• Journal of The Korea Institute of Healthcare Architecture
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• v.26 no.4
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• pp.29-38
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• 2020

Purpose: The first thing to be done in promoting community care is local diagnosis. Therefore, this study attempted to derive the physical infrastructure to be diagnosed, and to develop diagnostic items and diagnostic indicators applicable to this. Methods:: First, the physical infrastructure related to the community care is derived. And the diagnosis items are derived using the checklist of 'community support and health services' in the WHO Guide for Global age-friendly cities. Next, by analyzing previous studies, we develop diagnostic indicators for each diagnostic item and explore their applicability. Results: As a result of deriving the physical infrastructure for each area of housing, health service, and nursing care for community care, 22 facilities were derived for 9 types. Diagnosis items for the facilities are 1)regional equity, 2)proximity between facilities, 3)transportation access, 4)regional use, 5)barrier-free design, 6)diversity of facilities, and a total of 14 diagnostic indicators was derived. We reviewed and suggested the applicability of diagnostic items and indicators by each physical infrastructure. Implications: For the realization of community care, local diagnosis should not be limited to sim- ply grasping the presence or absence of facilities and the total amount. Instead it should strengthen capabilities by conducting diagnosis to understand the performance of facilities.

• Journal of the Korean Society of School Health
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• v.30 no.3
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• pp.266-273
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• 2017

Purpose: This study was performed to compare the mental health of school age children residing in urban and rural areas and to analyze the correlations between the subjective mental health indicators such as depression and attention deficit-hyperactivity behavior and heart rate variability (HRV) indicators. Methods: For this study, a convenience sample of one hundred and three children was recruited. Depression and attention deficit-hyperactivity behavior were measured using self-reported questionnaires and HRV indicators were measured using an electronic instrument. Results: Among the HRV parameters of the rural children, their normalized LF and the LF / HF were significantly lower than those of the urban children. The RMSSD and the normalized HF were statistically significantly higher. The level of depression showed a significant positive correlation with the normalized LF and LF/HF, but showed a negative correlation with the normalized HF. Also, the level of attention deficit-hyperactivity behavior was significantly correlated with the normalized LF, LF/HF, and the normalized HF. Conclusion: Based on the findings, we expect that HRV indicators can be applied to predict the level of depression and attention deficit-hyperactivity behavior in elementary school children.

• Health Policy and Management
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• v.33 no.2
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• pp.194-292
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• 2023

Background: This study aimed to update suicide-related indicators, including the number of suicidal deaths, suicide rate, and the prevalence of suicidal ideation and suicide attempts. We observed trends in suicide-related indicators based on up-to-date information. Methods: This study used five data sources to evaluate the trends of suicide-related indicators: Statistics Korea (1983-2021), Korean Wealth Panel Study (KOWEPS, 2012-2021), and Korea Health Panel Survey (KHP, 2010-2013, 2016-2019), Korean National Health and Nutrition Examination (KNHANES, 2007-2013, 2015-2021), Korean Community Health Survey (KCHS, 2008-2009, 2013, 2017, 2021). Results: The suicide rate per 100,000 population increased from 25.7 in 2020 to 26.0 in 2021. The rates of suicidal ideation from recently available data were 4.28% (KNHANES, 2021), 6.52% (KCHS, 2021), 1.61% (KOWEPS) and 7.10% (KHP, 2019). The suicidal attempts rates were 0.46% (KNHANES, 2021) and 0.34% (KCHS, 2021). The annual percentage change (APC) of suicide rate showed that suicide rates increased in the younger population (APC=9.02% in <19 years, APC=5.13 in 20-39 years) although the rates decreased in the older population (APC=-3.37 in 60-79 years, APC=-2.25 in >80 years). Conclusion: The suicide rate and related indicators increased in 2021 compared to 2020. Thus, continuous observation and appropriate suicide prevention policies as well as studies about the factors that affected the increase in 2021 are needed.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.2
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• pp.25-40
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• 2021

