• Journal of agricultural medicine and community health
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• v.38 no.1
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• pp.14-24
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• 2013

Objectives: Pregnant women in rural areas do not have access to sufficient obstetric services in their own communities due to the shortage of obstetricians. Therefore, most of these women must seek obstetrician outside of their communities. The purpose of this study was to investigate the relationship between obstetric complications and accessibility to local obstetric care in Korea. Methods: This study was an ecological study in which the unit of analysis was an administrative district. Using Korea National Health Insurance Corporation data, the total number of deliveries and the delivery proportion within and outside of the community from 2001 to 2008 were calculated for 232 administrative districts nationwide. Three outflow levels were categorized based on each district's out-of-community delivery proportion: high outflow (upper one third), moderate outflow (middle one third), and low outflow (lower one third). In addition, three obstetric complication rates (the rate of complications following abortion, ectopic and molar pregnancy, the abortion rate, and the eclampsia rate) were calculated for the 232 districts. One-way ANOVA and multivariate linear regression were used to evaluate obstetric complications among the three outflow levels. Results: The high outflow districts had higher rates of eclampsia and complications following abortion, ectopic, and molar pregnancy compared to the other districts (ANOVA, p<0.05). However, there was no significant difference in the abortion rate among the three groups. Multiple linear regression analysis showed that high outflow districts were statistically significant in the rate of complications following abortion, ectopic and molar pregnancy and eclampsia rate after adjusting for local tax per capita (p<0.01). Conclusion: These results indicate that poor access to local obstetric care correlate with poor obstetric outcomes (delayed or excessive bleeding, embolism, genital tract or pelvic infection, shock or other complications following abortion and ectopic or molar pregnancy, or eclampsia).

• Journal of dental hygiene science
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• v.16 no.3
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• pp.249-255
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• 2016

The Ministry of Health and Welfare in Korea has enforced the oral health promotion program for elderly in Korea. There are the denture delivery program and the fluoride application-scaling program for elderly. Donggu Public Health Center in Daejeon has delivered the fluoride application-scaling program for elderly since the demonstration project in 2009. The official dental hygienists had a prior consultation with Dong-gu branch of Korean Senior Citizens Association in Daejeon. We expanded the program through government office, welfare centers, and nursing homes. The participants were satisfied with the public relations (95.2%), scaling (99.7%), fluoride application (91.5%), toothbrushing education (98.6%), and denture cleaning education (96.6%). After a medial accident with persistent bleeding, the pre-inspection survey about systemic disease and medication was reinforced. The official dental hygienists have agonized over the low participation of the low-income group and the overlap benefit with health insurance benefit of scaling. We suggested it be needed the assessment of the public oral health program to overlap with health insurance benefit.

• Journal of the Korean Society of School Health
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• v.30 no.3
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• pp.181-193
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• 2017

Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.115-115
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• 2021

식생은 증발산, 강우, 토양 수분 등 다양한 수문기상 요인과 밀접한 관계가 있기 때문에 식생의 상태는 가뭄 발생 시 물 부족에 매우 큰 영향을 받는다. 가뭄에 따른 식생의 변화와 영향을 파악하기 위해서는 식생-기후의 피드백을 이해해야 한다. 식생과 기후변수의 상호관계를 묘사하고 결합 확률을 구성하는 것은 식생-기후의 피드백을 이해하는데 적절하다. Copula 함수는 모든 변수를 연결하는 이점을 가지기 때문에 다양한 확률 변수를 결합하는 강력한 접근방법으로, copula를 통한 확률론적 접근방법은 수문 기상 스트레스에 대한 식생의 반응을 효과적으로 조사할 수 있다. 이에 따라 본 연구에서는 copula 기반의 식생-기후의 상호관계를 통해 가뭄 발생 시 식생이 받을 수 있는 영향을 정량화하고자 한다. 이를 위해 위성 자료를 활용한 식생건강성지수(Vegetation Health Index, VHI)와 위성관측된 강수 및 잠재증발산 자료를 적용하여 높은 공간 해상도에서 한국 전역의 식생 가뭄 가능성을 추정하고자 하였다. 강수 및 잠재증발산 자료를 통해 다양한 가뭄지수를 산정하고, copula 결합 이론을 기반으로 VHI와 가뭄지수 간의 이변량 결합 확률모델이 제안된다. 이에 조건부 확률을 적용하여 다양한 가뭄 시나리오에서 식생의 가뭄 가능성을 추정하고, 가뭄에 취약한 지역을 공간적으로 분석하고자 한다. 이를 통해 가뭄 스트레스에 따른 식생 변화와 생태학적 가뭄의 공간적 특성을 효과적으로 파악할 수 있을 것으로 기대된다.

