• Title/Summary/Keyword: Preventive Perspective

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A Critical Analysis of the Characteristics and Causes of the Changes in Marriage Rates and Recommendations for Family Policy (혼인율 특성, 변화요인 분석과 가족정책 제언)

  • Chung, Hyun-Sook
    • Journal of Families and Better Life
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    • v.24 no.6 s.84
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    • pp.177-193
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    • 2006
  • This study analyzes marriage and fertility rates in Korea and makes recommendations for family policy. Based on the 'The Report of Marriage & Divorce Statistics in 2005' and data from the Korea Statistical Information System (KOSIS) of the National Statistics Organization, the trends, reasons for marriage rates changes, and future expectations were critically reviewed. In addition, the relationship between marriage and fertility rates was analyzed. The principle characteristics of marriage rates are as follows: 1) the M-shape of the longitudinal crude marriage rates; 2) the increased age of individuals entering their the first marriage; 3) the increase in remarriage rates; 4) the changes in the patterns of remarriage; 5) the increased in the age at which individuals remarry and; 6) the increase in marriage to non-Koreans. The marriage and fertility rates changes are a permanent normative shift because of 1) later marriage because of women's increased education and labor force participation 2) rational choices about birth control 3) reduced population because of the aging of baby boomers 4) structural changes in the marriage market and 5) egalitarian changes in women's attitudes toward marriage and family. The recommendations for future family policy were as follows: 1) the need for a realistic, long-term family policy because the current marriage patterns will continue; 2) the need to develop new statistics such as fertility rates that are based on marriage cohort or birth cohort because family behavior is a mixture of personal, social and political responses; 3) the need for impact analysis of current family policy about increasing fertility rates; 4) the need for a new family perspective that encompasses diverse marriage and family patterns; 5) the need to focus on men's role in families because of women's changing roles and family interaction patterns and; 6) the need for preventive family policies such as family life education.

Consumer Perspectives on the Informed Consent of Off-label Drug Use in South Korea (의약품의 허가외사용 정보제공과 동의에 대한 일반인 인식)

  • Lee, Iyn-Hyang;Kye, Seunghee;Je, Nam Kyung;Lee, Sukhyang
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.4
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    • pp.265-271
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    • 2014
  • Objective: This study aims to explore the perception of off-label use of medications and the provision of informed consents from the general public's perspective. Methods: The study subjects (n=291) were recruited from 7 cities in Korea through a convenience sampling method. The self-administered questionnaire with 13 items was issued and collected. The study subjects who have had a pharmaceutical job were excluded. Results: The total of 231 respondents was included. Only 23% of respondents were familiar with the concept of off-label use of medications. Eighty five percent of respondents (n=196) stated that the prescribers should explain the off-label use of a medication to their patients. The preferred method for delivering the message was the oral explanation (n=122, 53%), followed by oral explanation plus a pamphlet (n=94, 41%). The safety issue is the most concerned aspect regarding the off-label drug use, also effectiveness and insurance coverage. The majority of respondents (n=217, 94%) agreed that the prescriber should get a consent from patients before prescribing medications for off-label use. They preferred written consent to oral consent (140 vs. 77). Conclusion: This study demonstrated general publics are infrequently aware of off-label use of medications. It is important to raise public awareness of the off-label use of medications and to openly discuss its pros and cons for safe and effective drug therapy.

Youth's smoking status in Seoul in the international perspective: Overall comparisons with the results of the Global Youth Tobacco Survey (GYTS) (서울지역 청소년 흡연실태의 국제 비교: Global Youth Tobacco Survey(GYTS)의 자료를 이용하여)

  • Moon, In-Ok;Park, Kyoung-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.6
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    • pp.1-16
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    • 2005
  • This study was conducted to the middle and high school students in some Seoul and Kyunki areas to identify the smoking behavior characteristics among adolescences. A self-administered survey was conducted to the 2nd grad students in 4 middle schools and 6 high schools and the survey Questionnaire included general characteristics, smoking and drug use history, the close people's smoking and drug use, smoking and drug abuse prevention education, smoking intention, and smoking attitude. A total of 2,452 youths finished the survey (1,182 middle school students and 1,270 high school students). Current smoking students were 14.6%, the ex-smokers were 5.5%, and the never smokers were 85.4%. Majority of students smoked less than 5 bars of cigarettes and their first smoking experiences were related to their family members (siblings, parents, and relatives), friends, advertisement in order. Other GYTS countries reported the similar sources of the smoking start and friend was prior smoking start factor to the other sources. The students who wanted to Quit smoking were 6.7% and the students who ever had tried to Quit smoking were 9.1%. The major reasons of Quitting smoking were for their health and for their financial burden. Approximately 60% learned about smoking and drug abuse in their regular school classes, 8.4% were in the special school activities, and 7.9% were in the class closing time sometimes in order. The students who learned in any regular class were smaller in the high school students than in the middle school students. The learning experiences in school of other GYTS countries were similar to that of Korea. In conclusion, students' smoking was affected not only by the preventive activities in school but also by the close people's behaviors and care in this study; therefore, the active partnership between school and family must be a strong strategy for youth's smoking prevention.

