• Title/Summary/Keyword: Public action

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Attitude and Management Contents of Health Workers Engaged in Visiting Health Service (보건기관(保健機關)의 방문보건사업(訪問保健事業) 담당인력(擔當人力)들의 사업(事業)에 대한 태도(態度) 견해(見解)와 환자관리(患者管理) 양상(樣相))

  • Park, Mi-Young;Park, Jae-Yong
    • Journal of agricultural medicine and community health
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    • v.23 no.1
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    • pp.91-108
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    • 1998
  • This study was conducted to use the feedback of health personnel to improve the Visiting Health Service. The data was collected from 471 Home Health Workers serving 24 local health organizations in the Kyung-Pook province. 62.5% of the respondents were men under thirty-nine years of age. 92.8% of the respondents are married. 47.1% had degrees from junior colleges. It was ascertained 52.7% of the workers visited their patients six to twelve times within a six month period. And one to three patients were visited per day by one worker. Workers of older age, higher job position, and more experience were more positive in their feedback about the program. In addition, local health center employees, including nurses, were more positive about the program. Younger workers with a higher level of education, less experience, and lower job position had more insight into the problems of the program. Deeper insight into these problems led to a more negative conception of the program. Older workers with higher ranking jobs were found to be most competent. in their jobs. Workers at the main health center were assessed higher than the workers at the health sub-center or the primary health post. In addison nurses at all centers were found to be slightly more competent than the nurses' aide. The primary health post established the highest degree of patient satisfaction. It was discovered that the more positive the workers felt about the program, the higher their patient satisfaction feedback. There was a positive correlation between management assessment and patient satisfaction. This means that better program management was found to produce higher patient satisfaction. Workers feel being more educated about patient management would lead to better service. However, they take no action to produce these results. Where the problems of the system are most commented upon, the need for further education is greatest. Through multiple regression analyses it is apparent that the assessment of patient management is the greatest variable affecting patient satisfaction of patients is dependent on the management by the visiting health worker. Therefore, the development of the visiting health program is highly dependant on the feedback of those workers with a negative conception of the program. So the development of programs, motivation, education and training must be established. These works would lead to active participation by visiting health workers in the improvement of the Visiting health program.

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A Review of Literature on the Welfare Delivery System of Exceptional Children in Korea (우리나라 특수아동(特殊兒童) 복지제도(福祉制度)에 관(關)한 고찰(考察))

  • Lee, So-Hee
    • Korean Journal of Child Studies
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    • v.1
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    • pp.94-106
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    • 1980
  • The issue presented in this paper are as follows: 1. Legislative actions of welfare-related law for the exceptional children. The legislative base for the evolution has been yet weak and ambigous at best for a formalization of what should be considered accepted practice and effective action in providing handicapped child and their parents educational rights and equal protection of the law. And they are under remote control of partial factor subject to social welfare law for children, and public law for education, promotion law for the exceptional child education, protection law for public aids. 2. Organization of government for the welfare services for the exceptional children. There is no sing of a push toward consolidation of effort for the welfare service of the exceptional children in this country that seeks to recapture a sense of unity, of coherence, of completeness from a reality made up of discontinuous fragments of humanitarian effora This presently that. as for the education of the exceptional child, by the section of the exceptional education in MOE (Ministry of Education), and/or as for welfare services and promotion actions, by the section of child welfare in MHSA (Ministry of Health and Social Affairs). One door type operation rooted in the specialization, and limited resources to evolve multi-purpose agencies that undertake to provide a broad range of tangible and concrete services, as well as supportive counselling and assessment, under a single management which plans and directs the allocations of resources, should be followed. 3. Facilities and recruitment of teachers for the exceptional children. In this country there are 54 facilities for special services, 56 schools for the exceptional education, and 3 colleges and equavalents that provide teacher training services leading to certification with IIO annual graduates. However, curriculum for exceptional children should be rearranged and reconstructed. Conclusion; Only as for social welfare institutions in community, this country produced a succession of specific purpose activities, over period of time, that accumulated to form the present network of hundreds of social welfare organizations and facilities Periodically major efforts were launched to revitalize or to improve the help-giving system. But they lack specialization to be effective, and the nature of multi-purpose center tends to be vague for the classified handicapped. Therefore, there, should be linkage between policy maker and community services to maintain some coherenty in preventive care, treatment, and after cares. At last, the effects of the current concept "the exceptional child" involved with their families, and their neighborhood should be considered in view of the people who consist about 25% of the total population.

