• Title/Summary/Keyword: School-public health

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Serum 25-hydroxyvitamin D and cognitive function in Korean older adults living in rural area (농촌 지역에 거주하는 한국 노인의 혈청 비타민 D 농도와 인지기능과의 상관성)

  • Shin, Ye Som;Choi, Bo Youl;Kim, Mi Kyung;Yang, Yoon Jung
    • Journal of Nutrition and Health
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    • v.52 no.5
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    • pp.465-474
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    • 2019
  • Purpose: This study examined the association between the serum 25-hydroxyvitamin D concentration and the cognitive functions in Korean elderly. Methods: The subjects were 393 adults aged 60 years or older who participated in the Yangpyeong cohort between July 2009 and August 2010. The subjects were classified into deficiency, insufficiency, or adequacy groups according to the serum 25-hydroxyvitamin D concentration diagnostic criteria suggested by the US Institute of Medicine (IOM). The cognitive function was assessed based on the Korean version of the Mini-Mental State Examination (MMSE-KC). The dietary intake was assessed using the quantitative food frequency questionnaire with 106 food items. Results: The proportions of deficiency, insufficiency, or adequacy in serum 25-hydroxyvitamin D were 6.6%, 44.5%, and 48.9%, respectively. The serum 25-hydroxyvitamin D concentration was significantly higher in men than in women and in outdoor workers than in other occupations. The adequacy group had higher MMSE-KC scores than the other two groups, but not to a significant degree. The proportion of cognitive impairment tended to decrease with increasing serum vitamin D concentration to deficiency, insufficiency, and adequacy (p for trend = 0.029). The deficiency group had a 2.28 times higher risk of cognitive impairment than the adequacy group, but the difference was not statistically significant (OR, 2.28; 95% CI, 0.18 ~ 1.07, p for trend = 0.119). Conclusion: The serum vitamin D concentration tended to be associated with the cognitive function in elderly Koreans living in rural areas. To confirm the associations, further longitudinal studies with large samples were required.

A study on the detection of fake news - The Comparison of detection performance according to the use of social engagement networks (그래프 임베딩을 활용한 코로나19 가짜뉴스 탐지 연구 - 사회적 참여 네트워크의 이용 여부에 따른 탐지 성능 비교)

  • Jeong, Iitae;Ahn, Hyunchul
    • Journal of Intelligence and Information Systems
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    • v.28 no.1
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    • pp.197-216
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    • 2022
  • With the development of Internet and mobile technology and the spread of social media, a large amount of information is being generated and distributed online. Some of them are useful information for the public, but others are misleading information. The misleading information, so-called 'fake news', has been causing great harm to our society in recent years. Since the global spread of COVID-19 in 2020, much of fake news has been distributed online. Unlike other fake news, fake news related to COVID-19 can threaten people's health and even their lives. Therefore, intelligent technology that automatically detects and prevents fake news related to COVID-19 is a meaningful research topic to improve social health. Fake news related to COVID-19 has spread rapidly through social media, however, there have been few studies in Korea that proposed intelligent fake news detection using the information about how the fake news spreads through social media. Under this background, we propose a novel model that uses Graph2vec, one of the graph embedding methods, to effectively detect fake news related to COVID-19. The mainstream approaches of fake news detection have focused on news content, i.e., characteristics of the text, but the proposed model in this study can exploit information transmission relationships in social engagement networks when detecting fake news related to COVID-19. Experiments using a real-world data set have shown that our proposed model outperforms traditional models from the perspectives of prediction accuracy.

