• 제목/요약/키워드: expectancy level

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영유아 생명표 작성에 관한 연구 (Construction of a Life Table for Infant and Childhood)

  • 김종석
    • 한국인구학
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    • 제3권1호
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    • pp.52-61
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    • 1979
  • The purpose of the study is to construct a life table for population. It is based on the fraction of last year of life, $a_X$. The data necessary for this purpose have been obtained from the 1975 Population Census Report of Korea and the Vital Statistics of Shindong-myon, Chunseong-gun, Gangwon Province which is collected for the Seoul National University public health program. Age specific death rate is adapted by the Model Life Table, West, Level 21. For the age groups of less than 5 years of age, when the record of vital events can be obtained, the fractions are calculated from the community vital statistics. And for the age groups older than 5 years of age, Greville's Method is used. The findings are summarized as follows: 1) The fraction of last year of life in infantile group is 0.3684 for males, 0.3711 for females, and in 1-4 years of age group 1.2164 for males, 1.2274 for females. Both are more than those of Japan and U.S. in 1963. 2) Infant mortality rate is 42.37 for males, 31.77 for females per 1,000 live births. 3) The mortality curves show that a higher rate is observed under 1 year of age. It drops to the lowest point at around 10 years of age and rises again as the age increases. 4) The age estimated half-survival rate is during the age group of 70-74 for both sexes. 5) Life expectancy at the age of 0 shows 65.73 years for males and 69.22 years for females.

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Systematic Review of Case Reports about Korean Medicine for Lung Cancer

  • Han, Gajin;Shin, Haegue;Seong, Sin;Kim, Sungsu
    • 대한한의학회지
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    • 제39권4호
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    • pp.136-157
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    • 2018
  • Objectives: This systematic review aimed to put the case reports of lung cancer on Korean medicine (KM) together and adopt the results in clinical practice. Methods: Researches were searched using the PubMed, EMBASE, OASIS, KoreanTK, KISTI, RISS, KISS, and NDSL. The search term were 'lung cancer' and KM. There was no restriction in year. Results: 1. Among the 48 studies, 68 patients were reported in total. The types of lung cancer were non-small-cell lung cancer (n=41) and small-cell lung cancer (n=6). 2. The number of patients who received KM therapy alone was 40. On the other hand, 25 patients were treated with KM and chemotherapy simultaneously. All case reports used herbal medicine except 2 studies. Other types of treatment were acupuncture, moxibustion, pharmacopuncture, cupping, meditation, etc. 3. Several efficacy evaluation variables were used such as tumor size, changes of symptoms, duration of survival, the quality of life, and so on. The safety was evaluated by checking adverse effects using blood test. 4. Regarding the tumor response, partial response was reported in 12 cases, stable disease was in 22 cases, 50% of the total cases, which is a high level of tumor response. Furthermore, all 11 cases with the evaluation on the length of survival showed prolonged survival than the expectancy of corresponding stage, with the stable quality of life. Conclusion: We have found that the applicability of KM for treatment of lung cancer through this review. Evidence based medicine can be realized by checking cases and applying them in clinical practice.

Impact of Administrative Post and Gender on Lecturers' Research Motivation in Vietnam

  • TRAN, Thi Kim Nhung;NGUYEN, Thanh Do;PHAM, Thanh Van;NGUYEN, Thi Lien Huong;GIANG, Minh Duc;HA, Ngoc Thang
    • The Journal of Asian Finance, Economics and Business
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    • 제8권3호
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    • pp.705-715
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    • 2021
  • This study examines the simultaneous impact of gender and administrative post on the research motivation of university lecturers. There are 475 selected questionnaires that are qualified for data processing and the collected data are analyzed by two-way analysis of variance (ANOVA). The results show the relationship between administration involvement and scientific research of lecturers. In general, lecturers with administrative post have higher research motivation than lecturers without administrative post. More specifically, the level of administrative post has positive correlation with research motivation of female lecturers, but has negative correlation of male lecturers. It means that a female lecturer with higher administrative post also has more motivation to conduct research. Conversely, the higher administrative post a male lecturer has, the less research motivation he is. The cause of this difference is the pressure of earning money on Asian men, including Vietnamese men, who are considered to be main breadwinners of their family. When having an administration post, the more chances male lecturers have to earn money, the less time they can spend for scientific research. This suggests that the solution for managers is to perform annual assessment, fulfill promotion process, build up motivation and reward system, and establish recruitment and promotion policies.

The art of diabetes care: guidelines for a holistic approach to human and social factors

  • Muhammad Jawad Hashim
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.218-222
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    • 2023
  • A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients' emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient's perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient's emotional state. Tailoring the level of advice and diabetes targets based on a patient's personal and contextual factors requires mindfulness by clinicians.

