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Comparisons of Health Inequalities in Small Areas with Using the Standardized Mortality Ratios in Korea (표준사망비를 활용한 우리나라 소지역별 건강불평등 비교)

  • Kim, Ji-Hyun;Yoon, Tae-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.5
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    • pp.300-306
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    • 2008
  • Objectives : This study was performed to compare the standardized mortality ratios among different small areas and to explore the usefulness of standardized mortality ratios in South Korea. Methods : To calculate the standardized mortality ratio (SMR), we obtained the national deaths certificate data (2004-2006) and national registration population data (2003-2006), and these were provided by the National Statistical Office. The small areas (Eup.Myoun.Dong) were based on the subdivisions of counties. Among the 3,580 small areas classified by the National Statistical Office, 3,571 areas were included in this study. The basic statistics and decile distributions of the SMRs for all the regional levels were calculated, and the small area maps were also produced for some selected regions. To evaluate the precision of SMR, we calculated the 95% confidence intervals of the SMR in selected small areas. Results : The mean and the standard deviation of the SMRs among all small areas were 100.8 and 17.0, respectively. The range was 30.6-211.7 and the inter-quartile range was 20.7. Seoul metropolitan city displayed the lowest mean SMR among 16 regions in South Korea, and 34.6 percent of the small area SMRs belonged to the first decile(the lowest group). On the contrary, the mean SMR of Gyeongsangnam province was highest, and 26.1 percent of the small area SMRs belonged to the tenth decile(the highest group). In some areas, the precision of the SMR, which was calculated by the 95% confidence intervals, remained questionable, yet it was quite stable for almost areas. Conclusions : The standardized mortality ratios can be useful for allocating health resources at the small area level in Korea.

The Development of Standard and Disposition for Effective Job Performance of School Food Service Dietician (학교급식 전담직원의 표준 직무모델 개발에 관한 연구)

  • 이영은;양일선;차진아;유태용
    • Journal of Nutrition and Health
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    • v.35 no.7
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    • pp.800-817
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    • 2002
  • It is not stipulated concretely in the Food Sanitation Act what the standardized school food service dieticians indices and the dietician's duties and task elements should be. Therefore, this study was required. The specific purposes of this study were : a) to define the school food service dietician's duties and task elements, b) to estimate the performance frequency and work hours of the dietician's duties and task elements c) to investigate the job specification of the dietician over school food services, d) to develop the standardized indices of the dietician needed in school food service operation. For this study, school food service dietician's work functions were defined in 10 duties and 60 task elements based on the studies precedented and literature review and pilot test process. This study was conducted in school food service systems nationwide using written questionnaire and interview with the official in charge and delphi technique. The questionnaires were mailed to the dieticians of three types of school food service systems. Of the 660 schools that participated in this study, the 624 responses were selected for analysis. Statistical analyses were performed with SAS/Win 6.12 program so as to provide a descriptive statistics, T-test, ANOVA. The main results of this study could be summarized as follows: A characteristic common to all the school food service systems was that 'cooking and distribution management' took the longest hours of work, while 'nutrition education' took the shortest hours of work. The standardized index of dietician over school food service was one person in conventional system independently of the number of meals per day. In the commissary system, according to the numbers of meals served per day, it was 0.95-1.38 persons and 1.27-1.55 persons and 1.40-1.91 persons. In joint management system, the standardized index was 1.03-1.42 persons in case of serving less than 700 meals per day.

Assessment of the Extreme 2014~2015 Drought Events in North Korea Using Weekly Standardized Precipitation Evapotranspiration Index (SPEI) (주단위 표준강수증발산지수를 활용한 2014~2015년 북한의 극한 가뭄 평가)

