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Coordinators' Experiences in Collaborative Practices between Korean Medicine and Western Medicine : A Qualitative Study (한.양방 협진 코디네이터의 실무경험 : 질적 연구)

  • Yu, Min-Hee;Son, Haeng-Mi;Lim, Byung-Mook
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.3
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    • pp.83-99
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    • 2011
  • Objective : To explore and describe coordinators' experiences in collaborative practices between the traditional Korean medicine doctors and the western medicine doctors. Methods : Five coordinators who agreed and completed the informed consent to take part in this qualitative study were interviewed thoroughly and tape-recorded. Transcribed data were analysed thematically with ground theory. Results : Most participants started their coordinating work without sufficient knowledge and systemic support. They, however, could find their identity as coordinators for collaborative practices through preparing manuals and protocols, providing comprehensive patients care, and experiencing the partnership with doctors. To coordinate Korean medicine and western medicine practices efficiently, participants have tried to enhance their professional knowledge and skills, and establish favorable networks. On the other hand, they were in dilemmas of being a multi-player and imbalance of responsibilities and powers in their jobs. Conclusions : It is recommended to clarify job description of coordinator for collaborative practices, develop training programme, and provide the institutional support for wider recognition of coordinator. Findings from this study should be considered in both Korean medicine-western medicine collaborative research and practice.

Codex Guideline for Organically Grown Food and its Implementation of Organic Crop and Animal Production in Korea (Codex 유기식품규격 내용과 한국 유기경종과 축산의 적응 실천)

  • 손상목
    • Korean Journal of Organic Agriculture
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    • v.8 no.3
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    • pp.17-34
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    • 2000
  • This paper is aim to report the core aspects of Codex guideline for organically grown food which is finalized by FAO/WHO Codex Alimentarius Commission on May 2000 in 28th session of the Codex committee on food labelling. The chapter of animal production had discussed for a long time before it was finalized in Ottawa/canada as well as use of GMO(Genetically modified organism), manure from factory farming, animal welfare, and fodder inputs consisting of at least 85% for ruminants and 80% for non-ruminants. As the guideline for Codex set out the several things which is very difficult for Asian country, Organic farmer in Korea should pay an attention to maintain/increase the fertility and biological activity by cultivation of legumes, green manures or deep-rooting plants in an appropriate multi-annual rotation programme, and incorporation in the soil of organic material from holding producing in accordance with the guidelines. Pest, diseases and weeds should be controlled by choice of appropriate varieties, appropriate rotation, mechanical cultivation, diversified ecosystems, flame weeding, animal weeding and steam sterilization. The use of plant growth hormone, GMO and manure from industrial management system are not allowed, and closed recycling system, rotation, resistant seeds again pest and disease should be practiced in organic farming. But these are not unfortunately practiced in the country. In the conclusion it was strongly suggested to enact the Basic Standard for Korean organic agriculture which contains the core principles of Codex guidelines, and to try the importation of the most advanced theory, skills and technology from leading country in organic farming.

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Education and Freedom for the 'Pick-Me' Generation in reading of Chun-suk Oh and Byun-chul Han (픽미세대를 위한 자유교육 소고: 천원 오천석의 자유 개념을 중심으로)

  • Yun, SunInn
    • Korean Educational Research Journal
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    • v.38 no.3
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    • pp.189-210
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    • 2018
  • This paper begins with the notion of 'pick-me generation', which refers to today's young generation in Korea. It is named after the title of a song introduced at the Television programme for the competitive audition for girl-group singers. This name gives an idea of the atmosphere of the competition that the current young generation experiences in South Korea. In parallel to it, the research examines the meaning of freedom and choice in democratic education in Oh Chunsuck, in his later work in particular. This paper attempts to demonstrate the possibility to relate Oh's notion of freedom and democracy in relation to Han who critically analyses contemporary discourses on neo-liberalism and democracy. This paper re-views Oh's ideals of democracy and education within its own limitations on freedom. The argument extends Oh's idea of freedom and ethical democracy to the idea of freedom that is relevant to today's younger generation.

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Breast Cancer Risk Assessment Using the Gail Model: a Turkish Study

  • Erbil, Nulufer;Dundar, Nursel;Inan, Cigdem;Bolukbas, Nurgul
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.303-306
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    • 2015
  • Purpose: This study was conducted to determine risk of developing of breast cancer among Turkish women. Materials and Methods: Using a descriptive and cross-sectional approach, data were collected from 231 women. Breast cancer risk was calculated using the National Cancer Institute's on-line verson of called as the Breast Cancer Risk Assessment Tool or the Gail Risk Assesment Tool. Results: The average age of women was $45.0{\pm}8.06$ years. It was revealed that 6.1% of participants reported having first degree relatives who had had breast cancer, with only four women having more than one first-degree relative affected (1.7%). The mean five-year breast cancer risk for all women was $0.88{\pm}0.91%$, and 7.4% of women had a five-year breast cancer risk >1.66% in this study. Mean lifetime breast cancer risk up to age 90 years was $9.3{\pm}5.2%$. Conclusions: The breast cancer risk assessment tool can help in the clinical management of patient seeking advice concerning screening and prevention. Healthcare providers in Turkey can use this approach to estimate an individual's probability of developing breast cancer.

