• Title/Summary/Keyword: community care

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A Case of Respiratory Failure after Clean-up Work of the Hebei Spirit Crude Oil Spill in Taean (태안 Hebei Spirit 유출 유류 제거작업 후 발생한 호흡부전 1예)

  • Kyung, Sun Young;Chon, Su-Yeon;Kim, Yu Jin;Lee, Sang Pyo;Park, Jeong-Woong;Jeong, Sung Hwan
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.3
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    • pp.249-253
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    • 2009
  • On 7 December 2007, the Hebei Spirit ran aground near Taean and released approximately 10,900 tons of oil into the sea. Crude oil on the coastal areas and fumes in the air increased the number of health problems among the local population. We report a case of respiratory failure after the oil spill clean-up work. A 66-year-old female was admitted to hospital with cough, sputum, and dyspnea of 1-month duration after the oil spill clean-up. She was diagnosed with community-acquired pneumonia and treated with empirical antibiotics. However, she had progressive respiratory failure without identification of the pathogen. Respiratory failure due to chronic inhalation of hydrocarbons from the crude oil spill clean-up was suspected. After mechanical ventilation care, she recovered from respiratory failure and was discharged. We report a case of severe respiratory toxic effects after an oil spill clean-up. We concluded that long-term hydrocarbon inhalation during the oil spill clean-up may have induced respiratory failure in this case.

Health Status of Migrant Workers in Korea (한국 이주노동자의 건강관련 특성)

  • Lee, Hyang-Yeon;Stephania, Sr.;Cho, Young-Im;Choi, Eun-Young;Park, Jung-Ae;Park, Young-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.18 no.1
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    • pp.5-13
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    • 2009
  • Purpose: The purpose of the study is to investigate health problems of migrant workers in Korea. Methods: The data were collected from the records of the medical history of 2,233 migrant workers who visited the community health clinic in Ansan city, Gyeonggi province from Jan. 2005 to Jan. 2007. The data were analyzed by SPSS. Results: Men accounted for 56.4% of the total who participated in the study. Most of them were Chinese, Russian, and Bangladesh people. The 590 people out of all the migrant workers were employed in manufacturing industries and they comprised the largest percentage. The most commonly complained health problems were musculoskeletal (31.7%), digestive (20.7%), respiratory (12.5%), dermatologic (6.5%), cardiovascular (5.5%) and dental disorder (5.2%). The 1,853 (36.0%) workers were assumed to have hypertensive disorder and 1310 (11.1%) workers, some diseases due to high cholesterol level. Conclusions: It is necessary to establish a public health care system to improve health and welfare of migrant workers. Furthermore, the communities need to draw their attention to this matter. And it is also necessary to make accurate research on their health and medical service.

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A Study on the Housing Support Policy for the Elderly in Japan (일본의 노인주거정책에 관한 연구)

  • Lee, Seo-Young
    • Journal of the Korean housing association
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    • v.21 no.4
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    • pp.41-50
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    • 2010
  • In recent study, we are referencing the necessity by examining the environment for housing policies for elderly Koreans. In reality, Japan, who is ahead of our country, has already experienced and is currently in progress for the aging society. They have developed a profound housing policy under all circumstances with the change of aging society. There forth, we are in progress of examining the series of helpful characteristics being presented by Japan, and how they have expanded and improved their housing support services. Our country must clearly ensure a resolution for investigating a new direction in housing policy and housing support services by learning through the development process of Japan's housing support services for the aging society. For instance, Japan have provided housing policy in both housing and welfare for senior citizens. Recently, the reason they are well adjusted for housing and welfare linked with special care and supportive living services and being skillfully focused on the maintenance policy is because they have great implications on how to successively organize housing policies for the aged society. Recent studies show preferred living arrangement and housing policy of the elderly for stabilization in the aging society. First, must be aware of the leading factors for housing in later life, organize dwelling patterns for diverse characteristics and give consideration for future life plans. Second, must continuously maintain an accessible environment in all community levels without changing the required services in their livelihood by adjusting to diverse changes for the aged. In addition, must organize flexibility in choice following these housing-support services for the elderly's desire and self reliance which raises profound questions on cultural policy.