  • Nam, Won-Ho;Hong, Eun-Mi;Choi, Jin-Yong;Kim, Taegon;Hayes, Michael J.;Svoboda, Mark D.
    • Journal of The Korean Society of Agricultural Engineers
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    • v.59 no.4
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    • pp.65-74
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    • 2017
  • North Korea is one of the high vulnerable countries facing the threat of natural disaster and has experienced more frequent disasters in recent years. These disasters have significantly led to food shortages and large reductions in crop yields. In 2015, both North Korean officials and international agencies had identified the extreme drought event, the worst in one hundred years according to the North Korean government. The objective of this study was an assessment of the extreme drought events in 2014~2015, and to apply climatic drought indices for drought monitoring in North Korea. Characteristics of the extreme drought in North Korea are examined by using the weekly-based Standardized Precipitation Evapotranspiration Index (SPEI). The drought characteristics illustrated by the SPEI results are compared with a Standardized Precipitation Index (SPI) results and drought impact information to understand how these indices can explain the drought conditions within the country. These results demonstrated that the SPEI could be an effective tool to provide improved spatial and temporal drought conditions to inform management decisions for drought policy.

Standar Dization and Evaluation of PDSI Calculation Method for Korean Drought Management Agencies (국내 가뭄관리 기관별 PDSI 산정방법의 표준화 및 평가)

  • Bae, Deg-Hyo;Sohn, Kyung-Hwan;Kim, Hyun-Kyung;Lee, Joo-Heon;Lee, Dong-Ryul;Ahn, Jae-Hyun;Kim, Tae-Woong
    • Atmosphere
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    • v.23 no.4
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    • pp.539-547
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    • 2013
  • The objective of this study is to standardize the calculation method of Palmer Drought Severity Index (PDSI) for the three Drought Management Agencies (DMA) in south Korea, and to evaluate the PDSI applicability. For comparison and review of the method, the code and input data of PDSI are collected from each DMA. The calculation method is the same, but the used input data (number of meteorological stations, normal year period, Available Water Capacity (AWC) of the soil) are different. Through discussions with drought experts and literature review, the standardized method is determined. 61 stations which have the data period more than 30 years are selected. Also the normal year is fixed for 30 years and updated every 10 years. The observed AWC is utilized using GIS data. Empirical equation of PDSI is re-estimated according to domestic climate characteristics. For evaluating the standardized PDSI, past drought events are investigated and drought indices including the existing SPI and PDSI are used for comparative analysis. As results, although the accuracy of standardized PDSI through ROC analysis is lower than SPI, the newly standardized PDSI is better than existing PDSI from DMA, Also it reasonably explain the spatial drought situation through the spatial analysis.

The Concurrent Use of Rhus verniciflua Stokes as Complementary Therapy with Second or More Line Regimens on Advanced Non-small-cell Lung Cancer: Case Series

  • Lee, Sang-Hun;Kim, Kyung-Suk;Choi, Won-Cheol;Yoon, Seong-Woo
    • The Journal of Korean Medicine
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    • v.30 no.6
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    • pp.112-117
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    • 2009
  • Objective: Rhus verniciflua Stokes (RVS) has anticancer effect confirmed by preclinical studies and historical records. We thus tried to evaluate retrospectively the effect of RVS as a complementary medicine for patients with advanced non-small-cell lung cancer (NSCLC) showing refractory to conventional chemotherapy. Patients and Methods: From June 1, 2006 to June 30, 2007, patients with advanced NSCLC who received both the standardized RVS extract and a standard course of second or more line therapy such as pemetrexed ($Alimta^{(R)}$), erlotinib ($Tarceva^{(R)}$), and gefitinib ($Iressa^{(R)}$) were checked. A total of 13 patients were eligible for the final analysis after fulfilling inclusion/exclusion criteria. Time to progression (TTP) of these patients treated with the standardized RVS extract was checked in the aftercare period. Results: Patients received RVS treatment for a median period of 296 (range 84-698) days. The median TTP was 220.5 (range 36-489) days, and three patients (23.1%) had TTP values of 15 more months. No significant side effects from RVS treatment have been observed. Conclusion: The standardized RVS extract might have synergetic effects by assisting apoptosis in advanced NSCLC with concurrent standard therapy agents, since it prolonged TTP without significant adverse effects. This study suggests that the standardized RVS extract is beneficial to patients with chemotherapy-refractory NSCLC. Further clinical trials and preclinical studies are necessary to determine the efficacy and safety of the standardized RVS extract in NSCLC.

