• Title/Summary/Keyword: Medical agency

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A Study on Factors Affecting Public Health Center Workforce for Health Behavior based on Pender's Health Promotion Model (서울지역 일부 보건소 공무원의 지각된 건강상태와 건강행동과의 관련성 -Pender의 건강증진모델을 이용하여-)

  • Lee, Eun-Jeoung;Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.1
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    • pp.121-140
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    • 2014
  • Objectives: Recently, the rate of death by chronic disease, is increasing steadily. To prevent this, the public health center will have taken a leading role in the local community medical business through an establish to the national health promotion act and an amendment to the law of public health center in Korea. Results: Accordingly this research, using the Pender's health promotion model which is related with subject health behavior who government employees serve at the public health center have taken important position in the local community health promotion, have comprehended the actual condition of health behavior. For increasing the health behavior practice of subject to comprehend the factor which have effect on health behavior practice, which can be a correct role model in the local community health promotion. A survey was performed on 406 government employees who serve at five public health centers in Seoul. The period of survey was from 25th October, 2010 to 15th November, 2010. The results of this study were summarized as below. 1. Work-related stress, perceptible beneficial obstacle, and self-efficacy were composed by 5 points measure. The results show those work-related stress were $3.06{\pm}0.469$, 74perceptible beneficial obstacle were $3.74{\pm}0.471$, and self-efficacy were $3.49{\pm}0.469$. 2. As for the health behavior by general characteristic, the results have specific differences on age, education level, state of marriage, rank of the position, field of the occupation and employment forms in statics analysis. 3. As for the past health behavior by health behavior characteristic, work-related stress have specific differences on the past frequency of drinking (p<.05) in statics analysis, perceptible beneficial obstacle have specific differences on the past frequency of having breakfast(p<.05), having snacks(p<.05) and doing exercise(p<.05) in statics analysis. Self-efficacy have specific difference on the past frequency drinking(p<.01) in statics analysis. 4. According to the correlation between the factors related with health behavior and health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). Work-related stress and self-efficacy don't have specific relation in health behavior practice. 5. The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations. The ability of explanation occupied 54.8% what explained of the health behavior practice by general characteristic, perceptible health condition, employment forms and perceptible beneficial obstacle. Conclusions: According to the correlation between the factors related with health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations.

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Supporting plan of disabled welfare center for the Disabled in Securing the Maternity Rights (Pregnancy·Childbirth·Child Rearing) of Disabled Women from a Gender-Sensitive Perspective (성인지적 관점의 여성장애인 모성권(임신과 출산,자녀양육)보장을 위한 장애인복지관의 역할)

  • Choi, Sun-kyoung
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.97-107
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    • 2018
  • According to the 2017 national survey of the disabled persons conducted by the Ministry of Health and Welfare, rehabilitation centers for the disabled appeared to be the service agency that disabled women use the most. This means that rehabilitation centers for the disabled hold an important role in securing the maternity rights of disabled women. However, in the practice of welfare for the disabled, programs for securing maternity rights are inadequate, and the actual condition is not being surveyed. As a result, programs related to maternity rights based on the legal basis exist, but actual support services for resolving the difficulties related to maternity rights that disabled women experience are inadequate. Thus, the study suggests that rehabilitation centers for the disabled should pay a central role in establishing the maternity rights of disabled women and provide support services such as developing a manual on basic information about pregnancy, childbirth, and child rearing, offering childbirth-related counseling, activating a self-help group, providing an individualized program for families, connecting with medical institutions, and supporting case management.

