Purpose: This descriptive study was conducted to examine the status of the health examination in child care centers. Method: The participants in this study were 631 child care centers. A self report questionnaire on health examination which has been examined for content validity, was distributed by mail to 2,000 child care centers using randomized sampling. Result: Of the sample, $76.2\%$ child care centers had done health examination for children. Height & weight, urinalysis, dental check, anemia test and visual acuity were the most frequently performed items. The rate for maintaining a health record was highest in the national/public child care centers. Child care centers more closely related to community health centers, showed higher rates of health examination. Conclusion: Health care personnel and financial aids should be provided for child care centers to enhance the level of health management of children.
Journal of The Korea Institute of Healthcare Architecture
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v.18
no.4
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pp.53-65
/
2012
Purpose: With the increasing national interest in health, the number of health examination centers is growing rapidly, and it is growing as independent medical institutes separated from hospitals. With the growing functions and size of health examination institutes, considerations for testees, who are the most important users of the health examination centers, have taken the back seat. In particular, for health examination programs that take on a sequential traffic line, it is important to be aware of the space of each examination room, but the lack of a scientific evaluation method for this has resulted in great discomforts for testees using the health examination center. Method: Thus, this study proposes risk evaluation indices (RCF TCF, RC3, RR, ARR), and set a standard health examination program based on the national health examination program. This was applied to 11 different sized health examination centers to find their features, and together with identifying the trends of the indices, the following results were deduced. Result: 1) ARR showed a wide-range feature as the number of unit spaces increased, while RR were discovered regardless of the size, thus displaying local features. 2) The increase of ARR is affected more by internal factors in the health examination center than from outside factors. 3) By gender, when separating the basic health examination fields, the connective relation of the comprehensive health examination fields had a big effect on ARR. 4) By becoming larger, the fields of function become independent and the waiting space that results from it increases the number of total movement, so there is space for improvement in this.
Due to development of modern medical services and economics, people raised expectation and demand about medical services from previous disease treatment to comprehensive health care covering prevention and health care. Responses of each medical facility to these social needs and the evolution of concept of medicine rapidly occur. The health examination centers are being operated with the purpose of health examination and this trend is reflected on several aspects such as the size of the facilities, function and configuration of space in health examination centers. Thus, health examination centers consisting of various space systems appear, but this trend and interpretations are lacking. Therefore, the purpose of this study is to draw trends of system through analysis of types and its evolved space systematic analysis and establish it. Analysis targets were classified into small, medium and large groups by sizes based on number of space and a total of 12 health examination centers in four for each category were selected. As research methods, functional relationship of space was examined through analysis of type in which segmentalized type tools were applied in local units. The flow diagram was established based on direction turning point and was classified into sub-flow and main-flow in local units and the systems between local units were derived. Finally, the results of this study can be summarized as the following three results. 1) The space connection system of health examination center showed four systems such as circulation, independence, continuation, and network. 2) Local type indicators and global type indicators which were evolved more from limitation of type analysis tools in existing research were derived so that more systematic analysis could be made. 3) Network system is distributed approach system and space for each function is formed around public space.
Objectives: The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). Methods: An oral examination as part of The National Health and Nutrition Examination was proposed to calculate the sample design and survey participation. The surveying system was presented by classifying the measurement environment, screening, and survey items by year, and the merits and limitations of using the data were suggested by examining the status of survey quality management and the process of disclosing raw data. Results: This nationally representative cross-sectional survey samples approximately 10,000 individuals each year and collects information on oral examinations and oral health interviews. Data for the oral health component of KNHANES was obtained to assess the oral health status of Koreans and determine the prevalence of dental caries and periodontitis. The oral health data quality control of KNHANES was composed of three parts: "Education Program" and "Field Training Program" for quality control of oral health examiners (dentists) by the professional academy, and "Data management" by the KCDC. After completion of the three-step data check, the indicators of dental caries, periodontal disease, and oral health behavior were published in the National Health Statistics. Conclusions: To achieve the goals of oral health indicators, we will continue to monitor so that we can use it as basic data for oral policies and carry out various linkage analyses related to oral diseases.
Background : One-quarter of Koreans are either students or school employeeS. Therefore, school health programs for them have high levels of cost-benefit. School health programs, though, are focused on services such as vaccination and physical examination according to administrational regulations without systemic planning. Futhermore, college health programs run autonomously, not under the supervision of the Ministry of Education. It is my intention to analyse the current status of college school health service centers and use the basic data so generated to model how they might operate at an optimal level of efficiency. Methods : I intended to investigate all 29 colleges in Seoul except some specialized colleges such as theological schools in the two-month period of August and September, 1999. I used the telephone interview method to ask questions relating to personal composition, medical equipment in use, annual expenditure and the provision of school health services. School health services were composed of three items; health servies, health education and a healthy school environment. Results : 27 college health service centers were surveyed. The median number of medical personal in each center was 2, the range was 1-31. 7 centers(25.9%) have only nurses with no doctors. Annual expenditures of 11 centers(50.1%) was less than 10 million won, 19 center(70.4%) were maintained by support from their college. Thirteen centers(48.1%) provided doctor's examinations, 6 centers(22.2%) provided dental care services, laboratory services were provided by seven centers(25.9%). Some 81.5% of the centers had vaccination programs and 44.5% had health education programs. There was no school environment program except insecticide provisions. College health service centers with school doctors differed from centers without school doctors in terms of medical equipment range, annual expenditures and annual case loads. Conclusion : The structure and function of college health service centers in Seoul are diverse. However, no center has a well-organized school health plan.
