• Title/Summary/Keyword: Intervention Policy

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Health-Related Characteristics that Affect the Prevalence of Osteoporosis in Elderly Women

  • Yim, Eun-Sil;Lee, Kwang-Ok;Kim, Kyung-Ha
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.172-178
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    • 2010
  • Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 66-yr-old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<.001), exercise (p<.001), obesity (p<.001), waist circumference (p<.001), depression (p<.001), falling experience (p<.05), and the cognitive function risk (p<.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were under-weight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.

An Overview of the Rationale of Monetary and Banking Intervention: The Role of the Central Bank in Money and Banking Revisited (화폐(貨幣)·금융개입(金融介入)의 이론적(理論的) 근거(根據)에 대한 고찰(考察) : 중앙은행(中央銀行)의 존립근거(存立根據)에 대한 개관(槪觀))

  • Jwa, Sung-hee
    • KDI Journal of Economic Policy
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    • v.12 no.3
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    • pp.71-94
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    • 1990
  • This paper reviews the rationale of monetary and banking intervention by an outside authority, either the government or the central bank, and seeks to delineate clearly the optimal limits to the monetary and banking deregulation currently underway in Korea as well as on a global scale. Furthermore, this paper seeks to establish an objective and balanced view on the role of the central bank, especially in light of the current discussion on the restructuring of Korea's central bank, which has been severely contaminated by interest-group politics. The discussion begins with the recognition that the modern free banking school and the new monetary economics are becoming formidable challenges to the traditional role of the government or the central bank in the monetary and banking sector. The paper reviews six arguments that have traditionally been presented to support intervention: (1) the possibility of an over-issue of bank notes under free banking instead of central banking; (2) externalities in and the public good nature of the use of money; (3) economies of scale and natural monopoly in producing money; (4) the need for macro stabilization policy due to the instability of the real sector; (5) the external effects of bank failure due to the inherent instability of the existing banking system; and (6) protection for small banknote users and depositors. Based on an analysis of the above arguments, the paper speculates on the optimal role of the government or central bank in the monetary and banking system and the optimal degree of monetary and banking deregulation. By contrast to the arguments for free banking or laissez-faire monetary systems, which become fashionable in recent years, monopoly and intervention by the government or central bank in the outside money system can be both necessary and optimal. In this case, of course, an over-issue of fiat money may be possible due to political considerations, but this issue is beyond the scope of this paper. On the other hand, the issue of inside monies based on outside money could indeed be provided for optimally under market competition by private institutions. A competitive system in issuing inside monies would help realize, to the maxim urn extent possible, external economies generated by using a single outside money. According to this reasoning, free banking activities will prevail in the inside money system, while a government monopoly will prevail in the outside money system. This speculation, then, also implies that the monetary and banking deregulation currently underway should and most likely will be limited to the inside money system, which could be liberalized to the fullest degree. It is also implied that it will be impractical to deregulate the outside money system and to allow market competition to provide outside money, in accordance with the arguments of the free banking school and the new monetary economics. Furthermore, the role of the government or central bank in this new environment will not be significantly different from their current roles. As far as the supply of fiat money continues to be monopolized by the government, the control of the supply of base money and such related responsibilities as monetary policy (argument(4)) and the lender of the last resort (argument (5)) will naturally be assigned to the outside money supplier. However, a mechanism for controlling an over-issue of fiat money by a monopolistic supplier will definitely be called for (argument(1)). A monetary policy based on a certain policy rule could be one possibility. More importantly, the deregulation of the inside money system would further increase the systemic risk inherent in the current fractional banking system, while enhancing the efficiency of the system (argument (5)). In this context, the role of the lender of the last resort would again become an instrument of paramount importance in alleviating liquidity crises in the early stages, thereby disallowing the possibility of a widespread bank run. Similarly, prudential banking supervision would also help maintain the safety and soundness of the fully deregulated banking system. These functions would also help protect depositors from losses due to bank failures (argument (6)). Finally, these speculations suggest that government or central bank authorities have probably been too conservative on the issue of the deregulation of the financial system, beyond the caution necessary to preserve system safety. Rather, only the fullest deregulation of the inside money system seems to guarantee the maximum enjoyment of external economies in the single outside money system.

