• Title/Summary/Keyword: Determinant of health

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Policy Proposals for the Safe Living of the Rural Elderly (농촌 노인의 생활안전을 위한 정책적 제언)

  • Cho, Hee Keum;Lee, Mi Young
    • Journal of Family Resource Management and Policy Review
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    • v.21 no.2
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    • pp.1-24
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    • 2017
  • The purpose of this study, which focuses on safe living as an important determinant of the quality of life for the elderly, is to provide policy proposals for their safe living in rural areas by examining their current living conditions and related policies. To examine the related policies, we analyzed government plans including: the first, second and third Basic Plan on Low Fertility and Aging Society, first implemented in 2006, the first, second and third Basic Plan for Healthy Families, also first implemented in 2006, and the first, second and third Five-year Plan for Improvement of the Quality of Life of Rural People and Regional Development of Rural Areas, first implemented in 2005. In addition to these plans, government projects concerning safe living environments were assessed. we present the following policy proposals for the safe living of the elderly in rural areas. First, integrated, customized policies are required for the rural elderly's everyday life. That is, elderly-friendly residential improvement policies are needed since accidents involving the rural elderly usually occur in their own houses. Policies should also be introduced to monitor and improve the elderly's nutritional and health status. Also considering the high proportion of elderly people in rural areas, policies must be aimed at creating elderly-friendly and family-friendly villages. Second, educational sessions for the elderly are necessary to raise their awareness of safety in everyday lives, which they often overlook.

Life Satisfaction and Bipolarity according to Circadian Typology (일주기 유형에 따른 삶의 만족도와 양극성 경향)

  • Park, Hwanjin;Lee, Hye-Kyung;Shin, Yong Jin;Lee, Kounseok
    • Korean Journal of Biological Psychiatry
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    • v.22 no.3
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    • pp.135-139
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    • 2015
  • Objectives The purpose of this study was to investigate the relationships among circadian typology, bipolarity and life satisfaction of university students. Methods A total 1232 participants completed questionnaires, which included Composite Scale of Morningness (CSM), Satisfaction with Life Scale (SWLS), and Mood Disorder Questionnaire (MDQ). Statistical analyses were done using correlation analysis, and analysis of covariance. Results The CSM score was positively associated with SWLS score (r = 0.232 ; p < 0.001). The morningness group has higher life satisfaction than the eveningness group (p < 0.001). The eveningness group has higher bipolarity than the morningness group (p < 0.001). The CSM score was negatively associated with MDQ score (r = -0.128 ; p < 0.001). Conclusions Bipolarity and life satisfaction were associated with circadian typology. Morningness was the important determinant of life satisfaction and bipolarity.

Construct Validity of the Life Transition Scale for Parents of Children with Autism (자폐성장애 아동 부모의 삶의 전환과정 측정도구에 대한 구성타당도 평가)

  • Lee, Ae Ran;Hong, Sun Woo;Ju, Se Jin
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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    • pp.563-572
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    • 2014
  • Purpose: The study was done to identify the construct validity and reliability of the life transition scale (LTS) for parents who have children with autism. Methods: Exploratory factor analysis (EFA) and confirmative factor analysis (CFA) were conducted to identify the most adequate measurement model for structural validity. Convergent validity and discriminant validity were also conducted for structural validity. Data were collected from 208 parents through self-reported questionnaires and analyzed with SPSS/WIN 15.0 and AMOS 20.0 version. Results: A four factor-structure was validated (${\chi}^2$=541.23, p<.001, GFI=.82, RMSEA=.07, IFI=.89, CFI=.89, PNFI=.73, Q (${\chi}^2/df$)=2.20) at the 3rd order of EFA and CFA, and factors were named as denying, wandering, despairing, and accepting. Both convergent and determinant validity for LTS were 100%. Cronbach's alphas for the reliability of each structure were .77-.90 and .83 for total structure. Conclusion: The four structures, 24-item instrument showed satisfactory reliability and validity. LTS has the potential to be appropriate for assessing the transition process of life for parents who have children with autism and provides basic directions for differentiated support and care at each stage.

