• Title/Summary/Keyword: Public health administration

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A Study on the Level of Health Promotion to Introduce the WHO's Health Promoting Hospitals in Regional Public Hospitals (WHO 건강증진병원 사업 도입을 위한 전국지방의료원의 건강증진병원 환경 평가)

  • Lee, Dong-Won;Song, Jin-Sung;Nam, Eun-Woo
    • Korea Journal of Hospital Management
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    • v.15 no.2
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    • pp.44-60
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    • 2010
  • This research, which is designed to introduce the concept of the WHO's health promoting hospital project to Korea, was conducted in a total of 34 local hospitals across the nation. To evaluate the level of health promotion at hospitals, an evaluation index for health promoting hospital environments was made using the Analytic Hierarchy Process Decision-Making Method, from which a total of 20 questions were developed in the five areas of no-smoking, moderation in drink, exercise, nutrition and rest in Korea. Through this analysis, it was found that local hospitals across the nation were on average excellent in terms of their no-smoking environments, but poor in their rest and moderation in drink environments. A comparison of local public hospital environments by region showed that Busan, Daegu, and South Gyeongsang Province were good, while South Chungcheng Province, Jeju Province and Gwangwon Province were poor. In terms of the number of beds, mid-size local hospitals (200-299 beds) came first. This research revealed that local hospitals across the nation had different health promotion environments according to area and size, and in particular, their environments for rest and moderation in drink turned out to be lacking, which vividly showed that these areas desperately needed to be supplemented in order to introduce the concept of health promotion at hospitals in Korea.

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Current condition of humanities and social sciences classes in the pubic health curricula (보건계열 교육과정에서의 인문사회학 교과목 현황)

  • Moon, Sang-Eun;Kim, Yun-Jeong;Kim, Seon-Young
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.961-966
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    • 2014
  • Objectives: The purpose of the study was to investigate the classes of humanities and social sciences in the public health curricula. Methods: Data were collected through online received from 329 public health curricula from July to August, 2014. Categorized are introduction, management of hospital, medical health law, and ethics, patient psychology, others(communication, behavioral science, administration). The data were analyzed by a descriptive analyses and ${\chi}^2$-test(SPSS 12.0). Results: As a result of evaluate the classes of humanities and social sciences in the public health curriculum, 86.0% of department of occupational therapy, 71.4% of department of radiological technology and 72.6% of department of dental hygiene established more 4 classes. 92.1% of department physical therapy and 64.9% of department medical technology established more 5 credits. Numbers and credits of courses showed no differences by educational system. Conclusions: Humanities and social sciences are not popularly introduced in the most departments of public health sciences. Humanities and social sciences are very important and necessary for training competent future professionals in the public health sciences. So this study will provide the basic data for the introduction of humanities and social sciences in the public health curricula.

Pregabalin and gabapentin in neuropathic pain management after spinal cord injury: a systematic review and meta-analysis

  • Davari, Majid;Amani, Bahman;Amani, Behnam;Khanijahani, Ahmad;Akbarzadeh, Arash;Shabestan, Rouhollah
    • The Korean Journal of Pain
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    • v.33 no.1
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    • pp.3-12
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    • 2020
  • Neuropathic pain after spinal cord injury (SCI) has a significant negative impact on the patients' quality of life. The objective of this systematic review is to examine the safety and efficacy of pregabalin (PGB) and gabapentin (GBP) in the treatment of neuropathic pain due to SCI. PubMed, the Cochrane Library, Embase, Scopus, and the Web of Science were searched up to December 2018. The reference lists of key and review studies were reviewed for additional citations. The quality of the studies was evaluated using the Cochrane Collaboration's tools for assessing the risk of bias. A meta-analysis was performed for primary and secondary outcomes. Eight studies were eligible for inclusion. Meta-analysis of PGB vs. placebo showed that PGB was effective for neuropathic pain (standardized mean difference [SMD] = -0.40; 95% confidence interval [CI]: -0.78, -0.01), anxiety (MD = -0.68; 95% CI: -0.77, -0.59), depression (mean difference [MD] = -0.99; 95% CI: -1.08, -0.89), and sleep interference (MD = -1.08; 95% CI: -1.13, -1.02). Also, GBP was more effective than a placebo for reducing pain. No significant difference was observed between the efficacy of the two drugs (MD = -0.37; 95% CI: -1.67, 0.93). There was no significant difference between the two drugs for discontinuation due to adverse events (risk ratio = 3.00; 95% CI: 0.81, 11.15). PGB and GBP were effective vs. placebos in decreasing neuropathic pain after SCI. Also, there was no significant difference between the two drugs for decreasing pain and adverse events.

