• Journal of Korean Foot and Ankle Society
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• v.23 no.3
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• pp.121-130
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• 2019

Purpose: To investigate the spatial distribution of diabetes-related lower limb amputations and analyze the relationship between the spatial distribution of diabetes-related lower limb amputations and regional factors. Materials and Methods: This study was performed based on the data from the Korean Health Insurance Review and Assessment Service, in 2016. The unit of analysis was the administrative districts of city·gun·gu. The dependent variable was the age- and sex-adjusted incidence of diabetes-related lower limb amputations and the regional variables were selected to represent two aspects: socioeconomic factors, and health and medical factors. Along with traditional ordinary least square (OLS) regression analysis, geographically weighted regression (GWR) was applied for spatial analysis. Results: The age- and sex-adjusted incidence of diabetes-related lower limb amputation varied according to region. OLS regression showed that the incidence of diabetes-related lower limb amputation had significant relationships with the health and medical factors (number of healthcare institution and doctors per 100,000 population). In GWR, the effects of regional factors were not consistent. Conclusion: The spatial distribution of the incidence of diabetes-related lower limb amputations and the effects of regional factors varied according to the regions. The regional characteristics should be considered when establishing health policy related to diabetic foot care.

• Journal of Preventive Medicine and Public Health
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• v.33 no.1
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• pp.17-24
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• 2000

Objectives : To propose the referential data to evaluate the health impacts of Vietnam veterans' children whose father were exposed to herbicides in Vietnam War. Methods : Vietnam veterans who visited to Pusan Veteran Hospital for medical care were recruited from April to October, 1998. They were 71 and asked about their own combat history, symptoms and illness, and health status of their 182 children. The informations were collected by direct and phone interview. Exposure estimation was also performed as exposure score depending on year and unit of participation, and personal episodes related to exposure to herbicide in the war. It classified into three groups; lower(<18.0), moderate(18-53), high$(\geq53)$ exposure group. Results : The mean age and the period into the combat of the veterans were 52.8 years and 15.0 months. The mean exposure score was $18.1{\pm}9.9$, and mainly distributed in lower (46.5%) and moderate(52.1%) exposure group. Most(90.1%) of them were diagnosed as sequelae(21 cases) and suspected sequelae(43 cases) of the herbicides by Korean veteran's hospital diagnostic criteria. The major sequelae was peripheral neuropathy 13 cases, chloracne 5 cases, and the major suspected sequelae was hypertension 20 cases, diabetes mellitus 18 cases, liver disease 12 cases, central neuropathy 11 cases, etc. About birth, 42.2% and 16.9% experienced spontaneous abortion and stillbirth, respectively. The mean exposure score was higher in stillbirth experience group(p<0.05). About half of the children(90 cases, 49.5%) hold the abnormal health status: those were skin pigmentation 38 cases, rash 23 cases, congenital anomaly 15 cases, general weakness 12 cases, purpura 8 cases, visual disturbance 8 cases, etc. These health problems had no association with father's exposure level(p>0.05). Conclusions : These results were depend on their own answers, and expectation for compensation did not excluded, therefore, this study may have limitations: inaccuracy of informations due to recall bias and response bias. Nevertheless, through this study, we could image the fundamental aspect for health impacts of Vietnam veterans' children for preparing the national control program and policy. A large scale epidemiologic study with valid exposure assessment on the health impacts of Vietnam veterans' children is recommneded.

• Journal of Trauma and Injury
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• v.23 no.2
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• pp.102-106
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• 2010

Purpose: With the increasing numbers of foreign residents in Korea, the need for an emergency medical care system for foreign patients seems to be growing. Sometimes, a foreigner admitted to an emergency room is not treated sufficiently due to the absence of insurance, facility in the Korean language, and a guardian. The management of a foreigner with trauma in the ER is difficult due to various problems such as social and economic status. The purpose of this study was to investigate the current management status of foreigners with penetrating wounds in the emergency room. Methods: This study is an analysis of 580 patients that were diagnosed with penetrating wounds in one teaching Hospital from Jan. 1, 2008 to Dec. 31, 2008. We analyzed results according to nationality, alcohol ingestion, intentional or accidental trauma, trauma mechanism, injury severity, management time in the ER, and outcome in the ER. Results: Of the total 580 patients, 486 patients (83.8%) were native Koreans and 94 patients (16.2%) were foreigners. According to the Revised Trauma Score, the average score of native Korean patients was 7.808, and the average score of foreign patients was 7.638. Of native Korean patients, 22.6% had knife wounds while 38.3% of foreign patients did. Of native Korean patients, 17.3% experienced intentional trauma while 33.0% of the foreign patients did. Of native Korean patients, 22.5% had ingested alcohol while 49.4% of the foreigners had. Of native Korean patients, 10.5% were admitted while 7.6% of the foreign patients were. Of native Korean patients, 14.2% were discharged against medical advice (DAMA), while 18.5% of foreign patients were. Of native Korean patients, 1.2% ran away while 8.7% of the foreign patients did. Conclusion: Stabbing was the most common cause of penetrating wounds in foreigner patients in this study. Intentional trauma was more common in foreigners with penetrating wounds than in native Koreans. The severity was higher in foreigners with penetrating wounds than it was in native Koreans, and patients who ran away or were discharged against medical advice were more commonly foreigners with penetrating wounds. Social insurance or policy is needed for the management of foreigners with penetrating wounds.

