/Summary/Keyword: Health concern

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A Study on the Content and Methods for Appropriate Health Education of Rural People (농촌주민이 원하는 보건교육의 내용과 방법)

  • 유승흠;손명세;조우현;노지영;박종연
    • Korean Journal of Health Education and Promotion
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    • v.6 no.1
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    • pp.66-74
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    • 1989
  • The purpose of this study was to determine appropriate training content and methods for a health educational program for rural people by analysing data collected through a structured interview survey with the rural people of Kangwha county in June, 1987, The variables analyzed for the educational content were the diseases of greatest concern and the most urgent health problems, and for the educational methods, the health educator, place of education and types of educational media were analyzed. The results are as follows: 1. The disease of greatest concerned was gastroenteritis(22.6%), followed by diabetes(13.7%), and hepatitis (10.2%). The respondents with old age and less education were more concerned with arthritis, and those with higher education were more concerned with diabetes. 2. The most urgent health problem was agricultural chemical poisoning(46%), followed by smoking(12.8%), and the lack of balance between meals and nutrition(8.8%). The people with less education and with higher income were less concerned with agricultural chemical poisoning and smoking. 3. Of the respondents, 77.4% wanted to be educated by physicians and the village auditorium was the most preferred place of education. Education in a lecture format was desired by 36.3% of respondents. Personal counselling was more preferred by old and less educated people, and people with higher education preferred printed matters.

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Climate Change and Health - A Systemic Review of Low and High Temperature Effects on Mortality (기후변화와 건강 - 저온과 고온이 사망에 미치는 영향에 관한 체계적 고찰)

  • Lim, Youn-Hee;Kim, Ho
    • Journal of Environmental Health Sciences
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    • v.37 no.6
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    • pp.397-405
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    • 2011
  • Objectives: The impact of climate change on the health has been of increasing concern due to a recent temperature increase and weather abnormality, and the research results of the impact varied depending on regions. We synthesized risk estimates of the overall health effects of low and high temperature taking account of the heterogeneity. Methods: A comprehensive literature search was conducted using PUBMED to identify journal articles of low and/or high temperature effects on mortality. The search was limited to the English language and epidemiological studies using time-series analysis and/or case-crossover design. Random-effect models in meta analysis were used to estimate the percent increase in mortality with $1^{\circ}C$ temperature decrease or increase with 95% confidence intervals (CI) in cold or hot days. Results: Twenty three studies were presented in two tables: 1) low temperature effects; 2) high temperature effects on mortality. The combined effects of low and high temperatures on total mortality were 2% (95% CI, 1-4%) per $1^{\circ}C$ decrease and 4% (95% CI, 2-5%) per $1^{\circ}C$ increase of temperature, respectively. Conclusions: This meta analysis found that both low and high temperatures affected mortality, and the magnitude of high temperature appeared to be stronger than that of low temperature.

Simple priority setting method for Screening in public health assessment of waste incineration facilities (폐기물 소각시설 주변 환경보건평가 중 스크리닝 단계에서의 우선순위 선정기법에 관한 연구)

  • Kim, Gi Young;Hong, Seung Cheol
    • Journal of Environmental Impact Assessment
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    • v.21 no.5
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    • pp.813-821
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    • 2012
  • Environmental and public health concern for the emission of air pollutants from burn-up process in waste incineration plants located in the vicinity of living environment was increased during the past decade. The purpose of this study was to suggest of the simple and rapid method of priority setting model for the decision of full-scale public health assessment. This method was consists of total 5-step. Step 1 was "secure the satellite map" and we can use the satellite map which serves from the website such as NAVER Co. Step 2 was "drawing mesh on the map" for catch the point of occupation of environmental sensitivity facilities, and step 3 was "identification and sorting of the facilities", Step 4 was "setting of weight" using the "weighted linear combination (WLC) method". Finally, all facility was sorted by score. As a result, we can set a priority of 145 facilities based on 177 facilities which managed in local government. Facilities in Seoul metropolitan area was high rank in priority list. On the other side, Facilities located at the country or rural area was low rank because of low occupation of the house and the environmental sensitivity facilities such as kindergarten, elementary school, and hospital. In this study, we suggested simple and rapid method that using for screening procedure of public health assessment.

