• Title/Summary/Keyword: health impacts

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Analyses of Impacts of the Outpatient Cost Sharing Reduction based on the Difference-in-differences Model (이중차이모델에 의한 건강보험 외래본인부담금 경감제도의 영향 분석)

  • Ahn, Lee-Su
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.187-197
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    • 2013
  • Objectives : The purpose of this study was to analyze the effect of outpatient cost sharing reduction on health care utilization of children under 6 years old. Methods : The data in this analysis was the health insurance claims data between August 2006 and July 2008. The study group was divided into two age groups, namely 0-5 years old and 6-10 years old. This study evaluated the impact of policy change on office visits per person and expenditure per visit. In order to do so, the double difference analysis is used. Results: The results showed that outpatient cost-sharing reduction has never really had a huge impact on office visits per person and expenditure per visit. Conclusions: This study showed that the outpatient cost sharing reduction for children under 6 years old policy is not working. Therefore, cost sharing of National Health Insurance by income class is needed.

Impact of Future Chinese Emissions on Ozone Air Quality and Human Health in Northeast Asia (동북아 지역에서 중국의 미래 배출량 변화가 오존농도와 보건에 미치는 영향)

  • Kim, Hyeon-Kook;Lyu, Youngsook;Woo, Jung-Hun;Hong, Sung-Chul;Kim, Deok-Rae;Seo, Jeonghyeon;Shin, Myunghwan;Kim, Sang-Kyun
    • Journal of Climate Change Research
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    • v.7 no.4
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    • pp.451-463
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    • 2016
  • We explore the impact of Chinese future air pollutant emissions on ozone air quality in Northeast Asia (NEA) and health in South-Korea using an assessment framework including ICAMS (The Integrated Climate and Air Quality Modeling System) and BenMAP (The Environmental Benefits Mapping and Analysis Program). The emissions data sets from the climate change scenarios, the Representative Concentration Pathways (RCPs) (emission scenarios, EMSO), are used to simulate ozone air quality in NEA in the current (1996~2005, 2000s), the near future (2016~2025, 2020s) and the distant future (2046~2055, 2050s). Furthermore, the simulated ozone changes in the 2050s are used to analyze ozone-related premature mortality and economic cost in South-Korea. While different EMSOs are applied to the China region, fixed EMSO are used for other country regions to isolate the impacts of the Chinese emissions. Predicted ozone changes in NEA are distinctively affected by large changes in NOx emission over most of China region. Comparing the 2020s with the 2000s situation, the largest increase in mean ozone concentrations in NEA is simulated under RCP 8.5 and similarly small increases are under other RCPs. In the 2050s in NEA, the largest increase in mean ozone concentrations is simulated under RCP 6.0 and leads to the occurrence of the highest premature mortalities and economic costs in South-Korea. Whereas, the largest decrease is simulated under RCP 4.5 leads to the highest avoided premature mortality numbers and economic costs. Our results suggest that continuous reduction of NOx emissions across the China region under an assertive climate change mitigation scenario like RCP 4.5 leads to improved future ozone air quality and health benefits in the NEA countries including South-Korea.

Microbial short-chain fatty acids: a bridge between dietary fibers and poultry gut health - A review

  • Ali, Qasim;Ma, Sen;La, Shaokai;Guo, Zhiguo;Liu, Boshuai;Gao, Zimin;Farooq, Umar;Wang, Zhichang;Zhu, Xiaoyan;Cui, Yalei;Li, Defeng;Shi, Yinghua
    • Animal Bioscience
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    • v.35 no.10
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    • pp.1461-1478
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    • 2022
  • The maintenance of poultry gut health is complex depending on the intricate balance among diet, the commensal microbiota, and the mucosa, including the gut epithelium and the superimposing mucus layer. Changes in microflora composition and abundance can confer beneficial or detrimental effects on fowl. Antibiotics have devastating impacts on altering the landscape of gut microbiota, which further leads to antibiotic resistance or spread the pathogenic populations. By eliciting the landscape of gut microbiota, strategies should be made to break down the regulatory signals of pathogenic bacteria. The optional strategy of conferring dietary fibers (DFs) can be used to counterbalance the gut microbiota. DFs are the non-starch carbohydrates indigestible by host endogenous enzymes but can be fermented by symbiotic microbiota to produce short-chain fatty acids (SCFAs). This is one of the primary modes through which the gut microbiota interacts and communicate with the host. The majority of SCFAs are produced in the large intestine (particularly in the caecum), where they are taken up by the enterocytes or transported through portal vein circulation into the bloodstream. Recent shreds of evidence have elucidated that SCFAs affect the gut and modulate the tissues and organs either by activating G-protein-coupled receptors or affecting epigenetic modifications in the genome through inducing histone acetylase activities and inhibiting histone deacetylases. Thus, in this way, SCFAs vastly influence poultry health by promoting energy regulation, mucosal integrity, immune homeostasis, and immune maturation. In this review article, we will focus on DFs, which directly interact with gut microbes and lead to the production of SCFAs. Further, we will discuss the current molecular mechanisms of how SCFAs are generated, transported, and modulated the pro-and anti-inflammatory immune responses against pathogens and host physiology and gut health.