A Study on the Evaluation and Improvement of an Integrated Health Promotion Program in the Local Community (지역사회 통합건강증진사업 평가와 개선방안)

  • Paek, Jong-Sup;Hong, Seong-Ae
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.131-139
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    • 2017
  • The purpose of this study was to investigate the effectiveness of public health center's Integrated Health Promotion Program for the public officials who provide health promotion services to local residents. The survey was conducted from September 10 to October 5, 2015 using a structured questionnaire. Each of the 254 public health centers were sent two questionnaires but I only received 348 and 339 were used for the final analysis. As a result of this study, the all subjects were showed the average level of efficiency, autonomy, accountability, and the support of the Ministry of Health and Welfare, and the related organizations. Also, the evaluation of all the variables were positive when there was a dedicated department for integrated health promotion program within the health center and when the proportion of essential program was high. However, after the Integrated Health Promotion Program was included in the Health centers, the workload has increased and the implementation of the essential program does not fully reflect the regional health problems or local conditions. Based on these results, it is necessary to find a plan for the successful operation of the Integrated Health Promotion Program.

The Process of Nurses Experience in Public Health Program Performance (간호사의 보건사업수행 경험과정)

  • Kim, Jeong-Soo
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.468-480
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    • 2010
  • Purpose: This study was to describe and develop public health nursing. Methods: Data were collected from 19 nurses sampled from 5 public health centers. The grounded theory of Strauss and Corbin (1990) was applied. Results: As a result, 48 concepts, 23 subcategories, and 11 categories were deduced from open coding. In axial coding, casual conditions 'facing difficulties of practical administration' and 'attaching importance to health support for residents' and context condition 'assessing of residents' service needs' impacted phenomenon 'searching for efficient performing methods.' Intervening conditions 'forming of support system' and 'working with positive,' and action-interaction conditions 'improving of resident's health and medical accessibility' and 'striving for self-development' lead to consequences 'carried out promptly for field-based problem solving,' 'mastered of successful program planning methods' and 'solving the issues with existing style.' The periods of process were divided into 4 stages, confirming program-contents, probing program-method, developing program-strategies, and applying program-competencies. The core category, ‘strengthening of practical-planning work competencies' incorporated the relationship between and among all categories and explained the process. Conclusion: This study described public health nurses' performance in Korea. These findings have important implications for the practice and must be considered to develop competencies for planning and practice of public health.

Visiting Nursing Activities Provided by Public Health Nurses in a Health Center (서울시 일부 보건소 방문간호 활동내용)

  • Kim, Soon-Lae;Lee, Kyeong-Yeao
    • Journal of Home Health Care Nursing
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    • v.6
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    • pp.59-65
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    • 1999
  • In oder to investigate the basic data for the standard of visiting nursing activities and educational program for Public Health Nurses in Health Center in Korea. the health record review carried out regard to visiting nursing services of 131 subjects with visiting nursing care. The results were as follows: 1. Rates of visiting nursing services offered by Public Health Nurse of Health Center(in decreasing order)were health education and disease management(98.5%), activity assess-ment(94.7%), counseling(90.8%), dietary care (61.1%), exercise treatment(60.3%), examination(58.8%), medication(48.9%), referral to hospital(32.8%, vaccination against flu and hepatitis(29.8%), support for welfare and administration(24.4%), position change(9.9%), connection to voluntary services(9.9%), wound dressing(7.6%) and referral for home health care nursing(3.1%). 2. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job.

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An Evaluation on the Effectiveness of Public Health Education by the SNU Graduates Currently Working at Health-related Jobs (보건분야 종사 졸업생에 의한 서울대학교 보건대학원 교육효과 평가)

