• Title/Summary/Keyword: 건강의 계층화

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Developing Forest Sustainability Indices of Provinces in South Korea (시도별 산림지속성의 지수화)

  • Kim, Joon-Soon;Sung, Joo Han;Kim, Joong Myung
    • Journal of Korean Society of Forest Science
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    • v.95 no.6
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    • pp.696-704
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    • 2006
  • This study was carried out to evaluate the forest sustainability index of metropolitan and provincial districts in Korea. The forest sustain ability was assessed on the bases of economic, social, environmental axes (phase), which are essential for sustainable development, and establishment. Score of importance for each phase was analyzed by the pairwise comparison of analytic hierachy process (AHP). The forest sustainability indices were measured by 15 indicators of each 3 indicators in economic, social and environmental aspects and 6 indicators in the establishment of infrastructure. The extra weight values of indicators were assigned by the value sum weight method. The forest sustainability indices were assessed for each phase, forest management and health, and integrated index, based on the data from 1995 to 2004. The forest sustain ability indices showed the highest score of 71.8 in Gyeongsangbuk-do and the lowest score of 22.9 in Incheon as of 2004.

A Study on Influence of the Life Satisfaction for the Elderly Women with Disabilities -Focusing on Moderation Effect of Preparation for the Later Life Factor - (고령여성장애인 삶의 만족도에 관한 연구 - 노후준비 조절효과를 중심으로 -)

  • Park, Ju Young
    • 재활복지
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    • v.17 no.4
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    • pp.53-77
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    • 2013
  • The purpose of this study was elderly women with disabilities to increase life satisfaction from the recognition that were original goals. Factors affecting life satisfaction confirm, and in influencing aging affects looked ready. In the case of non-disabled people was life satisfaction showed a link between preparation for the later life. Expected life satisfaction of elderly women with disabilities were equally applicable whether verification was carried out. The results of this study were as follows: First, the difference in life satisfaction according to demographic factors, psychological factors, health factors, economic factors, social factors were all of the factors in the elderly group of women with disabilities in accordance with the life satisfaction were different. Second, the factors that influence the life satisfaction for the elderly women with disabilities were psychological factors, health factors, economic factors, social factors and demographic factors. Third, in relation to independent variable and dependent variable, preparation for the later life factor was found operating as moderation variable in relations between level of economic status, chronic diseases. Based on this results, the implications for future studies on women with disabilities were discussed.

Alzheimer's Diagnosis and Generation-Based Chatbot Using Hierarchical Attention and Transformer (계층적 어탠션 구조와 트랜스포머를 활용한 알츠하이머 진단과 생성 기반 챗봇)

  • Park, Jun Yeong;Choi, Chang Hwan;Shin, Su Jong;Lee, Jung Jae;Choi, Sang-il
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.07a
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    • pp.333-335
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    • 2022
  • 본 논문에서는 기존에 두 가지 모델이 필요했던 작업을 하나의 모델로 처리할 수 있는 자연어 처리 아키텍처를 제안한다. 단일 모델로 알츠하이머 환자의 언어패턴과 대화맥락을 분석하고 두 가지 결과인 환자분류와 챗봇의 대답을 도출한다. 일상생활에서 챗봇으로 환자의 언어특징을 파악한다면 의사는 조기진단을 위해 더 정밀한 진단과 치료를 계획할 수 있다. 제안된 모델은 전문가가 필요했던 질문지법을 대체하는 챗봇 개발에 활용된다. 모델이 수행하는 자연어 처리 작업은 두 가지이다. 첫 번째는 환자가 병을 가졌는지 여부를 확률로 표시하는 '자연어 분류'이고 두 번째는 환자의 대답에 대한 챗봇의 다음 '대답을 생성'하는 것이다. 전반부에서는 셀프어탠션 신경망을 통해 환자 발화 특징인 맥락벡터(context vector)를 추출한다. 이 맥락벡터와 챗봇(전문가, 진행자)의 질문을 함께 인코더에 입력해 질문자와 환자 사이 상호작용 특징을 담은 행렬을 얻는다. 벡터화된 행렬은 환자분류를 위한 확률값이 된다. 행렬을 챗봇(진행자)의 다음 대답과 함께 디코더에 입력해 다음 발화를 생성한다. 이 구조를 DementiaBank의 쿠키도둑묘사 말뭉치로 학습한 결과 인코더와 디코더의 손실함수 값이 유의미하게 줄어들며 수렴하는 양상을 확인할 수 있었다. 이는 알츠하이머병 환자의 발화 언어패턴을 포착하는 것이 향후 해당 병의 조기진단과 종단연구에 기여할 수 있음을 보여준다.

