• Title/Summary/Keyword: 의료비 통계

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The Association between Vinyl House Work and Low Back Pain among Some Rural Residents (일부 농촌지역주민의 비닐하우스 작업여부와 요통과의 관련성)

  • Kim, Kwi-Nam;Ryu, So-Yeon;Park, Jong;Lee, Jun-Haeng;Kim, Ki-Soon
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.145-159
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    • 1999
  • To find the association, between vinyl house work and the prevalence of low back pain, a questionnaire survey was made toward 215 vinyl house farmers and 228 general farmers without vinyl house who are cared by Jungjung Community health Practioners at Soobuk Myun, Damyang-gun, Chollanamdo. 1. Vinyl house farmers were significantly younger in age, higher in educational status higher survival rate of spouse, higher economic state and less cared by medical aid than general farmers. 2. Vinyl house farmers showed shorter career for agricultural work, used modern farming instrument more frequently and worked with sitting position. 3. During unbusy season in general agriculture, vinyl house farmers consumed significantly more time in agricultural work and general activity, but no significant difference of time of the above activity among busy season. 4. During the last spring season when most vinyl house work was performed, vinyl house farmers showed significantly higher prevalence of low back pain than general farmers, but no significant difference of prevalence among the two groups for the last one week. 5. By the simple analysis statistical significant related variables with low back pain was found to be sex(p<0.001), educational status(p<0.05), work posture(p<0.001) and use of modern agricultural machine(p<0.05). 6. By the multiple logistic regression the odds ratio for low back pain among vinyl house farmers were 2.08(95% confidence interval 1.31-3.00) compared to general farmers, the odds ratio among female was 2.35(95% confidence interval 1.24-4.47) to male, the odds ratio among illiterate persons were 2.60(95% confidence interval 1.24-4.47) to high school graduate, and the odds ration among primary school graduate was 2.19(95% confidence interval 1.04-4.47) to high school graduate. In conclusion because vinyl house farmers showed significantly higher rates of low back pain compared to farmers without vinyl house, continuous study to find the true cause of low back pain among vinyl-house farmers and active effort to prevent low back pain are necessary.

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Neutrophil-Lymphocyte Ratio as a Prognostic Factor in Terminally Ill Cancer Patients (말기 암 환자에서 호중구-림프구 비가 예후인자로서 생존기간에 미치는 영향)

  • Cho, Wan-Je;Hwang, Hee-Jin;Lee, Yong-Jae;Son, Ga-Hyun;Oh, Seung-Min;Lee, Hye-Ree;Shim, Jae-Yong
    • Journal of Hospice and Palliative Care
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    • v.11 no.4
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    • pp.181-187
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    • 2008
  • Purpose: In order to establish efficient palliative treatment plans. It is important to estimate the survival time of a terminally ill cancer patient as accurate as possible. Proper estimation of life expectancy aids not only in improving the quality of life of the patient, it also promotes productive communication between the medical staff and the patient. The aim of this study is to determine the efficacy of neutrophil-lymphocyte ratio as a predictor of survival time in terminally ill cancer patients. Methods: Between January 2004 and June 2007, 67 terminally ill cancer patients who were admitted or transferred for palliative care, were included. Patients were categorized into three groups by Neutrophil-Lymphocyte Ratio. Demographic characteristics, clinical characteristics and blood samples were analyzed. Results: In univariate analysis, survival time of the highest Neutrophil-Lymphocyte Ratio group (${\geq}12.5$) was significantly shorter than that of the others (hazard ratio (HR)=3.270, P=0.001). After adjustment for low performance status (ECOG score 4) and dyspnea, high Neutrophil-Lymphocyte Ratio (${\geq}12.5$) was significantly and independently associated with short survival time (HR=2.907, P=0.007). Neutrophil-Lymphocyte Ratio was also significantly increased before death (P=0.001). Conclusion: Neutrophil-Lymphocyte Ratio can be useful in predicting life expectancy in terminally ill cancer patients.

