Active participation in health care policy

Development of public health has had great impact on quality of human life since the Renaissance. Earlier, Rudolph Virchow indicated that medicine is social science, and politics are nothing else than medicine at large scale. In order to achieve healthy country, well designed health care policy is essential. Active participation of health care professionals in politics as well as policy planning is needed for the health and well-being of all people in Korea. Active involvement in health care planning can be social responsibility of health care professionals. In terms of methodology of active participation in health care policy, three folds approaches are suggested. First, to learn more in different field such as politics, public administration, and law. Secondly, to become politician and administrator actively as well as to become active voter. Thirdly, to work as a team of integration to maximize team spirit for the common good.

School Health and Sexuality Education

This paper addresses the issue of adolescent sexuality education as one component of school health education. Health education is a key element in comprehensive health care. The purpose of school health education is to develop the motivation and skills required by students to cope with challenges to health and to build the foundation of knowledge required to comprehend the further health learning scheduled for their future. Same principle applies to sexuality education. Today's sexuality education is about the facts of living, and that education continues throughout the life cycle. Sexuality education is a life-long process. Also knowledge and information about sexuality and family planning are essential for everyone. By sexuality education, young students would realize that each sexual decision has an effect or consequence and sexual decisions should support the dignity, equality and worth of each individual and they should take into account the medical, psychological and social effects of sexual activity and concept of sexuality. Values of sexuality education are thoroughly investigated. Furthermore, several models including online and offline services of sexuality education which would be performed by physicians are suggested and discussed in this paper.

Sexual Abuse of Children

Child abuse and neglect refers to any act or failure to act that violates the rights of children and affects their overall optimal health, survival or development. Also sexual abuse in children is defined as engaging a child in sexual acts that the child does not understand, to which the child cannot give informed consent, or which violate the taboos of our society. Sexual abuse may involve direct acts perpetrated against children as well as other non-touching abuses, which include exhibitionism, voyeurism, or the use of children for pornographic purposes. Although precise incidence and prevalence rate data are lacking, sexual abuse of children is common in our country and throughout the world. Child sexual abuse is a universal problem that has frequently passed unrecognized and its victims (both children and perpetrators) untreated. Child sexual abuse results in significant social damage. The physical and psychological consequences of child sexual abuse may result in trauma and has implications throughout the lifespan. Experiencing sexual abuse as a child also has the consequence of contributing to an increased risk of violent victimization, perpetration, self-directed violence and suicide later in life. Despite the importance of the issues, information about sexual abuse in children and amongst adults has not been commonly shared by health professionals. The purpose of this review article is to assist the physician in their investigation of child sexual abuse by exploring the important topics.

Comprehensive Perinatal Care / 대한주산의학회잡지

No abstract available.

Ultrasonographic findings of early abortion: suggested predictors

To investigate predictable ultrasonographic findings of early abortion. To investigate objective rules for the screening of abortion Ultrasonographic examination of 111 early pregnancies between the sixth and ninth week in women who had regular 28 day menstrual cycles was performed. Ultrasonographic measurements of the gestational sac. Crown rump length and fetal heart rate were performed using a linear array real time transducer with doppler ultrasonogram. All measurements of 17 early abortions were compared to those of 94 normal pregnancies. Most of early aborted pregnanices were classified correctly by disciminant analysis with G-SAC and CRL (GSAC=0.5 CRL+15. Sensitivity 76.5%, specificity 96.8%). With the addition of FHR, 94.1 of early abortions could be predicted. In conclusion, ultrasonographic findings of early intrauterine growth retardation. Small gestational sac and bradycardia can be predictable signs suggestive of poor prognosis of early pregnancies.

Predictable ultrasonographic findings of early abortion

Early fetal growth delay and early oligohydramnios have been suspected as signs of embryonal jeopardy. However, little information is available for the prediction of early abortion. Sonographic examination of 111 early pregnancies between the sixth and ninth gestational week with regular, 28 day menstrual cycles was performed to investigate predictable sonographic findings of early abortion. Sonographic measurements of the gestational sac (G-SAC), crown-rump length (CRL) and fetal heart rate (FHR) were performed using a linear array real time transducer with Doppler. All measurements of 17 early abortions were compared to those of 94 normal pregnancies to investigate the objective rules for the screening of early abortion. Most of the early aborted pregnancies were classified correctly by discriminant analysis with G-SAC and CRL (G-SAC = 0.5222 CRL + 14.6673 = 0.5 CRL + 15, sensitivity 76.5% specificity 96.8%). With the addition of FHR, 94.1% of early abortions could be predicted. In conclusion, sonographic findings of early intrauterine growth retardation, early oligohydromnios and bradycardia can be predictable signs for the poor prognosis of early pregnancies.