Background: This study was conducted with aim of providing an overview of the current status of occupational health services and identifying the most common harmful agents at workplaces of Iranian self-employed enterprises (Nano-Scale Enterprises). Methods: A cross-sectional study was performed among a random sample including 1,758 employees engaging in self-employed enterprises with 5 and less employees. Results: Coverage of occupational health surveillance was very poor, annual health examinations were been conducted only for 64 (3.64%) of males and 31 (1.76%) of females, and occupational health trainings were not included of the services at all. Personal Protective Equipment were available in 462 (26.3%) of the enterprises. only in 0.4% of the enterprises working processes were been equipped by a local exhaust ventilation system. Difficult postures were the most common (81.5%) adverse working conditions. Conclusion: This study revealed a poor level of the implementation of occupational health services in Iranian self-employed enterprises. Based on the findings, providing basic training on the occupational health, more enforcing in conduction of health examinations and providing PPE, and taking appropriate strategies aimed at eliminating or minimizing work environment harmful agents are the major factor that should be considered to improve the level of occupational health services among the studied enterprises.
Recent trends place an emphasis on school health care, the ultimate goal of which is to protect, maintain, and promote students' health. School health care is a program that integrates health care services, health education, health counseling, and local social health services. The student health examination (SHE) system is a part of school health care and schools and communities must be available to provide professional health services. Pediatricians also have important roles as experts in both school health care and the SHE system. In this article, the history of school health care, its legal basis, and the current status of the SHE system in Korea are reviewed. Furthermore, sample surveys from the past few years are reviewed. Through this holistic approach, future directions are proposed for the improvement of SHE and school health care.
Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.
Objectives: The purpose of this study were to measure the effect of factors analyse the associated by the oral health behaviors and dental health services utilization factors of dental caries in the middle-school student's and then to provide basic material of preventive oral health and oral health education program. Methods: This subject of study consists of 342 middle schools each 1,2,3 grade Daegu city. The data were collected from July 2 to 30, 2009. by way of the self-reported questionnaire. The data materials are analyzed by demographic characteristics, oral health behaviors and dental health services utilization of frequency analysis, demographic characteristics of dental caries and oral health behaviors and dental health services utilization of one-way ANOVA analysis. Results: Brushing twice a day, which was the higher 69.3%, Students were trained received oral health education. Girls than boys dental caries teeth(DT) index (p<0.05), dental filling teeth(FT) index(p<0.00), dental experience caries teeth(DMFT) index(p<0.00) was higher than all three variables was a statistically significant. Oral health behavior of brushing twice a day 'once' dental caries teeth(DT) index was the highest, there was statistically significant difference (p<0.01), oral health education students experience a higher dental caries teeth(DT) index(p=0.36). dental health services utilization of preventive dental visits last one year when they did not have dental caries teeth(DT) index was higher (p=0.076) Conclusions: Oral health promotion is considered to adolescent as part of the oral health clinics school for elementary school students in the focus to middle school students and enhance.
Objectives : The purpose of this study is to examine senior citizens' perception of medical welfare service in Daejeon, and to investigate the level of Korean Medicine University students' satisfaction about medical services that they have done. Methods : We visited Daejeon city hall and Dae jeon Seo-gu community health center, and interviewed them. After that we select two population and did two different surveys. First, to investigate the current state of medical services and medical welfare in Daejeon, we select neglected class senior citizens who were serviced at social welfare center. Second, we select Daejeon Korean Medicine University student to investigate the level of satisfaction about medical services and pre-education. In first population, we random select 25 of 34 senior citizen who visits mere social welfare center. In second population, we random select 78 of 115 Korean Medicine University student who belongs to medical welfare club. Results : We found some advantages and problems in medical services. A lot of senior citizen who were serviced at social welfare center showed high level of satisfaction about medical service. But there were few citizens who knows about health & medical welfare. And most Korean Medicine University student who services medical service to neglected class senior citizens showed high level of satisfaction. Conclusion : We concluded that medical welfare for senior citizen needs more publicizing. Because result of our survey, many senior citizens showed not only low level of recognition in medical welfare service, also showed low utilization rate in public health center. And most Korean Medicine University students were satisfied with themselves about medical service that they have done, it seemed medical service gives beneficial influence to not only senior citizen but also Korean Medicine University student.
