• Title/Summary/Keyword: Health states

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Health Education for Improving the Effectiveness of Community Health Programmes (지역사회 보건사업을 위한 보건교육)

  • 김공현
    • Korean Journal of Health Education and Promotion
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    • v.15 no.1
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    • pp.205-218
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    • 1998
  • Health education is the first of the nine essential services of primary health care which has been advocated as a key in achieving “Health for All” by World Health Organization and its Member States since 1978. The purpose of this paper is to assist community health workers to improve the effectiveness of community health programmes through understanding key issues related to health education, and applying the recommended skills to conducting their health education programmes in the community. Chapter 1 shows the relationship between health and behavior, and the importance of understanding several key factors for people's health behavior in designing and implementing health education programmes in the specific community, and discusses ways to facilitate people's health behavior changes. Chapter 2 deals with conducting face-to-face health education with emphasis on counselling skills, and chapter 3 touches with health education for informal group, in particular at the hospital setting. Chapter 4 introduces how to create a supportive verbal communication climate, and proposes applying these skills to health education so as to improve the effectiveness of health education.

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Prediction of Quality of Life among the Elderly at Care Facilities for the Elderly according to Health States, Physical and Cognitive Functions, and Social Supports-Focused on D Metropolitan City (노인요양시설 노인의 건강상태, 신체적, 정신적 기능, 사회적 지지에 따른 삶의 질 예측요인-D 광역시를 중심으로-)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4656-4667
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    • 2015
  • The purpose of this study was to investigate relations among the quality of life, health states, physical functions, cognitive functions, and social supports of the elderly at care facilities. The subjects include the elderly that were living in care facilities in some urban areas and aged 65 or older. The data of total 260 old people were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The elderly at care facilities, who were considered as physically and cognitive vulnerable, scored higher means on quality of life when they were satisfied with the length of stay and sleeping state, had higher subjective health states, had no tooth inconvenience and forgetfulness, suffered from a lower level of depression, had better cognitive functions, and received higher social supports. Quality of life had correlations with the sleeping state(r=-.20, p<.001), subjective health state(r=-.24, p<.001)s, depression(r=-.30, p<.001), and social supports(r=.30, p<.001). Social supports(${\beta}=.30$, p<.001), depression(${\beta}=-.25$, p<.001), subjective health states(${\beta}=-.22$, p<.001), length of stay(${\beta}=-.22$, p<.001), and sleeping state(${\beta}=-.12$, p=.025) turned out to predict the quality of life of the elderly at care facilities and have close relations with it. In short, the quality of life of the elderly is related to many different factors at care facilities. The findings indicate that nursing interventions and managements for quality of life require a mental and social approach or a whole person approach with a focus on the understanding of individual senior citizens rather than on physical activities and diseases.

Health State Clustering and Prediction Based on Bayesian HMM (Bayesian HMM 기반의 건강 상태 분류 및 예측)

  • Sin, Bong-Kee
    • Journal of KIISE
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    • v.44 no.10
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    • pp.1026-1033
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    • 2017
  • In this paper a Bayesian modeling and duration-based prediction method is proposed for health clinic time series data using the Hierarchical Dirichlet Process Hidden Markov Model (HDP-HMM). HDP-HMM is a Bayesian extension of HMM which can find the optimal number of health states, a number which is highly uncertain and even difficult to estimate under the context of health dynamics. Test results of HDP-HMM using simulated data and real health clinic data have shown interesting modeling behaviors and promising prediction performance over the span of up to five years. The future of health change is uncertain and its prediction is inherently difficult, but experimental results on health clinic data suggests that practical long-term prediction is possible and can be made useful if we present multiple hypotheses given dynamic contexts as defined by HMM states.

Perception and Practices of Physicians in Addressing the Smokeless Tobacco Epidemic: Findings from Two States in India

