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Identification of Subgroups with Poor Glycemic Control among Patients with Type 2 Diabetes Mellitus: Based on the Korean National Health and Nutrition Examination Survey from KNHANES VII (2016 to 2018) (제 2형 성인 당뇨병 유병자의 혈당조절 취약군 예측: 제7기(2016-2018년도) 국민건강영양조사 자료 활용)

  • Kim, Hee Sun;Jeong, Seok Hee
    • Journal of Korean Biological Nursing Science
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    • v.23 no.1
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    • pp.31-42
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    • 2021
  • Purpose: This study was performed to assess the level of blood glucose and to identify poor glycemic control groups among patients with type 2 diabetes mellitus (DM). Methods: Data of 1,022 Korean type 2 DM patients aged 30-64 years were extracted from the Korea National Health and Nutrition Examination Survey VII. Complex samples analysis and a decision-tree analysis were performed using the SPSS WIN 26.0 program. Results: The mean level of hemoglobin A1c (HbA1c) was 7.22±0.25%, and 69.0% of the participants showed abnormal glycemic control (HbA1c≥6.5%). The characteristics of participants associated with poor glycemic control groups were presented with six different pathways by the decision-tree analysis. Poor glycemic control groups were classified according to the patients' characteristics such as period after DM diagnosis, awareness of DM, sleep duration, gender, alcohol drinking, occupation, income status, low density lipoprotein-cholesterol, abdominal obesity, and number of walking days per week. Period of DM diagnosis with a cut-off point of 6 years was the most significant predictor of the poor glycemic control group. Conclusion: The findings showed the predictable characteristics of the poor glycemic control groups, and they can be used to screen the poor glycemic control groups among adults with type 2 DM.

Convergence study to detect metabolic syndrome risk factors by gender difference (성별에 따른 대사증후군의 위험요인 탐색을 위한 융복합 연구)

  • Lee, So-Eun;Rhee, Hyun-Sill
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.477-486
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    • 2021
  • This study was conducted to detect metabolic syndrome risk factors and gender difference in adults. 18,616 cases of adults are collected by Korea Health and Nutrition Examination Study from 2016 to 2019. Using 4 types of machine Learning(Logistic Regression, Decision Tree, Naïve Bayes, Random Forest) to predict Metabolic Syndrome. The results showed that the Random Forest was superior to other methods in men and women. In both of participants, BMI, diet(fat, vitamin C, vitamin A, protein, energy intake), number of underlying chronic disease and age were the upper importance. In women, education level, menarche age, menopause was additional upper importance and age, number of underlying chronic disease were more powerful importance than men. Future study have to verify various strategy to prevent metabolic syndrome.

A Research of the Residents' Availability and Health Effectiveness Based upon the Types of Green Roof (옥상녹화 유형별 거주자 이용행태와 건강효과)

  • Kim, Soo-Bong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.60-68
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    • 2012
  • The purpose of this research is to identify green roofs based on how to utilize the diverse space. This research also aims to discover the correlation between the use of the green roof and the overall level of the public's health condition, through which it is intended to grasp the health effects by means of the space of the green roof. The current use patterns of the green roof have been identified generally to have more than 60% accessibility, less than 30 minutes of short-tenn use, relaxation or removing stress, enjoy the view of the surrounding, smoking, walking and exercise. It will be highly effective to furnish facilities and plants for tree planting, and to get financial maintenance & management subsidy for the purpose of revitalizing the green roof. It is expected that if the green roof is created in educational institutes, hospitals and shopping centers, where the current level of health conditions is generally low, it will contribute in promoting the city dwellers' health benefits. In addition, the physical environmental renovation through establishing the green roof will bring about producing a healthy city because the emotional health benefits also will make a positive impact upon physical health.

