• 제목/요약/키워드: Risk Adjustment

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Relationship between consumption of nutrition and periodontal diseases in Korean menopausal women: Based on the Korea national health and nutrition examination survey in 2013 (폐경기 여성의 영양소섭취에 따른 치주질환과의 관련성: 국민건강영양조사 제6기 1차년도(2013) 자료를 이용하여)

  • Hwang, Su-Yeon;Kim, Hae-Young
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.1
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    • pp.93-101
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    • 2018
  • Objectives: The purpose of this study was to investigate the relationship between consumption of nutrition and periodontal diseases in the Korean menopausal women. Methods: The data used for analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2013). Subjects were 1,407 women aged over 35 years old. Data were analyzed by chi-square and t-test. Multiple regression analysis was also performed to assess the association between nutrition and periodontal diseases. Statistical significance level was set at p<0.05. Results: Using multiple logistic regression analysis after adjustment of age, education level, and BMI, we found significant relationship between intake of protein (OR: 0.31, 95%CI: 0.14-0.65), carbohydrate (OR:3.31, 95%CI 1.90-5.77) and risk for periodontitis. Conclusions: dequate intake of protein and decreased intake of carbohydrate may be recommended for prevention of periodontal diseases in the menopausal women.

Detection of superior genotype of fatty acid synthase in Korean native cattle by an environment-adjusted statistical model

  • Lee, Jea-Young;Oh, Dong-Yep;Kim, Hyun-Ji;Jang, Gab-Sue;Lee, Seung-Uk
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.6
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    • pp.765-772
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    • 2017
  • Objective: This study examines the genetic factors influencing the phenotypes (four economic traits:oleic acid [C18:1], monounsaturated fatty acids, carcass weight, and marbling score) of Hanwoo. Methods: To enhance the accuracy of the genetic analysis, the study proposes a new statistical model that excludes environmental factors. A statistically adjusted, analysis of covariance model of environmental and genetic factors was developed, and estimated environmental effects (covariate effects of age and effects of calving farms) were excluded from the model. Results: The accuracy was compared before and after adjustment. The accuracy of the best single nucleotide polymorphism (SNP) in C18:1 increased from 60.16% to 74.26%, and that of the two-factor interaction increased from 58.69% to 87.19%. Also, superior SNPs and SNP interactions were identified using the multifactor dimensionality reduction method in Table 1 to 4. Finally, high- and low-risk genotypes were compared based on their mean scores for each trait. Conclusion: The proposed method significantly improved the analysis accuracy and identified superior gene-gene interactions and genotypes for each of the four economic traits of Hanwoo.

Factors Influencing the Experience of Depression among School-aged Children from Multicultural Families (다문화 가정 학령기 아동의 우울 영향 요인)

  • Moon, So-Hyun;Lee, Min-Kyeong;Lee, Mi-Jeong;Shim, Ha-Jin;Cho, Hun Ha
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.434-442
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    • 2018
  • Purpose: The purpose of this study was to investigate factors affecting the experience of depression in school-aged children from multicultural families. Methods: Data from 1,812 school-aged children of multicultural families were collected from the 2015 National Multicultural Family Survey. Logistic regression was conducted based on complex sample analysis using SAS 9.4. Results: Significant predictors for experiencing depression were lower self-esteem, lower Korean proficiency, less time spent conversing with the father, lower degree of parental interest, poorer school adjustment, greater difficulties with schoolwork, and experiencing violence at school. Conclusion: This study showed that factors related to the individual, family, and school environment influenced the experience of depression. Based on a consideration of these factors, it is necessary to develop an effective program to prevent depression by establishing high-risk criteria for depression.

