• Title/Summary/Keyword: Social medicine

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A Study of Factors Affecting Self-Rated Health among Korean Elderly: Focusing on Gender Differences (노인의 주관적 건강평가 관련요인에 관한 연구: 남녀 차이를 중심으로)

  • Yeom, Jihye;Park, Jun-Sik;Kim, Dong-Hyun
    • 한국노년학
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    • v.32 no.4
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    • pp.1101-1118
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    • 2012
  • The purpose of this study is to examine which factors determine self-rated health(SRH) among Korean elderly focusing on gender differences. To achieve this purpose, it uses the Hallym Longitudinal Study of Aging, wave 4 in 2009. Participants aged 65 and over from wave 4 were selected(N=986, male 407, female 579). From wave 4, all variables were selected except for respondents' education which was from wave1. In analyses, $x^2$ or t-test were conducted to examine whether independent variables significantly differ by SRH. Then, since a dependent variable consisted of two categories-being healthy or not being healthy, logistic regressions were run. What makes gender differences in the link of independent variables to SRH were 75-84 age group, education, and IADLs. For females, 75-84 age group rated their health as worse compared to 65-74 age group, but this age group did not have significant effect on SRH for males. Females graduating from junior high school were more likely to higher rate their health compared to their counterparts. However, education was not significant for males. Instrumental activities of daily living(IADLs) is one of variables affecting SRH by making gender differences. Female having problems with IADLs were more likely to be significantly negatively rate their health compared to males. Through focusing on age, education, IADLs making gender difference in evaluating health, governments needs to support males and females differently.

Development of self-esteem enhancement program and effective evaluation through instructional sand box play -Focusing on Multicultural Family Children- (지시적 개별모래상자놀이를 통한 자아존중감 향상 프로그램개발 및 효과성 검증 -해체 다문화가족 아동을 중심으로-)

  • Lee, Ok-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.353-365
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    • 2019
  • The purpose of this research is to guide the development of the program for the Directive Individual Sand Box Play for the improvement of the self-esteem of children of the dissolved multicultural families. For quantitative analysis data, the scores from before and after the program were compared. The SPSS 18.0 Package was used for statistical analysis. For the qualitative analysis, the linguistic changes in B children during the session were collected and analyzed using the self-expression scale. The research period lasted for around 3 months from February 2017 to May 2017, for a total of 12 sessions which included individual activities, 1 session of group activities, and 1 night and 2 days of family camp activities featuring a total of 6 children. The main results of this research include quantitatively through the program of the Directive Individual Sand Box Play in relation to the social self-esteem capability at z=-2,200 on the level of p<.05, the significant difference was shown. Qualitatively, positive expression increased as sessions proceeded and negative expression reduced regarding the linguistic expressions by session of children B. This means that the method of the Directive Individual Sand Box which presents the topic and in addition, the process of visiting the house of a child which is the most secure environment had shown the effectiveness that increases the improvement of the self-esteem of the children of the dissolved multi-cultural families. According to the diverse special characteristics of clients, a preliminary basic framework for the mobile individual sand box program through the directive approach method will be prepared.

Relationship Between Degree Centrality of Livestock Facilities in Vehicle Movement Network and Outbreak of Animal Infectious Disease (차량이동 네트워크에서의 축산시설 연결중심성과 가축 전염병 발생 사이의 관계)