Clinicopathologic Characteristics of Breast Cancer in Jamaica

  • Chin, Sheray Nicole;Green, Cheryl;Strachan, Georgiana Gordon;Wharfe, Gilian
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.7
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    • pp.3319-3322
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    • 2014
  • Breast cancer is the most common cancer in Jamaican women. This study assessed the clinicopathologic features of cases in a hospital-based specialist clinic in Kingston, Jamaica. A retrospective chart review was performed for the 2-year study period and relevant clinical and surgico-pathologic data were recorded and analyzed. Median age of the 121 breast cancer patients was 52 years (range 22-84, IQR 20) and there was 1 case of male breast cancer. Most patients (65%) were referred from the surgical service after definitive breast cancer surgery, 20% were referred for pre-operative systemic therapy, and 15% had a diagnosis of metastatic disease. The surgico-pathologic group comprised 78 women who were referred for adjuvant therapy. The majority had presented with a palpable breast lump (91%), with median tumour size 3.5cm (range 0.4-13, IQR 4). Most tumours were node positive (56%). Approximately one-third of patients had stage III disease (33%). Most women presented with large palpable tumours and had lymph node involvement confirmed on surgicopathological evaluation, indicative of limited early breast cancer detection. A national screening mammography programme is recommended for detection of earlier lesions. Pre-operative systemic therapy should be considered as an option for eligible patients.

Knowledge, Attitudes and Beliefs about Cervical Cancer and Human Papilloma Virus Vaccination with Related Factors in Turkish University Students

  • Yilmazel, Gulay;Duman, Nuriye Buyukkayaci
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3699-3704
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    • 2014
  • Background: This study aimed to determine knowledge, attitudes and believes about cervical cancer and human papilloma virus (HPV) vaccination with related factors in Turkish university students. Materials and Methods: This descriptive and cross sectional study was conducted between June-July 2013 in Hitit University located in Corum, a rural area to the East of Ankara. The population consisted of 550 university students who were training in first and last year from Faculties of Economics, Theology and Health. We reached 463 volunteer students without selection. The study of data was collected with a 44 item questionaire covering socio-demographic features, knowledge, attitudes and beliefs about cervical cancer, HPV and vaccination. Also for this study ethic committee report was taken from Bozok University. Data were evaluated with the SPSS 17.0 programme using the Ki kare test with P<0.05 accepted as statistically significant. Results: It was seen that there was a statistically significant variation between classrooms and departments of students with knowledge about cervical cancer and human papilloma virus and vaccine (p<0.001; p<0.01; p<0.05). Also we found low attitudes to thinking about taking HPV vaccination of girls and their children in the future. Conclusions: In light of the study findings; it was concluded that knowledge levels, beliefs and attitudes of the university students about cervical cancer, HPV infection and HPV vaccination were low.

Green and Healthy Living in a High-rise, High Density Urban Environment: The Hong Kong Housing Authority's Experience

  • Fung, Ada Y.S.
    • Land and Housing Review
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    • v.5 no.3
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    • pp.131-136
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    • 2014
  • The Hong Kong Housing Authority (HKHA) develops and implements a public housing programme to meet the housing needs of people who cannot afford private rental housing. The HKHA has an existing stock of about 740,000 public rental flats (PRH). According to the 2014 Policy Address, the Government aims to provide an average of about 20,000 PRH units and about 8,000 Home Ownership Scheme (HOS) units per year. We care for the environment. In developing new housing estates, we conduct thorough environmental studies such as microclimate studies and air ventilation assessment, and use passive design to harness the natural characteristics of our sites. We employ environment-friendly design and construction methods, using modular flat design, pre-cast and pre-fabricated construction techniques as well as recycled, green construction materials. We conduct Carbon Emission Estimation for all our projects, conserve the use of natural resources and reduce wastes throughout the life cycle of buildings. We care for people. We adopt the principles of Universal Design and Barrier Free Access for the convenience and welfare of people of all ages and abilities. We carry out Community Engagement to collect stakeholders' views and aspirations, and incorporate them in the design of our projects. We also carry out surveys of residents' views after the occupation of new estates to gauge our success and identify areas for improvement.

