• Journal of Preventive Medicine and Public Health
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• v.46 no.3
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• pp.134-138
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• 2013

This road map aims to establish a stable and integrated healthcare system for the Korean Peninsula by improving health conditions and building a foundation for healthcare in North Korea through a series of effective healthcare programs. With a basic time frame extending from the present in stages towards unification, the roadmap is composed of four successive phases. The first and second phases, each expected to last five years, respectively, focus on disease treatment and nutritional treatment. These phases would thereby safeguard the health of the most vulnerable populations in North Korea, while fulfilling the basic health needs of other groups by modernizing existing medical facilities. Based on the gains of the first two phases, the third phase, for ten years, would prepare for unification of the Koreas by promoting the health of all the North Korean people and improving basic infrastructural elements such as health workforce capacity and medical institutions. The fourth phase, assuming that unification will take place, provides fundamental principles and directions for establishing an integrated healthcare system across the Korean Peninsula. We are hoping to increase the consistency of the program and overcome several existing concerns of the current program with this roadmap.

• Journal of agricultural medicine and community health
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• v.4 no.1
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• pp.20-30
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• 1979

To investigate the status of morbidity and medicare utilization during last 8 months from 1 st Oct. 1977 to 31th May, 1978 in the area under Sam-Wha Medicare Insurance Union, a study was carried out through analyzing the medicare records of patients who are enrolled. For the study, 3 doctors and one nurse were mobilized and the results are as follows: 1) The total number of the Medicare insurance Union members in the study area were 5,735 composed of 3,000 males(52.3%) and 2,735 females(47.7%). 2) The total number of patients were 1,405 composed of 783 males (55. 0%) and 622 females(45. 0%) and the incidence rate per 1,000 population was 245.0 of total(261.0 in males and 227.4 in females). 3) Five major diseases with 52, 7% of total patients were acute upper respiratory infection(20.7%), peptic ulcer(12.2%), bronchitis(5.5%), injuries(5.2%) and dental problems(5.1%). 4) The order of the incidence rate of age group per 1,000 population was the year group on 0-4(342.6), 25-44(312.7), 45-64(307.0), 65 and over(240.3), 15-24(178.8) and 5-14(164.8). 5) Of the 1,405 total patients, the out-patients were 1,661(96.9%) and the in-patients were 44(3.1%) and the ratio wae 30.9 : 1.0. 6) Among the out-patients 96.7% of them were cared in primary medicare facilities, 1.0,% in secondary care, and 2.3% in tertiary care. And among the in-patients 50. 5% of them were cared in primary medicare facilities, 4. 5% in secondary care, 45. 5% in tertiary care. 7) Duration of medicare was concentrated within a week in 84. 3% of total patients.

• Journal of the Korean Institute of Educational Facilities
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• v.24 no.5
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• pp.11-18
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• 2017

An university dorm has significant implications in terms of providing residential, living, and learning spaces. With its supportive function, a dorm enables each university to provide higher level of education. The operation & maintenance(O&M) condition of the dorm has a decisive effect on the students' satisfaction. Accordingly, high levels of O&M services should be performed for students. However, Korean dorms are being operated and maintained by their own O&M guidelines without the consideration of spatial characteristics of dorm facilities and the comprehensive and systematic understanding on effective O&M processes. Given the fact that dorm facility can be a crucial factor in determining the entire quality of university and its O&M condition is closely related to the satisfaction of students, it is imperative that we need to pay more attention to the O&M condition and services. Therefore, the main objective of this research is to improve dorm students' satisfaction levels by applying different O&M method, preventive maintenance rather than reactive maintenance which has been performed so far. In ordering for doing it, 'Facility Management(FM) Standard' from KS, 'Facility Performance Indicator(FPI)' from APPA: Leadership in educational facilities and 'Building O&M Inspection Manual' from Korean Ministry of Land, Infrastructure and Transport were analyzed to come up with 15 significant O&M factors. After extracting O&M factors, the survey was conducted to determine importance rate and performance rate of each O&M factor. Using the Important-Performance Analysis(IPA), the priority of 15 O&M factors was established. The result of this research will be helpful for the efficient dorm facility O&M services and for facility managers to appropriately allocate the limited resources and human power.

• Journal of Preventive Medicine and Public Health
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• v.53 no.4
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• pp.289-292
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• 2020

Yemen has been faced with the worst cholera epidemic of modern times, with more than 1 million suspected cases and 3000 deaths at the time of writing. This problem is largely due to the longstanding civil war between pro-government forces and the Houthi armed movement, which has severely damaged already vulnerable sanitation and healthcare facilities and systems in the country. It is further compounded by a dire lack of basic amenities, chronic malnutrition, and unfavourable weather conditions. Another contributory component may be aerial transfer by cholera-infected chironomid insects. To contain the spread of cholera in Yemen, a nation-wide armistice should be negotiated, and national and local committees must be convened to coordinate efforts on the ground. Community isolation facilities with proper sanitation, reliable disposal systems, and a clean water supply should be set up to isolate and treat sick patients. The continuity of vaccination programmes should be ensured. Public health campaigns to educate local communities about good hygiene practices and nutrition are also necessary. The One Health paradigm emphasizes a multi-sectoral and transdisciplinary understanding and approach to prevent and mitigate the threat of communicable diseases. This paradigm is highly applicable to the ongoing cholera crisis in Yemen, as it demands a holistic and whole-of-society approach at the local, regional, and national levels. The key stakeholders and warring parties in Yemen must work towards a lasting ceasefire during these trying times, especially given the extra burden from the mounting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak worldwide.

