The incidence of childhood obesity has increased dramatically. Childhood obesity is an increasing health problem because of its strong associations with chronic health problems in children and adults. These health problems significantly contribute to the development of common chronic diseases in later life, including hypertension, type2 diabetes, hyperinsulinemia, coronary heart disease, and other psychological disorders. So it is an important issue to prevent and treat obesity during childhood and adolescent. Diet and exercise are the cornerstones of treatment for obesity and related complications. For obese children, some clinical trials have shown improvement with diet, exercise, and /or behavioral interventions. Promising interventions for high-risk individuals, such as bariatric surgery and novel pharmacological agents, also require rigorous assessment with attention to long-term patient important outcomes. There are various pharmacological approaches to the treatment of obesity in the adolescent population some of which have FDA approval. In the article we discuss pharmacological approaches to guide the treatment of obesity in the pediatric population, including risks of treatment, monitoring of potential side effects.
Objectives: The purpose of this study was to investigate the present conditions and problems of oral health care in senior citizens with dementia using a qualitative research method, through focused group interviews. Methods: Data was collected for approximately one month from May 2019. The subjects were divided into two groups: care workers and family caregivers. Fifteen participants were included in the study. Results: In-depth interviews with the care workers revealed the following three categories: characteristics of senile dementia patients, oral health care in senile dementia patients, and oral health care education. In-depth interviews with the family caregivers revealed the following four categories: characteristics of senile dementia patients, oral health care in senile dementia patients, oral health care education, and burden of care. The central themes common to both the care workers and family caregivers were the challenges owing to the characteristics of senile dementia patients, poor health condition of the senile dementia patients, difficulty in oral health care of the senile dementia patients, the desire to receive oral health care education and related information, and to access the information more easily. Additional central themes specific to the care workers were, the applicability of the intervention programs, variability between the facilities, and the problems of oral health care education. An additional central theme specific to the family caregivers was the burden of care. Conclusions: It is necessary to provide oral health care education and information to care workers and family caregivers of senile dementia patients, and to manage and support the dental health professionals ready to care for senile dementia patients. In addition, support to the family caregivers should not be limited only to the financial aspects, but also consider the psychological and emotional difficulties.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.30
no.3
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pp.88-99
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2019
Objectives: With increasing concerns for the rapidly growing minority population in South Korea, this literature review addressed a range of mental health risks among multiethnic youths (MY) in South Korea by 1) comparing mental health outcomes with those of native-born youths and 2) identifying multiple layers of relevant environmental factors, from family and school relationships to culture. Methods: We reviewed 54 studies that fulfilled specific inclusion criteria. Results: Multiple common risk/protective factors, including family separation, family relationship quality, parental socioeconomic and mental health status, social relationships at school, and cultural acceptance, were noted. Conclusion: In general, empirical evidence indicates that minority youths have relatively heightened risks for emotional and behavioral problems. Future studies must elucidate the complex interplay between multiple risk and protective factors and the long-term adaptation and mental health service utilization of MY.
Objectives: The study's purpose was to analyze the research trends and future directions of dental hygiene papers. Methods: In order to search for papers for this study, a survey was conducted using the Korean Journal of Health Service Management publications listed on The Korean Society of Health Service Management's website. Results: A total of 76 articles were published in the dental hygiene study. Its main trend was having oral health problems with 32 episodes. The most common word used in the Journal of Health Industry for the past 12 years is "health". Conclusions: Considering the results of the analysis of the Korean Journal of Health Service Management, the development of convergence research in health care and dental hygiene should be explored.
