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Development of Smartphone Application for Cognitive Behavioral Therapy-Based Case Management in Patients with Schizophrenia (조현병 환자의 인지행동치료 기반 사례관리를 위한 스마트폰 애플리케이션 개발)

  • Kim, Sung-Wan;Lee, Ga-Young;Yu, Hye-Young;Park, Ji-Hyun;Lee, Yong-Sung;Kim, Ju-Wan;Park, Cheol;Lee, Ju-Yeon;Lee, Yo-Han;Kim, Jae-Min;Yoon, Jin-Sang
    • Korean Journal of Schizophrenia Research
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    • v.19 no.1
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    • pp.10-16
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    • 2016
  • Objectives : This article aims to describe the development of smartphone application for the case management of patients with schizophrenia. Methods : Gwangju Bukgu-Community Mental Health Center developed and launched a smartphone application (HYM) for cognitive-behavioral case management and symptom monitoring. The development of the application involved psychiatrists, nurses, social workers, psychologists, and software technicians from a software development company (Goosl Corp.). Results : The HYM application for clients includes six main modules including Thought record, Symptom record, Daily life record, Official notices, Communication, and Scales. The key module is the 'Thought Record' for self-directed cognitive-behavioral treatment (CBT). When the client writes and sends the self-CBT sheet to the case manager, the latter receives a notification and can provide feedback in real time. 'Communication' and 'Official notices' are useful for promoting communication between case managers and clients with schizophrenia. Ratings in 'Symptom record', 'Daily life record', and 'Scales' modules are stored in graphic or table form representing changes in them and shared with case managers. Conclusion : The interactive function of this application is the key characteristics that distinguishes it from other mobile self-treatment tools. This smartphone application may contribute to the development of a youth- and customer-friendly case management system for individuals with early psychosis.

Multidisciplinary Approaches in Developing Guideline for Mediating Behavioral Problems in Children and Adolescents with Neurodevelopmental Disorders (발달장애 문제행동 치료 가이드라인 제작을 위한 다학제적 접근)

  • Hong, Kyungki;Song, Hokwang;Oh, Maehwa;Oh, Yunhye;Park, Subin;Kim, Yeni;Choi, SungKu
    • Journal of Korean Neuropsychiatric Association
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    • v.57 no.2
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    • pp.190-208
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    • 2018
  • Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

A Study on Attitudes and Acceptance of Port Digital Transformation (항만 디지털 전환에 대한 수용태도와 수용성에 관한 연구)

  • Song, Hyeon-Deok;Chang, Myung-Hee
    • Journal of Korea Port Economic Association
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    • v.39 no.3
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    • pp.155-178
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    • 2023
  • The purpose of this study is to derive factors that affect the acceptance of digital transformation in ports and empirically analyze the impact of these factors on the acceptance of digital transformation through a survey of port workers. Additionally, we test whether acceptance attitude plays a mediating role in the relationship between these factors and digital transformation acceptance. The variables used in this study are as follows. First, knowledge, self-efficacy, and involvement were included as variables related to individual characteristics, relative advantages, complexity, observability were included as variables related to innovation characteristics, and government regulations and competitor pressure were included as variables relate to environmental characteristics, so that a total of eight latent variables were selected. The results of this study are summarized as follows. First, two variables among individual characteristics, self-efficacy and involvement, were able to confirm a positive(+) causal relationship with the attitude of accepting digital transformation, and knowledge initially expected a positive(+) causal relationship with the attitude of accepting digital transformation, but the result was a negative(-) causal relationship, so that the hypothesis was rejected. Second, among the characteristics of innovation, complexity has a negative(-) causal relationship with the attitude of accepting digital transformation, and relative advantages and technological innovation have a positive(+) causal relationship with the attitude of accepting digital transformation. Finally, among the environmental characteristics, government regulations and competitor pressure, confirmed a positive(+) causal relationship with the attitude of accepting digital transformation. In addition, it was found that the attitude of accepting digital transformation had a positive(+) causal relationship with personal acceptance and social acceptance of digital transformation.

Work·Family Compatibility Policy Usage and Parenting Stress : Focusing on Sex and Occupational Groups (일·가족 양립 정책 이용과 양육 스트레스 : 성별과 직업군을 중심으로)

  • Cho, Yoonjoo
    • Journal of Family Resource Management and Policy Review
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    • v.28 no.1
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    • pp.27-38
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    • 2024
  • Given the concern about the reduction in birth rate in Korea today, the objective of this study was to examine the association between Work·Family Compatibility policy and parenting stress, focusing on sex and occupational groups. Data from the 13th year Panel Study on Korean Children were analyzed by descriptive statistics, a one-way analysis of variance, and Duncan's post hoc test. The results of this study were as follows: First, the most commonly used aspect of the Work·Family Compatibility policy among both males and females was flextime, irrespective of occupational types. Also, flextime was the most used policy among professional workers. Second, regarding the use of related systems and parenting stress, it was found that all respondents perceived above average parenting stress. Specifically, the parenting stress scores of male users of flextime were higher than those of family care leave users. The parenting stress of military personnel were the lowest among males' occupational groups. Among females, the parenting stress scores of maternity leave users were higher than those of shorter workweek user. Diverse discussions and implications were suggested about promoting the usage of Work·Family Compatibility policy.