  • 이상이;문옥륜
    • Korean Journal of Health Education and Promotion
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    • v.14 no.2
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    • pp.43-57
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    • 1997
  • Educational goals of SPH were two-fold : One was to train a health professions who should take charge of a leading roles, another were to educate the researchers of public health. There were strong demands to evaluate whether these goals had been effectively achieved through the master's course of SPH or not. According to the educational goals of SPH, public health is an applied science to be applicable to health-related fields. The curriculum of SPH has to be built under this principle and be evaluated by someone regularly. Who evaluates that? The most pertinent appraiser is the graduates of public health currently working at health-related jobs. It was the purpose of the study to let the graduates evaluate their education and the curriculum that they had undertaken during master's course at SNU. If the results of the evaluation by the graduates were not satisfactory, we should find the actual causes of low scored apraisal and reform the curriculum of SPH as the process of problem solving. During September and October 1996, a postal survey was undertaken of the 293 SNU graduates of public health who had been engaged in the health related jobs. As 198 graduates answered out of 293, the response rate was 67.6%. The questionnaire was designed to ascertain how well the SNU master's course of public health had helped their practice. The SAS package was used for statistical analysis and $x^2$-test as a test of statistical significance. Major findings of the study were summarized as follows: $\cdot$ The health related abilities consisted of three categories, which were health administration abilities composed of 14 items, health education abilities composed of 5 items, health research abilities composed of 10 items. $\cdot$ The respondents had acquired 'Worldwide trends of health policy', 'evaluation concepts of health projects', 'interpersonal relationships in professional life', and 'communication through writings' moe than other detailed items in the category of health administration abilities. $\cdot$ 'Establishment of educational and learning golas' was the most acquired item of 5 detailed items of health education abilities. $\cdot$ Respondents indicated that they had acquired ability 'to search reference', ' to understand health problems', 'to establish study plannings', and 'to collect health related data' more than other detailed items in the category of health research abilities.

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Effect of Subchronic 3-Monochloro-1,2-propanediol Exposure on the Expression of Inducible Nitric Oxide Synthase in Rat Brain

  • Nam, Jung-Min;Eum, Si-Yoon;Lee, Eun-Ah;Kim, Ki-Sok
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2005.06a
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    • pp.303-305
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    • 2005
  • 3-Monochloro-1,2-propanediol (3-MCPD) is a contaminant of acid-hydrolyzed vegetable protein. Several reports have suggested that chronic exposure to 3-MCPD could produce neurotoxicity in vitro or neurobehavioral effects inaspects of experimental animals. Disturbance of the nitric oxide signaling pathway by chronic exposure to 3-MCPD may be a causal factor of neurological disorders in rats. In order to investigate the relationship between 3-MCPD administration and expression of inducibal nitric oxide synthase (iNOS), the numbers and distribution patterns of iNOS-immunoreactive neurons were examined. At the all three bregma level examined, the optical density of iNOS-postive neurons was significantly increased following exposure to 3-MCPD. The change was more severe in the upper layer than in deep layer of the cortex. These data suggest that 3-MCPD toxicity may be mediated through disturbances to the nitric oxide signaling pathway.

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Creation of a central public healthcare human resources management department to coordinate existing agencies (범부처 공공보건의료인력 관리조직의 필요성과 과제)

  • Yoon, Seok-Jun;Seo, Hye-Young;Park, Yoon Hyung
    • Health Policy and Management
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    • v.22 no.4
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    • pp.703-710
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    • 2012
  • Purpose : The aim of this study is to review the current status of healthcare provision and its human resources administrative management and propose a coordinated human resource management plan for the more efficient operations of healthcare organizations. Methods : We reviewed the literature and held discussions with officials from the United States Department of Health and Human Services to survey United States Public Health Service Commissioned Corps operations. In addition, we surveyed the literature to analyze the current structure and responsibilities of governing bodies involved in public healthcare in Korea. Results : In Korea, there are several administrative offices involved in public health: the Ministry of Health and Welfare, the Ministry of Defense, the Environment Ministry and others. Since these diverse agencies don't integrate their operations, it is difficult to grasp their management of both public healthcare services and their personnel. A potential model is the United States Public Health Service Commissioned Corps, a sub-group of the Department of Health and Human Services and an elite team of highly qualified, public health professionals, which coordinates and manages the overall work and personnel of diverse healthcare organizations. Conclusion : We suggest the establishment of a federal level, public health administrative department of human resource management to centralize and coordinate the existing, disparate healthcare administrative agencies.

Health functional food, domestic functional material (Centered on Rural Development Administration research) (건강기능식품 국산 기능성원료 (농촌진흥청 연구 중심으로))

  • Hwang, Kyung-A
    • Food Science and Industry
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    • v.53 no.4
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    • pp.366-373
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    • 2020
  • Due to environmental changes such as diet and fine dust, the public has a growing interest in health. With the growing interest in health, consumption of health functional foods to prevent diseases has increased, and the health functional food market is also growing. However, most health functional foods rely on imported raw materials, and the development of health functional foods using domestic raw materials is urgently needed. Therefore, in this paper, provides information on functional raw materials for health functional foods that have been recognized by using domestic agricultural products in Rural Development Administration, and insists that R&D should be more active in order to increase more domestic raw materials in the health functional food market in the future.