• 대한예방한의학회지
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• 제16권3호
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• pp.119-128
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• 2012

Objective : The aim of this study is to investigate the relationship between Yangsaeng and general health status. Methods : In this study, we used data from the combined 2008-2010 Korean National Health and Nutrition Examination Survey(KNHANES). Mental Yangsaeng was measured by stress recognition and depression. Food Yangsaeng was measured by breakfast skipping and mixed grain diet. Life style Yangsaeng was measured by sleeping time and working pattern. Exercise Yangsaeng was measured by walking and exercise. We defined general health status as EQ-5Dindex, EQ-5Dvas, frequency and day of lying in a sickbed in last one month and activity limitation. Results : Mental Yangsaeng, food Yangsaeng, life style Yangsaeng and exercise Yangsaeng have 8 factors. Most of factors significant correlation with EQ-5Dindex, EQ-5Dvas, frequency and day of lying in a sickbed in last one month and activity limitation. Conclusion : Yangsaeng and general health status have positive correlation.

• Journal of Preventive Medicine and Public Health
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• 제46권5호
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• pp.237-248
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• 2013

Objectives: The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea. Methods: We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners. Results: The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010. Conclusions: We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.

• 한국보건간호학회지
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• 제16권2호
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• pp.445-453
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• 2002

Purpose: This study has been designed to evaluate occupational health services on workers with hypertension Method: Study participants were 108 workers having a diagnosed hypertension. The instrument used for this study was the questionnaire developed by Cho(1998). Analysis of the data was done with SPSS Win 10.0 for descriptive statistics, Correlation coefficient. Results: 1. The mean score of process domain was $3.77\pm.43$ The score of process domains were usefulness of health management$(3.98\pm.49)$, education or counselling$(3.87\pm.53)$, follow up in medical examination$(3.79\pm.58)$, usefulness of providing materials$(3.53\pm.62)$, perception of medical examination $(3.37\pm.80)$ 2. The mean score of outcome domain was $3.47 \pm.44$ The score of outcome domains were obstructiveness of social life$(3.90\pm.78)$, habits of living $(3.41\pm.76)$, blood pressure change $(3.25\pm.81)$, perception of seriousness$(3.02\pm.88)$. 3. Blood pressure change was significant correlated with education or counselling(r=.31) and usefulness of providing materials(r=.28).

• Journal of Preventive Medicine and Public Health
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• 제47권4호
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• pp.230-235
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• 2014

Objectives: The aim of this study was to investigate whether the health status of Republic of Korea Air Force (ROKAF) soldiers changed after one year of military service. Methods: We selected 483 ROKAF soldiers from the 11 749 recruits who participated in the 2011 physical examination. The selected soldiers underwent another physical examination in 2012 for advancement to senior airman. Data from 2011 and 2012 were merged. To collect data on lifestyle, a questionnaire was sent to all included subjects via the military intranet e-mail service. Results: The percentage of recruits with an abnormal alanine transaminase level (normal range <40 IU/L) decreased from recruitment (13.7%) to the following year (2.7%). Moreover, the percentage of obese soldiers (body mass index ${\geq}25kg/m^2$) decreased from recruitment (20.5%) to the following year (10.4%). There was a significant change in mean duration of exercise carried out each day before ($0.8{\pm}1.3$ hours) and after ($1.0{\pm}0.7$ hours) joining the ROKAF service. Conclusions: These ROKAF soldiers were generally in good health before and after joining the armed service. After one year of military service, the health status of most soldiers improved, especially with respect to body mass index and alanine transaminase level.

• 임상간호연구
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• 제14권3호
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• pp.99-115
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• 2008

Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.

• 대한치위생과학회지
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• 제3권2호
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• pp.51-58
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• 2020

Oral examination ensures early detection and treatment of oral diseases and improvement of quality of health-related life. This is imperative as it reduces individuals' dental medical expenses and social costs caused by diseases. However, as the low oral examination acceptance rate continues to be a problem, this study was conducted to identify the factors that influence the oral examination of an economically active population. In this study, 4,836 economically active individuals between the ages of 20 and 65 years were studied using data from the 7th National Health and Nutrition Survey in 2018. Logistic regression analysis was performed to determine the factors influencing demographic and sociological characteristics on oral examination after adjusting for complaints of mastication and speech discomfort. As a result of confirming the factors influencing the oral examination, increase in age tended to be inversely proportional to the oral examination. Income level, type of job, and job position were identified as factors that influenced oral examinations. Compared to the group with a high socioeconomic status, which is represented by a group with a high income level or a stable job type or job position, the group with low economic status was found to have a negative effect on oral examination. Oral management of vulnerable groups, who might not be considered while devising oral health management policies, should be promoted through the development and provision of oral health management policies that consider employment status and environment.

