• Journal of Preventive Medicine and Public Health
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• 제32권3호
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• pp.276-288
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• 1999

Objectives: This study was performed to determine the relationships among health concern, health practice and health status of the disabled. Methods: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. Results: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect or health status(T>2.0). In men and women, health practice was significantly increased with increasing health concern and the more health practice, the higher health status(T>2.0). Conclusions: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.

• 한국병원경영학회지
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• 제26권3호
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• pp.28-42
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• 2021

Purposes: The objective of this study is to analyze service design process of dental clinic preventive service by using 'Double Diamond Design Process' which is user-centered for improving dental clinic management efficiency. Methodology: We examine case study that dental clinic preventive service of local dental clinic. Following the double diamond design four steps(①discover, ②define, ③develop, ④deliver), we use suitable analytic tools in each steps. In discover step, we perform observation and desk research. Next, in define step, affinity diagram, user persona, and user journey map are performed. We then make service blueprint in develop step. Finally, in deliver step, virtual scenario and confirm some outputs which are based on results of former steps are suggested. Findings: As a result of this study, waiting and consulting phases turn out that these phases are in the most trouble than others. Users(patients) have lots of complain and dissatisfaction in these phases. These touch-points will have to be modified Practical Implication: After checking this study result, it could suggest improvement schemes. To apply these, we try to make some scenarios, and finally realize some outputs. Service design has arisen to strengthen the competitiveness by reflecting user's experience and needs. Especially, service design is not typical, it is so flexible that can apply to various situation and objects. We hope that result of this study is made good use for dental clinics in need.

• 대한간호학회지
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• 제39권2호
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• pp.298-309
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• 2009

Purpose: To develop a web-based program on blood-borne infection control and to examine the effect of the newly developed program on perceived threat of diseases, knowledge, preventive health behaviors for blood-borne infections, and incidence rates of accidental needle sticks and other sharp object injuries in nurses. Methods: The program was developed through the processes of analysis, design, development, implementation, and evaluation. The research design involved a nonequivalent control group for pretest and posttest experiments. The setting was a 745-bed general hospital located in Korea. Results: The program was designed and developed after consulting previous studies. After development of the program was completed, it was evaluated and revised by a panel of experts. The total score for perceived threat of diseases, knowledge, preventive health behaviors in the experimental group was significantly higher compared to the control group (p<.05). The incidence rates for needle sticks and other sharp object injuries in the experimental group were significantly lower compared to the control group (p<.05). Conclusion: Application of a Web-based, blood-borne infection control program is effective, and can be expanded to other healthcare workers who also have a high risk of blood-borne infections.

• 대한예방한의학회지
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• 제14권1호
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• pp.13-24
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• 2010

Objectives : This study aimed to investigate the current job-related characteristics coordinators in East-West Collaborative Medical Practices(EWCMP) and to develop activation plans for them. Method : The participants were 51 personnel who were supporting EWCMP in the 28 institutions. Data were collected with self-administered questionnaires and analyzed with descriptive statistics. Results : The major role of the participants was educating and consulting patients(74.5%) and followed by supporting collaborating physician(70.6%). They assumed to be helpful to make the patients easy to use EWCMP(98%) and to give patients full information what they asked(96%). However, participants responded lack of adequate educational programs and role ambiguity as chief complaints(91.7%). They showed relatively high level of job importance(78.7points on 100points) and job satisfaction(72.8points on 100points). Coordinators were expected to have bachelor and more than 8 years clinical career, and communication skill. Conclusions : Coordinators have played key roles in giving information for the patients and coordinating EWCMP. However their roles and job description was not clear, and educational programs was insufficient as required. Therefore, it is needed to clarify their roles and job description and establish professional educational programs for supporting coordinators.