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Urban Community as a Contested Practice: A Gap between Ordinary Practices and Civic Advocacy Discourse (경합적 실천으로서 도시 공동체: 일상 실천과 시민사회 옹호 담론 간의 간극)

  • Lee, Jae-Youl
    • Journal of the Korean Geographical Society
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    • v.51 no.2
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    • pp.269-281
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    • 2016
  • This article problematizes and interrogates the idea of 'community' which is increasingly important in Korean urban policy-making. For the purpose, this article scrutinizes, and compares, how ordinary citizen participants and civil society activist organizations in a 'community garden' program of Seoul make sense of, utilize, and practice the policy concept. The neo-Faucauldian perspective of 'governmentality' is employed to understand the association between the community-focused policy program and neoliberalism, but Barnett's( 2005) call for 'bottom-up governmentality' is taken seriously in order to avoid any deterministic interpretation. On the basis of this eclectic perspective on governmentality, this article presents empirical findings that may suggest a contestation over community between ordinary citizens and civil society activists. More specifically, ordinary citizen participants prioritize place-based, on-the-ground community experiences that are built on common cultivation practices, whereas civil society activists tend to consider community garden as a teleological governmental technology generative of particular citizen subjects. Civic community garden advocacy as such aims to address social, economic, and spatial problems that neoliberalsim has produced, but it also appears to be in a close association with neoliberal urban policy. Thus, the community activism's meaningfulness lies in its active intervention to neoliberal urban policy, but a gap between ordinary practical achievements and civic activism can be a potential danger to urban community policy. On the basis of this discussion, this article asks more detailed investigations about the taken-for-granted positivity of urban community (re)vitalization programs, and also examinations on whether and how such projects generates emergent tensions between ordinary achievements and policy prescriptions.

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Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients (뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향)

  • Song, Myung-Soo;Kang, Tae-Woo;Kim, Su-Mi;Noh, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.487-494
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    • 2013
  • The purpose of this study was to determine the effect of mechanical horseback riding training on trunk control, balance function in stroke patients. 15 stroke patients were recruited for this study. The subjects were randomly assigned to two groups: experimental(n=7) and control(n=8). All subjects received a routine physical therapy. The mechanical horseback riding training was for 30 min in the case of the EG subjects. This study was carried out approximately 8 weeks from March 4 to May 3. The assessment tools of this study involved the trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and CG subjects, the variables measured after the intervention significantly differed from trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test before the intervention (p<.05). Also, there were significant differences in trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test at post test between the 2 groups (p<.05). The findings indicate that mechanical horseback riding training exerts a positive effect on trunk control, balance function in stroke patients. Further studies are required to generalize the result of this study.

A Systematic Review and Meta-analysis of Sensory Integration Intervention Studies in Children with Cerebral Palsy (뇌성마비 아동의 감각통합 중재 연구에 대한 체계적 고찰과 메타분석)

  • Kim, Eun-Joo;Choi, Yoo-Im
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.383-389
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    • 2013
  • The purpose of this study was to investigate evidence-based practice (EBP) for sensory integration (SI) intervention in children with cerebral palsy (CP) through a systematic review and meta analysis. The screening strategy was performed to select studies for analysis after that, a meta-analysis was implemented for calculating the effect size (ES) in group studies. Twenty-four studies were included for a systematic review and included seven case reports, three single-subject designs, and fourteen group experimental design studies(three randomized controlled trials, three two groups nonrandomized studies, and six one group nonrandomized studies). The ES of the experimental group studies was moderate size of 0.272. The results of the ES according to the dependent variables, the ES was the largest in the fine motor development. The effect size of the published papers was greater than the unpublished paper's and two groups nonrandomized studies' size effect was the largest in the design. The ES of the infants was larger than the children. The ES for a period of 8 weeks, the number of five times a week, and time in 90 minutes showed the biggest in SI program. Although the ES of SI intervention in children with CP showed moderate effect, accumulation of research well be needed.

An Emotional Self-Regulation Program for Obese Children: Pilot Study Using Mixed Methods (비만아동을 위한 정서적 자기조절 프로그램의 개발 및 효과: 혼합방법론의 적용)

  • Kim, Hee-Soon;Ma, Yu-Mi;Park, Ji-Young;Kim, Seung-Hyun
    • Child Health Nursing Research
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    • v.19 no.3
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    • pp.187-197
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    • 2013
  • Purpose: The purpose of the study was to develop an emotional self-regulation program for obese children and to examine the program's effectiveness on depression, eating habits, and body mass index. Methods: The emotional self-regulation program was developed from theory-based strategies and a pre-post pilot study was conducted with 46 children (19: intervention, 27: control). The program included 6 weekly group sessions over 2 months. The embedded experimental model of concurrent mixed methods was used to better understand research outcomes by converging both quantitative and qualitative data. Anthropometric measurements and surveys were performed before and after the intervention. Three focus group interviews were conducted with all participants after intervention to explore their experiences. Results: The intervention group displayed decreased depression levels in the quantitative outcomes. The participants also expressed positive outcomes such as improvements in confidence, impulse management, intimacy, happiness, and losing weight. Conclusion: These findings suggest that emotional self-regulation skills are crucial factors for obese children not only to manage their emotional problems but also to control their weight. Further research is needed with a larger sample size and randomized controlled trials.

