• Title/Summary/Keyword: 공공보건

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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.

Characteristics and Death Risk Factors of Patients in Long-Term Care Hospital Connected to Special Hospital (일개 특수 요양병원 환자들의 특성 및 사망 위험요인)

  • Park, Un Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.651-659
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    • 2020
  • The objective of this study is to provide high-quality medical service, by understanding the characteristics and death risk factors of patients at V long-term care hospital, that has established and operated the cooperative treatment system in connection with a public institution, the S veterans hospital. A follow-up survey targeting a total of 850 discharged patients was conducted for the year 2017. Average age of patients was 79.2 years, with 86.4% belonging to the 70 years or over group. The men of national merit were 75.4%, which was more than three times higher than general patients. Hospitalization for 180 days or more was 46.4%, which was higher than general long-term care hospitals (37%). The major death risk factors were age and the number of hospitalized days. Our data indicate that transfer to S veterans hospital results in providing quicker treatment and higher effectiveness of the numerous recovery therapies. We therefore propose that the cooperative treatment system should be expansively operated to increase the quality of happy life, by alleviating the health of patients with chronic diseases in a long-term care hospital.

Mobile Health Applications Adoption for the Management of Smartphone Overdependence (스마트폰 과의존 관리를 위한 모바일 건강관리 어플리케이션 수용 모델)

  • Rho, Mi Jung
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.12-28
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    • 2021
  • Purposes: The convenience of smartphones have lead to people's overdependence on devices, which may cause obstacles in daily life. It is useful to manage smartphone overdependence by using mobile health applications. We aimed to investigate the acceptance of mobile health applications designed to help in the management of smartphone overdependence. Methodology/Approach: We developed the extended model based on the Unified Theory of Acceptance and Use of Technology 2. The modified model had six hypotheses with six variables: result demonstrability, performance expectancy, effort expectancy, social influence, perceived risk, and behavioral intention to use. We randomly included 425 smartphone users in an online survey in 2020. A structural equation model was used to estimate the significance of the path coefficients. Findings: Performance expectancy and social influence had a very strong direct positive association with behavioral intention to use. Result demonstrability had a direct positive association with performance expectancy. Perceived risk had a strong direct negative association with performance expectancy. Performance expectancy and social influence were the main factors directly influencing the acceptance of mobile health applications for the management of smartphone overdependence. Practical Implications: We demonstrated smartphone users' acceptance of mobile health applications for smartphone overdependence management. Based on these results, we could develop mobile health applications more effectively.

State's Duty to Manage Pandemic Diseases and the Role of Institutional Review Boards (국가의 팬데믹 감염병 관리 의무와 기관생명윤리위원회의 역할)

  • Park, Hyoung Wook
    • The Korean Society of Law and Medicine
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    • v.22 no.4
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    • pp.37-55
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    • 2021
  • On March 19, 2021, the Korean Bioethics Association and related academic circles published a joint statement criticizing the partial revision of Infectious Disease Control And Prevention Act. However, according to the Bioethics And Safety Act of Korea, research conducted by the state or local governments for public welfare is excluded from human subjects research project. In addition, since the Korean legal system is not based on the dichotomy between research and surveillance, the discussion of the US Common Rule cannot be directly applied to Korea. For the harmonious operation of the state's duty to manage infectious diseases and the Institutional Review Boards, institutional alternatives should be prepared in consideration of the following issues. First, the related academic community should first pay attention to the problems of the current laws in Korea. Second, it should be understood that the state is carrying out many tasks without the consent of the parties in order to fulfill its duty to manage infectious diseases. Third, when presenting institutional alternatives, it is necessary to consider the feasibility of implementation in Korea. An in-depth discussion of the institutional alternatives by the Medical Law Society and other related academic circles is necessary.

A Study on Ethical Values and Professionalism of Dental Hygienists (치과위생사의 윤리적 가치관과 전문 직업성에 대한 인식 조사 연구)

  • Jung, Jung-Hwa;Kim, Min-A;Kim, Hyo-Jin
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.357-364
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    • 2022
  • This study conducted a survey of 265 dental hygienists working in Seoul and Gyeonggi Province from January 10 to February 28, 2021 to understand the ethical values and professional occupational characteristics of clinical dental hygienists. The difference in ethical values and professional occupational perception between subjects was post-tested using SPSS WIN 20.0 program and Scheffe test using independent sample T-test and one-way ANOVA. According to the results of the study, ethical thinking in ethical values was statistically significant in dental hospitals with higher final education, more work experience, and ethical work experience (p<0.05). The higher the age, the higher the final education, the more ethical education experience at university, the higher the sense of mission, the fewer working days, the more satisfying the job, the higher the organizational compliance with professional organizations and public service (p<0.05). The results of this study confirm the necessity of regular ethics education such as continuing education for dental hygienists, and are expected to be used as basic data to maintain ethical values and professionalism in clinical practice.

Estimation of Employment Creation Center considering Spatial Autocorrelation: A Case of Changwon City (공간자기상관을 고려한 고용창출중심지 추정: 창원시 사례를 중심으로)

  • JEONG, Ha-Yeong;LEE, Tai-Hun;HWANG, In-Sik
    • Journal of the Korean Association of Geographic Information Studies
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    • v.25 no.1
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    • pp.77-100
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    • 2022
  • In the era of low growth, many provincial cities are experiencing population decline and aging. Population decline phenomena such as reduction of productive manpower, reduction of finances, deterioration of quality of life, and collapse of the community base are occurring in a chain and are being pushed to the brink of extinction of the cities. This study aims to propose a methodology to objectively estimate the employment creation centers and setting the basic unit of industrial-centered zoning by applying spatial statistical techniques and GIS for the application of the compact city plan as an efficient spatial management policy in a city with a declining population. In details, based on reviewing previous studies on compact city, 'employment complex index(ECI)' were defined considering the number of workers, the number of settlers, and the area of development land, the employment creation center was estimated by applying the 'Local Moran's I' and 'Getis-Ord's Hot-Spot Analysis'. As a case study, changes in the four years of 2013, 2015, 2017, and 2019 were compared and analyzed for Changwon City. As a result, it was confirmed that the employment creation center is becoming compacted and polycentric, which is a significant result that reflects the actual situation well. This results provide the basic data for functional and institutional territorial governance for the regional revitalization platform, and provide meaningful information necessary for spatial policy decision-making, such as population reduction, regional gross domestic product, and public facility arrangement that can respond to energy savings, transportation plans, and medical and health plans.