• 한국환경보건학회지
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• 제50권3호
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• pp.191-200
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• 2024

Background: Busan is a rapidly industrializing city with many mixed residential and industrial areas. Fine dust emissions from mobile pollution sources such as ships and vehicles are particularly high in Busan. Objectives: This study analyzed the spatial distribution of air pollutants over the past three years and identified the impact of air pollutants through mobile source data in Busan. Methods: We obtained air pollutant data on fine particulate matter (PM₁₀), ultrafine particulate matter (PM_2.5), nitrogen dioxide (NO₂), sulfurous acid gas (SO₂), and ozone (O₃) for the last three years (source: airkorea.or.kr) and analyzed the spatial distribution using SAS 9.4 and Surfer 23. For the mobile pollutant data, we used CCTV data from major intersections in Busan to identify truck and car traffic, and visualized traffic density with QGIS. Results: The analysis of the concentration of air pollutants over three years (2020~2022) showed that all were lower than the annual environmental standards with the exception of PM_2.5. PM₁₀ and PM_2.5 were found to be highly concentrated in the western part of the area, while NO₂ was high in the port area of Busan and SO₂ was high in the western part of the area and near the new port of Busan. In the case of O₃, it was high in the eastern part of the city. The traffic volume of freight vehicles by intersection was concentrated in the West Busan area, and the traffic volume for all cars was also confirmed to be concentrated at "Mandeok Intersection" located in the West Busan area. Conclusions: This study was conducted to determine the relationship between air pollutants emitted from motor vehicles and the distribution of air pollutants in Busan. The spatial distribution of PM₁₀ and PM_2.5 correlates with traffic volume, while high concentrations of SO₂ and NO₂ near the port are associated with ship emissions.

• 농촌의학ㆍ지역보건
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• 제31권3호
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• pp.237-244
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• 2006

이 연구에서는 고혈압 위험군을 대상으로 8주간의 개인별 맞춤형 DASH 식이 교육을 수행하여 고혈압 식단 관련 지식수준과 DASH 식단 실천정도, 혈압 조절 효과를 분석하고자 하였다. 프로그램 대상은 고혈압 발생 위험군으로 JNC에서 정의한 고혈압전단계로 정의한 수축기압이 120-139 mmHg, 또는 이완기혈압이 80-89 mmHg인 경우와, 체질량지수가 25이상인 경우, 그리고 허리둘레와 엉덩이둘레의 비율이 남자 0.95이상, 여자 0.85이상인 경우 중 어느 하나를 만족하는 경우로 하였다. 연구는 강원도 C시에서 2002년-2003년 주민 건강행태 및 건강조사 대상 중 기준에 해당하는 경우와 보건소 및 보건지소에서 외래 환자 중 해당자를 포함하였으며 8주 교육에 참가한 141명에 대하여 효과분석을 수행하였다. 교육프로그램 적용 후 지식수준 및 DASH 식습관 실천정도가 유의하게 증가하였으며 수축기압은 참여 전 $136.03{\pm}12.40mmHg$, 프로그램 참여 후 $126.09{\pm}11.25mmHg$로 프로그램 참여 후의 평균 혈압이 낮아졌으며 이완기 혈압 또한 프로그램 참여 전 $81.80{\pm}6.32mmHg$, 프로그램 참여 후 $76.44{\pm}10.61mmHg$로 통계적으로 유의한 감소를 나타냈다. 고혈압 환자의 혈압 조절을 위한 노력뿐 아니라 고혈압 예방을 위한 보건사업이 필요하며, 이 경우 DASH 프로그램은 효과적인 교육도구로 적용될 수 있다. 향후 관련된 교육 프로그램의 개발과 프로그램 적용이 지역사회를 대상으로 소개되고 확대 적용되기를 기대하는 바이다.

• 한국환경보건학회지
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• 제49권6호
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• pp.344-352
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• 2023

Background: With its developed port and related industries, the concentration of fine dust is high in Busan compared to other cities in South Korea. Many studies have reported the health effects of fine dust, but there has been a lack of information regarding concentrations of volatile organic compounds among those who exposed to high levels of fine dust. Objectives: This study aimed to define an area with high concentrations of particulate matter and perform biomonitoring surveys among the residents of the area. Methods: Air quality data was collected and the mean level of each district in Busan was derived. We then defined the area with the highest concentrations of PM₁₀ as a target site. Urine samples were collected from the 400 participants and analyzed for VOCs metabolites - trans,trans-Muconic Acid (t,t-MA) and N-AcetylS-(benzyl)-L-cysteine (BMA). Interviews were conducted by trained investigators to examine demographic information. The levels of t,t-MA and BMA were compared with representative South Korean population data (Korean National Environmental Health Survey). The association of the VOC metabolites and fine dust were analyzed by general linear regression analysis. Results: The mean of PM₁₀ in the target site was 42.50 ㎍/m³ from 2018 to 2020. Among the 400 participants in the target site, 74.8% were female and the average age of the participants was 66 years. The geometric mean of t,t-MA was 71.15 ㎍/g creatinine and the BMA was 7.00 ㎍/g creatinine among the residents. The levels were higher than the geometric mean from the 4th KoNEHS. The levels of t,t-MA showed significance in BMI, smoking status, and household income. BMA showed significance in gender and age. Conclusions: Compared to the general population of South Korea, the target site's residents had higher biomonitoring levels. Based on this study, continuous screening for high risk areas, including the target site, and biomonitoring of the residents are required.

