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Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method

  • Dasom Im;Noor Afif Mahmudah;Seok-Jun Yoon;Young-Eun Kim;Don-Hyung Lee;Yeon-hee Kim;Yoon-Sun Jung;Minsu Ock
    • Journal of Preventive Medicine and Public Health
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    • 제56권4호
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    • pp.291-302
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    • 2023
  • Objectives: Disability weights require regular updates, as they are influenced by both diseases and societal perceptions. Consequently, it is necessary to develop an up-to-date list of the causes of diseases and establish a survey panel for estimating disability weights. Accordingly, this study was conducted to calculate, assess, modify, and validate disability weights suitable for Korea, accounting for its cultural and social characteristics. Methods: The 380 causes of disease used in the survey were derived from the 2019 Global Burden of Disease Collaborative Network and from 2019 and 2020 Korean studies on disability weights for causes of disease. Disability weights were reanalyzed by integrating the findings of an earlier survey on disability weights in Korea with those of the additional survey conducted in this study. The responses were transformed into paired comparisons and analyzed using probit regression analysis. Coefficients for the causes of disease were converted into predicted probabilities, and disability weights in 2 models (model 1 and 2) were rescaled using a normal distribution and the natural logarithm, respectively. Results: The mean values for the 380 causes of disease in models 1 and 2 were 0.488 and 0.369, respectively. Both models exhibited the same order of disability weights. The disability weights for the 300 causes of disease present in both the current and 2019 studies demonstrated a Pearson correlation coefficient of 0.994 (p=0.001 for both models). This study presents a detailed add-on approach for calculating disability weights. Conclusions: This method can be employed in other countries to obtain timely disability weight estimations.

기상변수들의 확률밀도함수(PDF)에 따른 CalTOX모델을 이용한 BTEX 인체노출량 및 인체위해성 평가 연구 (Human Exposure to BTEX and Its Risk Assessment Using the CalTOX Model According to the Probability Density Function in Meteorological Input Data)

  • 김옥;송영호;최진하;박상현;박창용;이민우;이진헌
    • 한국환경보건학회지
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    • 제45권5호
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    • pp.497-510
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    • 2019
  • Objectives: The aim of this study was to secure the reliability of using the CalTOX model when evaluating LADD (or ADD) and Risk (or HQ) among local residents for the emission of BTEX (Benzene, Toluene, Ethylbenzene, Xylene) and by closely examining the difference in the confidence interval of the assessment outcomes according to the difference in the probability density function of input variables. Methods: The assessment was made by dividing it according to the method ($I^{\dagger}$) of inputting the probability density function in meteorological variables of the model with log-normal distribution and the method of inputting ($II^{\ddagger}$) after grasping the optimal probability density function using @Risk. A T-test was carried out in order to analyze the difference in confidence interval of the two assessment results. Results: It was evaluated to be 1.46E-03 mg/kg-d in LADD of Benzene, 1.96E-04 mg/kg-d in ADD of Toluene, 8.15E-05 mg/kg-d in ADD of Ethylbenzene, and 2.30E-04 mg/kg-d in ADD of Xylene. As for the predicted confidence interval in LADD and ADD, there was a significant difference between the $I^{\dagger}$ and $II^{\ddagger}$ methods in $LADD_{Inhalation}$ for Benzene, and in $ADD_{Inhalation}$ and ADD for Toluene and Xylene. It appeared to be 3.58E-05 for risk in Benzene, 3.78E-03 for HQ in Toluene, 1.48E-03 for HQ in Ethylbenzene, and 3.77E-03 for HQ in Xylene. As a result of the HQ in Toluene and Xylene, the difference in confidence interval between the $I^{\dagger}$ and $II^{\ddagger}$ methods was shown to be significant. Conclusions: The human risk assessment for BTEX was made by dividing it into the method ($I^{\dagger}$) of inputting the probability density function of meteorological variables for the CalTOX model with log-normal distribution, and the method of inputting ($II^{\ddagger}$) after grasping the optimal probability density function using @Risk. As a result, it was identified that Risk (or HQ) is the same, but that there is a significant difference in the confidence interval of Risk (or HQ) between the $I^{\dagger}$ and $II^{\ddagger}$ methods.