• Proceedings of the Korea Water Resources Association Conference
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• 2022.05a
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• pp.477-477
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• 2022

환경문제가 사회적으로 크게 대두되면서, 환경 보전 및 복원에 대한 국민들의 관심이 높아졌다. 특히 하천의 경우, 시민들의 레저 활동 및 휴식을 위한 공간으로도 활용되고 있어 청정한 환경 유지를 위한 노력이 필요하다. 하천의 생태기능은 하천에서 살아가는 각종 생물의 서식 조건을 유지함으로써 하천이 환경적으로 건강한 상태를 유지하도록 하는데 매우 중요한 역할을 한다. 우리나라는 70년대 이후부터 오염물질로부터의 수량 보장 등의 목적으로 하천 유지유량을 설정하여 관리하고 있다. 최근에는 이러한 단순 수질 환경 및 물수요의 충족을 위한 취수량 확보 목적을 넘어 수생태계 보호를 위한 유량인 환경생태 유량의 확보가 중요한 문제로 대두되고 있다. 일반적으로 생태계 기능을 보존하는데 필요한 최적 또는 최소 유량에 대한 평가는 다양한 종의 어류에 대한 하천의 유량과 서식지 가용성 사이의 관계를 정의하는 서식지 기반 모델에 의해 수행되어왔으며, 이를 위해서 우선적으로 하천 단면에 대한 수위, 유량, 지반고 등의 하천 고유 특성에 대한 정보를 필요로한다. 이에 본 연구는 생태유량 산정에 앞서 HEC-RAS(하천 분석 시스템)를 이용하여 한강권역내 생태유량 산정을 위한 취약지역 3지점에 대한 하천 단면 정보에 대한 분석을 진행하였다. 본 연구 결과는 한강권역 환경생태유량 산정 및 하천 관리를 위한 기초자료로 활용할 수 있을 것이다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.12
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• pp.581-588
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• 2017

This study was conducted to determine which factors would predict metabolic syndrome (MetS) perception and exercise by applying a machine learning classifier, or Extreme Gradient Boosting algorithm (XGBoost) from July 2014 to December 2015. Data were obtained from the Korean Community Health Survey (KCHS), representing different community-dwelling Korean adults 19 years and older, from 2009 to 2013. The dataset includes 370,430 adults. Outcomes were categorized as follows based on the perception of MetS and physical activity (PA): Stage 1 (no perception, no PA), Stage 2 (perception, no PA), and Stage 3 (perception, PA). Features common to all questionnaires for the last 5 years were selected for modeling. Overall, there were 161 features, categorical except for age and the visual analogue scale (EQ-VAS). We used the Extreme Boosting algorithm in R programming for a model to predict factors and achieved prediction accuracy in 0.735 submissions. The top 10 predictive factors in Stage 3 were: age, education level, attempt to control weight, EQ mobility, nutrition label checks, private health insurance, EQ-5D usual activities, anti-smoking advertising, EQ-VAS, education in health centers for diabetes, and dental care. In conclusion, the results showed that XGBoost can be used to identify factors influencing disease prevention and management using healthcare bigdata.

