• Title/Summary/Keyword: Public Health Centers

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A Comparative Analysis of Elderly Intoxication Patient between Urban and Rural Area for the Safety Management and Emergency Care (농촌과 도시지역 노인약물중독환자의 응급처치와 약물중독안전관리에 대한 연구)

  • Rhim, Jae-Dong;Cho, Byung-Jun;Seoung, Youl-Hun;Kim, Seon-Rye
    • Journal of the Korea Safety Management & Science
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    • v.12 no.1
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    • pp.19-25
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    • 2010
  • To investigate acute drug intoxication trends in the elderly visited Emergency Medical Centers, Data was collected from the records of poisoning patients visited Five different Hospitals from January 1. 2007 to December 31. 2007. The analysis was conducted by using 135 cases of 624 cases. When considering only the elderly and making comparisons between the urban areas and the rural areas the following data was produced. In regard to patients with acute drug intoxication, the main substance of choice was pesticides. Cases of acute drug intoxication are definitely higher for those categorized as the rural elderly (75.0%) when compared with those categorized as the urban elderly (44.1%). The male to female ratio, those living together as a family, past suicide attempts, mental state and sobriety condition when they came, monthly distribution etc. between the two groups did not demonstrate a difference between them. In regard to reasons given for acute drug intoxication, suicide was the highest at 60.7% of the cases. When comparing accidental reasons for poisoning, the urban elderly, at 34.2% of their cases, were higher than in the rural elderly, at 23.7%. After first aid was administered, the admission rate was higher for the rural elderly (47.4%) than for the urban elderly (33.9%). This shows that the rural elderly have a more severe acute drug intoxication poisoning problem than the urban elderly do.

The Effect of Organizational Justice on the Followership and Organizational Citizenship Behavior - the Moderating Effect of Leader-Member Exchange - (의료기관 사무직 종사자의 조직공정성이 Followership과 조직시민행동에 미치는 영향 - LMX 조절효과 -)

  • Ahn, Jae-Sun;Kim, Jong-Doo;Kim, Moon-Jung
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.1-17
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    • 2018
  • Purposes: Based on samples of government officials who are working at public health centers, following research examines the Effect of Organizational Justice on the relationships between Followership and Organizational Citizenship Behavior and analyzes the moderating effect of Leader-Member Exchange. Methodology: For the methods, Sphericity verification, Exploratory factor analysis, Correlation analysis, Causal relation, Mediating effect of followership and Moderating Effect of The Leader-Member Exchange have been analyzed with SPSS 22.0 & AMOS 22.0 Ver. Findings: As a result of Correlation analysis, Predictive validity and Construct validity have meaningful effect. Also, In case of Path analysis, distributive justice and interactional justice have meaningful effect but procedural justice has no such effect on Followership. As a result of Mediated effect of followership analysis, distributive and interactional justice have positive impact on (Organizational and Interpersonal). As to the mediation effect of followership analysis, It is shown that distributive and Followership have meaningful effect on In-group, not Out-group. Lastly, It is shown that procedural justice and Followership have no meaningful effect on both In-group and Out-group. Practical Implications: For the implications, distributive justice and interactional justice have positive impact on Followership, while procedural justice has no such impact on Followership. Also, It also possibly has same result to the moderating effect of Leader-Member Exchange. Consequently, It is recognized that a fair process without a fair result cannot be valued. also, We can know that reward for procedural justice is evaluated to kind of negative.

The Development and Effects of The Integrated Dementia Prevention Program for Life in the Elderly Women Living alone (여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과)

  • Sun, Jeong-Ju;Oh, Suk-Hee
    • Journal of Convergence for Information Technology
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    • v.7 no.3
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    • pp.55-64
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    • 2017
  • This study was to develop a dementia prevention integration program and apply to elderly women living alone to evaluate the applicability of the program. Fifty-six participants who enrolled at local public health centers were assigned. The control and experimental groups were assigned to 28 subjects. As a result of the study, the integrated program for prevention of dementia showed that the experimental group was more effective as the self-practice program than the control group. Therefore, This program is considered to be a self-practice integrated dementia prevention program. In the future, this program should be revised and supplemented and extended to the local community, So it is necessary to seek a nursing intervention strategy that subjects can continuously practice.