Complementary and alternative medicine has gained popularity and respectability in recent years in the United States. Since aging is often associated with chronic health conditions that commonly lead to physical and psychosocial disabilities (e.g., depression, functional and/or cognitive disabilities, and decreased quality of life), older adults often seek options to maintain health and treat chronic conditions as an adjunct to conventional medical care. Herbal products, the most commonly used among various complementary and alternative medicines (CAM), should be used with caution due to potential herbal-drug interactions (related to polypharmacy) and herbal-disease interactions (related to comorbidities). Five of the most common chronic conditions in older adults are chronic pain, cardiovascular problems, hypertension, diabetes, and chronic lung problems. A high rate of falls or risk of falling is also a problem unique to this older population. For these conditions, only a few types of CAM (e.g., acupuncture, qi gong, tai chi) were tested, with promising results. However, in spite of evidence supporting the use of certain types of CAM to alleviate some common chronic conditions, findings are limited in terms of other types of CAM tested and both short and long-term effects. More rigorous clinical trials of various CAM types are thus warranted to advance scientific knowledge and establish evidence-based practices to care for the growing number of older adults who deserve to have a better quality of life.
The purpose of this study was to serve as a basis for the development of dental technology and for creating a condition that dental technicians could work with pride and right values, by examining what problems there were in their health care, what they thought about them, and how the problems could be solved, The findings of this study were as below: 1. The most serious and harmful element in dental technology workshop was a dust(57.5%) and a noise(33.3%). 2. Approximately 99.0% of the dental technicians investigated made a complain of air pollution caused by noise. Their opinion on a possible measure to remove noise air pollution was that the noise-generating machine should be replaced(64.1%) or that it should be isolated(28.8%). 3. 76.0% complained air pollution cause by dust deteriorates their working efficiency. As a way to eliminate it, they suggested a dust chamber(35.3%) or an air cleaner(27.5%) should be installde. 4. About 80% made a complain of gas air pollution. The most common related symptom was a headache(56.9%). They thought that gas-generating machine should be isolated(39.9%) or that an air purifier should be prepared(33.3%). 5. The largest impact of heat and light on their body was weakening their eyesight(56.9%). 47.1% got burn once though four times, and 34.3% did five times or more. The way to prevent them was to install an automatic casting machine(66.0%) or use protective glasses(28.1%). 6. Approximately 47.7% were considering a change of occupation, and the most common reason was heavy work(23.5%), followed by poor prospect(21.6%) and working environment(19.0%) in the order named. 7. 88.9% responded they were likely to have an occupational disease. Their idea about the proper frequency of regular health examination was once a year(53.6%), or once per every six months(41.8%). 8. The field they were most interested in was health care(39.2%), followed by academic research activities(31.4%). This fact indicated it's most urgently required to improve their working environment.
Objectives : This article reviews a solution preventing the illegal distribution of herbal medicine in common use for food and medicine and risks on public health by conducting safety management of food and medicine. Also, this article would like to contribute to improvement of public health treating diseases in compliance with accurate diagnosis and prescription of Oriental Medicine Doctor("OMD")'s. Methods : An approach in this research can be categorized into two : first, to examine the current administrative situation and problems of herbal medicine in common use for food and medicine based on policy documents of Ministry of Health and Welfare and Korea Food and Drug Adminstration("KFDA") and academic articles of the herbal medicine;second, to find reasonable administrative solutions to solve the problems. Solutions : A solution is to strengthen the management level of herbal medicine in common use for food and medicine by selecting 117 items as target items requiring concentrated management. In case herbal medicine is imported for food, KFDA strengthens the quality management level of herbal medicine by making use of inspection frequency at random, collecting and verifying herbal medicine on the market. However, KFDA decides to maintain current different quality specification system of food and medicine reflecting a civil complaint that quality specification of food and medicine should separately managed according to the purpose of use. Herbal medicine as medicine that is functioned as treating diseases and alleviating symptoms, unlike herbal medicine for food, can cure all kinds of diseases by recovering inner balance of human body, making use of other properties of herbal medicine. Medicine has its own properties. If a doctor uses properties of medicine appropriately, he cures diseases. If a doctor uses herbal medicine inappropriately. he may damage human body. Thus, whether side effects of medicine depend on a doctor who uses herbal medicine. Conclusions : All herbal medicine will be supplied into the market after strict safety control of manufacturers of herbal medicine according to the revised Pharmaceutical Affairs Act, beginning in April, 2012. Thus, people can take safer and more reliable herbal medicine through strengthening safety management of herbal medicine and improving quality and transparency in the distribution system. Herbal medicine should appropriately be prescribed by licensed OMD because herbal medicine is used to treat diseases and alleviate symptoms, unlike herbal medicine for food.
