• Journal of Preventive Medicine and Public Health
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• v.43 no.6
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• pp.455-458
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• 2010

The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.

• Archives of Plastic Surgery
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• v.51 no.2
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• pp.251-257
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• 2024

Background Plastic surgery has developed to benefit in a variety of challenging areas formerly handled by other disciplines. Medical students do not have a clear picture of plastic surgery as a career due to lacking scope, clinical practice, and understanding of plastic surgery as a clinical area of expertise, including general practitioners, nursing staff, medical trainees, and the general public, and misconceptions about the extent of reconstructive and plastic surgery. Methods A cross-sectional observational study was conducted on Kuwait University Medical students (2nd-7th Years) over a period of 1 month. A questionnaire and a consent form were provided to eligible students. The inclusion criteria were Kuwait University Medical students from 2nd to 7th Years with signed consent form. The response was collected via email sent in coordination with the Vice Dean of Student Affairs in the Faculty of Medicine. Using statistical package for the social sciences, responses were statistically analyzed. Pearson's chi-square test was used to calculate p-values, where p < 0.05 was considered statistically significant. Results A total of 244 eligible medical students, 121 males and 123 females, were included in the study, with a mean age of 21 (±2) years. Similarly, 126 (51.6%) were preclinical students (2nd-4th-year students), while 118 (48.4%) were clinical students (5th-7th-year students). About 79.8% of medical students believed that plastic surgery plays an essential role in trauma management, whereas 9.2% did not consider plastic surgery significant for trauma management. This study found that only 15.5% of medical students were interested in enrolling in plastic surgery residency after graduation, while 47.1% of students did not consider plastic surgery residency after graduation. However, 37.4% were uncertain. The two most driving factors in deciding on plastic surgery residency were expected income (61.8%) and lifestyle (14.3%). Conclusion Improving medical students' education quality can enhance their perception and awareness of plastic surgery. Students should be taught the broader scope of plastic surgery. The inclusion of formal training during undergraduation is the essence of time and should be added to or improved during plastic surgery rotations with more emphasis on reconstructive and hand/peripheral nerve surgery. Student-led interest groups can be a useful tool for educating students about their specialty.

• The Journal of Korean Physical Therapy
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• v.10 no.1
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• pp.223-227
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• 1998

The purpose of this study was to determine of the present conditions and course of Korea physical therapy. As reviewing the curriculums for physical therapy education, the system for physical therapist licence issue. and working condition of physical therapist have been suggested a strategy far specialization of physical therapist and course of Korea physical therapy. Based on the research results, the following considerations and guidelines are presented. 1. Need to specialization of curriculum for physical therapy education. 2. For increase quality of treatment, decrease the number of patient per daily treatment by a physical therapist. 3. Specialization of physical therapist role at department of physical therapy, university hospital and general hospital. 4. Establishing physical therapy residency program at university hospital and general hospital. 5. Preparing the law for independent clime open of physical therapist.

• Journal of architectural history
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• v.28 no.2
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• pp.19-30
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• 2019

The former administration office building of Kyeong-seong-bu(京城府) was a building converted from the Japanese residency-general's of Kyeong-seong(京城理事廳) which was originally built as the Japanese consulate in Joseon(日本領事館). It was too worn and too small as a Kyeong-seong-bu administration office even with several annexes. Kyeong-seong-bu tried to build a new big administration office building at the vacant north side of the same site, which was closely faced to the rotary in front of the Bank of Joseon(朝鮮銀行前廣場). But this trial was ended in vain due to insufficient budget. Therefore Kyeong-seong-bu built a new administration office building in another site and moved to it in 1926 with debts. For paying for the debts Kyeong-seong-bu sold the former site after partitioning with new roads through it. As a result the nature of the former site and its surroundings was changed. This study traces the changes and inquires how the authorities in the colonial Joseon and various commercial powers of Kyeong-seong-bu behaved for their own interests in the meantime. It makes use of the historical records and documentary literatures between early 1910s and early 1930s.