Assisted Outpatient Treatment and Crisis Intervention in USA and their Implications for Korea (미국의 외래치료명령제도 및 위기대응과 국내적 시사점)

  • Park, Inhwan;Han, Meekyung
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.23-80
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    • 2018
  • Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

The Effect of home education convergence program on arm functions, occupational performance, quality of life, and depression in mastectomy patients with arm function impairment (팔기능 장애가 있는 유방암절제술 환자의 가정치료융합프로그램이 작업수행력, 삶의 질, 우울감에 미치는 효과 연구)

  • Kim, Ko-Un;Oh, Hye-Won
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.515-523
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    • 2016
  • This study applied a home therapy convergence program to patients who had undergone mastectomy and examined its effects on their arm functions, occupational performance, quality of life, and depression. The number of subjects was 20. The subjects were those who visited an occupational therapy room as outpatients and received the intervention twice per week, forty minutes per each time, for 12 weeks. In order to look at their arm functions before and after the intervention, K-DASH was employed and their edema was measured with a tape line. In order to examine their occupational performance, quality of life, and depression before and after the intervention, COPM, FACT-B, and BDI, respectively, were utilized. After the intervention, their arm functions significantly increased, but their edema did not significantly decrease, their occupational performance and quality of life significantly improved, and their depression was significantly reduced. Thus, a home education convergence program positively affected mastectomy patients' arm functions, occupational performance, quality of life, and depression.

The effect of kinesio taping and transcutaneous electrical nerve stimulation on balance and gait function and quality of life in stroke patients (키네시오 테이핑과 경피신경전기자극이 만성 뇌졸중 환자의 균형 및 보행기능과 삶의 질에 미치는 영향)

  • Kim, Soon-Hee;Jeon, Sun-young
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.247-255
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    • 2019
  • The purpose of this study is to compare kinesio tapping with transcutaneous electrical nerve stimulation to single intervention in chronic stroke patients. 29 stroke patients were divided into taping group (n = 10), transcutaneous electrical nerve stimulation group (n = 10), and taping with transcutaneous electrical nerve stimulation group (combined group n = 9). The intervention period was 5 times (30min) per week for 4 weeks. Timed Up & Go (TUG) and Berg Balance Scale (BBS) were used for balance evaluation. Functional Gait Assessment (FGA) and 10-meter walk test were used for gait evaluation. The quality of life evaluation was performed using the EuroQol-5 dimension (EQ-5D). There were significant improvements in TUG, BBS, FGA, 10-meter walk test, and EQ-5D in all three groups (p <.05). In the comparison of the intervention effects between the three groups, the combined group showed a significant increase in FGA compared to the other two groups. This study showed that taping with transcutaneous electrical nerve stimulation is more effective for FGA than single methods. However, there was no difference between the three groups except for FGA. Therefore, more subjects and intervention period will be needed in future studies.

Analysis of Sectoral Energy Use Pattern with Energy Input-Output Approach (에너지산업연관분석을 이용한 산업별 에너지 사용 pattern 분석)

  • Chung, Whan-Sam;Tohno, Susumu;Shim, Sang-Yul
    • Journal of Energy Engineering
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    • v.17 no.3
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    • pp.145-152
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    • 2008
  • Approaching to the era of high energy price and energy sources scarcity, the demand for governmental intervention to mitigate the short-term shocks is highly increasing. When any energy policy is implemented, double-side effects would be derived. To begin with positive aspect, by decreasing energy import, unnecessary currency outflow can be prevented and the resultant saved money will be appropriately allocated. Furthermore, industrial competitiveness will be assured by reducing use of expensive energy. On the contrary, inappropriate energy saving policy may lead to unexpected negative effects that would hinder improvement in productivity due to indiscreet replacing energy by equipments. In order to enhance effectiveness of energy policy, efforts should be made in advance to understand the energy use pattern of each industry sector which composes the economy. Therefore, in this study, an energy input-output method, one of the macroscopic approaches, is applied to analyze energy use patterns of each industry sector in Korea. Using this method, a quantitative assessment is performed to obtain the energy use intensity and the amount of energy uses with respect to energy types.