• The Journal of Korean Physical Therapy
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• 제22권1호
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• pp.39-45
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• 2010

Purpose: The purpose of this study was to examine changes in functional assessment measures (FAMs) and spatiotemporal gait parameters (STGPs) in healthy older adults before and after a 6-week intervention of a proprioceptive neuromuscular facilitation (PNF) training program. Methods: Thirty healthy older adults (mean age: $73.37{\pm}1.21$ age range: 65-79) were randomly assigned either to an experimental group (participating in a 6-week intervention of PNF training) or a control group (only performing daily activities). Participants in the control group did not receive any training program. Performance was assessed by recording changes in the FAMs and STGPs using functional assessment tools and GAITRite. Results: Participants in the PNF group showed significantly improved functional assessment measures and increased stride length, cadence, velocity, and step width (p<0.05). No significant differences in FAMs and STGPs were found in the control group (p>0.05). Conclusion: Participation in a PNF training program improves FAMs and STGPs, thereby increasing the ability of healthy older adults to maintain dynamic balance during functional performance and gait. These findings support the use of PNF training programs as effective fall-prevention programs for the elderly.

• 융합보안논문지
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• 제19권2호
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• pp.147-156
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• 2019

본 논문의 연구목적은 1950년대 이래 한반도에서 있었던 남북한 간 평화체제 구축을 위한 제안들과 협상중점을 과거와 '9.19 군사분야합의서'로 대변되는 현 문재인 정부의 조치들을 군비통제이론 측면에서 비교 분석하여 남북한 간 군비통제 추진방안을 제시하는 것이다. 이를 위해 현재까지 정립된 이론을 비교 분석하여, 최적의 분석의 틀을 정립하였다. 과거는 주로 1990년 9월 제1차 남북고위급 회담부터 2008년 1월 노무현 정부말기까지를 중점적으로 분석하였으며, 이를 현 문재인 정부에서 추진하고 있는 군비통제 정책과 비교 분석하였다. 그 결과 나타난 특징은 유럽과는 달리 남북한 군비통제 정책은 군사적 신뢰구축이 정치적 신뢰구축과 동시 병행적으로 추진된다는 것이었다. 이를 토대로 한반도 평화정착 과정에서 협의되어야 할 신뢰구축과 군비통제, 군축 추진전략을 제시하였다. 중요한 점은 나아가면 갈수록 군비통제의 필요성은 증대될 것이며, 통일정책과 상호 보완적으로 추진되어야 한다는 것이었다.

• 농촌의학ㆍ지역보건
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• 제1권1호
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• pp.10-21
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• 1976