Estimation of the Effects of Daily Walking Hours and Days on the Mental Health of Urban Residents - The Case in Seoul - (주거지역 가로환경 및 일상 걷기가 정신 건강에 미치는 영향 - 서울시 대상으로 -)

  • Koo, Bonyu;Baek, Seungjoo;Yoon, Heeyeun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.52 no.1
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    • pp.87-100
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    • 2024
  • This study aimed to investigate the impact of the quality of the street environment in residential areas on the mental health of urban residents, considering the frequency of street use. Using a zero-inflated negative binomial regression model, the study analyzed the influence of walking frequency and the street environment on depressive symptoms of urban residents. The research focused on Seoul, South Korea, in 2017, with depressive symptoms as the dependent variable and street environment variables, walking variables, and individual characteristics as independent variables. Additionally, the study explores the interaction effect of street greenery and walking frequency to analyze the synergistic impacts of walking in green spaces on mental health. The findings indicate that a higher ratio of street green areas is associated with fewer depressive symptoms. Increased walking frequency is linked to a reduction in depressive symptoms or a weaker manifestation of such symptoms. The interaction effect confirms that more frequent walking in green spaces is associated with weaker depressive symptoms. Lower ratios of visual complexity are correlated with reduced depressive symptoms. This study contributes to addressing urban residents' mental health issues at the community level by emphasizing the importance of the street green environment in residential areas.

Effects of Health Education with Printed Media for Smoking Cessation, Pap Smear and Breast Self-examination (금연, 자궁암 검진 및 유방암 자가검진에 대한 인쇄매체를 이용한 보건교육의 효과)

  • 김인숙;김석범;강복수
    • Korean Journal of Health Education and Promotion
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    • v.15 no.2
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    • pp.163-183
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    • 1998
  • To evaluate the impacts of the health education programs including smoking cessation, pap smear and breast self-examination(BSE), a community trial was conducted during one year from December 1996 to December 1997 in Kyongju City. Before health education, a base-line survey was implemented and the target population was allocated randomly to case and control groups. The case and control groups were divided into three categories which were smoking cessation, pap smear and BSE. The series of health education leaflets about anti-smoking, pap smear and BSE were mailed to case group and the evaluation survey was conducted at the end of this trial to compare the change of health related behaviours of case and control groups. Smoking prevalence of case group did not decline significantly after anti-smoking education but the cessation rates of the elderly and low educated were higher than others. The knowledge level of case group on the health risk associated with smoking was higher than that of control group and the willingness of case group to quit smoking was higher than the control group. The case group's compliance with pap smear for cervical cancer was more increased compared to control group after health education. Of the case group, the younger and lower educated women were screened at a higher rate than others. The knowledge level of case group on the risk factors of cervical cancer and how to prevent it was higher than that of control group. Nearly 60 percent of case group reported that the health education leaflet influenced them to have the pap smear. The unscreened cases were highly motivated to get the pap smear test in the future.

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Various Factors giving Impacts On the Satisfaction level of spectacle Wearers (안경원 이용자의 만족에 영향을 미치는 요인)

  • Ju, Kyung-Bok
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.1
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    • pp.181-186
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    • 2000
  • This study has been implemented to identify the level of satisfaction of the Glass spectacle wearers on various services being given by optical shop workers and help them to provide services of higher quality to the spectacle wearers. The objectives of this study are the spectacle wearers who visited to the 5 Designated optical shops located in Seoul area. All the data has been collected for the 2 months period (Oct. 1 through Dec. 1. 1999.) By using structured, self-described research form. All the collected data were 250 copies in total but evaluated 222 copies only as we excluded 28 copies which has uncertain reply/contents. Major results are as follows: 1. The proportions of objectives by sex was male 54.1%, female 45.9% and by Academic career was University graduates 35.1%, High school graduates 32.4%. 2. The factors impects on the satisfaction level of spectacle wearers were the Employee's service and the status of frame. 3. the factors impacts on the intention for revisit the optical shops were facility status, the responsiveness on wearer s opinion and the employee s services. The factors impect the wearers to build up intention to recommend the visited optical Shops to the 3rd costomer were employee s services, the status of frames, the facility Status and the price level they paid. Considering the results of this study above mentioned, in order to raise up the satisfaction level of glass spectacle wearers, it s thought that the employee (optician) of optical shops have to well acquainted fluent knowledge on the glass spectacles and detailed to the spectacle wearers in a gentle manner and let them build up the reliabily.