Journal of mucopolysaccharidosis and rare diseases
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v.1
no.2
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pp.40-43
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2015
Prader-Willi syndrome (PWS), a complex genetic disorder, arises from suppressed expression of paternally inherited imprinted genes on chromosome 15q11-q13. Characteristics include short stature, intellectual disability, behavioral problems, hypogonadism, obesity, and reduced bone and muscle. The life expectancy of persons with PWS has increased in recent years. Cardiovascular diseases, diabetes, dermatological, and orthopedic problems are common physical complaints in older people with PWS. Behavioral problems are major concerns in adults with PWS into old age. And aging is also associated with significant social and economic changes. Age-related physical morbidity, physical appearance, behavioral and psychiatric problems, functional decline and economic problems can be combined in older PWS. The care for older people with PWS requires a life span approach that recognizes the presence, progression, and consequences of specific morbidity.
This study has comparatively analyzed the primary success factors in smoking cessation among new enrollees and re-enrollees of a smoking cessation clinic in order to find out how to efficiently operate smoking cessation clinics at public health centers. The study was conducted with 262,837 smokers aged 19 or over who were provided with smoking cessation services for more than 6 months after being registered with the smoking cessation clinic at public health centers(250 clinics nationwide) from July 16, 2006 to July 15, 2007. After dividing smokers into re-enrollees and new enrollees of the smoking cessation clinic, the success rate of and success factors for smoking cessation over 6 months have been investigated. The success factors in smoking cessation have been compared between new enrollees and re-enrollees of smoking cessation clinics. The results can be summarized as follows: First, the success rate of smoking cessation for 6 months at smoking cessation clinics of public health centers was higher in new enrollees (46.3%) than in re-enrollees (41.1%). Second, the common factors that had an influence on the success of smoking cessation of both new enrollees and re-enrollees of the smoking cessation clinic included age, social security, service, frequency of counseling, number of cigarettes per day, and alcoholic problems. Third, compared to new enrollees, re-enrollees had a higher success rate of smoking cessation as they got older. In terms of the success rate of health insurance, on the contrary, new enrollees were better than re-enrollees. Fourth, the study showed a higher success rate in smoking cessation in both new and re-enrollees if they had no alcoholic problems. In particular, a higher success rate was observed in re-enrollees when there were no alcoholic problems. To efficiently operate smoking cessation clinics at public health centers, this study confirmed that counseling should be tailored depending on the types of enrollees in the program.
Exposure to fugitive dust can contribute to several respiratory health problems, and proper sampling of fugitive dust is necessary to assess exposure. However, field sampling of soil dust encounters problems from spatial and temporal differences in soil properties, field operations, and meteorological conditions. To minimize these problems, we designed a dust generator that simulates dust generation from soil. The dust generator consisted of a rotating chamber where soil samples were loaded and tumbled, and a settling chamber, where airborne soil dust samples were collected. As standard operating conditions, we decided on 2 g soil mass, 10 min sampling time, and 20 rpm rotating speed, with a flow rate of 30 l/min, based on three common soil textures of loam, sandy loam and silt loam. To evaluate optimal operating conditions, we used mixtures of Joomoonjin silica sand and clay. Although the average $PM_{10}$ concentration of Joomoonjin silica sand was low, dust concentrations were increased by an increased content of clay. The dust concentrations were consistent across repeated experiments, and showed similar concentration profiles during the sampling time with mixtures of clay and sand (coefficient of variation was $13.6{\pm}w;7.1%$). The results demonstrated that these standard operating conditions were suitable for the dust generator, which can be used to investigate variations in soil properties that affect dust production and potential potency of fugitive dust exposure.
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