A Study on Reinforcement and Development of Course Programs in Department of Food Science and Nutrition Related Studies 1st Report -Based on Survey of Dietitians and Professors - (영양사 배출 관련학과의 전공과목 강화 및 개발에 관한 연구 제1보 -영양사 및 대학 교수의 전공과목 강화에 대한 의견 조사)

  • 박명희;최봉순
    • Journal of the East Asian Society of Dietary Life
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    • v.6 no.1
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    • pp.1-16
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    • 1996
  • This study was conducted to obtain basic data for reinforcing and developing course programs in department of Food Science and Nutrition. For this purpose, data was collected from dietitians and professors who work at 2-and 4-year colleges. Results are as follows. 1. Many respondents (95.7%) support that It Is desirable to separate dietitian license into two types. Reasons are (1) specific knowledge required by job type is different(29.5%), and (2) to increse job performance (29.3%). 2. Most respondents(95.4%) agree that course programs are needed to be revised. Because (1) current programs are inadequate to provide specific knowledge required at field work (67.8%), and (2) the programs are not helpful to increase job performance of dietitians (54.1%). 3. Respondents of dietitians want to extend applied science area(37.7%) and reinforce lab training (63.1%), as principles of program revision. 4. Course titles which need to be reinforced are Internship(95.8%) and Lap training(67.8%). 5. Specialized areas which need to be reinforced are Food Service Managemant and Practical Training(90.9%), Nutrition Education and Guide(88.9%), Public Health Nutrition(79.0%), Basic Area for Clinics(85.6%), Basic area for Education and Counselling(87.1%), and Cooking Science(77.5%) 6. Courses which are needed to be reinforced by respondents(over 75% agree) are Computer Management for Food Service, Counselling, Nutrition and Disease, Diet Therapy, Quantity Cooking, Internship, Public Health (Health Care), Community Nutrition(Environment and Nutrition), Clinical Nutrition, Psychology, and Communication.

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The Farmers′ health management status compared with different farming types (농업인의 營農유형에 따른 健康管理 상태)

  • 신영숙;정금주;이승교;박양자
    • Korean Journal of Rural Living Science
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    • v.9 no.2
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    • pp.51-62
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    • 1998
  • This study was performed to suggest the health management of farmers compared with different farming types, such as rice plant, livestock, horticulture, orchard and others, for the farmer's health enhancement. For this study, 720 subjects were selected in 8 provinces through cluster method, and relevent caculations for the analysis of the subjects were made SAS program, and tested significance with x$^2$ and F value, those probability levels were 0.1%, 1% and 5%. Among the subjects, aged 40's were 38%, females 66%, elementary graduates (32%), and think of living conditions were average (67%). In the self-consciousness test for health, there was no significant difference of farmers with farming types. In the aspect of agricultural work situation, they took holidays according to the weather conditions or no pressed work to be done. And They took a break “when they feel tired during work”. For the recovery of fatigue, sleeping was chosen as the most favorite (68%) followed bathing (17%). but exercise was the lowest (7%). In the case of working conditions, 74% of them replied they work under average condition, and only 9% of them thought they were under pleasant surroundings. And 37% of them have had healthy food, for health practice and restorative for health. 20% of them have had breakfast irregularly. In addition to the regular meal intake, sufficient re자 and pleasant agricultural working conditions would be necessary for health, and the farmers themselves should recognize the importance and care of health. The project for enhancement of the farmers' health is needed and who should give guideline to have the responsibility for health.

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The Effects of Alcohol Use, Depression, and Self-esteem on Suicidal Ideation of the Aged (노인의 알코올 사용, 우울 및 자존감이 자살생각에 미치는 영향)

  • Kwak, Yun-Bock;Ko, Sung-Hee;Kim, Hyun-Kyung
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.221-228
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    • 2013
  • The purpose of this study was to examine the effects of alcohol use, depression, and self-esteem on suicidal ideation of older adults. Community-dwelling older adults aged 65 years and older were recruited from three welfare centers. A total of 245 older adults was assessed with the Alcohol Use Disorder Identification Test-Korean (AUDIT-K), Geriatric Depression Scale Short Form-Korea Version (GDSSF-K), Self-Esteem Scale (SES), and Scale for Suicidal Ideation (SSI). Descriptive statistics, Pearson's correlation, independent t-test, one-way ANOVA, and multiple regression analysis were performed using the SPSS WIN 19.0 program. Higher depression, lower self-esteem, no religion, and poorly perceived health were statistically significant determinants of higher level of suicidal ideation in older adults. To prevent or reduce suicidal ideation of older adults, health care providers should consider the determinants identified in this study.

Model-Based Architecture Design of the Range Safety Process for Live Fire Test with Enhanced Safety (실사격 시험 프로세스의 안전성 강화를 위한 MBSE 기반 아키텍처 연구)

