• Title/Summary/Keyword: health spending

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An Ethnography on the Healthy Life of the Aged Women Participating the Senior Centers (경로당 이용 여성노인의 건강생활에 관한 문화기술지)

  • Kim, Eunha;Yang, Jinhyang
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.349-361
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    • 2018
  • Purpose: This ethnography was performed to explore patterns and meanings of healthy life among aged women using senior centers. Methods: The informants were 21 individuals aged 65 years and older at 2 community-based senior centers. Data were collected from iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Field notes were used with follow-up interviews and dialogue between authors to enhance interpretation. Results: Patterns of healthy life among aged women using senior centers were categorized by age groups within the context of the four cultural elements of taking care of the body, relationality, temporality, and spatiality: active and passive control, maintenance of interdependence and individuality, expansion and maintenance of the daily routine, unity of peer relations and sustenance of family relations, spending time productively and tediously, and complementary and alternative space of the family relations. Conclusion: The informants in this study demonstrated healthy life by maintaining and strengthening continuous relationships developed in the senior centers without being isolated from the family and society. Patterns of their healthy life differed across age groups within the socio-cultural context. Therefore, interventions should be tailored to address age groups and community needs.

The Characteristic of Volatile Organic Compounds(VOCs) Emission from the Type of Indoor Building Materials as the Temperature and Humidity (온.습도에 따른 건축 내장재별 휘발성유기화합물의 방출특성)

  • Seo, Byeong-Ryang;Kim, Shin-Do;Park, Seong-Kyu
    • Journal of Environmental Health Sciences
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    • v.32 no.4 s.91
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    • pp.292-303
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    • 2006
  • The Volatile Organic Compounds(VOCs) are emitted from various sources and have lots of different form. Recently human are spending the many times at indoor area and indoor air pollution is issued the important social problem. The emission sources of indoor air pollutants are very various, also indoor building materials are composed of very complex chemical compounds, these indoor building materials discharge very much VOCs and other hazardous compounds. In this study, we performed the small chamber test to investigate the VOCs emission concentration and characteristics involving five kinds of the indoor building materials(furniture material, wooden floor, wall paper, paint and tile) under different conditions of four temperature and relative humidity as account of the air flow rate(AFR), air exchange rate(AER), loading factor and air velocity respectively. As the result, It was showed that building materials are emitted the highest VOCs concentration at the beginning of experiment and furniture material is emitted the highest VOCs concentration. Most of the materials were affected by temperature, but paint and tile material were affected by humidity.

A Study on the Proper Quantity of Ventilation through Changing Floor Temperature in Sleeping (수면시 바닥표면온도에 따른 적정 환기량에 관한 연구)

  • Kim, Dong-Gyu;Lee, Sung;Kim, Se-Hwan
    • KIEAE Journal
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    • v.10 no.1
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    • pp.19-24
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    • 2010
  • Modern people are spending most of time in interior area. Indoor air environmental problem is one of the most effective factors influenceable to human health. Furthermore, saving energy and making ventilation system for pleasant indoor environment are necessary when it is faced shortage of energy over the world. In our country's case, it is already imposed that required quantity of air ventilation in buildings is 0.7 times per hour on "The regulation on building engineering system". As on the rise of the interests about Indoor air environment, Heat and Carbon dioxide emissions from User's metabolism, activity, furniture, and construction materials etc. could be the causes of Indoor air pollution. If these materials stays in Indoor air for so long, it could directly influence the user's health condition with a disease. As of building's sterilization improved that raised more mechanical ventilation. It also leads much energy waste in a period of high price of fossil fuel. Therefore, the way that saves energy and effective control of indoor ventilation is urgently needed. So, this study places the purpose on validating volume of indoor ventilation and user's comfortable degree by comparison CO2 emission rate through changing floor temperature.

