• 대한한의학회지
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• 제44권1호
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• pp.1-15
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• 2023

Objectives: National health insurance herbal prescription of Korean medicine has been serving important role in public healthcare in spite of continuous demand on revision of system. However, the categories of insurance herbal prescriptions are not equally distributed throughout the KCD-based major disease categories. We analyzed statistical database of claimed national health insurance classified as major disease categories by years. We classified all 56 herbal prescriptions as per their total medical indications into 22 major disease categories to analyze their distribution. Significant increase of M and S-T code claims were found, whereas decrease of U code claims by years. We figured out that the 56 prescriptions were unequally distributed along with enrichment of certain codes such as K and J. Meanwhile, the insurance claim of each prescription was positively correlated with number of code types of their indications. As a result, we believe that the reform of national health insurance herbal prescription list is necessary to promote use of it in clinic.

• Preventive Nutrition and Food Science
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• 제18권4호
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• pp.263-268
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• 2013

In this study, the quick HPLC-MS/MS method for the simultaneous separation of 2-acetyl-4(5)-tetrahydroxybuthylimidazole (THI) and 4-(5)-methylimidazole (4-MI) in alkaline medium was used for caramel color and processed foods in Korea. After a simple sample pretreatment, 51 4-MI-labeled samples were positive for 4-MI and 2 also contained THI. The concentration of 4-MI was 260.5~24, $499.3{\mu}g/kg$ in caramel color, less than $LOD{\sim}1,712.5{\mu}g/kg$ in sauce, 1,242.3, $5,972.2{\mu}g/kg$ in balsamic vinegar, $2,118.3{\sim}5,802.4{\mu}g/kg$ in complex seasoning, $82.7{\sim}5,110.6{\mu}g/kg$ in curry, and $29.9{\sim}464.4{\mu}g/kg$ in soft drinks. The recovery rate of 4-MI was 97.1~111.0% in sauce and 81.9~110.0% in powder and that of THI was 83.6{\sim}106.4% in sauce and 61.2{\sim}99.4% in powder. Our results concluded a safe amount of 4-MI and THI compared to the limit of Korea additive code but the processed foods do not have a limit of caramel color and 4-MI in Korea. Therefore, research and monitoring of 4-MI and THI is needed for processed foods in Korea.

• 한국보건간호학회지
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• 제18권1호
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• pp.154-166
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• 2004

The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

• 치위생과학회지
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• 제14권4호
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• pp.461-467
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• 2014

본 연구는 치위생과 대학에서 이루어지고 있는 치위생과정 실습에서 3학년 학생들이 대상자의 치아상태를 Q-ray view를 사용하지 않고 평가한 방법과 Q-ray view를 사용하여 평가한 방법을 숙련된 검사자의 치아검사결과를 기준치로 하여 부위별, 병소 및 수복물별 일치도를 비교하였다. 부위별 차이에서 병소와 수복물은 Q-ray view를 사용한 경우에 높은 일치도를 나타냈다. 특히 상악전치부는 수복물에서 100% 정답기준과 일치하였다. 병소 및 수복물별 차이에서 Q-ray view를 사용한 경우 병소에서는 치아우식증과 초기우식증, 치아파절에서 차이가 있었고 수복물에서는 수복물 또는 치면열구전색이 없는 경우와 심미수복물에서 유의한 차이가 있었다. 본 연구의 결과 Q-ray view를 병행해서 치아검사를 수행했을 때 경험이 부족한 치위생과 학생의 치아검사 신뢰성이 향상되었다. 따라서 치위생과정 실습에서 Q-ray view는 학생의 치아검사역량 증진에 효과적인 도구로 활용될 수 있을 것이다.

• 보건행정학회지
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• 제22권4호
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• pp.597-627
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• 2012

As misalignments among images, identity, and legitimacy of health professionals and institutions have been on the rise, CEOs of health care organizations have been required to enhance organizational accountability. Despite the accumulation of literature on the conceptual discussions of accountability, only a few studies empirically investigated key barriers to accountability and its facilitators. To identify perception on accountability with key barriers and facilitators of organizational accountability, a semi-structured interview with 11 CEOs of Korean hospitals was conducted. A short survey was taken to get quantitative data on CEO's perception on organizational accountability. To CEOs, accountability was very complex and unfamiliar concept, but understood as physician's code of ethics by nature and basic principle of hospital management. CEOs thought accountability could be improved through ethical leadership, financial stability and learning climate of hospitals. Distrust of the government, which failed to provide economic incentives for hospitals to increase accountability activities, was emphasized as a serious barrier to hospital accountability. There was consensus among hospital CEOs as to the importance of accountability in management. However, there were concerns that, without policy instruments to motivate hospitals toward increasing community benefits as well as collective efforts among health professionals to rebuild moral climate for being accountable, greater accountability would not be achieved in hospitals.