• 한국노년학
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• v.39 no.3
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• pp.415-427
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• 2019

This study examined the effects of eating with others on depressive symptoms among the community-dwelling older adults by family arrangement, using the Korea National Health and Nutrition Examination Survey 7th (2016). A total of 1,233 older adults aged over 65 was included in this analysis. Eating status (alone / with others) and family arrangement (living alone / living with family) were dichotomized based on the original questionnaire. Among 955 older adults who live with family members, 855 persons (89.5%) eat together and 100 persons (10.5%) eat alone. Among 278 older adults who live alone, 86 persons (30.9%) eat together and 69 persons (69.1%) eat alone. Regression analysis controlling for demographic and health related factors, eating with others was significantly related to lower levels of depressive symptoms in the group of older adults who live with family members (β = -1.663, p <.001), while there is no statistical significance (β = -0.856, p = .148) in the counterpart. Therefore, various types of community-based programs need to be developed to encourage older adults to eat with other in their ordinary lives. It is also recommended that the community has to offer consistent care and support for the elderly particularly who live alone.

• Korean Journal of Health Education and Promotion
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• v.24 no.4
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• pp.65-85
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• 2007

Objectives: The purpose of this study was to identify the major health problems of poor children, and to provide basic information for developing health care program for low income children in underserved area. Methods: Health data were collected through medical examination(KAHP Social Welfare Service) and analysed for 3,081 poor children in 106 local children's centers nationwide. Results: 1. The mean height and weight of poor children were lower than those of nonpoor children. The differences were increased by age. 2. The rate of relative low weight was higher in poor children than in nonpoor children. On the contrary, The obesity rate was higher in nonpoor children than in poor children. 3. Poor children were more likely to have vision problem, anemia, high blood pressure, and oral health problems than nonpoor children. 4. The Health problems of children were the most serious in single father family. Conclusion: In order to improve children's health status, health promotion program for poor children should be developed and implemented. Health promotion program should include activities including regular health examination, home visiting, nutrition support, managed health care, health counseling and education. And the community support network was suggested for the efficacy of the program, including home, school and community.

• Journal of the Korea Convergence Society
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• v.13 no.5
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• pp.501-508
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• 2022

It has been found that the incidence and mortality of COVID-19 are high in patients with underlying chronic diseases. Amid COVID-19 pandemic, tooth brushing is as important as hand washing for health care. The aim of this study was to identify factors related to the rate of tooth brushing and hand washing in hypertensive patients. We analyzed 62,762 hypertensive patients over the age of 40 from the Community Health Survey 2020. The practice rate of hand washing was higher among women, younger age, higher education level, mask wearers when going out, and tooth brushing practitioners after lunch. The hand washing practice rate was higher in hypertensive patients who practiced tooth brushing. In conclusion, there was the relationship between oral hygiene and personal quarantine. It is necessary to prepare sustainable measures to increase the practice rate of infectious disease prevention behaviors for patients with underlying chronic diseases who are susceptible to COVID-19.

• Journal of the Health Care and Life Science
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• v.9 no.2
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• pp.231-235
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• 2021

This study collects and provides environmental data related to weather by measuring the concentration levels of fine dust at different altitudes, with the aim of forecasting fine dust concentration changes, particularly in the areas where the vulnerable reside. Institutions in the healthcare-related fields can use the real-time data on the changing fine dust concentration, which is collected through different combinations of various measuring devices and drone technologies, which have recently developed at a rapid pace. The study first collects data on the following: PM1 (fine dust particles <1 ㎛ in size), PM2.5 (fine dust particles <2.5 ㎛ in size), and PM10 (fine dust particles <10 ㎛ in size) and predicts respective changes and suggests data on various high levels. The device that was used in the study measured fine dust concentration, humidity, temperature, atmospheric pressure, carbon dioxide, total volatile organic compounds (TVoc), and formaldehyde.