  • Lee, Gyoung-Ju;Pak, Son-Il;Lee, Kwang-Nyeong;Kim, Han-Yee;Park, Jin-Ho;Hong, Sungjo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.353-362
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    • 2018
  • The national loss caused by the periodic livestock epidemic is very large. In addition, vehicle movement is the main cause of livestock epidemics in Korea. In this context, this study analyzed the relationship between the degree centrality of livestock facilities and the outbreak of infectious diseases. For this purpose, a livestock vehicle movement network was constructed using the facility entrance data provided by KAHIS. Afterwards, the centrality index was derived for each facility in the vehicle movement network and the mean centrality index of the epidemic and non-epidemic facilities were compared. The analysis results are summarized as follows. First, the degree centrality of epidemic facilities is significantly greater than non-epidemic facilities. As a result of the analysis of the entire period data and the period-based data, in most data, the degree centrality of facilities where livestock infectious diseases occurred was significantly greater than most non-occurrence facilities. Second, in the entire period data, the difference in degree centrality between the epidemic and non-epidemic facilities was smaller for HPAI than for FMD. On the other hand, no significant difference was found in the results of the analysis according to the divided period. The policy implications of the results are as follows. First, proactive management of facilities based on centrality is needed. Second, in the case of cloven-hoofed animal facilities, it is more urgent to introduce a management policy based on the degree centrality.

A Case Study on the Game Behavior of Medical School Students (의과대학생들의 게임행위에 관한 사례연구)

  • Cha, Myeong-Hee;Sang, Chong-Ryel
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.279-286
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    • 2019
  • The purpose of this study is to explore what causes medical college students to play games they will play and use them as academic foundation material. And lay a complex foundation for game addicts. To achieve this objective, an approach was taken as a method of exploratory case study. The participants in the study were recruited by their consent at the R meeting of the College of Medicine. Data collection was collected through a one-on-one interview with FGI. The data analysis was read repeatedly and classified into semantic units to derive the essential meaning. The study produced two essential topics and seven revealed topics. It is 'my job to play games' and 'know the importance of discrimination.'According to the analysis, the game behavior played by medical students was able to quit due to the self-efficacy experienced during the course of growth. When one's expectations were met and self-strengthened, one could see that self-control was possible through self-efficacy. It suggested that measures for sound game culture and complex strategy should be explored and measures to improve self-efficacy should be explored.

Development of Korean Version of European Health Literacy Survey (HLS-EU-Q47) and Applied to the Elderly (한국판 건강문해력 측정도구(HLS-EU-Q47) 개발 및 노인 대상 적용)

  • Han, Hee-Won;Park, Sung-Ji;Kang, Ji Sook;Moon, Kyoung-Suk;Kim, JI HEE;Hwang, Jongnam;Oh, Jongmuk;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.4
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    • pp.65-80
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    • 2021
  • Objective : This study aimed to develop a Korean version of the HLS-EU-Q47 that deals with the concept of health literacy based on the understanding, apply/use, process/appraisal, and access/obtain to health information. The purpose of this study is to confirm the level of comprehensive health literacy of the elderly in Korea using this tool. Methods : After going through the Korean interpretation process of HLS-EU-Q47, the items were confirmed through content validity verification by experts. The completed Korean-HLS-EU-Q47 (K-HLS-EU-Q47) was applied to 254 elderly people in the local community to analyze the degree of internal consistency and reliability. Furthermore, a comparative analysis based on the general variables was conducted. Results : The internal consistency of this tool for the elderly yielded Cronbach's 𝛼 of .81~.91, indicating a high level of reliability. There was a difference in health literacy according to sex and age based on general characteristics. Men had higher health literacy than women, and with increasing age, health literacy decreased. Conclusion : In this study, the K-HLS-EU-Q47 was developed to assess the comprehensive health literacy level of the elderly in Korea. It is expected that the search for ways to maintain a healthier life for the elderly through understanding the health literacy levels of the elderly using the results of this study will become more active.

Monitoring of Pathogenic Bacteria, Heavy Metals, and Pesticide Residues in Commercial Edible Dry Flowers (시판 23종 꽃차의 유해세균, 중금속 및 잔류농약 평가)

