• Title/Summary/Keyword: care policy

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Factors Affecting Recovery of Spontaneous Circulation in Patients Before Cardiac Arrest in Emergency Department: 2012~2016 Focused on Medical Records Data (응급실 도착 전 심정지 환자의 자발순환 회복 여부에 미치는 요인 -2012~2016 의무기록 자료를 중심으로-)

  • Kim, Seok-hwan
    • The Korean Society of Law and Medicine
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    • v.19 no.2
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    • pp.209-233
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    • 2018
  • The purpose of this study was to ascertain whether or not to recover the spontaneous circulation of patients with cardiac arrest before arrival in the emergency room for 5 years (2012 to 2016), and try to investigate the factors affecting this. In this research, we used the "raw material for acute cardiac arrest survey" conducted in "Disease management headquarters" from 2012 to 2016 for the whole country of our country as the main material. In this study, 136,212 cardiac arrest patients were analyzed in the study data of the cardiac arrest in the country during the 5 years from 2012 to 2016. We performed a Chi-square analysis to analyze the recovery of spontaneous circulation before arrival in the emergency room according to general characteristics, social·demographic characteristics, and developmental characteristics. and We performed a Binary logistic regression analysis to determine the factors affecting the recovery of spontaneous circulation. The analysis results of this study show that whether CPR sustained transport before endoplasmic reticulum arrival, whether to witness an acute cardiac arrest before arrival in the emergency room, the type of general cardiopulmonary resuscitation, the location of acute cardiac arrest, the acute heart Causes of stoppage cause factor of whether spontaneous circulation recovery recovers before arrival of the endoplasmic reticulum(P<0.001, P<0.01). Therefore, it is necessary to strengthen systematic government health policy implementation and dissemination and health education focusing on factors that affect recovery of spontaneous circulation of cardiac arrest patients.

Evaluation of Diet Quality according to Nutrient Intake between Highly Educated, Married, Unemployed and Employed Women (고학력 기혼여성의 취업여부별 영양소 섭취로 본 식사의 질 평가)

  • Choi Ji-Hyun;Chung Young-Jin
    • Journal of Nutrition and Health
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    • v.39 no.2
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    • pp.160-170
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    • 2006
  • This study was conducted to provide foundation data for making health care policy for married women by assessing the dietary intake between highly educated married, employed and unemployed women. It is a direct interview, cross-sectional study with 24-hour recall method for one day. In selecting the subjects for this study, married, unemployed women were selected from a certain area (Daedeok Science Town) in Daejeon where there are high rates of highly educated women, and the married, employed women were selected from the teaching profession in order to avoid confounding due to including a variety of jobs. According to the Korean Standard Classification of Occupations, teaching is the representational occupation of highly educated, married women. Then, to prevent confounding due to age, we selected the subjects out of each age group at the same rate through random sampling. Women who had not graduated college, worked only part-time, or had no current spouse were excluded. As a result, 486 highly-educated, married, unemployed (250) and employed (236) women were used for analyzing data. The unemployed women consumed a higher amount of fat, cholesterol, sodium, vitamin C and folic acid while the employed women consumed a higher amount of iron, vitamin $B_l$ and vitamin $B_2$. P/M/S ratio being 1/1.18/1.05 and 1/1.05/0.87, for the unemployed women and the employed women, respectively, unemployed respondents had a higher saturated fat intake than those of employed. It is in excess of the standard ratio (1/1/1) of the Korean RDA. At the same time, in unemployed respondents the percent of energy intake from fat (24.8%, 23.2%) and animal fat (12.4%, 11.4%) were higher than those of employed respondents. The mean daily nutrient intake of calcium, zinc, and iron for both groups of respondents were lower than the Korean RDA. Both groups had phosphorus as the highest nutrient and calcium as the lowest nutrient of INQ (Index of Nutritional Quality) while nutrients with the INQ being less than 1 were calcium and iron. To sum up, the following conclusions can be made: Nutrition education and guidance for reduction of the intake of fat, especially animal fat, are necessary for unemployed women. In addition, highly educated, married, unemployed and employed women should increase the consumption of foods rich in iron and calcium to prevent anemia and osteoporosis, while decreasing the intake of phosphorus to balance proportions of calcium and phosphorus.

Familism and Welfare Consciousness in Korea (가족주의 가치관에 따른 한국인의 복지의식 연구 : 서울지역 기혼자를 중심으로)

  • Yang, Ok-Kyung
    • Korean Journal of Social Welfare
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    • v.51
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    • pp.229-256
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    • 2002
  • This study is about the relationship between traditional familism and welfare consciousness in Korea. Traditional familism is known as the value that most Koreans share with, and the impeding value for welfare program development. Strong family solidarity and family-centered perception among Koreans influences other social values and ideology. Especially, care of the family members is understood as a family duty and responsibility. And this inhibits Koreans to develop welfare consciousness and further to develop welfare programs at the governmental level. Thus, this study purposes to explore the relationship between the two. The sample of 1,131 men and women was selected in Seoul area. As a result, traditional familism is found to be quite influential to welfare consciousness among Koreans. First, perception of welfare institution is strongly related with welfare consciousness. The respondents in high familism group showed low welfare consciousness. Second, state-friendly welfare responsibility was shown low in the group of high familism for the aged and youth. In the same context, for the disabled and the unemployed, state-friendly welfare responsibility was shown high in the group of low familism. Lastly, the relationship between familism and the welfare need was not apparent. Such results make possible to conclude that traditional familism among Korean is still influential to welfare consciousness and welfare ideology. However, although this conclusion should not be used for an excuse to avoid state responsibility but used as a tool to develop a welfare model to strengthen family function as one solid family.

