• Title/Summary/Keyword: school health clinic

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Association between coronavirus disease 2019-related workplace interventions and prevalence of depression and anxiety

  • Hyun Woo Park;Seung Hyun Park;Young Wook Kim;JunSeok Son;Chan Woo Kim;Hyoung Ouk Park;Jun Ho Lee;Young Hoo Shin;Chang Ho Chae;Eui Yup Chung;Hun Jeong
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.11.1-11.9
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    • 2022
  • Background: Although coronavirus disease 2019 is causing a variety of psychological problems for workers, there are few longitudinal studies on changes in workers' mental health by workplace intervention. This study aimed to evaluate the change in the prevalence of depression and anxiety according to the active involvement of the workplace. Methods: This study was conducted on 1,978 workers at a workplace who underwent a health screening from January 2019 to August 2020, and classified depression and anxiety disorders using a self-report questionnaire. After the first pandemic, the company stopped health screening, took paid leave and telecommuting, and conducted interventions such as operating its own screening clinic. To see if this workplace intervention affects workers' mental health, we conducted generalized estimating equations to compare odds ratio (OR). Results: In the pre-intervention group, 384 people (16.86%) had depression, and 507 people (22.26%) had anxiety disorder. Based on the OR before intervention, the OR of depression decreased to 0.76 (0.66-0.87) and the OR of anxiety disorder decreased to 0.73 (0.65-0.82). Conclusions: As a result of this study, it was confirmed that workplace intervention was related to a decrease in depression and anxiety. This study provides basic data to improve workers' mental health according to workplace intervention, and further research is needed according to workplace intervention in the future.

Curriculum Analysis on Health Management Schools in Republic of Korea: Focusing on Relationship with Licence and Certification (국내 학부 보건관리학과의 교육과정 분석연구: 취득면허·자격과의 관계를 중심으로)

  • Lee, Yuri
    • Health Policy and Management
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    • v.28 no.1
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    • pp.23-34
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    • 2018
  • Background: This study aims to conduct curriculum analysis on health management schools focusing on relationship with licence and certification in Republic of Korea. Methods: Possible employment field, licence and certification as well as curriculum were collected from the home page of 30 health management schools. The subjects and credits of curriculum were analyzed using descriptive statistics. Main subjects by areas were drew using categorization and ranking within qualitative methods. Comparative analysis was conducted for checking relationship between main subject and possible employment field, licence and certification. Results: First, major employment fields after graduation were public health officer, general hospital and clinic, and National Health Insurance Service. Possible licence and certificate were hospital administrator, medical recorder, health education specialist, and medical insurance specialist. Second, total graduate credits were 133.9 including 79.0 for major education, 30.5 for of general education, and 30.5 for elective courses. Third, main subjects were reviewed by areas including basic medicine, health management, hospital business & management, medical records & information, insurance billing & assessment, healthcare marketing & tourism, and health education. There were highest number of subjects on health education area among 8 categories. By subjects, many health management schools open health law, medical terminology, introduction to public health, and biostatistics. Relationship between main subjects and possible employment field, licence and certification in health management schools was strong. Conclusion: It is necessary to review curriculum and for improving educational quality in health management schools. Also, development of curriculum standards for courses in health administration and introduction of accreditation system can be considered.

Evaluation of bone substitutes for treatment of peri-implant bone defects: biomechanical, histological, and immunohistochemical analyses in the rabbit tibia

