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An Empirical Study on the Socio-Structural Causes of Working Poor in Korea(1982-2004) : Verification of the Effect of Macro-Economy, Labor Market, Distribution System on the Poor of Labor Households (우리나라 근로빈곤의 사회구조적 원인에 대한 실증 연구(1982-2004) : 거시경제, 노동시장, 분배제도가 근로자가구의 빈곤에 미친 영향의 검증)

  • Sim, Sang-Yong
    • Korean Journal of Social Welfare
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    • v.58 no.4
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    • pp.313-339
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    • 2006
  • The purpose of this study is to analysis empirically the socio-structural causes of working poor. This study used raw data of of Korea National Statistical Office from 1982 to 2004, and put in operation time series multiple regression analysis to use socio-economic factors of macro-economy environment, labor market, distribution system. Contrary to assertion of growth-concentrated people, economic growth rate has had significantly positive effect on the change of working poor size. In the growth period there has been trickle down effect of economic growth, but in the post-Fordism period there has not been valid circular relation. Recent introduction of the U. S. type capitalism resulted in negative phenomenon like aggravation of income distribution, deterioration of employment quality, enlargement of working poor. And there rise a question on socio-economic durability due to de-compensation on intra-institution. It is necessary to grope transition to the high road social market model - that is stable and sustainable - correspond to Korea that is stable and sustainable.

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Effect of Visual Block, Task Type, and Participation in an Exercise Program on Static Balance in the Elderly (시각 차단, 과제 유형, 및 운동프로그램 참여가 노인의 정적 균형에 미치는 영향)

  • Woo, Young-Keun;Yi, Chung-Hwi;Cho, Sang-Hyun;Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.10 no.3
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    • pp.1-15
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    • 2003
  • The purpose of this study was to assess the effect of visual block (eyes open or closed), mental task type, and participation in an exercise program on static balance in the elderly. The subjects were 34 elderly (>65 years old) residents of a social welfare institute in Gyeonggi-do. We measured the following variables. Berg balance scale, mini mental state examination, balance performance monitor (sway area, path, and maximal sway velocity), age, weight, height and whether the subject participated in an exercise program. Scores for the Berg balance scale and mini mental state examination were evaluated to assess static balance ability either alone (single task paradigm) or while performing a mental task (dual task paradigm). Static balance variables that were measured included sway area, path, and maximal sway velocity. Each test was repeated three times. Multiple regressions analysis was used to examine the effect of each variable on static balance ability. For the dual task paradigm, static balance was affected by whether the subject participated in an exercise program. The Berg balance scale score for subjects with their eyes open was affected by whether they participated in an exercise program, while this variable in addition to the height and weight of subjects were determining variables in subjects with their eyes closed. As a result, whether subjects participated in an exercise program affected their static balance irrespective of whether their eyes open or closed. Therefore, regular exercise is recommended for elderly people and further research is needed to examine the relationship between static and dynamic balance while performing mental tasks such as cognition and attention.

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Dental technician's perception investigation about national health insurance of old person's denture in metropolitan area (수도권지역에서 노인의치 국민건강보험 급여에 관한 치과기공사의 인식조사)

  • Lee, Sun-Kyoung;Park, Yong-Duk;Hwang, Kyung-Sook;Kim, Yung-Hoon
    • Journal of Technologic Dentistry
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    • v.32 no.1
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    • pp.35-43
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    • 2010
  • Purpose: The purpose of this study is dental technicians perception investigation about national health insurance of old persons denture in metropolitan area. Methods: A survey was performed on 103 subjects in metropolitan from January 14 to April 30 in 2009. The research tool was a structured questionnaire. The collected data was analyzed by frequency, descriptive and multiple linear regression. Results: Total dental technician who respond to questionnaire was 103(100.0%). Male respondent appeared by 66.0%. 30-year-old low respondent appeared by 60.2% and subjects lived the most in seoul(68.0%). When got married, was expose that realization about national health insurance of old person s denture was high(p<0.05). When made denture, was expose that realization about national health insurance of old person s denture was high(p<0.05). Also, When got married, was expose that necessity about national health insurance of old persons denture was high(p<0.001). Conclusion: When did national health insurance of old persons denture, there were a lot of problems. But, old people was need it. Therefore, I desire that this study is used to basic data of the national health insurance.

The World as Seen from Venice (1205-1533) as a Case Study of Scalable Web-Based Automatic Narratives for Interactive Global Histories