• The Korean Society of Law and Medicine
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• v.17 no.2
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• pp.221-255
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• 2016

The Russian government enacted the 'Federal Law on the Free Port of Vladivostok' to improve the medical industry in the Far East in 2015. As a result, Korean medical institutions are increasingly interested in advancing into Free Port of Vladivostok. Increased demand for high-quality Korean medical services from Russian patients and the active government policy direction of the Russian government serve as strengths and opportunities for advancing into Free Port of Vladivostok. On the other hand, the legal imperfections caused by the delay in the establishment of sub-regulations for Federal Law on the Free Port of Vladivostok and the low reliability of the Russian government are both weaknesses and threats. Therefore, Korean medical institutions will need to carefully consider the timing of advancing into Free Port of Vladivostok by closely monitoring the process of establishing the sub-regulations of Federal Law on the Free Port of Vladivostok. And it is the most realistic model for Korean medical institutions to establish 'Professional clinic model linked with health screenings(1st stage model)'. The Korean government needs to conclude a 'MOU for Cooperation on Health and Medical Care between Korea and Russia' with the Russian government and should also carry out the 'Korean Minnesota Project'.

• World Technopolis Review
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• v.8 no.2
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• pp.74-81
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• 2019

Cities will soon host two third of the population worldwide, and already today 80% of the world energy is used in the 20 largest cities. Urban areas create 80% of the greenhouse gas emission, so we should take care that urban areas are smart and sustainable as implementations have especially here the greatest impact. Smart Cities (SC) or Smart Sustainable Cities (SSC) are the actual concepts that describe methodologies how cities can handle the high density of citizens, efficiency of energy use, better quality of life indicators, high attractiveness for foreign investments, high attractiveness for people from abroad and many other critical improvements in a shifting environment. But if we talk about Entrepreneurship Ecosystem and Innovation, we do not see a lot of literature covering this topic within those SC/SSC concepts. It seems that 'Smart' implies that all is embedded, or isn't it properly covered as brick stone of SC/SSC concepts, as they are handled in another 'responsibility silo', meaning that the policy implementation of a Science and Technology Park (STP) is handled in another governing body than SC/SSC developments. If this is true, we will obviously miss a lot of synergy effects and economies of scale effects. Effects that we could have in case we stop the siloed approaches of STPs by following a more holistic concept of a Smart Sustainable City, covering also a continuous flow of innovation into the city, without necessarily always depend on large corporate SSC solutions. We try to argue that every SSC should integrate SP/STP concepts or better their features and services into their methodology. The very limited interconnectivity between these concepts within the governance models limits opportunities and performance in both systems. Redesigning the architecture of the governance models and accepting that we have to design a system-of-systems would support the possible technology flow for smart city technologies, it could support testbed functionalities and the public-private partnership approach with embedded business models. The challenge is of course in complex governance and integration, as we often face siloed approaches. But real SSC are smart as they are connecting all those unconnected siloes of stakeholders and technologies that are not yet interoperable. We should not necessarily follow anymore old greenfield approaches neither in SSCs nor in SP and STP concepts from the '80s that don't fit anymore, being replaced by holistic sustainability concepts that we have to implement in any new or revised SSC concepts. There are new demands for each SP/STP being in or close to an SC/SCC as they have a continuous demand for feeding the technology base and the application layer and should also act as testbeds. In our understanding, a big part of STP inputs and outputs are still needed, but in a revised and extended format. We know that most of the SC/STP studies claim the impact is still far from understood and often debated, therefore we must transform the concepts where SC/STPs are not own 'cities', but where they act as technology source and testbed for industry and new SSC business models, being part of the SC/STP concept and governance from the beginning.