  • dos Santos, Pamela Leticia;de Molon, Rafael Scaf;Queiroz, Thallita Pereira;Okamoto, Roberta;de Souza Faloni, Ana Paula;Gulinelli, Jessica Lemos;Luvizuto, Eloa Rodrigues;Garcia, Idelmo Rangel Junior
    • Journal of Periodontal and Implant Science
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    • v.46 no.3
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    • pp.176-196
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    • 2016
  • Purpose: We sought to evaluate the effectiveness of bone substitutes in circumferential periimplant defects created in the rabbit tibia. Methods: Thirty rabbits received 45 implants in their left and right tibia. A circumferential bone defect (6.1 mm in diameter/4 mm depth) was created in each rabbit tibia using a trephine bur. A dental implant ($4.1mm{\times}8.5mm$) was installed after the creation of the defect, providing a 2-mm gap. The bone defect gaps between the implant and the bone were randomly filled according to the following groups: blood clot (CO), particulate Bio-Oss$^{(R)}$ (BI), and Bio-Oss$^{(R)}$ Collagen (BC). Ten animals were euthanized after periods of 15, 30, and 60 days. Biomechanical analysis by means of the removal torque of the implants, as well as histologic and immunohistochemical analyses for protein expression of osteocalcin (OC), Runx2, OPG, RANKL, and TRAP were evaluated. Results: For biomechanics, BC showed a better biological response ($61.00{\pm}15.28Ncm$) than CO ($31.60{\pm}14.38Ncm$) at 30 days. Immunohistochemical analysis showed significantly different OC expression in CO and BC at 15 days, and also between the CO and BI groups, and between the CO and BC groups at 60 days. After 15 days, Runx2 expression was significantly different in the BI group compared to the CO and BC groups. RANKL expression was significantly different in the BI and CO groups and between the BI and BC groups at 15 days, and also between the BI and CO groups at 60 days. OPG expression was significantly higher at 60 days postoperatively in the BI group than the CO group. Conclusions: Collectively, our data indicate that, compared to CO and BI, BC offered better bone healing, which was characterized by greater RUNX2, OC, and OPG immunolabeling, and required greater reversal torque for implant removal. Indeed, along with BI, BC presents promising biomechanical and biological properties supporting its possible use in osteoconductive grafts for filling peri-implant gaps.

The Evaluation of Childbirth Class and Eductional Need of Pregnant Women (출산교실에 참여한 임부의 교육 평가 및 교육)

  • Park, Young-Sook;Kim, Young-Im;Park, Yeon-Hwan
    • Women's Health Nursing
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    • v.2 no.1
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    • pp.125-137
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    • 1996
  • This study was conducted to identify the educational need of pregnant women, and to evaluate the effect of the 2-hour childbirth class provided by researchers. The subjects were composed of 183 pregnant women who participated voluntarily in the 2-hour childbirth class, and the data were collected by self reporting structured questionnaire designed by researchers. The data were analyzed with descriptive statistics, paired t test, and McNemar test by SPSS pc program. The results were as follows ; 1. Mean age of th subjects was 27 and most subjects graduated from the high school and the college. 80.3% of the subjects had nuclear family. 82.5% of the subjects were full time housewives. 2. 85.8% of the subjects were ipara. Though 71.6% of the subjects might have antepartal care in the clinic, 67.2% of the subjects had no chance to participate in the childbirth class before this study. 3. Subject's health and lifestyle, especially related to eating habits, were changed in the antepartum period. We found that the pregnancy affected positively on health and lifestyle of the women. Over 75% of the subjects became to understand the progress of labor, breath methods during the labor, and perineal exercise. Most subjects changed to think that they could control their body more actively and positively during the labor after participating in the childbirth class. 93.4% answered that 'childbirth class was necessary and important'. Most subjects wanted to be taught the contents, such as postpartum care, breast feeding, and infant care in the childbirth class. In conclusion, pregnant women to attend the childbirth educational program with their husband, and the 2-hour childbirth class provided by the researchers very effective in many aspects. Therefore we anticipated that the childbirth class on basis of pregnant women's needs will contribute to improvement of pregnant women's health and well-being during the labor.

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A survey on awareness and behavior on preventive method of dental caries in middle school students (중학생들의 치아우식증 예방법에 대한 인지도 및 행태 조사)

  • Park, Jung-Hyun;Lee, Eun-Kyoung;Cho, Mi-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.707-714
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    • 2012
  • Objective : This study came to be carried out in order to develop oral health education program for maintaining adolescents' oral health and to be helpful for qualitative improvement in prevention program by surveying the awareness and behavior on preventive method of dental caries in adolescents. Method : The collected materials of totally 1,100 people who responded were carried out frequency analysis by using SPSS 12.0(Statistical Package for the Social Science). Results : 1. As for the results of awareness on fluoride effect and sealant effect, the students with response to 'effect of preventing decayed tooth' were indicated to be the highest. It was indicated to be the highest in girls as for gender and in the 2nd grade as for school year. (p<0.05). 2. As for the results of being created when eating sweet food and carbonated drink, the students with response as saying that 'a decayed tooth occurs well' were indicated to be the highest. 4. As for the results on the aim of visiting dental clinic, the students with response as saying of 'visiting for having treatment' when tooth is painful were indicated to be the highest. Conclusion : Synthesizing this study, the students' awareness on preventive method of dental caries was high. But the practice on regular check-up or diet was indicated to be low. Through oral health education, the adolescents should be not only delivered information or knowledge, but also changed habit and behavior.

