• Title/Summary/Keyword: preventive system

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Directions and Current Issues on the Policy of Prevention and Management for Hypertension and Diabetes, and Development of Chronic Disease Prevention and Management Model in Korea (우리나라 고혈압·당뇨병 예방관리사업 정책 동향과 분석 그리고 한국형 만성질환 예방관리 모형)

  • Lee, Moo-Sik;Lee, Kyeong-Soo;Lee, Jung-Jeung;Hwang, Tae-Yoon;Lee, Jin-Yong;Yoo, Weon-Seob;Kim, Keon-Yeop;Kim, Sang-Kyu;Kim, Jong-Yeon;Park, Ki-Soo;Hwang, Bo-Young
    • Journal of agricultural medicine and community health
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    • v.45 no.1
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    • pp.13-40
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    • 2020
  • Objectives: The purpose of this manuscript was to propose the policy and perspectives of prevention and management for hypertension and diabetes in Korea. Methods: Authors reviewed the chronic disease prevention and management projects and models were executed in Korea until now, and analyzed and evaluated their performances. Results: In the circumstances of Korea, the following several requisites should be improved ; Specific Korean strategy for development and pursuing of national level policy agenda for chronic disease management must be established. There are a need to establish several means of supplementing the weaknesses of the current chronic disease management policies and programs. Firstly, development and distribution of contents of guidelines on the systematic project execution regime (regarding systematization of local community, subjects and contents of the projects) with guarantee for the quality of chronic disease prevention and management are necessary. Secondly, there is a need for development of information system that can lead the chronic disease management programs currently being implemented. Thirdly, there is urgent need to develop resources such as cultivation of manpower and facilities for provision of education and consultation for the patients and holders of risk factors of chronic disease. Fourthly, there is a need for means of securing management system and financial resources for operation of policies and programs. Conclusions: The results can be able to use as a road map, models, and direction and strategies of policies for chronic disease prevention and management of Korea.

The Korea Cohort Consortium: The Future of Pooling Cohort Studies

  • Lee, Sangjun;Ko, Kwang-Pil;Lee, Jung Eun;Kim, Inah;Jee, Sun Ha;Shin, Aesun;Kweon, Sun-Seog;Shin, Min-Ho;Park, Sangmin;Ryu, Seungho;Yang, Sun Young;Choi, Seung Ho;Kim, Jeongseon;Yi, Sang-Wook;Kang, Daehee;Yoo, Keun-Young;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.5
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    • pp.464-474
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    • 2022
  • Objectives: We introduced the cohort studies included in the Korean Cohort Consortium (KCC), focusing on large-scale cohort studies established in Korea with a prolonged follow-up period. Moreover, we also provided projections of the follow-up and estimates of the sample size that would be necessary for big-data analyses based on pooling established cohort studies, including population-based genomic studies. Methods: We mainly focused on the characteristics of individual cohort studies from the KCC. We developed "PROFAN", a Shiny application for projecting the follow-up period to achieve a certain number of cases when pooling established cohort studies. As examples, we projected the follow-up periods for 5000 cases of gastric cancer, 2500 cases of prostate and breast cancer, and 500 cases of non-Hodgkin lymphoma. The sample sizes for sequencing-based analyses based on a 1:1 case-control study were also calculated. Results: The KCC consisted of 8 individual cohort studies, of which 3 were community-based and 5 were health screening-based cohorts. The population-based cohort studies were mainly organized by Korean government agencies and research institutes. The projected follow-up period was at least 10 years to achieve 5000 cases based on a cohort of 0.5 million participants. The mean of the minimum to maximum sample sizes for performing sequencing analyses was 5917-72 102. Conclusions: We propose an approach to establish a large-scale consortium based on the standardization and harmonization of existing cohort studies to obtain adequate statistical power with a sufficient sample size to analyze high-risk groups or rare cancer subtypes.