Standards for recognition and approval rate of occupational cerebro-cardiovascular diseases in Korea

  • Ui-Jin Kim;Won-Jun Choi;Seong-Kyu Kang;Wanhyung Lee;Seunghon Ham;Junhyeong Lee;Yongho Lee;Eunseun Han;Sanghyuk Lee;Yongkyu Kim;Inah Kim
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.30.1-30.13
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    • 2022
  • Background: Although working hours have decreased in Korea, they are still high compared to that of other countries. In Korea, cardiovascular and cerebrovascular diseases (CCVDs) related to overwork in Korea continually occur, and the social burden from overwork is estimated to be high. This study investigated the amendment of regulations affecting the approval rate of occupational CCVDs. Methods: The change in approval rate of occupational CCVDs and related regulations were investigated using the Act and public notice on the standards for recognition of occupational CCVDs and the yearbooks of the Ministry of Employment and Labor. The CCVD mortality was estimated using data on the number of deaths according to the cause of death, the number of employed people, and resident registration population aged 15-64 years. The cumulative mortality of CCVDs was estimated using the Kaplan-Meier method. Results: Since the establishment of the standards for recognition in Korea in 1982, the scope of occupational diseases has been expanded to include intracerebral hemorrhage, subarachnoid hemorrhage, cerebral infarction, myocardial infarction, and aortic dissection. In 2013, the concept of working hours was introduced in chronic overwork. The approval rate of occupational CCVDs was 44.7% in 2006, which decreased to 12.9% in 2011. After the improvement of related regulations, the approval rate increased to 41.3% in 2018. From 2000 to 2017, the CCVD mortality of both the unemployed and employed tended to decrease, and their cumulative CCVD mortalities were 549.3 and 319.7 per 100,000 people, respectively. Conclusions: CCVDs are recognized as occupational diseases in Korea. The amendments to the standards for recognition, the introduction of the Occupational Disease Adjudication Committee, the principle of presumption, and the reduction of working hours have changed the approval rate of occupational CCVDs. A strategic approach is needed to further reduce the incidence of CCVDs.

Retrospect and Prospect of Medical Law 20th Anniversary (Medical Criminal Law) (의료법학 20주년 회고와 전망(의료형법 분야))

  • Ha, Tae Hoon
    • The Korean Society of Law and Medicine
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    • v.20 no.3
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    • pp.47-79
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    • 2019
  • The Korean Society of Law and Medicine has faithfully played the role of professional academic organizations last 20 years in terms of academic activities, accumulated achievements, diversity, professionalism, and influence on academic circles. The Korean Society of Law and Medicine and the Journal of Medical Law serve as a platform for academic information and exchange of opinions on medical law. Medical law began in the midst of increasing conflicts and disputes caused by medical malpractice and the enactment and legal coercion of medical care as pressure on medical workers. It tried to find a way to coexist with each other through the encounter and convergence of medicine and law. Medical criminal law extends from traditional crimes in the realm of life and body protection to bioethics violations caused by the development of biomedical technology, corruption and economic crime in the medical field. Medical law has evolved into a comprehensive legal area dealing with legal issues raised in medical treatment, healthcare, bioethics, and life sciences technology. On the legal side, medical law is not independent legal areas. It is overlapping with traditional law areas such as civil law, administrative law, criminal law, social law, civil and criminal procedure law. However, it is now established as a convergence study in medicine, bioethics, life science, as well as in various fields of law. It has become an area where collaboration is needed with the field of law, medicine, ethics, sociology and economics. Medical criminal law has undergone a dynamic development over the last two decades. The development of medicine and medical technology provides new and innovative methods of diagnosis and treatment. The achievements and risks of revolutionary developments in biotechnology, genetic engineering and medicine coexist. While there is a dazzling achievement that mankind has hoped for: combating disease and improving health, it also creates unwanted side effects and risks to humans. There is a need to reconsider ethical and legal principles. The discovery and development of patient identity and autonomy has changed the medical doctor-patient relationship. Furthermore, it was complicated by the triangle relationship of patients, medical doctors and insurance. Legal matters are also complicated. This is why the necessity of legislation is emerging. Criminal punishment provisions are also required. The Medical Law and Biomedical Law are systematically and coherently deformed as mosaic-based legislation that takes place whenever there are social issues, citizens' needs, and medical organizations' interests, rather than sufficient enactment and revision procedures. It needs a complete overhaul, and this is possible through interdisciplinary collaboration which is the strength of The Korean Society of Law and Medicine.