  • Panda, Rajmohan;Persai, Divya;Mathur, Manu;Sarkar, Bidyut Kanti
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7237-7241
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    • 2013
  • Background: Smokeless tobacco use in South Asia is believed to be a significant contributor to morbidity and mortality. In India, only a few studies involving health educational intervention by health care providers have demonstrated reduction in smokeless tobacco usage. In the present study we assessed the cessation efforts towards smokeless tobacco by physicians in two high tobacco prevalence states of India. The study also identified opportunities and barriers for integration of tobacco cessation services in routine practices of physicians. Materials and Methods: This mixed method study involved qualitative (phase I) and quantitative research study (phase II). In phase I, 59 in-depth interviews with physicians were conducted. In phase II, a quantitative study conducted among 238 physicians. An inductive approach was followed to analyze qualitative data using ATLAS. Ti software. The Chi-square test was employed to test the association between different variables of interest using SPSS version 17. Results: The majority of physicians related only respiratory problems and cancer with smokeless tobacco. Other major health effects like cardio-vascular problems, oral diseases, and effects on reproductive and neonatal health were recognized only by a few physicians. The age-group of 10-19 years was identified as most vulnerable to smokeless tobacco use. Less than one-third of physicians reported recording smokeless tobacco history of all patients. Findings indicated that less than half of physicians provided information on harmful health effects of smokeless tobacco with regard to specific diseases. Conclusions: The study revealed a low level of knowledge of physicians about harmful effects of tobacco and their suboptimal engagement in tobacco control practices. The study indicates the need of capacity building initiatives to equip physicians with skills in tobacco cessation.

New Proposal of Private Insurance Program for Dementia Patients: Design of Sustainable Private Insurance Program in Korea

  • Park, Kun-Woo;Kim, Jhong Yun
    • Dementia and Neurocognitive Disorders
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    • v.16 no.1
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    • pp.1-6
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    • 2017
  • The purpose of this study is to examine interventions and supporting systems by dementia stage, take a look at dementia insurance policies in Korea and the United States, and present Korean private insurance programs for dementia patients. According to the study, our suggestions of a design of private insurance products for Korean dementia patients are as follows. First, the products should support people aged 80 and older. Second, new products should include the mild stage dementia in the insurance coverage. Third, non-pharmacological treatments, such as the cognitive stimulation, the cognitive training, and exercises need to be covered through the new private insurance. Fourth, the private insurance should be contained home health care services in its coverage. These suggestions can reduce the dependence of the public insurance, help people choose appropriate treatments for themselves, and give people a good opportunity to improve the effect of dementia treatment and to increase the satisfaction of patients and their families.

Longitudinal Data Analysis for School-aged Adolescents' Obesity Rates across the States (미국 청소년의 비만에 관한 종단적 분석)

  • Kim, TaeEung;Kim, Jongho;Hwang, Sunhwan
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.743-755
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    • 2016
  • The objectives of this research is to examine: 1) how the rates of adolescents' BMI change over time in terms of the state level; and 2) development difference in the state level of BMI in terms of children's obesogenic behaviors from 1999 to 2011. Data were drawn from the 1999-2011 Youth Risk Behavior Survey in the United States (N=260, 293, grades 9-12, and 27 states). Ordinary least squares regression and hierarchical linear modeling were utilized to capture a longitudinal time effect of school-aged adolescents' obesity rates across the states, controlling for demographics and nutrition- and physical activity-related behaviors. The state's level of children's BMI percentile was significantly associated with longitudinal time. Longitudinal time effect across the states appears to play an important factor associated with children's decrease of BMI percentile. Therefore the states' implementation of physical activity and nutritional policies seems to be effective for preventing and reducing childhood obesity during last decade. More attention should focus on enforcing the policy and overcoming current barriers in order to minimize children's obesogenic factor.

Current status and future trends for pork production in the United States of America and Canada

  • M. Todd See
    • Animal Bioscience
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    • v.37 no.4_spc
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    • pp.775-785
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    • 2024
  • Pork production is a significant agricultural enterprise in the United States and Canada. The United States is the third-largest global producer of pork and Canada ranks seventh in pork production. The North American Free Trade Agreement and its successor, the U.S.-Mexico-Canada Agreement, have facilitated trade and integration between the two countries. The majority of production systems are modern and intensive, characterized by large vertically integrated farms using advanced technologies. Both nations benefit from their status as major producers of feed grains, with the United States leading in corn and soybeans, while Canada excels in canola and barley production. The regulatory frameworks for food safety, animal welfare, and environmental stewardship differ slightly, with the FDA and USDA overseeing these aspects in the United States, and Health Canada and the Canada Food Inspection Agency in Canada. The United States and Canada also have well-established distribution networks for pork products, relying on both domestic and international markets. Export markets play a crucial role, with the United States being a major importer of Canadian pigs, and both countries exploring opportunities in Asia. Despite a rise in global demand, domestic pork consumption trends differ, with per capita consumption remaining stable in the USA and declining in Canada. Changing consumer preferences, including a demand for ethically raised and locally sourced pork, may influence production practices. Future trends in pig production include a focus on consumer concerns, sustainability, disease prevention, reduction of antimicrobial use, and advancements in technology. The industry is adapting to challenges such as disease outbreaks and changing regulations, with a strong emphasis on animal welfare. Labor and workforce considerations, along with advancements in technology and automation, are expected to shape the efficiency of pork production in the future.

