• PNF and Movement
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• 제18권2호
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• pp.275-286
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• 2020

Purpose: The purpose of this study is to understand and analyze the current status of dementia management and rehabilitation services in Busan, South Korea, in response to the rapid increase of people with dementia due to the aging of the population. Methods: To investigate the current status of dementia rehabilitation in Busan, a survey was disseminated to dementia safety centers and day- and night-care centers in 16 districts/counties in Busan. Of the 209 day- and night-care centers, 23 institutes were registered in the National Health Insurance Service and received the highest grade (Grade A) in the institute evaluation that was implemented in each district. A telephone interview was conducted, and survey questions were related to the existence of an ongoing dementia rehabilitation program, program presenter, number of participants, progress method, program time, program duration, program contents, and participation path. Results: Dementia safety centers were implementing dementia prevention program, cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient. The majority of the presenters of all four dementia-related programs were occupational therapists. The highest number of participants in the dementia prevention program was 15, and the highest number of participants in the cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient was 10. All institutes' programs delivered group therapy. As for the time and frequency of the program, most dementia program included three-hour sessions five times a week. Most dementia prevention program, cognitive enhancing program, self-help meeting and education program for family of dementia patient included 60-minute sessions once a week. The most frequently observed program duration for the dementia prevention program and cognitive enhancing program was six months, and the most frequently observed duration for the dementia program was three months. Lastly, study participants most often reported that self-help meeting and education program for family of dementia patient lasted for two months. Among day- and night-care centers in Busan, programs related to cognition were implemented in 18 institutes, and the majority of the program presenters were social workers. Conclusion: In response to the rapidly growing number of dementia patients due to the aging of the population, this study examined the current status of dementia rehabilitation in Busan. The study results underscore the need to develop systems that consider the circumstances in Busan and continuously and systematically support dementia programs.

• Journal of Preventive Medicine and Public Health
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• 제13권1호
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• pp.53-66
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• 1980

The editorials of the leading newspapers may reflect as well as help formulate the public opinions to a significant degree. Bearing this in mind, this study was carried out to provide information useful in formulating such public health policies that could practically meet the social interests and demands in health appearing in the editorials of the newspapers. This analysis covered the editorials of 5 leading newspapers such as Donga Ilbo, Chungang Ilbo, Hankook Ilto, Chosun Ilbo and Seoul Shinmoon for about 10 years from Jan. 1st, 1970 through Oct. 31th, 1979. The major findings are as follows: 1. The total number of health-concerned editorials in the five daily papers for the period was 1,768 or occupied 6.4% of the total editorials of the same sources. The increasing trend of frequnecy of the health-concerned editorials since 1976 indicates the increment of social interests and demands in health. Analysing the contents, environmental pollution received the greatest attention in those editorials, which was followed by medical affairs, environmental sanitation, and disease control in order in terms of frequency of appearance. However, there was a tendency that the interests in the environmental pollution, medical affairs and social welfare tended to increase year by year, whereas those in environmental hygiene and disease control comparatively decreased. 2. Motives of dealing with the health-concerned editorials were provided by announcement of the governmental policies and implementation for 25.6% and by out-breaks of the relevant events for 23.9%. This tendency coincides with the general characteristics of the editorials that reflect the timely issues. Closely analysing, however, the fact that the motives engendered by the out-breaks of the relevant events or by the season concerned comparatively tended to decrease as years pass by, indicates that the editorials tend more to seek the future-oriented demands in health rather than the current issue-oriented. 3. The editorials appeared to be more concerned with the governmental policies. 95.7% of all the editorials analysed were addressed to the government. This signifies the role of government in the field of public health and medical affairs. Their attitudes toward health-related policies of the government were much more negative than the other editorials that were addressed to the government in other fields. This suggests that the governmental interests in health were neither sufficient nor fair. 4. What the editorials most stressed were; (1) increment of governmental interests in health, (2) improvement of the governmental health administration, (3) enriching the basic statistics, and (4) development of various technologies pertinent to health affairs and disease control, and so forth. However, must of their suggestions were not concrete but rather abstract and conceptual. 5. The editorials also expressed strong interests in research area. The areas of the needed research most suggested by items are; (1) development of effective health care delivery system, (2) establishment of more practical system of calculating medical cost, (3) implementation of effective policies to control degenerative diseases, (4) division of medical care services and pharmaceutical services systems, (5) effective ways to prevent Co poisoning accidents, (6) changing status of environmental pollution and its effects upon health, and (7) status of occupational diseases, and so forth. 6. There were some editorials -not small in quantity -that have risk to mislead the public opinions as well as the health policies due to lack of professional knowledge of the writers. It is desirable to establish some kind of mechanism that screens the erroneous contents of the editorials to help prevent misleading opinions.

