• Journal of Korean Public Health Nursing
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• v.30 no.1
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• pp.5-16
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• 2016

Purpose: This correlational study was conducted to determine the relationship between health status and ego integrity of permanent elderly returnees from Sakhalin. Methods: We surveyed 94 permanent elderly returnees from Sakhalin, living in Gimpo, Korea. Data were analyzed using the SPSS/WIN 18.0 program for descriptive statistics, t-test, $Scheff{\acute{e}}$ test, ANOVA, and Pearson correlation coefficient. Results: The mean score of total health status was 3.7 on a 5 point Likert scale. The mean score of ego integrity was 3.6 on a 5 point Likert scale. The health status showed significant correlation with the ego integrity of the permanent elderly returnees from Sakhalin. Conclusion: In the present study, although the health status of the permanent elderly returnees from Sakhalin appeared to be good, the lack of awareness about health care and the need for ego integrity, is in itself the actual suffering. Thus by providing health education along with medical information can enhance the health management. And, this practice can be self regulating for the society and can provide institutional support for the permanent elderly returnees from Sakhalin, which they require.

• Korean Journal of Health Education and Promotion
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• v.33 no.4
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• pp.67-77
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• 2016

Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

• Physical Therapy Korea
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• v.9 no.3
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• pp.125-135
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• 2002

In most of the medical literature that discusses the common problem of movement in patients with cerebral lesions. This critical problem is ascribed to a mechanism involving uninhibited neural activity. The goals of neurological physical therapy are focus on reduce of muscle hypertonicity, facilitates muscle activities, and improve of performance in living environment. A variety of studies suggest that spasticity is a distinct problem and separate from the muscle weakness. It has become increasingly recognized that the major functional deficits following brain damage are largely due to negative features such as muscle weakness and loss of performance rather than spasticity. Adequate recruitment of prime mover, not release was able to carry out the movement tasks well. The strengthening exercise of spastic limbs on changes in muscle properties and performance skill, the repeated motor practice has been identified as crucial for motor recovery. This article support the concept that strengthening is an appropriate intervention to improve the quality of physical function in patients with central nervous system lesions. Further studies and therapeutic approaches should be efforts at improving motor neuron recruitment in agonist rather than reducing activity in antagonists while retraining muscle strengthening.

• Health Policy and Management
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• v.15 no.4
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• pp.1-25
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• 2005

Legislation on pharmaceutical reimbursement decision using economic evaluation results was made in Korea in fm, but has yet to be fully implemented. We evaluated the quality of Korean economic evaluation studies of pharmaceuticals to understand gaps between legislation and implementation. From this evaluation, we propose policy options that might strengthen the research Infrastructure In order to support such studies. We reviewed 23 published studies for drugs conducted between 1996 and 2004. Evaluation criteria included methodological characteristics, healthcare system characteristics, population characteristics, and applicability of results. Large variation in study quality was observed, particularly with study design, outcome data, treatment patterns and interpretation. Korean clinical data used was mostly from observational studies of 1-2 hospitals. Foreign data was extracted from clinical trials that did not Include Asian population and their selection criterion was not clarified. With respect to treatment patterns, medical records and hospital bills were used without adjustment regarding area, hospital type, and others. And next frequent situation relied on expert opinion from academic physicians in specialty practice. preference measures, when used, were not elicited from the Korean population. $78.3\%$ of studies did not clarify the funding source. If the Korean economic evaluation policy is to provide meaningful data for decision makers, the quality of cost-effectiveness studies will need to improve dramatically. This may involve access to or creation of better data, more diverse funding, unproved training of researchers and evaluators, and partnerships with technology manufacturers.

• PNF and Movement
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• v.11 no.2
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• pp.77-85
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• 2013

Purpose : The purpose of this study is to investigate the effects school business hospital-based integrated health education on learning transfer factor and level. Methods : This study conducted a questionnaire survey of 60 students at D college using metastatic diagnostic tool who took the integrated health education curriculum, statistical analysis utilized the SPSS 17.0 for window version. Results : On comparison of the details 5 clauses, 29 questions using LTSI, this study found that the integrated health education based on the school business hospital is effective for learning transfer. Conclusion : What the integrated health education based on clinic practice system at D college to overcome the limitations of health and medical line is effective for learning transfer and it will be useful to cultivate professional.

• Journal of the Daesoon Academy of Sciences
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• v.24_1
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• pp.291-313
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• 2014

Religious organizations execute various social welfare programs on the basis of their religious ideology and faith. Their practice vividly aim at mission, propagation, edification, and spreading, but also is practised as a way of philanthropy, an universal value. Daesoonjinrihoe's social welfare program can be understood in this respect. This paper investigates on which idea Daesoonjinrihoe's social welfare program takes its basis, and examines the current situation and tasks of the social welfare program. Daesoonjinrihoe runs their social welfare program on the idea of 'Resolution of grievances for the mutual beneficence of all life[Haewonsangsaeng: 解冤相生]' and 'Boeunsangsaeng(報恩相生)'. Their program is concentrated on medical welfare, welfare for elderly people, and youth welfare. It is noteworthy that Daesoonjinrihoe's welfare program is not subsidized by government as much as those of other religious organizations. This paper looks into the tasks for Daesoonjinrihoe's social welfare program in terms of operational system and hardware, and suggests that we need to show interest in multicultural welfare systems and support it as Korean society is becoming a more multicultural society.

