• Title/Summary/Keyword: Health decision system

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Evidence-based health literacy improvements: trends on health literacy studies in Korea (근거 중심의 헬스 리터러시 증진 방안: 학술지 연구 동향을 중심으로)

  • Kang, Soo Jin;Lee, Mi Sook
    • Korean Journal of Health Education and Promotion
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    • v.32 no.4
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    • pp.93-108
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    • 2015
  • Objectives: The purpose of this study was to investigate the current state of health literacy research and to explore the directions of improvement health literacy in Korea. Methods: A review of literature was conducted via an electronic database and citation tracking reference. A total of 173 articles were identified, where and then 41 articles were selected for review that met the inclusion criteria. Two authors independently reviewed the articles using the matrix table and together examined together the three aspects of the studies: research methods, health literacy instrument, and results. Results: Most of the articles were descriptive-correlation studies, but there were one intervention study and six methodology studies that were developing health literacy measures and instrument related items and etc. More troubling sufficient samples and sampling methods were lacking at the population level. The validity of the used health literacy instruments was not sufficient reported. Conclusions: Health literacy instruments need to be validated in various population and contexts. Additionally, effective strategies to improve health literacy included teach-back, pictogram, and decision aids need to be tested in Korean health care system.

Current Trend of Mibyeong Health Policy and Service in China through Investigation Activity of Mibyeong Technology -Report of China Technology Research Group- (현지 기술 조사활동을 통한 중국의 미병 정책 및 의료서비스 최신 동향 보고)

  • Lee, Jae-Chul;Kim, Dong-Soo;Jang, Eun-Su
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.137-147
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    • 2013
  • Objectives : This study aims to report current trend of Mibyeong health policy and service in China from interview of China Technology Research Group. Methods : China Technology Research Group visited Guanganmen hospital, Yanhuang Dongfang Company, Xinjingzhen health center, and Shanghai Shuguang hospital. With an interpreter, We had interviews about Mibyeong health service and policy trend, medical instrument, and research issue. Results :Mibyeong health service was performed based on KY3H system and collaboration with traditional Chinese medicine hospital. Mibyeong health service consists of diagnosis with nine constitutional type, health guide and preventive treatment. Community health center also provide Mibyeong health service, with cooperative treatment of traditional Chinese medicine and western medicine. China's Mibyeong health policy is established by Top-down decision, even though there is not enough evidence for providing health service to consumer. Through constitutional diagnosis, examinations, and treatment, huge data have been stacked; however, assessment and research based on these data are not processed well. Cooperative treatment of traditional Chinese medicine and western medicine is widely provided to patients, and their works are relatively well classified. Conclusions : China plays leading role in Mibyeong service and it seems to be developed more than Korea's. Further study is necessary to establish Mibyeong policy and health service in Korea.

Utilizing Spatial and Temporal Information in KAHIS for Aiding Animal Disease Control Activities (가축질병 방역활동 지원을 위한 국가동물방역통합시스템 시공간 정보 활용)

  • PARK, Son-Il;PARK, Hong-Sik;JEONG, Woo-Seog;LEE, Gyoung-Ju
    • Journal of the Korean Association of Geographic Information Studies
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    • v.19 no.4
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    • pp.186-198
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    • 2016
  • HPAI(Highly Pathogenic Avian Influenza) is a contagious animal disease that spreads rapidly by diffusion after the first occurrence. The disease has brought tremendous social costs and economic losses. KAHIS (Korea Animal Health Information System) is the integrated system for supporting the task of preventing epidemics. They provide decision-support information, recording vehicle visiting times and facility location, etc., which is possible by enforcing registration of all livestock related facilities and vehicles. KAHIS has accumulated spatial and temporal information that enables effective tracing of potential disease trajectories and diffusion through vehicle movements. The contact network is created utilizing spatial and temporal information in KAHIS to inform facility connection via vehicle visitation. Based on the contact network, it is possible to infer spatial and temporal mechanism of disease spread and diffusion. The study objective is to empirically demonstrate how to utilize primary spatial and temporal information in KAHIS in the form of the contact network. Based on the contact network, facilities with the possibility of infection can be pinpointed within the potential spatial and temporal extent where the disease has spread and diffused. This aids the decision-making process in the task of preventing epidemics. By interpreting our demonstration results, policy implications were presented. Finally, some suggestions were made to comprehensively utilize the contact network to draw enhanced decision-support information.

