• Title/Summary/Keyword: Health research and development

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Analysis of Worksit Health Promotion Programs (우리나라 사업장의 건강증진 프로그램 유형 분석 - 사업장 건강증진운동 우수사례집을 중심으로 -)

  • Kim, Young Im;Jung, Hye Sun;Kim, Souk Young;Lee, Jong Eun
    • Korean Journal of Occupational Health Nursing
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    • v.13 no.2
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    • pp.140-147
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    • 2004
  • Purpose: The purpose of this study is to identify the types of worksite health promotion programs. Method: Data were collected from the excellent 35 cases chosen at the contest for worksite health promotion held by Korea Occupational Safety and Health Agency. Result: Out of all the health promotion programs, the exercise program recorded 35.0%, the nutrition program 29.4%, the smoking cessation program 28.0%, and the alcohol reduction program 7.6%. The major element of worksite health promotion programs were awareness raising intervention. Behavior change intervention and supportive environment intervention occupied a small portion of the health promotion programs. Evaluation of health promotion programs was made mainly by indicators of health behavior change and clinical symptom. Yet economical indicator was not used at all. Conclusion: Use of various evaluation indicator and development of various interventions including behavior change and supply of supportive environment are required to encourage worksite health promotion program.

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Beginnings of the Community Health Practitioner (CHP) System in Republic of Korea (한국 보건진료원 제도의 시작)

  • Yi, Ggod-Me
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.1
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    • pp.31-40
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    • 2009
  • Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses' Association presented 'a plan for community health service' to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project 'RNs and nurse aids as CHP for primary care service and their training'. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.

Scale Development: The Personal Power of Health Care (PPHC) (개인의 건강관리능력(Personal Power of Health Care; PPHC) 도구 개발)

  • Lee, Eun-Hee;Lee, Kyung-Sook;So, Ae-Young;Smith-Stoner, Marilyn
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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    • pp.129-139
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    • 2010
  • Purpose: A new scale was developed to measure personal power and ability for health care and promotion including health determinants. Method: Research phases designed for this study were a literature review, scale development, discussion with experts, pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 20 items on 4 point Likert scale and was tested on middle aged Korean-Americans (110) and Koreans (105) living in a community. Result: As the result of factor analysis, 7 dimensions were identified that were similar yet different from the original dimensions. They included health literacy, socialbelonging and gender role, self-perception, health policy participation, socio-cultural interpersonal relationships, spiritual comfort, and socioeconomic involvement. The total variances explained 59.73%. The reliability was .736 of Cronbach's alpha. The mean PPHC was not different in age, gender, economic status and disease presence, but significantly different in country where living, religion, education level, job presence, and emigration period. The increased power group perceived more wellbeing and less depression, high internal locus of control and increased power with others. In addition, they had a greater health promotion lifestyle profile. Conclusion: This scale was statistically reliable and valid to measure personal power of health care.

Development of A New Herbal Composition HemoHIM as An Immune-Improving Agent Using Irradiated Animal Models (방사선조사 동물모델 이용 면역기능개선-생약복합물 헤모힘(HemoHIM)개발)

  • Jo, Seong-Gi
    • Radioisotope journal
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    • v.21 no.4
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    • pp.38-45
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    • 2006
  • A new herbal composition. HemoHIM, was developed using irradiated animal models and was successfully applied as an immune-improving agent. In a view that the protection and recovery of immune, hematopoietic and self-renewal tissues are essential for radioprotective agents, HemoHIM was developed based on a novel combination of three edible herbs (Angelica Radix, Cnidii Rhizoma. Paeonin Radix) that meet all those requirements. HemoHIM significantly protected the immune and hematopoietic system and enhanced their recovery in y-irradiated mice. For the application of HemoHIM as a health functional food and a supplementary agent for the cancer patients, the efficacy of HemoHIM to improve the immune functions was further evaluated in immune-depressed animals and humans. Animal studies demonstrated that HemoHIM significantly improved the immune functions in cyclophosphamide-treated mice, aged mice, and dexamethasone-treated mice. In human studies, HemoHIM enhanced the immune activity and cytokine secretion in sub-healthy volunteers, and alleviated the severe leukocyre depression in cancer patients during radiation and chemotherapy. Based on these results, HemoHIM was approved by Korea FDA as a material of health functional food for immune function improvement and will be commercially available soon. This case of HemoHIM research and development suggested that irradiated animals can be good models for biological degenerations such as immune depression, self-renewal tissue damage, and aging for the development of biological modulators.