A Preliminary Discussion on Policy Decision Making of AI in The Fourth Industrial Revolution (4차 산업혁명시대 인공지능 정책의사결정에 대한 탐색적 논의)

  • Seo, Hyung-Jun
    • Informatization Policy
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    • v.26 no.3
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    • pp.3-35
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    • 2019
  • In the fourth industrial revolution age, because of advance in the intelligence information technologies, the various roles of AI have attracted public attention. Starting with Google's Alphago, AI is now no longer a fantasized technology but a real one that can bring ripple effect in entire society. Already, AI has performed well in the medical service, legal service, and the private sector's business decision making. This study conducted an exploratory analysis on the possibilities and issues of AI-driven policy decision making in the public sector. The three research purposes are i) could AI make a policy decision in public sector?; ii) how different is AI-driven policy decision making compared to the existing methods of decision making?; and iii) what issues would be revealed by AI's policy decision making? AI-driven policy decision making is differentiated from the traditional ways of decision making in that the former is represented by rationality based on sufficient amount of information and alternatives, increased transparency and trust, more objective views for policy issues, and faster decision making process. However, there are several controversial issues regarding superiority of AI, ethics, accountability, changes in democracy, substitution of human labor in the public sector, and data usage problems for AI. Since the adoption of AI for policy decision making will be soon realized, it is necessary to take an integrative approach, considering both the positive and adverse effects, to minimize social impact.

Exposure to Particles and Nitrogen Dioxide Among Workers in the Stockholm Underground Train System

  • Plato, N.;Bigert, C.;Larsson, B.M.;Alderling, M.;Svartengren, M.;Gustavsson, P.
    • Safety and Health at Work
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    • v.10 no.3
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    • pp.377-383
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    • 2019
  • Objectives: Exposure to fine particles in urban air has been associated with a number of negative health effects. High levels of fine particles have been detected at underground stations in big cities. We investigated the exposure conditions in four occupational groups in the Stockholm underground train system to identify high-exposed groups and study variations in exposure. Methods: $PM_1$ and $PM_{2.5}$ were measured during three full work shifts on 44 underground workers. Fluctuations in exposure were monitored by a real-time particle monitoring instrument, pDR, DataRAM. Qualitative analysis of particle content was performed using inductively coupled plasma mass spectrometry. Nitrogen dioxide was measured using passive monitors. Results: For all underground workers, the geometric mean (GM) of $PM_1$ was $18{\mu}g/m^3$ and of $PM_{2.5}$ was $37{\mu}g/m^3$. The particle exposure was highest for cleaners/platform workers, and the GM of $PM_1$ was $31.6{\mu}g/m^3$ [geometric standard deviation (GSD), 1.6] and of $PM_{2.5}$ was $76.5{\mu}g/m^3$ (GSD, 1.3); the particle exposure was lowest for ticket sellers, and the GM of $PM_1$ was $4.9{\mu}g/m^3$ (GSD, 2.1) and of $PM_{2.5}$ was $9.3{\mu}g/m^3$ (GSD, 1.5). The $PM_1$ and $PM_{2.5}$ levels were five times higher in the underground system than at the street level, and the particles in the underground had high iron content. The train driver's nitrogen dioxide exposure level was $64.1{\mu}g/m^3$ (GSD, 1.5). Conclusions: Cleaners and other platform workers were statistically significantly more exposed to particles than train drivers or ticket sellers. Particle concentrations ($PM_{2.5}$) in the Stockholm underground system were within the same range as in the New York underground system but were much lower than in several older underground systems around the world.

A Study on the Influence on Medical Care for the Elderly by Exposure to Fine Particulate Matter and Ozone (미세먼지와 오존노출에 의한 노인의 의료 이용 영향에 대한 연구)

  • Jung, En-Joo;Na, Wonwoong;Lee, Kyung-Eun;Jang, Jae-Yeon
    • Journal of Environmental Health Sciences
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    • v.45 no.1
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    • pp.30-41
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    • 2019
  • Objectives: The effects of particulate matter and ozone on health are being reported in a number of studies. These effects are likely to be stronger on the elderly population, but studies in this regard are scarce. The purpose of this study was to examine the effects of particulate matter ${\leq}2.5{\mu}m$ and ozone on the acute health status of the elderly population. Methods: In order to analyze the health status of the elderly population, the NHIS-Senior Cohort data was used. In this study of people 60 years or older in Seoul, the number of outpatient visits and ER visits between 2002 and 2013 were calculated. Each disorder and the lag effect were analyzed separately. Particulate matter and ozone were analyzed using both the single exposure model and the adjusted multi-exposure model. Results: In the single exposure analysis with PM2.5 as the exposure variable, with each increase of $10{\mu}g/m^3$, the number of outpatient visits increased by 1.0081 times, vascular disease 1.0065 times, chronic pulmonary disease 1.0086 times, and diabetes 1.0055 times. In the multi-exposure model adjusting for ozone, the number of outpatient visits increased by 1.0066 times. There was a one-day lag effect and 1.0066 times increase between PM2.5 and ER visits in the multi-exposure model and 1.0057 times when adjusted for ozone (p value <0.10). There was a one-day lag effect in all multi-exposure models with ozone as the main variable, and when the particulate matter was adjusted, there was a one-day delay and 1.0143 times increase in ER visits. Conclusions: In our study, an increase in the number of outpatient and ER visits in the elderly population in accordance with the increase in PM2.5 and ozone was found. The association found in our study could also produce a socioeconomic burden. Future studies need to be performed in regards to younger populations and other air pollutants.

