• Title/Summary/Keyword: Health Problem

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Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

  • Hong, Woi-Hyun
    • Research in Community and Public Health Nursing
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    • v.26 no.4
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    • pp.390-397
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    • 2015
  • Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

Health Problems and Health Behaviors of Preschoolers in Day Care Centers and Living With Guardians (어린이집 아동과 요보호 아동의 건강문제와 건강행위 실태)

  • Kim, Hui-Sun;Lee, Jeong-Yeong;Lee, Tae-Hwa;Ham, Ok-Gyeong
    • Journal of Korea Association of Health Promotion
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    • v.2 no.1
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    • pp.93-104
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    • 2004
  • Purpose : This study was conducted to understand the health status and health behaviors of preschoolers to provide baseline data for developing health promotion programs. Method 'Parents of children attending day-care centers and guardians of preschoolers were recruited for the study. Data were collected from June to August2002 using a structured questionnaire. Result . Among 754 preschoolers, 17,3% were overweight, while 18.2% were underweight, while 15.9% and 23.2% were overweight and underweight respectively, among 85 children living with guardians. The most frequent infectious diseases that children have had previously were hand-foot-mouth disease, chicken pox, and measles. Current health conditions that children have frequently are respiratory disease and atopic dermatitis for bother groups. Only 54%-61% brush their teeth everyday at bedtime, 49%-54% wash their hands every time after returning home, 4.5%-8.8%wear bicycle helmets, 9,3%-11.1% use a child car seat, and 3.5%-8.1% eat fruits and vegetables five times a day, Children living with guardians were less likely toper form positive health behaviors compared with children in day-care centers. Conclusion 'Based on the study results, health professionals could plan and develop health promotion programs to change unhealthy behaviors of preschoolers targeting high-risk groups.

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A Study on Health Problems and Management of School Teachers in Seoul (서울시 교원의 다빈도 질환 및 관리실태 조사)

  • Chun, Nami;Yoon, Jae Hee;Kim, Chae Yoon;Kim, Young Sook;Hwang, Nami;Lee, Kyoung A
    • Journal of the Korean Society of School Health
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    • v.25 no.2
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    • pp.159-167
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    • 2012
  • Purpose: This study was conducted to identify the job-related health problems of school teachers in Seoul area and investigate their disease management behavior. Methods: This study used the on-line survey to investigate frequent health problems and management behavior of teachers. And job-related diseases were identified using date from the National Health Insurance Corporation. Collected data were analyzed by descriptive statistics, t-test and ANOVA. Results: The frequent health problems of teachers were varicose veins, vocal cord disease and thyroid disease. And Job-related health diseases were varicose veins and vocal cord disease. These problems increased with career. 57.4% and 28.4% teachers in varicose veins and vocal cord disease did not do any management behavior to prevent or cure the disease. 56.8% teachers did not know how to prevent the diseases and 16.3% teachers did not practice even though they know the methods of prevention. Conclusion: Teacher's health examination should include varicose veins and vocal cord disease examination. And schools should try to offer various programs for preventing job-related health problems.

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The Depression Scales and The College Students' Health Care (대학생의 우울증에 관한 연구 -우울 측정 척도를 이용한-)

  • Lee, Kwang-Hye
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.144-154
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    • 1997
  • This study is planned to gather necessary data for setting up a system on students' health care in the university. In order to obtain statistical data on the students' health care problems especially in 'depression' among the mental health problems of the students, 'The Beck Depression Inventory' by A. T. Beck and 'Zung's Self-Rating Depression Scale' by W. W. K. Zung were used for gathering numerical data of scale of depression. It is evident that we have to prepare for further medical examination and health care educations for several students. For these students, it is clear that they have problems not only in mental health but also in physical health. I have screened out the high scored students for comparison and analysis. And it disclosed that we have to build up a periodical and continuous 'Health Screening System' utilizing Health Questionnaire for both physical and mental aspects, which will bring up us the very exact result to pick out any person who has healthy problem among the enormous number of the students with handy, convenient and effective procedures but with the least expense and effort. Also it is my firm confidence that this system will be applicable for primary health care control of mass population in local community or any organization.