Perceptions and Attitudes toward Use of Loupes among Dental Hygienists (치과위생사의 루페 사용에 대한 인식 및 태도)

  • Lee, Young-Soo;Lee, Hye-Ju
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.143-149
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    • 2020
  • The aim of this study was to examine the perceptions and attitudes of dental hygienists on the use of dental loupes. A questionnaire survey was conducted to 180 dental hygienists working at dental institutions and public health centers. 4.6% of all respondents answered that they use dental loupes currently, and 38.9% answered that they need to introduce dental loupes in the dental clinic. About half indicated that loupes were a benefit to improved vision(53%) and Improved clarity(44%). The most commonly reported disadvantages to loupes wear were limited depth of vision(39%) and overall dependency. It was confirmed that most dental hygienists did not use loupes, there was little interest in loupes. More research is needed on the effects of loupes in dental practice.

Trends Analysis of Suicidal Poisoning in Korea- Comparison before and after the IMF Crisis and the Economic Recession (IMF와 경기침체 전후 음독자살 환자에 대한 분석 -1997년부터 2004년까지 일개 대학병원 응급센터 연구조사를 중심으로-)

  • Lee Won Jae;Park Kyu Nam;Choi Seung Pil;Lee Mi Jin
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.1
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    • pp.33-39
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    • 2005
  • Purpose: Nowadays the Korean society is in the center of time of the social change. Because of dissociation of traditional family, IMF (International Monetary Fund) crisis and economic recession, the mortality rate of suicidal attempts are increasing annually. The majority of suicidal attempts were by poisoning considering the characteristics of korean society. Therefore we studied to find out the characteristics of suicidal poisoning before and after social economic stress, and to suggest the direction for the proper management. Methods: We reviewed medical records of 547 patients of suicide by poisoning who visited the emergency medical centers of St. Mary's hospitals from 1997 to 2004. For the annual trends analysis, we analyzed the demographic and toxicologic data of these patients compared with before and after IMF crisis (1998) and the economic recession ($2003\~2004$). Results: At the time of IMF and the economic recession, the number of suicidal poisoning increased, especially in fifth decade. The refusal rate of toxicological emergency treatment increased. Also the mortality rate and the admission rate to ICU (Intensive Care Unit) increased during the same period. In the result of the comparison analysis, clinical severity and mortality of social problem group were higher. However they couldn't be treated appropriately because of financial problem and the family indifference. Conclusion: At the economic recession period, the severity of suicidal poisoned patients was high. But the refusal rate of toxicologic treatment also increased, so the patients had lost the chance for proper toxicologic treatment. Therefore they would be supported by medical institution and public health.

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Risk Factors Associated with Head Louse Infestation in Korea

  • Sim, Seob-O;Lee, Won-Ja;Yu, Jae-Ran;Lee, In Yong;Lee, Seung Hyun;Oh, Soo-Youn;Seo, Min;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.49 no.1
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    • pp.95-98
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    • 2011
  • Head louse infestation (HLI) is one of the most frequently occurring parasitic diseases in children. This study was conducted to investigate the socioeconomic and personal factors influencing HLI in the Republic of Korea. A total of 2,210 questionnaires about various factors related to HLI were obtained from children in 17 primary schools throughout the country. The rate of HLI was significantly lower in children who lived together with mother or in a family where both parents worked. In addition, HLI was lower in children whose fathers or mothers were public officers or teachers. However, HLI was higher in children who had small families and washed their hair less often. Education levels of parents and the number of children in family were not significant. Improvement of socioeconomic factors and personal hygiene will be helpful for reducing HLI.

Costs of Initial Cancer Care and its Affecting Factors (암 환자의 발생 초기 의료비와 이에 영향을 미치는 요인)

  • Kim, So-Young;Kim, Sung-Gyeong;Park, Jong-Hyock;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.4
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    • pp.243-250
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    • 2009
  • Objectives : The purposes of this study is to estimate the cost of cancer care after its diagnosis and to identify factors that can influence the cost of cancer care. Methods : The study subjects were patients with an initial diagnosis one of four selected tumors and had their first two-years of cancer care at a national cancer center. The data were obtained from medical records and patient surveys. We classified cancer care costs into medical and nonmedical costs, and each cost was analyzed for burden type, medical service, and cancer stage according to cancer types. Factors affecting cancer care costs for the initial phase included demographic variables, socioeconomic status and clinical variables. Results : Cancer care costs for the initial year following diagnosis were higher than the costs for the following successive year after diagnosis. Lung cancer (25,648,000 won) had higher costs than the other three cancer types. Of the total costs, patent burden was more than 50% and medical costs accounted for more than 60%. Inpatient costs accounted for more than 60% of the medical costs for stomach and liver cancer in the initial phase. Care for latestage cancer was more expensive than care for early-stage cancer. Nonmedical costs were estimated to be between 4,500,000 to 6,000,000 won with expenses for the caregiver being the highest. The factors affecting cancer care costs were treatment type and cancer stage. Conclusions : The cancer care costs after diagnosis are substantial and vary by cancer site, cancer stage and treatment type. It is useful for policy makers and researchers to identify tumor-specific medical and nonmedical costs. The effort to reduce cancer costs and early detection for cancer can reduce the burden to society and improve quality of life for the cancer patients.