The purpose of this study to test the effect of health education on the performance of health promoting behavior in E.M.T. students. The data were collected from 77 EMT students by questionnaire. The first survey were conducted from March 20 to April 2. The second survey were conducted from August 8 to September 5 on same group. The data were analyzed by pecentage, mean, t-test using SAS program. The result of this study were as follows : 1. The average item score for the health promoting was 2.35 at freshman. 2. The average item score for the health promoting was 2.59 after one year on same group. In the subcategories, the highest degree of performance was personal relationship support, self-actualization, stress management, nutrition and health responsibility and the lowest degree was sports. 3. Hypothesis that the EMT student who get health education will have a higher degree of health promoting behavior than the freshman EMT student was accepted.
Purpose: Providing tutoring services may be one of the most effective practices for improving academic performance and student retention. However, there is little information on the difference between mandatory tutoring (MT) and voluntary tutoring (VT) on the impact of student academic performance. This investigation compared the effectiveness of VT and MT services in the three upper level undergraduate classes. Research design, data, and methodology: Baseline data were collected in a spring semester where no tutoring of any kind was offered (control group (CG), n=78). The MT (n=104) was required in the following fall semester, and in the next spring semester only VT (n=97) was offered. Descriptive statistics and One-way ANOVA using IBM SPSS v23 (Chicago, IL) were used to analyze the final grades of the courses to identify differences in final grades between semesters. Results: Although final grades averaged from three classes were highest in the MT group, there were no statistical differences between the MT and VT groups, F(2, 292) = 1.150, p =.318. Conclusion: This study indicates there was no significant difference in academic performance between the two tutoring types, but that both tutoring services can be effective.
The purpose of this study was to review health and adjustment issues of Korean students in the context of international students' health in the United States. The number of international students studying in the United States has increased. In addition, more and more Koreans come to the United States for education. Korean students formed the fifth largest international group found on American campuses. As more and more international students study on American campuses, their health needs and problems became a concern to health professionals. Most health problems international students experience are stress related and psychosomatic. These students also have difficulties in using health care services. International students face barriers to obtaining health care because of differences in language and differences in cultural beliefs toward health. Korea manifests an eastern culture which is quite different from the western culture, so many Korean students studying in the United States experience difficulties in adjustment and using health care services. The study on the needs of Korean students in the U.S. reviewed in this research was a survey of 105 Korean students at the Pennsylvania State University, 1990. Korean students' health problems included stress, colds, fatigue, and headaches. Homesickness, financial problems, and academic problems were also important problems the Korean students faced. Korean students usually did not participate in any activities with Americans as much as with Koreans. Most Korean students did not participated in any health education workshops held on campus. This may be because the students had not participated previously in health education workshops conducted on campuses in Korea. Korean student's confidence with the English language appeared to be an important variable in using or not using the university health services. University health professionals in the United States need to develop better information system for international students so that they may better use the health services provided on campus. Also, university health professionals working on campuses in Korea need to put more attention on health of college students and provide on-campus health education workshops which meet the student's needs.
Objectives: Health behaviors among young people group are strongly linked to healthy habit or life style in adulthood. This study performed to explore the essential components and effective strategies to develop the standardized program on healthy campus that could contribute to health status and sustainable health promotion among students, faculty, and staff in university health. Methods: To set up the priority and weighting of essential components and strategies on health promoting university, thirty one professionals who had majored in health promotion were selected for Delphi in Oct. 2011. Results: Barriers to success of the health promoting university were lack of interest and policies, incomplete process of health planning, absence of health-related personnel, and inadequate action plan. Essential components of healthy campus were raising fund, healthy policy, participation, human resource, and health promotion programs. Effective strategies were expanding of health promotion programs to improve lifestyle, improvement of campus environment, planning of healthy campus, development of infrastructure, and building up a healthy and safety campus. Conclusions: Health promoting university services support to achieve academic goal of student and helps to reduce absenteeism of university faculty and staff through the on-campus services that are accessible, student-focused, cost-effective, and high quality.
