• Title/Summary/Keyword: Status changes

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Analyzing decline in quality of life by examining employment status changes of occupationally injured workers post medical care

  • Won-Tae Lee;Sung-Shil Lim;Min-Seok Kim;Seong-Uk Baek;Jin-Ha Yoon;Jong-Uk Won
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.17.1-17.10
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    • 2022
  • Background: This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident. Methods: This study utilized the Panel Study of Worker's Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group. Results: The QOL decline in the "maintained employment," "employed to unemployed," "remained unemployed," and "unemployed to employed" groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The "maintained employment" group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the "employed to unemployed" group and the "remained unemployed" group were 2.13 (95% confidence interval [CI], 1.51-3.01) and 1.47 (95% CI, 1.13-1.90), respectively. The "unemployed to employed" group had a non-significant OR of 0.76 (95% CI, 0.54-1.07). Conclusions: This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers' QOL. Policy researchers and relevant ministries should further develop and improve "return to work" programs that could maintain decent employment avenues within the workers' compensation system.

A Survey on Functional Status among Low-Income Older Adults Living at Home (일개지역 저소득층 노인의 신체적 기능상태에 관한 연구)

  • 전경자;조윤미
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.749-758
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    • 2001
  • The purpose of the study was to analyze the functional status of low income elderly living at home according to their socio-economic factors, sensory function, health status, medical service utilization, commodity and types of chronic disease. Method: Functional status was defined by the level of mobility, ADL and IADL categorized as independently functional, mildly impaired, moderately disabled, and severely disabled. The data was collected by home-visit interviews with 567 community dwelling adults who were 65 years of age or more with low a income status subsidized by government in ChonAn. Results: 9.9% of community dwelling older adults were severely disabled, and 44.4% were moderately disabled in their functional status. There were significant differences in the functional status by age, education, religion, and types of family structure. The older adults with hearing impairment or dental problems had a significantly higher rate of severe disability. Self-rated health status and medical service utilization were also significant factors to the differences in functional status. The functional status of older adults was also significantly related to the presence of chronic health problems such as chronic back pain, stroke, and Alzheimer-dementia. Conclusion: The results confirmed that community dwelling older adults with low income status were more functionally disabled in comparison to general older adults at national level, while the relating factors to their functional status seemed similar to other studies on older adults. Further studies were suggested to look into functional status longitudinally and focus on the changes of functional status by managing modifiable influencing factors.

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Glycemic control of type 2 diabetic patients after short-term zinc supplementation

  • Oh, Hyun-Mee;Yoon, Jin-Sook
    • Nutrition Research and Practice
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    • v.2 no.4
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    • pp.283-288
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    • 2008
  • This study was carried out to determine whether a short-tenn zinc supplementation contributes to beneficial changes in glycemic control among type 2 diabetic patients. Seventy-six diabetic subjects and 72 normal adults participated in this study. Subjects were divided into supplemented and control groups. Forty-four diabetic patients and 34 normal subjects were supplemented with 50 mg zinc daily as zinc gluconate for 4 weeks. Zinc status was assessed from fasting plasma levels and urinary excretion. The effects of zinc supplementation on fasting blood glucose, $HbA_{1c}$, insulin, and C-peptide were measured at the beginning of the study and after 4 weeks of supplementation. The changes in glycemic control indicators were compared between diabetic groups, classified by baseline $HbA_{1c}$ levels, and by diabetic duration. At baseline, the incidence of marginal zinc deficiency in the diabetic group, as determined by plasma zinc level, was approximately twice as high as in the normal adult group. The changes of $HbA_{1c}$ concentration, and fasting blood glucose following supplementation were not statistically significant in diabetic subjects. In normal subjects, a significant decrease of $HbA_{1c}$ occurred only in the zinc supplemented group. No significant changes were observed for serum insulin and C-peptide in diabetic as well as normal subjects. However, when the changes were compared by baseline $HbA_{1c}$ level, we found that diabetic subjects with $HbA_{1c}\;{\geq}\;7.5%$ showed significantly improved levels of $HbA_{1c}$ and fasting glucose after Zn supplementation. While such improvement in fasting blood glucose was significant among diabetics with shorter diabetic duration, significant levels of increase in serum insulin and C-peptide were observed in zinc supplemented subjects with longer diabetic duration. Fasting blood glucose was significantly decreased, whereas serum insulin and C-peptide were increased in diabetics with marginal zinc status. Therefore, we suggest that Zn supplementation for a short-term period may improve glycemic control in diabetic patients with higher $HbA_{1c}$ levels and marginal zinc status.