States, Behaviors and Cues of Infants (영아의 상태, 행동, 암시)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.1
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    • pp.56-74
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    • 1998
  • The language of the newborn, like that of adults, is one of gesture, posture, and expression(Lewis, 1980). Helping parents understand and respond to their newborn's cues will make caring for their baby more enjoyable and may well provide the foundation for a communicative bond that will last lifetime. Infant state provides a dynamic pattern reflecting the full behavioral repertoire of the healthy infant(Brazelton, 1973, 1984). States are organized in a predictable emporal sequence and provide a basic classification of conditions that occur over and over again(Wolff, 1987). They are recognized by characteristic behavioral patterns, physiological changes, and infants' level of responsiveness. Most inportantly, however, states provide caregivers a framework for observing and understanding infants' behavior. When parents know how to determine whether their infant is sleep, awake, or drowsy, and they know the implications, recognition of states has for both the infant's behavior and for their caregiving, then a lot of hings about taking care of a newborn become much easier and more rewarding. Most parents have the skills and desire to do what is best for their infant. The skills 7373parents bring to the interaction are: the ability to read their infant's cues: to stimulate the baby through touch, movement, talking, and looking at: and to respond in a contingent manner to the infant's signals. Among the crucial skills infants bring to the interaction are perceptual abilities: hearing and seeing, the capacity to look at another for a period of time, the ability to smile, be consoled, adapt their body to holding or movement, and be regular and predictable in responding. Research demonstrates that the absence of these skills by either partner adversely affects parent-infant interaction and later development. Observing early parent-infant interactions during the hospital stay is important in order to identify parent-infant pairs in need of continued monitoring(Barnard, et al., 1989).

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Effects of Progressive Muscle Relaxation on Behavioral States and Emotional Reactions of Adolescent Athletes (점진적 근육이완요법이 청소년 운동선수의 행동상태와 정서반응에 미치는 효과*)

  • Park Sun-Nam
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.383-396
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    • 2001
  • This study was designed to investigate the effects of the progressive muscle relaxation on behavioral states and emotional reactions of adolescent athletes. The participants were 167 adolescent male soccer players aged between 12 and 18 who were junior or high school students in Seoul. Ninety-three of them were assigned to the experimental group, while seventy-four to the control group. The experimental group was treated by 10 sessions (20 min./session) of Jacobson's progressive muscle relaxation for two weeks, while the control group was not treated. The self and observer reported behavioral states, general stress by visual analogue scale, physical symptoms of stress, athletic stress, state anxiety, depression, self-esteem were measured before and after two weeks of the progressive muscle relaxation. The results were as follows ; 1. The self and observer reported behavioral states were significantly decreased in the experimental group compared with the control group. 2. The general stress and the gastrointestinal symptoms of stress were significantly decreased in the experimental group compared with the control group. No significant difference on athletic stress was found between the two groups. The depression and the state anxiety were significantly decreased in the experimental group compared with the control group. The self-esteem was significantly increased in the experimental group compared with the control group. 3. The influential factors on behavioral state of adolescent male athlete were depression and state anxiety. The accelerating factor on behavioral state change after the progressive muscle relaxation was state anxiety. These results are suggested that the progressive muscle relaxation could be effective in stabilizing behavioral state, decreasing general stress, gastrointestinal symptoms of stress, depression, state anxiety, in increasing self-esteem of adolescent male athletes. And the behavioral state change after the progressive muscle relaxation was influenced by state anxiety.

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Application of the H Infinity Control Principle to the Sodium Ion Selective Gating Channel on Biological Excitable Membranes

  • Hirayama, Hirohumi
    • International Journal of Control, Automation, and Systems
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    • v.2 no.1
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    • pp.23-38
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    • 2004
  • We proposed the infinity control principle to evaluate the Biological function. The H infinity control was applied to the Sodium (Na) ion selective gating channel on the excitable cellular membrane of the neural system. The channel opening, closing and inactivation processes were expressed by movements of three gates and one inactivation blocking particle in the channel pore. The rate constants of the channel state transition were set to be voltage dependent. The temporal changes in amounts per unit membrane area of the channel states were expressed by means of eight differential equations. The biochemical mimetic used to complete the Na ion selective channel was regarded as noise. The control inputs for ejecting the blocking particle with plugging in the channel pore were set for the active transition from inactivated states to a closed or open state. By applying the H infinity control, we computed temporal changes in the channel states, observers, control inputs and the worst case noises. The present paper will be available for evaluating the noise filtering function of the biological signal transmission system.