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Factors Affecting Occupation Awareness for Dental Hygienist in High School Students (고등학생의 치과위생사에 대한 직업 인지 관련 요인)

  • Cho, Young-Sik;Hwang, Hye-Rim;Joo, Seung-Mi;Choi, Jung-Yoon;Hwang, Mi-Ra
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.293-297
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    • 2011
  • The purpose of this study was to evaluate recognition of occupation title for dental hygienist in high school students. Total 210 students of one high school completed a self-reported questionnaire on sociodemographic characteristics, dental service utilization and occupation title awareness for health care personnels. Female and science tract students showed higher level of awareness for dental hygienist but showed no differences according to dental service utilization pattern. The study showed association between occupation recognition for dental hygienist and other health technicians. But there were no association between occupation awareness for dental hygienist and dentist, nurse. Gender, occupation recognition for medical laboratory technologists and physical therapist affect occupation recognition for dental hygienist.

A Survey on the Public Awareness of the Bioinformation Utilization (바이오정보 활용에 대한 시민 인식 조사 연구)

  • Choi, Kyujin;Kim, Byoungsoo;Oh, Byoung-il;Chang, Yeo-Kyung;Lee, Eun-woo;Byeon, Hyejin;Lee, Sangyun
    • Journal of Science and Technology Studies
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    • v.17 no.1
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    • pp.117-144
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    • 2017
  • In Korea, currently, only the growth possibility of bioinformation industry has received the public attention, and social discussion on bioinformation management is meager. Based on this critical perspective, this study investigates the current status of public awareness of the bioinformation which can be a basis for the social discussion for bioinformation management. The most significant characteristics identified in the survey is that many citizens, while expressing their agreement on the use of biometric technology by purpose and taking an open stance on national fingerprint information collection, have considerable concern for the identity authentication system using the current biometric technology. In particular, the survey pointed out that it is hard to trust the institutions that collect the bioinformation. Also, the public expressed the particular concern for the health data including the body information and showed overwhelming consent for the necessity of more stringent regulation compared with other personal information. In regards to the medical information gathered from medical institutions, nearly 80% of the survey respondents did not agree on providing the information to commercial enterprises, and even 60% of them disagreed on using it for academic and statistical research. This result well demonstrates that thorough management of the bioinformation is required for its utilization.

The Effects of Music Therapy by Self-Selected Music Listening on Terminal Cancer Patients' Affect and Stress by Pain Level (선호 음악 감상의 음악치료가 말기암환자의 통증 정도에 따른 정서 및 스트레스에 미치는 효과)

  • Lee, Eun-Hai;Choi, Sung-Eun
    • Journal of Hospice and Palliative Care
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    • v.15 no.2
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    • pp.77-87
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    • 2012
  • Purpose: This study investigated the effects that music therapy by self-selected music listening has on the affect and stress relief in adult patients who have been diagnosed with terminal cancer by pain level. Methods: Participants were 20 terminally ill cancer patients who were over 18 years old and were admitted to the hospice and palliative care unit of a local hospital. At the beginning of each session, participants selected music of their choice. Each participant had a total of six 30-minute music listening sessions. Participants were grouped into two according to their self-rated perceived pain scores on the visual analogue scale and numeric rated score: 5 and above and less than 5. Each participant completed a questionnaire on their affect state before and after each session and a questionnaire on their stress level before the first session and after the last session. Further analysis was performed to compare differences between the two groups according to pain level. Results: There were significant differences in patients' affect before and after each session (P<0.001) and stress level before and after the therapy (P=0.001). Conclusion: In this study, self-selected music listening had positive effects on terminal cancer patients' affect and stress regardless of perceived pain level. Therefore, self-selected music listening can be used as an appropriate intervention to improve affect and reduce stress in terminal cancer patients in the hospice and palliative care unit.

