• 제목/요약/키워드: Health Indicator

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Health Indicators Related to Disease, Death, and Reproduction

  • Choi, Jeoungbin;Ki, Moran;Kwon, Ho Jang;Park, Boyoung;Bae, Sanghyuk;Oh, Chang-Mo;Chun, Byung Chul;Oh, Gyung-Jae;Lee, Young Hoon;Lee, Tae-Yong;Cheong, Hae Kwan;Choi, Bo Youl;Park, Jung Han;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • 제52권1호
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    • pp.14-20
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    • 2019
  • One of the primary goals of epidemiology is to quantify various aspects of a population's health, illness, and death status and the determinants (or risk factors) thereof by calculating health indicators that measure the magnitudes of various conditions. There has been some confusion regarding health indicators, with discrepancies in usage among organizations such as the World Health Organization the, Centers for Disease Control and Prevention (CDC), and the CDC of other countries, and the usage of the relevant terminology may vary across papers. Therefore, in this review, we would like to propose appropriate terminological definitions for health indicators based on the most commonly used meanings and/or the terms used by official agencies, in order to bring clarity to this area of confusion. We have used appropriate examples to make each health indicator easy for the reader to understand. We have included practical exercises for some health indicators to help readers understand the underlying concepts.

CT선량지표의 원리와 선량감소 방안에 관한 연구 (Basic Principles of CT Dose Index and Understanding of CT Parameter for Dose Reduction Technique)

  • 김정수;권순무;김정민
    • 대한방사선기술학회지:방사선기술과학
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    • 제38권1호
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    • pp.51-61
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    • 2015
  • 모든 방사선 검사는 검사를 결정하고 실행하는 과정에서 정당성이 확보되어야하고 피폭선량과 영상의 화질에 대한 최적화가 이루어져야 할 뿐만 아니라 ALARA의 원칙에 따라 최소의 방사선을 사용하여 최적의 임상 정보를 얻을 수 있어야 한다. CT 검사는 방사선 검사 중에서 많은 피폭을 환자에게 조사하는 검사이다. 특히 방사선 민감도가 높은 소아 환자의 CT 검사 있어서는 특별한 주의가 필요하다. 임상에서 CT선량에 대한 정확한 이해와 정보는 환자에게 불필요한 방사선 피폭을 줄이고 안전한 검사를 제공하기 위해 절대적으로 필요하다. 이에 본 연구에서는 여러 선행 연구의 고찰을 통하여 CT의 피폭선량에 대한 개념을 확인하고 CT장치의 선량 저감화를 위한 각 파라미터의 이해와 American Association of Physicists in Medicine (AAPM)report 204에서 소개하고 있는 환자의 사이즈에 따른 피폭선량의 보정방법인 Size-Specific Dose Estimates(SSDE)와 XR 25의 개념을 이해하고자 한다.

과산화수소 증기 시스템을 이용한 미생물 제독에 관한 연구 (A Study on Microorganisms Decontamination Using a Vapor-Phase Hydrogen Peroxide System)

