• Title/Summary/Keyword: public health crisis

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Financing COVID-19 Deficits in Fiscally Dominant Economies: Is The Monetarist Arithmetic Unpleasant?

  • Uribe, Martin
    • East Asian Economic Review
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    • v.24 no.4
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    • pp.417-440
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    • 2020
  • The coronavirus pandemic of 2019-20 confronted fiscally dominant regimes around the world with the question of whether the large deficits caused by the health crisis should be monetized or financed by issuing debt. The unpleasant monetarist arithmetic of Sargent and Wallace (1981) states that in a fiscally dominant regime tighter money now can cause higher inflation in the future. In spite of the qualifier 'unpleasant,' this result is positive in nature, and, therefore, void of normative content. I analyze conditions under which it is optimal in a welfare sense for the central bank to delay inflation by issuing debt to finance part of the fiscal deficit. The analysis is conducted in the context of a model in which the aforementioned monetarist arithmetic holds, in the sense that if the government finds it optimal to delay inflation, it does so knowing that it would result in higher inflation in the future. The central result of the paper is that delaying inflation is optimal when the fiscal deficit is expected to decline over time.

Study On Masked Face Detection And Recognition using transfer learning

  • Kwak, NaeJoung;Kim, DongJu
    • International Journal of Advanced Culture Technology
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    • v.10 no.1
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    • pp.294-301
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    • 2022
  • COVID-19 is a crisis with numerous casualties. The World Health Organization (WHO) has declared the use of masks as an essential safety measure during the COVID-19 pandemic. Therefore, whether or not to wear a mask is an important issue when entering and exiting public places and institutions. However, this makes face recognition a very difficult task because certain parts of the face are hidden. As a result, face identification and identity verification in the access system became difficult. In this paper, we propose a system that can detect masked face using transfer learning of Yolov5s and recognize the user using transfer learning of Facenet. Transfer learning preforms by changing the learning rate, epoch, and batch size, their results are evaluated, and the best model is selected as representative model. It has been confirmed that the proposed model is good at detecting masked face and masked face recognition.

The Retention Factors among Nurses in Rural and Remote Areas: Lessons from the Community Health Practitioners in South Korea

  • Park, Hyejin;June, Kyung Ja
    • Research in Community and Public Health Nursing
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    • v.33 no.3
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    • pp.269-278
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    • 2022
  • Purpose: This study analyzed the retention factors of Korean community health practitioners who sustained over 20 years based on a multi-dimensional framework. This study suggests global implications for nurses working in rural or remote areas, even during a worldwide pandemic. Methods: The participants were 16 Korean community health practitioners who worked in rural or remote locations for over 20 years. This study identified nurses' key retention factors contributing to long service in rural and remote areas. This is a qualitative study based on the narrative method and analysis was conducted using grounded theory. A semi-structured questionnaire was conducted based on the following: the life flow of the participants' first experience, episodes during the work experience, and reflections on the past 20 years. Results: First, personal 'financial needs' and 'callings' were motivation-related causal conditions. The adaptation of environment-work-community was the contextual condition leading to intervening conditions, building coping strategies by encountering a lifetime crisis. The consequences of 'transition' and 'maturation' naturally occurred with chronological changes. The unique factors were related to the 'external changes' in the Korean primary health system, which improved the participants' social status and welfare. Conclusion: Considering multi-dimensional retention factors was critical, including chronological (i.e., historical changes) and external factors (i.e., healthcare systems), to be supportive synchronously for rural nurses. Without this, the individuals working in the rural areas could be victimized by insecurity and self-commitment. Furthermore, considering the global pandemic, the retention of nurses is crucial to prevent the severity of isolation in rural and remote areas.

Mathematical Modeling of the Novel Influenza A (H1N1) Virus and Evaluation of the Epidemic Response Strategies in the Republic of Korea (수학적 모델을 이용한 신종인플루엔자 환자 예측 및 대응 전략 평가)

