• Proceedings of the Korean Environmental Health Society Conference
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• 2004.12a
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• pp.87-87
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• 2004

• KOREAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES
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• v.12 no.2 s.43
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• pp.15-19
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• 2005

• Health Policy and Management
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• v.19 no.3
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• pp.109-124
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• 2009

Background: This study aimed to examine whether cases of punishing false claimants threat general physicians to check their medical cost claims with care to avoid being suspected, and identify empirically general deterrence effects of the on-site investigation system in the Korean National Health Insurance. Methods: 800 clinics were selected among a total of 15,443 clinics that had no experience of on-site investigation until June 2007 using a stratified proportional systematic sampling method. We conducted logistic multiple regression to examine the association between factors related to provider's perception of on-site investigation and high level of perceived deterrence referring to fear of punishment after adjusting provider's service experiences and general characteristics. Results: The probability of high perceived deterrence was higher 1.7 times (CI: 1.13-2.56), 2.73 times (CI: 1.68-4.45) each among clinics exchanging the information once or more per year or once or more for 2-3 months than among clinics no exchanging the information about on-site investigation. Also, the probability of high perceived deterrence was higher 2.27 times (CI: 1.28-4.45) among clinics that knows more than 3 health care institutions having experienced an on-site investigation than among clinics knowing no case. Conclusion: A clinic knowing more punishment cases by onsite investigation and exchanging more frequently information about on-site investigation is likely to present high perceived deterrence. This result will provide important information to enlarge preventive effects of on-site investigation on fraud and abuse claims.

• Journal of Korean Public Health Nursing
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• v.17 no.2
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• pp.192-202
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• 2003

This descriptive study aimed to determine the effects of community based health education program for pregnant women on their confidence in labor and breastfeeding. Data were obtained using several questionnaires and administered to 174 pregnant women who have participated (n=49) and have not participated(n=125) in health education program, and 244 mothers of infants who lived in one city in Kyunggi province. Summaries of finding were as follows; First, pregnant women who have participated in health education program showed significantly higher score in confidence in labor than those who have not. Also, confidence in labor was different according to the level of education. Second, pregnant women participated in health education program showed higher score in knowledge and attitude on breastfeeding, but the differences were not significant. Knowledge on breastfeeding was higher in multipara. More positive attitude on breastfeeding was found in working mothers and highly educated mothers. Third, $54.1\%$ of mothers continued breastfeeding over six months. Main reasons for discontinuing breastfeeding were lack of breast milk amount, and health problems in infants and mothers. In this study, we could identify the positive effects of health education program for pregnant women provided by public health center, and find the related factors of confidence in labor and breastfeeding. Community based health education program for pregnant women, especially for vulnerable group should be expanded.

• Journal of Korean Public Health Nursing
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• v.27 no.2
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• pp.357-371
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• 2013

Purpose: The purpose of this study was to investigate the effects of health education based on the health belief model (HBM) to the prevention of noise-induced hearing loss (NIHL) in middle school students. Methods: A pretest-posttest nonequivalent control group was designed for the purpose of this study. A total of 212 students (134 in the experimental group and 78 in the control group) of two middle schools in Seoul were enrolled for the study. Health education of two 45-minutes sessions over two weeks were provided. The data were analyzed by descriptive statistics, Chi-square test, t-test, ANCOVA and repeated measures ANOVA with Bonferroni post-hoc test, using the SPSS version 21.0. Results: There were significant differences between experimental group and control group with reference to perceived susceptibility (F=7.862, p=.006), perceived severity (F=8.291, p=.004), perceived benefits (F=20.311, p<.001), and perceived barriers (F=5.628, p=.019) after health education were provided. We also observed sustained health education effects of perceived susceptibility, perceived severity, perceived benefits, and perceived barriers in the experimental group for up to 4 weeks after health education were provided. Conclusion: The health education to prevent NIHL based on the HBM improved the health beliefs of the middle school students. Health education on the HBM for the prevention of NIHL should be provided at the level of middle school.

• Proceedings of the Korean Environmental Health Society Conference
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• 2005.06a
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• pp.168-183
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• 2005

• KOREAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES
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• v.21 no.1
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• pp.46-46
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• 2014

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.629-638
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• 2003

Purpose: This study investigated the effects of knowledge and health belief on osteoporosis preventive health behaviors. Methods: The subjects of this study were 266 middle-aged women. Data were collected using a self-reporting questionnaire with 101 questions. The period of data collection was from the 3rd of January to the 28th of February 2003. Data were analyzed using SPSS 10.0 PC+ program. Results: The results were summarized as follows: 1. The average score of knowledge about osteoporosis was 16.93 out of 27. Particularly, middle-aged women had knowledge more about osteoporosis prevention measures than about risk factors. 2. Knowledge, self efficacy and barriers were significantly correlated with osteoporosis preventive health behaviors. 3. As for the relationship between subjects' general characteristics and their health preventive behaviors, the size of living district, economic status, BMI. family history of osteoporosis and perception of health status were found to have significant effects on health preventive behaviors. Conclusions: According to the results presented above, preventive health behaviors may be promoted by increasing knowledge and perceived self-efficacy as well as decreasing individuals' perceived barriers through health education.

• Research in Community and Public Health Nursing
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• v.18 no.4
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• pp.562-571
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• 2007

Purpose: The purpose of this study was to develop a health education program on the health promoting behavior and self-efficacy in university students and evaluate its effects. Method: A nonequivalent control group pretest-posttest design was used. The subjects were 148 students [experimental(N=80) and control(N=68) groups] from a university in J City. The experimental group members participated in thirteen sessions of a health education program for fifteen weeks and the degree of their health promoting behavior and self efficacy was evaluated. The instruments for this study were the health promoting lifestyle profile developed by Walker et al.(1987) and self-efficacy scale developed by Sherer & Maddux(1982). Data were analyzed by descriptive statistics, Chi-square tests, t-tests, and paired t-test using SPSS 10.0. Result: The experimental group had a significantly higher health promoting behavior score(F=10.389, p=.002) than the control group, while no significant difference was found in the self-efficacy score(F=.481. p=.489). Conclusion: The results suggest that the health education program can be utilized as an effective program to promote health promoting behavior in university students.

• 대한방사선방어학회:학술대회논문집
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• 2011.11a
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• pp.212-213
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• 2011

The biological effects of low dose ionizing radiation (LDIR) remain insufficiently understood. We examined for the scientific evidence to show the biological effects of LDIR using radiation-sensitive immune cells. We found that Ikaros protein was responsed to low dose-dependent effects of gamma radiation in IM-9 B lymphocytes. Ikaros encodes zinc finger transcription factors that is important regulators of a hematopoietic stem cells (HSCs) progression to the B lymphoid lineage development, differentiation and proliferation. In this study, we observed that cell proliferation was enhanced from 10% to 20% by LDIR (0.05 Gy) in IM-9 B lymphocytes. The Ikaros protein was phosphorylated in its serine/threonine (S/T) region and decreased its DNA binding activity in the cells exposed to LDIR. We found that Ikaros phosphorylation was up-regulated by CK2/AKT pathway and the residues of ser-304 and ser-306 in Ikaros was phosphorylated by LDIR. We also observed that Ikaros protein was localized from the nucleus to the cytoplasm after LDIR and bound with Autotaxin (ENPP2, ATX) protein, stimulating proliferation, migration and survival of immune cells. In addition, we found that the lysoPLD activity of ATX was dependent on Ikaros-ATX binding activity. These results indicate that the Ikaros is an important regulator of immune activation. Therefore, we suggest that low dose ionizing radiation can be considered as a beneficial effects, stimulating the activation of immune cells.