• Title/Summary/Keyword: Health research and development

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Lessons from Using Opioid to the Treatment of Chronic Pain: Focus on Experiences with the Organization for Economic Cooperation and Development Countries (통증완화를 위한 오피오이드 사용의 교훈: 경제협력개발기구 회원국의 경험을 중심으로)

  • IM, Jeehye;Cho, Jae Young
    • Health Policy and Management
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    • v.31 no.4
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    • pp.409-422
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    • 2021
  • The growing use of prescription analgesic opioids has rapidly escalated the treatment of chronic pain since the 1990s; however, it is also highly needed to control opioid-related issues, including opioids misuse, abuse, and addiction. In 2018, Organization for Economic Cooperation and Development (OECD) secretariat administered the survey on opioids use and policies to OECD countries and presented it at the Health Committee meeting of December 2018. This study aimed to review the opioids use in OECD countries and their policies to prevent and reduce associated harms, also seek the available policy lessons from OECD countries. More recently, opioids prescribing rate have been increased 14.7% between 2011-2013 and 2014-2016 and steadily focused on the main substance misused and abused in Korea. In addition, policy efforts have contributed to developing a guideline for prescribing opioids to steer the appropriate use of prescription analgesic opioids since 2000 in Korea, so it is not enough to control opioids compared with other OECD countries. Therefore, taking a people-centered and public health perspective, it will consider the health system policies and interventions at a national level to improve their preparation and approach to control opioid-related issues.

Fertility and General Reproductive Ability Test of Ginkgo Biloba Extract (EGb 761) in Rats

  • Lee,Yong-Soon;Nam, Jeong-Seok;Yang, Jae-Man;Che, Jeong-Hwan;Kang, Byeong-Chul;Lee, Hak-Mo;Park, Jae-Hak;Kim, Dai-Yong;Kang, Sung-An
    • Toxicological Research
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    • v.12 no.1
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    • pp.129-136
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    • 1996
  • A fertility and general reproductive a. bility study was performed in Sparque-Dawley rats intravenously injected with Ginkgo biloba extract (EGb 761), a potential pharmaceutical excipient, at dose levels of 7.5, 15, and 30 mg/kg/day. Male rats were treated with Ginkgo biloba extract (EGb 761)from 14 days before mating until 21 days after delivery. Female rats received extract for 2 months prior to mating. No abnormal signs were noted in mating or fertility of the rats treated with Ginkgo biloba extract (EGb 761). No significant external, visceral, and skeletal anomalies or mental and physical development attributable to treatment was noted in any fetuses examined. The fertility of F1 generation was not affected by the treatment also. It was concluded that Ginkgo biloba extract (EGb 761) has no harmful effect on mating, fertilization, implantation, embryonic development and normal physical development.

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Estimation of dietary intake and human health risk of hexachlorobenzene by marine organism consumption in Korea

  • Moon Hyo-Bang;Lee Su-Jeong;Lee Yoon;Park Jong-Soo
    • Journal of Environmental Science International
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    • v.14 no.2
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    • pp.121-128
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    • 2005
  • Hexachlorobenzene (HCB) was analyzed in various marine organisms of Korea. HCB was detected in all organism samples with residual concentrations from 0.51 to 222 pg/g wet weight. HCB residue was the highest content in crustacean, and followed by bivalves, fish, cephalopods and gastropods. The residues were comparable to or lower than those in marine organisms of other countries. Daily dietary intake of HCB from seafood was estimated to be 13.4 pg/kg body weight/day. The relative contribution of taxonomic group to the total dietary intake of HCB were in the order of crustaceans $(40.1\%)$, bivalves $(34.2\%)$, fish $(23.1\%)$, cephalopods $(2.22\%)$, and gastropods $(0.38\%)$. Daily dietary intake of HCB expressed as toxic equivalent (TEQ) value was estimated to be $1.34\times10^{-3}pg$ TEQ/kg body weight/day. This value did not exceed tolerable daily intake (TDI) proposed by the WHO, the UK toxicity committee and the KFDA. Cancer risk and target hazard quotient (THQ) due to the consumption of the marine organism in Korean adult population were evaluated using the exposure equation of food ingestion. This result suggests that dietary intake of HCB by the consumption of Korean seafood seems to be safe for human health with negligible cancer and non-cancer risks so far.