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A Study on the Experience of the Grandmothers Who Refused to Support Childcare (손자녀 양육지원을 거부한 조모의 경험에 관한 연구)

  • Kim, Eun Jeong
    • Korean Journal of Family Social Work
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    • no.62
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    • pp.71-102
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    • 2018
  • The purpose of this study is to enrich our understanding of the family utilizing childcare by grandmothers and the elderly women by examining the experience of grandmothers who refused to support raising their grandchildren. The researcher focused on grandmothers who have been in charge of caring the family in the main and tried to explore the reasons for their decision not to take care of their grandchildren. For the purpose, Research participants were seven elderly women who have refused raising of their grand-children. Data were collected by in-depth interview and analyzed based on the phenomenological method. As results, it turned out that the elderly women refused caring of their grandchildren due to the burden of parenting and the rejection of an extended mother role, and the fear of family conflicts, but they felt sorry about their refusal of a request for caring support from their adult children. Second. these decisions caused various dynamics of the family members, and they were experiencing psychological difficulties. Third, elderly women perceived raising of grandchildren as a task of adult children or a problem for which the society should be accountable, and felt that the family and the society have shifted the responsibility to them. This research result confirms that a new generation of the elderly women have emerged who have different viewpoints on caregiving. It also presents a necessity to reflect the viewpoints of elderly who are mainly concerned when establishing a policy of caregiving. Based on this finding, this study also presents implications regarding support for family utilizing childcare by grandmothers and support for the elderly women.

The association between parent-child relationships and cultural adaption among children from multi-cultural families - The mediating effects of children's spiritual well-being and ego-resilience - (다문화가정 아동의 부모-자녀관계가 문화적응에 미치는 영향 -아동의 영적안녕감과 자아탄력성의 매개효과를 중심으로-)

  • Yun, EunYoung
    • Journal of the Korean Society of Child Welfare
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    • no.57
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    • pp.83-112
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    • 2017
  • This study aimed to investigate the mediating effects of spiritual well-being and ego resilience in the association between parent-child relationships and cultural adaption among children from multi-cultural families. For this purpose, surveys were administered to 4th to 6th graders in 200 elementary schools (150 multi-culturally focused and 50 in preparation for multi-cultural education) located in seven provinces in Korea. For the current study, we analyzed data collected from 706 children in 119 schools by utilizing structural equation modeling. To verify the mediating effects and its significance, a Sobel test was conducted. The results showed that parent-child relationships within the multi-cultural families was positively and significantly associated with spiritual well-being and ego-resilience in children, but not with children's cultural adaptation. Also, the results of the Sobel test showed significant mediating effects of spiritual well-being and ego-resilience in children in the association between parent-child relationships and children's cultural adaptation. Based on these results, policy and practice implications for children from multi-cultural families are suggested.

Characteristics of Korean Poisoning Patients: Retrospective Analysis by National Emergency Department Information System (한국 중독환자의 경향: 국가응급진료 정보망을 이용한 후향적 연구)

  • Kim, Woongki;Kim, Kyung Hwan;Shin, Dong Wun;Park, Junseok;Kim, Hoon;Jeon, Woochan;Park, Joon Min;Kim, Jung Eon;Kim, Hyunjong
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.2
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    • pp.108-117
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    • 2019
  • Purpose: The study examined the poisoned patients' characteristics nationwide in Korea by using data from the National Emergency Department Information System (NEDIS). Methods: Among the patients' information sent to NEDIS from January 1, 2013 to December 31, 2015, the included subjects' main diagnosis in ED showed poisoning according to the 7th edition of the Korean Standard Disease Classification (KCD-7). We analyzed the patients' gender, age, initial vital signs, visit time, stay time of staying in ED, results of ED care, main diagnosis in ED, length of hospitalization, and results of hospitalization. Results: A total of 106,779 ED visits were included in the analysis. There were 55,878 males (52.3%), which was more than the number of females. The number of intentional poisoning was 49,805 (59.6%). 75,499 cases (70.8%) were discharged, and 25,858 cases (24.2%) were hospitalized. The numbers of poisoning patients per 1,000 ED visits were 14 in Chungnam and 11.9 in Jeonbuk. The most common cause of poisoning, according to the main diagnosis, was venomous animals. It was the same for hospitalized patients, and pesticide was next. Pesticide was the most common cause of mortality in ED (228 cases, 46.1%) and after hospitalization (584 cases, 54.9%). The incidence of poisoning by age group was frequent for patients in their 30s to 50s, and mortality in ED and post-hospitalization were frequent for patients in their 60s to 80s. Conclusion: This study investigated the characteristics of poisoning patients reported in the past 3 years. Pesticide poisoning had a high mortality rate for patients in ED and in-hospital. For mortality, there was a high proportion of elderly people over 60. Thus, policy and medical measures are needed to reduce this problem. Since it is difficult to identify the poison substance in detail due to nature of this study, it is necessary to build a database and monitoring system for monitoring the causative substance and enacting countermeasures.