• Journal of Preventive Medicine and Public Health
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• v.57 no.2
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• pp.157-166
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• 2024

Objectives: Children with disabilities may exhibit a multitude of symptoms, and treatment requires a multidisciplinary approach for a satisfactory outcome. Lack of awareness among physicians, lack of referral, and lack of inter-sectoral coordination have hindered paediatric practice in Tamil Nadu, a state in India with a striking childhood disability rate that warrants a timely interdisciplinary approach. However, the perspectives of paediatricians on paediatric physiotherapy are unknown. The aim of the study was to investigate the perspectives of practicing paediatric physicians in Chennai on the role of physiotherapy in paediatrics. Methods: For an in-depth exploration, qualitative semi-structured interviews were conducted in person with 10 paediatricians. Audio from the sessions was recorded and transcribed, and data saturation was achieved through iterative analysis. Results: A grounded theory analysis of the results yielded 5 domains under which the perspectives and expectations of the physicians were described, along with the barriers experienced by patients' parents as explained by their paediatrician. The responses highlighted deficits in awareness, structural support, accessibility and direct communication between physicians and physiotherapists. Conclusions: Paediatric physicians have different opinions, and some ignorance persists concerning paediatric physiotherapy. This study warrants a proper structure of the paediatric rehabilitation unit and regular interdisciplinary meetings and focus group discussions to increase access for parents and improve patient outcomes.

• Journal of the Korean Society of Physical Medicine
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• v.19 no.2
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• pp.107-122
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• 2024

PURPOSE: This study examined sports injuries among national sitting volleyball players and to provide baseline data for the development of programs to prevent injuries and enhance performance. METHODS: The study surveyed 21 national team athletes (12 males and nine females) participating in the 4^th Hangzhou Asian Para Games. The questionnaire consisted of 17 items, including general information, type of disability, sites and types of sports injuries and their causes, the current state of sports injuries and the treatment and management of injuries. RESULTS: The survey results suggested that the most common injury sites were the finger, shoulder, and waist. The most frequent types of injuries were sprain, muscle cramp, and LBP. The causes were insufficient warm-up, playing unhealed and carelessness. Injuries were most prevalent during morning training and in the winter. Most injuries occurred in practice, and the actions most likely to cause injuries were blocking, spike and sitting movements. Ice and spray were the most common treatments, usually administered by the athletes themselves. Physical therapy was the most common post-injury management, and the most common sequelae involved continuing to use despite pain. CONCLUSION: Based on these results, systematic and individualized training and therapeutic support tailored to the characteristics of sitting volleyball and the types of disabilities are necessary to prevent and manage sports injuries among national players. Continuous injury management by medical staff, particularly physical therapists, is essential to maintain the health of disabled athletes.

• Clinical Endoscopy
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• v.57 no.3
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• pp.309-316
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• 2024

The treatment of obesity and its comorbidities ranges from clinical management involving lifestyle changes and medications to bariatric and metabolic surgery. Various endoscopic bariatric and metabolic therapies recently emerged to address an important therapeutic gap by offering a less invasive alternative to surgery that is more effective than conservative therapies. This article comprehensively reviews the technical aspects, mechanism of action, outcomes, and future perspectives of one of the most promising endoscopic bariatric and metabolic therapies, named duodenojejunal bypass liner. The duodenojejunal bypass liner mimics the mechanism of Roux-en-Y gastric bypass by preventing food contact with the duodenum and proximal jejunum, thereby initiating a series of hormonal changes that lead to delayed gastric emptying and malabsorptive effects. These physiological changes result in significant weight loss and improved metabolic control, leading to better glycemic levels, preventing dyslipidemia and non-alcoholic fatty liver disease, and mitigating cardiovascular risk. However, concern exists regarding the safety profile of this device due to the reported high rates of severe adverse events, particularly liver abscesses. Ongoing technical changes aiming to reduce adverse events are being evaluated in clinical trials and may provide more reliable data to support its routine use in clinical practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.7
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• pp.583-589
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• 2020

This study investigated perceptions and opinions on medical personnel related to dental hygienists. The subjects of this study were 25 students, including dentistry students, dental hygiene students, dental technology students, and nursing students. The survey items consisted of general information, the pros and cons of medical hygienists and their reasons, the scope of legal work, medical practice, and the professionalism of dental hygienists. Frequency analysis and 𝑥²-tests were used for the analysis method. As a result of the study, the pros and cons of the dental hygienist's medicalization were 56.2% in favor and 40% in opposition. There were significant differences in the opinions of the dental hygienists involved with medical hygiene by 90% and 25% in nursing students. In addition, there was a significant difference in the perception of the legal work of dental hygienists and the rate of recognition of medical activities among the departments. In conclusion, it is expected that understanding and support for dental hygienists will be achieved only if proper knowledge and education about dental hygienists are made available in other departments.