Studies for International Trends in Health Impact Assessment and Linking HIA and EIA (지속성을 위한 보건영향평가의 국제적인 동향 고찰 및 환경영향평가와의 연계방안 연구)

  • Kim, Im-Soon;Kim, Choong-Gon;Kang, Seon-Hong;Han, Sang-Wook
    • Journal of Environmental Impact Assessment
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    • v.14 no.5
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    • pp.275-289
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    • 2005
  • In Korea, health-related items under current EIA (Environmental Impact Assessment) system can only be found in the categories of hygiene and public health. However, environment and public health are not adequately connected and also health is underestimated even though health is an important component of environmental assessments. As a result, health is not well integrated within criteria for investigating the impacts on environment. International trends in HIA (Health Impact Assessment) to strengthen the connection between environment and health were investigated in this research. Definitions, functions, circumstances, and merits of HIA in foreign countries were compared. By collecting and analyzing international organizations' and other countries' data related with HIA and EIA, preceding conditions and execution plans were suggested to link EIA and HIA from SEA (Strategic Environmental Assessment) aspects and to successfully accomplish EIA in Korea. According to this research, EHIA (Environmental Health Impact Assessment) can predict and manage the results of economical development only under the principles of inhabitants' participation, sustainability, and social justice. EHIA should be modified and improved towards increasing regional and national capabilities. For this, preparation of adequate procedure is required to connect EIA and HIA.

Influencing Factors for Adoption of Smart Cards in Hospitals (종합병원 전자건강카드 도입에 영향을 미치는 요인)

  • Ahn, Lee-Su;Yoon, Seok-Jun;Ahn, Hyeong-Sik;Hong, Seok-Won
    • Quality Improvement in Health Care
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    • v.12 no.2
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    • pp.113-123
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    • 2006
  • Objective : This research is focused on understanding the current status of the Health Smart Card already in use in other advanced countries. This research will analyze the current status of the medical institutions Health Smart Card system adoption process and its effects, and provide a basis for future policy decisions for the effective adoption and diffusion of a Health Smart Card system, in the medical field, through the completed research and analysis. Method : This research surveys the domestic, and foreign, status of Health Smart Card usage. The research also presents up-to-date methodology for the evaluation of the effects of medical and health care technology. The research also conducts a survey of the domestic medical institutions that have implemented a Health Smart Card system, and then analyzes the results of the survey. Additionally, the research carried out a survey and analysis of medical institutions with no Health Smart Card system implemented, and considered the factors affecting the diffusion of Health Smart Card systems in considering an effective policy for the introduction and diffusion of such a system. Research Results : Through the study of the methodology of medical and health care information technology in advanced countries, the methodology for assessing Health Smart Card technology has been established, and focuses on 6 aspects. The study on the status of foreign implementation has shown a model for the Health Smart Card system. A survey was conducted on the current status of medical institutions with an implemented Health Smart Card system, and the survey results have been analyzed. Also, factors influencing the adoption of Health Smart Card systems have been analyzed through the survey on those medical institutions that have not implemented a Health Smart Card system. Conclusion : The government must provide institutional measures for sharing medical records by constructing an IT infrastructure at the national level to enable the adoption and diffusion of a Health Smart Card system. Such a network will make connections between medical institutions possible, thus making the diffusion of the Health Smart Card system nationwide. For the successful adoption and diffusion of a Health Smart Card system, a model system development, under a medical record sharing system, should be conducted. Additionally, a regional unit based model should be developed for the model project, as is done in advanced countries, along with the application of such results.