• Journal of the Korean Society for Railway
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• v.19 no.2
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• pp.251-261
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• 2016

In this paper, changes of railway-related organization during the Japanese colonial period were studied indepth. The railway-related organizations were expanded from the Railway Management Bureau in 1906 (Residency-General). In 1910, this bureau changed to the General of Chosun Railway Bureau (Government-General) and the Chosun Railway Bureau (Government-General). In the 1940's, it developed into an organization called the Transport Bureau, dealing with the whole transport service. The number of employees in the railway sector increased along with the expansion of the organization and the establishment of a training institution for better recruitment. After examining the period of the construction of railway and connection system, which is deeply related to the railway organizations of the Japanese colonial period, this paper analyzes the transformation process of railway-related laws and organizations. Furthermore, this paper finds common characteristics and differences between railways in a comparison of three countries: Chosun, Japan and Taiwan.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.10 no.2
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• pp.61-67
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• 2014

The aim of this study was to analyze the clinical characteristics of patients with cognitive and behavioral impairments receiving dental treatment under general anesthesia (GA-dental treatment). From August 2007 to April 2014, information was collected from 475 patients who received GA-dental treatment at the Clinic for Persons with Disabilities, Seoul National University Dental Hospital. The demographic factors (gender, age, disability, medication, GA history, residency type, caregiver, meal type, oral hygiene maintenance, and cooperation level) and dental status (operating duration, DMFT, malocclusion, periodontal disease, tooth defect, and treatment protocol) of the patients were evaluated. DMFT and malocclusion levels were compared among the patients with ANOVA and Sheffe's post-hoc test, and chi-square test, respectively. The correlation between the demographic characteristics and dental status of the patients were analyzed with the Pearson's correction test. The mean age of the patients was 27.1 (7 - 83) years and they had intellectual disabilities (55.4%), developmental disorders (17.9%), brain disorders (16.6%), neurocognitive disorders (4.6%), or others (5.5%). The mean DMFT (DT) was 8.6 (5.2) with a significant difference among the disability types (p<0.05). The incidence of malocclusion was higher in patients with intellectual disabilities and brain disorders than in the other types (p<0.05). The operation time ($191.4{\pm}91.2min$) was correlated with decayed or endodontically-treated teeth (p<0.05). Special needs patients requiring GA-dental treatment showed unfavorable oral conditions. Dental practitioners experience time restrictions and additional costs under a GA setting. Treatment planning and decision-making can be efficiently facilitated by evaluating the clinical characteristics of the patients.

• YAKHAK HOEJI
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• v.54 no.4
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• pp.258-269
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• 2010

As people are easy to access the National Health Insurance, medical health service has been increased. It contributed to extend human's average life expectancy and to get better health care. But also increased unnecessary health service or inappropriate drug use. Therefore, DUR (Drug Use Review) is needed to induce appropriate drug use. The purpose of this study is to evaluate outpatient prescriptions by General Practitioner (GP) and Specialized Practitioner, especially indication for ENT referral including common cold which is the frequent indications that have patient see doctor. This study was reviewed retrospectively prescriptions for ENT referral collected at the A pharmacy for ENT Clinic in Cheong-Ju, B pharmacy for GP Clinic in BoEun from Feb 2nd, 2009 to Feb 28th, 2009. Each pharmacy located closed to the each enrolled clinic. The numbers of collected prescriptions were each A pharmacy (n=2501), B pharmacy (n=1343). This study was classified Drug Related Problems (DRPs) those prescriptions had as total 6 groups according to following 6 categories; 1) Unnecessary Drug, 2) Wrong Drug, 3) Low Dose, 4) Overdose, 5) Wrong Instruction, 6) Wrong Combination. In results, Specialized Practitioner's prescriptions had more DRPs than General Practitioner's prescriptions (ENT 155.34% vs GP 130.01%). In detail, Specialized Practitioner's prescriptions had more DRPs in Low Dose (ENT 16.95% vs GP 4.77%), Overdose (ENT 6.72% vs G.P 5.51%), Wrong Instruction (ENT 7.91% vs GP 5.81%), Wrong Combination (ENT 29.31% vs GP 25.09%). These DRPs would be caused from lack of consideration for dosage and drug interaction. General Practitioner's prescriptions had more DRPs in Unnecessary Drug (ENT 70.37% vs GP 78.85%), Wrong drug (ENT 4.12% vs GP 9.98%). These DRPs would be associated with drug selection. This study was assumed that Specialized Practitioner is better prescriber than General Practitioner because Specialized Practitioner complete additional intern and residency training. But, Specialized Practitioner is not always better prescriber than General Practitioner. Furthermore, prescriptions of both Specialized Practitioner and General Practitioner had many problems. In conclusion, It could be cut down the excessive medical expense and expected more efficient medical care by reducing DRPs, thus contributing to the improvement of national health. In order to pharmacist must have good professional ability of pharmacotherapy to help the physician for the drug selection.