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Study of the Electoral TV-Public Space: Paradox of the Mythical Structure Manipulated by the Technical Institutionalization (TV 선거 공론장 구조 연구: 기계적 제도화의 역설(Paradox))

  • Park, Tae-Soun
    • Korean journal of communication and information
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    • v.36
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    • pp.198-230
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    • 2006
  • The aim of the this study is to observer paradoxal phenomenon in media election. The media, especially Television, was traditionally a journalistic operation representing political events on the outside of political camp. But recently, it intervenes to 'the political camp' as the most important method for election campaign. A centripetal of electronic medias making the dominant political space offer an alternative plan which get over the modern crisis of representative democracy. Even though, to the production of the political symbol and the operation of symbol which constitute substantial system of political action, the human being subject is excluded and the technical system of communication make up a govern structure. So it makes the contradictory situation. TV broadcast for election campaigning show well this paradoxal situation. The institutionalization of electoral broadcasting oriented by the State strengthens an immensification, an economical and political efficiency and a transparency of electoral campaign. But the means which controls the mind of public is also strengthened. It relates the production and circulation of the political symbol and the symbolic image restricted by dominator. In conclusion, this study argues that the media election is institutionalized by the instrumental reason(procedural rationality of politics and technological rationality of broadcasting), therefore the candidate take a fragment roles for the production of transcendental political symbol and the voters accommodate to the symbolic images which are foreseen and they judge.

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The Behavioral and Educational Factors Affecting the Breast Self-examination and Breast Cancer Screening (일부 보건소 내소 여성의 유방자가검진과 유방암 검진의 관련요인)

  • 최종숙;박재용;한창현
    • Korean Journal of Health Education and Promotion
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    • v.18 no.1
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    • pp.61-78
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    • 2001
  • The purpose of this research was to find out plans to promote the fulfillment of the breast self-examination and breast cancer screening, which is preventive health behavior about women's having breast cancer exam in some part of our country with searching for the primary causes which have an effect on their fulfillment. The subjects of the study were 540 literate volunteers who were of age from 20 to 69 and who visited 8 health centers in Taegu. The survey research was made through questionares in the 8 health centers in Taegu from the 15th to the 30th of September, 1998. Based on Becker's health belief model asking medical staff's opinions with bibliographies, the major findings from the survey was as follow. The fulfillment rate of the breast self-examination and the breast cancer screening was 37.8%(204 subjects), 27.6% (149 subjects) each. Getting breast self-exam varied significantly depending on subject's age, income of family, religion, occupation and the number of children. As far as the breast cancer screening was concerned, there was remarkably significant difference in accordance with their age, marital status, religion, occupation, income of family, the number of children, ways of nursing and parturition age of the first baby. The subjects in their forties accounted for the highest rate. Based on the fulfillment of the breast self-examination and the breast cancer screening, the average points of all the variables presented from the health belief as well as the points of the susceptibility, seriousness, benefits, knowledge and level of health concern of interest in health were significantly higher than the points of non-fulfillment of them in the statistical analysis whereas the barriers was lower than them. In consequence of the multiple-logistic regression analysis putting the breast self-examination and the breast cancer screening in dependent variables, occupation, knowledge, seriousness, benefits, barriers and cues to action had significant effects on breast self-examination against breast cancer. Looking more attainments, thinking diseases more seriously, feeling more usefulness and there being any patient around with breast cancer led to the higher rate of the breast self-examination against it. On the other hand, feeling more impedition as well as housewives caused the lower rate of it. The breast cancer screening was significantly affected by age, sensitivity, usefulness, impedition and behavior momentum as well. The cases who are older, feeling more sensitivity against breast cancer, more usefulness of the examination and where any patient around, the fulfillment rate was higher. Contrarily the more impedition they felt, the lower the fulfillment rate was. Accordingly, the study of the causes, which have significant effects on the fulfillment of the self-examination and the breast cancer screening in order to find it in an early stage, and the development of health education programs as well as proper education for public health through carrying on campaigns and stepping up public relations must be indispensable.

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The Relationships between Emotional Labour, Depressive Symptoms and Presenteeism among Counselors in Call Centers (콜센터 상담원들의 감정노동 및 우울과 프리젠티즘과의 관련성)

  • Baek, Jong-Tae;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.4086-4097
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    • 2015
  • This study examined the level of an emotional labour, depressive symptoms, and presenteeism of counselors working in a call center depending on socio-demographic characteristics, health-related factors, and job-related factors. Especially, the main purpose of a survey was to investigate the relevance to an emotional labour, the level of depressive symptoms and presenteeism. The research subjects were 304 counselors working at two call centers in Daejeon, and the survey was conducted from April 1, 2014 to May 31, 2014, using a structured self-administered questionnaire. As a result, the emotional labour, depressive symptoms and presenteeism experienced by the research subjects had a deep relation to many variables like socio-demographic characteristics, health-related factors and job-related factors. Especially, presenteeism showed a meaningful positive correlation with depressive symptoms and emotional labour factors. According to the result of a hierarchical multiple regression analysis, the meaningful variables related to presenteeism were age, the amount of a physical burden, the level of depressive symptoms, the surface action of an emotional labour. Therefore, to lower down the counselors' presenteeism, the development and implement of a mental healthcare program to control not only depressive symptoms and the level of an emotional labour is urgently needed.

