• Health Policy and Management
• /
• v.34 no.3
• /
• pp.334-346
• /
• 2024

Background: Research on the link between subjective health and unmet healthcare needs is limited. This study examines whether experiences of subjective healthcare needs and unmet needs are related to subjective health in South Korea, where the rate of poor subjective health is notably high. Methods: This analysis utilized data from the Korea Health Panel (2014-2018), incorporating 68,930 observations from 16,535 adults aged 19 or older. The dependent variable, subjective health, was dichotomized into poor (bad or very bad) and non-poor (fair, good, or very good) categories. The primary variables of interest were the experiences of subjective healthcare needs and unmet needs, while control variables included 14 socio-demographic, health, and functional characteristics. The study employed population proportion analysis and multivariable two-level binary logistic regression analysis for each gender, accounting for the complex sampling design. Results: In 2018, the rate of reporting poor health was 8.7% (95% confidence interval [CI], 8.0%-9.5%) for men and 14.7% (95% CI, 13.8%-15.6%) for women. For both genders, compared to individuals whose healthcare needs were met, those without healthcare needs were less likely to report poor subjective health (adjusted odds ratio [AOR], 0.58; 95% CI, 0.39-0.86 for men; AOR, 0.59; 95% CI, 0.37-0.93 for women). Conversely, individuals whose healthcare needs were not met were more likely to report poor subjective health (AOR, 2.31; 95% CI, 2.01-2.65 for men; AOR, 2.19; 95% CI, 1.98-2.43 for women). A policy simulation indicated that reducing the experience of subjective healthcare needs would be approximately 5 times more effective in reducing poor subjective health than a policy focused on reducing the experience of unmet needs. Conclusion: South Korea must make significant efforts to reduce the deterioration of subjective health and promote appropriate healthcare utilization. To achieve this, a set of policies is recommended to address subjective healthcare needs. These policies should include (1) prompting individuals to proactively manage their own health, (2) providing primary healthcare similar to that in advanced countries, (3) ensuring the healthcare delivery system operates effectively, (4) decentralizing the healthcare management system, and (5) reducing the likelihood of people being misled into thinking they have a healthcare need.

• Sleep Medicine and Psychophysiology
• /
• v.27 no.1
• /
• pp.24-31
• /
• 2020

Objectives: Subjective-objective discrepancy of sleep (SODS) is a common symptom and one of the major phenotypes of insomnia. A distorted perception of sleep deficit might be related to abnormal brain reactivity to insomnia-related stimuli. We aimed to investigate differences in brain activation to insomnia-related stimuli vs. general anxiety-inducing stimuli among insomnia patients with SODS, insomnia patients without SODS, and healthy controls (HCs). Methods: All participants were evaluated for subjective sleep status using a sleep diary and questionnaires; occult sleep disorders and objective sleep status were assessed using polysomnography and actigraphy. Task functional magnetic resonance imaging was performed during insomnia-related stimuli (Ins) and general anxiety-inducing stimuli (Gen). Brain reactivity to Ins versus Gen was compared among insomnia with SODS, insomnia without SODS, and HC groups, and a combined insomnia disorder group (ID, insomnia with and without SODS) was also compared with HCs. Results: In the insomnia with SODS group compared to the insomnia without SODS group, the right precuneus and right supplementary motor areas showed significantly increased BOLD signals in response to Ins versus Gen. In the ID group compared to the HC group, the left anterior cingulate cortex showed significantly increased BOLD signals in response to Ins versus Gen. Conclusion: The insomnia with SODS and ID groups showed higher brain activity in response to Ins versus Gen, while this was not observed in the insomnia without SODS and HC groups, respectively. These results suggest that insomnia patients with sleep misperception are more sensitive to sleep-related threats than general anxiety-inducing threats.

