• Title/Summary/Keyword: Local Health Center

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Quantitative Analysis of Poverty Indicators: The Case of Khon Kaen Province, Thailand

  • PIENKHUNTOD, Ajirapa;AMORNBUNCHORNVEI, Chainarong;NANTHARATH, Phouthakannha
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.2
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    • pp.131-141
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    • 2020
  • This study examines the poverty indicators in Northeast region of Thailand by adopting the global Multidimensional Poverty Index (MPI) methodology and the national survey of Minimum Basic Needs (MBN) of Thailand. Data are collected from three different districts in Khon Kaen province namely: Khok Po Chai, Sam Sung, and Nam Pong. The sample size is 187 households. Data analysis uses Ordinary Least Square (OLS) regression approach and includes 7 dimensions of poverty (health, environment, education, economy, Thai value, asset? empowerment, and digital literacy) with a total of 41 indicators. This study has found that poverty indicators in Khon Kaen province remains centered around the aspects of health and employment dimensions. While a change of family structure in the Thai society since 1960s reduces the family size, household saving substantially increases over the years. The effects of health dimension in poverty, on the other hand, appears on the other poverty dimension of Thai value, which include (1) a bad living habit of head of household (smoke or alcohol consumption) that links with illness and disease, (2) religious practice, and (3) chronic illness. Lastly, there are income gaps of different careers in the area, which suggests the issue of income inequality.

Health promotion services of health care center at some universities in California, the U.S. (미국 대학보건실의 건강증진 서비스 제공체계 - 캘리포니아 주에 소재한 일부 대학의 운영사례를 중심으로 -)

  • Kim, Young-Bok;Park, Chun-Man
    • The Journal of Korean Society for School & Community Health Education
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    • v.12 no.2
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    • pp.113-127
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    • 2011
  • Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

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A Study on Urinary Incontinence Clinic Operated by Local Public Health Center (일개 보건소의 요실금 치료 교실 운영 결과에 대한 고찰)

  • Yu, Sung-Jin;Jung, Jae-Hoon;Kim, Na-Young;Shin, Mi-Ran;Ko, Ho-Yeon;Lee, Dong-Nyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.23 no.3
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    • pp.112-122
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    • 2010
  • Purpose: Today, the proportion of the elderly is increasing especially in a province. For elder people, local government has conducted the health promotion act by oriental medicine. For oriental medicine hub health promotion act, Eumseong -gun carried out a program that is urinary incontinence clinic for the elderly. The purpose of this study is to show how effective the public health promotion program using oriental medicine is. Methods: The 42 patients had been treated for urinary incontinence during the 10 or 11 weeks. They were put on oriental medical treatment in the Eumseong-gun public health center. Results: 1. There was significant decreases in the degree of urinary incontinence after the treatment. 2. The treatment made the patients regain their mental security. 3. People who were treated by public health promotion program were the most satisfied. Conclusion: The results suggested that public health promotion program using oriental medicine is effective for urinary incontinence.

Evaluation of Chromium and Manganese Exposure in Welders and Establishment of Efficient Preventive Measures for Fume Exposure (철강용접자의 크롬 및 망간 노출평가와 산업위생관리 대책에 관한 연구)

  • Lee, Young-Sei;Yoon, Chong-Guk;Park, Jong-An;Lee, Song-Kwon;Chae, Jong-Hong;Kim, Ek-Soo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.10 no.1
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    • pp.45-57
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    • 2000
  • Results of environmental monitoring for 35 steel industry welders exposed to manganese and chromium fume were evaluated. Efficiency of respiratory protectors, welding face shields and local exhaust ventilation were also evaluated to establish more efficient preventive measures that can protect welders from occupational disease as related to welding fume. The results are as follows; 1. Total fume from $CO_2$ arc welding with mild steel occurred 1.5 to 2.2 times more than that from shielded metal arc welding. Chromium and nickel fume from welding with stainless steel occurred 27 to 59 times and 18 to 30 times, respectively, than those with mild steel. 2. Proportions of water-soluble chromium(VI) and insoluble chromium(VI) Compare to total chromium occurring from $CO_2$ arc welding with stainless steel were 10.5% and 8.7%, respectively, while those with mild steel were 57.1 to 63.2% and 31.6 to 38.1%, respectively. 3. The efficiencies of 4 types of respiratory protectors to reduce welding fume exposure were evaluated as 54.4 to 64.4%. 4. The reducing effect of head type welding face shield was 67.6%, and that of hand type welding face shield was 58.5%. The highest reducing effect was shown in air supply welding face shield as 99.2%, although it is not convenient to wear. 5. When welding face shield and respiratory protectors were worn together, the reducing efficiency increased to 79.0 to 87.5%. 6. When local exhaust ventilation was installed in workplace, the reducing efficiencies varied from 31.5 to 73.1% according to the types of welding.