• Journal of architectural history
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• v.19 no.6
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• pp.187-208
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• 2010

The purpose of this study is to understand the transition process of Korean architecture and urbanism from traditional state to modern state, by investigating the development of modern survey and the characteristics of survey drawings during the Great Han Empire (大韓帝國), the early modern Korea. The governmental efforts of the Great Han Empire to introduce a modern survey system named Gwangmu Land survey (光武量田事業) ended in failure. After the Russo-Japanese War (露日戰爭, 1904-1905), the Residency-General (統監府) held the hegemony of Korean Peninsula. It reintroduced a modern survey system for the survey of land and buildings all over the country and enforced the Land and Buildings Certification System (土地家屋證明制度). Since then, the land and buildings survey was propagated rapidly and the modern system for land use was gradually organized. With the progress of modern survey, the survey bureau of Cabinet (內閣) and Department of Royal Household (宮內府) created survey drawings that had some characteristics of colonialism. Takjibu (度支部) produced cadastral maps of major cities, with which the modern land system was developed. In addition, the Royal Property Bureau (帝室財産整理局) produced survey drawings of land and buildings owned by the Royal Household which were finally converted into modern facilities.

• Korean Journal of Community Nutrition
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• v.11 no.2
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• pp.261-270
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• 2006

The purpose of this study was to identify the differences of older adults' perceptions of foodservice quality attributes of current offerings in Continuing Care Retirement Communities (CCRCs) in terms of their lifestyles (length of residency, special diet, housing option, travel frequency, dine out frequency), dining frequency, and demographics in the dining room of CCRCs. The survey was administered to residents in three CCRCs. Data was analyzed for 140 surveys using t-test, ANOVA, and factor analysis. This study found female older adults perceived the following attributes were more important than male ones: presentation of food, color and garnish, texture of vegetables, taste and flavor of food, and respectful attitude of serving staff. Older adults who have a special diet perceived the seasoning and bite sized pieces were more important than those who have a general diet. Also, there were significant differences between frequent visitors and occasional visitors in the dining room of CCRCs. By knowing the differences by residents' demographics and residential characteristics, the foodservice manager can establish strategies to increase the dining frequency of residents in the dining rooms of CCRCs.

• Journal of the Korea Fashion and Costume Design Association
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• v.11 no.3
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• pp.143-151
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• 2009

This paper starts with the assumption that in order for the popularization of hanbok leading to greater interest among the public for Hanbok and its uses in everyday life, the period for Hanbok events each year must be solidified, making it a standardized provide opportunities for participation regardless of demographic. Globalization of Hanbok most occur through a combination of related academic fields, division of roles in fields of expertise, and a scientific understanding of Hanbok. Thus various Hanbok-related programs such as contests, fashion shows, experience centers and exhibitions should be provided in one unified setting. Government sponsored Hanbok cultural events have generally been aimed at foreigners or foreign human residency, while events in Korea hae generally been carried out by a more diverse rage of groups, making it difficult for the general population to obtain information or participate actively. In order for hanbok to maintain its tradition as the national costume of Korea, Long-term develop plans must be set. Along with popularization in order to bring hanbok into everyday life, methods for the globalization of hanbok must be explored, providing opportunities to spotlight the diversity and characteristics of Korean costumes, in various events which promote participation, festival-forming and globalization of hanbok culture considering elements such as time (yearly, monthly etc.) and audience (age group, social level etc.).