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A Study on the Current State of the Integrated Human Rights of the Elderly in Rural Areas of South Korea (농촌지역 거주 노인의 통합적 인권보장 실태에 관한 연구)

  • Ahn, Joonhee;Kim, MeeHye;Chung, SoonDool;Kim, SooJin
    • 한국노년학
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    • v.38 no.3
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    • pp.569-592
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    • 2018
  • This study purported to investigate the current state of human rights of older adults residing in rural areas of Korea. The study utilized, as an analytic framework, 4 priority directions (1. "older persons and development", 2. "rural area development", 3. "advancing health and well-being into old age", and 4. "ensuring enabling and supportive environments") with 13 task actions recommended by Madrid International Plan of Action on Ageing (MIPAA). Furthermore, the study examined gender differences in all items included in the analytic framework. Data was collected by the face-to-face survey on 800 subjects aged 65 and over. Statistical analyses were conducted using STATA 13.0 program. The main results were summarized in order of 4 priority directions as follows. First, average working hours per day were 6.2, and men reportedly participated in economic activities and needed job training more than women, while women participated in lifelong education programs more than men. Awareness of fire and disaster prevention facilities was low in both genders. Second, accessibility to the support center for the elderly living alone as well as protective services for the vulnerable elderly was found to be low. IT-based services and networking were used more by men than women, and specifically, IT-based financial transactions and welfare services were least used. Third, medical check-ups and vaccinations were well received, while consistent treatments for chronic illnesses and long-term care services were relatively less given. In addition, accessibility to mental health service centers was considerably low. Fourth, although old house structures and the lack of convenience facilities were found to be circumstantial risk factors for these elders, experiences of receiving housing support services were scarce. The elderly were found to rely more on informal care, and concerns for their care were higher in women than men. Plus, accessibility to elderly abuse services was markedly low. Based on these results, discussed were implications for implementing policies and practical interventions to raise the levels of the human rights for this population.

Research on Oral Status of Hearing Impaired Youth by Using QLF-D (QLF-D를 이용한 청각장애 청소년의 구강상태에 관한 조사)

  • Kim, Chang-Suk
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.305-311
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    • 2013
  • This study analyzed the oral status after recording the images by using QLF-D with targets of 38 youth people with hearing impairment and hearing language impairment. In order to investigate the state of oral hygiene, plaque index (O'Leary index) and contents of investigation of the state of the teeth included the number of sound teeth, the number of caries teeth, dental caries experience and the number of filling teeth. The following results were obtained. First, women lacked the management on plaque and had more caries teeth compared with men. In terms of impairment classification, subjects with both hearing and language impairment lacked the management on plaque and had more caries teeth. Second, subjects who did not get an oral exam for one year had more caries teeth. Oral hygiene score was the highest with the brushing time for 3-4 minutes. The number of sound teeth was increased as the brushing time was increased. In addition, the oral hygiene management time was the highest when cleaning the teeth, gums and tongue at the same time. Third, it was shown that the satisfaction of oral health education by using the new equipment was high. As a result of this study, in order to improve the oral health level of impaired students, they shall be trained to manage their teeth by themselves and educated to increase their motivation and practice. Thus, it is thought that various approaches which are differentiated from existing methods are required to be tried.

