The purpose of this study is analyzes the violate behavior the Parking Area for the handicapped and monitor the management problem, therefore presents the improvement alternatives of it. We use the field interview survey method by visiting the government office of cities of 16, commercial facility, housings, medical centers, cultural and sports facilities, express highway rest area. We visited the 50 places and interviewed the 227 violating persons. As a result, violate behavior is divided into the not attachment of sticker on parking possibility and not accompaniment with walking disabled person. We presented the improvement alternatives for the lawful usage of the parking area for the handicapped. First, We have to magnify a recognition and a advertisement about the parking area for the handicapped. Second, We have to improve a management of expense, manpower and civil complains, etc. We have to prepare the legal revision which strengthens the concrete punishment for a violate behavior improvement.
Purpose: This study is to provide basic data for establishing successful organization management strategies of organizations by understanding rank systems and duty types of dental hygienists who work in dental hospitals. Methodology/Approach: The study conducted a survey and an interview survey two times targeting the entire dental hospitals. The first survey secured the response results of 113 hospitals in the result that conducted the survey targeting 190 dental hospitals in the whole country except 24 ones including dental college hospitals, dental hospitals affiliated with medical colleges or general hospitals, military dental hospitals, and dental hospitals for the disabled among the 214 ones which were registered in the Health Insurance Review & Assessment Service as of December 2015. The second survey conducted the interview survey targeting persons in charge of personnel management by selecting 34 dental hospitals with rank systems of 4 rank systems and above. Finding: The dental hospital has found that dental hygienists-centered human resources were composed. The number of ranks has found that 1 to 6 levels are shown and level 3 is highest. Titles of staff levels have found that 32 places are highest in order of 'employees
Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong;Han, Hyo-Jo;Shin, Teo-Jeon;Chang, Ju-Hea
Journal of The Korean Dental Society of Anesthesiology
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v.11
no.2
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pp.146-152
/
2011
Background: Elderly patients with progressive dementia including Alzheimer's disease (AD) are more and more often scheduled to undergo general anesthesia for various pathologies including dental problem. But, there is high risk of deterioration of underlying mental diseases and other co-morbidities. So it is important to implement preventive strategies and take adequate measures to minimize negative perioperative events in these patients. Methods: We reviewed the 17 cases of 11 patients with AD who underwent ambulatory general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 68 (57-81) years. All of them were diagnosed with AD and some had hypertsnsion, bronchiectasis, urinary incontinence. For anesthesia induction, 3 cases (1 patient) was needed physical restraint, but others showed good or moderate cooperation. Drugs used for anesthesia induction was thiopental (11 cases), propofol (3 cases) and sevoflurane (3 cases). All patients received nasotracheal intubation without difficulties. Mean total anesthetic time was 3 hour 44 min ${\pm}$ 60 min and staying time at PACU was 83 ${\pm}$ 34 min. All the patients except one who showed hypertension discharged without any complication. There was no death or long term hospitalization because of severe complications. Conclusions: If general anesthesia is needed, pertinent diagnostic tests and workup about other medical problems, and appropriate anesthetic planning are essential for safety.
Purpose: This study examined whether or not the balance performing ability of the disabled (blindness and deafness) is lower than normal people. Chronometry was used to compare the balance maintaining ability of blind and deaf subjects with that of normal subjects under the same conditions. Methods: In this study, balance foam, eye bandage, earplugs and headphones were used. The balance foam used in this study is smooth with slight elasticity and a convex upper side, 60cm wide, 15cm long and 9cm high. The eye bandage was used to artificially block the sight of the normal subjects, and the earplugs and headphones to block their hearing. Results: The mean time of the normal subjects standing with their eyes open, blindfolded and wearing ear plugs was 26.7, 19.8 and 28.7sec, respectively. The mean standing maintaining time for the blind and deaf subjects was 12.5 sec and 24.1 sec, respectively. The t-test result of the calculated mean time showed no significant difference (p>0.05) between the normal subjects and the normal subjects with their hearing blocked but there was a significant difference between the normal subjects with their hearing blocked and the deaf subjects (p>0.05). Conclusion: There was significance between the normal subjects and the normal subjects with their eyes blocked but there was no significant difference between the normal subjects with their eyes blocked and the blind subjects. Furthermore, there was a significant difference between the deaf and the normal subjects, which corresponds to the report showing that sight has a significant influence on balance.
The purpose of this study was to know dysfunctions degree, daily living activity, depression and quality of life among stroke elderly person; and to know what kind of factors affecting to quality of life of the stroke elderly person; after that provide a fundamental data to nursing arbitration plan about increase height quality of life of the stroke elderly person. The study subjects were collected 119 people, over than 60 age, who were diagnosed with stoke in D hospital, living in B city. The data was collected by using personal interviews and questionnaire, from Nov 2008 to Jan 2009. The questionnaire were Pre-Stroke MRDS(Modified Rankin Disability Scale), Barthel-ADL(Activities of Daily Living), K-IADL(Korean-Instrumental Activities of Daily Living), GDS-15(Geriatric Depression Scale-15-question form) methods. The pre-stroke MRDS was appeared a functional obstacle. The mean score of activity of daily living was 18.24 which showed the subjects were mildly disabled, the score of instrumental activities of daily living was 7.94 which showed the mildly abled, and score of depressiveness was 7.41 which showed the subjects were mildly depression. There was a significantly correlation among MRDS, ADL, IADL, depressiveness and quality of life. Through these study result, important to check the old subjects' depressiveness, cognitive functions, daily living abilities, dysfunctions degree to main tain their quality of life.
