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Reform Measures of Health Examination Program in Health Insurance Scheme (의료보험 건강진단사업의 개선방안)

  • 박재용
    • Korean Journal of Health Education and Promotion
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    • v.16 no.2
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    • pp.205-233
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    • 1999
  • This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

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Effects on Health Educational Curriculum Revised in 2008 for Middle School Students, South Korea (`2008 개정 보건과' 교육과정 운영 효과 - 중학생을 대상으로-)

  • Lee, Gyu-Young;Sim, In-Ok;Mun, Youn-Jung;Song, Young-Hee
    • Journal of the Korean Society of School Health
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    • v.23 no.2
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    • pp.151-161
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    • 2010
  • Purpose: This study purposed to examine the effect on health educational curriculum by grasping knowledge, attitude, and the extent of practicing it after giving a health education curriculum for 17 hours. Methods: This study was a non-equivalent control group pretest-posttest conducted with the first-graders enrolled in a middle school students in Gyeonggi Province. A total of 191 completed questionnaires from the test group and the control group each were used for the final analysis. The survey period was from March 5 to March 13, 2009 before the education was given from July 20 to July 25, 2009 after the education. A total of 38 questions were used to measure knowledge and a total of 39 questions were used to measure attitude and practice. This study used $x^2$ test, ANOVA, and t-test, Paired t-test. Results: After the health education curriculum was given, the test group s knowledge of health education was found higher than that of the control group. There was a difference between two groups, but considering the perfect score of 38, the knowledge scores of both groups were not high. With regard to each group s attitude and practice of health education, the study compared the scores obtained before and after the education and found that the test group had higher scores than the control group, showing a significant difference. Conclusion: In order for a health education curriculum to successfully have favorable influence on the health of teenagers, the curriculum should be offered for a more extended period of time than 17 hours and as a compulsory course, not a selective one, so that all the students can develop their health management capabilities.

Statistical Algorithm in Genetic Linkage Based on Haplotypes (일배체형에 기초한 연쇄분석의 통계학적 알고리즘 연구)

  • Kim, Jin-Heum;Kang, Dae-Ryong;Lee, Yun-Kyung;Shin, Sun-Mi;Suh, Il;Nam, Chung-Mo
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.4
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    • pp.366-372
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    • 2004
  • Objectives : This study was conducted to propose a new transmission/disequilibrium test(TDT) to test the linkage between genetic markers and disease-susceptibility genes based on haplotypes. Simulation studies were performed to compare the proposed method with that of Zhao et al. in terms of type I error probability and powers. Methods : We estimated the haplotype frequencies using the expectation-maximization(EM) algorithm with parents genotypes taken from a trio dataset, and then constructed a two-way contingency table containing estimated frequencies to all possible pairs of parents haplotypes. We proposed a score test based on differences between column marginals and their corresponding row marginals. The test also involved a covariance structure of marginal differences and their variances. In simulation, we considered a coalescent model with three genetic markers of biallele to investigate the performance of the proposed test under six different configurations. Results : The haplotype-based TDT statistics, our test and Zhao et al.'s test satisfied a type I error probability, but the TDT test based on single locus showed a conservative trend. As expected, the tests based on haplotypes also had better powers than those based on single locus. Our test and that of Zhao et al. were comparable in powers. Conclusion : We proposed a TDT statistic based on haplotypes and showed through simulations that our test was more powerful than the single locus-based test. We will extend our method to multiplex data with affected and/or unaffected sibling(s) or simplex data having only one parent s genotype.

The Effect of Health Promotion Education on the Health Perception and Health Behavior Performance of Elementary School Students (건강증진 교육이 초등학교 학생의 건강지각과 건강행위 수행에 미치는 영향)