• 한국식품위생안전성학회지
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• 제25권3호
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• pp.203-208
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• 2010

21종류의 폴리스티렌 용기를 대상으로 용출조건에 따른 용기내 증류수로 용출되는 5종의 VOCs(톨루엔, 스티렌, 에틸벤젠, 이소프로필벤젠 및 n-프로필벤젠)를 Purge&Trap 장치를 연결하여GC-FID로 분석하였다. 각 표준물질은 1~50 ng/mL의 농도범위에서 직선성($r^2$ =0.9976~0.9995)을 나타냈으며, 검출한계는 0.041~0.092 ng/mL, 정량한계는 0.135~0.304 ng/mL 이었다. 용출조건은 첫째, $60^{\circ}C$에서 30분, 둘째, $95^{\circ}C$에서 30분, 셋째, 실생활에서 컵라면 섭취시를 고려하여 끓은 물을 부은 후 뚜껑을 덮고 3분간 유지한 다음 뚜껑을 열고 5분 동안 개방하여 용출시키는 것으로 설정하였다. 톨루엔, 에틸벤젠, 이소프로필벤젠 및 n-프로필벤젠은 평균용출량이 모든 조건에서 5 ng/mL 이하로 검출되었으며 스티렌의 경우는 $60^{\circ}C$에서 평균용출량이 4.02 ng/mL, $95^{\circ}C$에서는 52.71 ng/mL, 컵라면 섭취시의 조건에서는 17.23 ng/mL로 검출되었다.

• 한국식품위생안전성학회지
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• 제32권2호
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• pp.141-146
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• 2017

LC-MS/MS를 이용하여 신속하고 정밀한 카벤다짐 분석법을 연구하였다. 농산물 중 카벤다짐은 acetonitrile로 추출한 후 SPE cartridge을 이용하여 전처리를 수행하였으며, 최소 검출한계 및 정량한계는 각각 0.001과 0.004 mg/kg이었다. 농산물에 각각 1.0 mg/kg 및 0.02 mg/kg 농도의 카벤다짐을 첨가하여 분석 시 회수율과 정밀성은 각각 상추가 84.9%, 1.0% 및 87.8%, 3.8% 얼갈이배추가 83.4%, 1.5% 및 86.8%, 2.7% 양배추가 86.4%, 2.0% 및 77.3%, 1.5% 근대가 83.3%, 0.2% 및 86.8%, 2.0 % 이었으며, 콩나물은 85.9%, 3.0% 및 90.1%, 1.3%, 그리고 숙주나물이 83.3%, 2.0% 및 85.9%, 1.9% 로 조사되었다. 본 연구의 시험법은 식품공전의 다성분분석법에 비해 신속하고 정밀한 분석법으로 농산물에 대한 카벤다짐 분석에 적합한 것으로 조사되었다.

• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.161-165
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• 2021

Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income

• 한국보건간호학회지
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• 제29권3호
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• pp.403-411
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• 2015

Due to lack of an information system regarding the status of using home-visit nursing (HVN), it has barriers of providing improvement of the HVN for management of elderly health care in Korea. The twofold aims of the current review are to expose the existing agendas for HVN and to suggest the political implications for HVN of Korea based on the transition process and revised HVN system of Japan. This review suggests that an information evaluation system has to precede for HVN services in detail. And, the service provided per manpower should be assessed by separating the code of manpower (registered nurse, nurse aide, dental hygienist) as well as securing detailed and precise information on the HVN services. The other suggestion, development of a community-based home health care nursing model in order to provide necessary services for long-term health insurance beneficiaries. In addition, a master plan for health care for elderly should be established at the national level in order to establish an effective home health nursing delivery system.

• 보건행정학회지
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• 제25권4호
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• pp.256-263
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• 2015

Background: Initial treatment of acute upper respiratory infection (AURI) should not include antibiotics because most AURIs are caused by virus. However, the prescription rate of antibiotics in Korea is higher than in any other countries. Inappropriate use of antibiotics in Korea accelerated the emergence of antibiotics resistance and increased the social and economic burden. The objective of this study was to investigate the factors related to antibiotics use for the AURI among children-adolescents and adults. Methods: This study analyzed the Health Insurance Review and Assessment Service-National Patient Sample data which was nationally representative sampling stratified by sex and age. Results: The influencing factors of antibiotics use for AURI are gender, age, types of medical security, primary disease, existence of concomitant disease, treatment seasons, first visit or revisit, indicated specialty, types of medical institution, and location of medical institution. Conclusion: The results showed health policy makers are required to place more efforts to resolve inappropriate antibiotics use. Especially they need to establish a health policy to reduce the gap between areas and specialties and recommend standardized clinical guidelines according to the subgroup code of AURI and the age group of patients.