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Using Implementation Science to Advance Cancer Prevention in India

  • Krishnan, Suneeta;Sivaram, Sudha;Anderson, Benjamin O.;Basu, Partha;Belinson, Jerome L;Bhatla, Neerja;D' Cruz, Anil;Dhillon, Preet K.;Gupta, Prakash C.;Joshi, Niranjan;Jhulka, PK;Kailash, Uma;Kapambwe, Sharon;Katoch, Vishwa Mohan;Kaur, Prabhdeep;Kaur, Tanvir;Mathur, Prashant;Prakash, Anshu;Sankaranarayanan, R;Selvam, Jerard M;Seth, Tulika;Shah, Keerti V;Shastri, Surendra;Siddiqi, Maqsood;Srivastava, Anurag;Trimble, Edward;Rajaraman, Preetha;Mehrotra, Ravi
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3639-3644
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    • 2015
  • Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

Roundtable Discussion at the UICC World Cancer Congress: Looking Toward the Realization of Universal Health Coverage for Cancer in Asia

  • Akaza, Hideyuki;Kawahara, Norie;Nozaki, Shinjiro;Sonoda, Shigeto;Fukuda, Takashi;Cazap, Eduardo;Trimble, Edward L.;Roh, Jae Kyung;Hao, Xishan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.1-8
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    • 2015
  • The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized a Roundtable Discussion as part of the official program of the UICC World Cancer Congress 2014 in Melbourne, Australia. The theme for the Roundtable Discussion was "Looking Toward the Realization of Universal Health Care 'UHC' for Cancer in Asia" and it was held on December 5, 2014. The meeting was held based on the recognition that although each country may take a different path towards the realization of UHC, one point that is common to all is that cancer is projected to be the most difficult disease to address under the goals of UHC and that there is, therefore, an urgent and pressing need to come to a common understanding and awareness with regard to UHC concepts that are a priority component of a post-MDG development agenda. The presenters and participants addressed the issue of UHC for cancer in Asia from their various perspectives in academia and international organizations. Discussions covered the challenges to UHC in Asia, collaborative approaches by international organizations, the need for uniform and relevant data, ways to create an Asia Cancer Barometer that could be applied to all countries in Asia. The session concluded with the recognition that research on UHC in Asia should continue to be used as a tool for cancer cooperation in Asia and that the achievement of UHC would require research and input not only from the medical community, but from a broad sector of society in a multidisciplinary approach. Discussions on this issue will continue towards the Asia-Pacific Cancer Conference in Indonesia in August 2015.

Development of Survey Framework for Prevailing Wage in the Construction Industry (건설분야 적정임금 산정을 위한 임금조사 프레임워크 개발)

  • Lee, Ju-hyun;Baek, Seung-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.138-147
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    • 2020
  • The construction field is one of the most representative job creation businesses, but it has been pointed out that the overall quality of the jobs is low because of the nature of the order-made production industry, such as unstable employment structure, aging workforce, etc.. Accordingly, the government plans to implement the "prevailing wage system" that guarantees a minimum wage for construction site workers. In reality, however, only a market wage could be used for a construction cost estimation because there was no standard for the prevailing wage. A comparative analysis of the prevailing wage and market wage was performed. This paper proposes a framework for estimating the reasonable prevailing wage in the construction industry. The results showed that the prevailing wage was estimated to be 4.7% lower than the market wage when the proposed framework is applied to the carpenters' case. This suggests that the proposed model could be used as an alternative for market wage considering the original purpose of the prevailing wage. This study will construct the basic data for scientific analysis on the wage, and finally, help estimate the reliable prevailing wage in the future.

A Thematic Analysis of Nurses' Work-Family Balance in the Korean Nurses Association News (간호사신문에 게재된 일-가정 양립 주제분석)

  • Kim, Miyoung;Lee, Kyoung Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.446-457
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    • 2016
  • This study analyzed the Korean nurses association news described nurses' work-family balance for fifteen years by drawing on the qualitative thematic approach. From September 14, 2012 to February 10, 2015, data were collected by searching news articles associated with nurses' work and family balance published from 2000 to 2014 in the Korean nurses' association news online. A total of 73 news articles were used for data analysis. Two themes and ten sub-themes were derived; under the first theme of the government policy on work-family balance, the 'policies of maternity leave', 'parenting support', 'working condition improvement', and 'family-friendly culture' were identified as the sub-themes. For the second theme of Korean nurses association activities on work-family balance, the 'activities for various working shifts', 'constructing 24 hours childcare facilities', 'supporting unemployed nursing workforce development', 'healthy birth and parenting environment', 'family-friendly work environment', and 'securing nurses for nursing shortage' were identified as sub-themes. The Korean nurses association news in terms of work-family balance providing a voice for nurses regarding the benefit of maternity leave, increasing awareness of gender equality from a gender perspective, and leading the public attention to it in depth.

