• Title/Summary/Keyword: Health priorities

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Ecological Risk Assessment of Chemicals of Concern for Initiation of Ecorisk-based Water Quality Standards in Korea (생태수질기준설정을 위한 대상물질의 생태위해성 평가)

  • An, Youn-Joo;Nam, Sun-Hwa;Kim, Yong-Hwa
    • Journal of Korean Society on Water Environment
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    • v.24 no.5
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    • pp.592-597
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    • 2008
  • Current water quality standard (WQS) in Korea is based on the protection of human health, not considering the protection of aquatic organisms. Most of chemicals can be toxic to ecological biota as well as human. Health of aquatic biota is closely related to the human health via food chain, therefore ecological risk based-WQS needs to be developed to protect the aquatic ecosystem. In this study, we selected the 31 chemicals in the Project entitled 'Development of integrated methodology for evaluation of water environment'. The methodology for calculating water quality criteria was derived from the Australian and New Zealand processes for deriving guideline trigger value for aquatic ecosystem. The available ecotoxicity data were collected from US EPA's ECOTOXicology Database (ECOTOX), TOX-2000 Database, European Chemicals Bureau (ECB)'s International Uniform Chemical Information Database (IUCLID) and Environmental Protection Agency (US EPA)'s report 'Ambient Water Quality Criteria (AWQC)'. The aquatic toxicity data for the Korean species were selected for risk assessment to reflect the Korean water environment. The monitoring values were calculated from the water quality monitoring data four main Korean rivers. We suggested the order of priorities of chemicals based on ecological risk assessment. We expect that these results can be useful information for establishing the WQS for the protection of aquatic ecosystem.

Job Performance, Educational Needs, and Recognition of Professionalism among Care Workers in Long-term Care Facilities (장기요양시설 요양보호사의 직무에 대한 수행도, 교육요구도 및 전문직업성 인식)

  • Song, Min Sun;Kim, Jin Hak;Yang, Nam Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.2
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    • pp.166-179
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    • 2019
  • Purpose: The purpose of this study was to identify the job performance and educational needs, and recognition of professionalism among care workers, and to organize educational programs according to the priorities of care workers. Methods: The participants were 119 care workers who were working in long-term care facilities. Data were collected from May 31 to June 7, 2019 using self-report questionnaires. Collected data were analyzed using t-tests, ANOVA, and Spearman's Correlation Coefficients. Results: The performance aspects of the job were as follows: care for safety and infection-related, communication and leisure support, and excretion. The most demanded educational needs were in first-aid. Care workers had more than average professional recognition. Job performance and educational needs, and recognition of professionalism differed significantly according to several general characteristics. Conclusions: The educational needs of the areas with low frequency of job performance were high. First-aid is low in frequency, but it is important to cope with emergencies, so it is necessary to continue education. Also, there is a difference in recognition of professionalism according to the career. It will be necessary to develop individualized education programs to meet the needs of care workers.

An Analysis of Pediatric Emergency Nursing Practice and Nursing Competence among Emergency Department Nurses (응급실 간호사의 소아응급간호 업무 및 간호수행자신감 분석)

  • Jeon, Heekyung;Im, YeoJin
    • Child Health Nursing Research
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    • v.25 no.2
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    • pp.143-153
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    • 2019
  • Purpose: The purpose of this study was to examine the frequency, perceived importance and competence of pediatric emergency nursing practice (PENP) in nurses who cared for pediatric patients in the emergency department. Methods: This cross-sectional descriptive study analyzed 175 emergency department nurses caring for pediatric patients at 7 university hospitals with more than 500 beds, located in Seoul and Gyeonggi Province. The measurement tool was modified from the Classification of Standard Nursing Activities to measure the frequency, importance of PENP, and nursing competence. It comprised 143 items in 16 domains of PENP. Results: The most frequent nursing practice was the domain of 'nursing records and environmental management' and the least frequent practice was the 'research and consulting' domain. The nursing care domain perceived to be most important by nurses was 'specialized intensive nursing care'. The nursing care domain with the highest level of nursing competence was 'hygiene care', and the domain with the least level of nursing competence was the 'research and consulting'. Conclusion: These results will be utilized as basic data for future pediatric emergency nursing education initiatives and for establishing priorities of nursing policy to improve health care for children admitted to the emergency department.