The traditional application of night soil to vegetable gardens and rice paddies results in a most wide spread condition of parasitism, with a variety of helminths found in Korea. In addition to the above fact, the peculiar habit of the consumption of raw vegetables, fish, crustaceans and mammals provides a means of infestations of helminths. During the last sixty years numerous reports were found on the prevalence of helminths amongst the Korean population in different parts of the country, and it was generally recognized that ascariasis, hookworm disease, filariasis, clonorchiasis and paragonimiasis constitute the important helminthic disease in Korea. In practical measures of parasite control activities the main measures are summarized as mass-treatment, night-soil disposal and transmission control. Among the three, the mass-treatment has been commonly applied, however, no reduction of transmission has been obtained by treatment of a population. Therefore, the ultimate eradication of parasites will depend upon the application of comprehensive environmental sanitation measures. The basic environmental measures will be concerned with (a) the safe disposal of human excreta, (b) the provision of adequate and safe water supplies in such a way as to promote a higher standard of personal hygiene in the population, and (c) the prevention of food contamination by faecal material. Additional environmental measures will deal with the improvement of housing and housing hygiene and with general community development. Community development means social and cultural as well as economic development. The control measures on the parasitic endemic diseases, such as clonorchiasis and paragonimiasis are the good examples for community health development in Korea. The control of Clonorchis and Paragonimus infections are theoretically very simple, as the infection can only invade the human body by way of encysted metacercaria which are taken into the body when eating passive intermediate hosts(fishes, crabs and crayfishes). Although prophylactic measures in the case of the infections deal with above merely consist the fishes in cooking or submerging in hot water before eating them, it is exceedingly difficult to carry out such simple measures in face of century old traditions, to which the relatively primitive population clings with great tenacity. There is no one universally applicable method of control. The choice of methods must be dictated by the nature of the environment. the habit and custom of the people. the pattern of transmission and the resources of the country. There must exist a well organized public health infrastructure. Since a control programme is of necessity on a longterm basis and continuity in its implementation is essential. An investigation should be made on the prevalence of the diseases and its relationships to irrigation engineering, freshwater ecology, agricultural methods, hydro-electric schemes, and the development of communities in affected areas. In conclusion, however. the control of clonorchiasis and paragonimiasis in Korea is not an impossible task. A combination of efforts with major emphasis on health education and mass chemotherapy coupled with governmental aid in enforcing legislative public health measures could reduce the diseases. Health education in particular attempts following four things: (a) It supplies a person with enough general knowledge about a disease to make the preventive measures. (b) It makes a person feel sufficiently about the importance of his own health to make him alter his behavior and adopt these preventive measure. (c) It makes him concerned for the health others. (d) It tries to make him feel so strongly about the first three that be supports and even initiates preventive action by the community. Educational efforts should be directed primarily toward school children because it is during the early years that most persons become infected, and also because children are less entrenched in their food habits so that, the educational process should be involved at various levels in successive changes of knowledge, attitude, beha viour, habit and custom of their lives. The most parasitic endemic diseases are related to community diseases. In caring for a sick community. the first stage is to gather epidemiological data, the next is to make inferences from it-to make the community diagnosis. The third is to prescribe community treatment or community health action part of a community health action programme. The community health action is the sum of the steps decided upon to remedy the critical features revealed by the community diagnosis. Action takes various forms; health education is the most important.

• 보건행정학회지
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• 제9권2호
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• pp.21-39
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• 1999

An increasing number of hospitals are seeking for new or mixed compensation strategies to improve the productivity of their medical staff in the struggle to provide high quality medical services at low costs amid the economic hardship. To motivate physicians toward the right direction, it is necessary to effectively evaluate their performance that provides a basis for compensation. However, productivity has been historically difficult to measure, particularly for physicians in academic medical centers who are expected to engage in research, education, and patient care simultaneously. The objectives of this study were to define performance measures of physicians and clinical departments in academic medical centers. to examine correlations between the measures. and to investigate factors affecting the measures. The performance data of 212 faculty physicians in 17 clinical departments in two university teaching hospitals affiliated to one medical school during the fiscal year 1994 was used for analyses. Patient care revenue, net profit. and adjusted number of patients were defined to measure the performance in patient care. and number of articles published in academic journals and research grant were defined for research activities. Both individual physicians' performance measures and per physician measures of clinical departments were analyzed. All measures defined to evaluate individual physicians' performance were positively related to each other. Clinical department and rank of faculty position were statistically significant predictors of revenue. and hospital. clinical department. and rank were significant predictors of net profit. journal publication. and research grant. Patient care measures defined to evaluate clinical departments were related to each other. so were research measures. and no significant correlations were found between patient care measures and research measures. Also found were large differences in department. ranks when clinical departments were evaluated by absolute per physician performance measures and evaluated by annual rate of changes in performance measures. These findings suggest that departmental performance measures opposed to individual performance measures are relatively free from problems of factors affecting the performance measures that are not in control of clinical departments or individual physicians. Results from the correlation analysis of departmental performance measures indicates that measures of research performance should be included in the evaluation to promote research activities in academic medical centers.

