• Title/Summary/Keyword: 예방의학

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Community-Based Participatory Project to Reduce Health Disparity: Focusing on the Residents' Autonomy Council (<사례보고> 건강격차 해결을 위한 주민참여형 보건사업: 주민자치회 중심 전략개발)

  • Nam-Soo Hong;Keon-Yeop Kim
    • Journal of agricultural medicine and community health
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    • v.48 no.3
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    • pp.165-177
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    • 2023
  • Objectives: The objective of this study was to develop strategies aimed at reducing disparity of physical activity in urban community. Methods: The study was conducted in a urban vulnerable area, focusing on the establishment and operation of a community health organization through the residents' autonomy council. Training programs were provided to the members of the council to enhance their capabilities. The research project was planned and implemented using a living lab approach. Based on these activities, the health division of residents autonomy council was newly established. Results: The findings demonstrated the potential and feasibility of utilizing the residents' autonomy council as a community-led health organization. A health project model centered on the health division of the residents' autonomy council was developed. Conclusions: This study concluded that it is possible to effectively promote health projects to reduce the health disparity through the resident-led participation strategy on the residents' autonomy council in the community.

Outbreak of Hepatitis A caused by Groundwater Contamination in a Long-term Psychiatric Hospital in Korea (장기 요양 정신병원에서 지하수 오염에 의하여 발생한 A형간염 집단발병)

  • Keun-Sang Kwon;Myung Ok Lee;Hee Ju Bae;Jung Im Park;Cheon-Hyeon Kim;Ju-Hyung Lee
    • Journal of agricultural medicine and community health
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    • v.48 no.2
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    • pp.71-80
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    • 2023
  • 목적: 2017년 지하수를 식수로 사용하고 있는 한 장기요양 정신병원(H병원)에서 A형간염 환자가 집단 발병하여 이에 대한 역학조사를 실시하고 조치 결과를 기술하고자 하였다. 방법: 노출기간 동안 H병원의 근로자 및 재원 환자 234명을 대상으로 사례군 조사 디자인으로 역학조사를 실시하였고, IgM, IgG 혈청검사 및 A형간염 바이러스(HAV)에 대한 PCR검사를 시행하였다. 또한 오염원으로 의심되는 지하수, 병원에서 제공되는 식품 및 인근 저수지의 물에서 HAV 검사를 실시하였고, 검출된 HAV는 유전형 검사를 진행하였다. 결과: H병원 환자 및 직원 234명 중 IgG 양성인 168명을 제외한 66명 중 19명이 최종적으로HAV 감염자로 확인되어 감수성자 중 발병률은 28.8%로 나타났다. 환자, 지하수, 식품(석박지) 및 저수지에서 동일 유전형의 HAV가 검출되어 지하수 오염에 의한 집단발병으로 결론 내렸으나, 최초 오염원은 확인하지 못하였다. 유행 종결 선언 이후 지하수에 대한 관리로 염소소독과 UV 조사를 하였음에도 불구하고 6개월 동안 지속적으로 HAV가 검출되어 새로운 관정을 개발하여 상황을 종결하였다. 결론: 본 연구에서 지하수를 식수로 사용하는 장기요양 정신병원에서 지하수 오염에 의한 19명의 HAV 집단발병을 조사하였다. HAV 항체가 없는 대상자 중에서 HAV의 높은 발병률을 확인하였다. 지하수 수질검사에서 바이러스 검사는 포함되어 있지 않기 때문에 지하수가 HAV에 오염시 HAV 집단발병 가능성이 높고 상당기간 지속적으로 검출되기 때문에 지하수에 대한 관리지침에 바이러스 검출을 위한 방안을 추가하고 관련 법을 정비할 필요가 있다.

Analysis of Trends in Patients with Work-related Musculoskeletal Disorders and Literature Review of Risk Factors and Prevalence (작업관련 근골격계질환의 요양재해 추이 분석 및 위험요인과 유병률에 관한 고찰)

  • Nam-Soo Kim;Yong-Bae Kim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.3
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    • pp.298-307
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    • 2023
  • Objectives: The purpose of this study is to analyze the recent trends in patients with work-related musculoskeletal disorders in South Korea and to check the major results by reviewing the literature on the risk factors and prevalence of musculoskeletal diseases related to work. Methods: Industrial disaster data from the Ministry of Employment and Labor from 2012 to 2021 were used, and the literature was reviewed regarding risk factors for musculoskeletal diseases related to work using PubMed and RISS. Results: The trend of patients with work-related musculoskeletal disorders has increased overall since 2017 after declining until 2016, with a particularly notable increase in the average annual number of patients with physical burden work. The average annual rate per ten thousand people for patients with body burden work, non-accidental lower back pain, and carpal tunnel syndrome among work-related diseases was high in the mining industry. The average annual rate per ten thousand people for patients with accidental lower back pain was the highest in the fishing industry. Within the manufacturing field, it was the highest in the shipbuilding and ship repair industry. As a result of the literature review, the search rate for work-related musculoskeletal disease papers in unstructured work was high. In addition, physical stress factors were high among risk factors, and pain areas showed a high rate for the waist. Conclusion: Even after the institutional implementation of a hazard investigation system related to musculoskeletal diseases is implemented, the number of patients with occupational musculoskeletal disorders continues to increase. Therefore, it is necessary to conduct regular surveys and implement effective improvement activities for vulnerable industries or occupations.