Objectives: The purpose of this study was to examine effects of health promotion program based on self-efficacy theory on physiological indicators, self-efficacy, grits, and health promotion behavior in community elderly. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the health promotion program based on self-efficacy theory for 8 weeks from October 8 to November 26, 2020. Results: t-test showed that systolic blood pressure (t=-2.12, p=.040), self-efficacy (t=3.78, p<.001), grit (t=3.75, p<.001) and health promotion behavior (t=2.89, p=.002) were significant differences between the two groups. In other hands BMI (t=-1.26, p=.213), diastolic pressure (t=-1.07, p=.287), total cholesterol (t=-1.67, p=.102), LDL-cholesterol (t=-0.76, p=.451), HDL-cholesterol (t=-0.57, p=.567) and triglyceride (t=-1.76, p=.094) were no significant difference between two groups. Conclusions: The health promotion program based on self-efficacy theory was found to be an effective nursing intervention program in improving physiological indicators, self-efficacy, grit and health promotion behaviors of community elderly.

• Journal of Korean Academy of Nursing Administration
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• v.18 no.1
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• pp.106-117
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• 2012

Purpose: This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. Methods: The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. Results: The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. Conclusion: This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.

• Korean Journal of Health Education and Promotion
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• v.29 no.1
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• pp.39-57
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• 2012

Objectives: This study was to measure community capacity using individual-level and organizational-level capacity indicators and illuminated the relationship of community capacity and self-rated health status in two regions in Seoul, Korea. Methods: The data from individual surveys were obtained by quota sampling the residents of two autonomous gu in Seoul (N=1,000). The data from organizational surveys were obtained by snowball sampling lists of organizations in the possession of gu offices with a sampling frame (N=153). The survey tools were 6 indicators regarding residents' social capital and a sense of community and 5 indicators regarding community-based organizations and their networks. The analysis methods consisted of the effect of the components of capacity on health status and social network analysis. Results: As for capacity on individual levels, while D-gu was mainly developed inn individual capacity in terms of social interaction, Y-gu was stronger in a sense of community and cohesion among residents. As for capacity on organizational levels, Y-gu was more developed than was D-gu in associational networks. Conclusion: It is necessary to develop health promotion program per community and to strengthen partnerships with and among grassroots organizations based in local communities through the measurement of community capacity.

• Steel and Composite Structures
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• v.49 no.6
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• pp.701-711
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• 2023

In order to fully reflect variation characteristics of composite concrete dam health state, the monitoring data is applied to diagnose composite concrete dam health state. Composite concrete dam lesion development to wreckage is a precursor, and its health status can be judged. The monitoring data are generally non-linear and unsteady time series, which contain chaotic information that cannot be characterized. Thus, it could generate huge influence for the construction of monitoring models and the formulation of corresponding health diagnostic indicators. This multi-scale diagnosis process is from point to whole. Chaotic characteristics are often contained in the monitoring data. If chaotic characteristics could be extracted for reflecting concrete dam health state and the corresponding diagnostic indicators will be formulated, the theory and method of diagnosing concrete dam health state can be huge improved. Therefore, the chaotic characteristics of monitoring data are considered. And, the extracting method of the chaotic components is studied from monitoring data based on fuzzy dynamic cross-correlation factor method. Finally, a method is proposed for formulating composite concrete dam health state indicators. This method can effectively distinguish chaotic systems from deterministic systems and reflect the health state of concrete dam in service.