  • NANETTI, Andrea;CHEONG, Siew Ann
    • Asian review of World Histories
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    • v.4 no.1
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    • pp.3-34
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    • 2016
  • This introduction is both a statement of a research problem and an account of the first research results for its solution. As more historical databases come online and overlap in coverage, we need to discuss the two main issues that prevent 'big' results from emerging so far. Firstly, historical data are seen by computer science people as unstructured, that is, historical records cannot be easily decomposed into unambiguous fields, like in population (birth and death records) and taxation data. Secondly, machine-learning tools developed for structured data cannot be applied as they are for historical research. We propose a complex network, narrative-driven approach to mining historical databases. In such a time-integrated network obtained by overlaying records from historical databases, the nodes are actors, while thelinks are actions. In the case study that we present (the world as seen from Venice, 1205-1533), the actors are governments, while the actions are limited to war, trade, and treaty to keep the case study tractable. We then identify key periods, key events, and hence key actors, key locations through a time-resolved examination of the actions. This tool allows historians to deal with historical data issues (e.g., source provenance identification, event validation, trade-conflict-diplomacy relationships, etc.). On a higher level, this automatic extraction of key narratives from a historical database allows historians to formulate hypotheses on the courses of history, and also allow them to test these hypotheses in other actions or in additional data sets. Our vision is that this narrative-driven analysis of historical data can lead to the development of multiple scale agent-based models, which can be simulated on a computer to generate ensembles of counterfactual histories that would deepen our understanding of how our actual history developed the way it did. The generation of such narratives, automatically and in a scalable way, will revolutionize the practice of history as a discipline, because historical knowledge, that is the treasure of human experiences (i.e. the heritage of the world), will become what might be inherited by machine learning algorithms and used in smart cities to highlight and explain present ties and illustrate potential future scenarios and visionarios.

Effects of the Life Review-Narrative Group Therapy Program on Decreasing Depression and Death Anxiety in the Elderly (노년기 우울과 죽음불안 감소를 위한 생애회고적 이야기치료 집단프로그램의 효과)

  • Yeo, In-Suk;Kim, Choon-Kyung
    • Journal of Families and Better Life
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    • v.24 no.5 s.83
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    • pp.113-128
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    • 2006
  • This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

The Relationship between GDI(Gender Related Development Index) and the maternal and Child Mortality (여성관련개발지수와 모성 및 영아 사망률과의 관계)

  • 신미경;김한중;김모임;박은철;박종연
    • Health Policy and Management
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    • v.10 no.2
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    • pp.120-130
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    • 2000
  • Studies on the relation between socio-economic factors and metermal and child health have found that poverty, lack of edcation, inappropriate health serives are affecting to maternal and child health. The Gender Related Development Index (GDI) focuses on equality between men and women as well as on the average achiement of all people taken together, using same cariables as the Human Development Index (HDI) which are life expectancy, literacy rate, and per capita GDP. This research is to inverstigate whether HDI and GDI are useful determinants for maternal infant mortality. Using 146 UN member countries date, we condented multiple regression analysis for maternal and infant mortality with three models which are Model(individual variables-literacy rate, per capita GDP), Model(HDI) and Model(GDI). The results showed that HDI and GDI are powerful determinants of both maternal and infant mortality, respectively HDI($\beta$=-1.18, t=3.3; $\beta$=1.04, t=5.1) GDI($\beta$=-1.44, t=3.9; $\beta$=1.28, t=6.5) The higher power in model with GDI for both maternal and infant mortalities represented that GDI was more powerful determinant of maternal and infant mortality, than HDI respectively HDI($R^2$=0.824, $R^2$=0.842), GDI($R^2$=0.834, $R^2$=0.865). In conclusion, the maternal and infant mortalities are explained by GDI than HDI and may be lower in the societies where there are less discimination between men and women.

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The Association Between Serum Albumin Levels and Metabolic Syndrome in a Rural Population of Korea

  • Cho, Hye-Min;Kim, Hyeon-Chang;Lee, Ju-Mi;Oh, Sun-Min;Choi, Dong-Phil;Suh, Il
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.2
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    • pp.98-104
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    • 2012
  • Objectives: A positive association between serum albumin levels and metabolic syndrome has been reported in observation studies, but it has not been established in the Korean population. The purpose of this study was to evaluate the association between serum albumin levels and the presence of metabolic syndrome among a sample of apparently healthy Korean adults. Methods: This cross-sectional study analyzed data of 3189 community-dwelling people (1189 men and 2000 women) who were aged 40 to 87 years and were living in a rural area in Korea. Serum albumin levels were classified into quartile groups for each sex. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III guidelines with an adjusted waist circumference cut-off value ${\geq}90\;cm$ for men and${\geq}85\;cm$ for women). An independent association between serum albumin levels and metabolic syndrome was assessed by multiple logistic regression analysis. Results: Higher serum albumin levels were associated with increased prevalence of metabolic syndrome. The odds ratio (95% confidence interval) of the prevalence of metabolic syndrome for the highest versus the lowest serum albumin quartiles was 2.81 (1.91 to 4.14) in men and 1.96 (1.52 to 2.52) in women, after adjusting for age, smoking status, alcohol consumption, and physical activity. When each metabolic abnormality was analyzed separately, higher serum albumin levels were significantly associated with hypertriglyceridemia and hyperglycemia in both sexes, and with abdominal obesity in men. Conclusions: These results suggest that higher serum albumin levels are positively associated with an increased risk of metabolic syndrome in Korean adults.

