• Title/Summary/Keyword: general health

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A Study on Role Development for Social Workers Providing Health Center-based Health and Welfare Services for the Elderly in Community (사회복지사의 보건소 노인보건복지사업 참여를 위한 사회복지사 역할개발연구)

  • Cho So-Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.138-162
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    • 1997
  • This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

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A Study on the Activities of Daily Living, Self-efficacy and the Health Promoting Behavior in Stroke Patients (뇌졸중 환자의 일상생활동작 수행능력, 자기효능감 및 건강증진행위에 관한 연구)

  • Park, Seon-Il;Cho, Bok-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.149-158
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    • 2004
  • Purpose: The purpose of this study to analyze the relationship the activities of daily living(ADL), self-efficacy, and health promoting behaviors. Method: The research was a descriptive survey study. The subjects of this study were 115 hospitalized stroke patients to two General hospitals and one Oriental treatment hospital in G. Metropolitan. Data was collected through questionnaires from December 1st, 2003 to January 30th, 2004. The survey instruments used in the study Shah, Vanclay and Cooper's MBI(11 items), and Sherer and Maddux's self-efficacy(10 items), Walker, Sechrist, and Pender's HPLP(23 items) was developed by the researcher. The obtain data were analyzed with an SPSS 10.0 program using frequency, percentage, Cronbach's alpha, t-test, ANOVA, Duncan test, and Pearson's correlation coefficient. Result: The results were as follows; The level of ADL the score was 50.5, self-efficacy 40.4, and health promoting behavior 54.6. There were significant differences of ADL by general and disease related characteristics as follows : for monthly income(F=2.72, p= .048), duration of stroke(F=7.98, p= .001), number of attack(F=5.21, p= .007), operation (F=17.88, p= .000). There were significant differences of self-efficacy by general and disease related characteristics as follows : for monthly income(F=4.83, p= .003), number of attack (F= 6.20, p=. 003), operation(F=4.03, p= .047). There were significant differences of health promoti ng behaviors by general and disease-related characteristics as follows : for aphasia(F=4.24, p=.042). There were significant correlated between ADL and self-efficacy(r= .698, p=.000), self- efficacy and health promoting behavior(r=.398, p= .000), ADL and health promoting behavior(r= .235, p= .011). Conclusion: As a result, There was a significant correlation between ADL, self-efficacy and health promoting behaviors. There will be considered useful nursing intervention effect to progress, support health promoting behavior of stroke patients.

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Decision Tree Induction with Imbalanced Data Set: A Case of Health Insurance Bill Audit in a General Hospital (불균형 데이터 집합에서의 의사결정나무 추론: 종합 병원의 건강 보험료 청구 심사 사례)

  • Hur, Joon;Kim, Jong-Woo
    • Information Systems Review
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    • v.9 no.1
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    • pp.45-65
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    • 2007
  • In medical industry, health insurance bill audit is unique and essential process in general hospitals. The health insurance bill audit process is very important because not only for hospital's profit but also hospital's reputation. Particularly, at the large general hospitals many related workers including analysts, nurses, and etc. have engaged in the health insurance bill audit process. This paper introduces a case of health insurance bill audit for finding reducible health insurance bill cases using decision tree induction techniques at a large general hospital in Korea. When supervised learning methods had been tried to be applied, one of major problems was data imbalance problem in the health insurance bill audit data. In other words, there were many normal(passing) cases and relatively small number of reduction cases in a bill audit dataset. To resolve the problem, in this study, well-known methods for imbalanced data sets including over sampling of rare cases, under sampling of major cases, and adjusting the misclassification cost are combined in several ways to find appropriate decision trees that satisfy required conditions in health insurance bill audit situation.

A Study on Introduction of Accreditation Program for Industrial Hygiene Laboratories in Korea (국내 작업환경측정기관 인정제도 도입을 위한 현황 조사 연구)

  • Park, Deok Mook;Park, Jeonglm;Shin, Yong Chul;Cha, Jeong Young;Jeong, Jee Yeon;Kim, Boo Wook;Paik, Nam Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.15 no.3
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    • pp.232-238
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    • 2005
  • There are growing needs for improving the general performances of the domestic working environment evaluation organizations. For this purpose, introduction of laboratory accreditation program has been suggested. This study was conducted as a part of this effort. With a questionnaire developed in accordance with the ISO/IEC 17025, the current status of industrial hygiene (IH) laboratories in terms of manpower, management and technical aspects. The results of this study were as follows: 1. The average working staffs' number of the working environment evaluation organizations was $6.8{\pm}3.3$ persons. In addition, 49% of all organizations are run by less than 5 persons. This suggests that manpower of Korean IH laboratories is very limited. 2. IH laboratories surveyed in this study obtained 53% of the points by the international standard. And there is significant correlation between the number of staffing and total scores (P<0.05). 3. The period of work experience is one of the most important factors to determine the working capability. The average year of work experience of the laboratories' directors was $13.5{\pm}5.3$ years. Directors with more wok experiences obtained higher scores on the questions that ask to prove the appropriateness of the research methodology (p<0.05). 4. As for academic qualifications of laboratory directors, 14% had Ph.D., 31% with Master's, 29% with Bachelor's, and 4% had Associate degree. There was significant correlation between the total scores and the general managers' academic background (p<0.05). The 27% of laboratory directors have majored in either industrial hygiene or health, 8% majored in medicine, another 8% majored environmental studies, and 6% majored in chemistry. 5. Only 14% of all IH laboratories surveyed employ directors with Certified Industrial Hygienist licence, 41% have general managers with Certified Associate Industrial Hygienist (Level 1) licence, and 45% of all laboratories either employ directors without relevant qualification or did not respond. When the laboratory manger holds relevant qualification, laboratory health and safety management was better (p<0.05). 6. When compared to the general international standard in terms of the management, and 55% in terms of technological level.