Prenatal Care Utilization Pattern and Its Determinants in Rural Korea (농촌지역 모성의 산전관리서비스 이용양상과 그 결정요인)

  • Kim, Jang-Rak;Park, Jung-Han;Lee, Jae-Kyong;Seo, Sang-Hong;Bang, Joon-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.4 s.44
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    • pp.599-613
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    • 1993
  • To study the pattern of prenatal care utilization and its determinants in rural Korea, 976 mothers (65.5%) out of 1,489 living mothers in Chinyang, Sachon and Hapchon Counties in Kyongsangnam Province who had delivered a baby between July 1, 1990 and June 30, 1991 were interviewed by the Myon health workers from January 3 through February 15, 1992. The Anderson's behavioral model for health service utilization was applied to develop the frames for analysis. The dependent variable was a number of prenatal care visits. And the independent variables included In the model were the variables pertaining to the predisposing, enabling, medical need and other components. The proportion of mother who had ever received the prenatal care service for the index pregnancy was 97.3%. However, the proportion of mothers who had made more than 10 visits was only 20.6%, which indicated that majority of mothers had paid far less visits than recommended $10{\sim}12$ visits for each normal pregnancy. The low utilization of prenatal care services (none or less than 4 visits) was related to mother's low educational level, the high birth order, beneficiary of the medical aid, the absence of clinic in the community, no diagnosed disease of mother during pregnancy, and mothers engaged in farming. Inequity of access seemed to exist because social structure variables and the variables of enabling component were important predictors. And there seemed to be high mutability in equalizing the distribution of prenatal care services because the variables of enabling component such as type of medical security and whether there was a clinic or not in the community were substantially important.

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A Survey on Epilepsy Patients from Public Health Aspects (간질환자(癎疾患者)에 대(對)한 보건학적(保健學的) 조사연구(調査硏究))

  • Kim, Myung-Ho;Kyung, Yung-Hoo;Park, Jong-Koo;Suh, Shin-Yung
    • Journal of agricultural medicine and community health
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    • v.4 no.1
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    • pp.41-61
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    • 1979
  • Two interview surveys (1976 for 800 patients, 1978 for 200 patients) and an inventory survey through medical records(1978) for epileptic patients who have registered with the Korean Epilepsy Association (Rose Club) since 1971 were carried out by trained health workers in advance of survey. The data obtained from the analysis showed as follows: 1) 35.2% of patients were born in Seoul and 70. 6% of patients born elsewhere have lived in Seoul. 2) 50-60% of patients were 15-30 years cid. 3) 33.4%, 24,6 and 24.6 of all pupils and students went to elementary, junior and senior high schools respectively. 4) 21.2% of all pupils and students had dropped out of school and 51.4% of them were away from school because of epilepsy. 5) 3.1% of all patients had no job at all and students comprised 20.9% of patients followed by clerical work, commercial business and farming with about 6% in each group.6) Reasons given for unemployment such as dismissal (4.3%), quit (27.7%), hesitation to employ (42.5%)and discontinuance of job (25.5%) were basically due to epilepsy. 7) About half(46.2%) of all patients have become Christian since the Rose Club was a voluntary agency which has been sponsored by Christians. 8) 82. 6% of patients were diagnosed as having grand mal as the most. 9) 29.4% of patients explained aura with psychomotor disturbances and 13.8% with sensory disorders. 10) 46.3% of patients were attacked with seizures when they were tired and others(11.6% and 4.9%) after excessive eating and hunger. 11) Patients suffered more seizures in spring and summer rather than in autumn and winter and most patients had attacks 1-5 times a month. 12) For etiologic reasons of epilepsy, 35.5% of patients considered it was caused by psychological stress and 11.5% by trauma. Only 1.1% of patients considered it as having hereditary components. 13) 51% of patients were slow in caring for their own illnesses. They started to reat epilepsy after spending 5 years of time from the initial seizure. Only 5.4% of patients had received the modern anti-epileptic therapy right after the nitial seizure. 14) 62.1% of patients had no therapy or irregular or incomplete treatment before registration at the Rose Club Clinic. 15) Before registration at the Rose Club, 42.4% of patients received medical care. On the other hand, 25.6% went to herb doctors and 12.5% used to go to the drugstore in order to get anti-epileptic drugs. 16) 41. 6% of patients who took anti-epileptic drugs had more or less side-effects. Indigestion was the most common. 17) For continuation of treatment, 30.3% have received treatment for more than 5 years and the evident showed that epilepsy took a longer time to be cured. 18) Regarding the medical care received 44.2% of patients were very satisfied with effective care and 26.5% felt as good. 19) For attitudes toward epilepsy. 27.0% of patients and 68.2% of patients family were pessimistic. 20) 65.9% of patients had optimistic attitudes toward effectiveness of medical care of epilepsy. 21) 64.8% of wives and husbands had better understanding and cooperative for their spouses who had epilepsy. 22) 33.3% of patients were under-treated at the place of work. 23) 70.2% of patients wished to marry when they reach childbearing age and 63% wished to have children. Through the above results it is recommended for nation-wide epilepsy control that the sound and correct health education not only from health aspect but also from welfare aspect should be planned and implemented as soon as possible.