• Journal of Science Education
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• v.34 no.1
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• pp.1-11
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• 2010

This study analyzes the factors influencing academic achievement on mathematic and scientific subject and its change in Korean youth by using a sample from KYPS(Korea Youth Panel Survey) data. The results are as follows: First, academic achievement on mathematic and scientific subject of Korean youth shows quadratic curve that their interrelationship between intercept and slope of academic achievement are negative which is statistically significant. Second, analysis of Latent Growth Models shows that parents, teacher, peer group, self esteem, income of family, high school tracks are found to be a statistically significant factor on mathematic. And scientific subject is affected by parents, teacher, peer group, self esteem, income of family, high school tracks. Also, Interesting finding is that father's job is not significant to dependent variables. These findings show that academic achievement on mathematic and scientific subject of the Korean youth are the quadratic curve and influenced by parents, teacher, peer group, self esteem, income of family, high school tracks. To improve youth's mathematic and scientific, Korea educational fields and educators should have policy to care youth's relationship with parents, teachers and self esteem.

• Korean Journal of Social Welfare
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• v.35
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• pp.51-83
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• 1998

This study is designed to find out the determinants of housewives' caregiving behavior to their elderly parents-in-law. For this purpose, a tentative path model, constructed with major socio-demographic variables in the caregiver's family as exogenous variables, is proposed to account for caregiver's behavior to elderly parents-in-law. The model is estimated with data collected from a probability sample of housewives in Kwangju, Korea. Estimation of the model, separately for caregiver's fathers-in-law and mothers-in-law, in terms of maximum likelihood(ML) procedures in LISREL8 reveals that housewives' educational attainment, father-in-law's age, father-in-law's health status, and family size have statistically significant causal. effects on care giving behavior to fathers-in-law, and that housewives' educational attainment, mother-in-law's age, family size, and caregiving attitude have significant causal effects on caregiving behavior to mothers-in-law. Comparison of the two estimated models indicates caregiver's educational attainment, caretaker's age, and family size are prominent determinants of caregiving behavior that can be commonly generalized to the two models. Except for these common determinants, however, a nonnegligible amount of differences is identified between the two models. The findings are discussed and interpreted with suggesting some salient theoretical and policy implications.

• Korean Journal of Social Welfare
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• v.66 no.1
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• pp.251-276
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• 2014

This study scrutinizes the common sense in the field of disability employment that the bigger the size of a firm, the lower the employment rate of people with disabilities. This common sense has been established by conventional cross-tabulation and multiple regression analyses without taking into account possible interactions between the sizes of firms and the industries in which they operate. This study shows that the distribution of the disability employment rate violates the linearity and homoscedasticity assumptions of the OLS. In an effort to find models that explain the data better, this study fits the OLS model, the weighted linear regression model, and the multinomial logit model as well as the path analysis which is meant to examine the relationships between firm size and other variables relevant to disability employment. The result shows that, when an interaction term between firm size and industry is added to the model, firm size does not have any significant effect on disability employment rate for those firms with 100 or more regular employees, to the contrary of the findings of prior studies. It also demonstrates that other factors such as job setting, the extent of helpfulness of disability employment employers perceive, employers' care for disability, and employers' awareness of disability policies may matter more than does firm size. This study proposes that future research and policy implementation for disability employment should pay no less attention to industry and other factors mentioned above than to firm size.

• Informatization Policy
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• v.26 no.4
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• pp.20-35
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• 2019

We empirically analyze the effects of psychological factors, such as the fear of parenting, on fertility rates. An index is calculated based on the share of negative news articles on child care in all social articles from 2000 to 2018. The analysis result shows that as the index increases, the fertility rate after three years falls. This result is repeated in the correlation analysis, simple regression, and VAR analysis. According to Granger causality analysis, it is found that the relation between the index and the fertility rate after three years is not just a simple correlation but a causal relationship. There are differences among age groups. The fertility rate of women in their 20s and 30s shows a significant response to the index, but that of the 40s does not. The index affects the birthrate of first child, but do not affect the birthrate of second or more children. These results are consistent with the intuition that younger women are more likely to be affected by the negative articles about parenting, but not to those who have already experienced childbirth. This study is meaningful in that a significant index for predicting social phenomena is extracted beyond the limited use of news big data such as a simple keyword mention volume monitoring. Also, this big data-based index is a 3-year leading indicator for fertility, which provides the advantage of providing information that helps early detection.

• Journal of Digital Convergence
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• v.13 no.2
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• pp.245-256
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• 2015

In this study, to provide the implications of dental health care training direction in the future after researching the effect on the use of dental hygiene devices, data were collected from 320 patients who visited dental clinics located in Seoul and Gyeonggi-do for about 6 months between December 2013 and May 2014. Among them, the following results were obtained by analyzing 299 copies accounting for 93.4% of the collected data after excluding 21 copies lacking in answer. It was shown that education about dental hygiene devices had statistically significant effects on the dependent variables, perception of dental hygiene devices (p<0.001). Based upon the results above, it is considered that for the sake of prevention of oral diseases, more opportunities to learn correct knowledge and usage of suitable dental hygiene devices for individual oral conditions should be provided for patients, and active patient education as well as the development, implementation and publicity of systematic and popular oral health education programs will contribute to improved oral health.