Working Conditions, Job Satisfaction and Organizational Commitment of Physical Therapists (물리치료사의 근무실태와 직무만족 및 직장애착)

  • Ahn Soyoun;Kim Won-Joong;Huh Young-Bae
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.308-322
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    • 2002
  • The main objective of this paper is to examine the working conditions of physical therapists and to investigate the level of job satisfaction and organizational commitment under different working conditions. A survey was conducted through structured questionnaire for the physical therapists working in Busan area, and data from 175 therapists were utilized in the final analysis. Survey items included general characteristics of the therapists(sex, age, education, marital status, religion, income, career years, etc.), their working conditions(kinds of organizations they work in, location of PT room, weekly working hours, average number of patients, number of co-workers, equipments/facilities, etc.), and organizational effectiveness measured in terms of job satisfaction and organizational commitment. Major results are as follows: 1) As for the general characteristics of the surveyed physical therapists, male(51.4$\%$) slightly exceeded female(48.6$\%$) and majority(more than 90$\%$) was 20-39 in age. Also, there were more single(57.7$\%$) than married(42.3$\%$), and 54.9$\%$ of the respondents had religion while 45.1$\%$ did not. In terms of the ranks in their organizations, only a few of them(6.9$\%$) were managers, and monthly salary mostly ranged from $\₩$1,000,000 to $\₩$2,500,000. More than half of them worked in various kinds of hospitals, with the remaining in health centers or social welfare institutions. 2) In regard to the working conditions of the respondents, 19.4$\%$ of PT rooms were located in basement areas while the remaining 80.6$\%$ in first to third floors. 34.3$\%$ of them treated 15 patients or less per day, whereas 25.1$\%$ treated 31 patients or more. Also, 52$\%$ recorded physical therapy charts periodically. As for the equipments and facilities, 25.1$\%$ felt 'sufficient' and 40$\%$'insufficient.' 3) The respondents provided various kinds of suggestions for the improvement of their working conditions, where the most important were 'salary raise' and 'reduction of working hours.' In addition, their requests to the PT Association included 'permission of opening of independent practice,' 'permission of legal specialty,' and 'vitalization of the Association.' 4) The comparative analysis of job satisfaction and organizational commitment among different characteristics of the respondents revealed that there was no significant difference between male and female, but in terms of age, the group of 40 or older was highest in both aspects. Besides, therapists who had 15 or more years of hospital career reported higher job satisfaction and organizational commitment than the others. It was also found that the level of organizational commitment increased as the rank of the respondents got higher. There were no significant differences in terms of marital status and religion. 5) Comparison with regard to working conditions showed that therapists employed in university hospitals, health centers and social welfare institutions felt higher job satisfaction and organizational commitment than those in community hospitals and clinics. Also, respondents who worked in basement areas had significantly lower job satisfaction than otherwise. The length of weekly working hours did not really affect the level of job satisfaction, but it was important to maintain 'regular working hours' for the hospitals to improve the employees' organizational commitment. As for the number of patients per day, 'medium level' (21-25 patients) had highest scores in both aspects. And, finally, sufficiency of equipments and facilities was found to be important for the improvement of organizational commitment.

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Change in the Korean Fertility Control Policy and its Effect (출산력 억제정책의 영향과 변천에 관한 고찰)

  • Hong, Moon-Sik
    • Korea journal of population studies
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    • v.21 no.2
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    • pp.182-227
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    • 1998
  • Korean government decided to adopt an explicit population control policy in 1961 and from the following year the establishment and operation of the national family planning programme was included in each of the Five-Year Economic Development Plans that began in 1962. This policy was pursued in the understanding that without proper population control measures korea could not be able to achieve economic development. Korean national family planning programme is characterized by contraceptive target system through public health network with distribution of free contraceptives by family planning field workers and clinical contraceptive services such as IUD, vasectomy and tubaligation at designated clinics by the government. In addition, IE&C activities by the Planned Parenthood Federation of Korea and programme evaluation and research by the Korea Institute for Health and Social Affairs contributed to the development of the government programme. Between 1960 and mid 1980s the nation's total fertility rate was reduced from 6.0 to population replacement level of 2.1 and thereafter it has been maintained at 1.6 to 1.7 of below replacement level. With a short period of less than three decades fertility transition was completed in Korea. It is estimated that if the current level of below replacement fertility continues, the population in Korea stabilize at around 52.78 million people by the year 2028, and it will begin to decrease thereafter. Under this circumstances, the government adopted new directions and strategies of the population policy in June 1996, focused primarily on population quality and social welfare than on demographic arenas. In spite of over 80 percent of high contraceptive prevalence among married women, high incidence of induced abortions is maintained. Moreover, the prevalence of sex selective induced abortions using procedures to determine the sex of the fetus has resulted in an imbalance in the sex ratio at birth. In order to overcome those problems associated with reproductive health new policy for population quality control and health promotion programme should be highly strengthened in the future.