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A Study on the Sociomedical Status of Prostitutes in Busan Area (부산일부지역 특수업태부들의 사회의학적인 조사)

  • Choi, Jin-Hae
    • Journal of Preventive Medicine and Public Health
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    • v.10 no.1
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    • pp.125-133
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    • 1977
  • The author have performed, from June to July 1976, a sociomedical study on the 314 prostitutes which was engaged in tourism in Dongrae, Busan. The obtained results were as follows: 1. Age distribution was from 20 years old to 34 years old and the highest as 36.6% was 23-25 years old group. Most of the respondents as 95.2% were under 31 years old group. 2. Distribution of respondents by educational level showed that the group below the graduated primary school was 47.2%, middle school 29.3% and high school 57.0% in that order. 5. By the occupation before be ruined, none was 34.5%, waitress at saloon 24.2%, hostess 14.3%. 4. By distribution of birth place, most of the respondents as 64.0% were Gyeongsang Do(37.9%) and Busan City (26.1%). 5. Distribution of respondents by family status showed that only mother was highest as 43.9% and 82.2% of respondents have been supported their family. 6. Monthly incomes of respondents were distributed from 50,000 Won to 250,000 Won, and 50,000-100,000 Won group was the highest as 46.2%. In monthly sundry expenses, 20,000-30,000 Won group was the highest as 27.1%. 7. Monthly supporting expenses to their family were distributed from 10,000 Won to 50,000 Won and the highest as 26.7% was 10,000-20,000 Won group. Savings per month were distributed from 10,000 Won to 60,000 Won and 50,000-60,000 Won group was the highest as 22.3%. 8. Distribution of respondents by status of luxury showed that experiences of drinking was 20.4% and smoking was 55.7%. 9. By motive of falling into the ruin, economical causes was 41.7%. Most of the respondents as 95.0% expected under 3 years in prearranged period of their occupation. 10. By number of monthly entertainment, 5-10 persons as 58.0% was the highest. 11, Distribution of respondents by status of venereal disease and pulmonary tuberculosis showed that positive of gonorrhea was 8.0%, syphilis 1.6%, and pulmonary tuberculosis was 1.6%.

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Problems to Solve and Job Enlargement on the Inclusion of Dental Hygienists in the Category of Medical Personnel (치과위생사 의료인화에 대한 현안과제와 직무확충 방안)

  • Lee, Da-Som;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.340-348
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    • 2018
  • The purpose of this study was to examine the perceptions, precedent tasks, positive and negative effects, and expandable professional tasks regarding the inclusion of dental hygienists (DHs) in the category of medical personnel. This study involved a survey of 259 DHs and 128 dentists. The findings were as follows: 94.2% of DHs and 46.9% of dentists were aware of inclusion in the category of medical personnel; 95.0% of DHs and 64.1% of dentists supported the idea; and 84.9% of DHs and 51.6% of dentists recognized its legitimacy. As for precedent tasks for inclusion in the category of medical personnel, both DHs and dentists scored high points in professional consciousness in the area of occupation. Both DHs and dentists scored the highest points in the quality management of DH education and the lowest points in the unification of school systems in the area of institution. In the area of society, DHs scored high points in the persuasion of the central government, whereas dentists scored high points in collaboration among concerned organizations. Regarding the positive effects of inclusion in the category of medical personnel, both DHs and dentists scored the highest points in the expanded perception of DHs. As for its negative effects, DHs scored high points in the aggravation of salary increase, whereas dentists scored high points in the aggravation of salary increase. Regarding expandable professional tasks after the inclusion of DHs in the category of medical personnel, the management of independent periodontal care programs recorded the highest percentage both in DHs and dentists. These findings highlight the need for adequate discussions about the meanings of the inclusion of DHs in the category of medical personnel and will hopefully contribute to the rational adjustment and legalization of DHs' works with regard to their inclusion in the category of medical personnel.