Co-author and Keyword Networks and their Clustering Appearance in Preventive Medicine Fields in Korea: Analysis of Papers in the Journal of Preventive Medicine and Public Health, $1991{\sim}2006$ (국내 예방의학 분야의 공저자.핵심어 네트워크와 군집 양상 - 대한예방의학회지($1991{\sim}2006$) 게재논문의 분석 -)

  • Jung, Min-Soo;Chung, Dong-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.1
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    • pp.1-9
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    • 2008
  • Objectives : This study evaluated knowledge structure and its effect factor by analysis of co-author and keyword networks in Korea's preventive medicine sector. Methods : The data was extracted from 873 papers listed in the Journal of Preventive Medicine and Public Health, and was transformed into a co-author and keyword matrix where the existence of a 'link' was judged by impact factors calculated by the weight value of the role and rate of author participation. Research achievement was dependent upon the author's status and networking index, as analyzed by neighborhood degree, multidimensional scaling, correspondence analysis, and multiple regression. Results : Co-author networks developed as randomness network in the center of a few high-productivity researchers. In particular, closeness centrality was more developed than degree centrality. Also, power law distribution was discovered in impact factor and research productivity by college affiliation. In multiple regression, the effect of the author's role was significant in both the impact factor calculated by the participatory rate and the number of listed articles. However, the number of listed articles varied by sex. Conclusions : This study shows that the small world phenomenon exists in co-author and keyword networks in a journal, as in citation networks. However, the differentiation of knowledge structure in the field of preventive medicine was relatively restricted by specialization.

In vitro Anti-inflammatory Activities and Phenolic Acid Analysis of Tree Sprout Extracts (수엽류 새순의 항염증 활성 및 페놀산 분석)

  • Kim, Juree;Nguyen, Quynh Nhu;Shin, Hanna;Kang, Ki Sung;Lee, Sanghyun
    • Korean Journal of Pharmacognosy
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    • v.52 no.4
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    • pp.257-266
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    • 2021
  • This study evaluated several in vitro activities including the preliminary assessment of the anti-cancer, anti-inflammatory, and anti-diabetic effects of tree sprout extracts. Chlorogenic, caffeic, and p-coumaric acid contents in tree sprouts were analyzed using high-performance liquid chromatography and an ultraviolet detector. Among the studied tree sprout extracts, the ethanol (EtOH) extract of Rhus verniciflua exhibited the most potent anti-cancer effect by suppressing the cell viability of a human gastric adenocarcinoma cell line, with an IC50 of 7.06 ㎍/mL. The EtOH extract of Morus alba (MAB) inhibited the secretion of nitric oxide (NO) at a concentration of 100 ㎍/mL, with an IC50 of 83.44 ㎍/mL. Moreover, the EtOH extract of Securinega suffruticosa inhibited NO secretion with the lowest IC50 of 54.42 ㎍/mL. The EtOH extract of Fraxinus mandschurica was the only extract with effective α-glucosidase inhibitory activity. The total content of chlorogenic, caffeic, and p-coumaric acids was the highest in MAB (14.63 mg/g ext.). In conclusion, the beneficial activities of the tree sprout extracts with high phenolic acid content were generally high. Our results provide a theoretical basis for the development of health-promoting supplements and functional foods.

Development of Clinical Pathway Model in Integrative Korean Medicine: Treatment of Non-invasive Breast Cancer (비침습 유방암의 양·한방 협진 표준임상경로 모형 개발)

  • Cho, Suyeon;Ko, Seong-Gyu;Park, Sunju
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.1
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    • pp.11-23
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    • 2022
  • Objectives : The aim of this study was to develop a clinical pathway (CP) model for the integrative treatment of non-invasive breast cancer, with western medicine and Korean traditional medicine. Methods : The checklist model was composed in four types according to the target patients: DCIS inpatients, DCIS outpatients, LCIS inpatients, LCIS outpatients. The vertical axis of the pathway consists of 11 categories of actions applied to the patient. The horizontal axis was in accordance with the flow of time, comprising three periods during inpatient care and seven periods during outpatient care. In addition, CP was also composed in flow chart form. The pathway model was developed through a literature review of clinical practice guidelines, conference publications, papers, books, and websites. Results : The integrative CP model for non-invasive breast cancer was developed. Conclusions : The goal of the CP suggested in this study was to improve non-invasive breast cancer patients' quality of life and to supplement conventional treatment, by alleviating the side effects. The model developed through this study could serve as the basis when developing CPs in a real-world integrative medical environment. This could lead to a reduction in cost and time for CP development, thus bringing about efficiency in the clinical setting.