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A Study to Standardize the Child Development Review in Korea (영.유아발달선별검사(Child Development Review)의 한국에서의 표준화 연구)

  • Shin, Hee-Sun;Kim, Jeong-Mee
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.333-340
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    • 2006
  • Purpose: This study was to restandardize the Child Development Review (CDR) which was developed by Dr. Ireton and based on Child Development Inventory (CDI). Method: The participants were 1143 children who were aged 12months to 6.3years old and parents. They were the sample for standardization study of CDI. The age level assigned to each item of Korean version of CDI were assessed. The reliability and validity was analyzed by reliability coefficient and concurrent validity analysis. Result: The item set was revised by the age level of each item at which at least 75 percent of parents answered YES to the statement. The child development chart was composed of 100 item which include social, self-help, gross motor, fine motor, and language sector. The internal consistency coefficient of the instrument was .93. The concurrent validity with Korean Denver II was good. Conclusions: The Korean version of CDR showed good reliability and validity. It could be utilized for developmental screening at pediatric clinic and child care center.

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Buffering Effects of Calcium Salts in Kimchi: Lowering Acidity, Elevating Lactic Acid Bacterial Population and Dextransucrase Activity

  • Seo, Eun-Chae;Moon, Jin-Seok;Jung, Jee-Yun;Kim, Ji-Sun;Eom, Hyun-Ju;Kim, So-Young;Yoon, Hyang-Sik;Han, Nam-Soo
    • Journal of Microbiology and Biotechnology
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    • v.19 no.12
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    • pp.1644-1649
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    • 2009
  • This study investigates the buffering effects of calcium salts in kimchi on the total acidity, microbial population, and dextransucrase activity. Calcium chloride or calcium carbonate was added to dongchimi-kimchi, a watery radish kimchi, and the effects on various biochemical attributes were analyzed. The addition of 0.1% calcium chloride produced a milder decrease in the pH after 24 days of incubation, which allowed the lactic acid bacteria to survive longer than in the control. In particular, the heterofermentative Leuconostoc genus population was 10-fold higher than that in the control. When sucrose and maltose were also added along with the calcium salts, the dextransucrase activity in the kimchi was elevated and a higher concentration of isomaltooligosaccharides was synthesized when compared with the control. Calcium chloride was determined as a better activator compound of dextransucrase than calcium carbonate, probably because of its higher solubility. Therefore, the results of this study confirm the ability of the proposed approach to modulate the kimchi fermentation process and possibly enhance the quality of kimchi based on the addition of dietary calcium salts.

A Cross Sectional Study of Kretek Smoking in Indonesia as a Major Risk to Public Health

  • Palipudi, Krishna;Mbulo, Lazarous;Kosen, Soewarte;Tjandra, Aditama;Kadarmanto, Kadarmanto;Qureshi, Farukh;Andes, Linda;Sinha, Dhirendra N;Asma, Samira
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.6883-6888
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    • 2015
  • Background: Tobacco smoking is a major cause of preventable disease and death worldwide. Kreteks are clove-flavored cigarettes made from a combination of tobacco and ground-clove mixed with a sauce, smoked widely in Indonesia. Because health and social consequences of kretek smoking are potentially as great as those of traditional cigarettes, this study examines the prevalence of kretek smoking in Indonesia and associated risk factors. Materials and Methods: The study used nationally representative Indonesia Global Adult Tobacco Survey data. Multiple logistic regression analysis was employed to identify correlates of kretek smoking. Results: One-third of Indonesian adults smoked tobacco of which about 90.0% smoked kreteks. Prevalence of kretek smoking among men (60.9%) was more than 25 times the rate among women (2.3%). Overall, the highest prevalence of kretek use was in the age group 45-54 years (36.5%), followed by 34-44 (35.1%), 25-34 (34.2 %), and 55-64 years (32.8%). By wealth index, prevalence of kreteks smoking among those in the middle index was almost 50% above the rate for the wealthiest group (36.4% vs 24.8% respectively). Logistic regression results showed that being male, being older, having less education, and being less wealthy were significant predictors of kretek smoking, while urban vs rural residence was not. Conclusions: Kretek smoking is common in Indonesia and is entrenched in the sociocultural fabric of the country. However, potential consequences of kretek smoking, particularly as risks for noncommunicable diseases, underscore the importance of a comprehensive approach to tobacco control as outlined in the World Health Organization's MPOWER strategies.

