• Title/Summary/Keyword: 장기적 건강보호

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The Development of Community-Based Convergent Services for Senior Citizen (지역사회기반 재가노인 융합서비스시스템 개발)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.213-218
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    • 2016
  • Korea faces new social needs of community-based service for senior citizen as aging is getting fasten. Targeting elderly people who are beneficiaries of long-term care insurance and caring service, this paper aims to explore decent and proper services for senior citizens in terms of rehabilitation, health improvement and quality of life. Especially this research approaches from the perspective of service providers, including service facilities and care-service givers. Using FGI methods with care-providers and in-depth interviews with community social workers as well as nurses, convergence approaches are explored. As a result, welfare field and nursing practices are clearly divided in the community, so that the convergence education and team work tool would be developed in the near future.

Non Face-to-Face Treatment and Not-informed Medication to Persons with Mental Disorders (정신질환자에 대한 비대면진료 및 비고지투약 -치료적 대화의 복원을 위한 모색적 고찰-)

  • Jung, Sangmin
    • The Korean Society of Law and Medicine
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    • v.25 no.1
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    • pp.149-192
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    • 2024
  • People with mental illness are generally either unaware of their illness or unwilling to voluntarily seek treatment, which makes treatment difficult and the pain mainly passed on to their families. Accordingly, non-face-to-face treatment, in which the patient is diagnosed by interviews with the family and unannounced medication, in which medication is secretly administered through the family, can be performed, and this has been considered a necessary evil. Even considering realistic aspects such as the special nature of mental health care and families' suffer, not-informed treatment without consent violates not only medical laws, but also human rights of mentally ill patients. Above all, if the patient finds out about this late, the trust between the patient, family, and doctor is completely broken, and a treatment is absolutely refused. Japan's Chiba decision, which presents exceptional conditions for allowance might be a solution. However, it would not be a right solution, considering that it could lead to long-term unannounced medication and completely cut off treatment through therapeutic dialogue. Ultimately, it need to approach this problem and seek alternatives through restoration of therapeutic dialogue.

How do Consumers Decide to Engage in Digital Shadow Work in Self-service Environment?: Grounded Theory Methodology Research (소비자들은 셀프서비스 환경에서 디지털 그림자노동 참여를 어떻게 결정하는가?: 근거이론접근)

  • Tingting Liu;Joon Koh
    • Knowledge Management Research
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    • v.25 no.1
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    • pp.89-109
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    • 2024
  • The development of digital technology has given rise to a new service model: self-service. This model introduces the concept of "digital shadow work", in which consumers conduct unpaid behind-the-scenes digital tasks instead of employees. While consumers are engaging in increasingly more digital shadow work in self-service environments, they are unaware of their unpaid labor. This raises concerns about consumer rights and businesses' long-term sustainability and health. This study aims to reveal the psychological awareness factors that influence consumers' decisions to engage in digital shadow work in self-service environments. This exploratory qualitative study utilizes a grounded theory approach and semi-structured interviews to reveal the psychological awareness factors that contribute to consumers' decision to engage in digital shadow work. By revealing the psychological awareness of decision-making factors, this study enhances consumer's understanding and awareness of digital shadow work, which helps increase their awareness of self-protection in the context of self-service technologies. Additionally, understanding consumers' decision-making psychology is crucial for non-face-to-face self-service technology companies and provides a theoretical basis for sustainable and healthy business development.

Overweight & Obesity in Children & Adolescents with Autism Spectrum Disorders - Retrospective Chart Review - (자폐스펙트럼장애(Autism Spectrum Disorder) 소아청소년에서의 과체중 및 비만 연구 - 후향적 의무기록 조사 -)

  • Im, Woo Young
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.129-135
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    • 2015
  • Objectives : In children and adolescents, the prevalence of overweight has increased in the last 20 years. little research is available on the prevalence of obesity in children with autism spectrum disorders(ASD). The purpose of our study was to determine the prevalence of overweight among a clinical population of children diagnosed with autism spectrum disorders(ASD). Methods : Retrospective chart review of children ages 3-18 years seen between 2012 and 2015 at a Konyang University hospital psychiatric clinic. Diagnostic, medical, and demographic information was extracted from the charts. Body mass index(BMI) was calculated from measures of height and weight recorded in the child's chart. The Center for Disease Control's BMI growth reference was used to determine an age and gender-specific BMI z-score for the children. Results : In our study, children with ASD compared to non ASD group had significantly higher BMI percentiles (p=0.032). The prevalence of overweight($BMI{\geq}85th$ to 95th percentiles) and obesity($BMI{\geq}95th$ percentiles) was 35% and 19% respectively in children with ASD and without ASD. Conclusions : Despite noted limitations, our data suggest that overweight and obesity in children with ASD are more prevalent than without ASD. Longitudinal and further study is needed to examine the factors associated with obesity in this population.