Smoking Status and its Related Factors in Male Students of Middle and High Schools in Kwangju (광주지역 남자 중.고등학생의 흡연실태와 흡연관련 요인)

  • Lee, Yun-Ji;Rhee, Jung-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.3 s.43
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    • pp.359-370
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    • 1993
  • To identify the smoking status and its related factors in middle and high school boys in Kwanju a study was performed from 15th to loth of June 1992. Population were selected by two-stage stratified random sampling method and total 3,959 students replied to the self-administered questionnaire survey (1,574 in middle school, 1,664 in academic high school, 712 in business high school). The results were as follows ; 1. The proportion of current smokers was 1.5% in middle schools and 20.1% in high schools. And the smoking rates increased with school grade years (p<0.01). 2. For the motivation of smoking, curiosity was the most frequent factor and the next was temptation by friends. 3. The most common situation on the first experience of smoking was that middle school boys smoked a cigarette which was found in a house, through curiosity, with friends, at home. High school boys smoked a cigarette taken from friends, through curiosity, with friend, on the road or at home. 4. The proportion of smokers who smoke a cigarette regularly was 34.8% among smokers in middle school and 70.2% among smokers in high school. The most proportion of duration of smoking was less than 1 month among middle school boys (20.8%) and more than 2 years among high school boys (43.9%). The first smoking experience was in elementary school among middle school boys and the third grade of middle school in high school students. Most current smokers (73.9% in middle school boys, 65.3% in high school boys) wanted to quit smoking. 5. Smokers had significant association with intimate friend's smoking, mother's and brother's smoking, inharmonious friendships, dissatisfied with home and school life, lower school grades, generous attitude to other smokers, lack of knowledge to passive smoking and no contact to mass media (TV) (p<0.01).

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Evaluation of Work Environment, Health Care Management and Exposure to Chemicals in the Workplaces Using Dimethylformamide (DMF) (디메틸포름아미드 취급 사업장의 작업환경 및 보건관리 실태와 노출요인 조사)

  • Hur, Soo-Jong;Suh, Chun-Hui;Lee, Chae-Kwan;Kim, Jeong-Ho;Kim, Dae-Hwan;Son, Byung-Chul;Lee, Chang-Hee;Chang, Goo-Rak;Lee, Jong-Tae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.20 no.4
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    • pp.225-235
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    • 2010
  • This study was aimed to assess the status of working environment, health care management status and cause of exposure in manufactories using dimethylformamide (DMF). For the purpose, airborne concentration of DMF in the workplaces and N-methylformamide (NMF) in worker's urine were measured with job type and process. In addition, management of local exhaust ventilation system (LEV) and personal protective equipment (PPE) was evaluated at 35 work places (107 workers) located in Busan and Gimhae area. Mean DMF concentrations in work places by job type and process were of high level measured in printing and record media reproduction (5.23 ppm) and flaking process (2.48 ppm). Workers in adhesive job were measured a large amount of urine NMF (21.59 mg/${\ell}$). 98.1% of DMF handling workers were provided respirators, but 67.3% of those workers used them. The main reasons for not using respirators were inconvenience and difficulty of breathing. Airborne concentrations of DMF were higher in the workplaces in which LEVs were working abnormally, but there was not statistically significant. In addition, the urine NMF levels were correlated with management of LEV within the workers who did not use the respirators (p<0.048). These results implied that LEV should be installed and maintained properly to protect the workers from the exposure to DMF. Management of PPE should be also necessary to protect the workers from chemical hazards.

