• Title/Summary/Keyword: Health Technology Assessment

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Design of service delivery for a child obesity prevention and management program using technology convergence (융합기술 기반 어린이 비만 예방.관리 프로그램 전달체계 설계)

  • Hwang, Ji-Yun;Park, Mi-Young;Kim, Kirang;Lee, Sang Eun;Shim, Jae Eun
    • Journal of Nutrition and Health
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    • v.47 no.5
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    • pp.374-384
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    • 2014
  • Purpose: Health professionals and policy makers confront the failure of provider-administered, conventional behavioral interventions in the fight against obesity epidemic. The aim of this study was to develop a tailored, cost-effective delivery system for a child obesity prevention and management program through technology convergence using Web-enabled smart cellular phones. Methods: Assessment of service needs and development of a delivery system for the program were based on a comprehensive literature review and expert reviews, and results from in-depth interviews and a need-assessment survey. Results: The user- and site-centered service delivery system using Web-enabled cellular telephones as the hardware platform for obesity prevention and management has been developed. A tailored informational service and intervention will be provided interactively between stakeholders through the platform. The potential legal issues associated with the service design have also been considered. Conclusion: The user-centered convergence design and platform based on principles of Transtheoretical Model and Stages of Change using the Health Promoting School framework could enable effective intervention and promote acceptance in the long-run.

Acceptance Measure of Quality Improvement Information System among Long-term Care Workers: A Psychometric Assessment (장기요양인력의 질 향상 정보시스템 수용 측정도구: 신뢰타당도 평가)

  • Lee, Taehoon;Jung, Young-il;Kim, Hongsoo
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.513-523
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    • 2017
  • Purpose: We evaluated the psychometric properties of a questionnaire on the acceptance of the quality improvement information system (QIIS) among long-term care workers (mostly nurses). Methods: The questionnaire composes of 21 preliminary questions with 5 domains based on the Technology Acceptance Model and related literature reviews. We developed a prototype web-based comprehensive resident assessment system, and collected data from 126 subjects at 75 long-term care facilities and hospitals, who used the system and responded to the questionnaire. A priori factor structure was developed using an exploratory factor analysis and validated by a confirmatory factor analysis; its reliability was also evaluated. Results: A total of 16 items were yielded, and 5 factors were extracted from the explanatory factor analysis: Usage Intention, Perceived Usefulness, Perceived Ease of Use, Social Influence, and Innovative Characteristics. The five-factor structure model had a good fit (Tucker-Lewis index [TLI]=.976; comparative fit index [CFI]=.969; standardized root mean squared residual [SRMR]=.052; root mean square error of approximation [RMSEA]=.048), and the items were internally consistent(Cronbach's ${\alpha}=.91$). Conclusion: The questionnaire was valid and reliable to measure the technology acceptance of QIIS among long-term care workers, using the prototype.

The Vegetation Health Assessment in Riparian Vegetation of Lake Reservoirs (저수지 수변 식생 건강성 평가)

  • Kim, Hyoungdae;Koo, Bonhak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.19 no.6
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    • pp.111-121
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    • 2016
  • This study was carried out to assess the riparian vegetation health in the fluctuation area and vicinity of reservoirs. The results of this study could be a basic data to improve the ecological function and establish green-network of waterside ecosystem. The study site is Daecheong lake reservoirs which the representative landscape of Geum river and with great number of visitors near metropolitan city. The 6 survey plots of 2 survey area were selected, survey area 1 had 4 survey plots and survey area 2 had 2 survey plots, and to compare the study results 4 control plots were selected in Gyeongcheon reservoir. The main dominant specie of survey sites was Salix koreensis in tree and subtree layer, were Salix koreensis and Salix glandulosa. in shrub layer. 2 survey plots of Samjeongdong and Kyeongcheon reservoir were assessed as 'Good', 2 survey plots of chudong were assessed as 'Fair' in vegetation health assessment. In the fluctuation area from flood water level to low water level, 58 populations of Salix koreensis were found in survey sites and Salix koreensis, Salix glandulosa and Acer tataricum subsp. ginale were found in control sites. The most adequate species at the condition affected by inundation impacts would be Salix koreensis and Salix glandulosa was more healthy at the area less affected by inundation. This study was carried out the vegetation health assessment on Daecheong reservoir which has been advanced natural succession for more than 30 years after the construction. Further, it should carry continuously out the research on the planting model of the waterside ecosystem for ecological restoration.