  • Suh, Min-A;Lee, Jee-Hyun;Chi, Hye-Jin;Kim, Young-Keun;Kang, Dae-Yong;Hur, Nam-Wook;Ha, Kyung-Hwa;Lee, Dong-Han;Kim, Chang-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.2
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    • pp.109-116
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    • 2010
  • Objectives: The pandemic of novel influenza A (H1N1) virus has required decision-makers to act in the face of the substantial uncertainties. In this study, we evaluated the potential impact of the pandemic response strategies in the Republic of Korea using a mathematical model. Methods: We developed a deterministic model of a pandemic (H1N1) 2009 in a structured population using the demographic data from the Korean population and the epidemiological feature of the pandemic (H1N1) 2009. To estimate the parameter values for the deterministic model, we used the available data from the previous studies on pandemic influenza. The pandemic response strategies of the Republic of Korea for novel influenza A (H1N1) virus such as school closure, mass vaccination (70% of population in 30 days), and a policy for anti-viral drug (treatment or prophylaxis) were applied to the deterministic model. Results: The effect of two-week school closure on the attack rate was low regardless of the timing of the intervention. The earlier vaccination showed the effect of greater delays in reaching the peak of outbreaks. When it was no vaccination, vaccination at initiation of outbreak, vaccination 90 days after the initiation of outbreak and vaccination at the epidemic peak point, the total number of clinical cases for 400 days were 20.8 million, 4.4 million, 4.7 million and 12.6 million, respectively. The pandemic response strategies of the Republic of Korea delayed the peak of outbreaks (about 40 days) and decreased the number of cumulative clinical cases (8 million). Conclusions: Rapid vaccination was the most important factor to control the spread of pandemic influenza, and the response strategies of the Republic of Korea were shown to delay the spread of pandemic influenza in this deterministic model.

Social Perceptions of Breast Cancer by Women Still Undergoing or Having Completed Therapy: a Qualitative Study

  • Mermer, Gulengul;Nazli, Aylin;Ceber, Esin
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.503-510
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    • 2016
  • Background: Diagnosis and treatment of breast cancer is a crisis situation which effects women's lives physically, socially and spiritually. Investigating women's perceptions of this disease is crucially important for treatment decisions. We therefore determined social perceptions and interpretations of women diagnosed with breast cancer during therapy and in the post-treatment period. Materials and Methods: In the study, focus group and in-depth interviews were made with women still undergoing or having completed breast cancer treatment. Some 25 women were included in the research. Content analysis was used in the analysis of the qualitative data obtained after the focus group and in-depth interviews. Results: Some of the women demonstrated positive perceptions towards accepting the disease, whereas others had emotions such as rebellion and anger. The loss of a breast is important with different interpretations. Conclusions: Women's acceptance or rebellion against the disease varies within their social interpretations after the treatment, as at the stage of diagnosis/treatment. All stages of breast cancer negatively affect the social life of the affected individual as much as her body. Nurses assume crucial roles in coping with these negative effects. Thus, it is necessary to know, and sociologically interpret, what is indicated by the information on what the negative effects concerning the disease are and how they are interpreted.

Factors Affecting Nursing Service Quality of Nurses at Local Medical Centers for COVID-19 Patients (COVID-19 환자를 간호한 지방의료원 간호사의 간호서비스 질 영향요인)

  • Kwak, Min Jung;Kim, Hee Kyung
    • Journal of Home Health Care Nursing
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    • v.29 no.1
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    • pp.40-49
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    • 2022
  • Purpose: This study aimed to analyze the effects of fatigue, resilience, and self-leadership on nursing service quality of local medical center nurses who nursed COVID-19 patients. Methods: The participants were 135 nurses who worked at regional public hospitals located in H-gun, G, and C-city in province C. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Pearson's correlation coefficients, and stepwise multiple regression using IBM SPSS Statistics version 25. Results: The participants' nursing service quality showed significant positive correlation with resilience (r=.53, p<.001), and self-leadership (r=.60, p<.001). The factors affecting participants' nursing service quality were commitment to self-leadership (β=.57, p<.001) and work position (chief nursing officer) (β=.26, p<.001), which explained 42% of the participants' nursing service quality. Conclusion: During a crisis such as the COVID-19 pandemic, it is necessary to help nurses enhance their self-leadership skills and build their career continuously by developing relevant policies, systems, and nursing intervention programs. Future studies could expand the knowledge base by including more participants to explore other ways to improve nursing service quality during the COVID-19 pandemic.

Analysis of Types and Forms of "At-Risk Youth" Portrayed in Dance Works: Focusing on Matthew Bourne's <Romeo + Juliet>

  • So-jung, Chang
    • International Journal of Advanced Culture Technology
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    • v.12 no.3
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    • pp.303-308
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    • 2024
  • There is no standardized concept of "at-risk youth," but from an overall perspective, they are youth exposed to various crises. "At-risk youth" are categorized into personal, familial, educational, and social crisis areas, encompassing factors such as family background, educational difficulties, and mental health issues. There is a dance piece that addresses these "at-risk youth. Matthew Bourne created a dance piece that addresses "at-risk youth" in <Romeo + Juliet>. Currently, Matthew Bourne is a popular choreographer from England who reflects certain social phenomena and does not differentiate between classic art and public art. In 2019, Matthew Bourne collaborated with young creators to reinterpret <Romeo + Juliet> as a narrative centered around youth. In this dance work, youth is both the subject and the expression of the story. In <Romeo + Juliet>, "at-risk youth" are depicted in various forms. The work explores mental health issues including homosexuality, trauma, and depression among teenagers, as well as societal issues such as violence and weapons. The stage depicted how teenagers perceive themselves and how they navigate the challenges faced by "at-risk youth". We would like to interpret the work in relation to the types of "at-risk youth" and the expression methods of the performance. Of course, there may be differences when examining performance cases in other countries compared to youth in Korean society. However, It has meaning in itself to analyze Matthew Bourne's <Romeo + Juliet> in various ways in relation to "at-risk youth" and to examine social phenomena from a broader perspective through this.