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A revisit to policy agenda concerned with the distortion of functional differentiation among health care providers (의료전달체계에 관한 정책의제의 재조명)

  • Han, Dal-Sun
    • Health Policy and Management
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    • v.20 no.4
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    • pp.1-18
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    • 2010
  • Much policy attention has been directed to the concentration of patients in large hospitals, especially in tertiary care hospitals. In order to address the problem, the government has enforced referral requirement for accessing care in tertiary care hospitals by denying insurance benefits to the patients who do not observe the requirement. This approach somehow has failed to produce expected effects although it still exists in theory. The concentration of patients in a certain type of providers results in the distortion of functional differentiation among various types of providers and vice versa. Thus the approaches for the alleviation of the problem should be directed to both patients and providers. However, policy approaches has so far focused on ways of directly affecting patients' choice of a provider neglecting the effects of providers. Based upon the observation, this paper has reviewed selected issues that should be considered in agenda setting for policies concerned with the concentration of patients in large hospitals or the distortion of functional differentiation among health care providers. A brief discussion of each of the issues suggests three general guidelines for the formulation and implementation of policies intended to address the problem. First, attention should be directed to both patients and providers. Secondly, it is necessary to employ diverse measures including regulation, incentives and administrative supports. Thirdly, some of the approaches should be planned from a long range perspective, for it often takes a long time to change some aspects of health care utilization and provision.

Liquid Biopsy: Current Status and Future Perspective in Gastric Cancer and Helicobacter Infection (액체 생검(Liquid Biopsy): 위암 및 헬리코박터 감염증에서 적응과 전망)

  • Kang, Eun A;Han, Young Min;Park, Jong Min;Yoo, In Kyung;Hong, Sung Pyo;Hahm, Ki Baik
    • The Korean journal of helicobacter and upper gastrointestinal research
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    • v.18 no.3
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    • pp.150-156
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    • 2018
  • Precision medicine stands for 4Ps - precise, preventive, participatory, and personal; in which "precision" is important because the current modern medicine starts from "trial and error," and "one does not fit all". Current targeted therapies for cancer have changed treatment approaches and led the precision medicine; however, clinical use of liquid biopsy, using blood or other liquid specimens to characterize circulating tumor cells (CTC) or tumor genes instead of biopsies of tumor tissues, still awaits availability of more information regarding non-invasive cancer detection and characterization, prediction of treatment response, monitoring the disease course and relapse possibilities, identification of mechanisms of drug resistance, and newer pathogenesis. In this review, we will introduce the basic concept of CTC, circulating cell free DNA, and exosomes and their possible application for gastric cancer relevant with Helicobacter pylori infection.

Analysis of the Leading Cases of Nurses charged with Involuntary Manslaughter (간호사 업무상과실치사상죄 판례분석)

  • Song, Sung Sook;Kim, Eun Joo
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.30-40
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    • 2021
  • Purpose: This study aims to present nurses' legal conflicts and legal basis through the precedent analysis of a crime of professional negligence resulting in death and injury for the past 20 years and provide vital references to cultivate the correct and high-level legal consciousness of nurses. Methods: This study was conducted in five stages of the systematic content analysis method. It amalyses the precedents of a crime of nurses' professional negligence resulting in death and injury from 2000 to 2020. The application system for the provision of the written judgment was used to collect precedents. A total of 67 cases were analyzed in this study, and they were classified according to the type of nursing error, and the contents were systematically analyzed. Results: A total of 52 cases (77.5%) of nursing errors were caused by independent nursing practices. They were classified as 38 cases (A1) in the violation of patient supervision obligations, 12 cases in the violation of progress observation obligations (A2), one case in the violation of medical equipment inspection obligations (A3), and one case in the violation of explanation and verification obligations. Among the non-independent nursing practices (code B), B1 was 10 cases related to administrative acts, one blood transfusion accident (B2), and one anesthesia accident (B3). Conclusion: To prevent nurses from being involved in legal confits, the advocation of systematic training such as nurses' legal obligations and judgment grounds through case-based learning from the recent precedent analysis and promote nurses' legal perspective, and preventive activities are essential.

