• Title/Summary/Keyword: 공공보건

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How to extract value from poverty? : an institutional ethnographic critique on the Community Redevelopment Agency of the City of Los Angeles (빈곤으로부터 가치 짜내는 방법 -로스앤젤레스 도시재개발국에 대한 제도민족지적 비판-)

  • Park, Kyong-Hwan
    • Journal of the Korean association of regional geographers
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    • v.12 no.2
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    • pp.305-322
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    • 2006
  • An increasing number of cities employ rescaling strategies that not only construct metropolitan production network scaled down from national context, but also tune up new governance to effectively control local geographies of the city. In this context, urban redevelopment has emerged a key 'global' strategy to empower governmental institutions of the city, which not only eliminate such threatening spatial variables as deteriorated housing, working-class ghettos, and crime areas, but also increase and extract exchange value of those spaces. I view such practices a process of 'glurbanization'. This paper investigates how state/city government employs the discourse of urban re/development for 'inventing' poverty at an urban scale: how it institutionalizes the discourse for implementing concrete projects: and how urban institutional apparatus appropriate their discursive practices of redevelopment for their own ends in the city. By particularly focusing on the California Redevelopment Law and the Community Redevelopment Agency of the City of Los Angeles, this paper analyzes the ways in which the law and the agency extract value from what they define 'blight areas' by means of eminent domain and tax increment revenues. For empirical analysis I employ discourse analysis and institutional ethnography. I conclusively argue that the urban spaces stigmatized as 'blight areas' are increasingly entrapped by the urban redevelopment agency, which extracts increased exchange value from the areas and redirects it for supporting external investors, private developers, and the body of the agency itself.

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The Determinants of the Length of Stay in Hospital for Schizophrenic Patients: Using from the Health Insurance Claim Data of Inpatients (조현병 환자의 재원일수 결정요인 : 건강보험 입원환자데이터셋 자료를 이용하여)

  • Jeon, Yun-Hee;Jung, Mi-Yeong
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.257-263
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    • 2020
  • This study was conducted to improve the quality of National Health Policy by analysing the effects of sociodemographic characteristics, Medical institutions characteristics and characteristics of Admission-Discharge on the length of stay in hospital for schizophrenic patients from the data of Health Insurance Review & Assessment Service. The subjects were 4,692 patients who were diagnosed with schizophrenia as main diagnosis from the data records of HIRA-NIS 2016. Regression analysis was performed to evaluate the effect on the length of stay. Sociodemographic characteristics, hospital characteristics and characteristics of Admission-Discharge were used as explanatory variables and length of stay in hospital was used as a dependent variable. The result of study showed that female, age, medical aid, the kind of hospital, gangweon-do and with mental disease were found to be the factors that affect the length of stay. The significance of this study is to use the public data for evaluating factors that affect the length of stay in hospital for schizophrenic patients. But this study did not consider disease severity, so further study is needed for evaluation of the effects of factors on the length of stay according to disease severity.

A Research on the Effectiveness and Activation Strategies of Vocational Training Programme for the Disabled (장애인 직업훈련사업의 효과성과 활성화에 관한 연구)

  • Lee, Seong-Gyu
    • Korean Journal of Social Welfare
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    • v.56 no.1
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    • pp.155-179
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    • 2004
  • This study is about the effectiveness and activation strategies of vacational training programme for the disabled guided by the Ministry of Labour and the Korea Employment Promotion Agency for the Disabled(KEPAD). This research employed quantitative approach. The quantitative research used the samples of 853 disabled people who had finished vocational training programme during recent 3 years. In this research the effectiveness is categorized into two ; product effectiveness and employment effectiveness. Product effectiveness is influenced by the kind of train-center, train-area, train-length. The KEPAD, non-IT job area and train-period over 6 month are more effective. Employment effectiveness is significantly influenced by demo-sociological factor rather than disability factor. Especially the kind of train-center is very important to be employed for the disabled. This implicates that choice of train-center by the disabled and effective management of it by the public sector is very important in developing employment. Effective management, stated above, includes reengineering programmes and functions accountable to the need form the trainee, bridging the gap among train-centers in terms of performance, differentiation of financial support according to the product to save the public fund, encouraging one special programme in one train-center.

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The Trend of Uro-Oncologist About Blood Test and Imaging Studies for the Diagnosis of Biochemical Recurrence in Korea (한국에서 Biochemical Recurrence의 진단에 대한 혈액 및 영상의학적 검사에 관한 비뇨기종양을 전공하는 의사의 트렌드에 대한 고찰)