  • Lee, Jin-Hee
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.320-329
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    • 1999
  • This study has been done for the purpose of testing the effect of Health promotion Education on the Health perception and Health behavior performance of Elementary school student's. The collection data has conducted from June 19, 1999 to August 24, 1999. The subjects for this study were sixth grade of 'ㅅ' elementary school. which is located in 'ㄱ' city a chosen one class experimental group(38) and as a control group(38). The study were designed as nonequivalent control group pretest. posttest. follow test design. In pretest, the general characteristics of two groups, health perception and Health performance were measured, the Experimental group was given health promotion Education for a one week after the posttest, and follow test was done Health performance. for eight week's summer vocation. The instrument used for this study were Health perception scale developed by Ware(l979) were modified by Lee(l984) and Health promoting behavior scale developed by Kim(l997) were modified by No Tae Su(l999). The data analysis was done using t-test, $x^2$ -test, ANOVA. and pearson correlation coefficient using SAS/PC program. The result of this study are summarized as follows: l) There is on difference between experimental group and control group 2) The hypothesis is factor's are supported 'The experimental group which was given health promotion education will shows higher health perception and health behavior performance than control group which given that' (meal habit F=6.40 P<.05. mental health F=8.02 P<.01) 3) In health behavior performance, scale the highest domain was mental health, personal hygiene, meal habit Exercise. The following suggestions are made based on the above results: 1) Replication of the research is needed to confirm effects of health perception and Health promotion education including the elementary school students. 2) Elementary school teachers should make an effort to develop of Health perception progress and carry about continue Health promotion education program for profit stage of growth and development for elementary school students.

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Study on the Professionalism of Medical Technologists' Work in Health Examination Centers: Focusing on the General Health Examination (건강검진센터에서 임상병리사의 업무 전문성 연구: 일반건강검진을 중심으로)

  • Sung, Hyun Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.3
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    • pp.271-277
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    • 2020
  • "Health examinations" means medical examinations conducted by health examination institutions, including a physical examination, consultation, physical measurement, diagnostic laboratory test (also known as clinical laboratory test, clinical pathology test), pathology test, and Imaging test for checking the health condition and the prevention and early detection of diseases. The types of health examinations include general health examinations, comprehensive health examinations, special health examinations, and other health examinations. The proportion of the general health examination work of medical technologists working at health examination centers has been estimated to comprise more than 50% of the total work. The cost aspect of suspicious diseases can be estimated to be more than 25%. The cost of diagnostic laboratory test has been estimated to be approximately 5%, and the proportion of medical diagnosis use is 70%. The results show that it is time to revisit whether medical technologists are receiving appropriate social, economic, and reasonable policy treatment in health examination work. The future of medical technologists will further expand their professionalism in diagnostic laboratory test and quality control in precision medicine and telemedicine in the future. Therefore, medical technologists will need to participate proactively in government policy decisions related to national health examinations and make efforts to improve treatment.

Bacterial Reverse Mutation Test of 1,2,4-trimethylbenzene (1,2,4-trimethylbenzene의 미생물복귀돌연변이시험)

  • Kim, Soo-Jin;Cho, Hae-Won;Rim, Kyung-Taek;Maeng, Seung-Hee;Kim, Hyeon-Yeong
    • Environmental Analysis Health and Toxicology
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    • v.21 no.4 s.55
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    • pp.317-322
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    • 2006
  • We have investigated the genotoxicity of 1,2,4-trimethylbenzene using Ames reverse mutation test. In Ames reverse mutation test, 1,2,4-trimethylbenzene treatment at the dose of 100, 50, 25, 12.5, $6.25{\mu}g/plate$ did not induce mutagenicity in Salmonella typhimurium TA98, TA100, TA1535, TA1537 and in Escherichia coli WP2uvrA with and without metabolic activation. These results indicate that 1,2,4-trimethylbenzene has no mutagenic potential under the rendition in this study.

Parents' Knowledge and Attitudes Regarding a Screening Test for and Subsequent Management of Students' Emotional and Behavioral Problems (학생 정서·행동특성 검사 및 관리에 대한 학부모의 지식과 태도)

  • Kim, Myung-Hee;Seo, Ji-Min
    • Child Health Nursing Research
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    • v.23 no.2
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    • pp.207-218
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    • 2017
  • Purpose: The purpose of this study was to investigate parents' perceptions and attitudes regarding a screening test for and subsequent management of students' emotional and behavioral problems. Methods: A descriptive research design was used, and included disproportional stratified and cluster random sampling. The sample comprised 223 parents of elementary, middle, and high school students. Data were analyzed using descriptive statistics, Chi-squared test, and ANOVA with SPSS/WIN 21.0. Results: Overall, parents responded that they knew of the goals, types, and tools of screening tests for students' emotional and behavioral problems. In total, 64.6% of parents reported having information for the screening test in advance. Only 13.5%(n=30) of students had emotional and behavioral problems in the last year. Among these students, 56.7%(n=17) were referred to mental health facilities but only 29.4%(n=5) of them received ongoing management from these facilities. Conclusion: These findings suggest that parents should receive information about the screening test for and subsequent management of students' emotional and behavioral problems. Health professionals need to build strategies to provide ongoing management for students who have emotional and behavioral problems.

