• 제목/요약/키워드: School-public health

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지역의료보험조합의 규모에 따른 관리운영비 분석 (Minimum Optimal Scale of the Self-Employed Health Insurance Programs in Korea)

  • 박강원;이정운;김혜경;문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제25권4호
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    • pp.333-342
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    • 1992
  • The purpose of this study is to estimate the minimum optimal scale(MOS) of the self-employed health insurance associations. Considering the high proportion of operating expenses, the author have selected 254 regional health insurance associations eon the 1990 Finance Report of the self-employed health insurance programs. Both a quadratic function and a hyperbolic function were chosen for the analysis. The dependent variables are the average maintenance cost per insured person and per household, and the independent variables are the number of insured members and of household The minimum optimal scale was obtained from the differentiation of the quadratic function. Major findings are summarized as follows: 1. The M.O.S. was calculated as 166,174 members (27,442 households) for the rural self-employed health insurance associations and 258,462 members (75,446 households) for the urban. Providing that both the rural and urban health insurance associations would be integrated, the M.O.S. be found to become 231,687 members (68,101 households) 2. Compared with the optimal minimum scale, the magnitude of the current health insurance association found to be much smaller, less than half of the optimal scale. 3. In order to reduce the operating cost, it is necessary to enlarge the operational scale of self-employed health insurance associations.

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One Health Perspectives on Emerging Public Health Threats

  • Ryu, Sukhyun;Kim, Bryan Inho;Lim, Jun-Sik;Tan, Cheng Siang;Chun, Byung Chul
    • Journal of Preventive Medicine and Public Health
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    • 제50권6호
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    • pp.411-414
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    • 2017
  • Antimicrobial resistance and emerging infectious diseases, including avian influenza, Ebola virus disease, and Zika virus disease have significantly affected humankind in recent years. In the premodern era, no distinction was made between animal and human medicine. However, as medical science developed, the gap between human and animal science grew deeper. Cooperation among human, animal, and environmental sciences to combat emerging public health threats has become an important issue under the One Health Initiative. Herein, we presented the history of One Health, reviewed current public health threats, and suggested opportunities for the field of public health through better understanding of the One Health paradigm.

국제신체활동 설문도구로 측정한 신체활동도와 건강관련 삶의 질의 관련성 - 제4기 국민건강영양조사 자료를 이용하여 (The Relation of Physical Activity by the IPAQ to Health-related Quality of Life - Korea National Health and Nutrition Examination Survey (KNHANES) IV 2007-2008)

  • 김소영;윤지은;김희진;지선하
    • 보건교육건강증진학회지
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    • 제28권2호
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    • pp.15-25
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    • 2011
  • Objectives: This study aimed to assess the association between physical activity and health-related quality of life (HRQOL) in Koreans. Methods: A total of 9,689 adults(${\geq}19$ years, 4,036 men) from the Fourth National Health and Nutrition Examination Survey(2007-2008) were examined by the International Physical Activity Questionnaraire (IPAQ)-short form and Korean EuroQol-5 Dimension(KEQ-5D). Results: For the physical activity by IPAQ, 'Inactive group' was 75.3%, 'Minimally active group' was 23.5%, and 'Health-Enhancing Physical Activity(HEPA) group' was 1.2%. The mean HRQOL index was $0.89{\pm}0.13$. These relations of physical activity and HRQOL remained significant after adjustment for age, sex, smoking, subjective health status, stress, depression, and socioeconomic status variables (Adjusted $R^2$ = 0.334). Conclusions: Physical activity was associated with health-related quality of life. Physically active group had higher health-related quality of life than the inactive group.

몽골 울란바토르시 게르촌 주택의 겨울철 실내 초미세먼지(PM2.5) 농도의 시간적 변이 (Temporal Variation of Winter Indoor PM2.5 Concentrations in Dwellings in Ger Town of Ulaanbaatar, Mongolia)

  • 이보람;이지영;장예림;김윤지;하헌성;이우석;최우석;김규성;우철운;;이기영
    • 한국환경보건학회지
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    • 제44권1호
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    • pp.98-105
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    • 2018
  • Objectives: In Mongolian housing, they use coal as a fuel for indoor heating and cooking. The combustion of coal releases particulate matter, which can affect indoor air quality. The purpose of this study was to analyze the concentrations of indoor $PM_{2.5}$ in winter time dwellings in ger town. Methods: In this study, indoor $PM_{2.5}$ concentrations, temperature and humidity in houses were measured by a real-time PM monitor, while the time activity patterns of the residents were also observed. Results: The correlation between factors that may affect the indoor air quality was analyzed.The indoor $PM_{2.5}$ concentrations were $178.4{\pm}152.7{\mu}g/m^3$ (n=37). Five types of indoor $PM_{2.5}$ concentrations have been classified, which were associated with indoor activity. The stove type, fuel types and indoor activities such as cleaning, cooking and opening the stoves were not significantly associated with indoor $PM_{2.5}$ levels. Conclusions: Further study is needed to determine the effect of stove type through 24hours of indoor air quality monitoring.