Strategies to prevent the new infectious diseases from an ecological perspective

  • Lee, Chang Seok
    • Journal of Ecology and Environment
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    • v.46 no.3
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    • pp.172-182
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    • 2022
  • Background: The coronavirus problem is an ecological problem stemming from a sudden change in the relationship between parasites and hosts. Ecologists judge organisms that are established out of their original territory as exotic species. Unlike in their original habitat, these exotic species become very aggressive in their newly settled habitat. Coronavirus infection damage was bigger in Europe or the United States than that in the country of its origin, China, and its neighboring countries. Therefore, coronavirus infection damage resembles the damage due to the invasive species. Results: Exotic species are found in places with similar environmental conditions to those of their origin when introduced to other ecological regions. However, there are few ecological ill effects in their place of origin, while the damage is usually severe in the ecological regions in which it is introduced. According to historical records, exotic infectious diseases, such as European smallpox and measles, also showed a similar trend and caused great damage in newly established places. Therefore, it is expected that measures to manage exotic species could be used for the prevention of exotic infectious diseases such as the coronavirus. Conclusions: Prevention comes first in the management of exotic species, and in order to come up with preventive measures, it is important to collect information on the characteristics of related organisms and their preferred environment. In this respect, ecosystem management measures such as exotic species management measures could be used as a reference to prevent and suppress the spread. To put these measures into practice, it is urgently required to establish an international integrated information network for collecting and exchanging information between regions and countries. Furthermore, a systematic ecosystem-management strategy in which natural and human environments could continue sustainable lives in their respective locations may serve as a countermeasure to prevent infectious diseases.

Understanding Child Abuse Based on Big Data Analysis -A Basic Study on the Development of Machine Learning Algorithm- (빅데이터 분석에 기반한 아동학대의 이해 -머신러닝 알고리즘 개발 기초연구-)

  • Bae, Jungho;Burm, Eunae
    • Journal of Internet of Things and Convergence
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    • v.8 no.4
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    • pp.57-63
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    • 2022
  • The purpose of this study is to provide basic data on policy development using big data analysis and machine learning algorithms as part of preparing measures to prevent child abuse. In order to analyze big data for developing machine learning algorithms to prevent child abuse, frequency analysis, related word analysis, and emotional analysis were performed after defining academic databases and social network service data as big data. related words, and emotional analysis were conducted. As a result of the study, a preventive child abuse algorithm can be developed by preparing a data collection and sharing network system to prevent child abuse from the perspective of children affected by child abuse, perpetrators, and government authorities. Although it will be possible by institutionalizing infant self-esteem, depression, and anxiety tests with clues that depression and anxiety appear due to a decrease in self-concept in the characteristics of children affected by child abuse. We suggest that continuous progress of big data collection and analysis and algorithm development research to prevent child abuse, and expects that effective policies to prevent child abuse will be realized to eradicate child abuse crimes.

An Analysis on the Problems of the Serious Disaster Punishment Act from the Construction Industry's Perspective and Proposed Improvement Measures (건설업계 관점에서의 중대재해처벌법 시행에 따른 문제점 분석 및 개선방안)

  • Lee, Dae-Hyeong;Lee, Jun-Yong;Son, Chang-Baek
    • Journal of the Korea Institute of Building Construction
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    • v.23 no.2
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    • pp.187-196
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    • 2023
  • The objective of this study was to analyze the awareness, necessity, and challenges of the Serious Disaster Punishment Act within the domestic construction industry, which is subject to the legislation implemented by the government. The research aimed to propose future improvement measures. According to the findings, safety officials consider securing more young and competent domestic skilled workers, as well as improving safety management standards and workers' safety awareness, to be the most crucial factors in preventing and reducing safety accidents. Furthermore, the primary improvement plan for the Serious Disaster Punishment Act involves clarifying ambiguous provisions in the current law. Government policy support is necessary to enhance the effectiveness of the Serious Disaster Punishment Act, and revisions should focus on preventive measures that contribute to the establishment of a safe working environment.

A Study of Intention to Violate COVID-19 Precautions from the Perspective of the Black Swan Theory (블랙 스완 이론 관점에서 바라본 코로나-19 예방 수칙 위반 의도에 관한 연구)

  • Kim, Han-Min
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.1-8
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    • 2022
  • Despite increasing damages caused by violations of COVID-19 precautions, studies on violations of precautions have not yet received much attention. This study identified antecedents that could theoretically influence the intention to violate COVID-19 precautions based on the black swan theory, and collected 215 responses by conducting an online survey from February 11, 2021 to March 10, 2021. As a result of the regression analysis, this study found that dissonance with COVID-19 preventive information, representativeness bias, and availability bias increase the intention to violate COVID-19 precautions. However, optimistic bias did not have a significant effect on the intention to violate precautions. This study not only provides new antecedents but also suggests theoretical evidence for decreasing intention to violate precautions. This study also proposes the necessity to identify differences in violation intention by regions, countries, and theories.