• Safety and Health at Work
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• 제9권3호
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• pp.296-307
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• 2018

Background: Safety culture, acting as the oil necessary in an efficient safety management system, has its own weaknesses in the current conceptualization and utilization in practice. As a new approach, resilience safety culture (RSC) has been proposed to reduce these weaknesses and improve safety culture; however, it requires a valid and reliable instrument to be measured. This study aimed at evaluating the reliability and validity of such an instrument in measuring the RSC in sociotechnical systems. Methods: The researchers designed an instrument based on resilience engineering principles and safety culture as the first instrument to measure the RSC. The RSC instrument was distributed among 354 staff members from 12 units of an anonymous petrochemical plant through hand delivery. Content validity, confirmatory, and exploratory factor analysis were used to examine the construct validity, and Cronbach alpha and test-retest were employed to examine the reliability of the instrument. Results: The results of the content validity index and content validity ratio were calculated as 0.97 and 0.83, respectively. The explanatory factor analysis showed 14 factors with 68.29% total variance and 0.88 Kaiser-Meyer-Olkin index. The results were also confirmed with confirmatory factor analysis (relative Chi-square = 2453.49, Root Mean Square Error of Approximation = 0.04). The reliability of the RSC instrument, as measured by internal consistency, was found to be satisfactory (Cronbach ${\alpha}=0.94$). The results of test-retest reliability was r = 0.85, p < 0.001. Conclusion: The results of the study suggest that the measure shows acceptable validity and reliability.

• Journal of Preventive Medicine and Public Health
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• 제57권1호
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• pp.65-72
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• 2024

Objectives: Protecting people against financial hardship caused by illness stands as a fundamental obligation within healthcare systems and constitutes a pivotal component in achieving universal health coverage. The objective of this study was to analyze the prevalence and determinants of catastrophic health expenditures (CHE) in Iran, over the period of 2013 to 2019. Methods: Data were obtained from 7 annual national surveys conducted between 2013 and 2019 on the income and expenditures of Iranian households. The prevalence of CHE was determined using a threshold of 40% of household capacity to pay for healthcare. A binary logistic regression model was used to identify the determinants influencing CHE. Results: The prevalence of CHE increased from 3.60% in 2013 to 3.95% in 2019. In all the years analyzed, the extent of CHE occurrence among rural populations exceeded that of urban populations. Living in an urban area, having a higher wealth index, possessing health insurance coverage, and having employed family members, an employed household head, and a literate household head are all associated with a reduced likelihood of CHE (p<0.05). Conversely, the use of dental, outpatient, and inpatient care, and the presence of elderly members in the household, are associated with an increased probability of facing CHE (p<0.05). Conclusions: Throughout the study period, CHE consistently exceeded the 1% threshold designated in the national development plan. Continuous monitoring of CHE and its determinants at both household and health system levels is essential for the implementation of effective strategies aimed at enhancing financial protection.