The purpose of this study was to find out the general characteristics of school health teachers, the status of school health resources and the degrees of self-confident performance for the 124 school health teachers in Pusan City. Data was collected by means of questionaires from Aug. 1986 to Mar. 1987. The data were analyzed by use of percentage, mean, standard deviation, t-test, ANOVA and Pearson-correlation coefficient. The results of this study were as follows: 1 . General Characteristics of School Health Teachers (SHT) 1) The average of age of the SHT was 32.8 years old and 39.5% of them were from 30 to 34 years old. 2) The average for school nursing experience of the SHT was 7.9 years and 37.9% of them were from 5 to 9 years. 3) The 45.2% of them have not the clinical experience. 4) The 74.2% of them were graduated from the 3 years college of nursing. 2. Status of school health resources and nursing activities. 1) The average of student number was 2497.3 and class number was 45.2. 2) The average of school health budget was 1039000 won and 27.7% of school health budget expended on examination cost. 3) Only 29.0% of all schools have organization for school health. 4) The 84.7% of all schools have health clinic separately and 69.1% of schools have less than $33m^2$ sized. 5) The average of clinic visitor number was 2111.8 for 1 year. 6) Major problem was on digestive system. And other problems were skin, respiratory, musculo-skeletal system and dental problem. 7) The number of literal message was 14.4 times for 1 year. 3. The degree of the school health teachers' self-confidence. The school health teachers' self-confidence was deviced into 6 and the maximum degree was 4. 1) Program planning & evaluation; 2.8 2) Clinic management; 2.9 3) Health education, 3.0 4) Management of school environment; 2.7 5) Health care services; 2.7 6) Operating of school health organization; 2.4 4. Significances to the degree of self-confidence on school health nursing activities. 1) There was significant difference between clinical management and Religion (t=2.15 p<.05) 2) There was significant difference between Operating of school health organization and level of school (F=3.588 p<.05) 3) Program planning & evaluation: expending time for clinical management (r=-0.184 p<.05) expending time for health care services (r=0.273 p<.01) 4) Clinical management: use of separate health clinic (r=0.151 p<.05) 5) Health education: use of separate health clinic (r=0.170 p<0.5) 6) Health care services: No. of student (r=-0.144 p<0.5) No. of class (r=-0.160 p<.05) 5. The degree of the school health teachers' self-discipline. The school health teachers' self-discipline was devided into 2 and the maximum degree was 2. 1) Program planning & evaluation:1.8 2) Clinic management: 1.9 3) Health education: 1.9 4) Management of school environment: 1.7 5) Health care services: 1.8 6) Operating of school health organization.: 1.3 6. Significances to the degree of self-discipline on school health nursing activities 1) Program planning & evaluation; Level of nursing education (F=4.309 p<.01) 2) Clinical management: Level of nursing education (F=3.587 p<.05) 3) Operating of school health organization: School health organization (t=-2.68 p<.01) 4) Health care services: School health organization (t=2,58 p<.05) 5) School health performance: School health organization (t=2.32 p<.05) 6) Program planning & evaluation: School health experience (r=0.239 p<.01) Expending time for program planning & evaluation (r=-0.172 p<.05) 7) Clinic management: School health experience (r=0.249 p<.01) Expending time for dinic management (r=0.181 p<.05) No. of student (r=-0.158 p<.05) Expending time of program planning & evaluation (r=-0.199 p<0.5) 8) Health education: School health experience (r=0.234 p<0.1) Expending time of program planning & evaluation (r=-0.193 p<.05) 9) Management of school environment: Age of school health teacher (r=0.142 p<.05) School health experience (r=0.255 p<.01) 10) Operating of school health organization: Medicine Purchase (r=-0.163 p<.05) 11) Health care services: School health experience (r=0.148 p<.05) Medicine purchase (r=-0.229 p<.01) 12) Total school health performance: School health experience (r=0.200 p<.05) Medicine purchase(r=-0.168 p<.05) Based on the above results, the suggestions are as follows: 1) As the SHT take charge of the reasonable number of student, the students will have benefit of the good health service in quality. 2) It is recommended to use the health clinic separately and to arrange adequate place for good school health service. 3) It is necessary that the SHT participate budget for school health. 4) It is required to enhance self-confidence on school health nursing activities through continuous educational programs.
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