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Assessment of the Activities of General Physicians in Health Subcenters and a Scheme to Improve the Training Program (보건지소 공중보건 일반의사의 업무수행정도와 수련개선방안)

  • Park, Jung-Han;Chun, Byung-Yeol;Woo, Kuck-Hyeun
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.193-202
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    • 1986
  • The activities of general physicians (GPs) in health subcenters and their competency for clinical skills were assessed to develop a scheme to improve the training program. One hundred-twenty GPs in southern four provinces (Kyungpook, Kyungnam, Chunpook, Chunnam) were randomly selected and 97 were interviewed between January 9 and February 10, 1984. Of the 97 GPs, 86 provided all the information we requested. Average number of patient visits per health subcenter in a day was 30-40 in the demonstration project area for the class II medical insurance whereas it was 3-4 visits in other area. The interviewees were asked to rate their competency in 63 clinical skills. The skills in which over 50% of the interviewees rated themselves competent were only 12 items including IM injection, IV injection, wound dressing, etc. Less than 10% of the interviewees rated themselves competent in such skills as maternal health care, emergency medical care, preventive and promotive health services. Most part of the training program of the NIH for the GPs were not applicable to their field work as the training contents were unrealistic. Clinical training at a local general hospital was of great help in 38.8% and the rest of training was not much helpful as the training was inadequate due to lack of trainer or indifference of the trainer. For more effective training of the GPs, the training program of the NIH should be modified to be more realistic and utilize competent field workers as the instructors. It may be more effective if the training is carried out at several local centers. Ideal length of the clinical training for the GPs is 4 months. A pocketbook should be developed that includes specific skills to master during the clinical training and require the trainer to confirm the achievement. The Ministry of Health and Social Affairs should provide the training hospitals with a training guideline and evaluate the training activities and make sure that the training hospital has specialist for each of the 4 major clinical departments. The Ministry of Health and Social Affairs should provide the GPs with a continuing education to assist the problem solving in the field and motivate them to actively carry out the health program. A province may be divided into several regions and a supervisory committee may be organized with specialists in each region. The committee may hold a meeting for the GPs periodically and respond to the specific questions of the GPs by mail.

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Effects of School Violence Experiecne, Perceptions of Violence, Non-Assertiveness and Prosocial Behavior on Adolescents' Conscientization toward School Violence -Focused on the Prosocial Behavior and Non-Assertiveness Mediators- (남·여 중학생의 학원폭력문제 의식화에 영향을 주는 요인에 대한 연구 -학원폭력 피해경험과 친사회적 행동성의 다중 매개효과 검증을 토대로-)

  • Shin, Sung-Ja
    • Journal of the Korean Society of Child Welfare
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    • no.36
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    • pp.165-196
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    • 2011
  • With the increasing concerns of victimization of school violence, this paper is intended to present a pioneering study on the victims' conscientization which may result from their own experience of school violence by peers. The predominant concern of the study consists in: (1) the direct effects of individuals' perception toward violence in general, non-assertiveness, school violence experience by peers, and prosocial behavioral tendency on the individual conscientization of school violence problems; (2) the indirect effects of both individual prosocial behavioral tendency and perceptions toward violence through non-assertiveness on individual conscientization of school violence problems;(3) the sexual differences of the five latent variables(perceptions toward violence in general, non-assertiveness, prosocial behavioral tendency, school violence experience by peers, and conscientization of school violence problems; (4) the sexual differences of both direct and indirect correlates on conscientization of school violence problems. Research is based on a survey conducted with 526 adolescents (268 males and 258 females) from 16 middle schools located in different districts of the city of Pohang. In order to address the research questions, structural equation models on adolescents' conscientization of school violence are explored. A variety of tests are conducted (configural invariance, metric invariance and structural invariance, intercept invariance, critical ratio for difference test, multi-group analysis, latent mean analysis including Cohen's effect test). The major findings of the study support the significance of both direct effects and indirect effects of the four latent factors(perceptions of violence in general, non-assertiveness, prosocial behavioral tendency, school violence experience by peers). The individual prosocial behavioral tendency has a positive mediating effect on the enhancement of individual conscientization toward school violence problems. However, we fail to find the direct positive effect of individual violence experience on the conscientization of school violence problems. In conclusion, a range of practical implications for social workers and other related professionals who are engaged in helping out the adolescents with school violence by peers are suggested based on the study findings.