The Distribution and Diversity of Freshwater Fishes in Korean Peninsula (한반도 담수어류의 분포와 다양성)

  • Yoon, Ju-Duk;Kim, Jeong-Hui;Park, Sang-Hyeon;Jang, Min-Ho
    • Korean Journal of Ecology and Environment
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    • v.51 no.1
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    • pp.71-85
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    • 2018
  • A recent topic of interest within ecology is ecosystem services that are importantly connected with biodiversity. Biodiversity is a fundamental component of ecological studies and has been the subject of many studies worldwide. However, studies on the diversity and distribution of freshwater fish were not undertaken in earnest until 2000, and the number of internationally available studies is therefore still limited. In this study, we used data from "The Survey and Evaluation of Aquatic Ecosystem Health (hereafter SEAEH)" within the framework of which whole water systems on the Korean peninsula are annually monitored to investigate and determine the current status of the diversity and distribution of freshwater fish, as well as to elucidate major factors impacting freshwater fish. A total of 130 species from 28 families were identified at around 953 sites in the SEAEH investigation of 2014. The species Zacco platypus (relative abundance: 28.2%) and Z. koreanus (19.3%) were identified as the most abundant species on the Korean peninsula, and besides these 20 endangered species, 51 endemic species and 4 exotic species were also collected. Highest (96 species) and lowest (72 species) diversity were identified in the Han River Watershed and the Yeongsan/Seomjin River Watershed, respectively. The mean endemic rate was 32.7%, which is higher than the previous rate determined in 1995. The exotic species Micropterus salmoides, Lepomis macrochirus and Carassius cuvieri were found in the whole river system except north Yeongdong, whereas Oreochromis niloticus occurred only at three sites due to the cold water temperatures in winter. Totally, 28 species were found to be translocated to different water systems not connected with known original habitats, most translocations occurring in the Nakdong River and the Yeongdong region. Among the translocated species, Opsariichthys uncirostris amurensis, and Erythroculter erythropterus were dominantly distributed in the mid- to lower reaches of Nakdong River where they may be harmful to the native fish assemblages due to their strong predation. The construction of weirs in connection with the "4 River Project" generated changes in fish assemblages before, during and after the project, resulting in altered habitat condition. Especially, a decrease in the number of endemic species and an increase in the abundance of lentic species were seen. Human-induced global warming will allow exotic species requiring high water temperatures to adapt to the environmental conditions of the Korean peninsula, which may enhance the diversity of native fishes and create changes in distribution. For the establishment of realistic and efficient management and protection strategies for Korean freshwater fish, SEAEH, which produces fundamental and quantitative data for Korean streams, is an important and necessary tool.

Study on Tumor Control Probability and Normal Tissue Complication Probability in 3D Conformal Radiotherapy (방사선 입체조형치료에 대한 종양치유확율과 정상조직손상확율에 관한 연구)

  • 추성실
    • Progress in Medical Physics
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    • v.9 no.4
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    • pp.227-245
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    • 1998
  • A most appropriate model of 3-D conformal radiotherapy has been induced by clinical evaluation and animal study, and therapeutic gains were evaluated by numerical equation of tumor control probability(TCP) and normal tissue complication probability (NTCP). The radiation dose to the tumor and the adjacent normal organs was accurately evaluated and compared using the dose volume histogram(DVH). The TCP and NTCP was derived from the distribution of given dosage and irradiated volume, and these numbers were used as the biological index for the assessment of the treatment effects. Ten patients with liver disease have been evaluated and 3 dogs were sacrificed for this study. Based on the 3-D images of the tumor and adjacent organs, the optimum radiation dose and the projection direction which could maximize the radiation effect while minimizing the effects to the adjacent organs could be decided. 3). The most effective collimation for the normal adjacent organs was made through the beams eye view with the use of multileaf collimator. When the dose was increased from 50Gy to 70Gy, the TCP for the conventional 2-port radiation and the 5-port multidimensional therapy was 0.982 and 0.995 respectively, while the NTCP was 0.725 and 0.142 respectively, suggesting that the 3-D conformal radiotherapy might be the appropriate therapy to apply sufficient radiation dose to the tumor while minimizing the damages to the normal areas of the liver. Positive correlation was observed between the NTCP and the actual complication of the normal liver in the animal study. The present study suggest that the use of 3-D conformal radiotherapy and the application of the mathematical models of TCP and NTCP may provide the improvements in the treatment of hepatoma with enhanced results.