• The Journal of Korean Physical Therapy
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• v.2 no.1
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• pp.65-74
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• 1990

This study was carried out to measure the degree of work-related stress and to identify factors influencing the excessive stress among clinical physical therapists. One thousand and five physical therapists surveyed nationwide met the established criteria for inclusion in the study. The respondents were an average age of 27.1 years, $34.5\%$ were married, and $61.2\%$ were female. Most of the respondent $(48.1\%)$ worked in local clinics. The average stress score was 50.9. Analysis-of-variance test demonstrated significant difference in the degree of stress among treatment facilities. There was a significant relationship between treatment facilities (general hospital, local hospital, clinic), number of patients treated per day, job satisfaction, low back pain and work-related stress, respectively. Work-related stress was unrelated to matters of sex, marital status, education. Hospital administrators, physical therapydirectors, directors, and individual therapists should work within their organizations to reduce work stress and its detrimental effects. Further research is necessary to investigate preventive measures to decrease the work-related stress.

• The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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• v.14 no.1
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• pp.12-20
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• 1985

This paper aims to present the basic data to establish resonable building maintenance standards by investigating and analyzing the actual conditions of maintenance for service facilities and the problems due to the situation. The subject buildings of investigation are 10 stories and above off ice buildings in Seoul. The results obtained from this study are as follows. 1. The equipment service life related to air-conditioning system is known as around 9years in case of breakdown maintenance and around 13 years in case of preventive maintenance. 2. The total mechanical room area against the total floor area is $4.40\%$, and the ratio of air-conditioning room area is $1.78\%$ on an average.

• Journal of Environmental Science International
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• v.17 no.1
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• pp.45-56
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• 2008

This study was to assess the lifetime cancer and non-cancer risk of exposure of worker and user at public facilities in Korea to volatile organic compounds (VOCs). We measured the concentrations of two aldehydes and five VOCs in indoor air at 424 public buildings that 8 kinds of public facilities (70 movie theaters, 86 offices, 86 restaurants, 70 academies, 22 auditoriums, 30 PC-rooms, 30 singing-rooms and 30 bars) all over the country. There were estimated the human exposure dose and risks with averages of the using-time and frequency for facility users and office workers, respectively. Carcinogens (formaldehyde, acetaldehyde, and benzene) were estimated the lifetime excess cancer risks (ECRs). non-carcinogens (toluene, ethylbenzene, xylene, and styrene) were estimated the hazard quotients (HQs). The average ECRs of formaldehyde and benzene for facility worker and user were $1{\times}10^{-3}{\sim}1{\times}10^{-4}\;and\;1{\times}10^{-4}{\sim}1{\times}10^{-5}$ level, respectively, in all facilities. HQs of four non-carcinogens did not exceed 1.0 for all subjects in all facilities. The estimated ECRs for restaurant and auditorium were the highest, and the PC-room and bar were the next higher facilities. Furthermore, people in a smoking facility had the highest cancer risk. Higher ECRs of formaldehyde and benzene were observed in indoor smoking facilities such as restaurant and auditorium. Higher HQs of toluene and xylene were observed at the restaurant and office building.

• Journal of Society of Preventive Korean Medicine
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• v.21 no.1
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• pp.67-81
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• 2017

Objectives : The purpose of this study was to analyze the report conducted in 2014 by the Ministry of Health and Welfares on influences of private insurance coverage on the use of Korean medicine. Methods : We analyzed Ministry of Health and welfares report on the use and consumption of Korean medicine to fit the purpose of this study. Comparison between private insurance holders and non-holders was made in the areas of sociodemographic characteristics, patient distribution by disorders, total number of disorders and existence of complex diseases, general perception of Korean medicine, and medical expenses and visits. Logistic regression analysis was made to verify the private insurance coverage. Results : Among sociodemographic characteristics, significant differences were observed in age distribution, education, professions, income level, and housing factors. But genders, area of residence, and marital status didn't show significant differences. Other significant differences including side effects, experience with Korean medicine, herbal medicine and acupuncture treatments, and main visiting facilities were shown between private insurance holders and non-holders. Majority of disorders treated with Korean medicine were musculoskeletal issues, and criteria of number of disorders, multiple diseases factors, and medical expenses/visits showed significant differences between the two groups. Conclusions : Summarizing above results indicate that holding a private insurance in addition to National Health Insurance contributes significant influences on the use of Korean medicine.

• 대한예방의학회:학술대회논문집
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• 1996.10a
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• pp.365-366
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• 1996

• Journal of Preventive Medicine and Public Health
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• v.48 no.1
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• pp.10-17
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• 2015

Objectives: An outbreak of acute febrile illness occurred in the Republic of Korea Air Force boot camp from May to July 2011. An epidemiological investigation of the causative agent, which was of a highly infective nature, was conducted. Methods: Throat swabs were carried out and a multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) assay was performed to identify possible causative factors. Results: The mean age of patients who had febrile illness during the study period was 20.24 years. The multiplex RT-PCR assay identified respiratory syncytial virus (RSV) as the causative agent. The main symptoms were sore throat (76.0%), sputum (72.8%), cough (72.1%), tonsillar hypertrophy (67.9%), and rhinorrhea (55.9%). The mean temperature was $38.75^{\circ}C$ and the attack rate among the recruits was 15.7% (588 out of 3750 recruits), while the mean duration of fever was 2.3 days. The prognosis was generally favorable with supportive care but recurrent fever occurred in 10.1% of the patients within a month. Conclusions: This is the first epidemiological study of an RSV outbreak that developed in a healthy young adult group. In the event of an outbreak of an acute febrile illness of a highly infective nature in facilities used by a young adult group, RSV should be considered among the possible causative agents.