• Journal of dental hygiene science
• /
• v.14 no.3
• /
• pp.364-370
• /
• 2014

The purpose of this study was to examine association between oral health status and perceived general health symptom. We analyzed 14,231 subjects who participated in Korea National Health and Nutrition Examination Survey (2007~2009). All individuals were examined by a questionnaire about socioeconomic history, smoking and drinking habit, the frequency of daily tooth brushing, the presence of regular dental visit, and EuroQol-5D. Dental survey was conducted to find the decayed, missing, and filled teeth (DMFT) index and community periodontal index. Subjects with perceived problem with mobility had higher DMFT index (odds ratio, 1.18, p<0.001). Subjects with with perceived problem with pain/discomfort had higher DMFT index (odds ratio, 1.16, p<0.001). Self-rating general health symptom was not associated with periodontitis (p>0.05). Perceived general health was associated with DMFT index. It is recommendable that we can use the perceived general health to predict oral health status.

• Industry Promotion Research
• /
• v.8 no.4
• /
• pp.201-207
• /
• 2023

This study presents literature research on solitude and mental health in psychology as one of the problems in modern society. Solitude has been understood as a psychologically diverse concept. In psychology, solitude has been understood in a variety of ways: as a pathological phenomenon, a source of conflict in childhood, an expression of maladjustment, and a factor influencing current experiences. Solitude is an objective state of being alone without social interaction, while loneliness and privacy are subjective concepts, with loneliness indicating a need for the presence of others. On the contrary, the religious solitary is a solitary being before God. Isolation and sensory restriction, which humans voluntarily choose, is a cure for loneliness. Also, solitude is associated with positive well-being and healthy adaptability. Humans need to have inner freedom by turning loneliness into solitude. This suggests that loneliness can be overcome through solitude, and that positive thinking can overcome negativity, loneliness, and depression.

• Journal of the Korea Society of Computer and Information
• /
• v.28 no.5
• /
• pp.103-111
• /
• 2023

This study aims to analyze the relationship with oral health status through oral examinations, microorganism tests, and surveys of college students and present basic data necessary for the development of oral health education programs to prevent. Results of students who did not receive brushing education showed high motile activities of microorganism, and there was a significant relationship in which students with a large amount of microorganism subjectively felt more tooth pain. Symptoms of halitosis were greater in the DT, there were differences in the type of bacteria and the amount of bacteria in the MT, and oral health was worse if oral aids were not used in the DMFT index. Therefore, it was confirmed that oral health behavior, subjective oral health awareness, and the amount of microorganism had a significant relationship with oral health status. It will be necessary to develop and share and spread customized oral health education media for each life cycle.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2006.11a
• /
• pp.105-108
• /
• 2006

소아의 경우 의사소통이 불완전하므로 자신의 건강 상태를 정확히 표현할 능력이 없거나 떨어진다. 따라서 소아에 대한 의학적 판단에 기초한 기술적 방법의 제시가 필요하다. 이를 위해 본 논문에서는 소아 건강 상태를 측정할 수 있는 한방 4대 진단 방법 중에서 망진을 이용하여 소아 질환 진단기기를 개발하고자 한다. 특히 호흡과 관련된 중요 인체 부위로 폐 질환에 대한 망진기기를 개발하기 위한 방법을 제안하고자 한다. 이를 위해 본 논문에서는 소아 얼굴을 입력 받아 얼굴 영역에 대한 분할을 하고 폐장과 관련된 명당 부위를 추출한다. 추출한 소아 영상에서 색상 분석을 행하여 객관적이며 시각적인 데이터를 가지고 소아 폐질환 진단기기를 개발하고자 한다. 최종적으로 소아 폐질환자와 정상인의 비교, 분석을 통해 제안한 방법의 유용성을 입증하고자 한다.

• Journal of Korean society of Dental Hygiene
• /
• v.15 no.3
• /
• pp.417-424
• /
• 2015