  • Lee, Yun-Seo;Lee, Dong-Hee;Hwang, Eun-Kyung;Sohn, Ho-Yong
    • Journal of Life Science
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    • v.32 no.6
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    • pp.438-446
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    • 2022
  • Some flowers have a high sensual appeal owing to their unique shape, color, smell, and taste and have been used as functional food and oriental medicine. Recently, edible dry flowers (EDFs) have attracted social attention as noble sources of functional teas. In this study, for the risk assessment of EDFs, pathogenic bacteria, heavy metals, and pesticide residues were monitored in 23 types of commercial EDF. No Enterobacteria spp. and Listeria spp. were found in all EDF products. However, common aerobic bacteria (3.24~3.85 Log CFU/g) were found in EDF, namely, Pueraria lobata, Chamaemelum nobile, Acacia decurrens, Rhododendron mucronulatum Turcz, Oenothera lamarckiana, Brassica napus, and Prunus serrulata. Staphylococcus aureus was found in 11 and Salmonella sp. was found in 8 of the 23 EDFs. Considering the cold extraction of EDF for tea and beverages, the regulation of pathogenic bacteria in EDFs is necessary. No heavy metals such as Pb, Cd, Co, Cr, Cu, Ni, and As were found in all EDFs, except the dry flower of Hemerocallis fulva, which contained Pb at 0.08 ppm. Different pesticides and fungicides were found in EDFs, but their concentrations were very low (0.01~0.08 ppm) and below the maximal residue level. Only the dry flower of Chrysanthemum morifolium had a high content of chlorpyrifos (0.215 ppm), which is long-lasting pesticide. Our results suggest that the establishment of EDF regulations for pesticide residue, culture separation between edible and garden flowers, and guidelines for preventing pathogenic microbial contamination are necessary.

Current Status of Intracranial Pressure Monitoring in Patients with Severe Traumatic Brain Injury in Korea : A Post Hoc Analysis of Korea Neurotrauma Databank Project with a Nationwide Survey

  • Youngheon Lee;Jung Hwan Lee;Hyuk Jin Choi;Byung Chul Kim;Seunghan Yu;Mahnjeong Ha;The KNTDB Investigators
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.543-551
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    • 2023
  • Objective : This study aimed to investigate the current status of intracranial pressure (ICP) monitoring in patients with severe traumatic brain injury (sTBI) in Korea and the association between ICP monitoring and prognosis. In addition, a survey was administered to Korean neurosurgeons to investigate the perception of ICP monitoring in patients with sTBI. Methods : This study used data from the second Korea Neurotrauma Databank. Among the enrolled patients with sTBI, the following available clinical data were analyzed in 912 patients : Glasgow coma scale score on admission, ICP monitoring, mortality, and extended Glasgow outcome scale score at 6 months. In addition, we administered a survey, entitled "current status and perception of ICP monitoring in Korean patients with sTBI" to 399 neurosurgeons who were interested in traumatic brain injury. Results : Among the 912 patients, 79 patients (8.7%) underwent ICP monitoring. The mortality and favorable outcome were compared between the groups with and without ICP monitoring, and no statistically significant results were found. Regarding the survey, there were 61 respondents. Among them, 70.4% of neurosurgeons responded negatively to performing ICP monitoring after craniectomy/craniotomy, while 96.7% of neurosurgeons responded negatively to performing ICP monitoring when craniectomy/craniotomy was not conducted. The reasons why ICP monitoring was not performed were investigated, and most respondents answered that there were no actual guidelines or experiences with post-operative ICP monitoring for craniectomy/craniotomy. However, in cases wherein craniectomy/craniotomy was not performed, most respondents answered that ICP monitoring was not helpful, as other signs were comparatively more important. Conclusion : The proportion of performing ICP monitoring in patients with sTBI was low in Korea. The outcome and mortality were compared between the patient groups with and without ICP monitoring, and no statistically significant differences were noted in prognosis between these groups. Further, the survey showed that ICP monitoring in patients with sTBI was somewhat negatively recognized in Korea.