PPI (PRIVATE PARTICIPATION IN INFRASTRUCTURE) STATUS OF SOC (SOCIAL OVERHEAD CAPITALS) AND ITS IMPROVEMENT IN KOREA

  • Sugk-Yong Yoon ;Sung-Won Kim
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.353-359
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    • 2005
  • The infrastructure in korea has been improved drastically since July 7th, 1970 which was the first highway completed date in Korea (Seoul-Pusan). This is one of the major factors for the competitiveness of a country. Now the total length of highway in Korea is more than 2000km. However Korea is 11th in the trade volume in the world, the SOC level of Korea is around 20th at most in the world (IMD 2004). The infrastructure in Korea comparing other developed countries is far below, which gives the impact of cost of goods, even twice expensive in transporting goods through highways, railways and ports etc. Now the government budget is gradually spending more for welfare and health care side. The most of additional expense of welfare is increasing rather than SOC budget is decreasing or staying as it is as 2003. The government may think that the level of SOC is enough in point of view of preference input of budget such as welfare and health care etc. However the SOC level in Korea is far form the competitiveness of the country. The main points of this paper is to show that where Korea is in point of SOC level to go for developed country, and what to do to facilitate BOT, BTO and BTL projects. Korean government has tried to improve the practice of PPI (Private Participation of Infrastructure) with the Act on Private Capital Inducement in 1994 and the Act on Private Investment in 1997.

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Costs involved in compliance with new endoscope reprocessing guidelines

  • David Hoffman;Christina Cool
    • Clinical Endoscopy
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    • v.57 no.4
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    • pp.534-541
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    • 2024
  • Background/Aims: In March 2022, the Association for the Advancement of Medical Instrumentation (AAMI) released the American National Standards Institute (ANSI)/AAMI ST91:2021, their latest update on comprehensive, flexible, and semirigid endoscope reprocessing. These updated standards recommend the sterilization of high-risk endoscopes when possible and provide new recommendations for the precleaning, leak testing, manual cleaning, visual inspection, automated reprocessing, drying, storage, and transport of endoscopes. Methods: ANSI/AAMI ST91:2021 was compared with ANSI/AAMI ST91:2015 for major reprocessing differences that result in either time and/or cost increases. Time estimates were captured by explicit recommendation inclusion or taken from the literature. All the costs were estimated using publicly available resources. Results: The updated standards represent a potential 24.3-minute and 52.35 to 67.57 United States dollars increase per procedure in terms of reprocessing time and spending, respectively, not including capital investments. Capital costs per procedure were highly dependent on the procedure volume of the facility. Conclusions: The new AAMI standards recommend several major changes, such as sterilization, for facilities to reprocess and manage endoscopes between uses. As more facilities increase their reprocessing methods to reflect the updated standards, they do so at a cost and introduce several delays. As the reprocessing landscape evolves, facilities should consider their true costs and alternative solutions, such as single-use endoscopes.

Nutritional State and Dietary Behavior of the Free-Living Elderly Women (서울지역 여자 노인의 영양실태와 식생활 형태 - 노인대학을 중심으로 -)

  • Chang, Nam-Soo;Kim, Ji-Myung;Kim, Eun-Jung
    • Journal of the Korean Society of Food Culture
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    • v.14 no.2
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    • pp.155-165
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    • 1999
  • The issue of health and nutritional wellbeing becomes one of the utmost concerns for the welfare of the elderly in a society of increased aging populations. This study was conducted to assess nutritional state and to identify possible dietary factors that might influence health and nutritional state of the free living elderly women. Two hundred sixty two elderly women, aged 60-90 who are actively participating in a continuing education program for the elderly in Seoul area, were interviewed using a dietary habit questionnaire and a 24-hour recall. Anthropometric measurements such as heights, weights, body mass index, and tricep skinfolds and dental status were significantly different between the two age groups, <75 and ${\geq}$ 75 years of age. Sixty eight percent of the subjects were using nutritional supplements regularly, in the descending order of vitamin-mineral supplements(40%), botanicals(27.6%), tonic drinks(16%), and health foods(13.2%). For hot beverages, our study subjects drank coffee (33.6%) and green tea (17.9%) frequently, followed by doongulae, job's tears, citron and kyulmyung tea. With regard to micronutrients, vitamin C intake was found to be lower in the group aged over 75 compared to that below 75 (p<0.05). Calcium intake was significantly higher among the elderly with good dental status followed by the groups with gingivitis, denture, and missed teeth with poor chewing abilities (p<0.05). The amount of personal spending money was found to be a significant contributing factor (p<0.05) to the energy and nutrient intake in an individual. The results of the present study can be applied to the identification of the possible factors that might intervene the aging process, to the planning of the nutrition education program, and to the development of health food products for the promotion of health and nutrition of the elderly women.

