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Excess Deaths During the COVID-19 Pandemic in Southern Iran: Estimating the Absolute Count and Relative Risk Using Ecological Data

  • Mohammadreza Zakeri;Alireza Mirahmadizadeh;Habibollah Azarbakhsh;Seyed Sina Dehghani;Maryam Janfada;Mohammad Javad Moradian;Leila Moftakhar;Mehdi Sharafi;Alireza Heiran
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.2
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    • pp.120-127
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    • 2024
  • Objectives: The coronavirus disease 2019 (COVID-19) pandemic led to increased mortality rates. To assess this impact, this ecological study aimed to estimate the excess death counts in southern Iran. Methods: The study obtained weekly death counts by linking the National Death Registry and Medical Care Monitoring Center repositories. The P-score was initially estimated using a simple method that involved calculating the difference between the observed and expected death counts. The interrupted time series analysis was then used to calculate the mean relative risk (RR) of death during the first year of the pandemic. Results: Our study found that there were 5571 excess deaths from all causes (P-score=33.29%) during the first year of the COVID-19 pandemic, with 48.03% of these deaths directly related to COVID-19. The pandemic was found to increase the risk of death from all causes (RR, 1.26; 95% confidence interval [CI], 1.19 to 1.33), as well as in specific age groups such as those aged 35-49 (RR, 1.21; 95% CI, 1.12 to 1.32), 50-64 (RR, 1.38; 95% CI, 1.28 to 1.49), and ≥65 (RR, 1.29; 95% CI, 1.12 to 1.32) years old. Furthermore, there was an increased risk of death from cardiovascular diseases (RR, 1.17; 95% CI, 1.11 to 1.22). Conclusions: There was a 26% increase in the death count in southern Iran during the COVID-19 pandemic. More than half of these excess deaths were not directly related to COVID-19, but rather other causes, with cardiovascular diseases being a major contributor.

Gender Differences in Marital Disruption among Patients with Cancer: Results from the Korean National Health and Nutrition Examination Survey (KNHANES)

  • Song, Hai-Yan;Kwon, Jeoung-A;Choi, Jae-Woo;Kim, Sun-Jung;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6547-6552
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    • 2014
  • Background: Cancer is a major life event that imposes huge economic and mental burdens on patients and families. In addition, the diagnosis of cancer also causes significant family discordance that can lead to marital problems such as divorce or separation. The aim of this study was to investigate the association and any related gender differences between cancer diagnosis and marital disruption among cancer survivors. Materials and Methods: We used the recent cross-sectional Korea National Health and Nutrition Examination Survey ($4^{th}$ and $5^{th}$; Years 2008-2012). The study participants were 623 married cancer survivors over the age of 19. A multivariate logistic regression analysis was conducted to estimate odds ratios. Results: After adjusting for socioeconomic status and health-related behaviors, the odds ratio of marital disruption among female cancer survivors compared with male cancer survivors was 3.94 (95%CI 1.30-11.94; p=0.02). The odds ratio of marital disruption for the below-average economic level compared with the above-average economic level was 5.64 (95%CI: 1.03-31.02; p=0.05). When compared with the non-smoking cancer survivors, the smoking cancer survivors had an OR of marital disruption equal to 2.94 (95%CI: 1.08-8.00; p=0.03). Conclusions: The findings of this study suggest that the odds of marital disruption among female cancer survivors are higher than those among their male couterparts. Medical practitioners should be sensitive to early signs of marital discord in couples affected by a cancer diagnosis. Early identification and psychosocial intervention might reduce the frequency of divorce and separation and thus improve quality of life and quality of care for cancer survivors.

Comparison of Calcium Intake Status among Elementary Students by Participation in the School Milk Program (학교우유급식 참여여부에 따른 초등학생의 칼슘 섭취실태 비교)

  • Kim, Tae-Young;Kim, Hyang-Sook
    • Journal of the Korean Society of Food Culture
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    • v.24 no.1
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    • pp.106-115
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    • 2009
  • This study was conducted to investigate whether there is a difference in calcium intake between elementary school students who are participating in the school milk program and those who are not. The study samples consisted of 240 milk program participants and 120 non-participants in the fifth and the sixth grades at a school located in Cheong-ju. The survey questionnaire included questions related to general status, drinking milk at school, and intake of milk and dairy products at home. An FFQ (food frequency questionnaire) was composed of 30 calcium-supplying foods, which surveyed the normal intake amount at one time and the frequency per month. The average daily intake of calcium by the participants (1052.3 mg) was higher than that of the non-participants (772.5 mg) by 279.8 mg, and the major consumed food item contributing to the difference was milk. The major sources of dietary calcium were 'milk' for the participants and 'ice cream' for the non-participants. In a question asking the reasons for participation in the program, 48.8% of the participants answered 'benefits to health', and the primary reason why the nonparticipants did not drink milk at school was 'stomach pain' (55.0%). Among the participants, 80.4% said they 'are drinking milk at home', which was in contrast to only 50.8% of the non-participants. And 48.7% the participants said they drank 'more than 1 cup' of milk at home, and 47.5% of the non-participants said they drank 'less than 1 cup'.

