• 제목/요약/키워드: Health research and development

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우리나라 의학의 현실과 미래: 교육, 연구, 진료를 중심으로 (The Current and Future State of Academic Medicine in Korea: Education, Research, and Patient Care)

  • 정대철
    • 의학교육논단
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    • 제21권2호
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    • pp.73-79
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    • 2019
  • Academic medicine is built from a foundation of education, research, and patient care. Since good patient care results from the application of medical research and continuous education, these three components cannot be separated for medical development to occur. In Korea, many obstacles hinder the achievement of academic medicine, such as an inefficient medical delivery system, limitations of primary care, low insurance prices, and no long-term health care plan. Medical education has changed to outcome-based education, but presented temporal integration status. Governance of healthcare research is not centralized, and Korea is awarded relatively fewer grants than other countries. Medical professors have reached a burnout state due to patient care responsibilities in addition to research and education duties. Many medical systems, including the medical delivery system and insurance problems, may contribute to distrust between doctors and patients. The government is not involved in a long-term health care policy. The multitude of factors mentioned here are hindering the achievement of academic medicine in Korea.

Mechanosensitive β-catenin signaling regulates lymphatic vascular development

  • Cha, Boksik;Srinivasan, R. Sathish
    • BMB Reports
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    • 제49권8호
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    • pp.403-404
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    • 2016
  • The Wnt/β-catenin signaling is an evolutionarily conserved pathway that plays a pivotal role in embryonic development and adult homeostasis. However, we have limited information about the involvement of Wnt/β-catenin signaling in the lymphatic vascular system that regulates fluid homeostasis by absorbing interstitial fluid and returning it to blood circulation. In this recent publication we report that canonical Wnt/β-catenin signaling is highly active and critical for the formation of lymphovenus valves (LVVs) and lymphatic valves (LVs). β-catenin directly associates with the regulatory elements of the lymphedema-associated transcription factor, FOXC2 and activates its expression in an oscillatory shear stress (OSS)-dependent manner. The phenotype of β-catenin null embryos was rescued by FOXC2 overexpression. These results suggest that Wnt/β-catenin signaling is a mechanotransducer that links fluid force with lymphatic vascular development.

지역사회 대상의 개인별 건강상담서비스 프로그램 중재 효과: 건강원스톱서비스 사업 (Effects of an Individual Health Counseling Program for Community: Health One-stop Service Program)

  • 김현;이석구
    • 보건교육건강증진학회지
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    • 제29권2호
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    • pp.13-21
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    • 2012
  • Objectives: The aim of the study was to identify the effects of a community-level individual health counseling program for community. Methods: Data included baseline demographics, blood pressure, blood sugar, waist circumference, total cholesterol and health behavior index(body mass index, dietary practice guidelines score, physical activity, high-risk drinking) collected at public health centers in Chungnam province from January to September, 2011. Data obtained from the individual health counseling program in Chungnam province were analyzed using Wilcoxon Signed Rank Test and McNemar Test. Results: After the individual health counseling intervention, the results of health measurement index; systolic blood pressure, diastolic blood pressure, total cholesterol, waist circumference decreased in the health risk group, while total cholesterol and waist circumference decreased in the disease management group. Health behavior change in both groups. Body mass index, moderate physical activity, dietary practice guidelines scores were improved. Conclusions: These results indicate that the individual health counseling program for community was effective in improving health behaviors and status. The results demonstrate that step-by-step counseling program development and intervention studies are needed.

모바일을 활용한 대학생의 건강생활습관 프로그램 개발 및 효과 (Development and Effectiveness of a Mobile Health Lifestyle Program for University Students)