전라도에 거주하는 여자노인의 당화혈색소 수준에 따른 건강위험인자의 비교분석 - 생화학적 요인, 식습관 및 영양상태 - (The Comparative Analysis of Health Risk Factor according to HbA1c Level of Elderly Women Dwelling in Jeonla Province - Blood Health Status, Food Habit and Nutrient Intake -)

  • 오세인;곽충실;이미숙
    • 한국식품영양학회지
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    • 제29권3호
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    • pp.392-403
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    • 2016
  • The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

스마트TV의 보안 문제와 소비자의 구매의도에 관한 연구 (A Study on the Security Problems of Smart TV and Consumer's Purchase Intention)

  • 조성필;이기혁
    • 한국산학기술학회논문지
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    • 제18권7호
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    • pp.382-393
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    • 2017
  • 스마트TV는 운영체제를 탑재하고 인터넷 기능과 결합된 TV로서 다양한 앱과 콘텐츠의 이용이 가능하며 개인화, 양방향적인 서비스를 제공할 수 있다. 그러나 이와 같은 스마트TV의 인터넷 연결성은 여러 보안 취약점들이 존재하며 이로 인해 큰 개인적 및 사회적 피해가 야기될 수 있다. 이에 현재보다 더욱 보안이 강화된 스마트TV 개발이 요구되는 시점이며 이에 따라 본 연구에서는 UTAUT2 모델을 적용하여 보안이 강화된 스마트TV에 대한 소비자의 구매의도를 분석하고자 한다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, UTAUT2 모델에서 주요변수인 성과기대, 사회적 영향, 촉진조건 및 가격가치가 소비자의 구매의도에 유의미한 영향을 주는 것을 발견하였다. 둘째, 노력기대는 구매의도에 유의미한 영향을 주지 않았다. 셋째, 소비자의 구매의도에 영향을 미치는 요인 중 사회적 영향에서만 성별 조절효과가 발견되었다. 연구 결과를 토대로 볼때 소비자들은 보안성이 강화된 스마트TV 구매에 영향을 미치는 요인으로 사회적 영향이 가장 높은 영향력을 보이고 있다. 따라서 구매의도 향상을 위해서는 무엇보다 스마트 TV 보안성 강화에 대한 필요성과 중요성에 대한 홍보 활동의 확대가 요구되고 있으며, 사용상의 편리함을 인식할 수 있을 정도의 기술적 보완이 요구되고 있다.

미얀마에서의 모바일기기 특성이 모바일 뱅킹 서비스 사용의도와 실제 사용에 미치는 영향 연구 (Effect of Mobile Devices on the Use Intention and Use of Mobile Banking Service in Myanmar)

  • ;황기현
    • 디지털융복합연구
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    • 제15권6호
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    • pp.71-82
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    • 2017
  • 오늘날 미얀마의 은행들은 휴대전화를 통해 금융 서비스를 제공하기 시작했다. 그러나 금융업계가 고객 관점에서 모바일 서비스를 설계하는데 유용한 요인들을 조사한 연구는 거의 없다. 본 연구는 UTAUT와 DeLone-Mclean IS 모델을 결합하여 모바일 금융 서비스 이용자의 사용 의도와 실제 사용 정도를 예측하는 개념적 연구모델을 제안하고 테스트하는 것을 목적으로 한다. 데이터는 미얀마의 여러 지역에서 모바일 뱅킹을 경험한 206명의 시민들로부터 수집되었다. 본 연구는 성과 기대치, 노력 기대치, 정보 품질 및 서비스 품질이 사용자의 모바일 뱅킹 채택 의도에 영향을 미치고, 이어서 사용자의 모바일 뱅킹 채택 의도는 실제 사용에 직접적 영향을 미친다는 사실을 발견했다. 그러나 사회적 영향, 촉진 조건 및 시스템 품질은 모바일 뱅킹 사용 의도에 영향을 미치지 않는다. 이 연구 결과는 미얀마의 모바일 뱅킹 업계가 고객의 요구를 충족시키고 고객 위험을 줄이는 데 기여하며, 아울러 기술 향상, 조직 인프라 및 서비스 센터와 같은 필요한 자원을 원활하게 제공할 것을 시사점으로 제안한다. 모바일 금융 서비스 제공 업체가 고객의 믿음과 신뢰성을 확보할 수 있도록 서비스의 보안 및 신뢰 요인을 포함하는 추가 연구가 필요하다.