Establishing Diagnosis Systems for Impaired Stream Ecosystem using Stream/River Ecosystem Survey and Health Assessment (수생태계 현황 조사 및 건강성 평가결과를 활용한 수생태계 훼손원인 진단체계 구축)

  • Lee, Jong-Won;Lee, Sang-Woo;Hwang, Soon-Jin;Jang, Min-Ho;Won, Doo-Hee;An, Kyung-Jin;Park, Hye-Jin;Lee, Junga
    • Korean Journal of Ecology and Environment
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    • v.53 no.1
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    • pp.1-10
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    • 2020
  • The Stream/River Ecosystem Survey and Health Assessment has been carried out regarding the ecological health of the streams by the Ministry of Environment (MOE), South Korea. However, the sources of impairment of the stream ecosystem and the interactions between the sources, stressors, and the responses of impaired streams have not been taken into consideration. The purpose of this study is to propose the establishment of diagnosis systems for the impaired stream ecosystem because of the need to incorporate the same in the making of the policy to enable the recovery and improvement of the health of the impaired streams or river ecosystem. First, we define the concept of a diagnosis of the impaired stream or river ecosystem through a literature review. Second, through case studies [e.g., US CADDIS (Causal Analysis/Diagnosis Decision Information System), AUS. Eco Evidence, EU WFD (Water Framework Directive)], we try to develop the diagnosis system for the making of policy. In this study, the diagnosis system that is proposed consists of eight steps including the basic data collection, detecting or suspecting impairment, defining the impaired stream reach, identifying the biological impaired cases and listing the candidate causes, illustrating the interactive conceptual diagrams between stressors and responses, investigating the stressors-responses in the field, verifying causes and identifying the probable causes of the impaired cases, and summarizing and proposing the restoration of the streams. The results of this study will support and enable efficient decision-making for sustainable stream restoration and management based on the diagnosis of the probable causes for the impaired complex and the diverse stream ecosystem.

GIS Application in Environmental Impact Assessment : Suitability Analysis and Odor Impact Assessment of Landfill Site (환경영향평가에서 GIS 활용에 관한 연구 : 폐기물매립지 적지분석과 악취영향평가)

  • Kim, Myung-Jin;Han, Eui-Jung;Lee, Jae-Woon;Jeong, Dong-Hwan;Seo, Chang-Wan
    • Journal of Environmental Impact Assessment
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    • v.4 no.1
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    • pp.1-8
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    • 1995
  • Environmental Impact Assessment(EIA) in Korea has developed as a tool for environmental conservation and decision making since Environmental Impact Statement(EIS) preparation in 1981. For effective implementation of it, we do system development and method enhancement continuously. The recently introduced GIS (Geographic Information System) can integrate geographic and attribute data, which will be applied to scoping, assessment, and alternative assessment, etc. in EIA. This study has three major components. First, it explains building of EIA factors of natural environment, living environment, and socio-economic environment of the study area defined in EIS preparation regulation. Second, the study presents applications of assessment method concerning suitability analysis of landfill site using GIS. Finally, it shows integration of GIS and odor impact assessment. Based on these analysis, the study makes some recommendations and conclusions.

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Modern Cause and Effect Model by Factors of Root Cause for Accident Prevention in Small to Medium Sized Enterprises

  • Kang, Youngsig;Yang, Sunghwan;Patterson, Patrick
    • Safety and Health at Work
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    • v.12 no.4
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    • pp.505-510
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    • 2021
  • Background: Factors related to root causes can cause commonly occurring accidents such as falls, slips, and jammed injuries. An important means of reducing the frequency of occupational accidents in small- to medium-sized enterprises (SMSEs) of South Korea is to perform intensity analysis of the root cause factors for accident prevention in the cause and effect model like decision models, epidemiological models, system models, human factors models, LCU (life change unit) models, and the domino theory. Especially intensity analysis in a robot system and smart technology as Industry 4.0 is very important in order to minimize the occupational accidents and fatal accident because of the complexity of accident factors. Methods: We have developed the modern cause and effect model that includes factors of root cause through statistical testing to minimize commonly occurring accidents and fatal accidents in SMSEs of South Korea and systematically proposed educational policies for accident prevention. Results: As a result, the consciousness factors among factors of root cause such as unconsciousness, disregard, ignorance, recklessness, and misjudgment had strong relationships with occupational accidents in South Korean SMSEs. Conclusion: We conclude that the educational policies necessary for minimizing these consciousness factors include continuous training procedures followed by periodic hands-on experience, along with perceptual and cognitive education related to occupational health and safety.

