• 제목/요약/키워드: Health research and development

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환경상태의 평가를 위한 주민환경지표의 개발 (Public Environment Index Development)

  • 김명진;최덕일;장준기;이재운
    • 환경영향평가
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    • 제2권1호
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    • pp.31-38
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    • 1993
  • As the environmental concerns have shifted gradually from the environmental pollutions to the Quality of Life (QOL) enhancement, it has become increasingly important to implement comprehensive assessment of environmental quality for public information as well as decision making. This study focuses on development of PEI(Public Environment Index) which has purposes to improve regional environment and analyzes the status of environment by public as one kind of environmental indices. Factors of PEI calculations are air, water, noise, green space and landscape. Factors are composed of 20 items including soiling and odor. Major contents are calculation of PEI, correlation analysis of factors and items of PEI, regression analysis of PEI and objective environmental indicators prepared as a dong unit, and PEI presentation using GIS. Also, for applying PEI effectively, environmental information as a dong unit is to be collected and managed periodically.

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What Explains Socioeconomic Inequality in Health-related Quality of Life in Iran? A Blinder-Oaxaca Decomposition

  • Rezaei, Satar;Hajizadeh, Mohammad;Salimi, Yahya;Moradi, Ghobad;Nouri, Bijan
    • Journal of Preventive Medicine and Public Health
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    • 제51권5호
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    • pp.219-226
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    • 2018
  • Objectives: This study aimed to explain the health-related quality of life (HRQoL) gap between the poorest and the wealthiest quintiles in the capitals of Kermanshah and Kurdistan Provinces (Kermanshah and Sanandaj), in western Iran. Methods: This was a cross-sectional study conducted among 1772 adults. Data on socio-demographic characteristics, socioeconomic status (SES), lifestyle factors, body mass index, and HRQoL of participants were collected using a self-administered questionnaire. The slope and relative indices of inequality (SII and RII, respectively) were employed to examine socioeconomic inequality in poor HRQoL. Blinder-Oaxaca (BO) decomposition was used to quantify the contribution of explanatory variables to the gap in the prevalence of poor HRQoL between the wealthiest and the poorest groups. Results: The overall crude and age-adjusted prevalence of poor HRQoL among adults was 32.0 and 41.8%, respectively. The SII and RII indicated that poor HRQoL was mainly concentrated among individuals with lower SES. The absolute difference (%) in the prevalence of poor HRQoL between the highest and lowest SES groups was 28.4. The BO results indicated that 49.9% of the difference was explained by different distributions of age, smoking behavior, physical inactivity, chronic health conditions, and obesity between the highest and lowest SES groups, while the remaining half of the gap was explained by the response effect. Conclusions: We observed a pro-rich distribution of poor HRQoL among adults in the capitals of Kermanshah and Kurdistan Provinces. Policies and strategies aimed at preventing and reducing smoking, physical inactivity, chronic health conditions, and obesity among the poor may reduce the gap in poor HRQoL between the highest and lowest SES groups in Iran.

Factors Associated With Failure of Health System Reform: A Systematic Review and Meta-synthesis

  • Mahboubeh Bayat;Tahereh Kashkalani;Mahmoud Khodadost;Azad Shokri;Hamed Fattahi;Faeze Ghasemi Seproo;Fatemeh Younesi;Roghayeh Khalilnezhad
    • Journal of Preventive Medicine and Public Health
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    • 제56권2호
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    • pp.128-144
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    • 2023
  • Objectives: The health system reform process is highly political and controversial, and in most cases, it fails to realize its intended goals. This study was conducted to synthesize factors underlying the failure of health system reforms. Methods: In this systematic review and meta-synthesis, we searched 9 international and regional databases to identify qualitative and mixed-methods studies published up to December 2019. Using thematic synthesis, we analyzed the data. We utilized the Standards for Reporting Qualitative Research checklist for quality assessment. Results: After application of the inclusion and exclusion criteria, 40 of 1837 articles were included in the content analysis. The identified factors were organized into 7 main themes and 32 sub-themes. The main themes included: (1) reforms initiators' attitudes and knowledge; (2) weakness of political support; (3) lack of interest group support; (4) insufficient comprehensiveness of the reform; (5) problems related to the implementation of the reform; (6) harmful consequences of reform implementation; and (7) the political, economic, cultural, and social conditions of the society in which the reform takes place. Conclusions: Health system reform is a deep and extensive process, and shortcomings and weaknesses in each step have overcome health reform attempts in many countries. Awareness of these failure factors and appropriate responses to these issues can help policymakers properly plan and implement future reform programs and achieve the ultimate goals of reform: to improve the quantity and quality of health services and the health of society.

