• Advanced Industrial SCIence
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• v.2 no.2
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• pp.31-41
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• 2023

The study aims to identify unmet needs, barriers, and constraints in reproductive health education for adolescent girls in Luwero, Uganda. The study included a survey of 55 young women (aged 14-26) in the region and interviews with 40 stakeholders, including teachers and healthcare workers. Results showed that the majority of respondents (87%) rely on schools for reproductive health information, preferring health institutions (58%) for reproductive health services. Over half of respondents encountered obstacles accessing relevant information due to limited resources and cultural barriers and emphasized the significance of schools and health institutions as essential health information sources. Schools and health institutions need to collaborate to enhance reproductive health education for young women's accessibility.

• Advanced Industrial SCIence
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• v.3 no.1
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• pp.37-50
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• 2024

This study explored the link between reproductive health knowledge, attitudes, and self-efficacy in young women from Uganda's Luwero district. A survey was conducted on 82 women in the Luwero region from May to July 2016, and the predictive power of knowledge and attitudes toward self-efficacy was evaluated through multiple linear regression analysis. Results showed positive correlations among these factors, with knowledge and attitude predicting self-efficacy. Specifically, understanding healthy puberty habits and valuing women's roles positively influenced self-efficacy for healthy behaviors. These findings emphasize the need to target these aspects in reproductive health education programs, crucial for addressing adolescent pregnancy and related issues in Uganda's rural areas.

• Korea Journal of Hospital Management
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• v.24 no.3
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• pp.1-10
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• 2019

Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

• Korea Journal of Hospital Management
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• v.24 no.1
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• pp.48-56
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• 2019

Purpose: As an interest in the elderly medical expenses increases, elderly people are increasingly purchasing indemnity private health insurance. Authors tried to investigate factors of having the indemnity private health insurance among the elderly people aged 65-75 years. Methods: We conducted panel logit regression analysis on 2,465 subjects as of 2016 using Korean Health Panel from 2010 to 2016. The dependent variable was whether to enroll in the indemnity private health insurance. The explanatory variables included socio-demographic characteristics, economic factors, health status, and health behaviors. Findings: As a result of the analysis of factors of purchasing indemnity private health insurances, it was analyzed that people with larger family, educated, pensioner, high household income or no disability were more likely to have indemnity private health insurance. Practical Implications: Considering the results of this study, the factor of purchasing indemnity private health insurance among elderly people were more likely to be their economic than demographic characteristics such as sex, age, and marital status. Policy makers should make efforts to reduce the burden on the elderly medical expense and to improve equity of medical use through institutional improvement such as raising age limit and lowering premium of indemnity private health insurance and expansion of public health insurance.

• Journal of the Korean Geographical Society
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• v.48 no.2
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• pp.218-238
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• 2013

The objective of my paper is to investigate historical change in concepts of medical geography and to present its historical vision. Modern medical geography was established in the name of medical topography in Europe where it had to control tropical diseases in the course of exploration and voyages for colonial interests. England developed medical geography in the name of sanitary reform, France did so for civilizing mission, and geomedicine prevailed in Germany. The twentieth century witnessed two traditions of medical geography, with focus on disease ecology and medical care system, respectively. In addition, the paper emphasizes the significance of cartography of disease as knowledge as power. As the identity of place becomes increasingly important in relation to health at the around of the twenty-first century, geography of health has emerged as a new promising discipline independently of medical and public health geography.

• Korea Journal of Hospital Management
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• v.22 no.2
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• pp.58-69
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• 2017

Recently, with the increase in the number of private health insurance subscribers, interest in overuse of the medical service is increasing. This study analyzed the impacts of private health insurance (PHI) on medical institution selection in outpatient service utilization among persons with arthritis. In order to control patients' health status, we extracted outpatient episodes with the same disease (KCD6, M13) from Korea Health Panel. The unit of analysis was an outpatient visit with arthritis in 2014 (n=23,363). In the light of insurance coverage, we redefined three type of private health insurance (ex, indemnity, fixed benefit, and non-insured) as a test variable and two type of medical institution (ex, hospital and physician visit) as a dependent variable. We conducted a probit regression analysis to identify the impacts of PHI on medical institution selection controlling for heteroscedasticity. The results of this study showed that the insured with indemnity were more likely to choose hospital departments than clinics (marginal effect=0.0475, p=0.000). The impact of participation of fixed benefit PHI was not as clear as that of indemnity type (marginal effect=0.0162, p=0.047). In conclusion, this study confirmed that PHI, particularly indemnity type has a significant impact on the selection of medical institutions. Healthcare policy makers should consider that PHI not only affects the overall quantitative increase in healthcare utilization, but also influences the selection of medical institutions.

• Journal of Korean Medical classics
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• v.35 no.4
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• pp.97-114
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• 2022

Objectives : Background research on the history of Huangbo's taste being written as 'pungent' was undertaken, after which its clinical meaning was examined from the medical perspective that was behind the medicinal's taste designation. Furthermore, through various understandings on the 'pungent' taste within the process of clinical application, the meaning of 'pungent' in Korean medicinal research was re-evaluated. Methods : Description of Huangbo's taste as 'pungent' as written in medical texts were chronologically examined to determine its origin. The clinical meaning of the pungent taste of Huangbo was examined within the broad medical perspective of doctors who were behind these descriptions. Results & Conclusions : The pungent taste of Huangbo was first described by Zhang Yuansu, followed by doctors of the Yishui School such as Li Dongyuan, Wang Haogu, etc., during which such knowledge was established and contributed to recognition of Huangbo's effect as tonifying Kidney deficiency and treatment of fire within water, after reaching the Kidney. Li Dongyuan understood the meaning of Huangbo's pungent taste as eliminating Yin fire and restoring the upward direction, ultimately restoring the general 'Rising-Falling-Floating-Sinking' mechanism within the context of his inner damage treatment. On the other hand, Zhu Danxi interpreted the pungentness of Huangbo based on his understanding of the nature of fire and action towards it. It seems as Huangbo's effects were understood within a relatively narrow frame, application of its pungent taste became vague, which gave rise to criticism by later period doctors, ultimately leading to an ambiguous understanding of the pungent taste of Huangbo.