Business Performance Determinants of Salted Fish Distribution in Kapuk During the COVID-19

  • CHRISTIAN, Michael;DEWI, Dewi;REMBULAN, Glisina Dwinoor;INDRIYARTI, Eko Retno;WIBOWO, Suryo;YUNIARTO, Yustinus
    • Journal of Distribution Science
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    • v.19 no.6
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    • pp.29-39
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    • 2021
  • Purpose: This study aims to measure whether market orientation, entrepreneurial orientation, and marketing capabilities affected the business performance of salted fish distribution in Kapuk warehouse, West Jakarta at the beginning of the COVID-19 pandemic. This prolonged and difficult pandemic has had an impact on the business of selling salted fish, challenging organisations' ability to maintain business performance. Research design, data and methodology: This study uses a PLS-SEM model approach using Smart PLS 3.0 and a questionnaire as the instruments. The conditions during the observation include 77 distributors who chose to keep doing business, and the research sample were measured by the number of distributors (business actors or people in charge). In this study, the variables of marketing capabilities, market orientation, and entrepreneurial orientation were used to analyse business performance. Results: Interestingly, the results of the study succeeded in explaining that during a pandemic market, both entrepreneurial orientation and marketing ability affected current business performance, although marketing ability remains an inconsistent mediator. Conclusions: This result serves as a reminder that surviving is the priority which must be focused on now, rather than crafting strategies to excel in competition that consume valuable effort and resources.

Study on School Life Adaptation of Middle School Students who are Beneficiary of Educational Welfare Service (교육복지서비스 이용 중학생의 학교생활적응에 관한 연구)

  • Choi, Yu Kyung;Choi, In-Hwa
    • Journal of Families and Better Life
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    • v.32 no.4
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    • pp.23-39
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    • 2014
  • The purpose of this study is to examine if there is any difference due to the general characteristics of middle school students who are beneficiaries of educational welfare services and a special quality of use about educational welfare services. Additionally, the examination has been performed to understand the relationship that exists between the satisfaction about educational welfare services, and adaptation to school life and self-respect of middle school students who are beneficiaries of educational welfare services. The results of the study showed meaningful higher scores by male students than female students only in the environmental adaptation area among lower areas in school life adaptation due to sex. Due to school year, third-year students showed meaningful high scores in school life adaptation. The satisfaction about programs in each area of educational welfare services of middle school students who are beneficiaries of educational welfare services showed a meaningful static relationship with school life adaptation. The inspection of the relationship between satisfaction about educational welfare services and 5 lower areas of school life adaptation showed statistically meaningful results in the order of adaptation to the teacher, adaptation to the environment and adaptation to the class, which are lower areas. The examination on the relationship between self-respect and adaptation to school life showed that self-respect has a static relationship with all lower areas of school life and overall school life adaptation. However, no meaningful relationship was shown between the satisfaction about educational welfare services and self-respect. Also, it was found that the factors of grade, self-respect, the number of service utilization have an effect on school life adaptation. This study has some limitations. But in this study, which is different from other studies which dealt with students who had used partial areas of educational welfare services, students who were using all 4 areas of educational welfare services were selected as subjects. In addition, this study is significant in that basic data has been offered for establishment of a policy on educational welfare services in middle schools in the future.

Cervical Cancer Screening in an Early Diagnosis and Screening Center in Mersin, Turkey

  • Nayir, Tufan;Okyay, Ramazan Azim;Nazlican, Ersin;Yesilyurt, Hakki;Akbaba, Muhsin;Ilhan, Berrin;Kemik, Aytekin
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.6909-6912
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    • 2015
  • Cancer is a major public health problem due to the jeavy disease burden, fatality and tendency for increased incidence. Of all cancer types, cervical cancer is reported to be the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases worldwide in 2012. It features a long preclinical phase with slowly progressing precancerous lesions such as CIN 2 and 3 and adenocarcinoma in situ. Therefore, screening programs such as with Pap smear tests may play an important role in cervical cancer prevention. The purpose of this study was to present results of a Pap smear screening survey for cervical cancer targeting women living in an urban area in the province of Mersin, located in the Mediterranean region of Turkey. This community-based descriptive study included women living at Akdeniz county of Mersin province. A total of 1,032 screened women between 30 and 65 ages within the routine screening programme constituted the study population. The mean age of the participants was $43.8{\pm}8.6$ (min. 30, max. 65) years. The percentage of the participants who had previously undergone smears was 40.6%. Epithelial cell changes were found in 26 (2.5%) participants, with ASC-US in 18 (1.7%), ASC-H in 2 (0.2%), LSIL in 5 (0.5%) and HSIL in 1 (0.1%). The most common clinical presentation together with epithelial changes was abnormal vaginal discharge. Taking into account the presence of women who had never undergone Pap test; it should be offered at primary level of health care in the form of a community-based service to achieve reduced morbidity and mortality rates.