Residential Radon and Lung Cancer Risk: An Updated Meta-analysis of Case-control Studies

  • Zhang, Zeng-Li;Sun, Jing;Dong, Jia-Yi;Tian, Hai-Lin;Xue, Lian;Qin, Li-Qiang;Tong, Jian
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2459-2465
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    • 2012
  • Background: Numbers of epidemiological studies assessing residential radon exposure and risk of lung cancer have yielded inconsistent results. Methods: We therefore performed a meta-analysis of relevant published case-control studies searched in the PubMed database through July 2011 to examine the association. The combined odds ratio (OR) were calculated using fixed- or random-effects models. Subgroup and dose-response analyses were also performed. Results: We identified 22 case-control studies of residential radon and lung cancer risk involving 13,380 cases and 21,102 controls. The combined OR of lung cancer for the highest with the lowest exposure was 1.29 (95% CI 1.10-1.51). Dose-response analysis showed that every 100 Bq/$m^3$ increment in residential radon exposure was associated with a significant 7% increase in lung cancer risk. Subgroup analysis displayed a more pronounced association in the studies conducted in Europe. Studies restricted to female or non-smokers demonstrated weakened associations between exposure and lung cancer. Conclusions: This meta-analysis provides new evidence supporting the conclusion that residential exposure to radon can significantly increase the risk of lung cancer in a dose-response manner.

Correlation Study of Knowledge and Behavior Regarding Breast Care among Female Undergraduate Students in China

  • Liu, Meng-Xue;Li, Jian;Geng, Yun-Long;Wang, Yan-Chun;Li, Jie;Chen, Yu-Juan;Ali, Gholam;Tarver, Siobhan L.;Wen, Yu-Feng;Sun, Wen-Jie
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10943-10947
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    • 2015
  • Background: This study aimed to understand the relationship between knowledge level and behavior on breast care in Chinese students, so as to provide strategies for improving the health education of breast care and subsequently for aiding in breast cancer prevention. Materials and Methods: A self-designed questionnaire was used to evaluate breast care knowledge level and characterize related behavior. Correlation analysis was conducted for the knowledge level and behavior. The study was carried out using 597 female undergraduate students in medical and non-medical colleges in Wuhu, China. Results: The average score of breast care knowledge was $5.32{\pm}1.68$ ($5.62{\pm}1.68$ and $5.00{\pm}1.68$ for medical and non-medical students, respectively), with a greater score value for sophomores ($5.59{\pm}1.72$) than freshmen ($5.18{\pm}1.65$). The average score of breast care behavior was $2.21{\pm}1.13$, again with a greater value in sophomores ($2.37{\pm}1.15$) than freshmen ($2.21{\pm}1.13$). A significant positive correlation (r=0.231, p<0.01) between knowledge scores and behavior scores was observed. In addition, various factors, including paying attention to breast care information, receiving breast self-examination guidance, TV program and Internet, were found to influence breast care knowledge. Conclusions: In general, female undergraduate students lack of self-awareness of breast care with a low rate of breast self-examination. It is necessary to carry out health education to improve early detection of breast cancer.

보건소 간호사의 간호중재 분석 - 간호중재분류[NIC]의 적용 - (Analysis of the Nursing Interventions Performed by Public Health Nurses in Health Centers Using the NIC)

  • 김숙영;진영란;오복창;박은준;윤순녕;이인숙
    • 대한간호학회지
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    • 제36권2호
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    • pp.217-226
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    • 2006
  • Purpose: The purpose of this study was to identify nursing interventions performed by public health nurses in health centers. Method: Data was collected by the taxonomy of Nursing Intervention Classification(NIC 3rd: 486 nursing interventions) from 131 public health nurses in health centers and analyzed using descriptive statistics. Result: As its result, more than 50% of public health nurses performed 137 nursing interventions at least monthly. The most frequently used intervention class was 'activity and exercise management', followed by 'physical comfort promotion', 'community health promotion', 'life span care', 'coping assistance', 'Self care facilitation', 'information management', 'nutrition support', 'community risk management' and 'patient education'. One hundred twenty nursing interventions were rarely performed by 90% or more of the nurses. Most of them were the physical complex domain. Conclusion: In conclusion, 137 interventions were performed by public health nurses at least monthly. NIC is helpful to build a standardized language for public health nursing.