• Title/Summary/Keyword: 공공보건

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Big Data-based Medical Clinical Results Analysis (빅데이터 기반 의료 임상 결과 분석)

  • Hwang, Seung-Yeon;Park, Ji-Hun;Youn, Ha-Young;Kwak, Kwang-Jin;Park, Jeong-Min;Kim, Jeong-Joon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.1
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    • pp.187-195
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    • 2019
  • Recently, it has become possible to collect, store, process, and analyze data generated in various fields by the development of the technology related to the big data. These big data technologies are used for clinical results analysis and the optimization of clinical trial design will reduce the costs associated with health care. Therefore, in this paper, we are going to analyze clinical results and present guidelines that can reduce the period and cost of clinical trials. First, we use Sqoop to collect clinical results data from relational databases and store in HDFS, and use Hive, a processing tool based on Hadoop, to process data. Finally we use R, a big data analysis tool that is widely used in various fields such as public sector or business, to analyze associations.

The Modern Meaning of the Republic (공화국의 현대적 의미)

  • SHIN, JAEMYUNG
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.119-125
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    • 2019
  • Traditionally, the definition of a republic in the constitutional sciences has remained passive, identifying whether or not a king exists. However, this is not an accurate understanding. Reinterpreting the meaning of the Republic at this point is expected to play a role in easing the side effects of neo-liberalism. It is more important than anything to establish a concrete picture of what a republic is in reinterpretating its meaning. Therefore, the main content of this paper is to clarify it by presenting requirements for the Republic.

An Exploratory Study on the Policy for Facilitating of Health Behaviors Related to Particulate Matter: Using Topic and Semantic Network Analysis of Media Text (미세먼지 관련 건강행위 강화를 위한 정책의 탐색적 연구: 미디어 정보의 토픽 및 의미연결망 분석을 활용하여)

  • Byun, Hye Min;Park, You Jin;Yun, Eun Kyoung
    • Journal of Korean Academy of Nursing
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    • v.51 no.1
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    • pp.68-79
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    • 2021
  • Purpose: This study aimed to analyze the mass and social media contents and structures related to particulate matter before and after the policy enforcement of the comprehensive countermeasures for particulate matter, derive nursing implications, and provide a basis for designing health policies. Methods: After crawling online news articles and posts on social networking sites before and after policy enforcement with particulate matter as keywords, we conducted topic and semantic network analysis using TEXTOM, R, and UCINET 6. Results: In topic analysis, behavior tips was the common main topic in both media before and after the policy enforcement. After the policy enforcement, influence on health disappeared from the main topics due to increased reports about reduction measures and government in mass media, whereas influence on health appeared as the main topic in social media. However semantic network analysis confirmed that social media had much number of nodes and links and lower centrality than mass media, leaving substantial information that was not organically connected and unstructured. Conclusion: Understanding of particulate matter policy and implications influence health, as well as gaps in the needs and use of health information, should be integrated with leadership and supports in the nurses' care of vulnerable patients and public health promotion.

Occupational Status and Job Stress of Visiting Nurses for Public Health Services in Some Areas of the Capital During the COVID-19 Pandemic (코로나19 시기의 수도권 일부 지역 공공보건서비스 방문간호사의 직무실태 및 직무스트레스)

  • Kim, Hee-Gerl;Lee, Ryoun-Sook;Her, Gung-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.30 no.4
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    • pp.232-242
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    • 2021
  • Purpose: This study investigated the occupational status and job stress of visiting nurses during the COVID-19 pandemic. Methods: Participants were 151 visiting nurses working in the public health services in Seoul and Gyeonggi-do. The study was conducted using a structured online questionnaire. Results: The average age of the visiting nurses was 49.5 years. A occupational period was 38.4% of the participants had worked for a period of 6-10 years and 34.5% of them had worked for a period of 11 years or more. In terms of employment type, 74.8% had permanent contracts and 13.9% had fixed terms. 93.4% of nurses were working on COVID-19-related work; and 57.6% of them were working more than 50% of their work. Each visiting nurse provided health services for a total of 436.4 cases on average and the per day count was 14.3 cases. The service was provided through home visits or phone consultations. The results of the job stress were relationship conflict (60.92±20.72), job demand (59.05±14.10), job autonomy (57.83±14.63), job instability (45.25±27.37), organizational system (44.97±17.21), workplace culture (42.71±18.00), and inadequate compensation (35.29±18.14). There was a significant difference in job stress according to the proportion of COVID-19 work was 'workplace culture' (p=.023), Job autonomy (p=.053) and Inappropriate compensation(p=.054). Conclusion: In order to provide a stable working environment for visiting nurses and effective public visiting health services during unexpected circumstances, such as the COVID-19 pandemic, it is necessary to promote progressive policies and systemic improvements.