Time Poverty and Quality of Life in Dual-Earner Families with Preschool Children: A Comparison between Time-Poor and Non-Time-Poor Groups (미취학 자녀를 둔 맞벌이 가정의 시간빈곤 수준과 삶의 질: 개인유지시간을 기준으로 한 시간빈곤 여부에 따른 집단 간 비교)

  • Kim, Mi Young;Park, Mee Ryeo
    • Human Ecology Research
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    • v.55 no.1
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    • pp.45-55
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    • 2017
  • This study analyzes diverse factors in time poverty and quality of life in dual-earner families with preschool children that pertain to the individual, family, and occupation. Data were taken from the 17th edition of the Korean Labor and Income Panel Study developed by the Korea Labor Institute in 2014. The sample consists of 826 households who are dual-earner families with preschool children. The major findings are as follows. First, this study identified inadequacies in personal care time for dual-earner families with preschool children. Second, the results show that gender, recognition of gender role, and overall satisfaction of occupation are related to the time poverty of dual-earner families. Men are more likely to experience time poverty than women, and equal recognition of gender role and satisfaction of occupation indicate a negative relation on the time poverty of dual-earner families with preschool children. Last, quality of life in non-time-poor groups is higher than for groups who experience time poverty. Also, health state, earned income, work-family life conflict, and overall satisfaction of occupation are commonly related to quality of life in both groups. The results suggest implications for comprehensive policies to address family time issues.

Analysis of Medication Compliance and Polypharmacy for the Old Diabetic Patients (노인 당뇨환자의 복약 및 다제병용실태 분석)

  • 이의경;최영옥
    • Korean Journal of Health Education and Promotion
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    • v.17 no.1
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    • pp.81-93
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    • 2000
  • This study is intended to investigate medication compliance and polypharmacy of the diabetic patients by age group in order to determine the major factors that influence their compliance. 198 ambulatory diabetic patients were interviewed, and the sample was divided into three groups based on the age: Young age group under 55, Borderline age group between 55 - 65, Old age group over 65. According to the study results, medication compliance for the old age group was 72.6% whereas 85.1% for the young age group. Medication compliance significantly decreased as the age of the patients increased. Also the degree of polypharmacy, the rate which patients take more than 6 prescription drugs, was 45.9% for the old group, whereas 31.2% for the young group. As the most important factor of polypharmacy, the number of doctors was statistically significant. With regard to prescription factors related to medication compliance, the amount of prescribed medication is statistically significant between the compliance group and non-compliance group. In addition, the amount of information provided to patients by pharmacists was determined to be a very significant factor. Also the level of ease in understanding the medication instructions varied significantly between the compliance group and the non-compliance group. In light of the empirical data and results for the diabetic patients, it is necessary to develop and implement various programs to improve medication compliance and to decrease the level of polypharmacy among the elderly, or "old", diabetic patients. patients.

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A Study on a Classification Technique of Natural Mineral Waters by Its Constitution and Physico-Chemical Properties (鑛泉水 理化學的 水質評價 技法 에 관한 연구)

  • Nam, Sang-Ho
    • Journal of Environmental Health Sciences
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    • v.14 no.1
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    • pp.33-38
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    • 1988
  • Natural mineral water is generally quite different from ordinary drinking water due to its original nature and various properties. The complexity of natural mineral water requires, therefore, not only to identify its nature and proper characteristics, but also to classify them by a reasonable scientific basis of comparison. The study was concentrated on a possible classification technique to natural mineral waters by their constitutions and physico-ehemical properties. The classification was carried out by the computation of such numerical parameters as ionic equivalent percentage, electrolytic conductance or mobility, ionic molecular weight, molecular concentration, equivalent conductivity and degree of ionization in consideration of the determinative criteria as follows -particular single element or molecule -major components of natural waters as bicarbonate, sulphate, chloride,caloride, calcium, magnesium, and sodium -moleculat concentration related to blood osmotic pressure -water temperature at emergence from spring -contents of free carbon dioxide (CO2) -pH value of water -total dissolved solids or salts (NaCl) The results obtained proved out to be clearly distinguhhable from ordinary drinking water as far as concern natural mineral water as an example on the subject -simple water -bicarbonate-predominating water -cold spring -carbonated-non gaseous water -weak alkaline water -non saline water Putting these various results together, the sample turned out to be a kind of natural mineral water that can be used as a drinking water if microbiologically safe.

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A Study on Salt-fermented Seahorse added with Proteolytic Enzyme (Protamex)

  • LEE, In-Sook;LEE, Min-Ho;JANG, Kyung-Tae
    • The Korean Journal of Food & Health Convergence
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    • v.6 no.6
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    • pp.1-7
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    • 2020
  • We compared the fermentation of 0 to 4 weeks by manufacturing a rapid low salt-fermented seahorse with a commercial Protamex added to the functional food, Hippocampus abdominalis. We studied amino acid composition, content and major amino acids related to flavor during the fermentation process of salt-fermented seahorse. In the enzyme-free group, it showed little change in the content of non-protein nitrogenous compounds, the content of amino acids and degree of hydrolysis. The Protamex enzyme treatment group was rapidly hydrolyzed in one week of ripening, resulting in increased non-protein nitrogenous compounds content, amino acid content and degree of hydrolysis, and minimal changes in the four weeks. The total amino acid contents ratio showed the highest content of glutamic acid in the enzyme additive group, glycine, alanine, which indicates sweet taste, and serine, the content of glycine, alanine, serine, and lysine, indicating sweet taste, has increased significantly over the enzyme-free group. Twenty species of free amino acid in the four-week of salt-fermented seahorse were detected. It detected 43.0% (6 species) in the enzyme-free group and 63.96% (7 species) in the enzyme additive group.