  • Seo, Sung Pil;Kim, Won Tae;Kang, Ho Won;Kim, Yong-June;Lee, Sang-Cheol;Kim, Wun-Jae;Kim, So Young;Park, Jong-Hyock;Yun, Seok Joong
    • The Korean Journal of Urological Oncology
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    • 제15권3호
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    • pp.131-136
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    • 2017
  • Purpose: The aim of this study is to investigate the criteria of biochemical recurrence (BCR) and follow-up periods and methods with and without blood and imaging test of urologic oncology before established guidelines of prostate cancer in Korea. Materials and Methods: In December 2015, we sent the questionnaire to urologic oncologist in academic hospital and received the answer from 108 urologic oncologist (50%). Also, we analyzed the data of 1,141 patients underwent radical prostatectomy in 2005 from Korean Medical Insurance. Results: In follow-up, 72 physicians (66.7%) performed blood test every 3 months, 51 physicians (47.2%) performed imaging study in case of BCR. Bone scan was the most common imaging study in the follow-up (74 physicians, 68.5%). But, bone scan was only performed in case of BCR (43 physicians, 39.8%). The criteria of BCR was PSA 0.2 ng/mL (75 physician, 69.4%), 76 physicians (70.4%) was performed different follow-up according to risk of patients. In Korean Medical Insurance data analysis, PSA were performed average 2 times every year and magnetic resonance imaging, computed tomography, Bone scan were performed average 0.1, 0.2, 0.1 times every year, respectively. Conclusions: The criteria of BCR and the follow-up of prostate cancer patients in Korea were similar Korean prostate cancer guidelines. Blood and imaging test might be increased compared to 10 years ago, it is necessary to compare the Korean Medical Insurance data between 10 years ago and present.

A Study on the Volcanic Ash Damage Sector Selection based on the Analysis of Overseas Cases and Domestic Spatial Information (해외 사례 분석과 국내 공간정보 분석을 통한 화산재 피해 분야 선정)

  • Han, Hyeon-gyeong;Baek, Won-kyung;Jung, Hyung-sup;Kim, Miri;Lee, Moungjin
    • Korean Journal of Remote Sensing
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    • v.35 no.5_1
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    • pp.751-761
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    • 2019
  • Mt. Baekdu, Mt. Aso, Mt. Sakurajima, Mt. Kikai and etc are distributed around the Korean Peninsula. Recently signs of eruption of Mt. Baekdu are increasing, raising concerns over possible damage to volcanic ash from seasonal winds during the winter eruption. Therefore, detailed procedures for investigation and countermeasures for volcanic ash spread and damage are required. But the standards for the warning and alarm signal of volcanic ash presented by Korea Ministry of Government Legislation are vague, with "when damage is expected" and "when serious damage is expected". In this study, to analyze the damage threshold and to apply the cases of overseas damage to the country, a survey was conducted on the establishment of domestic spatial information by public institutions with public confidence. As a result of the investigation of damage from volcanic ash overseas, the details of the damage cases were different depending on the type of life or income sources of each country. Therefore, instead of applying the volcanic ash damage cases abroad in Korea, spatial information analysis was performed to reflect domestic social and natural characteristics. In addition, we selected the areas to be considered in the event of volcanic ash damage in Korea. Finally, domestic volcanic ash damages should be classified as health, residential, road, railroad, aviation, power, water, agriculture, livestock, forest, and soil. When establishing the volcanic ash alarm optimized for Korea in the future, overseas volcanic ash damage cases and domestic spatial information construction in this study will be helpful in policy establishment.

A Study on the Changing Factors of the Power Transition among the Gov ernments of Somalia and Terrorisms (소말리아 정부와 테러조직 간 권력구도 변화 영향요인 연구)

  • Lee, Pyo-Kyu
    • Convergence Security Journal
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    • v.21 no.1
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    • pp.137-147
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    • 2021
  • The purpose of this study is to summarize the variables for making the power expansion of terrorist organizations possible by analyzing the power transitions among the Somalia governments and terrorisms. For this, I created a framework after extracting the independent variables affecting the power transition using the theories of Hans J. Morgenthau, A.F.K Organski, K.J. Holsti. On the basis of these, I analyzed the power transitions among the organizations from August 2012(the foundation of Federal government) to August 2019. According to the results, the power area of the federal government is extremely narrowed, whereas the power areas of al-Shabaab, ISIS, and neutral conflict are largely expanded. The factors in the framework were embodied as the delay of powerful federal government foundation, the shortage of national military forces, the limitation of effective use of foreign forces, the continuation of cooperation and antagonism among armed terrorist organization, sanctuary environment of terrorists using the Sharia law, advantages of force recruitment resulted from the bad economic conditions, public support suitable for the Somalia environment. All of these factors work the causes of lasting anarchy condition of the federal government of Somalia by making the settlement of conflict against terrorist organizations.