The Status of Personal Information Protection for Original Text Information Disclosure Service (원문정보공개 서비스에서의 개인정보 보호 실태)

  • Ahn, Hye-mi
    • Journal of Korean Society of Archives and Records Management
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    • v.19 no.2
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    • pp.147-172
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    • 2019
  • With the provision of the original text information disclosure service, the time spent on determining the disclosure of the original text information decreased, and the number of original text information disclosure significantly increased. In public institutions, the risk of the exposure of personal information also increased. In this study, the status of personal information protection in the original text information disclosure service was investigated. Moreover, the causes of the exposure of personal information were analyzed, and improvements were proposed. The survey presented the following results. First, 13% of the original text information collected contains personal information, which is the nondisclosure information. Second, among the original text information that includes personal information, the original text information, including the personal information of the public official, was the most important. In particular, many records about vacation and medical leaves were found. Third, there were many cases in which information about the individual of the representative was exposed in the agency that deals mainly with the contract work. Fourth, a large volume of personal information was not detected by filtering personal information. Upon analyzing the cause of the exposure of personal information, the following improvements are suggested. First, privacy guidelines should be redesigned. Second, the person in charge of the task of deciding whether or not to disclose original text information should be trained further. Third, the excessive disclosure of information based on the government's quantitative performance should be eased. Fourth, the filtering function of the personal information of the original text information disclosure system should be improved.

Exploring Job Stress, Job Satisfaction, and Turnover Intention of Nurses in the Comprehensive Nursing Service (상급종합병원의 간호·간병통합서비스 병동에 근무하는 간호사의 직무스트레스, 직무만족 및 이직의도)

  • Kwak, Sook Hee;Hyun, Sookyung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.23-30
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    • 2019
  • The purpose of this study was to examine job stress, job satisfaction, and turnover intention of the nurses who work at the comprehensive nursing service units in two academic medical institutions that provide healthcare service at the tertiary care level in Korea. A descriptive study was conducted with the nurses by using self-reported questionnaires. We used descriptive statistics to summarize the data and Mann-Whitney U test for group comparison. The mean scores of job stress, job satisfaction, and turnover intention were $89.17{\pm}12.56$, $107.25{\pm}6.85$, $37.19{\pm}4.86$, respectively. Nurses with religion showed more job stress than those without. Nurses with their age below 30 years old had significantly less job satisfaction than those older than 30 years old. Monthly income was significantly associated with turnover intention in our data. The top three sub-category of the job stress were conflict with physicians, patients and their caregivers, and conflicts with others; and those of the job satisfaction were pay and promotion and task requirement. Job stress, job satisfaction, and turnover intention were significantly correlated. In order to reduce turnover intention of nursing professionals in the comprehensive nursing service, job stress related to issues on relationships with patients, their family, health care providers need to be taken into consideration. Policy and administrative support are needed to improve their work environment.