Analysis of Consumer Satisfaction on Career Guidance and Psychological Counseling at a University

  • PARK, Young-Taek;PARK, Hyeon-Young;LEE, Se-Rin;LIM, Hyeon-Jin;KWON, Young-Eun;KWON, Lee-Seung
    • Journal of Wellbeing Management and Applied Psychology
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    • v.4 no.2
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    • pp.26-34
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    • 2021
  • Purpose: The ultimate purpose of this study is to analyze this survey to understand the overall contents of college career guidance and psychological counseling, and to utilize it to improve the quality of learning and provide career guidance. Research design, data and methodology: The research period and survey subject are approximately one month from 2020.12.01(Tue) to 2021.01.03(Sun). Convenience sampling was conducted using a structured questionnaire composed of a 5-point Likert scale and 5 open-ended questions. As the analysis method, descriptive statistics such as reliability analysis and frequency analysis of Cronbach's α coefficient of internal consistency were mainly used. Data Analysis Statistical program was analyzed using SPSS 25 version. Results: The item with the highest score is that the counseling and counseling-related non-specialized programs offered by the Student Counseling Center are helpful for school life (3.56 points). Conversely, the lowest question is that seminars accompanied by priests are helpful for study (3.38 points). Conclusions: The average score of 5 questions in the career guidance and psychological counseling areas is 3.38 out of 5.

Development of Preventive Management Manual for Non-Manufacturing Industries (비제조업종의 근골격계질환 예방관리 매뉴얼 개발)

  • Kim, Chol-Hong;Moon, Myung-Kug;Kim, Day-Sung
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.1
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    • pp.29-36
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    • 2009
  • A Study was conducted to investigate the type and level of occupational risk factors for the onset of work-related musculoskeletal disorders (WMSDs) in non-manufacturing industries. Total of 38 worksites were investigated from 5 different business areas such as financial institution, transportation service, building maintenance, sanitary service and educational service. Major job and task category were classified and corresponding occupational risk factors such as awkward posture, force exertion, repetitiveness of job, and work/rest cycle were examined using various ergonomic risk analysis techniques. Sets of matrices were developed including types and levels of risk factors for the classified jobs and tasks from 5 different non-manufacturing industries. Also possible ergonomic remedies were suggested for the improvement working conditions. Results and risk factor matrices can be applied as a guideline for the investigation of WMSDs risk factors in similar industries for the prevention of WMSDs.

A Field Study on Managing System of Maternity Clinic at Public Health Centers in Seoul (서울시 보건소 모성실 운영실태에 관한 현장 연구)

  • Chung, Yeon-Kang;Kwon, Young-Mi;Kim, Hee-Young
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.259-274
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    • 1995
  • The study is to grasp the problems related to operation of Maternity clinic of public health centers in seoul and needs for public health of community in relation to consumers and providers in order to improve efficiency of community public health for mothers and children. Four pregnancy woman, who receive medical care at the maternity clinic of M public health centers in seoul and understand the purpose of this study, and one nurse who works at the were the objects of this field study. Participating observation and intensive interviews were conducted to collect data. All of them were performed as necessary from time to time since December, 1994, and not during a specific period. Through an data analysis in the order of sector analysis and classification analysis, the data were classified into specific patterns and the results are the following; 1. All of the subjects were using both private hospitals and public clinics, but managing activities prior to delivery were not carried out in accordence with theories for those activities. 2. The subjects showed two types of response to utilizing maternity clinic. they answered that the advantages of the clinic were 'short waiting time for medical treatment', 'medical treatment by female doctors' and 'economical benefit.' Meanwhile, they gave negative response to the problems of 'non-implementation of delivery' 'uncleanness and insufficient facilities', 'limited time of treatment', 'lack of expertise' and 'want of public health education for materity.' 3. Problems related to operation of maternity clinic were 'lack of experts', 'irrational facility structure' and 'absolutely lack budget'. In terms of the status of managing the subjects, 'programs only aimed at attaining the central-government-assigned objects' and 'limited management before and after delivery by non-implementing delivery' were pointed out to be problems. Regarding public health education before delivery and PR relations, 'superficial public health education for maternity' and 'absence of PR programs' were named. In planning and evaluation, 'absence of autonomous planning and evaluation by the clinic itself' was a major problem in operating the clinic. 4. 'Substantial health education and PR', 'supplementation of facilities and eqipment', 'development' and supply of demanded service by the subjects', 'implementation of autonomous programs', and 'reinforcement of supplementary education' were presented as alternatives for efficient opration of maternity clinics.

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