미혼모 성 건강교육 프로그램 개발 및 적용 (Development and Application of Sexual Health Education Program for Unmarried Mothers)

  • 정금희;김신정;양순옥
    • 여성건강간호학회지
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    • 제10권3호
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    • pp.252-260
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    • 2004
  • Purpose: This study was done to develop a sexual health education program for unmarried mothers that were intended to provide the correct sexual knowledge, to help them establish positive sexual perception and to improve sexual health. The program was applied and its effect was evaluated. Method: One group pretest-posttest quasi-experimental research design was applied to evaluate the effect of a sexual health education program unmarried mothers. The research team developed a 34 hour program of 16 units, where the basic schemes were human development, relationships, personal skills, sexual behavior, sexual health, and society & culture. We applied the program to 32 unmarried mothers in the Institute for unmarried mothers in Gangwon-do, Korea from April 19, 2004 to June 14, 2004. Result: After the application of an 8 week sexual health education program, the subjects significantly showed a better perception of self-efficiency, self-esteem, sexual knowledge and sexual behavior than before the program. Conclusion: The sexual health education program for unmarried mother in this study was effective on improving sexual perception and promoting sexual health behavior.

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Age-dependent immune response in pigs against foot-and-mouth disease virus in vitro

  • Roh, Jae-Hee;Bui, Ngoc Anh;Lee, Hu Suk;Bui, Vuong Nghia;Dao, Duy Tung;Vu, Thanh Thi;Hoang, Thuy Thi;So, Kyoung-Min;Yi, Seung-Won;Kim, Eunju;Hur, Tai-Young;Oh, Sang-Ik
    • Journal of Animal Science and Technology
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    • 제63권6호
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    • pp.1376-1385
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    • 2021
  • Foot-and-mouth disease, one of the most contagious diseases in cloven-hoofed animals, causes significant economic losses. The pathogenesis of foot-and-mouth disease virus (FMDV) infection is known to differ with age of the animals. In this study, we aimed to reveal the difference in immunological response in the initial stage of FMDV infection between piglets and adult pigs. Peripheral blood mononuclear cells (PBMCs) were isolated from 3 piglets (8 weeks old) and 3 pigs (35 weeks old) that were not vaccinated against FMDV. O-type FMDV (2 × 102 median tissue culture infectious dose) was inoculated into porcine PBMCs and the cells were incubated at 37.0℃ under 5% CO2 for various time periods (0, 1, 3, 6, 12, 24, and 48 h). The total RNA was obtained from the FMDV-inoculated PBMCs after each time point, and the virus titer was investigated in these RNA samples. Furthermore, dynamics of mRNA expression of the six tested cytokines (interferon [IFN]-α, IFN-γ, interleukin [IL]-6, IL-8, IL-10, and tumor necrosis factor [TNF]-α) in FMDV-inoculated porcine PBMCs were evaluated by time-series analysis to determine the differences, if any, based on the age of the pigs. The PBMCs of piglets contained the highest quantity of FMDV mRNA at 6 hours post-inoculation (hpi), and the PBMCs of pigs had the highest quantity of FMDV mRNA at 3 hpi. The mean cycle threshold-value in the PBMCs steadily decreased after the peak time point in the piglets and pigs (6 and 3 hpi, respectively). The dynamics of mRNA expression of all cytokines except TNF-α showed age-dependent differences in FMDV-inoculated PBMCs. The mRNA expression of most cytokines was more pronounced in the piglets than in the pigs, implying that the immune response against FMDV showed an age-dependent difference in pigs. In conclusion, within 48 hpi, the 8-week-old piglets responded more rapidly and were more sensitive to FMDV infection than the 35-week-old pigs, which could be associated with the difference in the pathogenesis of FMDV infection among the pigs. These results provide valuable insights into the mechanisms underlying the age-dependent differences in immune response in pigs against FMDV infection.

대학생들의 건강증진행위에 영향을 미치는 요인 (Health Promotion Behavior of the Korean College Students and Factors on its Influences)

  • 황홍구;신중규;최찬호;유왕근
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.141-157
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    • 2007
  • This study aimes to devote development of health policy and program to obtain health promotion by finding the level of health behavior of college students in Korea and analysing its effects. The finds of this research was as follows ; First, the lower classes was lower concerns on health care and health behavior on hygiene controls than the higher classes. Based on this investigation, this paper suggests that the development of the effective sports program is specially necessary to obtain health promotion for the lower classes.