Welding Fume and Metals Exposure Assessment among Construction Welders (건설현장 용접직종별 용접흄 및 금속류 노출 실태)

  • Park, Hyunhee;Park, Hae Dong;Jang, Jae-kil
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.26 no.2
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    • pp.147-158
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    • 2016
  • Objectives: The objective of this study was to evaluate the assessment of exposure to welding fume and heavy metals among construction welders. Methods: Activity-specific personal air samplings(n=206) were carried out at construction sites of three apartment, two office buildings, and two plant buildings using PVC(poly vinyl chloride) filters with personal air samplers. The concentration of fumes and heavy metals were evaluated for five different types of construction welding jobs: general building pipefitter, chemical plant pipefitter, boiler maker, ironworker, metal finishing welder. Results: The concentration of welding fumes was highest among general building pipefitters($4.753mg/m^3$) followed by ironworkers($3.765mg/m^3$), boilermakers($1.384mg/m^3$), metal finishing welders($0.783mg/m^3$), chemical pipefitters($0.710mg/m^3$). Among the different types of welding methods, the concentration of welding fumes was highest with the $CO_2$ welding method($2.08mg/m^3$) followed by SMAW(shield metal arc welding, $1.54mg/m^3$) and TIG(tungsten inert gas, $0.70mg/m^3$). Among the different types of workplace, the concentration of welding fumes was highest in underground workplaces($1.97mg/m^3$) followed by outdoor($0.93mg/m^3$) and indoor(wall opening as $0.87mg/m^3$). Specifically comparing the workplaces of general building welders, the concentration of welding fumes was highest in underground workplaces($7.75mg/m^3$) followed by indoor(wall opening as $2.15mg/m^3$). Conclusions: It was found that construction welders experience a risk of expose to welding hazards at a level exceeding the exposure limits. In particular, for high-risk welding jobs such as general building pipefitters and ironworkers, underground welding work and $CO_2$ welding operations require special occupational health management regarding the use of air supply and exhaust equipment and special safety and health education and fume mask are necessary. In addition, there is a need to establish construction work monitoring systems, health planning and management practices.

Relationships between Cognitive Function and Self Efficacy, Health Behavior of the Elderly Participation to Physical Activity (신체활동 참여 노인의 인지기능과 자기효능감, 건강행위와의 관계)

  • Park, Gyeong A;Oh, Myung Hwa
    • 재활복지
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    • v.20 no.1
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    • pp.189-210
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    • 2016
  • The purpose of this study was to investigate the relationships between cognitive function and self efficacy, health behavior of the elderly participation to physical activity. Data were collected from November 2015 to January 2016. The study subjects were 61, aged 65 years or older, to visit health town. The questionnaire was composed general characteristics and K-MoCA, self-efficacy scale, self-efficacy for exercise tools, Korea's elderly health behavior. The results of the study were as follows: As for cognitive function and exercise self-efficacy by general characteristics, there were differences in that regard according to gender, education, marital status, dependents form, duration of the program(p <.05), the general self-efficacy showed differences in gender, age, education, economic status, duration of the program(p <.05), and the health behavior showed differences in gender, education, marital status, dependents form, activity program, duration of the program(p <.05). There was a significant correlation between cognitive function and exercise self-efficacy, health behavior(p <.01). General self-efficacy was correlated with exercise self-efficacy, health behavior. And exercise self-efficacy was correlated with health behavior(p <.01). Exercise self-efficacy were the factor affecting the cognitive function(p <.01). Therefore, the activity program development for the practice and sustainable participation in physical activity in the elderly is believed to be made.

Health Beliefs and Breast Cancer Screening Behaviors among Iranian Female Health Workers

  • Shiryazdi, Seyed Mostafa;Kholasehzadeh, Golrasteh;Neamatzadeh, Hossein;Kargar, Saeed
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9817-9822
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    • 2014
  • Background: Breast cancer is a serious health problem. Early detection is crucial for optimal treatment and reducing mortality. Objective: The aim of this study was to evaluate health beliefs concerning performance of breast self- examination (BSE) and mammography in a sample of Iranian female health workers. Materials and Methods: This cross-sectional study was performed among 441 female health care workers (physicians=88, nurses=163, midwives=38, officers=68, and others=84) in 3 different health centers in Yazd, Iran. Data were collected using a self administered questionnaire which included demographic characteristics and thenPersian version of the Champion's Health Belief Model Scale (CHBMS). Results: The mean age of the participants was $34.7{\pm}13.7$. It was found that 41.9% of the workers performed BSE in the past and 14.9% of them regularly, but only 10.6% of them had undergone a mammogram. Perceived barriers to BSE (F=6.351, P=0.021) and mammography (F=5.214, p=0.022) were significantly higher in officers than physicians, nurses or midwives. Perceived barriers were lower among those who had performed BSE and mammography, but not significant (p=0.34 and p=0.56, respectively). Furthermore, perceived susceptibility and perceived benefits of the workers who had BSE and mammography were significantly higher than who did not (p<0.05). Perceived seriousness was not a significant variable in BSE and mammography (p=0.71 and p=0.43, respectively). Conclusions: The health beliefs of health workers concerning the perceived susceptibility of breast cancer and the perceived benefits BSE and mammography significantly impact their screening practices.