• 제목/요약/키워드: Health economics

검색결과 1,341건 처리시간 0.029초

Descriptive Epidemiology of Acute Pyelonephritis in Korea, 2010-2014: Population-based Study

  • Kim, Bongyoung;Myung, Rangmi;Kim, Jieun;Lee, Myoung-jae;Pai, Hyunjoo
    • Journal of Korean Medical Science
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    • 제33권49호
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    • pp.310.1-310.11
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    • 2018
  • Background: Acute pyelonephritis (APN) is one of the most common community-acquired bacterial infections. Recent increases of antimicrobial resistance in urinary pathogens might have changed the other epidemiologic characteristics of APN. The objective of this study was to describe the current epidemiology of APN in Korea, using the entire population. Methods: From the claims database of the Health Insurance Review and Assessment Service in Korea, the patients with International Classification of Diseases, 10th Revision codes N10 (acute tubulo-interstitial nephritis) or N12 (tubulo-interstitial nephritis, neither acute nor chronic) as the primary discharge diagnosis during 2010-2014 were analyzed, with two or more claims during a 14-day period considered as a single episode. Results: The annual incidence rate of APN per 10,000 persons was 39.1 and was on the increase year to year (35.6 in 2010; 36.7 in 2011; 38.9 in 2012; 40.1 in 2013; 43.8 in 2014, P = 0.004). The increasing trend was observed in both inpatients (P = 0.014) and outpatients (P = 0.004); in both men (P = 0.042) and women (P = 0.003); and those aged under 55 years (P = 0.014) and 55 years or higher (P = 0.003). Eleven times more women were diagnosed and treated with APN than men (men vs. women, 6.5 vs. 71.3), and one of every 4.1 patients was hospitalized (inpatients vs. outpatients, 9.6 vs. 29.4). The recurrence rate was 15.8%, and the median duration from a sporadic episode (i.e., no episode in the preceding 12 months) to the first recurrence was 44 days. The recurrence probability increased with the number of previous recurrences. The average medical cost per inpatient episode was USD 1,144, which was 12.9 times higher than that per outpatient episode (USD 89). Conclusion: The epidemiology of APN in Korea has been changing with an increasing incidence rate.

식·의약 위해 감시체계(K-RISS)의 우선순위 평가를 위한 시계열 구조변화 기반 기준선 설정 모델 개발 (Development of a Baseline Setting Model Based on Time Series Structural Changes for Priority Assessment in the Korea Risk Information Surveillance System (K-RISS))

  • 진현정;허성윤;이헌주;장보윤
    • 한국환경보건학회지
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    • 제50권2호
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    • pp.125-137
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    • 2024
  • Background: The Korea Risk Information Surveillance System (K-RISS) was developed to enable the early detection of food and drug safety-related issues. Its goal is to deliver real-time risk indicators generated from ongoing food and drug risk monitoring. However, the existing K-RISS system suffers under several limitations. Objectives: This study aims to augment K-RISS with more detailed indicators and establish a severity standard that takes into account structural changes in the daily time series of K-RISS values. Methods: First, a Delphi survey was conducted to derive the required weights. Second, a control chart, commonly used in statistical process controls, was utilized to detect outliers and establish caution, attention, and serious levels for K-RISS values. Furthermore, Bai and Perron's method was employed to determine structural changes in K-RISS time series. Results: The study incorporated 'closeness to life' and 'sustainability' indicators into K-RISS. It obtained the necessary weights through a survey of experts for integrating variables, combining indicators by data source, and aggregating sub K-RISS values. We defined caution, attention, and serious levels for both average and maximum values of daily K-RISS. Furthermore, when structural changes were detected, leading to significant variations in daily K-RISS values according to different periods, the study systematically verified these changes and derived respective severity levels for each period. Conclusions: This study enhances the existing K-RISS system and introduces more advanced indicators. K-RISS is now more comprehensively equipped to serve as a risk warning index. The study has paved the way for an objective determination of whether the food safety risk index surpasses predefined thresholds through the application of severity levels.