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The Approach Method of Community-based Cancer Screening Program in Japan (일본의 지역사회 암 조기 검진사업에 관한 접근 방안)

  • Kim, Yeong-Bok
    • Journal of Korea Association of Health Promotion
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    • v.3 no.2
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    • pp.137-146
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    • 2005
  • The Community based cancer screening program passed in 1960 was a milestone for initiating a national and local health program in Japan. And since then local governments and Cancer Society have been developing and providing cancer screening programs of Stomach, Cervix, Breast and Colorectum for population. To apply the effectiveness of community based cancer screening program, it is important to understand the key issue related to cancer screening participation of population and technology of cancer detection. The purpose of this study was to understand the community based cancer screening program in Japan, and to apply the information for establishment of community based cancer screening program in Korea. The characteristics of community based cancer screening program in Japan were as follows. The first, community based cancer screening program was implemented by the National Health and Medical Services Law for the Aged since 1983. The second, Cancer Society and Cancer Detection Center were core for cancer screening program. The third, the budget for cancer screening program was established by the National Health and Hygiene. The fourth, the continuous quality control for medical staff was provided by Cancer Society and Cancer Detection Center The fifth, the efforts for the promotion of cancer screening rate.

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Adverse Events Following Immunizations in Infants Under 1 Year of Age in Lorestan Province, Western Iran

  • Anbari Khatereh;Ghanadi Koruosh;Toulabipour Alireza;Jamebozuorghi Daryuosh;Baharvand Parastoo
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.172-179
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    • 2023
  • Objectives: Vaccination is an important intervention for preventing disease and reducing disease severity. Universal vaccination programs have significantly reduced the incidence of many dangerous diseases among children worldwide. This study investigated the side effects after immunization in infants under 1 year of age in Lorestan Province, western Iran. Methods: This descriptive analytical study included data from all children <1 year old in Lorestan Province, Iran who were vaccinated according to the national schedule in 2020 and had an adverse event following immunization (AEFI). Data were extracted from 1084 forms on age, sex, birth weight, type of birth, AEFI type, vaccine type, and time of vaccination. Descriptive statistics (frequency, percentage) were calculated, and the chi-square test and Fisher exact test were used to assess differences in AEFIs according to the abovelisted variables. Results: The most frequent AEFIs were high fever (n=386, 35.6%), mild local reaction (n=341, 31.5%), and swelling and pain (n=121, 11.2%). The least common AEFIs were encephalitis (n=1, 0.1%), convulsion (n=2, 0.2%), and nodules (n=3, 0.3%). Girls and boys only showed significant differences in mild local reactions (p=0.044) and skin allergies (p=0.002). The incidence of lymphadenitis (p<0.001), severe local reaction (p<0.001), mild local reaction (p=0.007), fainting (p=0.032), swelling and pain (p=0.006), high fever (p=0.005), and nodules (p<0.001) showed significant differences based on age at vaccination. Conclusions: Immunization is a fundamental public health policy for controlling vaccine-preventable infectious diseases. Although vaccines such as the Bacillus Calmette-Guérin vaccine, oral poliovirus vaccine, and pentavalent vaccine are well-researched and reliable, AEFIs are inevitable.

The Convergence Study about Use Satisfaction of Public Health Center in Urban Areas and Rural Areas (도심지역과 농촌지역의 보건소 이용 만족도에 관한 융합연구)

  • Lee, Bo-Woo;Lee, Young-Ju;Jang, Seon-Ju;Kim, Chang-Gyu
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.123-128
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    • 2019
  • This study divided 409 local residents in G city of Gyeongsangbuk-do into urban area and rural area, and analyzed the satisfaction with using public health center. The subjects of this study were 284 people who had experience using public health centers among 409 people. In rural areas, satisfaction with general care, oriental care, dental care, physical therapy, examination, and vaccination was low. To improve this, it is necessary to expand and improve facilities so that smooth public health services can be provided to local residents. It is necessary to implement health care policies to resolve medical inequality between urban areas and rural areas.

