• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2001년도 춘계 학술대회
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• pp.19-25
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• 2001

Recently in Korea, treatment and disposal of organic wastes have being the mostimportant is sue due to governmental strong regulation of landfill banning Especially the sewage sludge and food wastes will be restricted from the direct landfilling, after the year 2003 and 2005 respectively. Thus the considerable change in treatment methods of organic wastes is founded to transfer toward recycling the organic wastes, In these trends. vermicomposting is being enlightened newly in Korea. In November of 1999. the first symposium focusing the organic waste treatment using the earthworm was held with attending many peoples including earthworm company, experts. and professors. In that symposium, it was reported that the vermicomposting plants treating organic wastes had increased to about 80 plants and had treated about 110,000 tons per year in Korea Many local governments and companies showed the interest in vermicomposting of organic wastes and needed the collaboration with each other and foreign countries. In for reclamation materials, the extraction of some medical drugs from earthworm was expanding the research and development fields, In this paper, the history of vermicomposting in Korea was reviewed and the present stanls and future aspect were showed.

• Safety and Health at Work
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• 제4권2호
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• pp.84-86
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• 2013

Despite the fact that asbestos is a known carcinogen to humans, it is still used in industrialized countries, especially Asian countries. The global incidence of asbestos-related diseases (ARDs) due to the past use of asbestos, continues to increase, although many countries have adopted a total ban on asbestos use. The implementation of effective strategies to eliminate ARDs is therefore an important challenge in Asia, where asbestos is still mined and consumed. Collaborative efforts and strategies at the local and international levels are vital, in the pursuit toward the elimination of ARDs in this region.

• 의학교육논단
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• 제19권3호
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• pp.152-157
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• 2017

Interprofessional education (IPE) fosters effective team-based collaborative practice among members of different health care professions to advance high-quality and safe patient care. Although the importance of IPE has been recognized and IPE initiatives have expanded rapidly in the past decades, substantial difficulties in IPE assessment still exist. At present, a lack of consensus on the optimal approach to IPE assessment contributes to uncertainty about the level of attainment of collaborative team performance. This paper aims to provide an overview of the benefits and current challenges associated with IPE assessment. Furthermore, a multifactor model with an assessment matrix and assessment blueprints from a recent study is briefly discussed. We also provide examples of assessment blueprints for the team management of stroke patient discharge covering a competency examination at the levels of individuals, the team, and the task.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2022년도 춘계학술대회
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• pp.359-360
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• 2022

In light of the unprecedented occupational health and safety concerns that have been raised in the wake of the COVID-19 pandemic, the importance of seafarers' mental health has been significantly underlined. Despite the fact that there has been a significant amount of research on the psychological threats of seafarers' mental health, mutual cooperative actions on this issue have not been properly coordinated among seafarers' relevant bodies and stakeholders in APEC region. This paper introduces the APEC SEN's initiatives that have been undertaken to improve the mental health of seafarers, in collaboration with medical professionals, seafarers' unions, maritime administrations, and other stakeholders, through the development of training programmes and materials for both seafarers and modulators, resulting in a more effective approach to mental healthcare promotion.

• 대한예방한의학회지
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• 제9권2호
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• pp.77-91
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• 2005

The purpose of this study is to examine the recognition of the student of oriental medical school on cooperative system between Oriental and Western medicine and to provide basic information for the development of oriental medicine. In order to look at the level of recognition on cooperative system between Oriental and Western medicine, from September 1st to 15th of 2005, this study had been conducted through personal interview and questionnaires to 600 students who were attending the Department of Oriental Medicine (in both prep and regular courses) in D University, located in the City of Daegu. The data has been analyzed using statistic program, the SPSS WIN 12.0. Statistical analysis tools used for this study were frequency analysis, cross-over analysis and the t-test. The results are as follows; The students of oriental medical school had relatively high level of recognition on the basic concept, interests, necessity and potential for cooperative system between Oriental and Western medicine. However, they had negative understandings on the issue of unification of the two medical systems and it's possibility in the future. The students were optimistic about possible merits of cooperative system between Oriental and Western medicine, especially in the field of rehabilitation. On the reasons for lack of development of cooperative system between Oriental and Western medicine, the students listed prejudices existing on both sides firstly, followed by their contrasting approach on human illness, lack of legal and institutional support system, the indifferences of doctors and indifferences of oriental medical doctors. In addition, students understood that the dualism existing in our current medical system is aggravating mutual distrust between the two sides, causing the confusion of patients on the choice of medical facilities, and raising their medical bills. Therefore, in order to vitalize collaboration between Oriental and Western medicine in new health care environment, the following measures should be needed decreasing the prejudices between the two medical spheres with open mind improving educational programs in Western and Oriental medical schools; promoting joint academic research or exchange programs between the schools, and increasing government effort to minimize legal and institutional restrictions cooperative system between Oriental and Western medicine.