Breaking the Gender Gap: A Two-part Observational Study of the Gender Disparity Among Korean Academic Emergency Physicians

  • Lee, Mi Jin;Kim, Changho
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.5
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    • pp.362-370
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    • 2020
  • Objectives: Despite greater access to training positions and the presence of more women in emergency medicine, it has remained a men-dominated field. This study aims to identify the key issues causing the gender gap in Korea and establish measures to overcome them. Methods: Using the annual statistical reports of the National Emergency Medical Center and data published on the Korean Society of Emergency Medicine website, cases that listed the current status and positions of members in its organization and its committees were analyzed. Secondary analysis was conducted using data from the 2015 Korean Society of Emergency Survey that included physicians' demographics, academic ranking, years of experience, clinical work hours, training and board certification, core faculty status, position, and salaries. Results: As of September 2019, women account for only 12.7% of the total number of emergency physicians (EP) in Korea; of 119 chair/vice-chair academic positions, women represented only 9.2%. Women EP were more often assistant professors and fellowship-trained, with fewer in core faculty. However, they worked the same numbers of clinical hours as their men counterparts. The median annual salary of women EP was less than that of men EP after adjusting for academic hospital rank, clinical hours, and core faculty status. Conclusions: A gender gap still exists among Korean EP, and women earn less than men regardless of their rank, clinical hours, or training. Future studies should evaluate more data and develop system-wide practices to eliminate gender disparities.

Prevalence on protective serum antibodies of canine influenzae virus in Ulsan area (울산지역의 개 인플루엔자 바이러스의 항체보유 실태 조사)

  • Sung, Ki-Chang;Lee, Eun-Woo;Park, Chang-Eun
    • Korean Journal of Veterinary Service
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    • v.36 no.4
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    • pp.333-340
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    • 2013
  • Canine influenza virus (CIV) is an emerging pathogen that causes severe and acute respiratory disease in dogs. In 2006, the H3N2 CIV was first identified in dogs from Guangdong province in China. The nine isolates were grouped together with the canine H3N2 viruses isolated from dogs and cats in Korea. The possible interspecies transmission of influenza A virus is very important. We carried out a serological retrospective study using invited canine serum. The hospital invited 123 dogs, first vaccination group were revealed with CIV antibody positive rate of 81.8%. the second vaccination group were detected a positive rate of 91.2%. Antibody generation rate was higher in 3~10 years dogs. Protective antibody titers were detected from 2 weeks to 12 months. thereafter below the protective antibody. The results indicate that H3N2 CIV may have been consistently circulating in dog populations. Recently. These findings showed that H3N2 CIV has the capacity to replicate in and transmit among cohoused dogs and underscore the need for continued public health surveillance. Considering the result continuous management and prevention system against CIV is required at the concentrated animal care centers. The importance of CIV surveillance in this region for understanding the genesis of this virus, and it is important to remain aware of the potential of H3N2 CIV to be transmitted from dogs to the human population.

Utilization of Medical Oversight and Related Factors among Some 119 Rescue Workers (119 구급대원의 직접의료지도 이용경험과 관련요인)

  • Joo, Mi Hyun;Han, Mi Ah
    • Fire Science and Engineering
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    • v.30 no.3
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    • pp.124-132
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    • 2016
  • Medical oversight (MO) means the advice and direction provided by a physician to rescue workers who provide medical care or carry patients at the scene of an emergency. The purpose of this study was to investigate the utilization of MO and related factors among some 119 rescue workers in Gwangju. A self-reported questionnaire was completed by 153 rescue workers in these 119 safety centers. The data were analyzed by SAS version 9.3. Overall 82.4% of the subjects utilized MO during the past month. In the multiple logistic regression analysis, the married subjects (OR = 3.87, 95% CI = 1.22~12.27), level 1 emergency medical technicians (OR = 2.87, 95% CI = 1.02~8.09), and subjects who treated cardiovascular emergency patients (OR = 9.19, 95% CI = 1.87~45.08) had significantly higher odds ratios for the utilization of MO. The experience of MO accounted for 82%. The development of strategies and education plans taking these results into consideration will help to improve the utilization of MO.