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Development of a Play Toolkit for Supporting Infant and Toddler Development in Kyrgyzstan with a Focus on the Symbolic Functioning and Fine Motor Development of Infants 6 to 36 Months Old (키르기스스탄 영유아 성장발달을 위한 놀이도구 개발 및 사용효과 평가: 6~36개월 영유아의 상징적 기능 사고와 미세운동 발달 중심으로)

  • Chun, Hyojin;Do, Soyeon;Jung, Soyoon;Jin, Su hyun;Shin, Hyunsook
    • Child Health Nursing Research
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    • v.25 no.2
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    • pp.154-164
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    • 2019
  • Purpose: The study aimed to develop a play toolkit to facilitate infants' and toddlers' symbolic thought and fine motor development. Methods: This study used a methodological study design including two phases of development and evaluation. After reviewing the play culture and developmental health issues in Kyrgyzstan through a literature review and interviews with local experts and parents, the toolkit was developed and evaluated using content validity and utilization tests. Results: The toolkit was based on Westby's symbolic play and the fine motor milestones in the Bright Futures Guidelines. The Toolkits were composed of an overall suggested play schedule according to the child's age, four kinds of play props, and a utilization guidebook for parents. The play props were a felt book, sorting and assembling blocks, cup blocks, and a tangram. The guidebook contained age-appropriate operating methods and alternative ways to use the materials. Conclusion: A play toolkit was developed to enhance nurturing practices among parents of infants and toddlers. The findings may help facilitate effective interactions between parents and their children. Considering that nurturing care is critical for achieving better child health outcomes, enhancing parenting resources and parent-child relations could function as an effective strategy for promoting child health.

Effect of Lactobacilli Oral Supplement on the Vaginal Microflora of Antibiotic Treated Patients: Randomized, Placebo-Controlled Study

  • Reid,Gregor;Hammond, Jo-Anne;Bruce, Andrew W.
    • Preventive Nutrition and Food Science
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    • v.8 no.2
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    • pp.145-148
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    • 2003
  • Many antibiotic monographs cite the induction of vaginal infections as a possible side effect. Invariably, this is believed to be due to Candide albicans, and empirical therapy is given. However, recent studies raise the question of the extent to which yeast do infect the host after antibiotic use. A double-blind, randomized, placebo-controlled study was undertaken on female patients to determine how many yeast infections occurred following 10 days antibiotic use. In addition, the study was designed to examine whether oval use of probiotic lactobacilli can reduce the risk of vaginal infection. Twenty four patients diagnosed with respiratory, oval or throat infections received one of several types of antibiotic for 10 days, and two capsules containing 10$^{9}$ dried Lactobacillus rhamnosus GR-1 and L. fermentum RC-14 from the day of commencement of antibiotic therapy for 21 days. The most commonly prescribed antibiotic was biaxin (clarithromycin). All but one patient had lactobacilli in the vagina upon entry to the study, and none developed yeast vaginitis or diarrhea during treatment or 20 days after completion of antibiotics. The mean Nugent score was higher in the placebo than the lactobacilli group (4.1 versus 2.4), and three cases of bacterial vaginosis arose (25 % incidence compared to 0% in the lactobacilli group) in the placebo group (2 receiving cefuroxime, 1 on biaxin). The study suggested that current antibiotic use is not necessarily associated with either diarrhea or yeast infection, as is often surmised. Nevertheless, daily use of probiotics was safe and could potentially reduce the risk of patients developing bacterial vaginosis after antibiotic use.