Risk and Protective Factors for Adolescent Delinquency

  • Kwon Hee-Kyung
    • International Journal of Human Ecology
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    • 제2권1호
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    • pp.135-152
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    • 2001
  • The purpose of this study was to investigate the association of protective and risk factors with adolescent delinquency. Using nationally representative data from the National Longitudinal Study of Adolescent Health (Add Health) project, the delinquency level and the influence of individual characteristics, dyadic relationships in the family, school and peer variables on adolescent delinquency were examined by gender. Boys and girls differed in delinquency level with boys showing significantly higher delinquency than girls. The relative influence of protective and risk factors in individual, familial, peer, and school contexts differed by gender as well. More diverse variables influenced the delinquency level of girls than that of boys.

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기존 운동기기 부착용 운동중량/횟수 자동측정기기의 성능평가 (Performance Evaluation of Automatic Exercise Weight and Repetition Measuring Device Add-on for Existing Fitness Machines)

  • 김정기;이용구
    • 대한기계학회논문집A
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    • 제41권4호
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    • pp.329-332
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    • 2017
  • 본 연구는 기존 운동기기에 부착 가능한 새로운 운동중량, 횟수 자동측정기기의 개발을 위하여 센서모듈과 운동정보획득 알고리즘을 이용하여 운동의 양을 측정할 수 있는 시스템의 운동 계측성능 평가에 관한 것이다. 개발된 시스템은 기존 사용되고 있는 운동기기에 손쉽게 장착할 수 있도록 설계하였으며 측정된 데이터는 스마트폰에 블루투스로 전달 가능하도록 하였다. 실험결과 운동습관이 다른 3명의 사용자로부터 무게 및 횟수를 작은 오차로 검출할 수 있었다. 본 시스템은 사용자의 운동을 측정하여 운동데이터 활용이 가능한 각종 기기에 전달함으로써 개인 맞춤형 헬스케어 시스템 및 재활치료 시스템에도 적용이 가능하다는 장점을 가지고 있다.

Quality of Health Information on the Internet

  • Lotfia Mahmoud Refaat Shenishen
    • International Journal of Computer Science & Network Security
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    • 제23권2호
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    • pp.147-151
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    • 2023
  • The article reviews the quality of information on the Internet in general and health information in particular, where the accumulation and steady increase of information available on the Internet, without concern for its quality or importance, and regardless of the target audience, in addition to the lack of evidence of its credibility such as the availability of the name of the editor and references, and the availability of the name of an academic or research body responsible for that information. Add to this the lack of bibliographic data that can help infer the novelty of the information, and verify the element of trust in it . The problem is exacerbated with regard to the health information available on the Internet, due to its danger resulting from the presence of false health information that may cause danger to human health if relied upon. Through this article, the researcher proposes criteria that can help users search for information to measure the degree of quality, trust, and credibility of information in general and health information available on the Internet in particular.

Adolescents' health behaviors and obesity: Does race affect this epidemic?

  • Dodor, Bernice A.;Shelley, Mack C.;Hausafus, Cheryl O.
    • Nutrition Research and Practice
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    • 제4권6호
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    • pp.528-534
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    • 2010
  • This study explores the influence of health behaviors and individual attributes on adolescent overweight and obesity using data from Wave II (Add Health). Structural equation model/ path analysis using maximum likelihood estimation was utilized to analyze the relationships of health behaviors and attributes with obesity. Results of the model reveal that the causal paths (adolescents' attributes and health behaviors) for overweight and obesity were different for African American and Caucasian adolescents. Generally, African Americans were more susceptible to overweight and obesity than Caucasians. Although increasing levels of vigorous physical activities lowers the risk for obesity among African American and Caucasian adolescents alike, low family SES and being sedentary were associated with overweight and obesity among Caucasians. No significant associations were found among African Americans. Increased hours of sleep at night relate positively with obesity among African Americans. These findings suggest important elements in the consideration of race in developing effective intervention and prevention approaches for curbing the obesity epidemic among U.S. adolescents.

한국 장년 성인의 과체중 예방을 위한 식생활 간이평가표 개발 (The Development of a Simple Evaluation Questionnaire for Screening the Overweight-type Dietary Pattern in 30 to 49 Year Old Adults)