도시녹지 유형에 따른 휘발성유기화합물 농도 특성 - 서울시 동대문구를 중심으로 - (Characteristics of Volatile Organic Compounds (VOCs) Concentration by Type of Urban Green Space - focused on Dongdaemun-gu, Seoul, Korea -)

  • 조예슬;박수진;노관평
    • 한국환경보건학회지
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    • 제44권4호
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    • pp.330-339
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    • 2018
  • Objectives: The occurrence characteristics of BTEXS and phytoncides were investigated by type of urban forest. Methods: Four types of urban green space (Hongneung Forest, Mt. Chunjang, residential park, and traffic island) and Gwangneung Forest were selected. Monitoring of phytoncides and BTEXS was conducted considering the activity times of urban residents (five times per day) using a Tenax TA tube and suction pump in June 2017 (one day). Results: Phytoncide concentrations were ranked as Gwangneung Forest>Hongneung Forest>Mt. Cheonjang>traffic island>residential park. Relatively high concentrations of phytoncides were also identified in the urban forest. There was no significant difference between Gwangneung Forest and the urban forest. BTEXS concentrations were ranked as traffic island>residential park>Hongneung Forest>Gwangneung Forest>Mt. Cheonjang. Traffic island and residential park showed high levels of BTEXS depending on the inflow of vehicles. The difference in concentration by time was significant for the traffic island in particular. Pollutant levels in Hongneung Forest were as low as in Gwangneung Forest. Conclusion: The concentrations of phytoncides and BTEXS were different by types of urban green space, and the potential for health and hygiene of urban forests were able to be investigated. This study is expected to provide as basic data for the creation of urban forest spaces in the future.

여자 청소년들의 건강유해성 지각과 스키니 진 구매행동에 대한 연구 - 외모관련행동의 영향력을 중심으로 - (Female Adolescents' Awareness of Health Harmfulness and Skinny Jeans Purchasing Behavior: Focus on the Effect of Appearance-Relative Behavior)

  • 함선자;정혜정;오경화
    • 한국의류산업학회지
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    • 제14권3호
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    • pp.438-447
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    • 2012
  • This study investigates the effects of appearance-relative behaviors of adolescent female consumers on their awareness of heath harmfulness and skinny jeans purchasing behaviors and identifies the influential variables on the wearing satisfaction of skinny jeans. A survey was carried out with middle and high school female students and 386 responses were analyzed using descriptive analysis, factor analysis, a reliability test, and regression analysis. The results of this study were as follows, 1) From the results of the factor analysis on appearance-related behaviors and clothing benefits of skinny jeans for female adolescents, each of the variance assessments clearly showed factorial structures. 2) As a result of looking at the influences of appearance-relative behaviors on the clothing benefits of skinny jeans, respondents who paid more attention to their appearance tended to consider hygiene and activity comfort less important. In addition, respondents who had higher fashion concerns tended to consider aesthetic, practicability, desired trend, and activity comfort more important. 3) Respondents who had higher fashion concerns and considered activity comfort more important among skinny jeans benefits showed a higher level of satisfaction when wearing skinny jeans. However, respondents who thought aesthetic and health hygiene more important when buying skinny jeans showed a lower level of satisfaction when wearing skinny jeans. Female adolescents showed less satisfaction when wearing skinny jeans, as they perceived harmfulness about skinny jeans more.

대학생의 영양실태 조사 (Nutrition Survey of College Freshmen)

  • 이기열;이양자;김숙영;박계숙
    • Journal of Nutrition and Health
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    • 제13권2호
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    • pp.73-80
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    • 1980
  • The purpose of this survey was to study nutritional status of college students related to food habit, nutrient intake and health status. The survey was conducted at Yonsei University from January 10 to February 15 in 1979 (35days). The questionnaires were designed to find out food habit and nutrient intake status for 1, 051 and 215 freshmen respectively. The height and weight measurements were performed on 1,962 freshmen. The results obtained are summarized as follows; 1) Average nutrient intake of male and female freshmen per day. For male student, calorie intake was 2,500 Kcal. This was composed of carbohydrate 426gm (68%), protein 91gm (15%), and fat 48gm (17%). For female student, calorie intake was 1,946 Kcal. This was composed of carbohydrate 354gm (73%), protein 77gm (16%), and fat 29gm (11%). Other nutrients, such as calcium (507gm), iron (11mg), vitamin A (432RE), and riboflavin (0.78mg), were lower than the recommended dietary allowances. The percentage of animal protein to total protein was 29% in male student, and 31% in female student. 2) Average height and weight of freshmen were found to be increased for 5 years, from 1975 to 1979. For male student, the height was increased by 2.1cm and weight by 2.5kg for 5 years. For female student, the height was increased by 1.5cm and weight by 1.6kg for 5 years.