Meaning and identity of social work practice by thinking through settlement house as a welfare space : Comparison of Toynbee Hall and Hull House (복지공간으로서 인보관을 통한 사회복지실천의 뜻과 정체성의 사유 : 토인비 홀과 헐 하우스의 비교)

  • Park, Sunyoung
    • Korean Journal of Social Welfare Studies
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    • v.48 no.1
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    • pp.91-111
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    • 2017
  • Purposes of this study, summoning thoughts and activities of Toynbee Hall of the UK and Hull House of the US held in between the end of 19C and the early 20C, are two folded: first, it is to examine the momentum and aims for which 'social' work was progressively established at that time; second, it is to look for implications for today's social work practice through understanding their characteristic activities and the context in which 'social' work was devised as an alternative in the two nations. The study method mainly relies on literature review, but further goes on to analyze the spirit of the age when settlement house was constructed as a welfare space and activities, leadership demonstrated in there, and to draw meanings for today, in terms of three dimensions: aim and location, professionality and education, and social action. Some of useful findings are: first, the COS and settlement house need to be considered in a continuum of socially responsive remedies against poverty and social work practice was developed in the process of 'suggestion-performance-critique-alternative suggestion-emergence of social work', rather than contrasting the two as opposite roots of social work practice. Second, settlement house was a socially constructed welfare space that contained intersectional dynamics of class, gender, personal vs. social, private vs. public, surrounding poverty issue. Third, besides differences between the two settlements, both purported for public goods and well-being and tried to realize the 'social' in that society. Lastly, this study explored historical meanings of settlement house as the welfare space with critical questions and discussed implications for social work practice today.

Mortality Burden Due to Short-term Exposure to Fine Particulate Matter in Korea

  • Jongmin Oh;Youn-Hee Lim;Changwoo Han;Dong-Wook Lee;Jisun Myung;Yun-Chul Hong;Soontae Kim;Hyun-Joo Bae
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.2
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    • pp.185-196
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    • 2024
  • Objectives: Excess mortality associated with long-term exposure to fine particulate matter (PM2.5) has been documented. However, research on the disease burden following short-term exposure is scarce. We investigated the cause-specific mortality burden of short-term exposure to PM2.5 by considering the potential non-linear concentration-response relationship in Korea. Methods: Daily cause-specific mortality rates and PM2.5 exposure levels from 2010 to 2019 were collected for 8 Korean cities and 9 provinces. A generalized additive mixed model was employed to estimate the non-linear relationship between PM2.5 exposure and cause-specific mortality levels. We assumed no detrimental health effects of PM2.5 concentrations below 15 ㎍/m3. Overall deaths attributable to short-term PM2.5 exposure were estimated by summing the daily numbers of excess deaths associated with ambient PM2.5 exposure. Results: Of the 2 749 704 recorded deaths, 2 453 686 (89.2%) were non-accidental, 591 267 (21.5%) were cardiovascular, and 141 066 (5.1%) were respiratory in nature. A non-linear relationship was observed between all-cause mortality and exposure to PM2.5 at lag0, whereas linear associations were evident for cause-specific mortalities. Overall, 10 814 all-cause, 7855 non-accidental, 1642 cardiovascular, and 708 respiratory deaths were attributed to short-term exposure to PM2.5. The estimated number of all-cause excess deaths due to short-term PM2.5 exposure in 2019 was 1039 (95% confidence interval, 604 to 1472). Conclusions: Our findings indicate an association between short-term PM2.5 exposure and various mortality rates (all-cause, non-accidental, cardiovascular, and respiratory) in Korea over the period from 2010 to 2019. Consequently, action plans should be developed to reduce deaths attributable to short-term exposure to PM2.5.