The Vegetation Health Assessment in Riparian Vegetation of Lake Reservoirs (저수지 수변 식생 건강성 평가)

  • Kim, Hyoungdae;Koo, Bonhak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.19 no.6
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    • pp.111-121
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    • 2016
  • This study was carried out to assess the riparian vegetation health in the fluctuation area and vicinity of reservoirs. The results of this study could be a basic data to improve the ecological function and establish green-network of waterside ecosystem. The study site is Daecheong lake reservoirs which the representative landscape of Geum river and with great number of visitors near metropolitan city. The 6 survey plots of 2 survey area were selected, survey area 1 had 4 survey plots and survey area 2 had 2 survey plots, and to compare the study results 4 control plots were selected in Gyeongcheon reservoir. The main dominant specie of survey sites was Salix koreensis in tree and subtree layer, were Salix koreensis and Salix glandulosa. in shrub layer. 2 survey plots of Samjeongdong and Kyeongcheon reservoir were assessed as 'Good', 2 survey plots of chudong were assessed as 'Fair' in vegetation health assessment. In the fluctuation area from flood water level to low water level, 58 populations of Salix koreensis were found in survey sites and Salix koreensis, Salix glandulosa and Acer tataricum subsp. ginale were found in control sites. The most adequate species at the condition affected by inundation impacts would be Salix koreensis and Salix glandulosa was more healthy at the area less affected by inundation. This study was carried out the vegetation health assessment on Daecheong reservoir which has been advanced natural succession for more than 30 years after the construction. Further, it should carry continuously out the research on the planting model of the waterside ecosystem for ecological restoration.

Convergence analysis of determinants affecting on geographic variations in the prevalence of arthritis in Korean women using data mining (데이터마이닝을 이용한 여성 관절염 유병률 소지역 간 변이의 융복합 요인분석)

  • Kim, Yoo-Mi;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.277-288
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    • 2015
  • This study aims to identify determinants affecting on geographic variations in the prevalence of arthritis in Korean women using data mining. Data from Korean Community Health Survey 2012 with 249 small districts were analyzed. Socio-demographic, health behavior and status, and morbidity status measures were analyzed using conventional regression model and convergence analysis method such as decision tree for convergence analysis. Rate of workers in agriculture, forestry, and fishing, salaried workers, persons higher than high school graduates, non-treatment of needing care, non-treatment of care because of economic reason, obesity, heavy drunkers, complaining persons of chewing difficulty, persons with experiencing depression, persons with perceiving stress, and persons with diagnosing hypertension and angina pectoris were variation determinants of prevalence of arthritis in 249 small districts and these districts were classified 10 area groups by decision tree model. Our finding suggest that the approach based characteristics by small area groups rather than national wide or individual level would be effective to reduce in variations of prevalence of arthritis.

Development and application of prediction model of hyperlipidemia using SVM and meta-learning algorithm (SVM과 meta-learning algorithm을 이용한 고지혈증 유병 예측모형 개발과 활용)