The Changes of Housing Characteristics and The Degree of Attainment of Housing Norms among Residents in Apartment (아파트 거주 가구의 주거특성 변화 및 주거규범달성 정도)

  • 강노선
    • Journal of Families and Better Life
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    • v.11 no.1
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    • pp.35-45
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    • 1993
  • The purpose of this study is to investigate the changes of housing characteristics and the degree of attainment of housing norms. The major findings are as follows: 1) There are significant differences in changes of housing characteristics. A size of house and the number of room have been improved according to hosing experience and housing expects. Type of tenure has been improved according to housing experience and housing expects. Type of tenure has been improved gradually according to moving. The family with higher socio-economic status prefers apartments. Although about a half of household hopes to live in a high-rising apartments. more than 40 persentage of the household still hopes to live in single detached houses. As a result apartment are though not to satisfy their housing well-being 2) As socio-economic status is higher and family life cycle is longer the degree of their attainment of housing norms appear higher. The household attaining higher housing norms has the higher housing satisfaction but needs to move is lower The family attains housing norms as the following orders: type of tenure\longrightarrowtype of house\longrightarrowthe nmber of rooms\longrightarrowa size of house.

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The First Year Pre-Evaluation of Localization of Agricultural Extension (농촌지도직공무원 지방직 전환 첫 해의 예비 평가)

  • Kim, Sung-Soo;Choi, Chang-Wook;Choi, Young-Chang
    • Journal of Agricultural Extension & Community Development
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    • v.4 no.2
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    • pp.415-421
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    • 1997
  • The objectives of this study were 1) to evaluate the first year of localization of agricultural extension in Korea, 2) to present the development directions and implications of agricultural extension service in the next year of localization. The major results and implications were as follows. 1. The positive changes in localization were to establish local special projects and to work in agricultural extension without personnel changes. 2. The negative changes in localization were increase of unnecessary work load and decrease of morale because of lowered status. 3. The development directions were to cut back unnecessary work load, to rearrange an office, and to return to the national status of extension personnels.

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Study of Weld Part Status Change by $CO_2$ Welding According to the Variation of Gas Composition and Welding Wire on SS400 Material (가스성분 및 용접와이어의 변화에 따른 SS400소재의 $CO_2$용접에서 용접부의 상태변화 고찰)

  • Kim, Bub-Hun;Kim, Won-Il;Choi, Chang;Park, Yong-Hwan
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.5
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    • pp.129-136
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    • 2012
  • On this study, $CO_2$ gas, net of Ar gas, and mixed gas in solid wire(AWS ER 70S-6) and flux cored wire(AWS E71T-1) were used to weld on Mild steel(SS400). After the progress, the status changes of the welds in Mild steel(SS400) were investigated with compositional changes. For stable experiments, welding was conducted using the automatic feeder. Radiation testing, hardness testing, chemical composition analysis and penetrated cross-section were measured. Through these experiments, shapes of penetrated cross-section, chemical composition changes, and weld defects according to the variation of welding gas were known. Weld defects and weld cross-sectional shapes by the variation of the welding voltage were also detected.

An Evaluation of Driving Fatigue on Long-term Driving (운전 시간에 따른 피로도의 변화)

  • 김선웅;성홍모;박세진
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2002.05a
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    • pp.177-180
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    • 2002
  • The type of physiological stress involved in driving is probably complex, and a comprehensive study involving recording of physiological signals such as electrocardiogram(ECG), electromyogram(EMG). Changes in relevant Physiological parameters, such as ECG, EMG, reflected changes in driver status. In order to derive the mental and physical load of driving a motor vehicle from driving behaviour alone it is necessary to establish the relationship between changes in a driver's physiological parameters and behavioral parameters. In this study, we choose two different condition and investigated driver's status using HRV analysis method. Many previous studies have shown that increasing driving time causes a variation of HRV signal.