A Study on Nutritional Intake Status and Health-related Behaviors of the Elderly People in Gyeongsan Area (경산시 노인의 영양섭취상태 및 건강관련인자에 관한 연구)

  • Yang, Kyung-Mi
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.7
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    • pp.1018-1027
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    • 2005
  • The purpose of this study was to investigate nutrients intake and health-related behaviors in elderly people residing in Gyeongsan-si, Gyeongbuk who have no problem in daily living. Information on general characteristics of the elderly, health-related behaviors and dietary habits were obtained by interview based on questionnare. Dietary nutrients intake data were obtained through the 24 recall method. The subject group of this study was composed of 113 males and 112 females, the average age being $73.1\pm6.06$ years old. In health related factors, $76.9\%$ of subjects exercised regularly. The rates of alcohol drinking and smoking showed to be $38.2\%\;and\;22.2\%$, respectively. There were many elderly with neuralgia, hypertension, and gastrointestinal disease, especially female were worse. Average heights of the subjects were lower than the standard established in the Korean Recommended Dietary Allowances, and average weights were similar to the standards. The mean BMI and WHR were 24.8 (male 23.7, female 25.7) and 0.92 (male 0.92, female 0.89), respectively. Most of the subjects had a regular meal pattern comsuming three meals a day, and many elderly, especially more than $79.5\%$ of female, prepared the meals for themselves. Mean daily energy intakes and RDA percentage of energy intakes of the male and female subjects were estimated as 1426.9kcal $(79.3\%)$ and 1381.3 kcal $(86.3\%)$, respectively. Mean daily intakes of nutrients were estimatied as 48.1g for protein, 411.3mg for calcium, 8.05mg for iron, 541.8 R.E. for vitamin A, 0.84mg for vitamin $B_1$, and 0.79mg for vitamin $B_2$. Most nutrients except protein, clacium, iron and vitamin $B_2$ were consumed over $75\%$ of the RDA. Female elderly showed significant lower intakes (p<0.05) for most of the nutrients except calcium, phosphorus and vitamin ethan the elderly male.

The New Urbanization Process and Changing Spatial Structure of Seoul (서울의 신도시화 과정과 공간구조의 변화)

  • 이경자;홍인옥;최병두
    • Journal of the Economic Geographical Society of Korea
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    • v.6 no.2
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    • pp.443-470
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    • 2003
  • This study is to consider economic, political, socio-cultural and environmental characteristics of the new urbanization process and its spatial structures and urban policy of Seoul in the 1990s. Some experimental findings which have been identified throughout this study can be summarized as follows. First of all, Seoul, the largest city in S.Korea has experienced a restructuring process of economy, which has been promoted by the development of producer services as well as knowledge- based or high tech industries. Secondly, the autonomy of Seoul has increased after the introduction of local self-government, with relatively higher self-management of local finance than other cities, strengthening the tendency of enterpreneurialism, empowering civil movements, and increasing the political participation of women. Thirdly, in the socio-cultural aspect, the material wants to gain a certain identity through consumption, using urban environments culturally, varying consuming attitudes and ways of leisure times in relation with the rapid development of transportation and information communication. Fourthly, in the environmental aspect, Seoul has tried to introduce the concept of sustainable development in terms of increasing wants on the quality of life, and to develop a pro-environmental eco-city with environmental rehabilitation, constructing green space and eco-park. Finally, in the spatial dimension, Seoul has shown a structuration of multi-centers, with highly spectacular urban landscapes and seemingly authentic urban planning. These results make us confirm that Seoul has been in the process of new urbanization which can be distinguished from the previous one.

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Characteristics of Management of Facilities and Healing Programmes for Forest Therapy (산림치유 시설의 운영 및 치유 프로그램 특성에 관한 연구)

  • Park, Cheon-Bo;Choi, Joon-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.468-474
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    • 2021
  • Forest healing is a natural method that utilizes various natural environmental factors of forests to enhance immunity and to heal mental and physical pathologies. The aim of this study is to suggest implications for the future development of forest healing by analyzing the characteristics of facilities and programs in 28 national and public healing forests in Korea. The concept of forest healing and programs is defined, and healing forests operating in Korea are classified by size. The facility operation and program characteristics of healing forests were analyzed according to size, and the results were used to suggest a future direction for the development of domestic forest healing. The research results are as follows. First, domestic healing forests have gradually been reduced in size since they were first opened in 2009, which is the cause of the competitive creation of local governments. Second, healing spaces, forest paths, and programs for the elderly, pregnant women and disabled should be expanded. Third, lodging programs need to be expanded, and subsidies for usage fees from local governments are required. Institutional supplementation should be provided to link program development and facilities and to clarify procedures and standards for forest healing facilities.