An Analysis of Current States and Curriculums of Interior Design Major at Vocational High Schools and Suggestions for Improvement (실업계 고등학교 실내디자인전공 활성화를 위한 교육현장의 실태와 교과내용 분석)

  • 김대년;오혜경;천진희
    • Journal of the Korean Home Economics Association
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    • v.39 no.12
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    • pp.1-14
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    • 2001
  • The purpose of this study was to analyze the current states of interior design as a major at vocational high schools and to suggest ways in which it can be improved. Three hundred and four students and twelve teachers of two vocational high schools comprised the sample population for this study. Data was collected using two methods, questionnaires and interviews. Frequency distribution, mean, and chi-square tests were used to analyze the data. The findings of this study are as follows: The student respondents were more interested in studying residential design, furniture design and making, drafting and perspective drawing than other areas of study. Most teachers had difficulties teaching the subject of residential design because they were not well educated with this area. Surprisingly most students hoped to extend their education to a university or college after graduation, not to enter the workforce. According to teachers'responses, almost ninety percentage of students entered university or college. And more than two thirds of the students desired to study an interior design related major at the university level. Among graduates having jobs, half of them were working in interior design fields. If the students had to choose their jobs, they would work in interior design fields. The variables differentiating several related careers after graduation were school, grade, and sex. The students viewed interior design, interior coordination, and CAD related work as fields likely to enter upon graduating from vocational high schools; however, teachers viewed furniture making, interior accessorizing, and home fashion as fields more appropriate to the students'level of training. The teacher respondents criticized the textbooks in four categories; suitability with the students'level was average or below average; students'interest level and students'understanding level were average or above average; and whether the book was easy or difficult to be utilized for the purposes of teaching was also average or above average. The criticism was a little diverse depending on each book or each chapter. The teachers pointed out several problems using those books, such as insufficient examples or explanation, lack of coherence between some chapters, and an incompatibility with the allotted time frame in class. The merits of the textbooks varied such as a well organized structure, ability to generate students'interest. This study revealed that the strategy for improving the interior design major at vocational high schools should invoke, 1) dividing students into two groups-one to enter a university; the other to have jobs after graduation to focus their interests. 2) improving textbooks more appropriate to the students. 3) providing present teachers the opportunities for in-service training and hiring new teachers with credentials more suitable to educate students who desire to be interior designers.

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The Effect of Glass Ceiling Induced Factors and Perception on Job Commitment: Focusing on the Comparison between Local Medical Practitioners and Private Medical Practitioners (승진장벽(Glass Ceiling)의 유발요인과 지각이 직무몰입에 미치는 영향 분석: 방의료원과 민간의료원의 종사자들의 비교를 중심으로)

  • Suh, Kyung-Do
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.225-232
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    • 2016
  • The purpose of this study is to analyze the effect of the glass ceiling induction factors on the improvement of the job Commitment on the glass ceiling perception and to analyze the effect of the organizational Commitment on the influence of the local medical institute and private medical institute employees. Purpose. As a research method, structural equation model analysis was carried out to investigate the influence relationship of each factor. In particular, multiple group analysis was performed to analyze the difference of influence relations between public and private medical personnel. Respectively. Result, First, empirical studies on the effect of the glass ceiling inducing factors on job Commitment showed that job Commitment was influenced by stereotype and organizational culture, and the magnitude of the influence was different. Second, the employees of the room medical center were influenced by perceived promotion, job placement, education and training, reward, and job satisfaction. Third, in the hypothesis that job Commitment will be affected by the perception of glass ceiling, only the workers of the private medical center showed significant results. Based on the results of this study, it will be necessary to plan policies to improve the perception of the glass ceiling phenomenon and improve its status in order to improve the personnel and system that women workers in the medical field can enter more senior management positions.

A Qualitative Research on Role Conflict Experiences of Clinical Dental Hygienists (치과위생사 역할갈등 경험에 관한 질적연구)

  • Lee, Soon-Young;Lim, Soon-Ryun
    • Journal of dental hygiene science
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    • v.18 no.4
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    • pp.241-251
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    • 2018
  • This study was based on the experience of dental hygienists' role conflict, and attempted to grasp the nature of the dental hygienist role conflict factor, constituent factor and coping. Giorgi's phenomenological method was used to analyze data collected through in-depth interviews with nine dental hygienists working in a dental clinic. The analysis revealed three central meanings: task scope, role conflicts, and role conflict management style and limitations. In the first category, task scope, the range of the legal scope, and the duties performed by the dental hygienist differed slightly. The second category included role conflict due to interpersonal relationship, work, work environment, competence, and identity as a professional because of role conflict. The third category included the role conflict management style and limitations. Dental hygienists tried to solve the role conflict situation through various efforts. In the face of the reality that the conflict is not solved despite such efforts, the dental hygienists felt the limitation and chose to leave. Dental hygienists are dissatisfied with their roles because of confusion regarding professional values and lack of awareness of the professional workforce due to differences between legal scope and actual practice. Based on the results of this study, it is necessary to develop a tool to quantitatively measure the level of role conflict in dental hygienists and to conduct follow-up studies on the effects of coping strategies by role conflict situations.