• 한국비블리아학회지
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• 제34권2호
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• pp.59-92
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• 2023

본 연구는 국내 의학도서관 이용자 서비스 향상을 위하여 의학사서의 교육프로그램 개선방안을 제시하기 위한 목적으로 수행되었다. 이를 위하여 의학사서 역할을 조사하여 교육영역을 항목화한 후 미국의 MLA와 한국의 KMLA 교육프로그램을 비교·분석하였다. 그 결과, 우리나라 의학사서 교육프로그램에 대한 개선점으로 첫째, 다양한 교육프로그램 유형, 교육영역, 교육내용, 전문 분야를 선정한 인증 프로그램의 확대, 관련 기관과의 협업 프로그램, KMLA 가치를 표방하는 교육프로그램 등이 요구된다. 둘째, 현행 교육영역 중 '연구지원서비스', '교육·교육설계·상담' 등에서 다양한 교육프로그램이 진행될 필요성이 있으며 특히, 전혀 교육이 이루어지고 있지 않은 '소비자건강정보서비스', '재난정보서비스' 제공이 필요하다. 또한 '의학 관련 분야 정보서비스' 교육을 위해서는 국내 의학사서 교육 커리큘럼에 관한 규정 제정이 선행되어야 할 필요성이 있다. 셋째, 대면 교육 참여가 어려운 사서를 위하여 온라인 교육내용 제공이 필요한데 이러한 경우에는 교육내용만 제공하고 의학사서점수 부여에는 차등을 두거나 점수를 부여하지 않는 방법 등을 제시하였다.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.254-260
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• 2012

Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.

• Journal of Hospice and Palliative Care
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• 제24권4호
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• pp.204-213
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• 2021

Purpose: At the end of life, communication is a key factor for good care. However, in clinical practice, it is difficult to adequately discuss end-of-life care. In order to understand and analyze how decision-making related to life-sustaining treatment (LST) is performed, the shared decision-making (SDM) behaviors of physicians were investigated. Methods: A questionnaire was designed after reviewing the literature on attitudes toward SDM or decision-making related to LST. A final item was added after consulting experts. The survey was completed by internal medicine residents and hematologists/medical oncologists who treat terminal cancer patients. Results: In total, 202 respondents completed the questionnaire, and 88.6% said that the decision to continue or end LST is usually a result of SDM since they believed that sufficient explanation is provided to patients and caregivers, patients and caregivers make their own decisions according to their values, and there is sufficient time for patients and caregivers to make a decision. Expected satisfaction with the decision-making process was the highest for caregivers (57.4%), followed by physicians (49.5%) and patients (41.1%). In total, 38.1% of respondents said that SDM was adequately practiced when making decisions related to LST. The most common reason for inadequate SDM was time pressure (89.6%). Conclusion: Although most physicians answered that they practiced SDM when making decisions regarding LST, satisfactory SDM is rarely practiced in the clinical field. A model for the proper implementation of SDM is needed, and additional studies must be conducted to develop an SDM model in collaboration with other academic organizations.

• Parasites, Hosts and Diseases
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• 제53권5호
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• pp.535-543
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• 2015

Integrated control strategies are important for sustainable control of schistosomiasis and soil-transmitted helminthiasis, despite their challenges for their effective implementation. With the support of Good Neighbors International in collaboration with National Institute of Medical Research, Mwanza, Tanzania, integrated control applying mass drug administration (MDA), health education using PHAST, and improved safe water supply has been implemented on Kome Island over 5 years for controlling schistosomiasis and soil-transmitted helminths (STHs). Baseline surveys for schistosomiasis and STHs was conducted before implementation of any integrated control strategies, followed by 4 cross-sectional follow-up surveys on randomly selected samples of schoolchildren and adults in 10 primary schools and 8 villages, respectively, on Kome islands. Those follow-up surveys were conducted for impact evaluation after introduction of control strategies interventions in the study area. Five rounds of MDA have been implemented from 2009 along with PHAST and improved water supply with pumped wells as other control strategies for complementing MDA. A remarkable steady decline of schistosomiasis and STHs was observed from 2009 to 2012 with significant trends in their prevalence decline, and thereafter infection rate has remained at a low sustainable control. By the third follow-up survey in 2012, Schistosoma mansoni infection prevalence was reduced by 90.5% and hookworm by 93.3% among schoolchildren while in adults the corresponding reduction was 83.2% and 56.9%, respectively. Integrated control strategies have successfully reduced S. mansoni and STH infection status to a lower level. This study further suggests that monitoring and evaluation is a crucial component of any large-scale STH and schistosomiasis intervention.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10071-10077
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• 2015

Background: Cervical cancer has become a major public health problem worldwide. Iran, like other developing countries, is facing a number of challenges in managing the disease. This qualitative study documents challenges encountered in cervical cancer preventing programs in Iran. Materials and Methods: In-depth interviews were conducted with 28 participants including eleven patients with cervical cancer, three gynecologic oncologists, five specialists in Obstetrics and Gynecology, five midwives, three health care managers and one epidemiologist in Mashhad Iran, between May and December of 2012. The sample was selected purposively until data saturation was achieved. Data credibility verified via allocated sufficient time for data collection, using member checking and peer debriefing. Data analysis was carried out using conventional content analysis approach with ATLAS. ti software. Results: Findings from data analysis demonstrated 2 major themes and 6 categories about challenges of providing cervical cancer prevention programs including: individual and social challenges (cognitive/behavioral challenges and socio/cultural challenges) and health system challenges (stewardship, financing, competency of health care providers and access to services). Each category included some subcategories. Conclusions: Managing the cervical cancer prevention programs need to include the consideration of individuals, health care providers and health system challenges. Addressing the low level of knowledge, negative attitudes, socio cultural challenges, Poor intersectional collaboration and coordination and intra-sectional management, financing and competency of health care providers are essential steps toward significantly reducing the burdens of cervical cancer.