Comparison of study affecting the use of dental sealant in consequence of its inclusion in the National Health Insurance coverage: Using data from the 5th-7th National Health and Nutrition Examination Survey(KNHANES) (치면열구전색 급여화에 따른 치면열구전색 수혜 비교 연구: 국민건강영양조사 제5기~7기 자료를 활용하여)

  • Kim, Mi-Jeong;Lim, Cha-Young;Son, Ju-Lee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.798-806
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    • 2020
  • Dental sealant is a procedure to prevent dental caries on the occlusal surface of healthy teeth. Raw data from the 6th-7th Korean National Health and Nutritional Examination Survey (KNHANES) were analyzed. This study was conducted to provide basic data which is necessary for the national health care project and for expanding the standards of coverage for the Dental sealant procedure. In this study, subjects were a total of 4,366 children from the age of 6 to 18 and surveyed for the Amount of Received Dental sealant and rate of Received Dental sealant. In 2012, the coverage rate for pit and fissure sealing procedures differed significantly in terms of age, residential area and average monthly income. This coverage varied as per average monthly income in 2014 and as per age and average monthly income in 2017 (P < 0.05). In 2014, average monthly income had a significant influence on the coverage rate, while age and average monthly income had a significant influence on it in 2017 (P < 0.05). These findings suggest that in order to increase the sealing procedure coverage, continuous promotion of dental sealant projects, reduction of copayments, inclusion of varied tooth types and age groups, expansion of coverage to isolated areas and inclusion of socially disadvantaged groups are necessary.

Effects of Private Insurance on Medical Expenditure (민간의료보험 가입이 의료이용에 미치는 영향)

  • Yun, Hee Suk
    • KDI Journal of Economic Policy
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    • v.30 no.2
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    • pp.99-128
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    • 2008
  • Nearly all Koreans are insured through National Health Insurance(NHI). While NHI coverage is nearly universal, it is not complete. Coverage is largely limited to minimal level of hospital and physician expenses, and copayments are required in each case. As a result, Korea's public insurance system covers roughly 50% of overall individual health expenditures, and the remaining 50% consists of copayments for basic services, spending on services that are either not covered or poorly covered by the public system. In response to these gaps in the public system, 64% of the Korean population has supplemental private health insurance. Expansion of private health insurance raises negative externality issue. Like public financing schemes in other countries, the Korean system imposes cost-sharing on patients as a strategy for controlling utilization. Because most insurance policies reimburse patients for their out-of-pocket payments, supplemental insurance is likely to negate the impact of the policy, raising both total and public sector health spending. So far, most empirical analysis of supplemental health insurance to date has focused on the US Medigap programme. It is found that those with supplements apparently consume more health care. Two reasons for higher health care consumption by those with supplements suggest themselves. One is the moral hazard effect: by eliminating copayments and deductibles, supplements reduce the marginal price of care and induce additional consumption. The other explanation is that supplements are purchased by those who anticipate high health expenditures - adverse effect. The main issue addressed has been the separation of the moral hazard effect from the adverse selection one. The general conclusion is that the evidence on adverse selection based on observable variables is mixed. This article investigates the extent to which private supplementary insurance affect use of health care services by public health insurance enrollees, using Korean administrative data and private supplements related data collected through all relevant private insurance companies. I applied a multivariate two-part model to analyze the effects of various types of supplements on the likelihood and level of public health insurance spending and estimated marginal effects of supplements. Separate models were estimated for inpatients and outpatients in public insurance spending. The first part of the model estimated the likelihood of positive spending using probit regression, and the second part estimated the log of spending for those with positive spending. Use of a detailed information of individuals' public health insurance from administration data and of private insurance status from insurance companies made it possible to control for health status, the types of supplemental insurance owned by theses individuals, and other factors that explain spending variations across supplemental insurance categories in isolating the effects of supplemental insurance. Data from 2004 to 2006 were used, and this study found that private insurance increased the probability of a physician visit by less than 1 percent and a hospital admission by about 1 percent. However, supplemental insurance was not found to be associated with a bigger health care service utilization. Two-part models of health care utilization and expenditures showed that those without supplemental insurance had higher inpatient and outpatient expenditures than those with supplements, even after controlling for observable differences.

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