The Convergence effect of job stress of counselors on sexual orientation -Focusing on ego resilience- (성폭력 관련기관 상담원의 직무스트레스가 이직 의도에 미치는 융합적 영향 -자아탄력성 매개중심으로-)

  • Park, Yoo-Beom
    • Journal of Convergence for Information Technology
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    • v.7 no.6
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    • pp.193-199
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    • 2017
  • The research is aimed at finding out the relationship between vocational stress and willingness to engage in vocational stress, which measures vocational stress and the ability to cope with the job, and how the job stress relates to job mobility. First of all, the job stress and willingness to transfer jobs related to sexual harassment related agencies have a positive correlation, while self-exploitation, job stress, and willingness to move jobs have shown negative correlation. Second, the self-assessment of self-assessment of ego resilience has served as a complete parameter in relation to the relationship between employee motivation and willingness to leave the job, which is the job of occupational duties. Based on this study, it is important to note that self-reference is an important factor in determining the role of job stress in the workforce because of its self-reference of job stress and motivation in relation to job stress.

Construction of an Exposure Matrix Using a Risk Assessment of Industries and Processes Involving Dichloromethane (작업환경측정 자료를 활용한 Dichloromethane 노출 매트릭스 구축에 대한 연구)

  • Lee, Jae-Hwan;Park, Dong-Uk;Hong, Sung-Chul;Ha, Kwon-Chul
    • Journal of Environmental Health Sciences
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    • v.36 no.5
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    • pp.391-401
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    • 2010
  • A reduction in risk of occupational exposure to chemical hazards within the workplace has been the focus of attention both through industry initiatives and legislation. The aims of this study were to develop an exposure matrix by industry and process, and to apply this matrix to control the risk of occupational exposure to Dichloromethane (DCM). The exposure matrix is a tool to convert information on industry and process into information on occupational risk. The exposure matrix comprised industries and processes involving DCM, based on an exposure database provided by KOSHA (the Korean Occupational Safety and Health Agency), which was gathered from a workplace hazards evaluation program in Korea. The risk assessment of the exposure matrix was performed using Hallmark risk assessment tool. The results of the risk assessment were indicated by a Danger Value (DV) calculated from the combination of hazard rating (HR), duration of use rating (DUR), and risk probability rating (RPR) of exposure to the chemical, and were divided into four control bands which were related to control measures. The applicability of the risk assessment of the exposure matrix was evaluated by a field study, and survey of the employees of the exposure matrix groups. Among 45 industries examined, this study found that greater attention should be paid to two industries: the manufacture of other optical instruments and photographic equipment, and the manufacture of printing ink, and to one process among 47 examined, the packing process in the manufacture of printing ink, because these were regarded as carrying the highest risk. This tool of a risk assessment for the exposure matrix can be applied as a general exposure information system for hazard control, risk quantification, setting the occupational exposure limit, and hazard surveillance. The exposure matrix includes workforce data, and it provides information on the numbers of exposed workers in Korea by agent, occupation, and level of exposure and risk.

A Case Study of Developing E-Learning Contents of Agricultural Safety and Health based on Risk Assessment (위험성 평가에 기반한 농작업 안전관리 E-Learning 체험 프로그램 개발 사례 연구)

  • Kim, J.H.;Lee, K.S.;Kim, D.M.;Lee, K.S.;Kong, Y.K.;Jung, M.C.;Lee, Inseok
    • Journal of the Korean Society of Safety
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    • v.29 no.4
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    • pp.140-146
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    • 2014
  • This paper presents a case study to develop e-learning contents of agricultural safety based on the assessment of risks of 4 selected crops and stock farming: rice, potatoes, apples, tomatoes and stock raising. The aged farmers, who are main workforce of current Korean agriculture and relatively more vulnerable to various risks of agricultural work compared to younger workers, were considered as the main users of the contents in developing them. The safety guidelines were presented as simple as possible and the interfaces were designed to be simple and easy to use so that the older users can use it without much difficulty. In making the scenarios of the contents, risk assessments were carried out for each crop and stock farming with the focus being on occupational diseases rather than accidental injuries. To make the contents more attractive to the farmers, the functions requiring active responses from the users, such as answering simple questions, were included in the contents. Usability evaluation by experts of ergonomics and agricultural tasks were carried out in modifying the draft version, whereas formal usability test was not included in the case study. Though there are some limitations in the developed contents in the aspects of evaluation of usability and effectiveness, this case study shows the structured procedure of developing e-learning safety contents based on the risk assessments on agricultural tasks. The developed e-learning contents are expected to be used practically and easily in educating and training older farmers about safety and health of agricultural tasks.