RABBIT HEATING BY MICROWAVE EXPOSURE AT VARIOUS AMBIENT TEMPERATURES

  • Kolganova, Olga I.;Zhavoronkov, Leonid P.;Petin, Vladislav G.;Kim, Jin-Kyu
    • Journal of Radiation Protection and Research
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    • v.35 no.3
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    • pp.99-104
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    • 2010
  • The potential ability of environmental temperature to enhance the effect of microwave radiation (7 GHz) was experimentally studied for rabbit heating after simultaneous application of both agents. The tested ambient temperatures (30 and $38^{\circ}C$) didn't exert a considerable influence upon rabbit heat homeostasis after the used duration of exposure (3 hours and 15 minutes, correspondingly). The synergistic interaction of microwave irradiation and ambient temperature was demonstrated for rabbit heating. Power flux density of microwave irradiation was shown to be a determinant of the synergistic interaction effectiveness. For the fixed ambient temperature ($30^{\circ}C$), the synergism was shown to be observed only within a definite power flux density ($0-100\;mW{\cdot}cm^{-2}$), inside of which there was an optimal intensity ($20\;mW{\cdot}cm^{-2}$), which maximized the synergistic effect. Any deviation of the power flux density from the optimal value resulted in a reduction of the synergy. It is concluded that any assessment of the health or environmental risks should take into account the synergistic interaction between ambient temperature and microwave radiation.

Hardiness : Determinants of Psychological Distress from Stress (스트레스 결과변수의 결정요인으로서의 강인성에 관한 연구 -간호사의 소진(burnout)을 중심으로-)

  • 이미라;소희영;안은경;김태숙
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.583-590
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    • 1998
  • This study was undertaken in order to examine the effect of hardiness on stress-causing factors, defined in this study as burnout in nursing. The subjects were 248 nurses working in three general hospitals in Taejon. The instruments used for this study were a survey of general characteristics, modified Health-Related Hardiness Scale(HRHS) (25 items), job stress scale (63 items), and burnout scale (20 items). Analysis of data was done through the mean, percentage, Pearson correlation coefficient, and stepwise multiple regression done with a SAS program. The results of this study are as follows. 1) The average item score for the job stress was high at 4.44. In the subcategories, the highest degree of stress was night duty(5.11), and work overload(4.70), responsibility for extra affairs(4.70), conflict in nurse-doctor relationships(4.69), and low reward(4.63) in that order. 2) In the stepwise multiple regression analysis, hardiness(11.55%) was a significant determinant of burnout along with job stress(17.24%) and job duration(12.94%). The results of this study show that hardiness has an effect on psychological distress caused by stress.

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Determinant of Arterial Stiffness in Young Adults

  • Jo Yoon-Kyung;Jeon Justin Y.;Kim Eun-Sung;Jekal Youn-Suk;Eom Yong-Bin;Im Jee-Aee
    • Biomedical Science Letters
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    • v.12 no.3
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    • pp.191-196
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    • 2006
  • Cardiovascular disease (CVD) risk factors may be acting several decades before CVD becomes manifest. Data from young subjects may be valuable in further elucidating at this issue. We evaluated the association between baPWV (brachial-ankle pulse wave velocity) and cardiovascular risk factors in apparently healthy young adults. A total of 46 male and 91 female adolescents aged $18{\sim}25 years$ were studied. baPWV increased in a dose-responsive manner as the number of metabolic syndrome components. In both gender groups, baPWV was positively correlated with age. In males, waist, circumference total cholesterol, and LDL-cholesterol were positively correlated with baPWV, and in females, blood pressure (BP) was positively correlated with baPWV. Age, gender, mean BP, and Homeostasis model assessment insulin resistance (HOMA-IR) were found to be independent factors associated with baPWV levels. In conclusion, mean BP, age, gender, and HOMA-IR were associated with baPWV in young adults. This result suggests that multiple cardiovascular risk factors may be associated with an increased risk of arterial stiffness in young adults.

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Diagnostic Paper Chip for Reliable Quantitative Detection of Albumin using Retention Factor (체류 인자를 이용한, 알부민의 정량 분석용 종이 칩)

  • Jeong, Seong-Geun;Lee, Sang-Ho;Lee, Chang-Soo
    • KSBB Journal
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    • v.28 no.4
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    • pp.254-259
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    • 2013
  • Herein we present a diagnostic paper chip that can quantitatively detect albumin without external electronic reader and dispensing apparatus. We fabricated a diagnostic paper chip device by printing wax barrier on the paper and wicking it with citrate buffer and tetrabromophenol blue to detect albumin in sample solution. The paper chip is so simple that we dropped a sample solution at sample pad and measure the ratio of two travel distances of the sample solvent and albumin under the name of retention factor. Our result confirmed that the retention factor was constant in the samples with same concentration of albumin and useful determinant for the measurement of albumin concentration. The paper chip is affordable and equipment-free, and close to ideal point-of-care test in accordance with the assured criteria, outlined by the World Health Organization. We assume that this diagnostic paper chip will expand the concept of colorimetric determination and provide a inexpensive diagnostic method to aging society and developing country.