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Comparison of Multiple Chronic Obstructive Pulmonary Disease (COPD) Indices in Chinese COPD Patients

  • Zhang, Jinsong;Miller, Anastasia;Li, Yongxia;Lan, Qinqin;Zhang, Ning;Chai, Yanling;Hai, Bing
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.2
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    • pp.116-122
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    • 2018
  • Background: Chronic obstructive pulmonary disease (COPD) is a serious chronic condition with a global impact. Symptoms of COPD include progressive dyspnea, breathlessness, cough, and sputum production, which have a considerable impact on the lives of patients. In addition to the human cost of living with COPD and the resulting death, COPD entails a huge economic burden on the Chinese population, with patients spending up to one-third of the average family income on COPD management in some regions is clinically beneficial to adopt preventable measures via prudent COPD care utilization, monetary costs, and hospitalizations. Methods: Toward this end, this study compared the relative effectiveness of six indices in predicting patient healthcare utilization, cost of care, and patient health outcome. The six assessment systems evaluated included the three multidimensional Body mass index, Obstruction, Dyspnea, Exercise capacity index, Dyspnea, Obstruction, Smoking, Exacerbation (DOSE) index, and COPD Assessment Test index, or the unidimensional measures that best predict the future of patient healthcare utilization, cost of care, and patient health outcome among Chinese COPD patients. Results: Multiple linear regression models were created for each healthcare utilization, cost, and outcome including a single COPD index and the same group of demographic variables for each of the outcomes. Conclusion: We conclude that the DOSE index facilitates the prediction of patient healthcare utilization, disease expenditure, and negative clinical outcomes. Our study indicates that the DOSE index has a potential role beyond clinical predictions.

Sense of Coherence and Coping Resources of Working Nurses at Hospital (병원근무 간호사의 통합성과 대처자원)

  • Park, Chai-Soon;Suh, Im-Sun;Oh, Jeong-Ah;Choi, Euy-Soon
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.348-358
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    • 2001
  • This study was designed to identify the relationship between the level of sense of coherence(SOC) and coping resources of nurses working in hospital. The subjects of this study were 248 nurses working at C University hospital in Seoul. The data was collected during the period from July 1. to July 14. 2001. The insruments for this study were SOC scale by Antonovsky(1987) and Coping Resources Inventory by author. The analysis of data was done by simple statistics, ANOVA and Pearson correlation coefficient with SAS program. The results of this study were as follows: 1. Total mean SOC was 132.1/203.0 with a range 96.0 to 171.0. The mean score of this item was arranged according to three areas. The meaningfulness was 4.9, managability was 4.7, and comprehensibility was 4.2. 2. Total mean coping resources was 144.5/225.0 with a range 93.0 to 190.0. The highest mean score of item according to the area was social support 4.0 and the lowest mean score was self care coping 2.7. 3. A significant statistical difference between age, religion, spending money and SOC was found. 4. Significant statistical difference between age, educational level, spending money, working period and coping resources were found. 5. Coping resources by the level of SOC was high in the highest group of SOC(F=6.19, p=0.00). With respect to the area of coping resources, higher group of SOC was using much coping resources generally except area of leisure. 6. SOC was positively related to age(r=0.17), working periods(r=0.16), each SOC area, coping resources and all area of them except leisure. 7. The coping resources were positively related to age(r=0.21), working periods(r=0.21), SOC (r=0.49), each coping resources area, and each SOC area. In conclusion, we confirmed that the level of SOC of the subjects was low relatively and the high level of sense of coherence was related to the high score of coping resources. Therefore, it could also contribute to select suitable nurses in their fields. In the future, it's necessary to develop strategies improving SOC.