  • 김윤기;김민철;윤성녀;황현철;류삼곤
    • 한국환경보건학회지
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    • 제39권3호
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    • pp.279-288
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    • 2013
  • Objectives: Effectiveness and conditions of vapor-phase hydrogen peroxide (VPHP) system on decontamination of Geobacillus stearothermophilus(GS) spores, Escherichia coli (E.coli) and Enterobacteria phage felix01 (felix01) were determined. Methods: The VPHP system was designed to vaporize 35% (w/w) solution of hydrogen peroxide, continuously to inject and withdraw VPHP. The system and VHP 1000ED (Steris) were operated such that dehumidification and conditioning were initiated without samples in the chamber. Then the samples were loaded into and removed. Coupons (glass, anodizing, silicon, viton) with GS spores ($1{\times}10^6$ colony forming unit/mL [CFU/mL]), E.coli ($1{\times}10^7$ CFU/mL) and felix01 ($1{\times}10^7$ plaque forming unit/mL[PFU/mL]), and Biological Indicator (BI) with GS spores ($1{\times}10^6$ CFU/mL) on stainless steel coupons were used. The tested samples were sonicated and vortexed, and then were plated for enumeration, followed by incubation at $55^{\circ}C$, 24 hr for GS spores, and at $37^{\circ}C$, 24 hr for E.coli and felix01. BI analysis in broth culture was only qualitative. Results: The efficacy of the VPHP system on decontamination was almost equivalent to that of VHP 1000ED. The conditions for complete decontamination with the VPHP system was as follows: concentration; 700~450 ppm, relative humidity; approximately 55%, and temperature; $34{\sim}32^{\circ}C$. When comparing the decontamination efficiency among different kinds of coupons, glass was the most effective, however, all kinds of coupons were decontaminated completely after 60 min exposure in both systems. Conclusion: The VPHP system can be recommended as an alternative system for traditional system using ethylene oxide, formaldehyde or chlorine dioxide.

회복 시 심박수의 역할: 심장질환과 운동프로그램 적용 가능성 (The Role of Heart Rate Recovery: Possibility of Heart Disease and Exercise Program Application)

  • 이해성;김종희
    • 한국동물생명공학회지
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    • 제34권3호
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    • pp.166-172
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    • 2019
  • Heart rate is a relatively simple and non-invasive method that is used as an important physiological indicator in many studies and has a close relationship with heart structure and function, cardiovascular disease and sudden cardiac death. In general, appropriately low heart rate during resting means effective heart function and cardiovascular fitness; heart rate at recovery is an important indicator of health and disease condition. We found a beagle dog (Dog_1) with a high heart rate in the previous preliminary experiment. Therefore, purpose of this study was to compare the heart rate response of the Dog_1 with the control group during 12 weeks of interval exercise, to evaluate the structural and functional abnormalities of the heart and to verify the applicability of exercise program. Heart rate was checked during 12 weeks of interval exercise, and after the exercise was over, imaging examination and hematological and serum biochemistry were performed. As a result, Dog_1 (165.6 ± 1.5) showed significantly higher heart rate in low intensity session of interval exercise than control group (133.3 ± 0.5, p < 0.01). In addition, Dog_1 (181.2 ± 1.4) showed significantly higher heart rate than control group (155.1 ± 0.9) in high intensity session (p < 0.01). The heart rate (30 sec, 60 sec) during recovery state was higher in Dog_1 (30 sec: 156.8 ± 4.0, 60 sec: 166.8 ± 5.8) than in the control group (30 sec: 111.2 ± 2.5, 60 sec: 104.0 ± 5.1, p < 0.01). The results of the imaging examination of Dog_1 with high heart rate confirmed that the heart had no functional and structural abnormalities. All beagles with the interval exercise program did not show maladjustment, and in the hematological and serum biochemistry results, all the parameter were within the reference range. If the interval exercise program of this study is used in the future, it is expected to be used as an important basic data to achieve the purpose of health, welfare, and physical fitness improvement of dogs.

근로자의 건강 행태, 구강건강 행태 및 대사증후군 위험요인과 치주질환과의 관련성 (The relationship between workers health behaviorals, oral health behaviorals and metabolic syndrome risk factors periodontal disease status)

