• The Journal of the Korea Contents Association
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• v.11 no.10
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• pp.380-387
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• 2011

This study was to investigate the effects of music-combined respiration and oral motor training on the voice of healthy elderly. 27 women attending a senior center in Seoul participated and were randomly assigned to the experimental (n = 16) and the control group (n = 11). Subjects attended music program(25 minutes per session) once a week for 4 weeks. For both groups, Fundamental Frequency (F0), Maximum Phonation Time (MPT) and Sequential Motion Rates (SMR) were measured using the Praat speech analysis program before and after the training. The results showed statistical significance in scores of intensity, F0, MPT, and SMR in the experimental group while only intensity was statistically significant in the control group. Considering that, the increasing life expectancy and growing number of older adults, their quality of life has been important. So this study suggests that the respiration and oral motor training would be effectively incorporated into training and services for this population.

• Journal of Korea Entertainment Industry Association
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• v.14 no.3
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• pp.41-50
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• 2020

The purpose of this study is to identify the value of the liberal arts physical education class that contribute to the future wellness life. For this study, the records of the participants in the study were analyzed in nine participants who participated in the liberal arts physical education class of Seoul * University in 2019 during the first semester. The results of this study are as follows. First, students' interest in health increased through the liberal arts physical education class, and students set their life expectancy and confirmed diseases that are obstacles to living happily. And they became aware of the importance of health. Second, students' interest in health increased and they performed behaviors for health. Students reflected on their current life, reflected on bad lifestyles, and confirmed the importance of regular exercise and desirable eating for health. Third, students experienced positive changes in life by performing life movement and healthy life. Students performed regular exercises for health, improved eating habits, and practiced healthy lifestyles. By practicing these actions, these students laid the foundation for future wellness life. In the end, students have laid the foundation for healthy and happy life through the liberal arts physical education class. Therefore, it is thought that the liberal arts physical education class needs to be more activated in order to pursue wellness life for future health and happiness.

• Health Policy and Management
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• v.28 no.3
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• pp.240-250
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• 2018

By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.

• Health Policy and Management
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• v.17 no.4
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• pp.31-53
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• 2007

The purpose of a national health care system is to improve health care outcome among population. The objective of the study was to explore the determinants of health outcome in the 24 OECD countries between two health care financing systems. The study employed the pooled time series and cross-sectional analysis with tax-funded and social insurance-funded countries over the period of 1980 to 1999 using OECD Health Data 2002. The study revealed that health expenditure per capita, physicians per 1,000 of the population and calorie intake were positively significantly associated, smoking rate was negatively associated with health outcome while controlling all variables in the tax-funded countries. But in the insurance-funded countries, health expenditure per capita and the number of physicians were not statistically significant factors explaining health outcome. Only the calorie intake was positively associated with, and smoking rate, alcohol consumption per capita, and total nitrogen oxide emission per capita were negatively significantly associated with health outcome. In conclusion, healthy life style factors were much more important to improve health outcome in the both systems.

• Health Policy and Management
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• v.26 no.4
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• pp.352-358
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• 2016

Summary measures of population health (SMPHs) have been used to estimate the burden of diseases. Among various type of SMPHs, disability adjusted life year (DALY) and healthy life expectancy (HALE) have been calculated in the global and national burden of disease studies. In order to calculate DALY and HALE, disability weight is an essential element. Disability weights quantify the level of disability for health states or diseases and have values between 0 (full health) to 1 (being dead). In this study, we reviewed the main disability weights studies and determined their meaning and limitations. Furthermore, we provided the whole process of typical disability weight study and reviewed key issues as follows: health state or disease description development, panel composition, valuation method, validation of disability weight, cross-cultural variability in health state or disease, and so on. The results from this study will be helpful to conduct future disability weight studies for adapting disability weights and developing new methodologies.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.295-304
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• 2021

The purpose of this study aimed to examine the effect of use of MSG, balanced eating habit, perceived life happiness on psychological satisfaction with food in elementary, middle, and high school parents. In addition, the mediation effect of reducing unbalanced eating habit on the relationship between psychological satisfaction with food and use of MSG. For this analysis, 800 samples were collected from parents in Seoul metropolitan area. Regression analysis and mediation analysis with boostrapping were conducted. The findings of this study were as follows: (1) Group using MSG is more satisfied with food-related life than group not using it. (2) Perceived life happiness and healthy eating habit were positively related to satisfaction with food-relate life. Lastly, (3) Reducing of unbalanced eating habit was a partial mediator of the relationship between use of MSG and satisfaction with food-related life. It suggests that there is an association between use of MSG and satisfaction with food-related life, the positive effects of which may be mediated by expectancy of reducing unbalanced diet.