Studies on the Concentrations of Cd, Pb, Hg and Cr in Dog Serum in Korea

  • Park, S.H.;Lee, M.H.;Kim, S.K.
    • Asian-Australasian Journal of Animal Sciences
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    • v.18 no.11
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    • pp.1623-1627
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    • 2005
  • Heavy metal pollution has become a serious health concern in recent years. Dogs are a very good indicator of the pollution load on the environment. They share people's environment and are exposed to the action of the same pollutants. This study estimated the heavy metal contents in the serum of dogs in domestic districts, and assessed the age, sex, feeding habits, living area, breeding environment and smoking habit of the owners. The findings suggest that dogs can be used to monitor the environmental quality of heavy metals. The mean concentrations of heavy metals in the dog serum from 204 samples (108 male and 96 female) were 0.22${\pm}$0.01 $\mu$g/ml, 0.24${\pm}$0.04 $\mu$g/ml, 0.61${\pm}$0.08 $\mu$g/ml, and 0.50${\pm}$0.06 $\mu$g/ml (for Cd, Hg, Pb, and Cr), respectively. Concentrations of Pb, Cd, Hg, and Cr in the dog serum were higher in Yeongnam including Ulsan, and Seoul higher than those of Chungchong and Honam, especially Pb concentration, which was significantly higher (p<0.01). Concentrations of Cd, Hg, Pb, and Cr in serum, were increased by age (p<0.05). When commercial pet food was provided to dogs, Cd and Cr concentrations were significantly higher in dog serum than dogs fed a human diet (p<0.01 in Cd and p<0.05 in Cr). Heavy metal concentrations of dogs owned by smoking owners, were higher than non-smoking owners although there was no significant difference.

A Study on Issues of Heavy Debtors and Credit Counseling in Japan : Including the Interview of Counselors in the Credit Counseling Service (일본의 다중채무자문제 및 채무자상담에 관한 연구 :채무자상담기관의 상담자 면접조사를 포함하여)

  • Lee, Hyun-Jin
    • Journal of Families and Better Life
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    • v.25 no.2 s.86
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    • pp.155-172
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    • 2007
  • This study is a qualitative analysis aimed at facilitating a plan of social support for heavy debtors. for this purpose, the status of issues related to heavy debtors in Japan is considered, and more is revealed about the status of operation for non-profit organizations and groups of heavy debtor victims as counseling agencies for heavy debtors. In addition, through interviews conducted with the counselors of these organizations, a survey has been made on whether the credit counseling provides particular functions for and increases the satisfaction of debtors. The root of Japan's large number of heavy debtors lay in that country's excessive growth of consumer financing, the increase of its use, the structural problems on the lending system of consumer financing and legal insufficiency, to name of few fundamental problems. The interviews on debtor counseling in private organizations revealed that the debtors being counseled showed a great change, due primarily to group counseling and activities, in such aspects as psychological stability, learning and understanding about heavy debts and willingness to take action for solving their own problems. In addition, regarding the aspects of time and cost, specialty, mutual exchange of experienced persons, psychological care and educational functions, the importance of the debtor counseling group's role has been established. To improve the problems of heavy debtors in Korea, there is a need to promote the importance of debtor counseling increase the interest and support of the administration, create a sense of solidarity among related organizations and promote public education on consumer credit. The support of the consumer credit industry and the development of human resources are also badly needed.

New Development of Methods for Environmental Impact Assessment Facing Uncertainty and Cumulative Environmental Impacts (불확실성과 누적환경영향하에서의 환경영향평가를 위한 방법론의 새로운 개발)

  • Pietsch, Jurgen
    • Journal of Environmental Impact Assessment
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    • v.4 no.3
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    • pp.87-94
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    • 1995
  • At both international and national levels, such as in the Rio Declaration and the EU's Fifth Environmental Action Plan, governments have committed themselves to the adoption of the precautionary principle (UNCED 1992, CEC 1992). These commitments mean that the existence of uncertainty in appraising policies and proposals for development should be acknowledged. Uncertainty arise in both the prediction of impacts and in the evaluation of their significance, particularly of those cumulative impacts which are individually insignificant but cumulatively damaging. The EC network of EIA experts, stated at their last meeting in Athens that indirect effects and the treatment of uncertainty are one of the main deficiencies of current EIA practice. Uncertainties in decision-making arise where choices have been made in the development of the policy or proposal, such as the selection of options, the justification for that choice, and the selection of different indicators to comply with different regulatory regimes. It is also likely that a weighting system for evaluating significance will have been used which may be implicit rather than explicit. Those involved in decision-making may employ different tolerances of uncertainty than members of the public, for instance over the consideration of the worst-case scenario. Possible methods for dealing with these uncertainties include scenarios, sensitivity analysis, showing points of view, decision analysis, postponing decisions and graphical methods. An understanding of the development of cumulative environmental impacts affords not only ecologic but also socio-economic investigations. Since cumulative impacts originate mainly in centres of urban or industrial development, in particular an analysis of future growth effects that might possibly be induced by certain development impacts. Not least it is seen as an matter of sustainability to connect this issue with ecological research. The serious attempt to reduce the area of uncertainty in environmental planning is a challenge and an important step towards reliable planning and sustainable development.

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