The Directions of Supporting Policy and Education Strategy for Young Agricultural Workforce (농업후계인력 육성을 위한 농촌청소년교육 및 지원방향)

  • Oh, Hae-Sub;Kim, Jeong-Joo
    • Journal of Agricultural Extension & Community Development
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    • v.9 no.2
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    • pp.185-197
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    • 2002
  • The supporting system for agricultural workforce and education strategy has been changing both domestically and worldwide range term. To change the fundamental directions, much more needs to be learned about the process of structural adjustment regarding the dynamics of the agricultural and rural sectors. A rural development doctrine must pay more attention to the ongoing problems of population imbalance and the dissolution of the countryside. The focus should be young people prefer to live in cities because there are more opportunities, services, and great personal fulfillment. This paper was described the effective fostering directions of young agricultural workforce and educational program to prepare future and young farmer for teaching careers in agriculture, food, farm management, and marketing. To achieve these goals, the specific approaches are 1) establish the strong partnership between related organizations of agricultural business, 2) strengthen the management and marketing education of products, 3) create the various in-farming or out-fanning incomes including green tourism, 4) enhance the aggressive marketing strategies by Internet, Telephone, and TV etc, 5) make the association among the same items for the effective research and risk management.

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An Empirical Study on the Location and Management Plan of Public Facilities in the Rural Center Place by Declining Population (인구감소에 따른 농촌지역 거점형 중심지 공공시설 입지 및 운영방안 개선에 관한 실증적 연구)

  • Park, Sung-Jin;Kang, In-Ho
    • Journal of the Korean Institute of Rural Architecture
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    • v.20 no.3
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    • pp.27-35
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    • 2018
  • This study investigated the public use of Myeon Location in Jeollanam - do where the population is at risk of declining. And discussed the rational provision and coordination of public facilities as a guarantee of fundamental rights. As a result of the study, the rational supply and adjustment directions of public facilities are as follows. First, there are problems such as high availability of management, finance, shopping, and health facilities, lack of culture, leisure, community facilities, and weakening of center function. Therefore, in the continuing declining population situation, face management, safety and health facilities should be upgraded to multifunctional facilities, and utilization efficiency and integration should be promoted. In addition, town center rehabilitation should be centered on multifunctional facilities. In addition, elementary schools will have to utilize and preserve them to take advantage of local cultural values as nostalgia storing place that provide incentives for young people and elementary school children in the future. Second, in order to cope with population decline, public facilities need to strengthen public services through complexity and multifunctionality, wide-area operation with neighboring areas, and user-centered operation management.

Association between Changed Working Conditions and Musculoskeletal Disorders among Automobile Assembly Workers (자동차 조립 작업에서의 노동 조건 변화와 근골격계질환과의 관련성)

  • Lee, Yun Keun;Yim, Shang Hyuk
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.3
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    • pp.276-283
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    • 2006
  • Work-related musculoskeletal disorders (WMSDs) were a major source of disability and lost work time after 'Foreign Currency Crisis(1998-2000)' in Korea. There is considerable evidence documenting the association between psychosocial risk factors and work disability due to WMSDs. But, there is not much in Korea. The present study aimed to explore the predictive association between the changed working conditions and WMSDs after 'Foreign Currency Crisis' in Korea. A study sample of 8,670 automobile assembly workers were recruited for this study. A structured-questionnaire was used to assess general characteristics, working conditions, and information concerning medical treatment of WMSDs. After adjustment for sociodemographic factors, increased overtime work(OR=1.22), daily work time(OR=1.20), work speed (OR=1.32), number of workers(OR=0.83), supervisory control(OR=1.39), physical load(OR=1.39), and mental load (OR=1.25) were all founded to be significantly associated with WMSDs. This study has shown the importance of changed working conditions in the occurrence of WMSDs. Therefore, it will be necessary to reduce WMSDs with controlling both physical and psychosocial factors.