Application of Molecular Diagnostics Technology in the Development of a Companion Diagnostics for Malignant Solid Tumors (악성 고형암의 항암제 동반진단 기술에서 분자진단기술의 적용)

  • Kim, Jin-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.365-374
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    • 2019
  • Unlike benign tumors, malignant tumors are capable of metastasis, easy to relapse, poor survival, and low quality of life. In Korea, here is a tendency to treat the tumors collectively according to the General Principles of Cancer Chemotherapy(GPCC) of the Health Insurance Review & Assessment Service (HIRA). But recently, companion diagnostics(CDx) is recommended rather than unilateral medication because biomarker-based molecular diagnostics is possible to predict the drug response of patients before drug treatment. Not only domestic but also overseas Food and Drug Administratio (FDA) recommends the development of the CDx system at the stage of drug development to ensure the responsiveness and safety of medicines. In this study, I focused on the necessity of CDx development direction as well as CDx development status through literature review. Furthermore I also discussed CDx types according to the molecular diagnostic technology such as immunohistochemistry (IHC), polymerase chain reaction (PCR), in situ hybridization (ISH), and next-generation sequencing (NGS) not only in the approved CDx but also in the developing one by US FDA. And I suggested the technology issue of CDx development process such as a selection of molecular diagnostics at the time of release, a clear understanding of the CDx mechanism, and a convergence of drug with CDx development. The necessity of social insurance system also was proposed for CDx development.

A Case Study of Health Information Service for Patient Users in Overseas Hospital Libraries (국외 병원도서관에서의 환자이용자를 위한 건강정보서비스 사례연구)

  • Rhee, Hey Young
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.30 no.3
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    • pp.195-221
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    • 2019
  • The purpose of this study is to suggest implications from the case of health information service for patients in overseas hospital libraries. A total of 89 overseas hospital libraries were selected, including general hospitals, specialized hospitals, women's hospitals, children's hospitals, and veterans' hospitals. The health information service that is provided in general and common in 89 hospital libraries was surveyed and the differentiated health information service was investigated next. As a result, first, it can be seen that the establishment of hospital libraries and the provision of health information services are common outside of Korea. Second, various human resources such as librarians, health information specialists, medical specialists, social workers, clinical librarians, health education specialists, and volunteers are utilized. Third, it provides not only print materials but also various information sources such as electronic materials, websites, pamphlets, brochures, and provides health information in various languages. Fourth, in providing health (information literacy) education and programs, services are provided through linkage with hospitals, local public libraries, and local communities. The implications for domestic hospital libraries are as follows: First, the change of awareness of the establishment of hospital libraries and the provision of health information services; second, the support of the curriculum and associations and the need for continuing education; third, it is necessary to link with related organizations for mandatory and diversification of health information services in hospital libraries.

Relationship between Somatization and Mental Health of Registered Nurses (간호사의 신체화 증상과 정신건강의 관계)

  • Joo, Jungmin;Goo, Ae Jin;Kim, Sung-Wan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.135-142
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    • 2020
  • Objectives : To identify the relationship between somatization, stress, depression, anxiety, and psychological symptoms risk for nurses working in the intensive care unit. Create clinical evidence of psychosomatic medicine research and complement the meaning of somatization. Methods : Seventy of the mental health checkups conducted by the National Mental Health Center among the nurses using tools including Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, and Symptom Checklist-90-Revision. Results : 12.9% of the patients experienced more than moderate somatization. There was no statistical relationship between somatization and psychological stress perception, but feeling of anxiety and decreased self-confidence were related to the level of somatization. The group with severe somatization experienced more depression and anxiety. The group with high physical fatigue also had no statistical relationship with psychological stress perception, but had an effect on the feeling of tension, stress, or decreased control. Physical fatigue level was increased by experience of depression, not by anxiety. For psychological symptoms the higher the level of somatization, the higher the obsession and hostility was explored. In the linear regression model, stress, depression, and anxiety accounted for 39.3% of somatization and 16.1% of physical fatigue symptoms. Conclusions : We can estimate the decrease in stress cognitive symptoms, accompanying depression and anxiety, compulsion and hostility as characteristics of somatization. The causal relationship between somatization and psychological symptoms cannot be confirmed in this study, but the interrelationships are observed, can be referred to mediation strategies.

A Case of Xerostomia that Occurred during Behcet's Disease Drug Treatment of a Person with Physical Disability (지체 장애인의 베체트병 약물치료 중 발생한 구강 건조증 치험 1례)

  • Kang, Byung-Soo;Kang, Duk;Kim, Jong-Han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.112-135
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    • 2021
  • Objectives : To report a case of drug-induced xerostomia treated with Integrative Korean Medicine Visiting Care Service of a Public Health Center. Methods : Home visit treatment and telemedicine were provided by public health doctor(Korean medicine doctor) for person with physical disability who were diagnosed with Behcet's Disease. Palmul-tang(PMT) soft extract was provided steadily 3 times a day for 6 months, and acupuncture, electro-acupuncture, and electro-moxibustion were provided irregularly 6 times for 6 months. Yin-deficiency questionnaire(YDQ), oral health impact profile-14(OHIP-14), oral pain visual analogue scale(VAS), and xerostomia inventory(XI) were used 3 times(baseline, intermediate and termination) to evaluate the changes. Results : YDQ decreased from 620 to 375, OHIP-14 decreased from 34 to 6, VAS decreased from 70 to 40, and XI decreased from 44 to 34. Four scales all gradually decreased. Conclusions : Integrative Korean Medicine Treatments in health insurance including PMT soft extract through home visit treatment can improve drug-induced xerostomia and Quality of life(QoL) of person with disabilities.