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Role of Information and Communication Technology and Women's Empowerment in Contraceptive Discontinuation in Indonesia

  • Samosir, Omas Bulan;Kiting, Ayke Soraya;Aninditya, Flora
    • Journal of Preventive Medicine and Public Health
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    • 제53권2호
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    • pp.117-125
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    • 2020
  • Objectives: This study investigated the role of information and communication technology and women's empowerment in contraceptive discontinuation in Indonesia. Methods: The study used data from the 2017 Indonesia Demographic and Health Survey and monthly contraceptive calendar data. A Gompertz proportional hazards model was used for analysis. Results: The 12-month contraceptive discontinuation rate was higher among women who had used the Internet in the past year, women who were mobile phone owners, and women who reported having fully participated in household decision-making than among their counterparts. These factors significantly impacted the risk of contraceptive discontinuation in Indonesia, even after controlling for contraceptive method, age, parity, contraceptive intent, education, work status, place of residence, and wealth status. Conclusions: After adjustment for the control variables, a higher risk of contraceptive discontinuation was associated with having used the Internet in the past year, owning a mobile phone, and not participating in household decision-making. Higher contraceptive discontinuation risk was also associated with using contraceptive pills, older age, lower parity, intent of spacing births, more education, current unemployment, and rural residence, and the risk was also significantly higher for those in the lowest household wealth quintile than for those in the fourth household wealth quintile. The association of contraceptive discontinuation with the use of modern information and communication technology and relatively disempowerment in household decision-making may imply that information regarding family planning and contraception should be conveyed via social media as part of setting up an eHealth system. This must include a strong communication strategy to empower and educate women in contraceptive decision-making.

코로나19 전후 청소년의 식생활에 대한 관심과 인식 변화 연구 (A Study on Changes in Interest and Awareness of Adolescents' Dietary Habits Before and After COVID-19)

  • 오상미;정난희;전은례
    • 한국가정과교육학회지
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    • 제36권2호
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    • pp.1-13
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    • 2024
  • 본 연구는 네이버, 다음, 구글, 유튜브와 트위터 등을 대상으로 코로나19 국내 확진자 발생이 공식 발표된 2020년 1월 19일 기준으로 전후 2년씩, 총 4년 동안 텍스톰(TEXTOM)을 사용하여 청소년의 식생활에 대한 관심과 인식의 변화를 분석하여 향후 가정 교과의 식생활 관련 단원에서 올바른 식생활 교육을 할 수 있도록 식생활 교육 프로그램을 개발할 수 있는 계기를 만들고자 하였으며, 본 연구를 통해 얻어진 결과는 다음과 같다. 첫째, 코로나19 이전 가장 동시 출현 빈도가 높은 키워드는 '영양'과 '상담'이었고, 다음 키워드는 '영양'과 '교육'으로 나타났다. 코로나19 이후 가장 동시 출현 빈도가 높은 키워드는 '영양'과 '교육'이었고, 다음 키워드는 '식품'과 '안전'이었다. 둘째, 동시 출현 빈도 네트워크 분석 결과 코로나19와 상관없이 영양과 상담에 대해 높은 관심을 가지고 있었고 코로나19 이후에는 안전과 건강에 대한 관심이 더 증가함을 알 수 있었다. 셋째, CONCOR 분석을 통한 군집 형성으로 코로나19 이전에는 '식사 및 신체활동', '피부 및 질병', '건강 및 음식', '영양 및 섭취'로 범주화하였고 코로나19 이후에는 '영양, 섭취 및 코로나19', '식사 및 신체활동', '피부 및 질병', '생체리듬 불균형 및 질병'으로 범주화하였다. 넷째, 코로나19 전후 청소년의 식생활 관련 키워드 군집 분석 네트워크 결과 코로나19 이전에는 '식사 및 신체 활동' 그룹의 키워드들은 '건강 및 음식'과 '영양 및 섭취' 그룹의 키워드들과 강하게 연결되어 있었고, 코로나19 이후에는 '식사 및 신체활동' 그룹의 키워드들은 '영양, 섭취 및 코로나19' 그룹의 키워드들과 강하게 연결되어 있었다.