Reliability and Validity of The Korean Version Scale of Impact of Weight on Quality of Life in $Kids^{(C)}$ (한국어 버전 청소년의 체중 관련 삶의 질 측정도구의 신뢰도와 타당도 검증)

  • Kim, Jeoung-Hyun;Chun, Sungsoo;Choi, Han-Sik
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.105-125
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    • 2014
  • Background: The purpose of this study was to evaluate reliability and validity of a 27-item Korean Version of the Impact of Weight on Quality of Life in adolescents ($IWQOL-Kids^{(C)}$: Korean Version). Methods: This instrument was administered to 872 adolescents (mean z-BMI: 2.61, mean $age{\pm}SD$: $13.9{\pm}1.2$, male: 51.9%). Reliability was tested by internal consistency method and item analysis, validity test was performed by index of content validity, exploratory factor analysis, confirmatory factor analysis and concurrent validity. Sensitivity was tested by ANOVA and t-test. Analyses were performed using SPSS and Amos 18.0. Results: By an exploratory factor analysis, 4 factors were extracted; 'Body esteem' consisted of 9 items with 35.9% of variance (social life: 6 items, 10.23%, physical comfort: 6 items, 8.21%, family relations: 6 items, 7.0%). Four factors explained 61.34% of total variance. Internal consistency coefficients ranged from .766 to .929 for scales on 27 items and equal to .920 for total score for both the 26-item and 27-item tools. A confirmatory factor analysis was conducted for the convergent validity and discriminant validity. The standardized factor loadings to test the convergent validity showed more than .5(C.R<1.965) on all paths after deletion of item PC1 (avoid stairs). The average variances extracted were more than .50 and the construct reliabilities were more than .70. The average variances extracted were stronger than the squares of correlation coefficient of inter-latent variables. Conclusions: These results support that the $IWQOL-Kids^{(C)}$: Korean Version with a 26-item is a reliable and valid tool in Korean obese adolescents.

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A Survey on Health Service Activities of Public Health Nurses in Inchon & Kyung Gi Area (인천.경기지역 보건소 간호사의 보건사업 수행에 관한 조사 연구)

  • Kim, Myeong-Sun
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.88-102
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    • 1989
  • This survey was conducted in order to find out the degree of health service activities of Public Health Nurses & variables relevant to their activities. The subjects of this survey were 232 PHN in Health Centers, Inchon & Kyung Gi area. Data were collected by mean of questionairs from 30th, September to 30th, October, 1986. For the analysis, ANOVA was used. The results were as follows; 1. General characteristics of PHN: o An approximately four fifth of the subjects (82.3%) was between 20-39 years. o The average career length of the subjects as PHN was 4 years. o Their educational level was almost Nursing School (22.4%) Junior College of Nursing (53.4%). o The marital status of the subjects was already married (75.4%). 3. The degree of health service activities of PHN; o The total mean of health service activities was 2.147 (S.D: 1.477, range 11-5). o Among the 11 Health Service Categories; Health service planning (2.828) is the highest mean scored category. The lowest mean scored category was the other health services. o Among the specific activity items about the 11 health service categories, the highest scored activities were 'personal counselling & education' in well-baby care (2.504), family planning (2.530), Tb control (2.134), disease control (2.371), 'health history taking & health examination', in prenatal care, 'clinic care', in administrative service, 'record & report', in the other categories. o Almost categories (10), 'Home visiting' was the lowest scored activity. 3. The relevance for the health service activities by several variables were as follows; o The relevance for the health service activities by general characteristics of PHN was not shown significance at age, educational level, marital status, relegion status. o And at work place, & work department was shown high significance.