Root Cause Analysis of Medical Accidents -Using Medical Accident Cases (의료사고의 근본원인 분석: 의료사고 판례문 이용)

  • KIM, Seon-Nyeo;Cho, Duk-Young
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.13-26
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    • 2019
  • Objectives: To investigate whether medical institutions can prevent accidents by analyzing the root cause of a medical accident and identifying the tendencies. Methods: A total of 345 medical cases were used for the RCA(Root Cause Analysis). The root causes were classified using the SHELL model. The suitability of the model was confirmed by SPSS's MDPREF and Euclidean distance. An SPSS20.0 hierarchical regression analysis was used as an influencing factor on the degree of injury resulting from medical accidents. Results: The SHELL model was suitable for classification. The rates of accident causes were LS49%, L34%, LL10.2%, LE3.7%, LH2.3%. The order in which the degree of a patient's injury was affected were: Risk Threshold (${\beta}=.180$), Time (${\beta}=.175$), Surgical stage (${\beta}=-.166$), Do not use procedure (${\beta}=.147$). Conclusions: Health care institutions should remove priorities through system improvement and training. For patients' safety, the five factors of the SHELL model should be managed in harmony.

The Role of Islamic Work Ethics in Spiritual Leadership and Inclusion Practices Relationship During COVID-19

  • AHMAD, Uqba Saeed;NAWAB, Samina;SHAFI, Khuram
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.3
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    • pp.943-952
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    • 2021
  • The Covid-19 pandemic situation has changed all medical priorities. This has put pressure on the World's health sector, which also affects the economy of the whole world. This study aims to study how Islamic work ethics affects the relationship between spiritual leadership and organizational inclusion practices in the health care sector of Pakistan in the COVID-19 situation. This is a mix-method study. Data collected of 158 practicing doctors through survey-based questionnaire and interview was conducted from 30 doctors dealing with direct coronavirus. The organizational inclusion practices variable is used for the first time in a quantitative approach in this study. The reliability and validity of organizational inclusion practices are checked by Adanco, SPSS, and SmartPLS software. For this purpose, data on inclusion practices was also collected from the banking and education sector. Results show that spiritual leadership significantly relates to Islamic work ethics also has a positive connection between spiritual leadership and organizational inclusion practices. Still, Islamic work ethics as a moderator has an insignificant impact on the relationship between spiritual and organizational inclusion practices. Also, from the result, it is verified that the organizational inclusion practices variable is valid and reliable for further studies.

Health Vulnerability Assessment for PM10 in Busan (부산지역 미세먼지에 대한 건강 취약성 평가)

  • Lee, Won-Jung;Hwang, Mi-Kyoung;Kim, Yoo-Keun
    • Journal of Environmental Health Sciences
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    • v.40 no.5
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    • pp.355-366
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    • 2014
  • Objectives: This study seeks to evaluate the vulnerability assessment of the human health sector for $PM_{10}$, which is reflected in the regional characteristics and related disease mortality rates for $PM_{10}$ in Busan over the period of 2006-2010. Methods: According to the vulnerability concept suggested by the Intergovernmental Panel on Climate Change (IPCC), vulnerability to $PM_{10}$ is comprised of the categories of exposure, sensitivity, and adaptive capacity. The indexes of the exposure and sensitivity categories indicate positive effects, while the adaptive capacity index indicates a negative effect on vulnerability to $PM_{10}$. Variables of each category were standardized by the rescaling method, and each regional relative vulnerability was computed through the vulnerability index calculation formula. Results: The regions with a high exposure index are Jung-Gu (transportation region) and Saha-Gu (industrial region). Major factors determining the exposure index are the $PM_{10}$ concentration, days of $PM_{10}{\geq}50$, ${\mu}g/m^3$, and $PM_{10}$ emissions. The regions that show a high sensitivity index are urban and rural regions; these commonly have a high mortality rate for related disease and vulnerable populations. The regions that have a high adaptive capacity index are Jung-Gu, Gangseo-Gu, and Busanjin-Gu, all of which have a high level of economic/welfare/health care factors. The high-vulnerability synthesis of the exposure, sensitivity, and adaptive capacity indexes show that Dong-Gu and Seo-Gu have a risk for $PM_{10}$ potential effects and a low adaptive capacity. Conclusions: This study presents the vulnerability index to $PM_{10}$ through a relative comparison using quantitative evaluation to draw regional priorities. Therefore, it provides basic data to reflect environmental health influences in favor of an adaptive policy limiting damage to human health caused by vulnerability to $PM_{10}$.