Early Childhood Education of Joseon Royal Family (조선시대 왕실의 유아교육)

  • Yuk, Su Hwa
    • (The)Study of the Eastern Classic
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    • no.32
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    • pp.311-362
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    • 2008
  • This study aimed to make clear the education process, from antenatal training to early childhood education, of Joseon Royal Family. Centered on the successors to the throne and reviewed also the education of other Royal Family members, this study carried out comparative analysis on them. Antenatal training is pregnant woman's essential physical and mental attitude. It is indispensable to the health and good nature of unborn baby. Antenatal training had been based on the theory of Oriental medical science that fetus can sympathize what mother see and feel. Such theory, combined with Confucian self-culture theory, had taken very important position in Confucianism. Not to speak of Royal Family, noble family regarded antenatal training very essential as beginning of education and root of nature formation. For firstborn son and firstborn grandson, Boyangcheong (輔養廳, special nursery agency) was set up before their age became three, but not for other sons and grandsons of Royal Family. When firstborn son or firstborn grandson grew up to read letters, Ganghakcheong (講學廳) was set up for their early education. Other sons of king also learned in their early ages at Ganghakcheong while other grandsons of king learned at Gyohakcheong (敎學廳). Education courses were almost same between successors and non-successors but there were wide difference in the ranks of their tutors; firstborn son's tutor marked 2nd Jeong(正) class, firstborn grandson's tutor marked 2nd Jong(從) class and other royal sons' tutors were just 9th Jong(從) class.

Influential Factors for the Happiness of the Elderly in the Metropolitan and Nonmetrolipotan Areas : On the Basis of the 2019 Community Health Survey Data (수도권과 비수도권 노인의 행복감에 영향을 주는 요인 : 2019년 지역사회 건강조사 자료 활용)

  • Kim, Hwan-Hui
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.305-314
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    • 2020
  • The purpose of this study was to provide basic information on regional senior welfare policy setting for the elderly in the metropolitan and nonmetropolitan areas and on the development of senior welfare programs on the basis of the data of the 2019 community health survey conducted by Korea Disease Control and Prevention Agency. The subjects in this study were 74,547 senior citizens who were at the ages of 65 and over as of 2019 and who were 17,423 from the metropolitan area and 57,124 from the nonmetropolitan areas. The collected data were analyzed by SPSS version 26.0. The findings of the study were as follows: As for the levels of happiness in the metropolitan area, happiness was better in the seniors who were aged 75 and up, who had spouses, whose income was larger and who engaged in economic activity. In the nonmetropolitan areas, happiness was better in the seniors who were aged 75 and up, who were better educated, who had spouses, whose income was larger and who engaged in economic activity. In terms of health behaviors and subjective health levels, more happiness was felt by the seniors who didn't smoke at present, who didn't suffer any subjective stress, who were at higher subjective health levels and higher subjective oral health levels and who had unmet health care needs, no matter whether they dwelled in the metropolitan or nonmetropolitan areas. In the nonmetropolitan areas, however, engaging in intensive physical activity and lower BMI were identified as the factors to affect happiness.

Metabolic Diseases Classification Models according to Food Consumption using Machine Learning (머신러닝을 활용한 식품소비에 따른 대사성 질환 분류 모델)

  • Hong, Jun Ho;Lee, Kyung Hee;Lee, Hye Rim;Cheong, Hwan Suk;Cho, Wan-Sup
    • The Journal of the Korea Contents Association
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    • v.22 no.3
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    • pp.354-360
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    • 2022
  • Metabolic disease is a disease with a prevalence of 26% in Korean, and has three of the five states of abdominal obesity, hypertension, hunger glycemic disorder, high neutral fat, and low HDL cholesterol at the same time. This paper links the consumer panel data of the Rural Development Agency(RDA) and the medical care data of the National Health Insurance Service(NHIS) to generate a classification model that can be divided into a metabolic disease group and a control group through food consumption characteristics, and attempts to compare the differences. Many existing domestic and foreign studies related to metabolic diseases and food consumption characteristics are disease correlation studies of specific food groups and specific ingredients, and this paper is logistic considering all food groups included in the general diet. We created a classification model using regression, a decision tree-based classification model, and a classification model using XGBoost. Of the three models, the high-precision model is the XGBoost classification model, but the accuracy was not high at less than 0.7. As a future study, it is necessary to extend the observation period for food consumption in the patient group to more than 5 years and to study the metabolic disease classification model after converting the food consumed into nutritional characteristics.