• Environmental Analysis Health and Toxicology
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• 제27권
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• pp.8.1-8.10
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• 2012

Objectives: The goal was to model and quantify the atmospheric concentrations of volatile organic compounds (VOCs) as the result of the Hebei Spirit oil spill, and to predict whether the exposure levels were abnormally high or not. Methods: We developed a model for calculating the airborne concentration of VOCs that are produced in an oil spill accident. The model was applied to a practical situation, namely the Hebei Spirit oil spill. The accuracy of the model was verified by comparing the results with previous observation data. The concentrations were compared with the currently used air quality standards. Results: Evaporation was found to be 10- to 1,000-fold higher than the emissions produced from a surrounding industrial complex. The modeled concentrations for benzene failed to meet current labor environmental standards, and the concentration of benzene, toluene, orthometa- para-xylene were higher than the values specified by air quality standards and guideline values on the ocean. The concentrations of total VOCs were much higher than indoor environmental criteria for the entire Taean area for a few days. Conclusions: The extent of airborne exposure was clearly not the same as that for normal conditions.

• 한국웰니스학회지
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• 제7권4호
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• pp.43-52
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• 2012

본 연구에서는 지역사회와 대학의 연계를 통한 필요성을 제시하고, 지역사회와 대학의 연계를 통한 스포츠사회화 모형의 실질적인 프로그램을 제시하여 지역사회와 대학 간 연계를 통해 지역주민들에게 환원하는 여가 문화의 조성, 지역사회와 대학의 상생발전과 질적 향상 등의 발전방향을 모색해 보고자 하는데 목적이 있다. 본 연구에서는 국내, 외에서 발간된 각종 스포츠환경, 지역사회, 스포츠사회화와 관련된 문헌(review)과 보고서(report)자료를 참고하는 문헌조사분석(data research analysis)과 내용분석(content analysis)을 활용하여 다음과 같은 결론을 도출 하였다. 순환적 관계 유형과 상호 호혜적 관계 유형을 스포츠사회화 프로그램(유소년스포츠 교실, 치매 예방 운동프로그램)에 대입시켜 지역사회와 대학의 상호관계를 스포츠사회화 모형으로 나타내면 지역사회와 대학의 연계를 통한 스포츠 개입(유소년스포츠 교실, 치매 예방 운동프로그램)은 스포츠로의 사회화를 거쳐 스포츠를 통한 사회화로 발전하여 스포츠의 탈사회화로 이루어져 이탈한 비참가자가 일정 계기로 다시 참여하여 스포츠 재사회화를 이루어 스포츠로의 사회화 과정을 다시 밟게 된다는 것으로 사회현상으로 전이 또는 일반화되는 과정을 구체적으로 제시하였다.

• 보건행정학회지
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• 제30권3호
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• pp.270-276
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• 2020

Entering the fourth industrial revolution era, health technology is rapidly developing and the people's needs for medical services are gradually increasing. Establishing a life cycle management of health technology has emerged as a new policy agenda to cope with these changes. However, the management of health technology have been conducted without continuity and with several problems pointed out. Therefore, we suggest the reform agendas by stages to establish system for a life cycle management of health technology in the fourth industrial revolution era as follows. In the stage of development, it is important not only to provide research funding, but also consulting by professional about whole cycle of health technologies. In the phase of market entry, there are needs for enhance the system that would expand the early adoption for innovative technology and increase its effectiveness. After the spread of health technology to clinical settings, a reassessment and post management system should be established that have an institutional framework with strong price adjustment and exit mechanism. Furthermore, we hope that discussions will be brisk in macro perspective on the balancing of development in healthcare industry, health of people and national health insurance finance.