Children's Mental Health in Multicultural Family and North Korean Defectors in South Korea (다문화 및 북한이탈주민 가정 자녀의 정신건강)

  • Lee, So Hee;Lee, Sun Hea
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.24 no.3
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    • pp.124-131
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    • 2013
  • South Korea is changing into a multi-cultural society, due to an increase in international marriage, foreign workers and transcultural immigration. In addition, the number of North Korean defectors entering South Korea has increased and now, there are approximately 25000. Therefore, this review have focused on a research that pertains to adaptation and mental health concerns of their children. Children who have immigrated themselves or whose parents have immigrated, might experience language barriers, difficulties in school adjustment, identity confusion and mental health problems. However, their academic performance and developmental status are known to be variable and be affected by socioeconomic status and their parents' educational level. Studies that evaluated the psychological problems of North Korean adolescent refugees' indicated the need for interests in both emotional and behavioral problems. The risk factors of North Korean adolescent refugees' mental health are suggested to be past traumatic experiences, long duration of defection and short period of adaptation. When mental health professionals provide assessment and treatment, they should consider the pre- and post-migration experiences & cultural background that affect the illness behaviors and attitudes toward mental illnesses. Lastly, the majority of children with multi-cultural background are still under an adolescent period and we should follow up with long-term perspectives.

An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

  • Kang, Na Ri;Kwack, Young Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.1
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    • pp.15-25
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    • 2020
  • Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

Mild Ptosis Correction with the Stitch Method During Incisional Double Fold Formation

  • Lee, Edward Ilho;Ahn, Tae Joo
    • Archives of Plastic Surgery
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    • v.41 no.1
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    • pp.71-76
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    • 2014
  • Background Numerous methods exist for simultaneous correction of mild blepharoptosis during double eyelid surgery. These methods are generally categorized into either incisional (open) or non-incisional (suture) methods. The incisional method is commonly used for the creation of the double eyelid crease in patients with excessive or thick skin. However, concurrent open ptosis correction is often marred by the lengthy period of intraoperative adjustment, causing more swelling, a longer recovery time, and an increased risk of postoperative complications. Methods The authors have devised a new, minimally invasive technique to alleviate mild ptosis during incisional double eyelid surgery. The anterior lamella is approached through the incisional technique for the creation of a double eyelid while the posterior lamella, including Muller's and levator muscles, is approached with the suture method for Muller's plication and ptosis correction. Results The procedure described was utilized in 28 patients from June 2012 to August 2012. Postoperative asymmetry was noted in one patient who had severe preoperative conjunctival scarring. Otherwise, ptosis was corrected as planned in the rest of the cases and all of the patients were satisfied with their postoperative appearance and experienced no complications. Conclusions Our hybrid technique combines the benefits of both the incisional and suture methods, allowing for a predictable and easily reproducible correction of blepharoptosis with an aesthetically pleasing double eyelid.

Changes in the Attributable Burden of High Temperatures on Deaths (하절기 기온상승으로 인한 사망의 기여부담 변화)

  • Ha, Jongsik
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.460-471
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    • 2012
  • Objectives: Due to global warming resulting from climate change, there has been increasing interest in the relationship between temperature and mortality. These temperature-related deaths depend on diverse conditions related to a given place and person, as well as on time. This study examined changes in the impact of high temperatures on death in summer, using the effect and burden of elevated temperatures on deaths in Seoul and Daegu. Methods: A Poisson regression model was used to estimate short-term temperature effects on mortality. Temperature-related risks were divided into three time periods of equal length (1996-2000, 2001-2005, and 2006-2010). In addition, in order to compare the impact of high temperatures on deaths, this study calculated the proportion of attributable deaths to population, which simultaneously considers the threshold and the slope above the threshold. Results: The effect and burden of high temperatures on deaths is high in Daegu. However, the impact (i.e. the effect and burden) of elevated summer temperatures on deaths has declined over the past 15 years. Sensitivity analyses using alternative thresholds show the robustness of these findings. Conclusion: This study suggests that the attributable burden of high temperatures on deaths to be more plausible than relative risk or threshold for comparing the health impact of high temperatures across populations. Moreover, these results contain important implications for the development or the adjustment of present and future strategies and policies for controlling the temperature-related health burden on populations.