  • Lee, Seulki;Shin, Taeksoo
    • Journal of Intelligence and Information Systems
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    • v.24 no.2
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    • pp.111-124
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    • 2018
  • This study aims to develop a classification model for predicting the occurrence of hyperlipidemia, one of the chronic diseases. Prior studies applying data mining techniques for predicting disease can be classified into a model design study for predicting cardiovascular disease and a study comparing disease prediction research results. In the case of foreign literatures, studies predicting cardiovascular disease were predominant in predicting disease using data mining techniques. Although domestic studies were not much different from those of foreign countries, studies focusing on hypertension and diabetes were mainly conducted. Since hypertension and diabetes as well as chronic diseases, hyperlipidemia, are also of high importance, this study selected hyperlipidemia as the disease to be analyzed. We also developed a model for predicting hyperlipidemia using SVM and meta learning algorithms, which are already known to have excellent predictive power. In order to achieve the purpose of this study, we used data set from Korea Health Panel 2012. The Korean Health Panel produces basic data on the level of health expenditure, health level and health behavior, and has conducted an annual survey since 2008. In this study, 1,088 patients with hyperlipidemia were randomly selected from the hospitalized, outpatient, emergency, and chronic disease data of the Korean Health Panel in 2012, and 1,088 nonpatients were also randomly extracted. A total of 2,176 people were selected for the study. Three methods were used to select input variables for predicting hyperlipidemia. First, stepwise method was performed using logistic regression. Among the 17 variables, the categorical variables(except for length of smoking) are expressed as dummy variables, which are assumed to be separate variables on the basis of the reference group, and these variables were analyzed. Six variables (age, BMI, education level, marital status, smoking status, gender) excluding income level and smoking period were selected based on significance level 0.1. Second, C4.5 as a decision tree algorithm is used. The significant input variables were age, smoking status, and education level. Finally, C4.5 as a decision tree algorithm is used. In SVM, the input variables selected by genetic algorithms consisted of 6 variables such as age, marital status, education level, economic activity, smoking period, and physical activity status, and the input variables selected by genetic algorithms in artificial neural network consist of 3 variables such as age, marital status, and education level. Based on the selected parameters, we compared SVM, meta learning algorithm and other prediction models for hyperlipidemia patients, and compared the classification performances using TP rate and precision. The main results of the analysis are as follows. First, the accuracy of the SVM was 88.4% and the accuracy of the artificial neural network was 86.7%. Second, the accuracy of classification models using the selected input variables through stepwise method was slightly higher than that of classification models using the whole variables. Third, the precision of artificial neural network was higher than that of SVM when only three variables as input variables were selected by decision trees. As a result of classification models based on the input variables selected through the genetic algorithm, classification accuracy of SVM was 88.5% and that of artificial neural network was 87.9%. Finally, this study indicated that stacking as the meta learning algorithm proposed in this study, has the best performance when it uses the predicted outputs of SVM and MLP as input variables of SVM, which is a meta classifier. The purpose of this study was to predict hyperlipidemia, one of the representative chronic diseases. To do this, we used SVM and meta-learning algorithms, which is known to have high accuracy. As a result, the accuracy of classification of hyperlipidemia in the stacking as a meta learner was higher than other meta-learning algorithms. However, the predictive performance of the meta-learning algorithm proposed in this study is the same as that of SVM with the best performance (88.6%) among the single models. The limitations of this study are as follows. First, various variable selection methods were tried, but most variables used in the study were categorical dummy variables. In the case with a large number of categorical variables, the results may be different if continuous variables are used because the model can be better suited to categorical variables such as decision trees than general models such as neural networks. Despite these limitations, this study has significance in predicting hyperlipidemia with hybrid models such as met learning algorithms which have not been studied previously. It can be said that the result of improving the model accuracy by applying various variable selection techniques is meaningful. In addition, it is expected that our proposed model will be effective for the prevention and management of hyperlipidemia.

Studies on the Tree Growth and Soil Environmental Characteristics in the Planting Zone on the Back Slope of Dam (댐체 비탈면 녹화지역의 수목 생장 및 토양환경 특성에 관한 연구)

  • Bahn, Gwon-Soo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.24 no.3
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    • pp.85-98
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    • 2021
  • In this study, the characteristics of tree growth and soil environment were analyzed at 5 sites that had been planted on the back slope of dam for more than 15 years in Korea. First, as a result of investigating the growth of 15 trees planted on the back slope of the dam, the average height was 10.6m, diameter at roots was 27.3cm, and DBH was 22.9cm, showing good growth status of most of the trees. In particular, the growth levels of pine, hackberry, and oak were similar or better than those of general forests and artificial ground. As a result of excavating and investigating the roots of trees, horizontal roots grew well in the left and right directions of the back slope of the dam, and the growth of vertical roots was insufficient. Currently, the roots of trees do not directly affect dam safety, but they may continue to grow in the long term and interfere with dam management. Second, the physicochemical characteristics of the soil on the back slope of dam were generally above the intermediate level in terms of landscape design standards, and were similar to those of the domestic forest soil. Therefore, although it was judged to be suitable for plant growth, isolation of the site, soil acidification, and nutrient imbalance may affect tree growth and forest health in the long term. Through this study, it was possible to confirm the potential and applicability of planting area on the back slope of dam as an ecological base. Continuous monitoring is required for safety management and ecological value of dams in the future, and through this, it will be possible to secure the feasibility of planting trees on the slopes of new or existing dams and improving management.