Determinants of Healthcare Expenditures in GCC Countries: A Panel Data Analysis

  • ALI, Abdelaziz Abdelmegid;SAYED, Mohamed Noureldin
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.8
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    • pp.705-714
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    • 2020
  • This study aims to investigate the main factors that affected the government health expenditures in Gulf Cooperation Council (GCC) countries (Kingdom of Saudi Arabia (KSA), United Arab Emirates (UAE), Oman, Qatar, Bahrain and Kuwait), during the period from 2005 to 2019. The study employs a panel data technique in order to monitor the pooled determinant variables of healthcare expenditures in these countries. The study's results indicate, by using FMOLS approach for panel data, that the average healthcare expenditures per capita in GCC countries have a positive and a significant relationship with the government revenues, the size of the population, and the governments' public debt. The positive and the significant relationships of governments' public debt may be explained even if the governments of the GCC countries suffer from a budget deficit; the GCC countries continue to increase the healthcare expenditure. The study suggests that the policymakers of the GCC countries must take into consideration those variables when they develop their healthcare policies. Also, the GCC countries urgently need to have high levels of foreign exchange reserves to maintain the expected level of spending on the healthcare sector, because their public revenues depend mainly on the oil revenues, which are fluctuating continuously.

A Study on the Determinants of Satisfaction for The Generational Integration Programs

  • Mi-Hwa JANG;Woo-Sik LEE
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.2
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    • pp.13-21
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    • 2024
  • Purpose: The purpose is to expand the role of local senior welfare centers as a place for intergenerational integration by analyzing the intergenerational awareness and satisfaction of participants in the intergenerational integration program. Research design, data and methodology: The empirical study conducted a survey on 205 participants (114 seniors, 91 teenagers) of the generation integration program being implemented at a senior welfare center located in Seoul. Results: Regarding the satisfaction of participants in the generation integration program, both the elderly and youth showed that the more contact they had between generations, the higher the satisfaction with participation. In the case of the elderly, the better the subjective health status, the older the respondent, and the lower the educational level, the higher the satisfaction, and the more frequently they met youth, the higher the satisfaction. On the other hand, the longer the youth participated in the program, the weaker their negative emotions toward the elderly, and the higher the degree of visits to grandparents, the higher their satisfaction with participation. Conclusions: The biggest determinant of satisfaction with the generational integration program at senior welfare centers is the intensity and frequency of contact between the elderly and youth generations.

Diagnostic Value of Endorectal Ultrasound in Preoperative Assessment of Lymph Node Involvement in Colorectal Cancer: a Meta-analysis

  • Li, Li;Chen, Shi;Wang, Ke;Huang, Jiao;Liu, Li;Wei, Sheng;Gao, Hong-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3485-3491
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    • 2015
  • Background: Nodal invasion by colorectal cancer is a critical determinant in estimating patient survival and in choosing appropriate preoperative treatment. The present meta-analysis was designed to evaluate the diagnostic value of endorectal ultrasound (EUS) in preoperative assessment of lymph node involvement in colorectal cancer. Materials and Methods: We systematically searched PubMed, Web of Science, Embase, and China National Knowledge Infrastructure (CNKI) databases for relevant studies published on or before December 10th, 2014. The sensitivity, specificity, likelihood ratios, diagnostic odds ratio (DOR) and area under the summary receiver operating characteristics curve (AUC) were assessed to estimate the diagnostic value of EUS. Subgroup analysis and meta-regression were performed to explore heterogeneity across studies. Results: Thirty-three studies covering 3,016 subjects were included. The pooled sensitivity and specificity were 0.69 (95%CI: 0.63-0.75) and 0.77 (95%CI: 0.73-0.82), respectively. The positive and negative likelihood ratios were 3.09 (95%CI: 2.52-3.78) and 0.39 (95%CI: 0.32-0.48), respectively. The DOR was 7.84 (95%CI: 5.56-11.08), and AUC was 0.80 (95%CI: 0.77-0.84). Conclusions: This meta-analysis indicated that EUS has moderate diagnostic value in preoperative assessment of lymph node involvement in colorectal cancer. Further refinements in technology and diagnostic criteria are necessary to improve the diagnostic accuracy of EUS.