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A Study of Job Educational Satisfaction for Activating of Tailor Made Visiting Home Health Care (맞춤형 방문건강관리사업 활성화를 위한 직무교육 만족도)

  • Lim, Ji-Young;Kim, Ji-Yoon
    • Journal of Home Health Care Nursing
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    • v.14 no.1
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    • pp.23-30
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    • 2007
  • Purpose: The aim of this study was to establish basic data for developing education program of tailor made visiting home health care. Method: For this study, the subject was recruited in one directorial area among 14 nation-wide areas. The data collection was done using self-report questionnaire developed by Korea Health Industry Development Institute. Ninety one questionnaires were analyzed and response rare was 88.3%. Result: The major results were as follows. Aspect of education operations, the satisfaction of education space was revealed high. However, the satisfaction of education time, hour, and schedule were low. The overall satisfaction of education contents were revealed high. The most useful curriculums were found Chronic disease management, Infant & toddler health management, and Case management of tailor made visiting home health care. However the most unuseful curriculums were Nutritional management according to subject's health problem, Health promotion for poor family, and Understanding of visiting service in community health center. Conclusion: With these results, it was identified that the most needed contents of tailor made visiting home health care education program. So these results will be used to develop the more effective education program to activate tailor made visiting home health care service in community health center.

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A Study on the Health Condition according to Sasang Constitution (THI에 의한 사상체질별 건강상태에 관한 연구)

  • Jang, Eun-Su;Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.133-141
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    • 2007
  • Objectives: We intended to know the total health state and suggest basic result for good health management of oriental medical university student by examining Sasang constitution and health degree(THI: Todai Health Index). Methods: We diagnosed Sasang constitution using QSCC II and also estimated health degree using THI. We recruited the student of 9 universities and analyzed. Results 1. The score of psychiatric health was higher than physical one. 2. Degree of health state of Soeumin was worse than Taeumin in category of Digestive(p=0.015) and Irregular life (p=0.002) and worse than Taeumin and Soyangin in Nervousness(p=0.000), Mental Irritability(p=0.000) and Depression(p=0.007). 3. Soyangin was worse than Soeumin and Taeumin in Fiction(p=0.000). 4. Aggressiveness showed a tendence of increase in order Taeumin, Soyangin, and Soeumin. Conclusions : The oriental medical student of university needed health management focusing on psychiatric health aspect rather than physical one. And there exist the difference of health problem according to Sasang constitution. So the student should have deal with health management efficiently according to that.

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Accuracy of Body Mass Index-defined Obesity Status in US Firefighters

  • Jitnarin, Nattinee;Poston, Walker S.C.;Haddock, Christopher K.;Jahnke, Sara A.;Day, Rena S.
    • Safety and Health at Work
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    • v.5 no.3
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    • pp.161-164
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    • 2014
  • Obesity is a significant problem affecting United States (US) firefighters. While body mass index (BMI) is widely used to diagnose obesity, its use for this occupational group has raised concerns about validity. We examined rates and types of misclassification of BMI-based obesity status compared to body fat percentage (BF%) and waist circumference (WC). Male career firefighters (N = 994) from 20 US departments completed all three body composition assessments. Mean BMI, BF%, and WC were $29kg/m^2$, 23%, and 97 cm, respectively. Approximately 33% and 15% of BF%- and WC-defined obese participants were misclassified as non-obese (false negatives) using BMI, while 8% and 9% of non-obese participants defined by BF% and WC standards were identified as obese (false positives) using BMI. When stratified by race/ethnicity, Pacific Islanders showed high rates of false positive misclassification. Precision in obesity classification would be improved by using WC along with BMI to determine firefighters' weight status.