A point of confusion for embryologists in the identification of viable spermatozoa by the eosin-nigrosin test

  • Chen, Huanhua;Zhou, Hong;Shu, Jinhui;Gan, Xianyou;Wang, Caizhu;Lin, Ruoyun
    • Clinical and Experimental Reproductive Medicine
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    • v.46 no.1
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    • pp.36-40
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    • 2019
  • A viable spermatozoon is a prerequisite for fertilization in intracytoplasmic sperm injection (ICSI). Thus, it is crucial to select viable but immotile spermatozoa on the day of ICSI. We report conflicting results in the identification of viable but immotile spermatozoa between the eosin-nigrosin staining and the laser test, which resulted in confusion for embryologists during assisted reproductive technology (ART). Three patients' semen samples that showed no motile spermatozoa are described in this report. To identify viable spermatozoa, we used both the eosin-nigrosin test and the laser test for each sample, and repeated the semen analysis twice in each patient. Viable but immotile spermatozoa selected by the laser test were used for ICSI. Viable spermatozoa were detected by both the eosin-nigrosin and laser tests in two patients (case 1, 95.00% vs. 24.21% and 92.68% vs. 22.22%; case 2, 41.18% vs. 23.48% and 39.81% vs. 22.52%), indicating consistent results between the two methods. In the third patient, the eosin-nigrosin test yielded viability rates of 20.75% and 19.14%, while the result of the laser test was 0%. Thus, testicular aspiration was performed to collect viable sperm from this patient. Normal fertilization was achieved after the injection of viable but immotile spermatozoa selected from these patients by the laser test, resulting in the birth of two healthy babies. Our study documents a case where the eosin-nigrosin test showed a limitation in identifying viable but immotile spermatozoa for ART, while the laser test may overcome this limitation. Larger samples may be required to corroborate the clinical value of the laser test.

Determinants of Nutrition Service Utilization in Health Centers (보건소 영양서비스 이용실태 및 이용에 영향을 미친 요인)

  • 김영옥;장경희;김미경
    • Korean Journal of Community Nutrition
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    • v.6 no.1
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    • pp.91-96
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    • 2001
  • The purpose of this study was to identify the determinants of nutrition service utilization in health centers. Utilization of nutrition services for chronic discase were also investigated. Interview survey using questionnaire was conducted to collect the data required for analysis. The study subjects were 300 residents over 40 years of age, and 15 health workers representing health center service personnel in Kypnggi province. A wilcoxon 2-sample test and Kruskal-Wallis test were used to compare the distribution of health centers by health center characteristics and nutrition services. A chi-square test was used to test the association between service utilization and personal variables of the population. A multiple logistic regression analysis was used to measure the relative importance between the variables on service utilization. The results showed that only 10.0% of the study subjects used nutrition services provided by the health centers. Pilot project implementation and location of health centers, as well as educational level of the residents were significant factors influencing the utilization of the nutrition services provided by the health centers. Among the variables, pilot project implementation was the most important factor that influenced the nutrition service utilization in health centers.

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The Effects of a Customized Integrated Health Care Program for Male Living Alone (독거남성을 위한 맞춤형 통합건강관리 프로그램의 효과)

  • Lim, Soon Hee;Jang, Yang-Min
    • Journal of Korean Academy of Rural Health Nursing
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    • v.11 no.2
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    • pp.17-28
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    • 2016
  • Purpose: This study aimed to determine the effects of a 'Customized Integrated Health Care Program' for male living alone in a single region and assist health promotion of the participants. Methods: This study was one-group pretest-posttest design. Eleven participants in the 'Happy Cooking Class for Male Living Alone' who made 100% of attendance from February 18 to September 8, 2016 were analyzed. Nonparametric paired T-test was performed to determine the differences in Blood pressure(BP), Blood sugar(BS), Cholesterol, Hemoglobin(Hb), Dementia screening test, Depression screening test of the participants in the Customized Integrated Health Care Program. Results: After applying the 'Customized Integrated Health Care Program', Hb level(z=-2.724, p=.006) and Dementia screening test(z=-1.974, p=.048) increased statistically significantly. Conclusion: As the elderly living alone increase in number, it seems that social support networks and health care programs contribute to health promotion of the participants and positively affect the rest of their life.