Development and Evaluation of the Elderly Health Mileage Program to Promote Exercise

  • June, Kyung Ja;Kim, Hee Gerl;Park, Bohyun
    • Journal of Korean Public Health Nursing
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    • v.31 no.3
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    • pp.567-581
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    • 2017
  • Purpose: The purpose of this study was to develop a Health Mileage Program (EHMP) to promote exercise amongst the elderly and assess the feasibility of the program. Methods: A literature review to identify the effects of exercise in the elderly was conducted. Relevant cases were investigated and in-depth interviews with exercise instructors were conducted, after which the EHMP was developed based on the assessment and tested in three regions. The outcome was evaluated using indicators such as attendance rate, number of participants, proportion of participants who received health education, and proportion of participants who measured their physical and mental status. Results: Based on assessment, we developed an EHMP composed of four steps. Following application of the EHMP in three regions, ${\geq}80%$ of the participants received incentives. Additionally, ${\geq}85%$ of participants underwent measurement of their physical and mental status. The proportion of participants who received health education differed among regions. Conclusion: The EHMP program increased participation and interest in exercise programs for the elderly. However, there is concern regarding availability due to regional differences in resources related to elderly exercise; therefore, it will be necessary to invest in infrastructure, including facilities, and knowledgeable instructors.

A Challenge in Occupational Health Nursing among Elderly Workers with Multimorbidity (복합만성질환을 가진 고령근로자 직업건강간호의 과제)

  • Seo, Sukyong;Choi, Seongju;Yeon, Seunguk
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.247-253
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    • 2020
  • Purpose: Multimorbidity is defined as the coexistence of multiple chronic diseases within a person. This study explores the burden of multimorbidity in the working population, focusing on the recent increase in elderly workers in Korea. Methods: We summarized past empirical or theoretical literature. Results: Previous literature shows that about 80% of the elderly are multimorbid, and more than half of people with chronic disease have two or more chronic conditions. Multimorbidity is a common phenomenon in the elderly working population. However, little is known about its prevalence, the factors related to its unequal distribution among workers, and its effects on health outcome measures such as mortality, medical use, and employment decisions. Conclusion: This study asks researchers to focus on a subgroup analysis employing data on the working population. Health professionals need to develop clinical guidelines for multimorbid patients. As multimorbidity is a major health concern in the working elderly, prevention and control should be promoted in the workplace.

A study on the oral health behavior of international students in Korean universities - with a focus on Chinese students - (재한 외국인 유학생의 구강건강관리실태 - 중국인 유학생을 중심으로 -)

  • Kim, Sun-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.1
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    • pp.17-26
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    • 2012
  • Objectives : The purpose of this study was to evaluate the actual state of oral health behaviors of Chinese students studying in Korea to promote their oral health and provide useful reference materials for expanding dental care services and improving relevant systems. Methods : This research was based on self-filling survey which 413 chinese students in Chungbuk in Korea from April 1 to July 15, 2011. Surveyed data were analyzed by descriptive statistics, $x^2$-test, t-test and one-way ANOVA using SPSS WIN 12.0 program and its signification level was 0.05. The following shows the results of this study. Results : In the event of those who didn't use oral hygiene supplies, the largest group didn't use the devices since they didn't know about them well or they didn't need to use. Regarding links between experience of using oral hygiene devices and concern for oral health, those who used oral hygiene devices showed more interest in oral health(p<.001). Conclusions : Accordingly it now is required to develop a more specific and systematic oral health program and to offer administrative assistance for foreign students during their stay in Korea.

Retrospective Drugs Utilization Review Study for Chronic Kidney Disease Using National Health Insurance Database (건강보험 자료를 이용한 만성신부전 환자의 신독성 약물사용 현황)

  • Kim, Dong-Sook;Lee, Hyun-Jeong;Son, In-Ja;Kim, Gui-Sook;Shin, Joo-Young;Lee, Kun-Sei
    • YAKHAK HOEJI
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    • v.53 no.3
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    • pp.138-144
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    • 2009
  • The purpose was to implement drug utilization review (DUR) for whom were diagnosed with chronic kidney disease (CKD) population using health insurance claim data. This study constructed drug utilization database using Health Insurance Review and Assessment Service (HIRA) database and selected contraindicated drugs with kidney based on previously developed drug utilization guide and reviewing other countries' examples. Main outcome measures were the proportion of prescription for 1 or more drugs of concern. The cohort included 115,948 subjects, who were diagnosed with chronic kidney disease. Inappropriate drugs with CKD patients was some used, and the most commonly prescribed classes were aluminum drugs. However it is difficult to find problems with inappropriate drug because claims data doesn't have laboratory data. Based on the result of retrospective drug utilization review study, more studies should be analysed drug utilization patterns and monitoring system should be developed.