Current Status of Ophthalmic Optometry Laboratory Personnel in Korea, Japan, and the United States (한국, 일본, 미국 안과검사인력의 현황)

  • Okhwan, Jeon;Junbeom, Park;Dae Jin, Kim;Dae Eun, Kim;Cheol, Moon;Bon-Kyeong, Koo
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.285-292
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    • 2022
  • The education and training system, the ISCO (International Standard Classification of Occupations), and the legal systems of Japan and the United States consider all ophthalmic optometry laboratory personnel as ophthalmologists. They encompass optometrists, orthoptists, optometric technicians, and ophthalmic medical technicians. Data retrieved from the KOSIS (Korean Statistical Information Service) revealed that the number of opticians associated with the department of ophthalmology in 2022 could be appraised by classifying their medical institutions; contrarily, the number of clinical laboratory technologists could not be assessed. However, the current research investigated a general tertiary hospital and determined that clinical laboratory technologists outnumber opticians. Classification in Korea is based on ophthalmic optometry laboratory personnel, ISCO, ISCED (International Standard Classification of Education), the medical service act, the act on medical service technologists, and the higher education act. These results cannot be compared to the optometrists evaluated in the United States. Ophthalmology is a suitable profession for optometric technologists and technicians who perform under the instructions of ophthalmologists and optometrists. The field of eye healthcare would be benefitted by assigning the management based on their qualification according to the requirement of the job title, such as 'Clinical Optometry Technologist' to be given to clinical laboratory technologists and opticians who work in the ophthalmic optometry laboratories after obtaining a private qualification endowed by the Korean Ophthalmological Society and the Korean Optometry Society.

Mediating Effect of Self-efficacy in the Relationship Between Emotional Clarity and Subjective Well-being (정서인식명확성과 주관적 안녕감 간의 관계에서 자기효능감의 매개효과)

  • Jung-Myung Choi;Sun-Mee Kim
    • Journal of the Health Care and Life Science
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    • v.9 no.2
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    • pp.383-389
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    • 2021
  • The purpose of this study was to examine the relationship between emotional clarity and subjective well-being in college students, and to test whether self-efficacy had a positive effect on subjective well-being as a mediating effect. The study subjects were students attending a college located in C province, and the final 200 copies recovered were used for analysis. After statistical processing using SPSS 21.0, the collected data were analyzed by hierarchical regression analysis. The results of this study are as follows. When examining the effect of stage 1 emotional clarity on self-efficacy, it was found that emotional clarity was significant on self-efficacy. When examining the effect of stage 2 emotional clarity on subjective well-being, it was found that emotional clarity was significant on subjective well-being. Level 3 emotional clarity and self-efficacy had a significant effect on subjective well-being, and since the influence of emotion clarity decreased compared to level 2, self-efficacy was partially mediated. And when looking at the effect of self-efficacy on subjective well-being, self-efficacy was found to be significant on subjective well-being.

Cost-Effectiveness of VATS Versus Open Thoracotomy for Primary Spontaneous Pneumothorax (일차성 자연기흉의 수술 방법에 따른 비용효용 비교)

  • 장운하;오태윤;김미혜;최주원
    • Journal of Chest Surgery
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    • v.33 no.11
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    • pp.898-903
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    • 2000
  • 배경 및 목적: 최근 비디오 흉강경술은 최소 침습적인 수술 방법으로서 자연 기흉의 일반적 치료법으로 인정되고 있으나 비교적 높은 재발율과 비용-효용 관계에 대해서는 논란이 있다. 비디오 흉강경을 이용한 기포 절제술 후의 재발율은 평균 5-10%정도로 보고되고 있으며 이는 개흉술에 비해 상당히 높은 것이다. 또한 국내 의료 실정에서의 개흉술과 비디오 흉강경술의 비용효용에 대한 비교 통계는 없는 상황이다. 대상 및 방법: 1997년 1월부터 1999년 7월까지 일차성 자연기흉으로 성균관 의대 강북삼성병원 흉부외과에서 수술을 시행한 173예를 대상으로 후향적 조사하였다. 비디오 흉강경술로 시행한 104예와 개흉술로 시행한 69예를 양군으로 나누어 성별 및 연령, 발병부위, 수술의 적응증, 수술시간, 술 후 흉관 삽입기간 및 재원 일수, 술후 합병증, 재발율, 수술 경비 및 총치료경비 등을 비교하였다. 결과: 양군의 성별, 연령, 발병부위 등에는 차이가 없었다. 수술 시간은 흉강경군이 73.1$\pm$29.5분, 개흉군이 141$\pm$52분이었다.(p<0.05). 술 후 평균 흉관의 거치기간 및 재원일수는 흉강경군이 각각 3.93일 및 7.5일, 개흉군이 7.0일 및 13.4일이었다.(P<0.05, P<0.05). 술 후 재발한 경우가 비디오 흉강경군에서 6예(5.6%), 개흉군에서 1예(1.4%) 있었다(P<0.05). 본원에서 시행한 비디오 흉강경술과 개흉술의 비교에서 수술로 발생하는 비용은 비디오 흉강경군이 유의하게 높았으나 (1,202,192$\pm$178,992원, 1,005,669$\pm$311,531원; P<0.05) 총 치료비의 비교에서는 유의한 차이가 없었다.(1,946,110$\pm$487,440원, 1,793,912$\pm$308,079원; P=0.18). 결론: 비용 효용관계 및 재발율은 병원마다의 수술 수기 및 퇴원 정책등에 따라서 다소간의 차이가 있을 수 있으나 본원의 조사 결과에서는 비디오 흉강경술이 개흉술에 비해 비용-효과가 있다고 볼 수 없으며 재발율도 높았다.