• Journal of the Korean Data and Information Science Society
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• v.28 no.5
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• pp.1069-1076
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• 2017

Recently, with the development of advanced medical technology and the introduction of most advanced medical equipments, life expectancy increases accordingly. Many people want to live long-lived in health. Therefore, if it is possible to pre-diagnose the sub-health condition and formulate an appropriate treatment plan, we can prevent the disease and reduce social expenditure costs. In this study, we statistically analyzed the data in responding to each questionnaire for healthy biorhythm and sub-health among targeted members of a specific group. The analysis for the effects of healthy biorhythm to male and female showed that there was a significant difference between male and female. In the analysis of the effects of the conditions of healthy biorhythm to the 10 sub-health indicators, the significant effects of good and bad condition has been observed. The results of the decision tree analysis showed that all the respondents with poor hormone and urological sub-health status have bad healthy biorhythms. In summary, in this paper we have shown that it may be possible to improve the sub-health condition and prevent disease in advance if the healthy biorhythm is well controlled.

• Journal of Yeungnam Medical Science
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• v.40 no.2
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• pp.218-222
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• 2023

A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients' emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient's perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient's emotional state. Tailoring the level of advice and diabetes targets based on a patient's personal and contextual factors requires mindfulness by clinicians.

• Journal of Venture Innovation
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• v.1 no.2
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• pp.141-156
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• 2018

The average life expectancy in Korea was 62.3 in 1970 and 82.3 in 2016, which increased by more than 20 years and it's expected to enter super-aged society after passing through the aged society. The poverty, loneliness, inactivity, and disease which were called as four problems of senior citizens have become social issues. Thus, the project for creating job opportunities for the elderly(Project supporting social activity of seniors) was carried out as the senior welfare policy. First purpose was to help the elderly engage in society actively, make their income and build up health while preventing the problems of the aged and reducing social cost as well. The second purpose was to help them live healthy later lives through various jobs. This study aimed to investigate whether the project for creating job opportunities for the elderly increased quality of later lives through health promotion and healthy later lives while engaging in the society, rather than making income according to its purpose, by conducting the survey before and after participating in the project for creating job opportunities for the elderly. It's expected to see this study could contribute to making more opportunities for the senior citizens to engage in the society continuously, rater than making money.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.6085-6088
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• 2013

Prostate specidic antigen (PSA) and digital rectal examination (DRE) are the known predictive factors for positive prostate biopsies differing according to the age, region and race. There have been only very limited studies about the impact of PSA on histological findings at prostate biopsy in Turkey. The aim of this study was to evaluate the impact of PSA and clinical stage on histologic findings of prostate biopsy in men older than 75 years of age as a first study in the Turkish population. A total of 1,645 consecutive prostate biopsies were included, with 194 men aged 75 or older. Cancer was identified in 104 patients (53.6%). Of the 104 positive biopsies, Gleason scores were less than 7 in 53 (49%) patients, 7 or greater in 51 (51%) patients. Positive prostate biopsies were significantly correlated with advanced age (p=0.0001), abnormal DRE (p=0.0001) and raised PSA (p=0.0001). The prostate volume was significantly correlated with advanced age especially in prostate cancer patients over 75 years, compared with those under 75 (p=0.0001). These results are useful for counseling men older than 75 years for prostate cancer detection. However, PCa screening decisions are currently based on urologist judgment and detection of latent asymptomatic disease is an important concern regarding costs, overdiagnosis, overtreatment and quality of life (QOL) for men aged 75 years and older. Healthy old patients with a long life expectancy need to be carefully evaluated for eligibility for PCa screening.