Young Adult Street Vendors and Adverse Respiratory Health Outcomes in Bangkok, Thailand

  • Noomnual, Saisattha;Shendell, Derek G.
    • Safety and Health at Work
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    • v.8 no.4
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    • pp.407-409
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    • 2017
  • Air pollutants of concern include traffic-related air pollution, including particulate matter in respirable coarse and fine size fractions. There are no critical studies to date into associations between knowledge, awareness, and attitudes in using proper respiratory masks and prevalence of respiratory symptoms among urban street vendors in Thailand. In this study, we estimated adverse respiratory health outcomes among street vendors, in particular young adults, in Bangkok, Thailand, using a self-report questionnaire. Street vendors, who were not currently smoking and not having known diagnosed respiratory diseases, were recruited. They were selected from selected roadsides at Chong Nonsi, Bangkok. Participants (n = 30) reported having lower respiratory (50%), upper respiratory (37%), and other symptoms (70%). Also, 53% of participants had never used respiratory personal protective equipment (PPE: masks). Among those using PPE, all used masks not proper for particulate matter. Results suggested knowledge, awareness, and attitudes concerning proper PPE use needs to be increased among street vendors in Bangkok, Thailand.

A Systematic Review: Effectiveness of Interventions to De-escalate Workplace Violence against Nurses in Healthcare Settings

  • Somani, Rozina;Muntaner, Carles;Hillan, Edith;Velonis, Alisa J.;Smith, Peter
    • Safety and Health at Work
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    • v.12 no.3
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    • pp.289-295
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    • 2021
  • Workplace violence (WPV) is an increasing cause of concern around the globe, and healthcare organizations are no exception. Nurses may be subject to all kinds of workplace violence due to their frontline position in healthcare settings. The purpose of this systematic review is to identify and consider different interventions that aim to decrease the magnitude/prevalence of workplace violence against nurses. The standard method by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2009) has been used to collect data and assess methodological quality. Altogether, twenty-six studies are included in the review. The intervention procedures they report on can be grouped into three categories: stand-alone trainings designed to educate nurses; more structured education programs, which are broader in scope and often include opportunities to practice skills learned during the program; multicomponent interventions, which often include organizational changes, such as the introduction of workplace violence reporting systems, in addition to workplace violence training for nurses. By comparing the findings, a clear picture emerges; while standalone training and structured education programs can have a positive impact, the impact is unfortunately limited. In order to effectively combat workplace violence against nurses, healthcare organizations must implement multicomponent interventions, ideally involving all stakeholders.

Effect of an Integrated Breast Health Program for Pregnant Women on Knowledge, Attitude, and Early Screening Practice Related to Breast Cancer

  • Jun, Eun-Young
    • Journal of Home Health Care Nursing
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    • v.28 no.2
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    • pp.186-196
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    • 2021
  • Purpose: Breast cancer is becoming increasingly prevalent among young Korean women. During pregnancy, women's concern regarding their breasts heightens. Thus, pregnancy provides a window of opportunity for breast cancer prevention and management along with antenatal care. This study developed and evaluated an integrated breast health program for pregnant women. Methods: This study employed a non-equivalent control group and non-synchronized design (22 experimental, 29 control). Women pregnant for over 28 weeks participated. The two-session integrated breast health program focused on breast management during breastfeeding and education about breast cancer prevention and early screening. Results: During the early postpartum period (within three months after the program), there were statistically significant differences in knowledge and attitude about breast cancer and breast self-examination before and after the program. There were also statistically significant differences in BSE at 6 and 12 months after the program and mammography at 12 months after the program. However, there were no statistically significant differences in clinical breast examination and breast ultrasonography at 6 and 12 months after the program. Conclusion: The integrated breast health management program was effective in increasing knowledge and improving attitudes regarding breast cancer, BSE, and early screening practices among pregnant women. Further studies should consider providing breast health programs differently for each phase of pregnancy and continuing the same after delivery.