Kim, Sun Jung;Kim, Dong Jun;Gim, Eun Na;Yu, Tae Gyu
Korea Journal of Hospital Management
/
v.25
no.3
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pp.67-77
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2020
Background: As of 2016, average Koreans sleep 7 hours and 42 minutes, the lowest figure among Organization for Economic Cooperation and Development(OECD) countries, and the number of people with sleep disorders reached 561,000. Accordingly, the government has promoted the provision of 'Multiple Sleep Test' to strengthen the diagnosis service for patients with 'sleep disorder' in july 2018. As a result, healthcare costs for patients with sleep disorder is on the rise every year. In this study, we utilized 'Appropriate Sleep' criteria of United States's National Sleep Foundation(NSF) then investigated Korean's sleep pertinence using 「7th National Health and Nutrition Survey for 2016-2018」 by different occupational type, demographic characteristics, socio-economic characteristics, and health behaviors. Methods: We performed descriptive analysis to examine differences of sleep appropriateness by various sample characteristics. Multivariate logistic regression models were used to examine sleep appropriateness by occupational type and other variables. We also analyzed subgroup models to investigate. Results: As a result, a total of 1,948 (18.37%) study subjects experienced in-appropriate sleep. Results of the Multivariate logistic regression analysis revealed that blue color group had a higher odds ratio (OR) for experiencing in-appropriate sleep (OR=1.179). In addition, the odds ratio of experienced in-appropriate sleep among the elderly aged 70 and over was 2.698, and the odds ratio of the overstressed group was 1.299. Furthermore, sub-group analysis showed that blue color job of female(Or=1.334), high school or below(OR=1.404), divorce/death/separation(OR=2.039), 25%ile-50%lie income group(OR=1.411) more likely experienced in-appropriate sleep. Conclusion: Growing sleep disorder patients and related health care costs are expected. Government should apply detailed 'total periodic sleep disorder management policy' including pre-consultation, examination, diagnosis, treatment, post-consultation, self-management especially to vulnerable population that this study found.
Journal of agricultural medicine and community health
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v.30
no.1
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pp.29-38
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2005
Objectives: Hypertension is the most important risk factors for the cerebrovascular diseases, and also for coronary heart diseases, it is therefore very important that the people have a knowledge on nature of hypertension and it's high risk in order to prevent and detect the hypertension as early as possible. Methods: This study was done to find out the knowledge on hypertension of 434 parents of elementary school students from Kimjae city, Jonbuk province, they were parents in grade 4, 5 and 6 attending two elementary schools. The survey took 10 days from November 20 to November 30, 2003. Results: first, The highest correct answer(94.5%) was "obesity is risk factors for hypertension", followed by "hypertension is closely related with hereditary factors(91.0%) and "high sodium intake is associated with high blood pressure"(85.7%). The lowest correct answer(77.4%) was the classification of blood pressure level between normal and high. Second, Rate of blood pressure measurement for fathers was 53.7% and 54.8% in mothers. Awareness of own blood pressure by fathers was 84.1 %, while 91.1% by mothers. Third, According to blood pressure level reported by parents, fathers with normal blood pressure was 59.2%, high normal blood pressure was 12.2%, while hypertension was 28.6%. It revealed that prevalence of hypertension of fathers was higher than mother (normal: 74.5%, high normal: 7.7%, hypertension: 18.2%). Conclusions: From the results of this study, it is important to strengthen the health education about hypertension for community people and also school students.
In Korea, since the systematic efforts to help unmarried mothers are rather limited, the unmarried mother's social relationship is expected to play a critical role in the adjustment of unmarried mothers after the birth of a baby. The purpose of this study is to identify the effect of social relationship on unmarried mother's self-esteem. Especially, this study focused a negative aspect of social relationship, social conflict, which has been ignored by the previous researches. For this study, survey method was employed. The respondents of the questionnaire were 205 unmarried mothers staying at six out of eight institutions for unmarried mothers available in Korea. The multiple regression and other descriptive statistical methods were conducted and the results of analysis are as follows. First, the higher the level of perceived social support was, the higher the level of self-esteem of unmarried mothers was. Second, the higher the level of perceived social conflict was, the lower the level of self-esteem of unmarried mothers was. Third, even though the level of perceived social conflict was much lower than the perceived social support, the effect of social conflict on unmarried mothers' self-esteem was as powerful as the social support. This means that the effect of social conflict also can be very important. These findings suggest a new direction for intervention for unmarried mothers. Until now, the major target of intervention in social relationship was to strengthen existing social support or establish new social support system. Now, in addition to augmenting social support, we should pay attention to removal of social conflict, since it has significantly powerful effect on the adjustment of unmarried mothers.