Development of Hypertension Predictive Model (고혈압 발생 예측 모형 개발)

  • Yong, Wang-Sik;Park, Il-Su;Kang, Sung-Hong;Kim, Won-Joong;Kim, Kong-Hyun;Kim, Kwang-Kee;Park, No-Yai
    • Korean Journal of Health Education and Promotion
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    • v.23 no.4
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    • pp.13-28
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    • 2006
  • Objectives: This study used the characteristics of the knowledge discovery and data mining algorithms to develop hypertension predictive model for hypertension management using the Korea National Health Insurance Corporation database(the insureds' screening and health care benefit data). Methods: This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and ensemble technique. On the basis of internal and external validation, it was found that the model performance of logistic regression method was the best among the above three techniques. Results: Major results of logistic regression analysis suggested that the probability of hypertension was: - lower for the female(compared with the male)(OR=0.834) - higher for the persons whose ages were 60 or above(compared with below 40)(OR=4.628) - higher for obese persons(compared with normal persons)(OR= 2.103) - higher for the persons with high level of glucose(compared with normal persons)(OR=1.086) - higher for the persons who had family history of hypertension(compared with the persons who had not)(OR=1.512) - higher for the persons who periodically drank alcohol(compared with the persons who did not)$(OR=1.037{\sim}1.291)$ Conclusions: This study produced several factors affecting the outbreak of hypertension using screening. It is considered to be a contributing factor towards the nation's building of a Hypertension Management System in the near future by bringing forth representative results on the rise and care of hypertension.

The Development of Korean Rehabilitation Patient Group Version 1.0 (한국형 재활환자분류체계 버전 1.0 개발)

  • Hwang, Soojin;Kim, Aeryun;Moon, Sunhye;Kim, Jihee;Kim, Jinhwi;Ha, Younghea;Yang, Okyoung
    • Health Policy and Management
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    • v.26 no.4
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    • pp.289-304
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    • 2016
  • Background: Rehabilitations in subacute phase are different from acute treatments regarding the characteristics and required resource consumption of the treatments. Lack of accuracy and validity of the Korean Diagnosis Related Group and Korean Out-Patient Group for the acute patients as the case-mix and payment tool for rehabilitation inpatients have been problematic issues. The objective of the study was to develop the Korean Rehabilitation Patient Group (KRPG) reflecting the characteristics of rehabilitation inpatients. Methods: As a retrospective medical record survey regarding rehabilitation inpatients, 4,207 episodes were collected through 42 hospitals. Considering the opinions of clinical experts and the decision-tree analysis, the variables for the KRPG system demonstrating the characteristics of rehabilitation inpatients were derived, and the splitting standards of the relevant variables were also set. Using the derived variables, we have drawn the rehabilitation inpatient classification model reflecting the clinical situation of Korea. The performance evaluation was conducted on the KRPG system. Results: The KRPG was targeted at the inpatients with brain or spinal cord injury. The etiologic disease, functional status (cognitive function, activity of daily living, muscle strength, spasticity, level and grade of spinal cord injury), and the patient's age were the variables in the rehabilitation patients. The algorithm of KRPG system after applying the derived variables and total 204 rehabilitation patient groups were developed. The KRPG explained 11.8% of variance in charge for rehabilitation inpatients. It also explained 13.8% of variance in length of stay for them. Conclusion: The KRPG version 1.0 reflecting the clinical characteristics of rehabilitation inpatients was classified as 204 groups.

The study on the relevance of life management and sub-health (생활관리와 아건강과의 관련성에 관한 연구)

  • Shin, Jae-Kyoung
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.4
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    • pp.925-934
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    • 2016
  • As we enter the 21st century, interests in health and quality of life have grown gradually. In this study, we analyzed the data in response to each questionnaire for life management and sub-health among targeted members of a particular group. The results of the analysis of life management have found no difference between genders at the 5% of significance level. In respect to gender, a differential analysis of sub-health, however, has shown a gender difference in which female students had significantly worse health conditions than male students in the areas of immune system, intestine, cerebral nerve, hormone, and urinary system. Moreover, we also have found no significant difference among colleges in terms of life management and sub-health. In conclusion, it was shown that sub-health is closely related with life management.