Kwak, Jin Il;Oh, Kyungwon;Kweon, Sanghui;An, Youn-Joo
Journal of Korean Society on Water Environment
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v.29
no.2
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pp.165-169
/
2013
Freshwater fish intake is a critical parameter for deriving water quality criteria and water quality standards for protection of human health based on human health risk assessment. Although the freshwater fish intake parameter should be accurate and representative of Korean fish consumption for the water quality criteria to be reliable, data are limited in Korea and have low reliability. In this study, Korean National Health and Nutrition Examination Survey data from 2008-2010 were analyzed to reevaluate freshwater fish consumption. Based on these results, an average consumption rate of 3.0 g/day per person, a $90^{th}$ percentile consumption rate of 0.0 g/day per person, an average consumption rate of 65.7 g/day per fish consumer, and a $90^{th}$ percentile consumption rate of 153.4 g/day per fish consumer were proposed for derivation of water quality criteria using a conservative approach and various exposure scenarios.
Ghahremani, Leila;Mousavi, Zakiyeh;Kaveh, Mohammad Hossein;Ghaem, Haleh
Asian Pacific Journal of Cancer Prevention
/
v.17
no.12
/
pp.5133-5138
/
2016
Background: Breast cancer is one of the most common cancers and a major public health problem in developing countries. However, early detection and treatment may be achieved by breast self-examination (BSE). Despite the importance of BSE in reducing the incidence of breast cancer and esultant deaths, the disease continues to be the most common cause of cancer death among women in Iran.This study aimed to determine the effects of self-care education on performance of BSE among women referring to health centers in our country. Materials and Methods: This quasi-experimental interventional study with pretest/posttest control group design was conducted on 168 women referred to health centers. The data were collected using a validated researcher-made questionnaire including demographic variables and trans-theoretical model constructs as well as a checklist assessing BSE behavior. The instruments were administered to groups with and without self-care education before, a week after, and 10 weeks after the intervention. Then, the data were entered into the SPSS statistical software (version 19) and analyzed using independent sample t-tests, paired sample t-test, repeated measures ANOVA, Chi-square, and Friedman tests (p<0.05). Results: The results showed an increase in the intervention group's mean scores of trans-theoretical model constructs (stages of change, self-efficacy, decisional balance, and processes of change) and BSE behavior compared to the control group (p<0.001). Conclusion: The study confirmed the effectiveness of aneducational intervention based ona trans-theoretical model in performing BSE. Therefore, designing educational interventions based on this model is recommended to improve women's health and reduce deaths due to breast cancer.
Journal of The Korea Institute of Healthcare Architecture
/
v.28
no.3
/
pp.17-26
/
2022
Purpose: The purpose of this study is to classify space types according to the operating system of health examination centers and compare and analyze their sizes. Methods: Seven examination centers under the K Medical Research Institute with the same operating system and similar examination types and functional spaces are the subject of the investigation. Research is conducted through field investigation, user surveys, and drawing analysis. Results: The operating method of the health examination center can be largely divided into the function dispersed type and the function central type. The function dispersed type was planned as a vertical type, and the function central type was planned as a horizontal type. In the case of the function dispersed type, since the examinees move vertically to use the endoscope center and special examination center, the efficiency of the vertical movement must be considered when planning the function dispersed type of facility. The function dispersed type plans to increase work and manpower efficiency by arranging the areas used at the start and end of the examination. Because the function central type horizontally arranges related functions by area, it should be planned in a structure that makes it easy for examinees to find their way. Implications: Through this study, it is judged that it is possible to suggest architectural planning considerations that vary depending on the operation system of the examination center.
This study was conducted to compare and analyze 877 cases of health insurance claims from the first half of 1999 requested to the dental centers of local health centers in rural areas and 510 identical cases from the first half of 2003. It was purposed to understand the trend of rural residents' visits to local health centers and to use the collected data as the basis needed for the vitalization of local dental cares to efficiently improve Korean citizens' dental hygiene. The results were shown as below: 1. The sexes of the visitors were fairly evenly distributed for each year. 2. Among the total of 39 types of diseases treated, 1999 had 31.9% of visits for 'Gingivitis and periodontal diseases' with 25.4% from ages between 10 and 19, for statistically attentive results. On the other hand, 2003 had 46.5% of visits for 'Oral examination' with 52.9% from ages between 0 and 9, for statistically attentive results. 3. For the distribution of age groups, majority in 1999 made visits for dental caries, gingivitis and periodontal disease, whereas majority in 2003 were for oral examination, dental caries, gingivitis and periodontal disease.
The purpose of this study was to identify the influencing factors on the compliance of breast self-examination (BSE) among 205 Christian women living in Pusan and U1san areas. Structured self-administered questionnaires were used. Knowledge levels were measured by the instrument developed by Choi(l996). Self- efficacy and health belief were measured by the instruments developed by Champion (1993) and modified by Choi(1996). Women who did BSE more than once within 6 months were categorised as compliant. Data was analyzed by descriptive statistics, t- test, χ² test and logistic regression analysis using SPSS WIN program. The results of this study were summarized as follows; 1. 15.1% of women performed the BSE at least once during the last 6 months. 2. Non-complier and compliant women showed statistically significant differences in the level of self efficacy and barriers. 3. Predictors of BSE compliance were ‘history of having breast disease’, ‘experience of receiving recommendation for BSE’, ‘barriers’, and ‘experience of meeting with breast cancer patients’ and explained 14.8% of variance in compliance of BSE. For future clinical practice, health professionals, including nurses, need to actively suggest to women the importance of BSE, and to distribute the information through posters and pamphlets at clinics and public health centers. Including the opportunity to meet patients in health education centers can be another strategy to increase women's motivation for BSE. For future research, it is necessary to recruit women from broader geographic areas utilizing various sources such as community centers to increase generalizability of the findings.
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