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A convergence study on sex differences in association between age at drinking onset and BMI (음주시작연령과 BMI의 연관성에 대한 융복합 연구: 성별 차이를 중심으로)

  • Heo, Min-Hee;Jang, Ha-Eun;Jeong, Yun-Ji;Noh, Jin-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.131-142
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    • 2022
  • This study aims to explore the relationship between onset drinking age and the current Body Mass Index (BMI) level stratified by sex. This study used the data of Korea Community Health Survey (KCHS) 2019, of which 206,987 participants included in study populations for multivariable binomial logistic regression model. The study results show the evidence that the early age of onset alcohol consumption had significantly associated with abnormal BMI status in adult male. These results could be explained by high alcohol consumption and sex difference in social atmosphere which encourages men to drink more. Our findings suggest the need to prevent problem drinking for reducing the long-term side effects of health.

A Study on the Actual Conditions of Denture Prosthodontics used by the Elderly Aged 65 or Older in Seoul (시술장소에 따른 65세 이상 노인의 의치보철 실태 조사연구)

  • Jung, Jung-Ock
    • Journal of dental hygiene science
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    • v.7 no.3
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    • pp.113-119
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    • 2007
  • This study attempts to find factors contributing to the use pattern of prosthetics by investigating the current condition of prosthetics for the aged of over 65 years old by place of practice. Among those of over 65 years old who live in Gangnam-gu, Seocho-gu, Seongbuk-gu, and Gwanak-gu of Seoul and use the apartment senior's center, those having prosthetics were selected as subjects of this study, and this study was conducted in forms of interview and record. Findings of this study are summarized as follows: First, in regard of the state of prosthetics and relevant symptoms in the mouth according to the place of prosthetics practice, there was significant difference in the questions except the medical benefit of prosthetics between unlicensed facilities and dental clinics and hospitals. Second, regarding difference in satisfaction according to the place of prosthetics practice, dental clinics and hospitals showed a higher level of aesthetic satisfaction than unlicensed facilities. For difference in satisfaction at pronunciation, chewing, pain, a sense of foreign body, and holding power, dental clinics and hospitals showed a higher level than unlicensed facilities, Third, after factor analysis on the perception factors of unlicensed treatment and dental treatment, unlicensed facilities showed the highest level of reliability, and then convenience, word of mouth, and modernity in order. Dental clinics and hospitals also showed the highest level of reliability, however, and then convenience, modernity, and word of mouth in order. Fourth, as a consequence of analyzing the factors to influence the use pattern of prosthetics, regarding residential pattern, there were higher possibilities to use dental clinics and hospitals when the subjects lived together with their children and in Gangnam, and the more were the number of pyeong for the residence, pocket money, medical expense, and property in their name, compared to unlicensed facilities. In conclusion, economic factors appear to be the most important factors in selecting facilities for denture prosthodontics. Therefore, it is important to ensure the denture prosthodontics for the elderly are reimbursable so that they can enjoy a healthier life.

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