Changes of Cervical Range of Motion and Pelvic Mobility during Gait in Subjects with Pain-related Temporomandibular Disorders (관자 아래턱 장애에 따른 목뼈 가동 범위 제한과 보행 시 골반 가동성의 변화 연구)

  • Yeo, Sang-Seok
    • PNF and Movement
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    • v.20 no.3
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    • pp.451-459
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    • 2022
  • Purpose: Temporomandibular disorder (TMD) is a common musculoskeletal problem that causes pain in and disability of masticatory muscles, the temporo-mandibular joint (TMJ), and related structures. The purpose of this study was to compare pressure pain thresholds (PPTs) of masticatory muscles, cervical ranges of motion (ROM), and pelvic mobility during gait of subjects with or without TMD. Methods: In this study, pain thresholds and changes in the mobility of the cervical vertebrae and pelvis were measured in 25 patients with TMD and 25 healthy controls. Using a pressure algometer, the pressure pain thresholds (PPTs) of the masseter and temporalis muscles were measured in both groups. A gyroscope sensor with a mobile application was used to determine cervical ROM in the frontal and sagittal planes. A 3D-motion analysis system was used to evaluate pelvic mobility in the sagittal, frontal, and transverse planes during gait. Results: The TMD group showed significantly decreased PPTs of masseter and temporalis muscles compared with the control group (p < 0.05). Cervical ROM in flexion, extension, and lateral bending were significantly decreased in the TMD group compared with the control group (p < 0.05). In addition, antero-posterior pelvic tilt was significantly decreased in the TMD group (p < 0.05). Conclusion: The results of the current study suggest that there are close anatomical and functional relationships between TMD and muscle chains related to the cervical spine and pelvis. Therefore, more comprehensive body posture assessments, especially of painful areas, should be undertaken when studying TMD patients.

Problems and Reconsideration of the Concept of Public Health Care (Public Health and Medical Services) in South Korea (한국 내 공공보건의료 개념의 문제점과 재설정)

  • Sung, Jong Ho;Kim, Jung Ha
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.3-9
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    • 2022
  • The concept of "public health care (public health and medical services)" as discussed in South Korea is used in an unclear sense, with a meaning unlike the terminology used worldwide. The terms "public health care (public health and medical services)" and "health care (health and medical services)" have the same legal definition in Korea. Globally, "public health care (public health and medical services)" refers to medical services provided to the public that are operated as publicly funded resources, but in Korea, this term is confined to limited medical services prescribed by the government. The following considerations regarding "public health care (public health and medical services)" in Korea are proposed: All medical services performed by the state, regional governments, health care institutions, or health care workers to protect and promote the health of the people should be clearly established as "public health care (public health and medical services)" by definition. The financial burden borne by the state through national health insurance should be increased to an appropriate level to clarify the state's responsibility. Improving public health is an urgent priority in Korea, and this goal can be achieved by improving regional public health through systematic relationships between the state and regional governments, establishing a Ministry of Health, and efficiently allocating public health doctors who are important for providing regional medical care in rural and remote areas. It will be possible to actively deal with infectious diseases at the national level through establishment of a Ministry of Disease Control and Prevention.

Perception on necessity to introduce public out-of-hours pharmacies and operation plan: A Gyeongsangbuk-do case (공공심야약국 도입 필요성에 대한 인식 및 운영방안: 경상북도 사례)