Association of Anxiety and Depressive Symptoms with Periodontal Disease in Korean Women (한국 여성의 불안 및 우울증상과 치주질환의 관련성)

  • Lee, Eun-Sun;Do, Kyung-Yi;Lee, Kang-Sook
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.73-80
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    • 2017
  • Periodontal diseases occur from the interplay between increased bacterial response and the response of the host immune system over time. Anxiety and depression can impair immunological defense mechanisms, causing accumulation of periodontopathogens and thus exacerbating periodontal disease. We investigated the relationship of anxiety and depression to periodontal diseases in Korean women. In this study, 3,551 women aged ${\geq}19$ years were evaluated based on data from the first year (2010) of the Fifth Korea National Health and Nutrition Examination Survey. The analysis of the factors that caused periodontal diseases revealed that dental floss or interdental toothbrush nonuse behaviors have been shown to increase the risk of periodontal disease (odds ratio [OR], 1.49; 95% confidence interval [CI], 1.14~1.95). After adjusting for conditions such as age, marital status, income, educational level, economic activity, diabetes mellitus, smoking, drinking, and frequencies of toothbrushing and interdental cleaning, we found that anxiety and depression increased the risk of developing periodontal diseases (OR, 1.47; 95% CI, 1.04~2.09). People with anxiety and depression have a higher prevalence of periodontal diseases than people without anxiety and depression. Thus, periodic periodontal care and effective self-care education are needed to manage periodontal diseases.

A Study on Factors Influencing Dementia Management Strategies and Their relationships with Primary Caregivers' Burden (치매주간호자의 치매관리전략 영향요인과 부양부담 관계 연구)

  • Lee, Hyeon-Sun;Oh, Jin-Joo
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.629-638
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    • 2002
  • The impact of chronic diseases on patients and their families depends on how well the family members cope with it. Therefore, research on strategies for facilitating the coping of the families in a desirable manner is very important. Dementia management strategies refer to specific means families of dementia patients use to cope with dementing illness of their family members. This study was designed to examine type of dementia management strategies utilized by families and to identify factors influencing them. The subjects in this study were 103 conveniently selected demented patients and their primary caregivers who were registered to a public health center located in Chungcheong Province. The subjects were visited by 20 home visiting nurses, and the data were collected using a structured questionnaire. The data were collected form May 2, 2001 to June 2, 2001. The findings of this study were as follows. 1. The most frequently used types of dementia management strategies were active management (M=3.36, S.D=.96), and encouragement (M=2.94, S.D=.99). Criticism was least used type of dementia management strategy (M=2.71, S.D=.99). 2. The factors influencing each management strategy were as follows; 1) The criticism management strategy was most frequently used by the primary caregivers who graduated elementary school (F=3.21, p<.05). 2) The encouragement strategy was most frequently used by the primary caregivers in a case when the patients were in the mild stage of dementia (F=2.76, p<.05), when the patients never had any treatment experiences (F=2.01, p<.05), when the family could afford the provision of treatment for the patients (F=-2.44, p<.050), and when the primary caregiver had a job (t=2.90, p<.01). 3) The active management strategy was most widely used by the primary caregivers who could afford the provision of treatment for the patients (F=-2.31, p<.05) and were in their 70s (F=3.04, p<.05). This type of management strategy was significantly more used by those who discussed the difficulties of caring with their family members (F=3.46, p<.05). 3. The use of criticism management strategies was significantly correlated with the total level of burden of the primary caregivers. But the types of encouragement and active management strategies had negative correlations with the caregivers' burden although they were not significant. Since the findings of this study showed that the criticism management strategy had a significant positive relationship with caregivers' burden, those who are more likely to use the negative management strategy should be identified in future studies. The primary caregivers who are more likely to use negative strategy should be more closely monitored and be focused as the group who should be intervened in future studies.

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