한국의 대체출산이하 인구 (Below Replacement-level Fertility in Korea: A Myth or a Reality\ulcorner)

  • Lee, Hung-Tak
    • 한국인구학
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    • 제11권1호
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    • pp.146-158
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    • 1988
  • 국민연금가입자의 차별 사망력을 고찰하기 위하여 국민연금가입자의 성 및 가입종별(사업장가입자 및 지역가입자) 생명표를 작성하였다. 사업장가입자에 대해서는 1994-1996년 3년 평균자료를, 지역가입자에 대해서는 1996년 단년 자료를 활용하였다. 국민연금생명표의 최저연령인 18세에서 기대여명은 사업장가입자의 경우 남녀 각각 59.5년과 67.2년으로 여자가 남자보다 7.7년이 길었다. 남녀간의 사망률 차이는 연령이 증가함에 따라 줄어드는데, 연령증가에 따른 감소폭이 노년층에서보다 젊은층에서 큰 것으로 나타났다. 지역가입자의 경우 18세에서의 기대여명은 남녀 각각 51.4세와 61.1세로 그 차이는 사업장 가입자의 경우(7.7년)보다 큰 9.7년이었다. 지역가입자에서의 성별 사망률 차이가 사업장가입자에서보다 크게 나타난 것은 남녀의 지역간 차별 이동에 의한 결과이다. 사업장가입자와 지역가입자의 연령별 기대여명을 비교하여 보면 남자의 경우 18세에서 각각 59.5년과 51.4년으로 8.1년의 차이가 있었으며, 여자의 경우 각각 67.2년과 61.1년으로 6.1년의 차이가 나타났다. 남자 평균여명의 차이가 여자보다 더 큰 것은 도농간 교육정도 차이가 여자보다 남자에게서 더욱 뚜렷한데 그 원인을 찾을 수 있다.

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Minimally Invasive Option Using Percutaneous Pedicle Screw for Instability of Metastasis Involving Thoracolumbar and Lumbar Spine : A Case Series in a Single Center

  • Park, Ho-Young;Lee, Sun-Ho;Park, Se-Jun;Kim, Eun-Sang;Lee, Chong-Suh;Eoh, Whan
    • Journal of Korean Neurosurgical Society
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    • 제57권2호
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    • pp.100-107
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    • 2015
  • Objective : To report a minimally invasive treatment option using percutaneous pedicle screw fixation with adjuvant treatment for metastatic thoraco-lumbar and lumbar spinal tumors. Methods : This is a retrospective study of charts of patients with spinal metastases. All were older than 18 years of age and were considered to have more than 3 months of life expectancy. The patients had single or two level lesions, and compression fracture or impending fracture. Exclusion criterion was metastasis showing severe epidural compression with definite neurological symptoms. Usually spinal segments from one level above to below pathology were stabilized. Visual analog scale (VAS) score for pain assessment and Frankel scale for neurological deficit were used, while pre- and post-operative performance status was evaluated using the Eastern Cooperative Oncology Group (ECOG). Results : Twelve patients (nine men, three women; median age 54.29 years) underwent surgery. All patients presented with back pain with/without radicular pain. There were no early complications and perioperative mortalities. Following surgery, a significant difference between average pre- and post-operative VAS scores was found (p=0.003). Overall, 91.8% of patients (11/12) experienced improvement in their ECOG score post-operatively. The mean ambulation time was 196.9 days [95% confidence interval (CI), 86.2-307.6 days; median, 97 days]. During follow-up, nine patients died and the mean overall survival time in enrolled twelve patients was 249.9 days (95% CI, 145.3-354.4 days; median, 176 days). Conclusion : Minimally invasive treatment using percutaneous pedicle screw fixation with adjuvant treatment is a good alternative treatment option for potential instability of the thoraco-lumbar and lumbar spinal metastasis.

전주시 도시공원의 이용행태분석 및 관리실태에 대한 만족도 평가 에 관한 연구 (A Study on the Users' Behavior and Satisfaction on the Actual Conditions of Management at the Neiborhood Parks in Chonju)

  • 김세천;허준
    • 한국조경학회지
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    • 제20권2호
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    • pp.90-105
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    • 1992
  • the purpose of this study is to suggest objective basic daa for park management proposal through the quantitative analysis of users' behaviours and satisfaction for the actual conditions of management in Chonju neiborhood parks. For this, users' behaviors and socio-ecnomic characteristics have been anlyzed. Specificaly, it atempts to investigate users' anticipation and degree of satisfaction applied Expectancy Theory by Likert scale. And users' satisfaction for the actual conditions of management had been analyzed by using the multiple regression. Results of this study can be summarized as follow; From the aspect of utilization reality, the male usage was slightly higher than female usage, and the usage rate among the young and students such as high school students or university students also appeared slightly higher than the norm. Due to the fact, subject park had been neighborhood parks, walking usage was predominant, and the length of stay to be less than an hour. Generally, the values of users' post occupancy evaluation were lower than those of anticipated, in well known parks. In landscape satisfaction level, the parks with harmonious visual element had high landscape evaluation, and each category showed diversity depending on the park. Seasonableness, formation of physical elements, visual uniqueness, cozy atmosphere appeared as main explicatory variables having positive effects on the satisfaction level for the landscape. According to the multiple regression analysis, the major variables to the satisfaction for the actual condition of vegetation managements were harmony with facilities, recovery of artificial injury. In the park facilities and operation, the major variables related to the satisfaction were conditions of management of rest equip, facilities and guidance of use, observe the rules, respectively.

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