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Effects of selection index coefficients that ignore reliability on economic weights and selection responses during practical selection

  • Togashi, Kenji;Adachi, Kazunori;Yasumori, Takanori;Kurogi, Kazuhito;Nozaki, Takayoshi;Onogi, Akio;Atagi, Yamato;Takahashi, Tsutomu
    • Asian-Australasian Journal of Animal Sciences
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    • v.31 no.1
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    • pp.19-25
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    • 2018
  • Objective: In practical breeding, selection is often performed by ignoring the accuracy of evaluations and applying economic weights directly to the selection index coefficients of genetically standardized traits. The denominator of the standardized component trait of estimated genetic evaluations in practical selection varies with its reliability. Whereas theoretical methods for calculating the selection index coefficients of genetically standardized traits account for this variation, practical selection ignores reliability and assumes that it is equal to unity for each trait. The purpose of this study was to clarify the effects of ignoring the accuracy of the standardized component trait in selection criteria on selection responses and economic weights in retrospect. Methods: Theoretical methods were presented accounting for reliability of estimated genetic evaluations for the selection index composed of genetically standardized traits. Results: Selection responses and economic weights in retrospect resulting from practical selection were greater than those resulting from theoretical selection accounting for reliability when the accuracy of the estimated breeding value (EBV) or genomically enhanced breeding value (GEBV) was lower than those of the other traits in the index, but the opposite occurred when the accuracy of the EBV or GEBV was greater than those of the other traits. This trend was more conspicuous for traits with low economic weights than for those with high weights. Conclusion: Failure of the practical index to account for reliability yielded economic weights in retrospect that differed from those obtained with the theoretical index. Our results indicated that practical indices that ignore reliability delay genetic improvement. Therefore, selection practices need to account for reliability, especially when the reliabilities of the traits included in the index vary widely.

Standardization of Catch per Unit Effort (CPUE) for Bigeye Tuna (Thunnus obesus) by the Korean Longline Fishery in the Pacific Ocean (한국 다랑어 연승어업에 의한 태평양해역 눈다랑어 자원의 단위노력당어획량 (CPUE)의 표준화)

  • Yoo, Joon-Taek;Hwang, Seon-Jae;An, Doo-Hae;Kim, Jong-Bin;Kim, Zang-Geun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.43 no.6
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    • pp.740-746
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    • 2010
  • This study standardized the catch per unit effort (CPUE) of bigeye tuna (Thunnus obesus) caught by the Korean longline fishery in the Pacific Ocean. The study used a general linear model (GLM) to standardize the CPUE using catch and effort data aggregated by year, month, and $5{\times}5$ degrees of latitude and longitude in the tropical Pacific Ocean from 1982 to 2008 (except for 1988 and 1989). Explanatory variables in the GLM analysis included year, month, subtropical area, and number of hooks between floats (HBF). The study area and HBF were subdivided into three subtropical areas and six classes, respectively. During the study period, the standardized CPUE was significantly related to the nominal CPUE. The standardized CPUE declined sharply, as compared to the nominal CPUE, after the mid 1990s. In particular, the decline in the standardized CPUE in all subtropical areas in the 2000s was clearer than that of the nominal CPUE.

Neuroprotective Effect of the Water-insoluble fraction of Root Barks of Dictamnus dasycarpus 70% Ethanolic Extract on Glutamate-Induced Oxidative Damage in Mouse Hippocampal HT22 Cells (백선피 70% 에탄올 추출물의 비수용성 분획물의 뇌세포 보호 효과)