  • 구인영;김한곤
    • 한국치위생학회지
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    • 제12권3호
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    • pp.597-609
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    • 2012
  • Objectives : The purpose of this study was to determine the influence of workers health behaviorals, oral health behaviorals and metabolic syndrome risk factors on oral health and to identify the relationship between these. and then, a basis data propose for integrative health promotion programs development and effective Management measures. Methods : The subjects were 4,600 workers working at a industrial place in North Gyeongsang Province, data were collected from July 13, 2010 to September 12, 2010. using the results of the subjects medical check-ups and Oral examinations, this study was performed. collected data included workers general characteristics, job characteristics, and smoking, drinking, exercise behavior as lifestyle factors, and waist measurement, fasting blood sugar level, systolic blood pressure, diastolic blood pressure, the level of Triglyceride and HDL-cholesterol as metabolic syndrome risk factor indicator. Data were analyzed by descriptive statistics, chi-square test, correlation analysis, logistic regression using SPSS 18.0. Results : In results of the subjects medical check-ups, 14.1% were above the criterion value of waist measurement, 2.5% fasting blood sugar level, 8.5% hypertension, 16.8% Triglyceride level and 4.0% HDL-cholesterol respectively. according to oral examination results, showing that 43.3% inflammation of the gums. The inflammation of the gums was correlated with gender, age, dental clinic visit, scaling management, smoking, exercise behavior and high triglyceride level and hypertension of metabolic syndrome risk factor indicators. In addition, this result was statistically significant. Conclusions : Based on this study, the workers health should be managed actively and effectively by using periodical workers health check-ups. At a corporate level, the institutional supports were achieved and arranged for activation of regular oral health education programs, and the prevention plan of metabolic syndrome were needed for changing exercise behavior by conducting suitable exercise programs.

건강 불평등 연구에서 사회경제적 위치 지표의 개념과 활용 (A Review on Socioeconomic Position Indicators in Health Inequality Research)

  • 최용준;정백근;조성일;정최경희;장숙랑;강민아;강영호
    • Journal of Preventive Medicine and Public Health
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    • 제40권6호
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    • pp.475-486
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    • 2007
  • Objectives : Socioeconomic position (SEP) refers to the socioeconomic factors that influence which position an individual or group of people will hold within the structure of a society. In this study, we provide a comprehensive review of various indicators of SEP, including education level, occupation-based SEP, income and wealth, area SEP, life-course SEP, and SEP indicators for women, elderly and youth. Methods and results : This report provides a brief theoretical background and discusses the measurement, interpretation issues, advantages and limitations associated with the use of each SEP indicator. We also describe some problems that arise when selecting SEP indicators and highlight the indicators that appear to be appropriate for health inequality research. Some practical information for use in health inequality research in South Korea is also presented. Conclusions : Investigation into the associations between various SEP indicators and health outcomes can provide a more complete understanding of mechanisms between SEP and health. The relationship between specific SEP indicators and specific health outcomes can vary by country due to the differences in the historical, socioeconomic, and cultural contexts of the SEP indicators.

2020년 미충족의료율과 추이 (Unmet Healthcare Needs Status and Trend of South Korea in 2020)

  • 주혜진;장빛나;주재홍;박은철;장성인
    • 보건행정학회지
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    • 제32권2호
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    • pp.237-243
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    • 2022
  • Unmet healthcare is an important indicator to measure accessibility of healthcare services. To examine the latest status of unmet healthcare needs in South Korea, four different data which is composed of nationally representative sample of South Korean population were used; the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2020), the Community Health Survey (CHS, 2008-2020), the Korea Health Panel Survey (KHP, 2011-2018), and the Korean Welfare Panel Study (KOWEPS, 2006-2020). The proportion of individuals reporting unmet healthcare needs were 6.4% (KNHANES), 5.4% (CHS), and 12.2% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.9%, -9.1%, and -5.5%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.0% (KNHANES), 0.4% (CHS), 2.2% (KHP), and 0.4% (KOWEPS). The APC was -11.3%, -17.0%, -12.2%, and -21.2%, respectively. Overall, the low-income and the elderly population reported a higher rate of unmet health care needs. Although the overall experience rate of unmet medical care due to cost decreased over the past decade, the disparity between the lowest and highest income groups still remained in 2020. Disparity between income levels and age groups is a challenge to address in healthcare system, and these results suggest the need for adequate health coverage for the low-income and the elderly populations.