인천시내 남녀 중학생의 가정교과에 대한 인식 및 학습효과에 대한 연구 (A Study on Middle school boys’ and girls’ Perception of the Curriculum of Home Economics and the Learning Achievement of Home Economics Education in Inchon)

  • 오현주;홍성야
    • 한국가정과교육학회지
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    • 제9권1호
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    • pp.19-37
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    • 1997
  • The aim of this study is to research and analyse how junior-high students, both male and female in Inchon area, are recognizing the contents of the curriculum in the subject of home economics and how effectively they are learning and applying it in their actual life. 772 students, both male and female, who started to learn the subject of home economics from the 7th grade as compulsory are the respondents, and the survey is done by using questionnaire. The result shows that after taking the course of home economics, both male and female students have got more positive view on the necessity of learning the subject. But still, on the whole, female students are more intersted and more active than males the subject in learning. As for food and nutrition part, large percentage of the respondents, both male and female, answer that it is very helpful. They tend to be on more balanced diet and when they purchase food or when they eat at restaurant they refer what they learn about nutrition at school more often than not. A number of the students are re-practicing cooking at home after they learn it at school. Also the fact in the survey shows that more and more mothers are getting active in asking their children to re-practice cooking. One of the difficulties for male students to take the course is stereo-typed thinking on the separate role of man and woman in the family. But many of them started cooking some food, even though it is very simple, and the survey shows that their interest in nutrition and health increased after they were initiated into this course.

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고령 사회에서 자립적인 노후생활 준비교육을 위한 중등 가정교육의 역할 (The Role of Secondary Home Economics Education to Prepare the Elderly for an Independent Life in an Aged Society)

  • 조병은;이종희
    • Human Ecology Research
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    • 제51권6호
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    • pp.591-602
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    • 2013
  • This paper aims to explore the role of the home economics subject in helping high school students preparing for an independent aged life and to develop problem based teaching plans toward this goal. Contents related to the elderly in the high school home economics and technology 2007 and 2009 revised curricula were analyzed, and elderly-related contents in other subject areas (the 2009 revised curricula of ethics, public health, and social studies) were also comparatively analyzed to determine the identity of the home economics subject in relation to preparation for independent aging. Based on these analysis, five subjects and teaching plans were presented: the aging society and population changes, the characteristics of the elderly, individual preparation for aging, care of the elderly, and welfare services for the elderly. The ultimate objectives of the lessons were, through critical reasoning, to inquire into the causes of current problems the elderly face so that teenagers can understand aging societies and the elderly and to seek reasonable alternatives for teenagers as they prepare for successful and independent aging, increasing their problem-solving abilities in choosing the best course of action by considering the ripple effect of consequences of each of those alternatives. Suggestions on what direction elderly-related education should take in the future, and what roles teachers should take are also provided.

중.노년 여성의 웰빙 추구 성향에 따른 화장품 사용 및 만족도 (Use and Satisfaction on Cosmetics of Middle- and Old-Aged Women with Well-being Pursuit Disposition)

  • 홍병숙;조유현
    • 대한가정학회지
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    • 제44권11호
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    • pp.43-50
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    • 2006
  • The purpose of this study is to analyze the use and satisfaction on cosmetics of middle- and old-aged women with well-being pursuit disposition. A survey was conducted from January 20 to February 10 in 2006. The statistical analysis methods used to analyze the 393 middle- and old- aged female subjects were frequency analysis, reliability analysis, factor analysis, cluster analysis, crosstab, and multiple regression analysis. First, middle- and old-aged women were using functional cosmetics for wrinkle and whitening as well as skin lotion, moisture lotion and nutritive cream. They applied basic skin make-up only or partial make-up on the eyes and lips. Second, the well-being pursuit disposition factors were determined to be eco-friendly pursuit disposition, economical pursuit disposition, and health pursuit disposition. The well-being pursuit disposition factors had an effect on satisfaction of basic cosmetics. While the economical pursuit disposition factor had an effect on satisfaction of colored cosmetics. Third, the clusters from well-being pursuit disposition were determined to be wellbeing unconcerned group, eco-friendly concerned group, economical concerned group, and health concerned group. The proportion of subjects applying basic and colored cosmetics was high in health concerned group.