Differentiated QoS Provisioning of WBAN Traffic in WUSB Services based on IEEE 802.15.6 (IEEE 802.15.6 표준 기반 무선 USB 서비스의 차등화된 WBAN 트래픽 QoS 제공 방안)

  • Hur, Kyeong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.5
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    • pp.1087-1095
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    • 2014
  • A recent major development in computer technology is the advent of the wearable computer system that is based on human-centric interface technology trends and ubiquitous computing environments. Wearable computer systems can use the wireless universal serial bus (WUSB) that refers to USB technology that is merged with WiMedia PHY/MAC technical specifications. In this paper, we focus on an integrated system of the wireless USB over the IEEE 802.15.6 wireless body area networks (WBAN) for wireless wearable computer systems supporting U-health services. And a communication structure that can differentiate QoS of U-health WBAN and WUSB traffic with different priorities is proposed for WUSB over IEEE 802.15.6 hierarchical protocol. In our proposal and performance evaluation, throughputs of U-health WBAN and WUSB traffic are analyzed under single and multiple QoS classes to evaluate the effectiveness of proposed QoS differentiating structure in WUSB over IEEE 802.15.6.

A Study on the Priorities of Enabling Digital Healthcare Platform for Small and Medium Enterprises : A Comparative Analysis of Consumers and Suppliers

  • Yeon-Kyeong Lee;Min-Jung Lee
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.6
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    • pp.131-141
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    • 2024
  • The aging population and worsening lifestyle habits have increased the risk of chronic diseases. This has heightened the importance of preventive healthcare, particularly through personalized health management services based on individual health data. Despite this, the domestic digital healthcare industry remains underdeveloped. Given the need for acceptance from both consumers and providers, this study uses the Analytic Hierarchy Process (AHP) to identify success factors for health management service platforms. AHP evaluates the relative importance of various factors to aid decision-making. Results show that providers prioritize data analysis and platform design, laws and regulations, and data standardization, while consumers prioritize system stability, laws and regulations, and system security. These findings highlight the need for strategies to bridge the expectation gap to effectively promote health management service platforms.

Implementation and Evaluation of a Nutrition Education Program to Improve the Nutritional an Physiological Status of Female Gymnasts (여자체조선수의 영양생리학적 요인 개선을 위한 교육프로그램의 효과분석)

  • 조성숙
    • Korean Journal of Community Nutrition
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    • v.5 no.1
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    • pp.50-62
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    • 2000
  • This study was conducted with 20 female gymnasts to examine the relationship between eating patterns, diet menstrual function and hematological status. According to the baseline data a nutrition counseling and education program was developed and evaluated improved the nutritional status and health of female gymnasts. Mean body weight at the onset of the study was 42.1$\pm$7.0kg and was reduced to 41.8$\pm$6.1kg after the nutrition counseling and education program. The percent of body fat was significantly reduced from 13.9$\pm$3.7% to 13.1$\pm$3.1%(p<0.01) skinfold thickness of subscapular and thighs was reduced significantly(p<0.01, p<0.05) Mean daily intake levels of energy, protein calcium iron thiamin riboflavin and niacin were significantly elevated after the nutrition counseling and education program but were lower than the Recommenced Dietary Allowances. For the nutrition knowledge and food habits, the posttest mean scores showed a significant increase. The hematological status(hematocrit, serum ferritin) and the early follicle level of estradiol were elevated to a mild degree although it was not significant,. The follicular stimulating hormone level was elevated significantly(p<0.01) Gymnastica has been one of the sports implicated by the medical profession as having probable detrimental effects. The implications of such training to childs growth and maturation have yet to be determined . Most female athletes, however, experience poor nutritional status and delayed puberty The priorities were to prepared a more effective nutrition program and education material status and delayed puberty. The priorities were prepared a more effective nutrition program and educational material for athletes coaches and adminstrators to prepare guidelines for the team physicians and coaches to follow for the physical and physiological examinations of female athletes.

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A Study on the Priorities in the Roles of Community Pharmacists in Aged Society Using AHP (AHP를 이용한 고령사회 약국약사의 역할에 대한 우선순위 연구)

  • Kang, Eunjeong;Jang, Sunmee;Kil, Tae Soo
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.402-411
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    • 2019
  • This study aimed to identify priorities in community pharmacist's roles in aged society using Analytic Hierarchy Process. We developed a survey questionnaire for AHP, which consisted of 19 pharmacist's roles selected from the FIP/WHO guidelines. The AHP survey questionnaire was self-administered by 127 pharmacists. The results showed that pharmacists put medication therapy management at the highest priority, preparation, dispense, distribution of medication at the second priority, and efficient healthcare system at the lowest priority. Among the 19 roles, new roles such as monitoring of medication therapy results, team-based health care, and transitions of care obtained relatively high priority.