Han, Jong Wook;Kim, Dong Jun;Min, In Soon;Hahm, Myung-Il
Health Policy and Management
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v.29
no.2
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pp.184-194
/
2019
Background: The extent of coverage rate of the public health insurance is still insufficient to meet healthcare needs. Private health insurance (PHI) plays a role to supplement coverage level of national health insurance in Korea. It is expected that reduce unmet need healthcare. This study was aimed to identify relationship between PHI type and the unmet healthcare need and its associated factors. Methods: Data were obtained from the 2014 Korea Health Panel Survey using nationally representative sample was analyzed. Respondents were 8,667 who were adults over 20 years covered by PHI but have not changed their contract. According to the enrollment form, PHI was classified into three types: fixed-benefit, indemnity, and mixed-type. To identify factors associated with unmet needs, multiple logistic regression conducted using the Andersen model factors, which are predisposing factors, enabling factors, and need factors. Results: Our analysis found that subjects who had PHI with mixed-type were less likely to experience unmet health care needs compared than those who did not have it (odds ratio, 0.80; 95% confidence interval, 0.66-0.98). As a result of analyzing what affected their unmet healthcare needs, the significant factors associated with unmet medical need were gender, marital status, residence in a metropolitan area, low household income, economic activity participation, self-employed insured, physically disabled, low subjective health status, and health-risk factors such as current smoking and drinking. Conclusion: The results of this study suggest that having PHI may reduce experience of unmet healthcare needs. Findings unmet healthcare needs factors according to various subjects may be useful in consideration of setting policies for improving accessibility to healthcare in Korea.
The emergence of new diseases such as the Covid 19 pandemic that occurs in the 21st century and the occurrence of health abnormalities according to the busy daily life of modern people are increasing. Accordingly, the importance of health care management and data-based health management is being highlighted, and in particular, interest in personal health management data based on personal health care data of patients is rapidly increasing. In this study, to solve the difficult problems of personal health management, we developed a personal health care platform incorporating IT for self-diagnosis and solution and developed an application that measures bio-signals generated in the human body and transmits them to the platform. A health management system was established. Through this, not only the health care of modern people, but also the psychological and emotional care support needs through psychological and emotional monitoring of the developmentally disabled and the vulnerable who have difficulty in expressing their opinions are to be addressed. In addition, the overall health and living environment data of the individual was integrated to develop an optimized medical and health management service for the individual.
Wearable devices come in a variety of shapes and sizes in numerous fields in numerous fields and are available in various forms. They can be integrated into clothing, gloves, hats, glasses, and bags and used in healthcare, the medical field, and machine interfaces. These devices keep track individuals' biological and behavioral data to help with health communication and are often used for injury prevention. Those with hearing loss or impaired vision find it more difficult to recognize an approaching person or object; these sensing devices are particularly useful for such individuals, as they assist them with injury prevention by alerting them to the presence of people or objects in their immediate vicinity. Despite these obvious preventive benefits to developing Internet of Things based devices for the disabled, the development of these devices has been sluggish thus far. In particular, when compared with people without disabilities, people with hearing impairment have a much higher probability of averting danger when they are able to notice it in advance. However, research and development remain severely underfunded. In this study, we incorporated a wearable detection system, which uses an infrared proximity sensor, into a backpack. This system helps its users recognize when someone is approaching from behind through visual and tactile notification, even if they have difficulty hearing or seeing the objects in their surroundings. Furthermore, this backpack could help prevent accidents for all users, particularly those with visual or hearing impairments.
Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.
The Journal of Korean Society for School & Community Health Education
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v.23
no.3
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pp.1-13
/
2022
Objectives: The purpose of this study is to identify the life satisfaction of women with disabilities and the factors affecting their life satisfaction to improve their quality of life. Methods: This study used secondary data, the 2020 Survey of the Disabled. The subjects were 2,725 women with disabilities aged 20 or older who responded to the survey. The SPSS Windows 26.0 program was used for data analysis. Technology analysis, chi-test, and multi-logistic analysis were performed to identify the factors affecting the life satisfaction of women with disabilities. Results: Age, education level, marital status, type of medical insurance type, subjective economic status, disability severity, subjective health status, health screening, chronic disease, stress, depression, suicidal ideation, and variables that can go out alone. As a result of multi-logistic regression analysis on factors affecting life satisfaction of women with disabilities, it was analyzed that education level, marital status, subjective economic status, subjective health status, health screening, chronic disease, stress cognitive status, depression, suicide ideation, and variables that can go out alone had a statistically significant effect. Conclusion: Based on the analysis results of this study, it is required to develop and operate health education and health promotion programs for physical and mental health management of women with disabilities.
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