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A study of major characteristics of buying cigarettes in adolescent smokers in Korea (흡연청소년의 담배구매 관련 주요 특성에 관한 연구)

  • Shin, Sun-Mi;Lee, Hee-Woo;Kang, Se-Won
    • Journal of the Korean Society of School Health
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    • v.21 no.2
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    • pp.97-105
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    • 2008
  • Purpose : To investigate major characteristics influencing on adolescent smoking in Korea. Method : The subjects were 431 students (298 male and 133 female) enrolled in the non smoking program at Seoul School Health Promotion Center from March 2006 to February 2007. The survey was done about motivation of smoking, the way of getting cigarettes and frequency, chi-square test, and t-test by SAS package 8.1 were used to analyze the data. Result : Total 431 subjects were composed of 49.2% middle school students, 50.8% high school students. The middle school students who smoke 1 to less than 10 cigarettes per day were 56.1% and 10 to less than 20 cigarettes per day 26.7%, while high school students were 46.8% and 44.1%. 73.1% of male, and 76.9% of female students selected the cigarettes depending on taste and fragrance. The places of buying cigarettes were supermarkets 67%, convenience stores 19.4%, small stores 11.8%. A high percentage of students answered they did not have to show ID when they bought cigarettes(“rarely checked the ID” 25.2% of male and 30.8% of female, ”did not checked at all” was 10.9% male and 9.6% female). The ratio of spending money on buying cigarettes was 38.8% and 35.6% in male and female middle school, and 37.9% and 27.2% in male and female high school. Conclusion : Findings of this study suggests the constituting of strong social regulations to protect youth from smoking.

The Effects of Job Stress on Workers' Physiological Somatic Complaints (직무스트레스가 근로자들의 신체적 불편감에 미치는 영향)

  • Lee, Jong-Eun;Jung, Hye-Sun;Lee, Bok-Im;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.289-297
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    • 2004
  • Purpose: This study was conducted to determine factors affecting workers' physiological somatic complain using the Job Stress Model proposed by the National Institute for Occupational Safety and Health (NIOSH). Method: Data were collected from the 1st to the 30th of December 1999. The subjects were 2.123 workers employed at 155 work sites. Collected date were analyzed through SAS/PC program. Result: According to individual characteristics, younger and women groups showed significantly higher physiological somatic complaint than elder men groups. By work condition, groups with higher physiological somatic complaint included workers of irregular shift work. Dark lighting, improper temperature in winter, improper ventilation, inappropriate humidity, unpleasant work environment and crowded work place were significantly related with physiological somatic complaint. By work-related factor, physiological somatic complaint was high in those with higher variance in work load, quantitative work load, role conflict, job burden, role ambiguity and future ambiguity. On the other hand, physiological somatic complaint was low in those with little underutilization of ability. As for the relationships between physiological somatic complaint and non-work related factors, physiological somatic complaint was high in workers who had a side job, were bringing up infants alone, cleaned the house alone, cared for the elderly and disabled persons, were studying, were volunteering at another organization, and were spending 5-10 hours in religious activities per week. Physiological somatic complain was in significantly negative correlations with overall social support, supervisory support and family support, but in significantly positive correlations with co-worker support. Conclusion: The main predictors of physiological somatic complain were gender, shift work pattern, overtime work, ventilation, role ambiguity, role conflict, future ambiguity, job control, variance in work load, overall social support, worker with side job, worker who cleans the house alone, worker who is studying. These predictors explained 19.10% of the total variance of physiological somatic complain.

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