• 농촌의학ㆍ지역보건
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• 제11권1호
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• pp.55-63
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• 1986

In general, patients' health seeking behaviours can be affected by three factors ; psychological factor, economic factor and health delivery system. This study was focused on how the psychological factor affect to health seeking behaviour influenced by the various attitude of residents toward medical resources in their community. A total of 306 households were sampled for the investigation among residents of Banwol-Eup which was an industrial city newly developed. The data has been collected by interview method using close ended questionnaire. The major findings are ; 1) the respondents' attitude toward medical institutions in their community has shown negative responses (rate of negative attitude (a) 81.3%- facilities (b) 40.7% medical expenses (c) 21.1%-kindness of employees of medical facilities (d)59.0%- the degree of thorough explanation to patient on medical examination (e) 58.2%-doctors' practical competency). Above all, they have shown negative response on doctors explanation on results of medical examination and doctors' practical competency. 2) The study indicated a significant difference in health seeking behaviour between the group of positive attitude and that of negative attitude. 3) A big difference between the above mentioned two groups was identified as the attitude toward sub dimension of practical competency.

• 대한디지털의료영상학회논문지
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• 제11권1호
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• pp.35-41
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• 2009

This study was conducted to improve performance flow of PACS registration and output of external medical images by developing or adding File Transfer Protocol(FTP) Module on Order Communication System(OCS) and to upgrade efficiency of performance. The numbers of requests for examination of external medical images from January 2004 to December 2007 were investigated and the numbers of cases of examinations and losses were done respectively from January to June, 2007 as a period before the improvement and from July to December, 2007 as a period after it. Satisfaction of persons inputting external medical images of CD was asked directly before and after the improvement. When the numbers of requests for examination of external medical images from 2004 to 2007 2004 were investigated, they were 12,783, 16,774, 21,613 and 27,487 cases in 2004, 2005, 2005 and 2007 respectively. For the numbers of the requests from January to December, 2007 it was the lowest in February by recording 1846 and it was 2800 in October. While the number of loss of external medical images was averagely 3.6 before using FTP Module on OCS, it reduced to 0 and satisfaction increased to 98% after it. By utilizing FTP Module on OSC for PACS registration of external medical images, the images were delivered simultaneously with occurrence of order, PACS registration of many patients was conducted together and CDs were returned to patients immediately after sending images from outpatient clinics or wards to remove possibility of losing them. In addition, because the module was established on OCS and data were sent associated with order, problems related with order were decreased. By eliminating movement distance it was turned out to be very effective in terms of time and space.

• 한국응급구조학회지
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• 제9권2호
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• pp.39-53
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• 2005

This study examines need and qualification of safety education teachers with elementary school students and aims to provide data for improving safety education of elementary school As a result of study, it was found that on need of safety education teacher at elementary school, 'very needed' showed the highest response and students who answered 'the first class emergency medical technician' on qualification of safety education teacher showed the highest safety consciousness and low rate of safety accidents. Therefore, for improving safety education at elementary school, adoption of optional course at college or university to learn qualification and functions necessary for being special teacher and institutional support by the ministry of education that employment after passing elementary school teacher appointment examination are needed.

• 한국인공지능학회지
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• 제12권2호
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• pp.1-7
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• 2024

In this paper, we compare three models (logistic regression, Random Forest, and XGBoost) for predicting stroke occurrence using data from the Korea National Health and Nutrition Examination Survey (KNHANES). We evaluated these models using various metrics, focusing mainly on recall and F1 score to assess their performance. Initially, the logistic regression model showed a satisfactory recall score among the three models; however, it was excluded from further consideration because it did not meet the F1 score threshold, which was set at a minimum of 0.5. The F1 score is crucial as it considers both precision and recall, providing a balanced measure of a model's accuracy. Among the models that met the criteria, XGBoost showed the highest recall rate and showed excellent performance in stroke prediction. In particular, XGBoost shows strong performance not only in recall, but also in F1 score and AUC, so it should be considered the optimal algorithm for predicting stroke occurrence. This study determines that the performance of XGBoost is optimal in the field of stroke prediction.