  • Choi, Hyun-Gyu;Lee, Dong-Sung;Li, Bin;Jun, Ki-Yong;Jeong, Gil-Saeng;Kim, Youn-Chul
    • Korean Journal of Pharmacognosy
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    • v.42 no.2
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    • pp.175-181
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    • 2011
  • Oxidative stress or accumulation of reactive oxygen species (ROS) leads neuronal cellular death and dysfunction, and it contributes to neuronal degenerative disease such as Alzheimer's disease, Parkinson's disease and stroke. Glutamate is one of the major excitatory neurotransmitter in the central nervous system (CNS). Glutamate contributes to fast synaptic transmission, neuronal plasticity, outgrowth and survival, behavior, learning and memory. In spite of these physiological functions, high concentration of glutamate causes neuronal cell damage, acute insults and chronic neuronal neurodegenerative diseases. Heme oxygenase-1 (HO-1) enzyme plays an important role of cellular antioxidant system against oxidant injury. NNMBS020, the water-insoluble fraction of the 70% EtOH extract of root barks of Dictamnus dasycarpus, showed dominant neuroprotective effects on glutamate-induced neurotoxicity in mouse hippocampal HT22 cells by induced the expression of HO-1 and increased HO activity. In mouse hippocampal HT22 cells, NNMBS020 makes the nuclear accumulation of Nrf2 and stimulates extracellular signal-regulated kinase (ERK) pathway. The ERK MAPK pathway inhibitor significantly reduced NNMBS020-induced HO-1 expression, whereas the JNK and p38 inhibitors did not. In conclusion, the water-insoluble fraction of the 70% EtOH extract of root barks of D. dasycarpus (NNMBS020) significantly protect glutamate-induced oxidative damage by induction of HO-1 via Nrf2 and ERK pathway in mouse hippocampal HT22 cells.

Purification Technology in Closed Water like a Reservoir and Pond using Oxygen Solubilized Device and Standardized Microorganism Culture System (산소용해수와 미생물제재를 이용한 호소 및 폐쇄수역의 정화기술)

  • Seo, Seong-nyeo;Kim, Young-taek;Park, Chul-hwi
    • Journal of Korean Society on Water Environment
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    • v.21 no.2
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    • pp.118-124
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    • 2005
  • The oxygen solubilized device(O.S.D) and standardized microorganism culture system is more efficient than physical and chemical purification techniques in closed water. This study was to determine how the O.S.D and standardized culture system is efficient in purification capacity in closed water based on the lab scale and pilot plant. In the batch test, inducing the quantitative results from pilot plant operation condition, removal efficiency of COD and TN were about 48.3% and 35% respectively, while SS and chlorophyll-a were 94.9% and 68.7%. The pilot plant results showed that suspended solid(SS) and chlorophyll-a removal efficiency were 60% and 59% respectively, due to coagulation characteristics by standardized culture. Total nitrogen(TN) and total phosphorus(TP)showed good effect for the purification of target pond water quality from field data. Additionally, released velocity was determined in control condition of $5.31mgPO{_4}^{3-}{\cdot}m^{-2}{\cdot}day^{-1}$ and $2486.8mgCOD{\cdot}m^{-2}{\cdot}day^{-1}$. Otherwise, phosphate and COD reflux in the aeration and microorganism condition was showed $-9.95mgPO{_4}^{3-}{\cdot}m^{-2}{\cdot}day^{-1}$ and $-397.88mgCOD{\cdot}m^{-2}{\cdot}day^{-1}$. This technology is the most effective not only removal of SS and chlorophyll-a but also control of phosphate and COD release which is very important phenomena in evaluating water quality in closed water like a reservoir and pond.

Effect of Standardized Oral Health Care Program by Dental Hygiene School Students (표준화된 치위생학과 계속구강건강관리 프로그램의 효과)

  • Noh, Hie-Jin;Kim, Mi-Na;Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.12 no.3
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    • pp.287-294
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    • 2012
  • The aim of this study was to investigate the effect of standardized oral health care program by dental hygiene school students. Target population was 100 University students who attended standardized oral health care program by a dental hygiene school students. Present study was conducted during first and second semester in 2011 at E dental hygiene school. We analysed students' oral health related knowledge, attitude, behavior, and self-oral hygiene care ability after the program. Univariate analysis, Chi-square test and paired t-test were conducted using SAS version 9.2. University students' who attended standardized oral health care program by dental hygiene school students oral health related knowledge, attitude, behavior, and self oral-hygiene care ability were significantly improved whether they have attended oral health related lectures or not(p<.05). It is recommended provide standardized oral health care program to university students by dental hygiene school students to promote their oral health related knowledge, attitude, behavior, and self-oral hygiene care ability.