Comparative Study on the Health Promotion Policy in Korea and Japan (한국과 일본의 건강증진정책 비교)

  • 남은우;조은주;남정자
    • Korean Journal of Health Education and Promotion
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    • v.21 no.3
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    • pp.19-33
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    • 2004
  • The focus of this paper is to critically evaluate the contemporary health promotion policy of g Korea and Japan. The primary purpose of this comparative research project is to stimulate policy debate and to strengthen the design and implementation of evidence-based policies that improve population health and reduce health related disparities. For the purpose of the research object we adopted analysis of health promotion(HP) sources. The HP Source which is still under development in Europe, is a potentially valuable tool for global use. This European Commission funded project lead by the London School of Hygiene and Tropical Medicine has brought together organisations from all of the European Union Member States, plus Norway, Iceland, Latvia, Switzerland and the Czech Republic to contribute their data. The findings of this research will be conclude by making recommendations for further comparative studies and in particular how EUHPID and the HP Source tool and database can be expanded for use at global level through the IUHPE. The result as follows: 1. The Health Promotion Act enacted 1995 in Korea and 2000 in Japan. The government has a national document on HP titled Health Plan 2010 and Healthy Korea 2010 in Korea and Healthy Japan 21 in Japan. 2. The Health Plan 2010 of Korea contains 14 goals, i.e. life expectancy, smoking, nutrition, mental health, dental health, reproductive health, hypertension, cerebrovascular diseases, arthritis, diabetes mellitus, cardiovascular diseases, and cancer. It should be emphasized that the Korean HP national document adds 3 goals of health expectancy, reproductive health, and arthritis to its Japanese counterpart. Health Plan 2010 of Korea specifies 37 objectives in 14 goals, and Healthy Japan 21 proposes 48 objectives and 80 targets in 9 goals. 3. Health Plan 2010 and Healthy Japan 21 have not been evaluated yet, and no regular systematic monitoring reporting of HP policies is available in Korea and Japan yet. 4. National Health Promotion Fund is a financial source of HP programs at the national level in Korea. Its annual amount is 736 billion Won(equivalent to approximately 640 million US$), otherwise no specific Health Promotion Fund in Japan.

Research Trends on Healthcare Wearables Published in Korean Journals

  • Kim, Nam Soon;Do, Wol Hee
    • Fashion & Textile Research Journal
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    • v.22 no.5
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    • pp.607-616
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    • 2020
  • Health care wearables are devices that are attached to or combined with the human body to improve the health care capabilities of the human body that can be safely and adjustable according to preference. This study provided direction for future research on healthcare wearables in the field of clothing science, considering trends observed in this field from 2010 to 2019. Over the last 10 years, 812 studies have been conducted on healthcare wearables in Korea. Research has increased significantly since 2015, with a large number of articles published in this field. The research for this study was broken down into the following categories: technology development, marketing analysis, and technology analysis. The results according to the research method demonstrated that development and production methods were used most frequently, followed by trend analysis, experiment and evaluation, and survey. An analysis of keywords in the articles studied revealed that device, healthcare, big data (biometric data and database), and healthcare convergence technologies were trending. Similarly, detailed research on healthcare wearable devices and related technologies was actively being conducted. However, focusing on fiber, textiles, design, and clothing articles, in relation to the field of clothing in healthcare wearables, only 81 articles were found on this topic (10.0%), which was low compared to other studies. Therefore, it was determined that more research on healthcare wearables is necessary in the field of clothing.

A Study of Sound Insulation and Structure Safety of the Shelter from the Firing of the Large Caliber Gun (포 발사에 따른 쉘터 구조물의 차음 및 구조안전성 연구)

  • Lee, HaeSuk;Heo, DongEun;Park, NoSeok;Na, TaeHeum;Jang, YoHan;Hong, JunHee
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.5
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    • pp.639-646
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    • 2017
  • This paper describes the sound insulation and structural safety of the shelter which may be used for shooters. The noise level of the shelter should be less than 100 dB on the basis of the Industrial Safety and Act, the World Health Organization and the MIL-STD. The sound insulation design was designed for the shelter structure. The designed shelter performance was verified by the real measurement after completing the construction of the shelter. The system was also designed using the finite element method with data of sound pressure measured in the test. Its response was obtained numerically. It is proved that the shelter structure is sufficiently safe considering the calculated maximum stress level with the allowable stress of structural property.