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Environmental Impacts Assessment of ITO (Indium Tin Oxide) Using Material Life Cycle Assessment (물질전과정평가(MLCA)를 통한 투명전극 ITO (Indium Tin Oxide)의 환경성 평가)

  • Lee, Soo-Sun;Lee, Na-Ri;Kim, Kyeong-Il;Hong, Tae-Whan
    • Clean Technology
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    • v.18 no.1
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    • pp.69-75
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    • 2012
  • In this study, we executed an environmental impact assessment about recycling of ITO (Indium Tin Oxide), used for touch panel. ITO is mainly used to make transparent conductive coatings for touch and flat screen LCD (Liquid Crystal Display), ELD (Emitting Light Device), PDP (Plasma Display Panel). This demand is increasing little by little. but form current status, ITO is discarded than recycling. It is important to recycling ITO for national strategies about resource conservation, and reduce environmental burden. Also Landfill or incineration of ITO cloud be harmful to the human health in the long-term. Material Life Cycle Assessment method (MLCA) was conducted for comparison landfill and recycling of ITO. MLCA would provide more information for environmental issues and potential environmental impacts of ITO. The study includes two scenarios, the basic scenario is recycling of ITO (10, 20, 30%) and the other scenario is landfill of ITO. In addition, amount of carbon dioxide and energy were calculated.

The Impacts of Emotional Labor and The Recognition Level of Medical Service Fee Reduction of Medical Institution Workers Influencing Reduction Rate (의료기관 종사자의 라이프케어 감정노동과 진료비 삭감 인식도가 삭감률에 미치는 영향)

  • Yang, Yu-Jeong;Lee, Hye-Seung
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.345-352
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    • 2020
  • This study conducted a survey targeting 414 medical institution workers to identify the impacts of their emotional labor and the recognition level of medical service fee reduction influencing the reduction rate. The results were as follows. First, a review of the difference in the reduction rate by socio-demographic characteristics revealed that in both inpatient and outpatient reduction rate, there is a significant difference in the occupational description, working history at the current hospital, and the numbers of approved beds. Second, there is a correlation between emotional labor, the recognition level of medical service fee reduction, and the reduction rate. As a result of the analysis, there is a significant positive correlation between emotional labor and outpatient reduction rate, a significant negative correlation between the recognition level of medical service fee reduction and inpatient reduction rate, and a significant negative correlation between the recognition level of medical service fee reduction and outpatient reduction rate. Third, emotional labor has a significant positive effect on the inpatient reduction rate, and the recognition level of the medical service fee reduction has a negative effect on the inpatient reduction rate. The emotional labor also has a significant positive effect on outpatient reduction rate, and the recognition level of the medical service fee reduction has a significant negative effect on outpatient reduction rate.

The Action-observation Training Impacts on the Improvement of Stroke Patient's Cognitive Functioning (동작관찰훈련이 뇌졸중 환자의 인지기능 향상에 미치는 영향)

  • Lee, Seul-Ah;Kang, Seon-Hwa;Choi, Won-Ho;Lee, In-Kyung;Jung, Sang-Mi
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.1
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    • pp.199-206
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    • 2019
  • This study aims to identify whether the action-observation training impacts on the improvement of stroke patient's cognitive functioning. When it comes to the research methods, Korean version of Mini-Mental State Examination (MMSE-K) and Literacy Independent Cognitive Assessment (LICA) conducted to assess samples between 23 April and 18 May 2018. Samples are seven patients who are hospitalized in Kyung-In region. In the meantime, seven tasks such as the range of joint motion (ROM) dance, arrangement of pullover clothes, lacing-ups of a pair, folding up a facecloth and socks, the origami and tying a necktie implemented as the action-observation programme. In order to analyse collected data, descriptive statistics analysis, paired t-test and the Wilcoxon signed-rank test were carried out via SPSS version 20 (a statistics programme). The change in value from MMSE-K showed its statistical significant as 3.29 (±1.38, p<.001) as well as value from LICA in recollective powers was 12.16 (±6.73), therefore, the statistic is said to be statistically significant. In conclusion, action-observation training most influenced recollective powers amongst stroke patient's cognitive functioning areas. Even though development of cognitive functioning discovered in other areas, its values were possibly statistically insignificant. Hence, future research ought to demonstrate which areas action-observation training is effective according to brain lesion site.

The effect of copper alloy scaler tip on the surface roughness of dental implant and restorative materials (구리 합금 초음파 스케일러 팁이 치과 임플란트 및 수복 재료 표면에 미치는 영향)

  • Lee, Ah-Reum;Chung, Chung-Hoon;Jung, Gyu-Un;Pang, Eun-Kyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.177-185
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    • 2014
  • Purpose: This study is designed to investigate the various impacts of different types of scaler tips such as cooper alloy base tip and the others on the surface roughness of teeth and implant by the method which is currently in clinical use. