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Prevention in the United States Affordable Care Act

  • Preston, Charles M.;Alexander, Miriam
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.455-458
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    • 2010
  • The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.

Health and Nutrition Messages in the Baby Food Advertisements of Women's Magazines

  • Kim, Ki-Nam
    • Journal of Community Nutrition
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    • v.5 no.3
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    • pp.178-185
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    • 2003
  • Content analysis of food advertisements was undertaken to investigate the nature of the messages related to health, nutrition or consumer-promotion in 2001 women's magazines. Advertisements on baby foods were collected from three women's magazines and the final samples obtained were 42 different copies of advertisements. All the messages in each sample were counted and calculated for their frequency (%). Messages were categorized into four areas (health, nutrition, non-nutrition, consumer promotion), and each area was classified into more detailed categories. Results showed that all the messages in 42 samples and average messages per advertisement were 1288 and 30.7, respectively. The most common type of promotional messages was health related (e.g., appeal to enhanced immune function and disease prevention and brain development), followed by consumer related, nutrition and non-nutrition messages in order. Messages about high quality and all natural ingredients were more emphasized in the consumer related category. Messages on fats (DHA, lecithin and arachidonic acid), proteins (neucleotides, taurine) and mineral (calcium, iron) were most frequently found in nutrition category. Amongst the three kinds of baby foods, formula ads had the most numerous messages related to health and nutrition. There were more consumer related messages in the ads of weaning foods, and more promotional messages about no addition of antiseptic, artificial additives, and food colors in the ads for older infant foods. Messages violating regulation (e.g., exaggerated or inaccurate or non-scientific messages) were frequently found in the advertisements of three kinds of baby foods. In conclusion, tighter supervision of food advertisements and nutrition education is required to protect the consumers from misleading advertisements.

The Nutrition Assessment and Care for the Elderly in Japan

  • Sugiyama, Michiko;Nishimura, Akio;Koyama, Hideo
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.12-26
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    • 2000
  • In Japan, a new nursing insurance system was enforced in April 2000, where premiums were paid according to the level of necessary care. Our project, Nutrition Care and Management(NCM) for the elderly was started in 1995, funded by the Ministry of Health and Welfare of Japan. The NCM project was to provide appropriate nutrition care for the elderly and to see that it effectively functions as part of the health care services. There were 4 stages to the project : the first stage was to find out the PEM status among the elderly patients in hospital and home-care settings in Japan. The 2nd stage was to develop and evaluate nutritional assessment methods, anthropometry, resting energy expenditure measuring methods using of portable indirect calorimeter, and the convenient protein energy intake assessment methods, etc. for the elderly patients with PEM risk. The 3rd stage was to examine the effectiveness of the nutrition care plan induced of protein energy supplement and team care in improving nutrition among the elderly patients. The last stage was to develop the NCM set for the elderly patient based on the past three years of scientific evidence. it is expected that the NCM system for the elderly will provide adequate nutritional care management, improve the elderly care environment and create effective resource management.

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Recent changes in the phytoplankton community of Soda Lake Chitu, Ethiopia, in response to some environmental factors

  • Demtew Etisa;Yiglet Mebrat
    • Fisheries and Aquatic Sciences
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    • v.27 no.1
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    • pp.23-34
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    • 2024
  • While scientific information on the spatial variation of soda lake Microalgae is important to limnological studies, little information was reported from the Ethiopian Rift Valley Lake, Lake Chitu. This study aimed to understand the spatial distribution of the dominant Microalgae taxa in Lake Chitu, Ethiopia. The collection of samples and in situ measurements of some physico-chemical parameters were recorded at three sites for one cycle in November 2021. Fourteen species or genera of Microalgae were identified. Among those, Bacillariophyta were the most important with regard to species abundance and the rarest in species richness. Cyanophyta were the second-most important group in terms of species richness and rarity. Comparatively, all microalgae taxa were rare at both the anthropogenic areas (AA) and the flooding area (FA), which could be mainly due to intensive human and animal intervention and associated with extreme turbidity. Among Cyanophyta, Chroococcus minutus, Microcystis aeruginosa, and Spirulina platensis/fusiformis were predominant at both AA and FA, revealing their adaptation to less clear water and pollution. But S. platensis/fusiformis attained the highest abundance at the FA, indicating their preference for water in a highly nutrient-enriched area. We concluded that the spatial variation of microalgae diversity in relation to water quality parameters has implications for the importance of microalgae as a baseline indicator of water quality assessment tools in lakes.

Relation between Chemical Properties and Microbial Activities in Soils from Reclaimed Tidal Lands at South-western Coast Area in Korea

  • Park, Mi-Na;Go, Gang-Seuk;Kim, Chang-Hwan;Bae, Hui-Su;Sa, Tongmin;Choi, Joon-Ho
    • Korean Journal of Soil Science and Fertilizer
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    • v.48 no.4
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    • pp.262-270
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    • 2015
  • The scientific information between microbial community and chemical properties of reclaimed tidal soil is not enough to understand the land reclamation process. This study was conducted to investigate the relation between chemical properties and microbial activities of soils from reclaimed tidal lands located at south-western coastal area (42 samples from Goheuong, Samsan, Bojun, Kunnae, Hwaong and Yeongsangang sites). Most of the reclaimed soils showed chemical characteristics as salinity soil based on EC. Only $Na^+$ in exchangeable cation was dependent on EC of reclaimed soil, whereas other cations such as $K^+$, $Ca^{2+}$, and $Mg^{2+}$ were independent on EC. The mesophilic bacteria decreased with an increase in EC of soil. Microbial population increased with soil organic content in the range of $0{\sim}10g\;kg^{-1}$ and dehydrogenase activity less than $100{\mu}g-TPF\;g^{-1}h^{-1}$. Microbial population of soils from reclaimed tidal lands was closely related to the microbial community containing hydrolytic enzyme activities of cellulase, amylase, protease, and lipase.

Status and Operational Activation of Life-Cycle Physical Activity Therapy Program - Focused on the Community Health Center Programs in Hoseo Region - (생애주기별 신체활동 치유 프로그램의 현황과 활성화 방안 연구 - 호서지역 보건소 프로그램 중심으로 -)

  • Lee, Wang-Lok;Park, Sang-Kyun;Kim, Dae-Hoon;Oh, Yoon-Ji;Kim, Young-Sam;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.27 no.2
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    • pp.35-42
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    • 2021
  • This study was to analyze the Life-Cycle Physical Activity Therapy Programs (PATPs) in Hoseo Region and to suggest the Activation of the program. The subjects were the 81 PATPs performed in 36 of the Community Health Centers in the region. The basic data was collected by Official Documents, the Homepage of the Centers, Telephone Interview, and e-mail with the person in charge of the programs. All the data were classified to the administrative districts (Rural, Urban-Rural Intergration and Urban Region), the Life Cycles (Children, Youth, Adult and Old Adult) and the Health-related Fitness Variables (Strength/Muscle endurance, Flexibility and Aerobics). The ACSM's (American College Sports Medicine) Guidelines for Exercise Testing and Prescription were used to evaluate the PATPs. In the results, the number of the PATPs was too low compared to the population. Also, the PATPs were not considered to the Life-Cycle proportion of the population. The management of the PATPs was principally inadequate. The frequency and duration of the PATPs were deficient in order to improve the Health-related Fitness. In conclusion, the number of the PATPs should be increased proportionally compared to the population, operated and developed on the Specificity of the Life-Cycle Population in the administrative districts. Further, the PATPs should be managed on the scientific knowledge of physical activity therapy.

New K-GMT Science Program

  • Hwang, Narae;Lee, Jae-Joon;Lee, Joon Hyeop;Park, Byeong-Gon;Seo, Yoon-Kyung
    • The Bulletin of The Korean Astronomical Society
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    • v.38 no.1
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    • pp.68.1-68.1
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    • 2013
  • The K-GMT group launches a new science program designed to promote the observational research capabilities of Korean Astronomical Society. The science program (SP, hereafter) will provide the access to the observational facilities that is required for the completion of science proposals selected based on their scientific merits. The SP will invite the submission of proposals from all members of Korean Astronomical Society annually starting from mid-2013. We will introduce the rationale, action plan, and major timelines for the new K-GMT SP to the Korean astronomical community members.

