• Journal of Preventive Medicine and Public Health
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• v.52 no.1
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• pp.21-29
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• 2019

Objectives: The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality. Methods: We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes. Results: We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality. Conclusions: The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.

• Iberoamérica
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• v.13 no.1
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• pp.69-94
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• 2011

Chile has been the first country in Latin America which has built a two-tiered health care system by partially privatizing the health insurance sector. Despite the intial decrease of health expenditure, more researches now show that health inequality within the Chilean health sector has been augmented with privatization of its insurance system. To explore such inequality, this article looks into the impact of privatization of health insurance on women's health. The author argues that privatization has intensified medicalization of women's body and, consequently, it worsened women's health in Chile. This article contributes to a more comprehensive understanding of market-oriented health care reform by linking it with medicalization process.

• Research in Community and Public Health Nursing
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• v.23 no.3
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• pp.338-346
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• 2012

Purpose: The purpose of this study was to examine the association between oral health impact profile, depression and quality of life among community-dwelling elderly persons in South Korea. Methods: The design of this research was cross-sectional descriptive study. The participants were 266 community-dwelling individuals aged 65 and older. Data were collected from November 20 to December 20, 2011. The measurements for assessing the subjects' oral health, depression, quality of life were OHIP-14, GDS-SF and QOL. Data were collected using self-administered or interviewer-administered questionnaires. Collected data were analyzed using descriptive statistics, Pearson's correlation coefficient and stepwise multiple regression. Results: The participants' mean age was 77.68, and 86.5% were female, 42.9% were living-alone elders. Pearson's correlation coefficient analysis found that oral health impact profile was significantly associated with depression (r=-.622, p<.001), QOL (r=-.400, p<.001), number of disease (r=.298, p<.001), age (r=.198, p=.002), education (r=-.149, p=.015), eating habit (r=.185, p=.003). The QOL was explained 54.7% by depression (${\beta}$=-.619), oral health impact profile (${\beta}$=-.127), number of benefited welfare service (${\beta}$=.235), perceived health (${\beta}$=-.327), eating habit (${\beta}$=-.094) using stepwise multiple regression analysis. Conclusion: These results indicate that the intervention program of oral health promotion for community-dwelling elders is needed from now on.

• Journal of the Korean Institute of Gas
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• v.24 no.5
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• pp.20-28
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• 2020

In this study, the damage impact range in the case of a hydrofluoric acid leak accident was predicted using formula calculation, impact assessment simulations, and CFD simulations, and the results were compared and analyzed with the actual environmental impact report. Formula calculation was performed by using the leak source model and diffusion model. Impact assessment simulation was performed by KORA provided by the Korean Ministry of Environment, ALOHA by the United States Ministry of Environment, and PHAST, which is relatively widely used among commercialization programs, and the STAD-CMM+program for CFD simulation. Was utilized. Considering convenience, speed, acceptability, and economics from the user's perspective, ALOHA and KORA were the most appropriate methods for predicting the impact of hydrofluoric acid leakage. In addition, the results of this study will help to reduce unnecessary regulations in the process of government policy development and optimize the investment in the safety field of the company, effectively utilizing the limited resources of the government and the company.

• The Korean Journal of Pain
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• v.34 no.2
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• pp.139-155
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• 2021

The quality of subgroup analyses (SGAs) in chronic non-cancer pain trials is uncertain. The purpose of this study was to address this issue. We conducted a comprehensive search in MEDLINE and EMBASE from January 2012 to September 2018 to identify eligible trials. Two pairs of reviewers assessed the quality of the SGAs and the credibility of subgroup claims using the 10 criteria developed by Sun et al. in 2012. The associations between the quality of the SGAs and the studies' characteristics including risk of bias, funding sources, sample size, and the latest impact factor, were assessed using multivariable logistic regression. Our search retrieved 3,401 articles of which 66 were eligible. The total number of SGAs was 177 of which 52 (29.4%) made a subgroup claim. Of these, only 15 (8.5%) were evaluated as being of high quality. Among the 30 SGAs that claimed subgroup effects using an appropriate method of performing interaction tests, the credibility of only 5 were assessed as high. None of the subgroup claims met all the credibility criteria. No significant association was found between the quality of SGAs and the studies' characteristics. The quality of the SGAs performed in chronic pain trials was poor. To enhance the quality of SGAs, scholars should consider the developed criteria when designing and conducting trials, particularly those which need to be specified a priori.