Establishing Design Directions for Nutrition Education Materials for Early Elementary Students in South Korea (초등학교 저학년 영양교육 학습 자료의 디자인 방향 설정에 관한 연구)

  • Park, YuBin;Paik, JinKyung
    • Design Convergence Study
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    • v.14 no.2
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    • pp.1-16
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    • 2015
  • As childhood obesity and nutrition imbalance emerge as social issues in South Korea today, the development of education materials on diets and nutrition has become important and has been attempted in diverse ways. The present study was conducted on early elementary school students with the objective of establishing directions for the design of personalized nutrition education materials that can promote a proper, balanced diet for children through application in daily life of knowledge acquired from self-learning linked to nutrition education that is taking place in their schools. For this purpose, a review of previous theoretical literature on nutrition education for early elementary students was performed. Survey questions were formulated based on the advice of field experts in medicine, education, and design and the survey was conducted among 110 children from 1st and 2nd grade in two elementary schools, one in Seoul and the other in Changwon. The results obtained from the user evaluation suggested that the early elementary school students showed positive reaction to nutrition education, had preference for the type of learning using multimedia-based contents and quiz activities, were willing to learn about calorie-adjusted meals, preferred the Gothic typeface and orange and green colors. Furthermore, they showed positive opinion on the use of numerical surveying method and pictorial style similar to actual appearance in connection with nutrition-related information representation. and preferences regarding learning styles and design elements

How do people verify identity in the Metaverse: Through exploring the user's avatar (메타버스 내 아바타 정체성 확인에 영향을 미치는 요인에 관한 연구)

  • Kihyun Kim;Seongwon Lee;Kil-Soo Suh
    • Journal of Intelligence and Information Systems
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    • v.29 no.2
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    • pp.189-217
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    • 2023
  • The metaverse is a virtual world where individuals engage in social, economic, and cultural activities using avatars, which represent an alternate version of oneself within the virtual realm. While the metaverse has garnered global attention recently, research exploring the identity manifested through avatars within the metaverse remains limited. This study investigates the influence of four IT artifact characteristics related to avatar usage in the metaverse-avatar representation, avatar copresence, avatar profiling, and avatar-space interaction-on perceived avatar identity verification. A survey was conducted with 196 experienced users of the Zepeto platform, and hypotheses were tested using structural equation modeling. The analysis results indicate that the use of IT artifacts enabling avatar representation, avatar copresence, and avatar-space interaction has a positive impact on perceived avatar identity verification. This achieved self-verification indirectly influences the satisfaction and subsequent intention to continue using the metaverse. This study contributes to the academic field by empirically verifying the metaverse technological factors that influence the projected identity onto avatars within the metaverse. Furthermore, it is expected to provide effective guidelines for metaverse platform companies in designing and implementing the metaverse.

The Job Stress and Mental Health of the Insurance Reviewer (보험심사 근무직의 직무스트레스와 정신건강)

  • Kyoungjin Song;Jeongwon Lee
    • Journal of Service Research and Studies
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    • v.11 no.1
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    • pp.31-44
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    • 2021
  • The net function of the domestic medical insurance system is highly regarded, but due to the problem of incomplete coverage, the public wants to secure coverage through private medical insurance subscription. As a result, the subscription rate of private medical insurance has recently increased, and the billing rate has also increased. As the number of people seeking private medical insurance increased, workers at private medical insurance companies are experiencing increased job stress and side effects, especially for insurance reviewers who are in charge of paying insurance, such as communicating with customers who claimed insurance and contributing to the company's profit. In response, this study analyzed the effects of job stress on mental health of insurance reviewers and conducted a descriptive survey study to reduce job stress of insurance reviewers and promote mental health. The analysis shows that job stress for insurance reviewers has a significant impact on mental health (+). In detail, job stress has a significant impact on all four factors: social performance and self-confidence, depression, sleeping disturbance and anxiety, and general well-being and vitality. This study showed that job stress in insurance reviewers has a significant (+) impact on mental health. Job stress can cause side effects in organizational aspects, such as reducing enthusiasm for job performance and increasing turnover and resignation rates, but it can also worsen individual physical health and cause diseases such as depression and anxiety, causing mental health to be impoverished. Therefore, in order to prevent this, appropriate work stress prevention methods and countermeasures should be provided to help reduce work stress and improve mental health.