• 기본간호학회지
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• 제17권3호
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• pp.351-361
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• 2010

Purpose: The purpose of this study was to investigate the perception and performance of tuberculosis infection control measures among emergency department nurses. Methods: A structured questionnaire was administered to a convenience sample of 227 emergency department nurses from 20 hospitals in B City. Results: The mean perception score was 4.52 out of a possible 5, and the mean performance score was 3.31 out of a possible 5. There were big differences between the perception and performance score on the items regarding wearing a gown or mask, while there were small differences on the items regarding dealing with patients' articles or medication. Conclusion: Emergency nurses showed high perception and low performance score on the items related to facilities and regulation such as visitation restriction or patient isolation. There was a positive correlation between perception and performance score. Conclusion: For emergency nurses, perception is higher than performance of tuberculosis infection control measures. The findings indicate the importance of providing continuing education for emergency nurse professionals seeking to update and increase their knowledge and to develop evidence-based nursing protocols on tuberculosis infection control in emergency department.

• Asian Journal for Public Opinion Research
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• 제8권3호
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• pp.324-350
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• 2020

COVID-19 has challenged the pandemic response capability of many countries. Many governments around the world have imposed strict quarantine measures and border control to slow the spread of the virus. In the Philippines, the longest community quarantine has been imposed in the National Capital Region (NCR). However, the effectiveness of such measures is dependent on the cooperation of the public. The objective of this study was to gain an understanding of the knowledge, attitudes, and practices (KAP) of selected employees in the NCR. An online survey was conducted June 4-18, 2020, with 100 employed people living in the NCR. Frequencies and percentages were computed to describe the respondents' answers, and the Kruskal-Wallis test was used to determine the differences in the respondents' KAP levels according to selected demographic characteristics. Of those surveyed, 92% have a high knowledge of COVID-19. The respondents have a positive attitude toward the need for health education and the seriousness of COVID-19, as well as stricter measures against the pandemic, but are less positive in terms of how the government is responding to the pandemic. They also follow strict measures that will prevent the further spread of the virus. The results highlight the respondents' favorability of stricter government measures to control the spread of COVID-19, including the reimposition of an enhanced community quarantine in the NCR.

• 한국산업보건학회지
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• 제4권1호
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• pp.33-42
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• 1994

This study was carried out to assess worker exposure to vinyl chloride monomer (VCM) and to present control measures in the factories processing and producing polyvinyl chloride (PVC) resin. The conclusion remarks are as follows. Only two personal samples in the factory ("E") processing polyvinyl chloride resin were analysed to be 27.6 ppm and 12.6 ppm, respectively. But, these concentration exceed 1 ppm, Permissible Exposure Limits (PEL) of OSHA. So, worker's exposure to VCM at "E" factory should be reevaluated. In "A", "B" and "C" factory producing polyvinyl chloride resin, the average worker's exposures to VCM were 0.12 ppm, 0.86 ppm and 1.23 ppm, respectivery. Worker exposure to VCM at distillation and dry process was higer than other processes at "A" factory. The average exposure concentration of worker at polymerization process of "B" and "C" factory was 1.23 ppm, and 1.46 ppm respcetively. These concentration exceed 1 ppm, Permissible Exposure Limits of OSHA. Control room of "B" and "C" factory had 0.91 ppm and 0.65 ppm of worker's exposure concentration respectively. "A" factory was evaluated to be "acceptable", but "B" and "C" factories were evaluated to be "not acceptable", by the workplace exposure assessment program of AIHA. Process other than bagging and control room of "A" factory was evaluated to "not acceptable". Immediate correction measures for preventing workers from exposure to VCM should be performed in the factories or process that were evaluated to be "not acceptable". After these control measures are taken, worker exposure to VCM must be reevaluated through personal air monitoring. Control measures presented by this study are complete sealing of connecting pipe lines, flanging, packing, bolting and nutting. Periodic leak test for leak parts is also required. And positive pressure facility should be constructed at control room of "B" and "C" factory. Fresh air through cleaner such as HEPA filter should be supplied to control room. In addition to these control measures, periodic personal monitoring for evaluating worker exposure to VCM should be performed.