Fish Exposure and In Situ Field Pilot Tests in the Abandoned Mine Drainage for a Stream Restoration

  • Bae, Dae-Yeul;Kim, Ju-Yong;Kim, Kyoung-Woong;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.40 no.4
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    • pp.560-568
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    • 2007
  • The objectives of this study were to analyze ecological effects on effluents from the Sagok Stream (Chonnam province) as an abandoned mine drainage through necropsy-based health assessments and fish exposure tests, and to conduct In situ field pilot tests for restoration of stream water. Also, we analyzed water quality including general parameters and heavy metals. The tests were performed three times on April 2005, April 2006, and April 2007. Also, we constructed a reactor facility in the outflowing point of the abandoned mine for the remediation of AMD wastewater. In lab test, death rates in all three treatments were ${\geq}50%$ in the experiments. Necropsybased fish tissue assessments using the Health Assessment Index (HAI), indicated that the most frequently damaged tissue was liver (average: 20.8). Values of Health Assessment Index were lower in the control than any other treatments of T1, T2, and T3 and three treatments showed a distinct toxicity impacts by the AMD. In situ lethal test, concentration of Fe, Al and Zn decreased particularly by 85%, 99% and 94%, respectively through the disposal facility. Values of pH, ranged from 3.1 to 7.0, increased by 2.3 fold (mean=5.1) along with the reduction of metal contents. All fishes in P1 cage died 100% on 3 days later after the experimental setting, while all fishes in the P6 died 100% on 9 days later. Overall, these results evidently provide a key methodology for pilot test using the disposal facility and also clarify the toxicity of AMD once again, so this approach used in the pilot facilities here may reduce the acidic and toxic effects in the abandoned mining drainage.

Mental Health Factors associated with North Korean Defectors' Quality of Life

  • Rho, In-Suk;Kang, Hee-Young;Jeon, Jeung-He
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.19-27
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    • 2019
  • The purpose of this study was to assess mental health and quality of life (QOL) including factors influencing QOL among early North Korean defectors in South Korea. Participants were 151 early North Korean defectors residing in a settlement support center. All measures were self-administered. Unlike refugees living in communities, early defectors did not experience a high rate of mental health problems and reported a good QOL. Psychoticism was the most predictive factor affecting QOL. Findings from this study suggest the importance of mental health assessment and support over time. Psychoticism, significant in explaining QOL of early North Korean defectors, needs early diagnosis and treatment to prevent progression. Mental health issues among refugees may not be evident while they are in a structured, supportive environment. Evaluation and treatment are needed over time.

An Analysis on Present Condition of the Cooperative Medical Care Using the Episode of Care : Claims Data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE (진료 에피소드를 이용한 협진 의료이용 현황 분석 : 건강보험심사평가원 청구자료를 중심으로)

  • Uhm, TaeWoong;Kim, Nam-Kwen;Kim, Sina
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.2
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    • pp.51-56
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    • 2015
  • Objective : We analyzed present condition of cooperative medical care using claims data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE form patients treated by Korean-Western cooperative medicine. The study aimed to offer guidelines in selecting disease-related research in developing Korean-Western convergence technology. Method : Based on the patients using Korean medical service, we analyzed claims data of patients using Korean medical service and western medical service from January 2012 to December 2013. We were assigned to the server remotely. With the concept of 'episode of care', we rebuilt claims data and analyzed present condition of cooperative medical usage. Results : We analyzed present condition of cooperative medical care per episode of care. Among outpatients, Low back pain, lumbar region(M5456) was the highest number. Among inpatients, Sciatica due to intervertebral disc disorder(M511) was the highest number. Conclusion : Based on the claims data provided by HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE, we have derived a list of multy frequently disease frequently treated by cooperative medical care by analyzing present condition.

Evaluation of analytical methods for heavy metals and cyanide by certified reference materials (인증표준물질을 이용한 중금속류와 시안화물 전처리방법 비교 연구)

  • Chung, David;Jeon, Tae Wan;Shin, Sun Kyoung
    • Analytical Science and Technology
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    • v.19 no.2
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    • pp.163-171
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    • 2006
  • This study was performed to develop an analytical method in specified wastes for preventing the environmental pollution from hazardous wastes. Few analytical methods were developed using the waste standard reference materials of sludge, waste oil, bottom ash, etc. which contain As, CN, Cd, Cr, Cu, Pb, and Hg compounds. The pre-treatment method was considered by whether or not the synchronous analysis is possible. Waste samples obtained from the 34 representative facilities, which are emitting the hazardous substances, were analyzed.