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Effects on the Functional Status Changes of LTC(Long-Term-Care) Services (노인장기요양보험 급여이용이 기능상태 변화에 미치는 영향)

  • Hyun, Kyung-Rae;Lee, Sun-Mi
    • 한국노년학
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    • v.32 no.2
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    • pp.593-609
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    • 2012
  • The study was performed to identify the functional status change of beneficiaries of Long-Term Care Insurance and its related factors. We conducted the logistic regression with 17,652 beneficiaries during August and September in 2008. As a result, activities of daily living(ADL), behavioral changes, rehab, instrumental activities of daily living(IADL) and cognitive function, followed by nursing care area were improved in a greater degree. For the institutional service, level-1 beneficiaries was significantly improved in rehab area and level-2 beneficiaries was improved in ADL. For the home-visit care service of in-home services, level-1 beneficiaries was improved in ADL, level-2 beneficiaries was improved in ADL and rehab area, level-3 beneficiaries was improved in ADL, cognitive function and behavioral changes. For the day-and-night care service, level-1 beneficiaries was improved in ADL, IADL, behavioral changes and rehab area, level-2 beneficiaries was improved in behavioral changes, level-3 beneficiaries was improved in cognitive function and behavioral changes. For the short-stay service, level-3 beneficiaries was improved in behavioral changes. By the above results, there was a difference in a functional improvement by level and used services. Therefore, government need to provide the personalized service system based on the objective and comprehensive understanding for health and functional status of beneficiaries.

The Relationship between Denture Satisfaction and Perceived Oral Health Status (의치만족도와 주관적 구강건강상태의 관련성)

  • Yu, Sang-Hui
    • Journal of Technologic Dentistry
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    • v.30 no.2
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    • pp.135-147
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    • 2008
  • The results are as following. This study aimed to furnish basic data for improving the oral health of the elderly by conducting research into the relationship between denture satisfaction and the perceived oral health status of elderly people with removable dentures. The study performed research involving 246 elderly people who were living in Jeonju and Iksan, jeonbuk, and who were 65 years old or over from August 1 to December 5, 2007. The research method was a face-to-face interview. 1. The denture satisfaction of respondents for the research averaged $3.74{\pm}0.69$, and there was a significant difference in their satisfaction according to the level of education, the cohabitant family type, the procurement of living expenses, the performance of leisure activity, the period of current denture use, the number of denture changes, the experience during a dentist visit for denture maintenance, the experience of restricted activity due to annual oral diseases, and the opinions about denture prices. 2. 48.8% of respondents answered that their oral health status was good, and there was a significant difference in their satisfaction according to the procurement of living expenses, the total period of denture use, the period of current denture use, the number of denture changes, the experience of restricted activity due to annual oral diseases, and the opinions about denture prices. 3. The most highly influential variable affecting denture satisfaction was the opinions about denture prices(R=33.7%). 4. The most highly influential variable affecting the perceived oral health status was the educational level(R=17.3%). 5. As a result of analyzing the relationship between denture satisfaction and perceived oral health status, more respondents were satisfied with their dentures the more they thought their oral health status was in good shape.

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The Impact of Moving Pharmaceutical Products from Prescription Only to Over-the-Counter Status on Consumer Exposure to Advertising

  • Yang, Hae-Kyung
    • International Journal of Human Ecology
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    • v.12 no.2
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    • pp.1-12
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    • 2011
  • Many pharmaceutical products are available through prescription (Rx) only status. As a result, access to physicians and insurance coverage play a key role in the use of these products, and therefore may affect the population to whom advertising is targeted at. The movement of pharmaceutical products from prescription (Rx) to Over-the-Counter (OTC), or Rx-to-OTC switch changes the cost of acquiring the drug and therefore may change the incentives manufacturers have at targeting particular population segments. This study examines whether Rx-to-OTC switch changes the frequency and the distribution of who is exposed to pharmaceutical advertising. Using an archive of pharmaceutical advertisements and National Consumer Survey, this study examines how individuals with particular demographic characteristics are exposed to pharmaceutical advertisements before and after drugs are moved from Rx to OTC. The results provide evidence that individual's advertising exposure increases after Rx-to-OTC switch. Moreover, the increase in advertising exposure is greater for the low socioeconomic status (SES) consumers which implies they may get more information about the disease, treatment and product after the Rx-to-OTC switch through advertising. If low SES consumers have more exposure to the advertising after products switched to OTC, then FDA policies regulating this switch should recognize the potential role of advertising providing access to health-related information.