Background: Workers laboring in steel industries in tropical settings with high ambient temperatures are subjected to thermally stressful environments that can create well-known risks of heat-related illnesses and limit workers' productivity. Methods: A cross-sectional study undertaken in a steel industry in a city nicknamed "Steel City" in Southern India assessed thermal stress by wet bulb globe temperature (WBGT) and level of dehydration from urine color and urine specific gravity. A structured questionnaire captured self-reported heat-related health symptoms of workers. Results: Some 90% WBGT measurements were higher than recommended threshold limit values ($27.2-41.7^{\circ}C$) for heavy and moderate workloads and radiational heat from processes were very high in blooming-mill/coke-oven ($67.6^{\circ}C$ globe temperature). Widespread heat-related health concerns were prevalent among workers, including excessive sweating, fatigue, and tiredness reported by 50% workers. Productivity loss was significantly reported high in workers with direct heat exposures compared to those with indirect heat exposures ($x^2=26.1258$, degrees of freedom = 1, p < 0.001). Change in urine color was 7.4 times higher among workers exposed to WBGTs above threshold limit values (TLVs). Conclusion: Preliminary evidence shows that high heat exposures and heavy workload adversely affect the workers' health and reduce their work capacities. Health and productivity risks in developing tropical country work settings can be further aggravated by the predicted temperature rise due to climate change, without appropriate interventions. Apart from industries enhancing welfare facilities and designing control interventions, further physiological studies with a seasonal approach and interventional studies are needed to strengthen evidence for developing comprehensive policies to protect workers employed in high heat industries.
Korean Journal of Construction Engineering and Management
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v.12
no.2
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pp.133-142
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2011
The purpose of this study is to analyze the problems of the parties involved in the issuance of apartment housing development projects. The adapted research method selected four apartment housing development as PF ABCP projects. This study carried out the case about participant institution of PF ABCP funding project including developer, constructor, financial institution so as to draw problems by participant institution. On the basis of the selected case, this thesis proposes methods for involved parties to negotiate and work out problems of the PF ABCP. The results of this study are as follows 1) Launching long-term project financing should be developed, including operating funds and strengthen the ABS and ABCP issuance of credit assessment procedures, combined with the simplicity of the instruments. 2) The Low-risk contract for the construction of simple managerial focus should be the construction, financial institutions essentially dependent on project financing feasibility verification purpose loans to prevent the division a true story, the development should be of interest to be preserved. The proposed included, among other, partial guarantee based on the construction plan financial institutions' share-based investment, and the supplement of legal issues.
Objectives : This study has been undertaken for the purpose of finding out what influence is made by the dental care service provided to patients by the dental clinics to the level of patient satisfaction to provide the base data for developing and improving the dental care service of dental hygienist. Methods : The survey was undertaken for 500 patients visiting 18 dental clinics in City G and the questionnaire was undertaken for two weeks in May 2010, and 473 copies were analyzed with the exception of the questionnaires with many omissions in the response. Results : 1. Distribution of the level of satisfaction for patient had the dentist factor which was highest in the dentist factor for 4.43 at the age of 60s (p<0.05). and in sole proprietorship for 4.49 (p<0.01). treatment procedure factor which was highest in sole proprietorship for 4.16 (p<0.001). environment of dental clinic factor which was highest at the age of 60 years or older for 4.36 (p<0.05) and in sole proprietorship for 4.14 (p<0.01). 2. Evaluation on the quality of the dental care service of dental hygienist had the kindness of dental hygienists which was highest at the age of 60 years or older for 4.40(p<0.001), knowledge factor of dental hygienist which was highest for 4.34 at the age of 60 years or older (p<0.05) and highest 4.27 for visit dentists(p<0.001) and the patient management and other factor was highest at the age of 60s for 4.47 (p<0.05), and in sole proprietorship for 4.28 (p<0.05). 3. Factors influencing on the level of satisfaction for patient. The level of satisfaction for patient was higher for higher evaluation of the dentist quality (p<0.001), for feeling convenient in treatment procedure and use (p<0.01), for feeling kindness of the dental hygienist (p<0.01), and for higher evaluation in patient management and other management activities of the dental hygienist (p<0.001). Conclusions : In order to heighten the level of satisfaction for patient, it would be necessary to strengthen the kindness and patient management aspect on the patients of the dental hygienist, and it would require to heighten the quality of dentist as patients recognize and heighten the treatment procedure and service convenience of dental clinics.