  • Ye, Sung Hyuck;Lee, Jae-Chon
    • Journal of the Korea Safety Management & Science
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    • v.16 no.2
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    • pp.43-52
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    • 2014
  • In weapon systems development, live fire tests have been frequently adopted to evaluate the performance of the systems under development. Therefore, it is necessary to ensure safety in the test ranges where the live fire tests can cause serious hazards. During the tests, a special care must be taken to protect the test and evaluation (T&E) personnel and also test assets from potential danger and hazards. Thus, the development and management of the range safety process is quite important in the tests of guided missiles and artillery considering the explosive power of the destruction. Note also that with a newly evolving era of weapon systems such as laser, EMP and non-lethal weapons, the test procedure for such systems is very complex. Therefore, keeping the safety level in the test ranges is getting more difficult due to the increased unpredictability for unknown hazards. The objective of this paper is to study on how to enhance the safety in the test ranges. To do so, an approach is proposed based on model-based systems engineering (MBSE). Specifically, a functional architecture is derived utilizing the MBSE method for the design of the range safety process under the condition that the derived architecture must satisfy both the complex test situation and the safety requirements. The architecture developed in the paper has also been investigated by simulation using a computer-aided systems engineering tool. The systematic application of this study in weapon live tests is expected to reduce unexpected hazards and test design time. Our approach is intended to be a trial to get closer to the recent theme in T&E community, "Testing at the speed of stakeholder's need and rapid requirement for rapid acquisition."

Factors Affecting on the Work-related Performance Level of TB Control Manpower (결핵관리전담요원의 업무수행정도와 영향요인)

  • Lee, Jin Beom;Kim, Young Im;Choi, Sook Ja;Choi, Young
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.4
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    • pp.254-261
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    • 2014
  • Purpose: The purpose of this study was to investigate the degree of performance of TB control manpower in Korea and to identify the affecting factors associated with it. Methods: This study employed a quantitative observational with cross-sectional design and the subjects were consisted of 189 TB (Tuberculosis) control manpower who were working in both community health centers and private hospitals. Variables included in this study were demographic, social, work-related characteristics, aqhnd self-efficacy. A reliability of the instrument for the performance was Cronbach's ${\alpha}$=.91. Data were analyzed by t-test, ANOVA and multiple regression using SPSS (19th version). Results: The mean value of the degree of work-related performance of TB control manpower was $4.4{\pm}0.49$9 and it was higher than those of general nurses working in any other health care departments. The mean differences in the degree of work-related performance were in self-efficacy, workplace, the number of full charge manpower in TB, the number of participation in in-depth education, and the willingness to job maintenance. In multiple regression analysis, factors associated with TB control manpower' work-related performance were self-efficacy (${\beta}$=.164, p=.025), workplace (${\beta}$=-.186, p=.023), the number of participation in in-depth education(${\beta}$=.339, p<.002), and the willingness to job maintenance (${\beta}$=-.157, p=.036). Conclusion: Results of this study showed that work-related performances of manpower working in private hospital were higher than those of manpower in public health centers. So, it is necessary to enhance nation's active intervention to improve effectiveness and reduction of risk factors in TB policy.

Socioeconomic Characteristics of Poverty by Types of Household with Children: Comparing Male-headed, Female-headed, and Dual-parents Household (유자녀가구 유형별 빈곤의 사회경제적 특성연구: 남성한부모가구, 여성한부모가구, 양부모가구 비교분석)

  • Kim, Hak-Ju
    • Korea journal of population studies
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    • v.29 no.3
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    • pp.73-87
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    • 2006
  • The purpose of this study is to investigate the economic deprivation of male-headed or female-headed households. Household having children under the age of 18 are categorized into three types according to the gender of household head: male-headed household, female-headed household, and dual-parents household. The findings from data, for this study came from the Korean Labor Panel Study in 2003. The analysis shows that the household's age, education, residence types, etc are key explanatory variables in determining whether to be in poverty. While the public income transfer is most effective in reducing poverty in female-headed households, the private income source is relatively more useful among male-headed families. Since single-household families are particularly at risk, public policy makers should pay special attentions to developing and expanding welfare-to-work programs which provides work incentives to overcome relative poverty and community networks on child care.

A Comparative Study on National and International Hospital Accreditation Systems Focusing on Korea, the U.S., and Australia (의료기관인증제도의 국내외 비교 연구 -한국, 미국 및 호주 중심으로-)

  • You, Sun-Ju;Kim, Myo-Gyeong;Kim, Yoo-Mi;Choi, Yun-Kyoung
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.27-38
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    • 2017
  • The purpose of this study was to ascertain new policies fo the development of the Korean Hospital Accreditation Program (HAP) by comparing and reviewing the domestic HAP of Korea, the U. S. and Australia as well as the International Accreditation Program of the International Society for Health Care Quality. The results of this study are as follows. First, it is necessary to improve the standards of the HAP such as 'patient and community centered standards' and 'staffing related standards'. Second, it is necessary to strengthen patient safety through the HAP. Third, the linkage among the HAP, clinical indicators and patient experience evaluation should be strengthened. Fourth, the competencies of surveyors should be improved. Fifth, the HAP of small and medium hospitals also needs to be vitalized. Sixth, it is necessary to improve the disclosure of the healthcare quality evaluation results. The findings of this study can be used as a basis to improve the Korean HAP.