Exploring Occupational and Behavioral Risk Factors for Obesity in Firefighters: A Theoretical Framework and Study Design

  • Choi, Bong-Kyoo;Schnall, Peter;Dobson, Marnie;Israel, Leslie;Landsbergis, Paul;Galassetti, Pietro;Pontello, Andria;Kojaku, Stacey;Baker, Dean
    • Safety and Health at Work
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    • v.2 no.4
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    • pp.301-312
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    • 2011
  • Firefighters and police officers have the third highest prevalence of obesity among 41 male occupational groups in the United States (US). However, few studies have examined the relationship of firefighter working conditions and health behaviors with obesity. This paper presents a theoretical framework describing the relationship between working conditions, health behaviors, and obesity in firefighters. In addition, the paper describes a detailed study plan for exploring the role of occupational and behavioral risk factors in the development of obesity in firefighters enrolled in the Orange County Fire Authority Wellness Fitness Program. The study plan will be described with emphasis on its methodological merits: adopting a participatory action research approach, developing a firefighter-specific work and health questionnaire, conducting both a cross-sectional epidemiological study using the questionnaire and a sub-study to assess the validity of the questionnaire with dietary intake and physical activity measures, and evaluating the strengths and weaknesses of the body mass index as an obesity measure in comparison to skinfold-based percent body fat. The study plan based on a theoretical framework can be an essential first step for establishing effective intervention programs for obesity among professional and voluntary firefighters.

Relationships between Online Web Service Quality and Knowledge Transfer (Online 의료웹서비스 품질과 지식제공성과의 관계 연구)

  • Kim, Sang-Man;Um, Ki-Hyun;Oh, Jae-Young
    • Knowledge Management Research
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    • v.11 no.1
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    • pp.1-17
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    • 2010
  • As information technology had shown tremendous development in late 20th century, various service opportunities appeared in many industries. Also, new types of service are becoming available such as, reservation, teleconsultation, telemedicine. In health care industry, in which, many hospitals are faced operational difficulties and competing impetuously, a web site has become a effective tool to attract patients and transfer tremendous health information to the patients. This study is based on many previous researches on online service quality, try to figure out e-service quality factors of health information sites, and the factors' effect on users' satisfaction on the web site via providing knowledge and trust on the web site. As a result, usability, site aesthetic, responsiveness and security are the 4 factors to measure e-service quality of health information web site. All factors except site aesthetic have significant effects on providing knowledge, security only effects on trust on the web site.

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A Caring Program for Health Promotion among Women Who Have Experienced Trauma: A Quasi- Experimental Pilot Study

  • Kim Goun;Kim, Heejung;Park, Jeongok;Kang, Hee Sun;Kim, Soojin;Kim, Sunah
    • Journal of Korean Academy of Nursing
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    • v.53 no.5
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    • pp.500-513
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    • 2023
  • Purpose: Women are more vulnerable to post-traumatic stress (PTS) than men, causing several health problems. Nurses should understand and work with women who have experienced trauma and provide interventions to promote their physical, social, and mental health. Methods: This quasi-experimental pilot study used a one-group pre-test/post-test design. Data were collected from 14 women recruited between December 2019 and May 2020 from a self-sufficiency support center in South Korea for sexually-exploited women who had experienced trauma. The program consisted of six one-on-one intervention sessions per week for six weeks. Each session averaged 60~120 minutes. Participants were assessed at pre-test, post-test, and one-month follow-up. Changes in outcome variables over time were analyzed using the Wilcoxon signed-rank and Friedman tests. Results: The caring program for health promotion was divided into six sessions: understanding the self, sharing traumatic events and negative emotions, reframing the meaning of traumatic events, identifying thoughts and physical and emotional responses, developing health promotion activities, and maintaining a positive attitude during the process of change. As a result of the caring program, PTS (F = 36.33, p < .001), depression (F = 24.45, p < .001), health-promoting behaviors (F = 7.06, p = .004), and self-esteem (F = 19.74, p < .001) among the participants differed significantly at pre-test, post-test, and follow-up. Conclusion: This study provides foundational information for the implementation of a theory-driven program by nurses in clinical and community settings to provide comprehensive care for women who have experienced trauma.