The records management evaluation system is a system operated by the National Archives of Korea since 2007 based on the 「Public Records Management Act」. As the environment of public records management changes dramatically, there is a growing perception that fundamental improvement is necessary in the operation of this evaluation system. In particular, it is required that the most emphasized area is the customized methods based on the type and characteristics of the institutions. This study focused on the self-evaluation method, which aims to strengthen the autonomous evaluation capability of institutions as a new records management evaluation system in public institutions. In particular, the needs to change toward the self-evaluation method is described in relation to the diversity of the institutions to be evaluated, the specificity of the organizational structure of the archives, and the hierarchy and individuality of the institutions. A self-evaluation system (draft) was designed by which an institution diagnoses the records management work by itself, which aims to improve the level of performance. It also covered the development of evaluation items and indicators, the step-by-step application, and the legal and operational aspects to run the records management evaluation system in phases in public records management practices.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.8
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pp.304-316
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2017
The purpose of this study was to identify the components of the adaptation experiences and factors that help male nurses adapt to clinical nursing settings. The participants were eight male nurses working at general hospitals. Data were collected through in-depth interviews and analyzed using Giorgi's phenomenological analysis methods. The core components of the adaptation experiences of the participants in clinical nursing settings were summarized as 'dedication to work', 'challenges in reality that are different from expectations', 'establishing a professional identity', and 'self-development for the future'. The relationships between these components showed causative, accelerative, and recursive characteristics. The adaptation process was structured in the temporal context. In order for male nurses to adapt well to clinical nursing settings, policy efforts should be made to improve their working conditions and resolve inequalities, such as granting equal opportunities for promotion regardless of sex. In addition, it is essential for male nurses to have sufficient internal control for them to make self-directed efforts to strengthen their willpower and self-development efforts to facilitate their adaptation. This study suggests that developing suitable strategies and policy efforts based on the results is required to assist male nurses in adapting to clinical nursing settings.
Objective : The purpose of this study is to understand a medical Gigong's view of the human body through the analysis of medical Gigong techniques, and to understand the concept and treatment principle of Whidam's Su-Gi therapy as the Angyo(按蹻) Method of Doin Angyo(導引 按蹻) Methods : Among Medical Gigong, Sojucheon practice, Moosim-Gigong Riding stance, Moosim-Gigong Doinbeop, Hwalinsimbang Doinbeop and Donguibogam Jang-Bu Doinbeop were selected to analyze the practice method. The medical Gigong's views of the human body are organized into overviews and pathological perspective. The main concepts and clinical techniques of Whidam's Su-Gi therapy were summarized. Discussion : Understanding the principles of medical Gigong is necessary in order to understand the Angyo method of Doin Angyo. The principle of medical Gigong is to circulate around Three-Danjeon(丹田) on the human belly and Three-Gwan(關) on the human back by practicing medical Gigong, and to strengthen the life force by activating the viscera function by communicating between the limbs and the body. If there are Jeokchwi(積聚) and deviation, Whidam's Su-Gi therapy eliminates the Jeokchwi and adjusts the deviation. Conclusions : 1. The Angyo method of Doin Angyo originates from the practice of training to establish Danjeon for the right body and the right flow of air. 2. The principles of medical Gigong obtained through the analysis of Sojucheon(小周天) practice, Moosim-Gigong Riding stance, Moosim-Gigong Doinbeop, Hwalinsimbang Doinbeop and Donguibogam Jang-Bu Doinbeop are the medical Gigong's view of the human body and pathological perspective. 3. Whidam's Su-Gi therapy, which focuses on the elimination of Jeokchwi and the adjustment of deviation based on the medical Gigong's view of the human body, is a manual therapy that inherits the principle of the Angyo Method of Doin Angyo.
Background : Cancer is a disease that not only places a significant burden on patients clinically but also requires significant expense for diagnosis and treatment. Although the cancer coverage of health insurance has recently been expended, the need for financial assistance among cancer patients and their families is still expected to be significant. In this study, cancer patients' need for financial assistance in Korea was examined and its influence factors were analyzed. Methods : Target study subjects were those who are over 18 years of age and were diagnosed with cancer more than four months prior at the National Cancer Center and 9 Regional Cancer Centers in Korea during the period from July to August of 2008. Quarter sampling was conducted according to the ratio of the type of each cancer. A face to face interview survey was conducted. A total of 2,661 cancer patients finished the survey. Medical charts were reviewed in order to obtain the cancer type and SEER stage of cancer patients. An ordered logistic regression model was used to examine the level of need for financial assistance according to the demographical, clinical, and socio-economic variables of cancer patients. Result : The percentage of cancer patients who needed financial assistance was 69.0%, and 36.9% needed significant financial assistance. The need for financial assistance was perceived to be greater in males, younger age group, low income group, low education group, medical aid recipients, those who were diagnosed recently, those with a low level of quality of life measured through EQ5D, and those with decreased income after cancer diagnosis. Conclusion : In spite of the current policy to increase health insurance coverage, the majority of cancer patients and their families in Korea still need financial assistance due to cancer. In particular, there were more vulnerable groups, such as the low income, or low education group. In the future, policies that focus on the disadvantaged, which strengthen social security, should be considered for achievement of a substantially better quality of life for cancer patients and their families.
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