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배합사료가 양식장 넙치의 성장 및 건강도 향상에 미치는 영향 (Effects of Extruded Pellet on Growth and Health Parameters in Farm Cultured Olive Flounder Paralichthys Olivaceus)

  • 김강웅;권문경;김경덕;김신권;박명애;손맹현
    • 수산해양교육연구
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    • 제22권4호
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    • pp.529-536
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    • 2010
  • This study was conducted to effect of extruded pellets (EPs) and moist pellet (MP) diet on growth and fish health parameters in farm cultured olive flounder Paralichthys olivaceus. Two replicate groups of 2,600 fish per each tank (initial weight of $30.1{\pm}0.2$ g) were fed one of the three EPs (EP1, EP2 and CEP) and one MP for 13 months. In field feeding experiment conducted in commercial flounder farm, survival, growth (30-600 g) and condition factor of fish fed experimental EP1 and EP2 were comparable to those of fish fed MP, but considerably higher feed efficiency and protein efficiency ratio were observed in fish fed experimental EPs. Viable cell counts from diet and water from MP diet were considerably higher than those from EP diet, and lysozyme activity from EP diet was higher than that from MP diet. GOT and GPT of fish fed the EP diet were considerably lower than those from MP group, but total protein and glucose concentration of fish fed the EP groups were not significantly different from that of fish fed the MP. Therefore, these results strongly suggest that EP diets could be developed to replace MP diet without adverse effects on growth performance and to enhance the immunity and protective ability of olive flounder against fish disease such as Vibro, Edwardsiella and Strptococcus.

Application of Visual Decision Making Process in the Development of Business Process Reengineering Vision and Implementation Plan

  • 김재경;성태경
    • 한국경영과학회지
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    • 제14권2호
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    • pp.185-185
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    • 1989
  • Business process reengineering(BPR) aims at a radical redesign of our business processes in order to achieve dramatic improvements in their performance. However, the fact that many BPR projects have failed hesitates the companies who have started to use BPR or who are planning to do so. Implementing a radical plan from a cross-functional perspective needs a more careful consideration of process vision, preventive measures and contingency plan. Our research suggests to use a visual decision making process (VDMP) in the development of a process vision and implementation plan. A BPR project of Carlson School of Management (CSOM) at the University of Minnesota is illustrated to show our suggested methodology.

Safety Climate and Occupational Stress According to Occupational Accidents Experience and Employment Type in Shipbuilding Industry of Korea

  • Kim, Kyung Woo;Park, Sung Jin;Lim, Hae Sun;Cho, Hm Hak
    • Safety and Health at Work
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    • 제8권3호
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    • pp.290-295
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    • 2017
  • Background: Safety climate and occupational stress are related with occupational accident. The present study tried to identify the differences in safety climate and occupational stress according to occupational accidents experience and employment type (e.g., direct workers and subcontract workers). Methods: In this study, we conducted a survey using safety climate scale and Korean Occupational Stress Scale and classified the participants into four groups: direct workers working for accident-free departments, direct workers working for accident departments, subcontract workers working for accident-free departments, and subcontract workers working for accident departments for 2 years within the same workplace in the shipbuilding industry. Results: The direct workers and subcontract workers showed diverse results in subscales of safety climate and occupational stress. This result is supported by existing studies; however, further study is necessary for more supporting evidence and elaborative methodological approach. Conclusion: The necessity of management for safety climate and psychosocial factor such as occupational stress for both direct workers and subcontract workers as a whole is suggested by this study.

2018년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교 (Position Value for Relative Comparison of Healthcare Status of Korea in 2018)

  • 윤흰뫼;이현지;박은철
    • 보건행정학회지
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    • 제31권2호
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    • pp.217-224
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    • 2021
  • The objective of this study is to investigate the healthcare status of South Korea and other member countries of the Organization for Economic Cooperation and Development (OECD) using OECD health statistics 2020. We employed the position value for relative comparison index to measure the healthcare status in five following components: demand, supply, accessibility, quality, and cost. The Mann-Kendall test was used to analyze for increasing or decreasing trend of the position value for relative comparison values from 2000 to the recent year. Results showed that Korea was positioned above than the OECD median values in most of components, but lower than the median values in certain indices including healthcare employment, primary care, and mental health care. This study sheds some light on healthcare issues to be improved and the policy-makes can take into account for prior setting process.