Atmospheric Polycyclic and Nitropolycyclic Aromatic Hydrocarbons in an Iron-manufacturing City

  • Hayakawa, Kazuichi;Tang, Ning;Morisaki, Hiroshi;Toriba, Akira;Akutagawa, Tomoko;Sakai, Shigekatsu
    • Asian Journal of Atmospheric Environment
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    • 제10권2호
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    • pp.90-98
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    • 2016
  • Total suspended particulates (TSP) in the atmosphere were collected for 2 weeks during winter in Muroran, Hokkaido, Japan, a typical iron-manufacturing city. The concentrations of polycyclic aromatic hydrocarbons (PAHs) and nitropolycyclic aromatic hydrocarbons (NPAHs) in TSP were determined by high-performance liquid chromatography (HPLC) using fluorescence and chemiluminescence detectors, respectively. No relationship was observed between the atmospheric PAH and NPAH concentration, or the atmospheric PAH and TSP concentration. However, there was a tendency that the atmospheric PAH concentration was higher when the wind blew from the coke-oven plant. Furthermore, the concentration ratios of 1-nitropyrene to pyrene, which is a suitable indicator of the contribution made by automobiles and coal combustion systems to urban air particulates, were smaller in Muroran and the values were close to those observed in particulates from coal combustion systems. Therefore, these results show that the PAH and NPAH compositions for Muroran are characteristic of an iron-manufacturing city.

저소득층 노인에서 식품불안정과 사회경제적 지표, 건강상태, 영양소 섭취와의 관련성 (Associations of Household Food Insecurity with Socioeconomic Measures, Health Status and Nutrient Intake in Low Income Elderly)

  • 권성옥;오세영
    • Journal of Nutrition and Health
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    • 제40권8호
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    • pp.762-768
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    • 2007
  • This study examined household food insecurity and the associations of food insecurity with socioeconomic conditions, food behaviors, and nutrient intakes among 458 older adults(mean age=$73.2{\pm}4.5$) from 5 clusters of low-income areas in Seoul, Korea. Using an adapted version of the USDA short form household food insecurity scale, 63.4% of the households were food insecure(40.7% for food insecure without hunger and 22.7% for food insecure with hunger). The proportion of household was lower on the items measured more severe level of food insecurity. Food insecurity was linearly and negatively associated with food expenditure, food secured period and the degree of nutrition management skills, health status and depression. Food secure older adults had mere of energy and other nutrients from animal resources(riboflavin and animal protein, fat and calcium), but less of carbohydrates than those from the food insecure households. These results suggest household food insecurity measures used in this study was valid as well as food insecurity was prevalent and an important indicator of nutrition well-being among low income elderly persons.

Quantitative Analysis of Poverty Indicators: The Case of Khon Kaen Province, Thailand

  • PIENKHUNTOD, Ajirapa;AMORNBUNCHORNVEI, Chainarong;NANTHARATH, Phouthakannha
    • The Journal of Asian Finance, Economics and Business
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    • 제7권2호
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    • pp.131-141
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    • 2020
  • This study examines the poverty indicators in Northeast region of Thailand by adopting the global Multidimensional Poverty Index (MPI) methodology and the national survey of Minimum Basic Needs (MBN) of Thailand. Data are collected from three different districts in Khon Kaen province namely: Khok Po Chai, Sam Sung, and Nam Pong. The sample size is 187 households. Data analysis uses Ordinary Least Square (OLS) regression approach and includes 7 dimensions of poverty (health, environment, education, economy, Thai value, asset? empowerment, and digital literacy) with a total of 41 indicators. This study has found that poverty indicators in Khon Kaen province remains centered around the aspects of health and employment dimensions. While a change of family structure in the Thai society since 1960s reduces the family size, household saving substantially increases over the years. The effects of health dimension in poverty, on the other hand, appears on the other poverty dimension of Thai value, which include (1) a bad living habit of head of household (smoke or alcohol consumption) that links with illness and disease, (2) religious practice, and (3) chronic illness. Lastly, there are income gaps of different careers in the area, which suggests the issue of income inequality.