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A Survey on Health Service Activities of Public Health Nurses in Chung Buk Area. (충북지역 보건소 간호원의 보건사업 수행활동에 관한 조사연구)

  • Park Young Im
    • Journal of Korean Public Health Nursing
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    • v.1 no.1
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    • pp.75-88
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    • 1987
  • The purpose of this survey was to measure the health Service activity of the public Health Nurses and analyze the related factors influencing to their activities. The subjects of this study were 75PHN in Health Centers, Chung Buk area and survey was conducted from 15th, October to 30th, November, 1986. The results of this study were as follows; 1. General characteristics of PHN : $\cdot\;45.3\%$ of total respondents was in 30-39 age group and their average age was 34.9. $\cdot\;85.3\%$ of them were married women. $\cdot$ Their educational level was almost Nursing High School and Nursing College $(98.7)\%$. 2. Total performance average of health service activities was 2.031. Among the 11 health service categories, health service planning (2.859) and administrative service (2.489) were the most active service area. And among the specific activity items about the health service categories, the highest performed activities were. 'record & report' in health service planning (3.333 : mean), 'case finding & enrolling' in prenatal care (2.627), 'examination of health condition; in postnatal care (2.497), 'personal counselling & education' in family planning (2.560) and 'vaccination & personal education' in well-baby care (2.480). 3. There were significant difference between the performed degree of activities in department of Health Center(P<0.01). The highest health service planning activity was performed by the nurses in TB clinic and maternal care activities were carried out by MCH Center nurses. 4. PHNs in MCH Center were more active than the nurses in Health Center, which services were especially maternal and well-baby care. Their total activity score was 2.302 while 1.860 was of the nurses in Health Center. There were significant difference between their activities (P<0.01).

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The Influence of Subjective Complaints to the Course of Treatment in Pulmonary Tuberculosis Patients (폐결핵(肺結核) 환자(患者)에서 수소(愁訴)가 치료과정(治療過程)에 미치는 영향(影響))

  • Kim, Sang-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.15 no.1
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    • pp.125-130
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    • 1982
  • In order to investigate the relation of subjective complaints to objective course of treatment in pulmonary tuberculosis, one hundred and seventy four cases registered at the University Health Center in Chonnam University were divided into two groups, complaint group and non-complaint group. By analysing the record at the University Health Center during these seven years from 1973 to 1979, following results were obtained: 1. In complaint group who had subjective symtoms, thirty eight cases(77.6%) among forty nine cases were detected. at clinic visit. In non-complaint group who had not any symtoms, one hundred and twenty one cases (96.8%) among one hundred and twenty five cases were detected at compulsive physical examination. 2. Comparisons of complaint group with non-complaint group were not statistically significant in many aspects, but significantly higher cases were discharged at the University Health Center to receive other medical service in complaint group than in non-complaint group. (6.1% vs 0.8%, respectively) On the contrary, non-complaint group refused medication more than two times compared with complaint group in the course of treatment (29.9% vs 12.2%, respectively). 3. In the average time lag from initial diagnosis to initial treatment, comparisons between complaint vs non-complaint group were significant (7.8 vs 28.3 days, respectively). 4. Subjective symptoms were thought to create motivation to receive therapy, and influence of motivation to therapy was strong at initial stage but it become weaker as time passed.

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A Study on Law Consciousness of Nurses (간호사의 법의식에 관한 연구)

  • You Kwang Soo;Suh Geo Suk
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.162-176
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    • 1996
  • The Purpose of this paper was to get grasp the law consciousness of nurse in order to estimate a degree of law cognition, confidence consciousness toward law, consciousness of right and law-abiding spirit that nurses have. This paper made a survey of 566 nurses who were employed in general hospital. health center, school and health-clinic of chonju-city, Questionniare were composed 29 items through four dimension. The result of this survey showed that the role of university and hospital was insignificant for nurses in recognizing law. Consequently, not only hospital but also university ought to insert law in education curriculum or training course. Main contents of this paper are as follows; 1. Introduction 1) necessity of study 2) purpose of study 2. Literature study 3. Method of study 1) subject of study 2) means of study 3) method of analysis 4. Results of study 1) general characteristic of subjects 2) law cognition 3) law consciousness 4) law consciousness according to general characterics 5) law consciousness according to the course of law cognition and needs 5. Summary and Conclusion

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