A Review and Implication of Act on the Promotion of Korean Medicine and Pharmaceuticals (한의약육성법의 함의 및 발전방향)

  • Jeong, Hye In;Kim, Kyeong Han;Yi, Junhyeok;Kim, Daeyoung;Sung, Soo-Hyun;Lee, Eung-Se
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.2
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    • pp.69-74
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    • 2022
  • Objective : This study was aimed to review the Act on the Promotion of Korean Medicine and Pharmaceuticals. Method : We searched document about the Act on the Promotion of Korean Medicine and Pharmaceuticals. We used Korean Law Information Center(https://www.law.gov.kr) to find the revision of the act. Results : We looked at the current status of the revision of the Act on the Promotion of Korean Medicine and Pharmaceuticals, and the law was revised four times in total. Through the revision of the law, the definition of Korean medical practice was not only expanded, but also the establishment and role of National Institute of Korean Medicine Development were extended. Specific descriptions of Korean medicine technology will be needed in the future, and laws that are less effective should be revised and the role of National Institute of Korean Medicine Development should be further strengthened. Conclusion : For the future of Korean medicine, in-depth consideration is needed on how to foster oriental medicine.

A Case Report on Papillary Thyroid Cancer for the Recurrence of Regional Cervical Lymph Nodes improved by Korean medicine (갑상선 유두암으로 수술 후 좌우 림프절 전이 환자의 장기간 복합 한의약 치료 증례보고)

  • Hae-won, Lee;Soo-bin, Lee;Hye-won, Kim;Jin-Gu, No;Hye In, Jeong;Jun-Hyoung, Kim;Kyeong Han, Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.3
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    • pp.29-40
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    • 2022
  • Objective : This study assessed the effect of a combination of Korean medicine on a thyroid papillary cancer patient who was diagnosed with local lymph node metastasis after thyroidectomy and lymph node dissection but did not want surgery. Methods : Gami-Palmultang administration and moxibustion(large Bmoxa cautery) were performed for six years. Treatment outcomes were evaluated with Brief Fatigue Inventory (BFI), Numerical Rating Scale (NRS), Insomnia Severity Index (ISI), Functional Assessment of Cancer Therapy-General (FACT-G), blood test/ CT imaging results, and patient's statements. Results : After the treatment, all symptoms have been alleviated, the quality of life has increased, and it has been maintained without further metastasis of tumors for six years. Conclusion : Korean medicine treatment along with active observation can be an alternative to patients who do not want surgical treatment after recurrence of local lymph nodes in thyroid papillary cancer, and can have positive results in improving the quality of life.

Study on Laws related to the Scope of Both Medical Doctors' Practice in Korea (의료인 업무범위 관련 법률 고찰)

  • Yu Jin So;Da Hee Lee;Hye In Jeong;Kyeong Han Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.27 no.3
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    • pp.13-24
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    • 2023
  • Objective : This study was aimed to reassess the scope of practice for medical personnel based on laws. Method : The law specifying the scope of practice for medical personnel has been selected searching Korean Law Information Center(https://www.law.gov.kr). The result was categorized as 'examination, diagnosis, treatment, procedure, prescription, and others'. Results : The laws related to medical procedures were divided into three categories: diagnosis, treatments, and public health and others. In the field of diagnosis, traditional Korean medicine practitioners are generally allowed to play a role. However, some laws specify that only medical doctors can be the primary authorities for diagnosing infectious diseases. In the area of treatments, particularly in emergency medical situations, only medical doctors or nurses are typically mentioned. There are debates in the field of public health and other areas concerning issues such as vaccination, disability diagnosis, and the qualifications for health center directors. A reevaluation is also needed for the Occupational Safety and Health Act, where only medical doctors are set as the personnel standard for workers' health examinations. Conclusion : To safeguard and promote the health of the citizens, there is a need for a clear definition of the licensure and scope of practice for healthcare professionals. Consistent interpretation of conflicting provisions among various laws and clear criteria for the term 'physician' in legal contexts are essential.

A Study of Oriental Medicinal Convergence Approach for Natural Seasoning (Several Sesame Seeds) (천연조미료(깨류)의 동양의학적 융합접근방법 고찰)

  • Min, Young-Sil
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.164-169
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    • 2019
  • This study was examined that natural seasoning is related to health care and disease prevention through oriental medicinal theory. A typical oriental medicinal theory is the princeple of win-win cooperation between Yin-Yang and Five elements, the old belief is that our body moves in harmony with Yin-Yang and Five elements. From the records traditional books and papers, we would look at the affinity and nutritional relationship between Five taste(Sweet, Salt, Sour, Bitter, Heat and Spicy) and the body with "Sesame" Therefore, several type of Sesame which is represented by natural seasoning, through intake of Five taste because of body affinity, is expected to prolong health life span.