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Evaluation of InVEST habitat quality model using aquatic ecosystem health data (수생태계 건강성 자료를 이용한 InVEST habitat quality 모델 적용성 평가)

  • Lee, Jiwan;Woo, Soyoung;Kim, Yongwon;Park, Jongyoon;Kim, Seongjoon
    • Journal of Korea Water Resources Association
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    • v.54 no.9
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    • pp.657-666
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    • 2021
  • Ecosystem biodiversity is rapidly being lost due to changes in habitat, fragmentation of habitat, climate change, and land use changes by human activities. Recently, attempts have been made to approach the watershed management level to secure the health of the watershed, but studies on how to approach biodiversity and habitat management are still in lack. The purpose of this study is to evaluate the habitat quality of Geum river basin using Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) habitat quality model. The results of habitat quality was verified to eco-natural map and ecological watershed health evaluation results. The habitat quality of watershed was evaluated from 0 to 0.86 and the results showed that habitat quality was higher in upstream than downstream. Compared the habitat quality value in each eco-natural grade, the average habitat quality of 1st, 2nd and 3rd grades were 0.80, 0.76 and 0.71 respectively. The results of the correlation analysis with ecological watershed health data, the coefficient of determination (R2) was 0.58, and the person coefficient was 0.76. The results of this study may be used as foundation data to support habitat protection and implementation of long-term biodiversity-related policies.

A Study on the Current State of the Integrated Human Rights of the Elderly in Rural Areas of South Korea (농촌지역 거주 노인의 통합적 인권보장 실태에 관한 연구)

  • Ahn, Joonhee;Kim, MeeHye;Chung, SoonDool;Kim, SooJin
    • 한국노년학
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    • v.38 no.3
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    • pp.569-592
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    • 2018
  • This study purported to investigate the current state of human rights of older adults residing in rural areas of Korea. The study utilized, as an analytic framework, 4 priority directions (1. "older persons and development", 2. "rural area development", 3. "advancing health and well-being into old age", and 4. "ensuring enabling and supportive environments") with 13 task actions recommended by Madrid International Plan of Action on Ageing (MIPAA). Furthermore, the study examined gender differences in all items included in the analytic framework. Data was collected by the face-to-face survey on 800 subjects aged 65 and over. Statistical analyses were conducted using STATA 13.0 program. The main results were summarized in order of 4 priority directions as follows. First, average working hours per day were 6.2, and men reportedly participated in economic activities and needed job training more than women, while women participated in lifelong education programs more than men. Awareness of fire and disaster prevention facilities was low in both genders. Second, accessibility to the support center for the elderly living alone as well as protective services for the vulnerable elderly was found to be low. IT-based services and networking were used more by men than women, and specifically, IT-based financial transactions and welfare services were least used. Third, medical check-ups and vaccinations were well received, while consistent treatments for chronic illnesses and long-term care services were relatively less given. In addition, accessibility to mental health service centers was considerably low. Fourth, although old house structures and the lack of convenience facilities were found to be circumstantial risk factors for these elders, experiences of receiving housing support services were scarce. The elderly were found to rely more on informal care, and concerns for their care were higher in women than men. Plus, accessibility to elderly abuse services was markedly low. Based on these results, discussed were implications for implementing policies and practical interventions to raise the levels of the human rights for this population.