• Journal of Environmental Impact Assessment
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• v.30 no.6
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• pp.413-424
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• 2021

Health impact assessment in the environmental impact assessment is conducted to determine whether to exceed the standard of each single substance and to establish appropriate reduction measures. In some development projects, although all substances in risk assessment meet the standard, exposure concentration is very close to it. However, considering the cumulative exposure of all substances, health effects are likely to occur considerably severer than those of individual substances, so it is necessary to prepare a concrete and improved methodology for integrating evaluation of emissions to identify the health effects actually exposed to receptors of living things. This study established the definition of cumulative risk assessment through overseas advanced cases and domestic and foreign literature reviews, and proposed a methodology for utilizing cumulative risk assessment considering health effects on multiple substances when developing industrial complexes. Applied by the proposed methodology, integrated indicators forfourtypes of hazardous heavy metals (Ni, Cr⁶⁺, Cd, As) emitted from industrial complexes were calculated, and applicability was tested with case of the industrial complex development projects conducted over the last decade (2011-2020).

• Journal of Environmental Impact Assessment
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• v.29 no.6
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• pp.453-466
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• 2020

The addition and evaluation of health impact items in Environmental Impact Assessment document are written in hygiene and public health items only for specific development projects and are being reviewed. However, after the publication of the evaluation manual on the addition and evaluation of health impact items in 2011, there is a demand for continuous methodology and improvement plans despite partial improvement. Therefore, in order to propose a methodological improvement of the evaluation manual, this technical paper identified detailed improvement requirements based on the consultation opinions on hygiene and public health items, and investigated and suggested ways to solve this problem by reviewing the contents of the research so far. As for the improvement requirements, the contents related to mitigation plan, post management, effect prediction, assessment, and present-condition investigation were presented in Environmental Impact Assessment documents for the entire development project at a frequency of 93%, 85%, 80%, 74%, and 67%, respectively. Particularly, the detailed improvement requirements related to mitigation plan consisted of an establishment direction and a management of development project. Considering the current evaluation manual and the frequency of improvement requirements, this paper proposed concrete methods or improvement plans for major methodologies for each classification of hygiene and public health items. Furthermore, a comprehensive evaluation methodology related to whether a project is implemented was proposed, which is not provided in the current assessment manual.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.12
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• pp.5920-5925
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• 2012

The purpose of the study is to investigate the factors affecting the quality life of oral health according to the knowledge and behavior related with oral health and childcare teachers. Total 205 childcare teacher who working in Busan participated in this survey. The knowledge on oral health has an effects on oral health practice with ${\gamma}$=.155 and t=2.539 but this doesn't show meaningful effects on dietary pattern. Oral health is not affected by oral health practice with ${\beta}$=-.001, t=-.008 but dietary patterm has an effects on oral health impact profile with ${\beta}$=.172, t=2.560. Oral health impact profile show meaningful effects on total health index with ${\beta}$=.582, t=10.275. The results show that the oral health program for childcare teacher should be developed to prevent oral disease and oral health impact profile should be improved for not only childcare teachers but also children.

• Proceedings of the Korean Environmental Health Society Conference
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• 2006.06a
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• pp.3-14
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• 2006

• The Journal of Industrial Distribution & Business
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• v.10 no.2
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• pp.17-23
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• 2019

Purpose - This study aims to clarify the impact of smart health gadgets (specfically, smart watches/sports wristbands) on promoting healthy behavior. It also aims to understand the use and characteristics of the devices, to explore the relationship between device factors and factors that affect healthy behavior, and to discuss the development of health promotion. Research, design, data, and methodology - Smart device users were investigated through a random sampling method of 185 respondents, including all ages and all levels of occupation, education, and income. The SmartPLS 3.0 software enabled the path analysis and the descriptive statistical analysis; the theoretical model was evaluated for the parameter analysis. Results - The size and path of each factor impacting health promoting behavior were ascertained. The objective factors that attract users to the smart wristband were investigated as well as the methods by which the device and the HPM are bound to each other and the correlation factors to seek out the closest relationship. Conclusions - According to the analysis, the real-time smart watch/sports wristband exerts a positive impact on one's health promoting behavior. Health awareness is increasingly promoted in the process of using the device, and the impact of health awareness and self-efficacy effects on healthy behavior is considerable.