Suicide Rate Differences by Sex, Age, and Urbanicity, and Related Regional Factors in Korea

  • Cheong, Kyu-Seok;Choi, Min-Hyeok;Cho, Byung-Mann;Yoon, Tae-Ho;Kim, Chang-Hun;Kim, Yu-Mi;Hwang, In-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.2
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    • pp.70-77
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    • 2012
  • Objectives: Identify the characteristics related to the suicide rates in rural and urban areas of Korea and discover the factors that influence the suicide rate of the rural and urban areas. Methods: Using the data on causes of death from 2006 to 2008, the suicide rates were calculated and compared after age-standardization based on gender, age group and urbanicity. And, in order to understand the factors that influence suicide rate, total 10 local characteristics in four domains - public service, social integration, residential environment, and economic status - were selected for multiple regression analysis. Results: The suicide rates were higher in men than women, in rural areas than urban, and in older people than the younger. Generally, although there were variations according to age group and urbanicity, suicide rates were significantly related to residential environment and regional economic status but not related to regional welfare spending and social integration. In addition, the population over the age of 65 years, only regional economic status has significantly influence on their suicide rates. Conclusions: The influence of characteristics of regions on suicide rate is various by age-group, gender, and urbanicity. Therefore, in order to lower suicide rate and reduce the gap between regions, various approaches must be adopted by taking into account the socioeconomic characteristics of the regions.

Improving the Performance of Risk-adjusted Mortality Modeling for Colorectal Cancer Surgery by Combining Claims Data and Clinical Data

  • Jang, Won Mo;Park, Jae-Hyun;Park, Jong-Hyock;Oh, Jae Hwan;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.2
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    • pp.74-81
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    • 2013
  • Objectives: The objective of this study was to evaluate the performance of risk-adjusted mortality models for colorectal cancer surgery. Methods: We investigated patients (n=652) who had undergone colorectal cancer surgery (colectomy, colectomy of the rectum and sigmoid colon, total colectomy, total proctectomy) at five teaching hospitals during 2008. Mortality was defined as 30-day or in-hospital surgical mortality. Risk-adjusted mortality models were constructed using claims data (basic model) with the addition of TNM staging (TNM model), physiological data (physiological model), surgical data (surgical model), or all clinical data (composite model). Multiple logistic regression analysis was performed to develop the risk-adjustment models. To compare the performance of the models, both c-statistics using Hanley-McNeil pair-wise testing and the ratio of the observed to the expected mortality within quartiles of mortality risk were evaluated to assess the abilities of discrimination and calibration. Results: The physiological model (c=0.92), surgical model (c=0.92), and composite model (c=0.93) displayed a similar improvement in discrimination, whereas the TNM model (c=0.87) displayed little improvement over the basic model (c=0.86). The discriminatory power of the models did not differ by the Hanley-McNeil test (p>0.05). Within each quartile of mortality, the composite and surgical models displayed an expected mortality ratio close to 1. Conclusions: The addition of clinical data to claims data efficiently enhances the performance of the risk-adjusted postoperative mortality models in colorectal cancer surgery. We recommended that the performance of models should be evaluated through both discrimination and calibration.

A Nested Case-Control Study on the High Normal Blood Pressure as a Risk Factor of Hypertension in Korean Middle-aged Men (중년 남성에서 고정상혈압에 의한 고혈압발생 위험 규명을 위한 코호트내 환자-대조군 연구)

  • Ahn, Yoon-Ok;Bae, Jong-Myon
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.4
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    • pp.513-525
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    • 1999
  • Objectives : High-normal blood pressure' is a factor influencing decision to initiate targeted intensive intervention strategy in westernized populations. JNC-VI offered the vigorous lifestyle modification for persons with 'high-normal blood pressure', who could be early detected. As a hypertension seems to be the result of multiple genetic factors operating in concert with associated environmental factors, it will be necessary to identify the high-normal blood pressure as a risk factor of hypertension for applying primary prevention strategy in Korean people. Methods : Although cohort study design might be adequate to recruit incidence cases, to keep time sequence of events, and to prevent information bias, nested case-control study was chosen for avoiding measurement errors because hypertension is a benign disease. Source population was the 'Seoul Cohort' participants and follow-up was done by using Korea Medical Insurance Corporation's database on the utilization of health services from 1 Jan93 to 30Jun97. Incidence cases were ascertained through the chart review, telephone contacts, and direct blood pressure measurements. Controls included the pairing of 4 individuals to each case on the basis of age. Results : As 75% of 247 incident cases had high-normal blood pressure, the crude odds ratio for hypertension was 2.04 (95% CI 1.47-2.83). Another statistically significant risk factors of hypertension were body mass index, dietary fiber, alcohol consumption, weekly activity and history of quitting smoking. The multivariate odds ratio of high-normal blood pressure adjusted for all risk factors was 1.84 (95% CI 1.31-2.56). Among high-normal blood pressure group, body mass index, weekly ethanol amounts, weekly physical activity, and dietary fiber except history of quitting smoking were still risk factors of hypertension. Conclusion : 'High-normal blood pressure' is a risk factor for hypertension in Korean middle-aged men, which represents that the vigorous lifestyle modification for persons with 'high-normal blood pressure' is need.

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