A Study on the Construction Methodology of Preventive Maintenance System for Urban Transit (도시철도 유지보수 예방정비체계 구축 방법론에 관한 연구)

  • 이호용;한석윤;박기준;배철호;서명원
    • Journal of the Korean Society for Railway
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    • v.7 no.3
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    • pp.245-250
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    • 2004
  • The safety of staff, customers and of general Public in general viewed as one of the most important requirements in the urban transit. The maintenance computerization system for car of urban transit is a part of standardization and development of urban transit system, and We have been performed the establishment of maintenance computerization system from 2001 to 2005. The RAMS (reliability, availability, maintainability and safety) estimation for maintenance computerization system are utilized in a variety of computerization system for user's convenience and safety in maintenance. Ever since its inception though, the urban transit has searched for ways to improve reliability, availability, maintainability and safety of the railway subsystem. Provision of a reliable maintenance system include RAMS of the vehicles plays a very important role in achieving a safe system.

Preventive Maintenance System based on Expert Knowledge in Large Scale Industry (대규모 산업시설을 위한 전문가 지식 기반 예방정비시스템)

  • Kim, Dohyeong;Kang, Byeong Ho;Lee, Sungyoung
    • KIISE Transactions on Computing Practices
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    • v.23 no.1
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    • pp.1-12
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    • 2017
  • Preventive maintenance is required for best performance of facilities in large scale industry. Ultimately, the efficiency of production is maximized by preventing the failure of facilities in advance. Typically, regular maintenance is conducted manually; however, it is hard to prevent repeated failures. Also, since measures to prevent failure depend on proactive problem-solving by the facility expert, they have limitations when the expert is absent or diagnosis error is made by an unskilled expert. Alarm system is used to aid manual facility diagnosis and early detection. However, it is not efficient in practice, since it is designed to simply collect information and is activated even with small problems. In this study, we designed and developed an automated preventive maintenance system based on expert's experience in detecting failure, determining the cause, and predicting future system failure. We also discussed the system structure designed to reuse the expert's knowledge and its applications.

A Comparative Study on Medical Care Services in Two Community Health Sub-centers(Seo San-Gun, Choong Chung Nam-Do) (일선 2개 보건지소의 진료실적 비교 분석 (충남 서산군))

  • Chang, Il-Young
    • Journal of Preventive Medicine and Public Health
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    • v.17 no.1
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    • pp.121-126
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    • 1984
  • Several detailed aspects of medical care services during one year (Aug 1, $1982{\sim}$July 31, 1983) were compared between two community health sub-centers; one (A) was served by a local clinician, the other (B) by a trainee of preventive medicine. The results were analysed as follows: 1. Total spells of medical services during the same period in 'A' sub-center was 4,087 and that in 'B' 2,347. Medicaid visitors in 'A' was 1,051 (25.7% of the total), that in 'B' was 250 (10.7%). Significant difference was observed. 2. Average number of visits for the same case in 'A' was 2.0, that in 'B' was 1.4. Average duration of service by day for the same case in 'A' was 3.9, that in 'B' 3.0. 3. Average cost of service for a case in 'A' was 6,770 won, that in 'B' 4,230 won. 4. Difference in age distribution of visitors in the two sub-centers was insignificant. $0{\sim}9$ year group was 38.5% of the total. Difference in distribution by sex (between two sub-centers) was minimal. Male utilisers more than female by ca. 10%. 5. Concerning distribution of visitors by month, utilisation in July, August and September was the highest; the sum of them was 32.7% of the total in 'A' and 32.9% in 'B'. 6. Distribution by diagnoses in 'A' in decreasing order of frequency was Respiratory system diseases (26.1%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (17.4%), Accidents and poisoning (11.5%) and Diseases of musculoskeletal system and connective tissue (5.4%). That in 'B' was Respiratory system diseases (39.0%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (14.2%), Accidents and poisoning (10.9%) and Infection and parasitic diseases (9.1%). 7. The 10 most frequent diagnoses comprised 68.5% of the total in 'A' and 65.5% in 'B' 8. Utilisation by accessibility to each sub-center was studied. It is shown that the nearer the distance or the easier the accessibility, the more visits to services. The distinct pattern is manifested in the utilisation in 'A'-Myun.

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