A Study on Health Monitoring of a Refrigerator Compressor Based on Higher Order Time-Frequency Analysis and Artificial Neural Network (고차 시간-주파수 해석과 신경망 회로를 이용한 냉장고 압축기의 건전성 연구)

  • Shin, Tae-Jin;Lee, Sang-Kwon;Jang, Ji Uk
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.12
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    • pp.1313-1320
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    • 2012
  • Condition monitoring of the reciprocating compressor is important task. As a traditional method, health monitoring system of refrigerator depends on decision of a skilled person based on his experience. However, the skilled person cannot monitor all the compressors completely. If a sampled compressor is faulty, thousands of compressors manufactured at that place are regarded as faulty compressors. Therefore it is necessary to monitor all compressors in the production line. In the paper real time health monitoring system is developed based on high order time frequency method and artificial neural network. The system is installed in the mass production line. The result of the application has been very successful, and currently the system is working very well on the production line.

A Fundamental Study for a System Establishment of Advanced Practice Nursing for Gynecological Cancer Patients (부인암 전문간호사 제도 확립을 위한 기초조사)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.12 no.2
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    • pp.87-96
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    • 2006
  • Purpose: This study was conducted to provide fundamental information for a system establishment of advanced practice nursing for gynecological cancer patients (APN-GCP). Method: Data was collected by focus group and individual interviews and analyzed in the framework of the Grounded theory method mapped by Strauss and Corbin (1990). There were 13 subjects in this study (nurses, doctors, patient and her family). Result: We identified 87 concepts, 22 sub-categories, and 10 categories. Categories for role expectation were arrangement of diagnosis and treatment process, giving information of treatment course, support of treatment process, patients' right toward making a decision of treatment, counseling and teaching after discharge from hospital, medical insurance and financial problems, counseling about sexual problems and use of family and community resources. All subjects perceived the necessity of an APN-GCP. An APN-GCP requires over 2$\sim$7 years clinical experience and a master's degree. Services would be performed from initial registration to termination of treatment or death, and accomplished on an outpatient clinic basis. Conclusion: The nursing delivery system and curriculum should be developed for a women's health nurse practitioner including APN-GCP. As a further step, cost-effectiveness and projected estimation of manpower of APN-GCP should be studied in the future.

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Machine Learning Approach to Blood Stasis Pattern Identification Based on Self-reported Symptoms (기계학습을 적용한 자기보고 증상 기반의 어혈 변증 모델 구축)

  • Kim, Hyunho;Yang, Seung-Bum;Kang, Yeonseok;Park, Young-Bae;Kim, Jae-Hyo
    • Korean Journal of Acupuncture
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    • v.33 no.3
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    • pp.102-113
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    • 2016
  • Objectives : This study is aimed at developing and discussing the prediction model of blood stasis pattern of traditional Korean medicine(TKM) using machine learning algorithms: multiple logistic regression and decision tree model. Methods : First, we reviewed the blood stasis(BS) questionnaires of Korean, Chinese, and Japanese version to make a integrated BS questionnaire of patient-reported outcomes. Through a human subject research, patients-reported BS symptoms data were acquired. Next, experts decisions of 5 Korean medicine doctor were also acquired, and supervised learning models were developed using multiple logistic regression and decision tree. Results : Integrated BS questionnaire with 24 items was developed. Multiple logistic regression models with accuracy of 0.92(male) and 0.95(female) validated by 10-folds cross-validation were constructed. By decision tree modeling methods, male model with 8 decision node and female model with 6 decision node were made. In the both models, symptoms of 'recent physical trauma', 'chest pain', 'numbness', and 'menstrual disorder(female only)' were considered as important factors. Conclusions : Because machine learning, especially supervised learning, can reveal and suggest important or essential factors among the very various symptoms making up a pattern identification, it can be a very useful tool in researching diagnostics of TKM. With a proper patient-reported outcomes or well-structured database, it can also be applied to a pre-screening solutions of healthcare system in Mibyoung stage.

Local and global governance of emerging technologies and risk (글로벌 시대의 기술혁신과 리스크 거버넌스를 위한 의사결정구조의 변화)

  • Suh, Jee-Hyun;Won, Dong-Kyu
    • Proceedings of the Korea Contents Association Conference
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    • 2007.11a
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    • pp.183-187
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    • 2007
  • During the recent decades in democratic and industrialized countries, government policies for governing technological innovation and risks to environment and human health have undergone significant changes. The shift from a top-down legislative approach to a more inclusive and deliberative atmosphere is, putatively the most prominent change. Such a move is often described as a move from government to governance. In the governance of technology and risk, public engagement has been a major strategy in technology decision-making process. This article aims to look into the changes in the procedural modes of technology decision-making process. It discusses the main viewpoints that have been placed on the basis of such a move. Also, it further relates the changes in local decision-making process to science and technology decision-making at global level. It argues that the democratic and reflexive trends in local science and technology decision-making will be the basis upon which to shape and respond to global governance system: while international decision-making process would require accountability in integrating different values and rationalities, such accountability may be sustained and reinforced depending on the robustness of the local decisions and social choices.

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