User-friendly Application for operability with HL7 in mobile agent of Ubiquitous Health Environment

  • Lee, JeongHoon;Kwock, DongYeup;Moon, KangNam;sahama, Tony;Kim, Jung-Tae
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.10a
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    • pp.866-870
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    • 2009
  • Mobile Health (M-Health) system is a recent term for medical and public health practice supported by mobile devices, such as mobile phones, PDAs, and other wireless devices. Mobile Health system has been successfully establishing at few general hospital in Korea. However, to use diverse devices manufactured by various company cause inoperability, and lack of security disappoints customers often. Although the outstanding health environment, most of hospitals are unavailable to share electronic patient records due to lack of standard protocol to handle the interoperability each other. Health Level 7 (HL7) is the best solution for the problem. In this paper, we will analyse a current M-Health service in terms of security and mobile device, and suggest iPhone for the best device against hospital environment. Also, for keep confidentiality of health information and patient privacy, enhanced security mechanism is introduced. As a consequence, interoperable standard, and most appropriate device for supporting staffs and M-Health performance, and enhanced securirty mechanism will be integrated in order to propose improved M-health model.

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Issue Analysis on 'Trade Secret Claim' in 「Chemicals Control Act」 and 「Amendment on Occupational Safety and Health Act(1917-227)」 (「화학물질관리법」과 「산업안전보건법」의 영업비밀 사전 허가 제도 도입과 관련한 쟁점 분석)

  • Kim, Shinbum;Lee, Yun Keun;Choi, Youngeun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.25 no.4
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    • pp.433-445
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    • 2015
  • Objectives: The major objectives of this study are to review the issues surrounding trade secret claims in the Chemicals Control Act and Amendment on Occupational Safety and Health Act(1917-227) and to propose a way of improving the reliability of chemical information in MSDSs, labels and National Chemical Survey results. Materials: To review the issues on trade secret claims, we made an analysis frame which was divided into three steps: Value and Problem Recognition; New Regulation Design; and Enforcement and Amendment. We then compared Korean issues with issues from the United States' Hazard Communication Standard and Emergency Planning & Community Right-to-Know Act, Canada's Workplace Hazardous Materials Information System and Hazardous Materials Information Review Act and the European Union's Regulation on Classification, Labelling and Packaging of substances and Mixtures. Results: The stage of right-to-know development in Korea has passed the Value and Problem Recognition phase, so efforts are needed to elaborately design new regulation. Conclusions: We recommend two ways to improve right-to-know in Korea. First, strict examination of the quality of documents for trade secret claims is very important. Second, trade secrets should be limited to less-hazardous substances.

Comparative Observation of Body Mass Index among Adults in Korea and Japan

  • Lee, Myeong-Jin;Chae, Young-Hoon;Lee, Won-Chang;Kwon, Young Hwan
    • Korean journal of aerospace and environmental medicine
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    • v.31 no.2
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    • pp.45-50
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    • 2021
  • Background: Obesity is a major public health problem that is causally related to serious medical conditions. In this study, the public health implications of obesity based on body mass index (BMI) with anthropometric measures among adults in the Republic of Korea and Japan in 2019 were compared. Methods: A simple cross-section, nationally representative of the raw data from the National Health and Nutrition Examination Survey in 2019 between Korea and Japan were used. We analyzed the data of those categorized as obese with a BMI of ≥25 kg/m2 according to the World Health Organization Expert Consultation. Results: The average values of BMI based on body height and body weight among males and females in Korea were 24.6±0.08 and 23.3±0.09, respectively; those in Japan were 23.9±0.08 and 22.6±0.08, respectively. The measured anthropometric values were obviously higher in Korean than in Japan (P<0.01). The prevalence rates (PRs) of obesity by sex in Korea were 41.4% among males and 27.3% females; those in Japan were 32.5% among males and 22.0% among females. The statistically significant results showed that the total obesity rate was higher in males than in females in both countries (P<0.01). The PRs of obesity in Korea were 41.4% in males and 27.3% in females; those in Japan were 32.5% in males and 22.0% in females. The statistically significantly PR of total obesity among Korean adults was greater than that among Japanese adults (P<0.01). Conclusion: The PR of obesity in Korea relative to that in Japan showed a gradually increasing trend. Obesity is a major problem, especially in the pilot group. Reducing the prevalence of obesity among pilots is important for reducing in-flight medical incapacitation and ensuring flight safety. Obesity management is necessary to prevent obesity-related diseases and promote pilot health.