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CFHT: another opportunity for Korean Astronomy?

  • Veillet, Christian
    • The Bulletin of The Korean Astronomical Society
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    • v.36 no.2
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    • pp.125.1-125.1
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    • 2011
  • After a short description of the observatory, this presentation will highlight some of the most recent scientific achievements based on CFHT observations and how they benefit from the current instrumentation and novel observing modes proposed to the CFHT users. We will then move to the mid-term future with the development of new spectroscopic capabilities (visible wide-field FTS or near-IR spectro-polarimetry) and the study of a novel wide-field imager in the visible using Ground-Layer AO to provide unprecedented image quality on a large field of view. As an option for the long-term future, the concept of a next generation 10-m class telescope to replace the current CFHT 3.6-m will be described. An emphasis will be given on how CFHT is slowly morphing into an Asia-Pacific Rim observatory and on the role the Korean community could play in such an endeavor, from immediate access to first-class astronomical data to partnering with other nations in exciting developments.

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The Study on the Game World Experience and Peer Interaction of Students with Disabilities in the Community : With Giorgi's Phenomenological Research Method (지역사회 장애학생의 게임세계 경험과 또래상호작용 탐구: Giorgi의 현상학적 연구방법을 활용하여)

  • Yoo, Doo-Han;Jeon, Byoung-Jin;Hong, Deok-Gi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.2
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    • pp.1-13
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    • 2012
  • Objective : The purpose of this study was to understand the game world experience and peer interaction of students with disabilities in the community. Method : In this study, Giorgi's phenomenological method was used to understand the game world experience and peer interaction of two students with disabilities in the community. The data collection about the situation and the context of the subjects was conducted over three times of interviews, until no new data. Meaning units through the four steps for Giorgi's scientific phenomenology were analyzed in the context of the overall data. Result : Two students with disabilities in the community had to spend time at home with physical limitation and alienation, and their leisure activities was mainly using the computer and television. Restrictions of leisure activities wad the cause of difficulties of social accessibility, and they need the correct thinking and self-control in the use of the time. Due to the game for fun, they have no interact with peers. On the other hand, most of conversation about the game were with families. Conclusion : Students with disabilities had a physical and psychological difficulties were feeling pleasure through the game. They need the correct thinking and self-control in the use of the time, and need an alternative solution for a reckless game use.

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Efficiency analysis of the community welfare centers for people with disabilities using data envelopment analysis (자료포락분석을 활용한 장애인복지관의 효율성 분석)

  • Choi, Kyoungho;Shin, Hyun-Uk
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.1
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    • pp.111-121
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    • 2015
  • Until now, the operation of community welfare centers for people with disabilities has brought a positive or a generous awareness. Nevertheless, in order to obtain a wide range of welfare outcomes efficiently, the imperative step in rehabilitation researches is to determine whether reasonable and scientific services are being provided to people with disabilities in rehabilitation centers. The purpose of this study was to analyze efficiency and productivity of 176 community welfare centers for people with disabilities. As a result, average technical efficiency for community welfare centers for people with disabilities was 0.4488; pure technical efficiency and scale efficiency was 0.6040 and 0.7080, respectively. The major conclusions of this study were as follows. First, applying the technical efficiency analysis, DMU2, DMU3, DMU8, DMU9, DMU11, DMU13, DMU14 were shown above average. It seems to have a regard for political elements in accordance with the regional social and economic differences. Second, as a result of scale efficiency analysis, the inefficient community welfare centers for people with disabilities such as DMU1, DMU5, DMU12, DMU16 are required to improve the number of employees, revenue, facility area. Finally, this study is expected to be an effectiveness analysis and performance evaluation for the rehabilitation services.