Objectives: The purpose of the study is to investigate the relationship between oral health conditions and their subjective oral health perception in the elderly in Gimcheon. Methods: The study subjects were 214 elderly aged over 65 years old in Gimcheon. The study was carried out by direct interview method of from February 20 to 24, 2014. The oral examination was performed by the dentist base on the World Health Organization criteria including direct examination and observation. The questionnaire consisted of sex, type of family, use of medical services, and oral health behavior, The independent variable included three questions of the general characteristics of the subjects, two questions of use of medical services, and two questions of oral health behavior. The subjective oral health perception was composed of heathy and unhealthy. The objective oral health condition was evaluated by number of residual teeth, FT index, MT index, and DMFT index. Results: In the elderly, the number of residual tooth was $8.89{\pm}9.72$ and the number of decayed teeth was $0.03{\pm}0.20$. The numbers of missing teeth and filled teeth were $19.26{\pm}9.65$ and $0.28{\pm}1.01$, respectively. The DMFT index was $19.57{\pm}9.28$. In relation to the subjective oral health perception, 76.6% answered 'good' and 23.4% answered 'bad'. The subjective oral health perception showed a weak quantitative linear relationship of r=0.235 with the number of residual tooth. the subjective oral health perception showed a weak negative linear relationship(p<0.01) of r=-0.225 with the number of missing teeth and r=-0.217 with DMFT(number of decayed missing and filled teeth) index.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2021.06a
• /
• pp.197-197
• /
• 2021

최근 기후변화와 하천 제방의 노후화로 인해 수재해 위험이 지속적으로 증가하고 있다. 그러나 기존의 재래적인 하천 제방의 점검은 많은 인력과 예산 소모로 비효율적이며 제방 전구간 점검의 한계, 객관성의 한계 등 많은 한계점들이 존재하여 효과적인 홍수 대응을 위해 새로운 모니터링과 예/경보 시스템의 구축이 반드시 필요한 상황이다. 따라서 본 연구는 인공위성을 이용한 하천 제방 변위 산출과 수문학적 요인과의 관계 분석을 통해 하천 제방 건강상태 모니터링 시스템 방안을 제안하고자 한다. Sentinel-1 SAR 영상과 유럽 우주국(ESA)의 위성 영상 전처리 도구인 SNAP을 이용하여 2020년 여름 붕괴된 남원시의 금곡교 제방의 봄(4~5월), 여름(7~8월)의 변위를 산출하였고, 제방의 위험도 산정을 위해 토양수분관계를 분석하였다. 선행 연구(김상우,2019)에서는 농촌진흥청에서 제공하는 TDR(Time Domain Reflectrometry) 관측값과 Sentinel-1 SAR의 후방 산란계수의 토양수분관계가 일치하는 경향을 제시하여, 본 연구에서는 이를 이용하여 제방 후 방산란계수를 산출하고 변위와 토양수분도의 상관관계를 분석하여 변위 추세와 토양수분도의 추세가 일치하는 경향을 확인하였다. 본 연구 결과를 통해 향후에는 위성을 이용하여 산출한 제방의 변위와 토양수분도의 불확실성을 보완하고 기온, 수위, 토양도, 지하수위와 같은 수문기상학적 데이터의 분석을 통해 초정밀, 자동화 하천 제방 건강상태 모니터링 시스템이 구현 가능할 것으로 기대한다.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.14 no.5
• /
• pp.197-202
• /
• 2014

It is used the important method that Oriental doctor determines patient's disease status observing patient's state of tongue in Oriental medicine clinic. In this paper, it developed the how to use the pulse diagnosis and tongue diagnosis based on s mart based electronic acupuncture. It will do objective judgment without wrong diagnosis. In this paper, we developed the algorithm that it automatically determines patient health condition and smart electronic acupuncture kit using fuzzy logic and fuzzy reasoning system were completed. In this paper, Simulation results proved that acupuncture is effective than the traditional method of using electronic intelligence.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.12 no.1
• /
• pp.29-37
• /
• 2018

In this research, one's ability to perform activities of daily living, body pain, and emotional states of elders who live alone and elders who live with others were compared to investigate which factors affect senior's health state. The data was collected from 88 seniors and analyzed for the comparison. Compared to seniors who live with others, elders who live alone had lower activity of daily livings, stronger body pain, and instability in emotional states. These 3 aspects showed a statistical significance of correlation. As a result of further analysis, not only residential types(living alone or living with others), but also life pattern(indoor or outdoor) is affected on the results. It is expected that the results of this research could be used as basic data for physiological index to evaluate senior's health state and care service for seniors who live alone.