• Journal of Food Hygiene and Safety
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• v.32 no.5
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• pp.418-423
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• 2017

An analytical method for the determination of dexamethasone (DM) in bovine milk samples was developed and validated using liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS). Milk samples were extracted by the liquid-liquid extraction based on acetonitrile. The chromatographic separation was achieved on a reverse phase $C_{18}$ column with gradient elution using a mobile phase of 0.1% formic acid in 95% acetonitrile. The procedure was validated according to the Ministry of Food and Drug Safety guideline determining accuracy, precision, limit of detection (LOD), and limit of quantification (LOQ). Mean recoveries of DM from spiked milk samples (25, 125, and 1,250 ng/mL) were 98.9-109.6%, and the relative standard deviation was between 1.7 and 4.4%. Linearity in concentration range of 12.5-1,250 ng/mL was obtained with the correlation coefficient ($r^2$) of 0.9997. LOD and LOQ for the investigated DM were 0.15 and 0.5 ng/mL depending on milk samples, respectively. This method was reliable, sensitive, economical and suitable for routine monitoring of DM residues in bovine milk.

• Journal of Korean Medical classics
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• v.27 no.1
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• pp.47-56
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• 2014

Objective : The aim of this study is to find out the significance of Chongu pulse diagnosis as the standard of measuring the result of the acupuncture on 'the affected part of the pulse wave' based on the literature. Method : (1) The clear concepts of the 'unaffected part' and the 'affected part' were organized. (2) The relation between the pulse diagnosis and the acupuncture in Hwangjenaekyung was studied. (3) The indications of Mu acupuncture treatment(繆刺法) and Geo acupuncture treatment(巨刺法) in Hwangjenaekyung was studied. (4) The types and changes of pulse diagnosis in Hwangjenaekyung was studied, especially based on the relation between Sambuguhu pulse diagnosis(三部九候脈診) and Chongu pulse diagnosis(寸口脈診). (5) By synthesizing these results, the significance of Chongu pulse diagnosis as the standard of measuring the result of the acupuncture on 'the affected part of the pulse wave' was found. Result & Conclusion : 1. When the affected part and the unaffected part are defined, it is necessary to make clear that which one of next three definitions is used ; Firstly, 'the broad sense of definition of the affected part and the unaffected part of the symptom', which contains the pulse wave. Secondly, 'the narrow sense of definition of the affected part and the unaffected part of the symptom', without the pulse wave. And thirdly, 'the definition of the affected and the unaffected part of the pulse wave', which has the only independent standard of the pulse wave. 2. Geo acupuncture treatment(巨刺法) is an acupuncture treatment which means the needling on 'the affected part of the pulse wave' based on Sambuguhu pulse diagnosis (三部九候脈診), and Mu acupuncture treatment(繆刺法) is an acupuncture treatment which means the needling on 'the unaffected part of the symptom based on the narrow sense of the definition'. The range of the indications of Mu acupuncture treatment(繆刺法) and Geo acupuncture treatment(巨刺法) contains most of the diseases which contains Rakbyung(絡病), Kyungbyung(經病) and Ojangbyung(五臟病). 3. Chongu pulse diagnosis(寸口脈診) contains not only the range of the indications of Sambuguhu pulse diagnosis(三部九候脈診), but also most of the diseases. 4. From synthesizing these results of the study on the literature, we infer that Chongu pulse diagnosis as the standard of measuring the result of the acupuncture on 'the affected part of the pulse wave' is significant.

• Journal of Food Hygiene and Safety
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• v.31 no.3
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• pp.216-221
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• 2016

This study was performed to evaluate the bactericidal efficacy of a fumigation disinfectant containing 35% paraformaldehyde against Salmonella Typhimurium (S. Typhimurium). In this study, the efficacy test of a fumigant against S. Typhimurium was carried out according to French standard NF T 72-281. The S. Typhimurium working culture suspension number (N value), all bacteria numbers on the carriers exposed to the fumigant (n1, n2, and n3), the number of bacterial suspensions by the pour plate method (N1), the number of bacterial suspensions by the filter membrane method (N2), and the mean number of bacteria recovered on the control carriers (T value), were obtained from the preliminary test. In addition, the reduction number of S. Typhimurium exposed to the fumigant (d value) was calculated using the T value, the mean number of bacteria in the recovery solution (n'1) and the mean number of bacteria on carriers plated in agar (n'2). The N value was $5.5{\times}10^8$ colony forming units (CFU)/mL, and n1, n2, and n3 were higher than 0.5N1, 0.5N2 and 0.5N1, respectively. Additionally, the T value was $3.5{\times}10^6CFU/carrier$. In terms of the bactericidal effect of the fumigant, the d value was 5.25. According to the French standard for fumigants, the d value for an effective bactericidal fumigant should be greater than 5. The results indicated that the fumigant containing 35% paraformaldehyde had an efficient bactericidal activity against S. Typhimurium, and, therefore, can be used to disinfect food materials and kitchen appliances contaminated with foodborne bacteria.