• Journal of Korean Society of Forest Science
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• v.94 no.3 s.160
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• pp.183-190
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• 2005

This study was carried out to find out the possibility for developing methodologies on the index for forest sustainability and to assess sustainability indices of metropolitan and provincial districts based on conditions of their forest health and management programmes in Korea. To find out some indicators to be utilized in developing the forest sustainability indices, total 84 possible indicators were selected and combined from 69 major programmes contained in the 4th Forest Development Plan and the Forest Vision for 21st Century and other 15 indicators selected separately from other forest policies. Those candidate indicators were reviewed throughly under evaluation processes and 33 indicators were finally chosen in developing the forest sustainability indices. Those indicators were classified into 3 categories, namely indicators for pressure, state, and response. Forest health could be represented by pressure and state indicators, while forest management programmes could be assessed by response indicators. Scores of importance for each indicator were assigned through Delphi survey and analyzed to project the extra weight value by summing rankings given to each index an applied to the standardized value of each index. Forest sustainability indices of metropolitan and provincial districts were analyzed and compared, based on relevant data of the year 2002. This study was kind a preliminary one in forest sustainability index and the names of metropolitan and provincial districts were not identified in this study. The indices could be very valuable in assessing quantitatively the level of forest health and intensity of forest management programmes in each districts and comparisons could be made among them, if all self-governing districts agree unanimously on the indices of forest sustainability and relevant indicators chosen in the study.

• Quality Improvement in Health Care
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• v.28 no.2
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• pp.30-38
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• 2022

Purpose: The Health Insurance Review and Assessment Service (HIRA) in South Korea initiated a quality assessment (QA) program for blood transfusion healthcare services in 2020 to ensure patient safety and appropriate blood use. This study examines the quality of blood transfusion services since the first national QA program for blood transfusion services in Korea. Methods: We analyzed HIRA claims and QA investigation data based on inpatient medical records from all tertiary, general, and primary hospitals between October 2020 and March 2021. The target population was patients aged 18 years and older who received either total knee arthroplasty or red blood cell transfusion. The QA indicators for transfusion healthcare service consisted of four quality indicators and four monitoring indicators. Results: We analyzed the results of QA indicators for transfusion service from the medical records of 189,668 patients from 1,171hospitals and expressed indicators as proportions. The average results for evaluation indicators were as follows: transfusion checklist presence, 64.8%; irregular antibody tests, 61.8%; transfusions in which the hemoglobin levels before transfusion met the transfusion guidelines for patients undergoing total knee arthroplasty, 20.6%, and transfusions in patients undergoing total knee arthroplasty, 59.3%. The average results for monitoring indicators were as follows: transfusion management implementation in medical institutions, 56.9%; preoperative anemia management in anemia patients undergoing total knee arthroplasty, 43.9%; one-unit transfusions, 82.5%; and the transfusion index. Conclusion: The quality of blood transfusion healthcare varied and the assessment revealed that there is scope for improvement. Hospitals require more effective blood transfusion management and this can be facilitated by providing feedback on the QA results about blood transfusion healthcare services to medical institutions, and by disclosing the results to the public.

• The Journal of Asian Finance, Economics and Business
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• v.7 no.2
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• pp.131-141
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• 2020

This study examines the poverty indicators in Northeast region of Thailand by adopting the global Multidimensional Poverty Index (MPI) methodology and the national survey of Minimum Basic Needs (MBN) of Thailand. Data are collected from three different districts in Khon Kaen province namely: Khok Po Chai, Sam Sung, and Nam Pong. The sample size is 187 households. Data analysis uses Ordinary Least Square (OLS) regression approach and includes 7 dimensions of poverty (health, environment, education, economy, Thai value, asset? empowerment, and digital literacy) with a total of 41 indicators. This study has found that poverty indicators in Khon Kaen province remains centered around the aspects of health and employment dimensions. While a change of family structure in the Thai society since 1960s reduces the family size, household saving substantially increases over the years. The effects of health dimension in poverty, on the other hand, appears on the other poverty dimension of Thai value, which include (1) a bad living habit of head of household (smoke or alcohol consumption) that links with illness and disease, (2) religious practice, and (3) chronic illness. Lastly, there are income gaps of different careers in the area, which suggests the issue of income inequality.