The Effect of Motivation and Social Support on Burden of Spouse Caregivers: Focused on Gender Differences (배우자 부양자의 부양 동기, 사회적 지지와 부양 부담: 성별 차이를 중심으로)

  • Han, Gyoung-Hae;Lee, Seo-youn
    • 한국노년학
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    • v.29 no.2
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    • pp.683-699
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    • 2009
  • Family caregiving to the elderly is one of the most important social issues in recent Korea. Among various kinds of family caregivers, spouse caregivers particularly constitute a special group, generally characterized by continuous intimate association with the care recipients at many levels and by special commitments and responsibilities associated with the marriage bond. And the number of spouse caregiver is expected to increase in the future. Moreover, since a conjugal relation is consisted of husband and wife, their caregiving experiences and caregiving burden may vary by gender. Thus, the present study was to examine the effect of caregiving experience, especially caregiving motivation and social support focusing on the gender differences. We analysed 「2001 Survey of Care-giving Status and welfare Needs of Older Persons in Korea」 data by performing descriptive statistics, t-test and logistic regression. As a result, we found that the husband was likely to feel more burden when he started caregiving because of few alternatives. For wife caregivers, the less awareness of social support they had, the more possibility of economic burden they felt. With these results, we suggest the necessity of having gender-sensitive perspective in research and policy making for caregivers.

Development, Current Issues and Prospects of Organic Agriculture Movement in Korean

  • 손상목;정길생
    • Korean Journal of Organic Agriculture
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    • v.5 no.2
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    • pp.71-84
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    • 1997
  • 유기농산물은 질 좋은 농산물이며 그 생산농법이 환경친화적인 것으로 이해하고 있어 참여농가수도 증가일로에 있고 소비자들에 의한 유기농산물 구입 역시 점차 증가 추세에 있으나, 한국유기농업은 국제적 유기농업에 다르게 잘못 정의된 채 확산되고 있어, 그 핵심기술의 환경영향평가의 과학화에 대한 시대적 요청과 유기농업 기본규약 제정 필요성이 학계 일부에서 제기 되고 있는 등 한국유기농업은 최근 발전을 위한 진통을 겪고 있다. 이에 본 논문은 한국유기농업이 태동된 배경과 70년대 말로부터 80년대 초에 걸쳐 태생된 한국유기농업이 국민적 관심을 얻게된 배경과 정농회, 한국유기농업협회, 한국자연농업협회, 한 살림 등의 유기농업단체와 한국유기농업학회, 환경보전형농업생산소비단체협의회, 흙살림연구소 등의 발전과정 및 활동을 소개하고 있다. 또한 서울에서 개최된 IFOAM Asia대회, 한국자연농업협회의“자연농업연구소”, 한국유기농업협회의“건강과 자연농업”등에 관해서 뿐만 아니라 우리 정부의 21세기를 향한 농림환경정책중 유기농업부문에 대한 각종 장기지원책, 즉 중소농대책의 일환의 유기-자연농업 지원책, 유기농산물에 대한 품질인증제 및 팔당상수원보호구역내 유기농업지원 등이 소개되고 있다. 한편 한국유기농업기술의 핵심내용이었던 유기질비료 과다시용 문제가“유기농산물 채소의 고 질산염 함량”으로 촉발된 식품안정성 논쟁 후에 유기질비료의 추천시용량이 다다익선적 개념에서 80t/㏊으로 낮아졌다가 다시 50t/㏊으로 낮아졌으며 1996년 6월부터는 20t/㏊로 크게 낮추어 졌음을 보고하고 있다. 또한 일부 선도적 유기독농가의 경험적 기술이 토대가 되어 성립된 현 유기농업기술은 과학적 기술검증을 거쳐야 함과 퇴비사용 만으로 실시하는 현 유기농업 기술에 의해 야기되는 근권내 질산 미치 인산염 집적을 회피하기 위해서는 윤작, 녹비작물 및 두과작물의 재배로 토양비옥도 향상을 통한 유기농업 기술 개발이 필요하며 IFOAM 기본규약과 FAO/WHO Codex의 핵심 내용을 수용하는 한국유기농업 기본규약 제정이 제정이 절실히 요구됨을 강조하고 있다. 마지막으로 한국유기농업의 핵심기술에 대한 환경영향평가와 기본규약제정 필요성을 역설하고 한국유기농업의 과학화와 질 좋은 유기농산물 생산을 위해 노력하고 있는 소비자 문제를 연구하는 시민의 모임 등 몇몇 단체들의 최근 활동이 언급되고 유기농업에 대한 농과대학내 연구와 강의 등이 소개되었다.

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