  • Oh, Nan Suk;Yoo, Wang-Keun;Lee, Iyn-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.93-105
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    • 2022
  • Objectives: This study aimed to identify the opinions of Gyeongsangbuk-do residents on out-of-hours (OOH) pharmacies and to examine the operating experiences of pharmacists who are operating OOH pharmacies in other areas. Methods: Cross-sectional survey was carried out for 1,000 Gyeongbuk residents employing a questionnaire via online or face-to-face, and 82 pharmacists who currently operate OOH pharmacies employing a postal questionnaire. Out of eighty-two, 46 pharmacists replied (response rate 56.1%). Results: As for the necessity of introducing OOH pharmacies in Gyeongsangbuk-do, 84.9% answered more than necessary. 86.1% favored the local government support for OOH pharmacies. The necessity of OOH pharmacies was highly evaluated among participants who experienced to be unable to use medicines or services in out of service hours, regardless of their characteristics or health condition. County residents consistently put a positive opinion for the necessity of OOH pharmacies if they have elderly family member(s), while city residents had significant differences across subgroups depending on their conditions (family members, household economics, health status, etc.). Almost all (95.7%) pharmacist participants highly evaluated the necessity of OOH pharmacies and the majority of them (63.0%) felt satisfied. However, 60.9% of participants have ever considered closing their OOH pharmacy business due to private, business management and professional reasons. Conclusion: This study made suggestions to address anticipated issues for the Gyeongbuk-style OOH pharmacy model.

Investigations on the emergency operation status of existing medical facilities to prepare for emerging infectious diseases in the post-COVID-19 era (포스트 코로나 시대 신종 감염병 대비를 위한 기존 의료시설의 비상시 운영사례 조사 및 분석)

  • Lee, Sejin;Lee, Wonseok;Kim, Eunseok;Yeo, Myoungsouk
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.1
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    • pp.43-51
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    • 2023
  • Purpose: To accommodate the increasing number of patients during the COVID-19 pandemic, numerous portable HEPA filter units (PHUs) were installed in the general wards of existing medical facilities(EMFs) to convert them into emergency conversion facilities (ECFs). The purpose of this study was to build a dataset in preparation for emerging infectious diseases in the post-COVID-19 era by analyzing the construction and operation of ECFs. Methods: Field investigations were conducted during ECF operation periods based on the analysis of heating, ventilation, and air conditioning (HAVC) system design documents for six ECFs across Korea. Interviews were conducted with facility managers during the field investigations. Results: When constructing an ECF within an EMF, the installation status and characteristics of the existing system should be considered. Field investigations and verifications of the operation of HAVC systems must be conducted beforehand for smooth ECF operations. If heating and cooling are required with indoor air circulation type equipment in an ECF zone, the implementation of a heating and cooling method that can satisfy the comfort requirements of the occupants while minimizing cross-contamination is essential. When using PHUs that do not meet the performance standards required by medical equipment, the noise level resulting from such equipment operation must be evaluated and improved. Implications: For EMFs, various guidelines that can be referred to for the construction and operation of ECFs must be developed to prepare for emerging infectious diseases in the future.

Measuring stratification effects for multistage sampling (다단추출 표본설계의 층효율성 연구)

  • Taehoon Kim;KeeJae Lee;Inho Park
    • The Korean Journal of Applied Statistics
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    • v.36 no.4
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    • pp.337-347
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    • 2023
  • Sampling designs often use stratified sampling, where elements or clusters of the study population are divided into strata and an independent sample is chosen from each stratum. The stratification strategy consists of stratification and sample allocation, which are important issues that are repeatedly considered in survey sampling. Although a stratified multistage sample design is often used in practice, the literature tends to discuss simple sampling in terms of stratum effects or stratum efficiency. This study examines an existing stratum efficiency measure for two-stage sampling and further proposes additional stratum efficiency measures using the design effect model. The proposed measures are used to evaluate the stratification strategy of the sample design for high school students of the 4th Korean National Environmental Health Survey (KoNEHS).

Study on the Improvement of the Radiation Work Field Classification System in Republic of Korea (국내 방사선종사자 피폭 분류체계 개선에 관한 연구)

  • Su-Hui Park;Ji-Young Han;Yong-Min Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.2
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    • pp.267-275
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    • 2023
  • Occupational exposure records are subject of global interest, and analysis of radiation workers in work categories is being conducted. In Rep. of Korea, according to relevant ministries, the MOHW(Ministry of Health and Welfare), the MAFRA(Ministry of Agriculture, Food and Rural Affairs), and the NSSC(Nuclear Safety and Security Commission) collect and analyze records of occupational exposure by dividing them into 11 work categories. However, this classification system lacks consistency with the systems of major countries, including the UNSCEAR(United Nations Scientific Committee on the Effects of Atomic Radiation). The domestic radiation work field classification system does not have clear classification criteria and does not reflect the characteristics of the radiation work field. Through the analysis of the classification system of the UNSCEAR, we suggested the five main categories(nuclear cycle, medical, industrial, others(education/research, military/public) field and several sub-categories according to each radiation work field.