  • 박영숙;한재라;이정원;조한석;구재옥;김정희;윤진숙
    • 대한지역사회영양학회지
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    • 제7권4호
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    • pp.495-505
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    • 2002
  • A study was performed to develop as a screening tool the Simple Evaluation Questionnaire for Screening the Over-weight-type Dietary Pattern in 30 to 49 Year Old Adults. We used the data from the 30 to 49 year old subjects who participated in the three surveys - the health behavior survey, the dietary habit survey and the food intake survey - as the National Health and Nutrition Survey 1998. The 3,598 adults were classified into to two body fatness groups of normal (including underweight) and overweight (including obese) on the basis of their relative body weight (RBW) When comparing variables between the two groups, significant differences were found in gender, education, job, employment status, perceived health status, sadness / depression state, stress level, age, number of diseases, age when overweightedness started, maximum body weight, sleep length, drinking pattern (yes/no) , amount of alcoholic drinks, frequency of intoxication or drunkeness, amount of alcoholic drinks when drunk, intensity of exercise, frequency of exercise, exercise duration, skipped meals, small meals and drug supplements. In terms of food intake, there were significant differences in the daily food intake in terms of breakfast, dinner, daily kimchi and dairy products. In terms of mealtimes, we found differences in the amount of cooked rice at breakfast, kimchi at lunch, soup / kuk at dinner, fresh vegetables for snacks, fried foods for snacks between breakfast and lunch, and fruits /juices for snacks between lunch and dinner. After developing questions with indicators and analyzing the indicators by logistic regression analysis three times, we chose 10 questions for a simple evaluation of dietary patterns for the overweight-type category in order to give one point each. Among them we selected two questions to add one additional point and one question to add two additional points. The average scores of the overweight and normal groups, as shown by the developed questionnaire, were $5.97 \pm 2.36 \pm 7.36 \pm 2.21$, respectively. A score of seven points was selected as the cut-off point. We examined the sensitivity, specificity and positive predictive value of the questionnaire to the results of 67%, 59% and 62%, respectively.

의료보험 진료비의 결정요인에 대한 연구 (A Study on The Determinants of the Medical Expenses in the Health Insurance System in Korea)

  • 사공진;김진영
    • 보건행정학회지
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    • 제11권2호
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    • pp.29-57
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    • 2001
  • Since the inauguration of the medical insurance system in 1977, the increasing medical expenses which can be menace to tile finance of the medical insurance system, have become major concern in the medical insurance field In Korea. This study focuses on the determinants of the medical expenses in the health insurance in Korea and analyzes the impact of these factors on the increase in the medical expenses. The empirical work is done using the pooled cross-section and time-series data of the medical insurance for the self-employeds and the industrial workers from the year 1995 to 1997. The result of this study shows that the main determinants of the medical expenses in the health insurance are the ratio of the population of the aged to the total population, the frequency of the utilization, number of doctors per capita and the regime changes. Although the increasing trend in the medical expenses seems to be unavoidable, we probably need to add some efficiency to the medical expenses by suppressing the supply and the utilization of the unnecessary medical services. The fee-for-service reimbursement system of today can't suppress the supply of the unnecessary medical services effectively. So we need to convert the present fee-for-service system into DRG's which is known to reduce the medical costs. The increase in the medical expenses comes from a lot of factors. Therefore, we should develop more systematic and comprehensive measures to control the soaring medical expenses in consideration of the various factors such as demand, supply, and the organizational side of the medical system.

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Factors Associated with the Practice of Traditional Prenatal Education (Taegyo) among Pregnant Korean Women

  • Kim, Young-Hee
    • 여성건강간호학회지
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    • 제17권5호
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    • pp.491-498
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    • 2011
  • Purpose: Recently as couples have only one or two children, they concern about their children's optimal health. Furthermore, as the basic principles of Korean traditional prenatal education (Taegyo) are supported by scientific evidence, and as increasing numbers of pregnant women are recognizing Taegyo refresh, the practice of Taegyo is growing. The purpose of this study was to identify the factors associated with the practice of Taegyo among pregnant Korean women. Methods: This was a cross-sectional, survey study of 228 pregnant women recruited at a health center in South Korea using a convenience sampling method. The instruments included the perception of Taegyo scale, the spouse's support scale, the self-confidence for infant care scale, and the practice of Taegyo scale. The data were analyzed using descriptive statistics and multiple regression analyses. Results: The results of the stepwise multiple regression analysis indicated that the following factors accounted for 26.5% of the variance in the practice of Taegyo: the perception of Taegyo, family income. Conclusion: Consequently, this result showed that the pregnant women were influenced by family income, spouses' support as requisite factors, and also they developed the level of self-confidence for infant care and the perception of Taegyo as self-care agency for the practice of Taegyo. The present study findings will add to the accumulated knowledge of health care professionals about the cultural factors involved in the practice of Taegyo and the traditional cultural beliefs and culture-specific health promoting behaviors of ethnic minority pregnant women to provide culturally competent care for them.