A Review of Prevention and Treatment of the Crimes on the Characteristics of Mental Illness (정신질환의 특성에 따른 범죄 예방과 치료에 관한 소고)

  • Kim, Myung Shig;Lee, Man Seok
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.549-555
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    • 2021
  • This study reviewed the important preceding studies of prevention and treatment of the crimes and therapies on the characteristics of mental illness, trying to investigate and identify more effective ways to prevent, decrease the crimes of the mentally ill and treat them. The main results were as follows. First, relationships between mental illness and crimes have been inconsistently reported, to investigate environmental stresses and triggers of the mentally ill additionally. Second, the term 'mentally illness' was to be defined more specifically, such as severe psychiatric disabled, antisocial personality disorder, intellectual disability, anger·impulse control disorder, and drug abuse. If medication and psychosocial treatments were properly treated to the severe psychiatric disabled, their crime incidence and recidivism will be decrease enough to live with their neighbors in community. But the ways and processes of treating antisocial personality disorder, intellectual disability, anger·impulse control disorder, and drug abuse were very different from it, requiring more intense psychological, medical and biological interventions and social seclusion. The national campaigns and projects for their human rights and community care will be needed to promote the therapeutic effects for them. The limitation and future tasks were discussed.

A Convergence Study on the Effects of Obesity and Diet on Dental caries: Use of data from the National Health and Nutrition Survey 2008, 2018 (비만 및 다이어트가 치아우식에 미치는 영향에 관한 융복합 연구: 국민건강영양조사 2008, 2018자료)

  • Son, Eun-Gyo;Park, Il-Soon
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.319-327
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    • 2021
  • The aim of this study is to identify the relationship between obesity and dieting to dental care in a convergent manner. This is a secondary analysis study using data from National Health and Nutrition Survey(2008 & 2018), and the subjects of the study are those with permanent treatment experience. The data in this study were t-test, ANOVA and regression analysis using SPSS /WIN 24.0. As a result of the study, The experience of permanent tooth caries according to gender was high in woman(M=.76, W=.83), and the experience of permanent tooth caries according to the educational level showed that the caries experience of high-educated level(College or higher=.92). In the difference according to the subjective body type recognition, it was confirmed that obesity was associated with the experience of permanent tooth caries. Among the weight control methods, fasting was the most influential on the permanent tooth caries experience. The experience of permanent tooth caries according to the weight change was found to have an effect on both weight loss and increase, In future studies, not only studies of sugar intake related to obesity, but also proper oral health education study that informs about the risk of dental caries in the diet that is progressing in line with the current trend should be continued.

Depression and Related Factors of Children Using Community Child Center in Gwangju and Jeollanamdo (광주 및 전라남도 지역아동센터 이용 아동의 우울감 및 관련요인)

  • Yoon, Sang-Eun;Han, Mi Ah;Park, Jong;Ryu, So Yeon
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.242-252
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    • 2021
  • Objectives: This study examined the current status of depression and related factors among children using community child center. Methods: A cross-sectional study selected children in grades 4-6 who used the Gwangju and Jeollanamdo community child center (n=224) using a convenience sampling method. General characteristics, family characteristics, children's emotional characteristics, children's school life environment and depression status were assessed using a self-reported questionnaire. Results: The average score of depression among children using community child center was 15.31±7.70 out of a total of 27. Fifty-eight (25.9%) children had depression above 22 points. Variables related to children's depression were shown as grade, subjective economic level awareness, after-school activities excluding local children's centers, presence of family members after school, and family structure. Conclusions: The depression prevalence of children using community child center was higher. Policy support such as children's psychological support programs would be needed to reduce children's depression, and community child centers are expected to be effective in reducing children's depression if continuous child psychological support services are developed for children's mental health.

Work and Life Balance of Working Single-person Households : Focused on Unmarried 20-30 Generation (취업 1인가구의 일-생활 균형: 20-30대 미혼을 중심으로)

  • Song, Hyerim;Kang, Eunjoo
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.4
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    • pp.55-70
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    • 2021
  • The aim of this study was to analyze the work and life balance of unmarried working cases in single-person households. Eleven cases were interviewed with a semi-structured questionnaire. The results were as follows: When they were starting as a single-person household on their own initiative and with enough preparation and planning, they expressed higher satisfaction as a single person household. For their adaptation to being a single-person household, practice education and information about household work and self-care were useful. Their thought about 'life' are focusing on self improvement and leisure activities either alone or with their friends. Their family interactions were performed with financial, emotional, and housework support from each other. Resources such as money and time were the major factors that impacted work and life balance. For work and life balance of single person househods, the cases needed political support for financial aid and flexible work arrangements.