  • 김연희;신성례
    • 지역사회간호학회지
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    • 제32권2호
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    • pp.150-161
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    • 2021
  • Purpose: The purpose of this study was to develop a mobile health lifestyle program for university students and to verify its effectiveness. Methods: The program was developed based on Jung's teaching-learning system design model. The research used a non-equivalent control group pretest-posttest non-synchronized design. Data were collected from October 20 to December 5, 2018. To verify the effects of the program, the knowledge, self-efficacy, and intention to plan health lifestyle and health lifestyle behavior were measured. A two hour health lecture and a mobile health lifestyle program were delivered for 3 weeks to 23 students in the experimental group. 19 students in the control group received only a two hour health lecture. Results: The experimental group showed significantly higher scores on knowledge (F=4.63, p=.038), intention to plan health lifestyle (F=14.44, p<.001), and health lifestyle behavior (F=46.80, p<.001). However, the score on self-efficacy was not significantly different (F=2.65, p=.112). Conclusion: It was confirmed that the mobile health lifestyle program can be useful in increasing the level of knowledge, intention and behavior of health lifestyle among university students. Therefore, the mobile health lifestyle application can be used as a supporting resource to enhance the health promotion for university students.

Adolescents' health behaviors and obesity: Does race affect this epidemic?

  • Dodor, Bernice A.;Shelley, Mack C.;Hausafus, Cheryl O.
    • Nutrition Research and Practice
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    • 제4권6호
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    • pp.528-534
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    • 2010
  • This study explores the influence of health behaviors and individual attributes on adolescent overweight and obesity using data from Wave II (Add Health). Structural equation model/ path analysis using maximum likelihood estimation was utilized to analyze the relationships of health behaviors and attributes with obesity. Results of the model reveal that the causal paths (adolescents' attributes and health behaviors) for overweight and obesity were different for African American and Caucasian adolescents. Generally, African Americans were more susceptible to overweight and obesity than Caucasians. Although increasing levels of vigorous physical activities lowers the risk for obesity among African American and Caucasian adolescents alike, low family SES and being sedentary were associated with overweight and obesity among Caucasians. No significant associations were found among African Americans. Increased hours of sleep at night relate positively with obesity among African Americans. These findings suggest important elements in the consideration of race in developing effective intervention and prevention approaches for curbing the obesity epidemic among U.S. adolescents.

DEVELOPMENT OF WELDING FUME INDUCED LUNG FIBROSIS MODEL IN SPRAGUE DAWLEY RATS

  • Chung, Yong-Hyun;Chang, Hee-Kyung;Song, Kyung-Seuk;Han, Jeong-Hee;Han, Kuy-Tae;Chung, Kyu-Hyuk;Chung, Ho-Keun;Yu, Il-Je
    • 한국독성학회:학술대회논문집
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    • 한국독성학회 2002년도 Current Trends in Toxicological Sciences
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    • pp.68-68
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    • 2002
  • To investigate the disease and recovery process of pneumoconiosis induced by welding-fume exposure, a lung fibrosis model was established by building a stainless steel arc welding fume generation system and exposing male Sprague-Dawley rats for 90 days.(omitted)

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체제통합국 건강지표 비교를 통한 통일 후 보건의료에 대한 시사점 (The Implications on Healthcare System of the Unified Korea: Lesson from System Integration Countries)

  • 주영준;허성은;이주은
    • 보건행정학회지
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    • 제30권3호
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    • pp.301-310
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    • 2020
  • Background: In this study, we aimed to investigate the recent trends for health care indicators including maternal mortality ratio, infant mortality rate, under-five mortality rate, life expectancy, years of life lost, and healthcare resources in South Korea, North Korea, Germany, Russian Federation, Mongolia, Vietnam, China, Czech Republic, Poland, and Hungary. Methods: We used data from five sources: World Health Organization, Federal Institute for Population Research, World Bank, Organization for Economic Cooperation and Development health statistics, and national statistics. Results: In the early 1990s, health indicators continued to improve in countries that switched to the health insurance system, but the gap widened in North Korea as health indicators worsened. Conclusion: The establishment of a sustainable health care system after unification of the Korean peninsula requires substantial changes in the health care system and efforts to improve the health of North Koreans.