Direction Reorganization of Public Health Center Functions through Analysis of Medical Service Status by Public Health Care Institutions (지역보건의료기관의 진료현황 분석을 통한 보건소 기능개편 방향)

  • Park, Sun Hee;Lee, Mee Sun;Oh, Yumi
    • Health Policy and Management
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    • v.32 no.1
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    • pp.3-13
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    • 2022
  • Health centers provided intensive health care services for local residents according to changes in the times and environment. Public health centers were given various roles such as medical treatment, administration, and service, and the demand for functional reorganization has emerged. We analyzed the literature on the functional restructuring of public health care institutions. In addition, the current status of medical services, which is the main function of institutions, will be analyzed through health insurance statistical data, and detailed contents will be analyzed according to regional types and income levels. As a result of the analysis of medical services at institutions, the total number of patients was 2,238,000, and the number of visits was 11,806 times. Total medical expenses were 169.6 billion won, of which 132 billion won was found to be benefit. When analyzing the number of patients per institution, public health centers had the largest number of 4,326, and the share of benefit was also the highest at public health centers. It should focus on the function of providing local health and medical services related to health promotion and disease prevention in the community. This functional reorganization of public health centers can contribute to forming cooperative relationships with private medical institutions in the local community. For this, first, to establish the role, essential functions for public health centers for preventive health management are established. Secondly, regular manpower expansion and flexible manpower management are required in the human resources sector. Finally, in the organizational sector, it is necessary to establish a step-by-step organizational system according to environmental changes.

Distribution and Source of Atmospheric Polycyclic Aromatic Hydrocarbons and Nitropolycyclic Aromatic Hydrocarbons in Tieling City, Liaoning Province, a Typical Local City in Northeast China

  • Tang, Ning;Araki, Yuki;Tamura, Kenji;Dong, Lijun;Zhang, Xuemei;Liu, Qiuhua;Ji, Ruonan;Kameda, Takayuki;Toriba, Akira;Hayakawa, Kazuichi
    • Asian Journal of Atmospheric Environment
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    • v.3 no.1
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    • pp.52-58
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    • 2009
  • Airborne particulates were collected in three different size fractions (>7 ${\mu}m$; 2.1-7 ${\mu}m$; < 2.1 ${\mu}m$) by using Andersen low-volume air samplers at three sites in Tieling city, Liaoning Province, a typical local city in northeast China, in every season during the period from July 2003 to May 2004. Nine polycyclic aromatic hydrocarbons (PAHs) and seven nitropolycyclic aromatic hydrocarbons (NPAHs) in the airborne particulates were determined by HPLC with fluorescence and chemiluminescence detection, respectively. The mean total concentrations of the nine PAHs and seven NPAHs were highest at The mixed residential and light industrial site, and lowest at the residential site near the suburbs. At all sites, more than 70% of the total PAHs and more than 60% of the total NPAHs were found in the finest particulate (< 2.1 ${\mu}m$) fraction. Both cluster analysis and several diagnostic ratios showed that the major contributors of PAHs and NPAHs in airborne particulates were coal combustion systems such as domestic stoves and coal boilers in all seasons in Tieling city.

The Statistical Analyses of Oriental Medical Office in a Public Health Center of Dalseong-gun, Daegu Metropolitan City During Recent 3 years (최근 3년간 대구 달성군 보건소 한방진료실의 진료현황에 대한 통계적 연구)

  • Moon, Hyung-Gwon;Sul, In-Chan;Kim, Yoon-Sik
    • Journal of Haehwa Medicine
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    • v.14 no.2
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    • pp.93-105
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    • 2005
  • Objective : We investigated the actual condition of oriental medical office in a public health center. Methods : We classified patients who visited an oriental medical office iin a public pealth center of Dalseong-gun, Daegu Metropolitan City during recent 3 years by KCPJMAIN(data processing system), according to location, age, time(month, year), sex, disease, insurance, etc. Results : As a local category, the residents in Hyeunpung-Myeon higher than 80% of the patients who visited the public health center. The patients aged over 60 occupied 80% of the patients. The frequency of the treatment was more than 10 in those patients aged over 60. The number of the patients was the highest in May when there was a change for the past 36months, whereafter the number has sustained decline for 3-5 months and repeated decreasing. As a gender category, the female inpatients were 10732(82%). This statistics shows that these musculoskeletal system disease occupied large part in them. As a heath insurance category, the patients who were insured by health care were 12454(96.30%). Conclusion : It should need to enable the rural residents who have difficulty benefitting from medical service to reach the service by making their access to the oriental medical office in public health center easier. Most of all, the support from both government and municipality should be urged to accomplish it. plus, it should be included not only boosting doctors' reliance but also improving the capability and services of doctors in public heath center. In conclusion, the treatment service in public health center should be diversified beyond musculoskeletal system disease and the identity transform of public health center should be needed to appeal to young generation.

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