• Journal of Preventive Medicine and Public Health
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• 제54권5호
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• pp.330-339
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• 2021

Objectives: Tobacco control in Indonesia is very lenient compared to international standards. This study explored the perspectives of tobacco control stakeholders (TCSs) on the likelihood of advancing tobacco marketing regulation in Indonesia. Methods: Data were collected from TCSs who were members of the Indonesia Tobacco Control Network group in a modified Delphi study. We collected the data in 2 waves using a questionnaire that comprised a set of closed and open-ended questions. For this paper, we analysed 2 of the 3 sections of the questionnaire: (1) tobacco advertising, promotions, and sponsorship (TAPS) bans, and (2) marketing and retailing regulations. We conducted a descriptive analysis of the scores using Stata/IC.13 and summarised the comments for each item. Results: The TCSs viewed the measures/strategies across all aspects of TAPS and tobacco marketing regulation as highly desirable, but provided varied responses on their feasibility. They rated political feasibility lower than technical feasibility for most measures. Advancing TAPS measures and prohibition of selling to minors were considered more attainable by sub-national governments, while prohibition of tobacco corporate social responsibility was considered as the least feasible measure in the next 5 years. Conclusions: Despite little optimism for substantial national-level change, there is a positive expectation that sub-national governments will strengthen their tobacco control regulation. It is paramount that the government reduce tobacco industry leverage by implementing Article 5.3 of the World Health Organization Framework Convention on Tobacco Control. Extending advocacy networks beyond tobacco control groups and framing tobacco control more effectively are necessary steps.

• Journal of applied mathematics & informatics
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• 제39권5_6호
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• pp.895-918
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• 2021

Human African Trypanosomiasis (HAT) also known as sleeping sickness, is a neglected tropical vector borne disease caused by trypanosome protozoa transmitted by bites of infected tsetse fly. The basic reproduction number, R₀ derived using the next generation matrix method which shows that the disease persists in the population if the value of R₀ > 1. The numerical simulations of optimal control model carried out to determine the control strategy that can combat HAT under the minimum cost. The results indicate that, the use of both education campaign, treatment and insecticides are more efficient and effective to eliminate HAT in African community but too costly. Furthermore, the cost-effectiveness of the control measures (education campaign, treatment and insecticides) were determined using incremental cost-effectiveness ratio (ICER) approach and the results show that, the use of education and treatment of infected people as the best cost effective strategy compared to other strategies.

• 대한수의학회지
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• 제46권1호
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• pp.27-34
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• 2006

This paper describes the slaughter check results of breeding pigs from the Korean Swine Testing Station for the control of endemic diseases. Gross lesions monitored in the present study included those conditions commonly associated with economically significant subclinical herd infections: enzootic pneumonia, pleuropneumonia, pleuritis, atrophic rhinitis, liver white spots, papular dermatitis and ileitis. A total of 128 slaughter pigs were investigated at 4 subsequent tests according to the slaughter check procedures established. The prevalence of enzootic pneumonia, pleuropneumonia and pleuritis in the initial test was 67.9%, 28.6% and 17.9%, respectively. However, these were decreased to 46.7%, 6.7% and 6.7%, respectively, in the last test after implementation of counter measures including clean-up protocols and medication programs (p > 0.05). The mean pneumonic score also significantly decreased from 6.8 in the initial test to 2.8 in the last test. The prevalence of atrophic rhinitis (${\geq}score\;2$) was 32.2% and mean atrophic rhinitis score of 1.1 were recorded. However, no significant improvement of conditions was achieved with the counter measures indicating that atrophic rhinitis was originated from the source herds and lesions developed early in the life. In the initial test, prevalence of liver white spots and papular dermatitis lesions was 21.4% and 25.0%, respectively. These conditions were cleaned by the implementation of parasite control measures with all-in all-out, strict clean-up protocols and proper medications adopted in the present study (liver white spots, p = 0.0124; papular dermatitis lesions, p = 0.0055). The prevalence of ileitis lesions in slaughter pigs from the initial test was 28.6%, it could be gradually reduced by the use of repeated treatments and control measures but the effect was not so significant (p > 0.05). In conclusion, slaughter check procedures were successfully established and applied for the control of endemic diseases in the Korean Swine Testing Station.