빅뱅 집단상담 프로그램 개발 및 효과 검증 - 과정지향심리학 이론을 중심으로 (The Development and Effect Verification of BigBang Group Counseling Program- Focusing on the Process Oriented Psychology)

  • 양명숙;전지경
    • 디지털융복합연구
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    • 제14권12호
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    • pp.43-54
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    • 2016
  • 본 연구의 목적은 과정지향심리학적 접근을 통하여 대학 신입생의 심리적 안녕감과 정신건강 향상을 위한 집단상담 프로그램을 개발하고 개발된 프로그램에 대한 효과성을 검증하는 것이었다. 연구절차는 프로그램 개발절차와 프로그램 효과검증 절차로 이루어졌고, 세부적으로 6단계의 프로그램 개발과정을 구안하여 개발하였다. 연구대상은 대학생 신입생 116명이었고, 총 15개의 집단상담을 실시하였다. 연구결과는 집단원 자체 사전사후 평가를 통해 심리적 안녕감과 정신건강 점수의 유의미한 변화를 확인하였고, 경험보고서 분석을 통해 구성된 프로그램의 목표를 달성하였다고 평가하였다. 따라서 본 연구의 의의는 대학 신입생이 경험하는 다양한 역경과 스트레스를 프로그램의 하위목표인 자기이해, 역경과 도전의 상대성에 대한 알아차림, 그리고 자기반영의 우주로의 확장을 통하여 심리적 안녕감 증진과 정신건강을 향상을 돕는데 있다. 이러한 결과를 바탕으로 대학 신입생을 위한 다양한 교육방법이나 교육정책을 제안하는데 도움이 되기를 기대한다.

Increase of diesel car raises health risk in spite of recent development in engine technology

  • Leem, Jong Han;Jang, Young-Kee
    • Environmental Analysis Health and Toxicology
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    • 제29권
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    • pp.9.1-9.3
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    • 2014
  • Diesel exhaust particles (DEP) contain elemental carbon, organic compounds including Polyaromatic hydrocarbons (PAHs), metals, and other trace compounds. Diesel exhaust is complex mixture of thousands of chemicals. Over forty air contaminants are recognized as toxicants, such as carcinogens. Most diesel exhaust particles have aerodynamic diameters falling within a range of 0.1 to $0.25{\mu}m$. DEP was classified as a definite human carcinogen (group 1) by the International Agency for Research on Cancer at 2012 based on recently sufficient epidemiological evidence for lung cancer. Significant decreases in DEP and other diesel exhaust constituents will not be evident immediately, and outworn diesel car having longer mileage still threatens health of people in spite of recent remarkable development in diesel engine technology. Policy change in South Korea, such as introduction of diesel taxi, may raise health risk of air pollution in metropolitan area with these limitations of diesel engine. To protect people against DEP in South Korea, progressive strategies are needed, including disallowance of diesel taxi, more strict regulation of diesel engine emission, obligatory diesel particulate filter attachment in outworn diesel car, and close monitoring about health effects of DEP.

중년여성의 건강행위이행 영향 요인 (Factors Affecting the Health Behavior Compliance of Middle-aged Women)

  • 김송순;김향수
    • 한국응용과학기술학회지
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    • 제40권2호
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    • pp.277-289
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    • 2023
  • 본 연구는 중년여성의 건강행위이행에 미치는 영향 요인을 규명하여 건강행위이행을 증진시키고 간호중재 프로그램 개발을 위한 기초자료를 제공하고자 한다. 연구 대상자는 D광역시, B광역시에 거주하고 있는 50~59세 중년 여성을 대상으로, 2022년 1월 17일~3월 28일까지 총 10주간 동안 162부의 자료를 수집하여 분석하였다. 연구결과, 건강행위이행에 미치는 영향 요인은 경제상태(중)가 가장 높은 영향을 주는 것으로 나타났고 그다음 경제상태(하), 자기효능감, 지각된 건강상태, 결혼상태(기혼), 정기적인 건강검진(한다) 순으로 나타났으며, 전체 설명력은 43.7%로 나타났다. 따라서 중년여성의 건강행위이행을 높이기 위해서는 정기적으로 실시하고 있는 건강검진을 받도록 홍보를 하고, 경제적 지원과 함께 자기효능감을 높이고 지각된 건강상태를 향상시킬 수 있는 프로그램 개발과 방안 모색이 필요하다.