Human Health Risk, Environmental and Economic Assessment Based on Multimedia Fugacity Model for Determination of Best Available Technology (BAT) for VOC Reduction in Industrial Complex (산업단지 VOC 저감 최적가용기법(BAT) 선정을 위한 다매체 거동모델 기반 인체위해성·환경성·경제성 평가)

  • Kim, Yelin;Rhee, Gahee;Heo, Sungku;Nam, Kijeon;Li, Qian;Yoo, ChangKyoo
    • Korean Chemical Engineering Research
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    • v.58 no.3
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    • pp.325-345
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    • 2020
  • Determination of Best available technology (BAT) was suggested to reduce volatile organic compounds (VOCs) in a petrochemical industrial complex, by conducting human health risk, environmental, and economic assessment based on multimedia fugacity model. Fate and distribution of benzene, toluene, ethylbenzene, and xylene (BTEX) was predicted by the multimedia fugacity model, which represent VOCs emitted from the industrial complex in U-city. Media-integrated human health risk assessment and sensitivity analysis were conducted to predict the human health risk of BTEX and identify the critical variable which has adverse effects on human health. Besides, the environmental and economic assessment was conducted to determine the BAT for VOCs reduction. It is concluded that BTEX highly remained in soil media (60%, 61%, 64% and 63%), and xylene has remained as the highest proportion of BTEX in each environment media. From the candidates of BAT, the absorption was excluded due to its high human health risk. Moreover, it is identified that the half-life and exposure coefficient of each exposure route are highly correlated with human health risk by sensitivity analysis. In last, considering environmental and economic assessment, the regenerative thermal oxidation, the regenerative catalytic oxidation, the bio-filtration, the UV oxidation, and the activated carbon adsorption were determined as BAT for reducing VOCs in the petrochemical industrial complex. The suggested BAT determination methodology based on the media-integrated approach can contribute to the application of BAT into the workplace to efficiently manage the discharge facilities and operate an integrated environmental management system.

Analysis of structural relationship among geriatric denture-related characteristics, denture satisfaction, and GOHAI (노인의 의치관련특성, 의치만족도, 구강건강관련 삶의 질 간의 구조적 관계 분석)

  • Kwon, Young-Ok;Choi, Mi-Sook;Lee, Jong-Hwa;Yun, Hyun-Kyung
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.399-407
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    • 2014
  • The purpose of this study was to provide basic data necessary for improving the oral health of the elderly and quality of their lives by analyzing the relationship among the geriatric denture-related characteristics, denture satisfaction, and geriatric oral health assessment index. For this study, the elderly aged 65 or higher who resided in Euseong-gun, Yeongju-si, Andong-si, Gyeongsangbuk-do were surveyed from March 25, 2013 to May 9 of the same year. The results of this study showed that the denture satisfaction had high correlation with the 'satisfaction with denture attachment', 'satisfaction with aesthetic function of pronunciation', and satisfaction with masticatory function. Moreover, the causative relation was found to exist among the geriatric denture-related characteristics, denture satisfaction, and geriatric oral health assessment index. Thus, it is considered necessary to establish the institutional system and take measures that can improve the awareness towards the geriatric oral health education and geriatric oral health state with respect to effective use and management of denture.

Development and analysis of assessment model of a village-level rural living services for response to rural depopulation (농촌 과소화 대응을 위한 마을 단위 농촌생활서비스 평가 모델의 개발 및 분석)

  • Hong, Sangwon;Bae, Seung-Jong;Kim, Dong-Hyeon;Kim, Soo-Jin;Kim, Jungtae;Jang, Taeil
    • Journal of Korean Society of Rural Planning
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    • v.27 no.1
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    • pp.57-70
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    • 2021
  • The degree of benefits of living services related to the quality of life can solve the depopulation problem, and it is necessary to be able to quantitatively analyze problems related to the quality of life in rural areas in order to cope with the rural depopulation. The purpose of this study was to develop the assessment model of a village-level rural living service that reflects the regional characteristics of rural villages to evaluate the level of rural living services for response rural depopulation. Based on the review of previous related studies, the evaluation index was composed of seven sectors of education, health, welfare, culture, environment, safety, and convenience, and the assessment model of a rural living service was established. This model was evaluated through a sample survey of 90 villages in Nonsan-si, Seongju-gun, and Pyeongchang-gun. As a result of the rural life services evaluation by Si and Gun, Seongju-gun, which is affected by nearby large cities, has the largest variation by village level and is assessed at a lower level overall than other Si and Gun. As a result of the rural life services evaluation by 7 sectors, in the case of health and welfare, low scores were shown in the assessment model, but the level of residents' satisfaction was mid-level. In particular, in the case of Seongju-gun, there were significant differences in the assessment model and the survey results of the level of residents' satisfaction in the health and welfare sectors due to the influence of nearby large cities. As a result of analyzing the number of villages corresponding to the top 30% and the bottom 30% of the evaluation results for each sector, it was analyzed that the villages with the highest evaluation results in Pyeongchang-gun in both the assessment model and the level of residents' satisfaction. It implies that quantitative analysis of data based index and accessibility as well as level satisfaction of residents are necessary.