• 한국환경보건학회지
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• 제32권2호
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• pp.171-178
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• 2006

The objectives of this study were to investigate the formation of trihalomethanes(THMs) and to compare the concentration level of THMs of swimming pools water by different disinfection methods such as chlorine, ozone-chlorine, and salt brine electrolysis generator (SBEG). The concentration of chloroform was the highest in the chlorine system, and the SBEG was the highest in the production of bromodichloromethane (BDCM), dibromochloromethane (DBCM) and bromoform. The average concentration of total trihalomethanes (TTHMs) in three disinfection systems were $64.5{\pm}27.4mg/l(SBEG),\;43.8{\pm}22.3mg/l(chlorine)$, and $30.6{\pm}16.1mg/l(ozone-chlorine)$, respectively. In chlorine and ozone-chlorine disinfection system, chloroform concentration was highest, followed by BDCN, then DBCM. In the SBEG, TTHMs was composed of 42% of chloroform, 28.9% of bromoform, 15.1% of BDCM and 14% of DBCM, respectively. The strongest correlation was obtained in the levels of chloroform and TTHMs in chlorine, and ozone-chlorine disinfection systems from both indoor and outdoor swimming pools ($r=0.989{\sim}0.999$, p<0.01). In the SBEG, the levels of BDCM and TTHMs showed a good correlation (r=0.913, p<0.01). In chlorine and ozone-chlorine disinfection systems at indoor swimming pools, pH, TOC and $KMnO_4$ consumption showed strong correlation with chloroform and TTHMs concentrations (p<0.01). In the SBEG, pH and TOC were also strongly correlated with chloroform (p<0.01). pH and TTHMs were correlated as well (p<0.05).

• Environmental Engineering Research
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• 제21권4호
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• pp.319-332
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• 2016

Micropollutants are often discharged to surface waters through untreated wastewater from sewage treatment plants and wastewater treatment plants. The presence of micropollutants in surface waters is a serious concern because surface water is usually provided to water treatment plants (WTP) to produce drinking water. Many micropollutants can withstand conventional WTP systems and stay in tap water. In particular, pharmaceuticals and endocrine disruptors are examples of micropollutants that are detected at the drinking water, ppb, or even ppb level. A variety of techniques and processes, especially advanced oxidation processes, have been applied to remove micropollutants from water to control drinking water contamination. This paper reviews recent researches on the occurrence and removal of micropollutants in the aquatic environments and during water treatment processes.

• 한국환경농학회지
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• 제21권2호
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• pp.90-95
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• 2002

채소류 중 비교적 matrix효과가 적고, 수분 함량이 적절하여 회수율이 양호한 오이를 대상으로 하여 총 16종의 농약성분을 A, B 두 group으로 나누어, 농약의 동시 다성분 분석의 전처리 과정 중 정제에 사용하는 용출용매로서 5%$\sim$20%의 acetone/hexane과 5%$\sim$20%의 ethyl acetate/hexane을 사용하여 각각의 회수율을 분석하여 얻은 결과는 다음과 같다. Acetone/hexane을 사용한 경우 5% acetone에서 총 16종의 농약 성분 중 ethalfluralin, trifluralin, chlorothalonil 등 11종의 농약은 높은 회수율을 보였으나, alachlor와 iprodione, endosulfan sulfate, bifenthrin, fenarimol은 매우 낮은 회수율을 나타내었고, 10% 이상의 acetone/hexane에서는 bifenthrin과 fenarimol을 제외한 14종의 농약에서 높은 회수율을 얻을 수 있었다. 그러나 bifenthrin은 20%의 acetone/hexane을 사용한 경우는 용출되지 않았고, fenarimol은 10% 이하의 acetone/hexane을 사용하였을 때는 낮은 회수율을 나타내었다. Ethyl acetate/hexane을 사용하여 총 16종의 농약 성분의 회수율 분석을 한 결과, 5% ethyl acetate에서 ethalfluralin, $\alpha$-endosulfan, $\beta$-endosulfan (A group), vinclozolin, tetradifon, cypermethrin fenvalerate (B group)에서만 70% 이상의 회수율을 얻었다. 10%의 ethyl acetate/hexane을 사용하여 분석한 경우는 trifluralin, chlorothalonil, $\alpha$-endosulfan, $\beta$-endosulfan, endosulfan sulfate(A group), vinclozolin, procymidone, tetradifon cypermethrin, 그리고 fenvalerate(B group)에서는 70% 이상의 회수율을 얻었고, 20%의 ethyl acetate/hexane을 사용하여 분석한 경우는 5%나 10%의 ethyl acetate/hexane을 사용하여 분석했을 때보다 좋은 결과를 나타내어 전체 16종의 농약 중 14종에서 75% 이상의 회수율을 얻었으나, alachlor와 bifenthrin은 매우 낮은 회수율을 보여서 ethyl acetate와 hexane의 혼합용매가 이들 두 농약성분의 분석에는 적합하지 않은 용출 용매임을 알 수 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.395-400
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• 2015