A new Direction for the Preliminary Feasibility Study of Public Healthcare Facilities (공공의료시설 예비타당성조사 방법론 개선 방향에 관한 연구)

  • KIM, MIN JAE
    • Journal of the Korean Regional Science Association
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    • v.37 no.1
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    • pp.3-14
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    • 2021
  • Due to COVID-19, the importance of public medical facilities, especially hospitals specializing in infectious diseases, is rising. Despite the government's strong will, the establishment of public medical facilities and infectious disease hospitals has not been properly established. This is because the overall system related to the construction of public medical facilities does not sufficiently reflect social and economic changes and the trend of the times. The purpose of this study is to derive limitations and problems related to the guidelines for preliminary feasibility studies of public medical facilities and to present alternatives. This study proposes 'Option Value' as an alternative. Since the option value is a willingness to pay for an uncertain situation, it is theoretically reasonable and reasonable to reflect it as an additional benefit. Normally, the value of existence is not seen, but the system that is seen in a crisis is in the 'medical and health'. Therefore, it is necessary to find a system that is invisible even in the feasibility evaluation in the medical and health, and constantly improve and develop a methodology that can estimate changes in the welfare of citizens within the system. I expect this study to play a role as a catalyst.

Influence of Fear about Middle East Respiratory Syndrome Event of Hospital Worker and General Public on Socio-Psychological Health : Mediating Effect of Posttraumatic Stress (중동호흡기증후군에 대한 공포감이 병원종사자와 일반인의 사회심리적 건강에 미치는 영향 : 외상 후 스트레스의 매개효과)

  • Kim, Shinil;Kim, Taehyung;Choi, Malrye;Jeong, Joori;Kwon, Hyukmin;Kim, Hyoungwook;Kim, Byoungjo;Eun, Hunjeong
    • Anxiety and mood
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    • v.15 no.1
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    • pp.45-52
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    • 2019
  • Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p<0.01) and the higher post-traumatic stress (r=0.32, p<0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (${\beta}=0.45$, t=6.33 p<0.001), (${\beta}$ value : 0.39>0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development.

A Study on the Management Innovation of KORAIL and Military Application -Focusing on the Direction of Innovation in the Military Medical Institution-

  • Choi, Dongha;Kang, Wonseok
    • Journal of East Asia Management
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    • v.3 no.2
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    • pp.21-41
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    • 2022
  • This study aims to analyze the characteristics of the management situation of the Korea Railroad Corporation(KORAIL) through the management innovation process of the KORAIL and to suggest its implications for military application. Despite stable demand, the railway passenger industry had the limitation of not being able to abolish deficit routes due to public service obligations. In addition, the launch of the Suseo High-Speed Line has introduced a competitive system, posing a threat to corporate management. KORAIL wanted to overcome this crisis by innovating its management through the utilization of big data, improvement of the freight business, decentralization of demand, the introduction of tourism railroads, and development of station influence areas. By utilizing big data, KORAIL was able to optimize the railway fare system while reducing fixed costs spent on railway maintenance. It also drastically reduced the station of cargo and created a base station to pursue economies of scale. On the other hand, the existing exclusive station system was abolished to solve the chronic saturation of the downtown area, and the railway demand was moved to Gwangmyeong Station and Suwon Station to optimize the passenger supply. In particular, it developed a new business model called the tourism railway by developing the mountain Byeokjin Line, which was a chronic deficit line, and sought to improve liquidity through the development of the station influence area. Such a process of innovation at KORAIL suggests an appropriate direction in seeking ways to innovate the military medical institutions. First of all, the necessity of improving organizational immersion through the development of a personnel structure suitable for the compulsory organization, while expanding the facilities of the division and corps, and reducing the time required for medical treatment and waiting through the establishment of a data-based medical system was suggested. Next, it was also discussed to integrate the National Health Medical College, which received accreditation as a medical facility through the designation of advanced general hospitals and is ultimately under discussion with the Medical Institution. Through this, we hope that the military medical institutions, which are facing various challenges, will overcome existing limitations and be re-lighted as innovative institution that provides comprehensive public health services.