Both Japan and Korea provide population-based screening programs. However, screening rates are much higher in Korea than in Japan. To clarify the possible factors explaining the differences between these two countries, we analyzed the current status of the cancer screening and background healthcare systems. Population-based cancer screening in Korea is coordinated well with social health insurance under a unified insurer system. In Japan, there are over 3,000 insurers and coordinating a comprehensive strategy for cancer screening promotion has been very difficult. The public healthcare system also has influence over cancer screening. In Korea, public healthcare does not cover a wide range of services. Almost free cancer screening and subsidization for medical cost for cancers detected in population-screening provides high incentive to participation. In Japan, on the other hand, a larger coverage of medical services, low co-payment, and a lenient medical audit enables people to have cancer screening under public health insurance as well as the broad range of cancer screening. The implementation of evidence-based cancer screening programs may be largely dependent on the background healthcare system. It is important to understand the impacts of each healthcare system as a whole and to match the characteristics of a particular health system when designing an efficient cancer screening system.

• 보건교육건강증진학회지
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• 제26권4호
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• pp.83-90
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• 2009

Objectives: As collaboration for community health promotion is much emphasized, the concept and process of community collaboration for health needs to be discussed. This paper discusses varying types of collaboration and collaboration building processes and suggests directions for enhancing community collaboration research and practice. Methods: Leading literature on community partnership building and community health development and current community partnership research program information were reviewed. Results: Although the term collaboration is used interchangeably with cooperation, partnership, network, or coalition, conceptual differences need to be acknowledged in order to develop and reinforce the processes of collaboration. Collaboration building goes in hand with community-based participatory research and systems thinking, which should be supported by long-term, systematic planning and evaluation research. Conclusion: Collaboration for community health promotion needs to be defined and agreed conceptually, thus collaboration process can be developed. Effective collaboration building will be facilitated by systematic thinking and participatory research. Research support system should appreciate the time-intensive, process-oriented nature of collaboration building by providing long-term research funding and emphasizing process and long-term evaluation.

• Safety and Health at Work
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• 제12권4호
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• pp.530-535
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• 2021

Background: Despite the lack of official COVID-19 statistics, various workplaces and occupations have been at the center of COVID-19 outbreaks. We aimed to compare legal measures and governance established for managing COVID-19 infection risks at workplaces in nine Asia and Pacific countries and to recommend key administrative measures. Methods: We collected information on legal measures and governance from both general citizens and workers regarding infection risks such as COVID-19 from industrial hygiene professionals in nine countries (Indonesia, India, Japan, Malaysia, New Zealand, Republic of the Philippines, Republic of Korea, Taiwan, and Thailand) using a structured questionnaire. Results: A governmental body overseeing public health and welfare was in charge of containing the spread and occurrence of infectious diseases under an infectious disease control and prevention act or another special act, although the name of the pertinent organizations and legislation vary among countries. Unlike in the case of other traditional hazards, there have been no specific articles or clauses describing the means of mitigating virus risk in the workplace that are legally required of employers, making it difficult to define the responsibilities of the employer. Each country maintains own legal systems regarding access to the duration, administration, and financing of paid sick leave. Many workers may not have access to paid sick leave even if it is legally guaranteed.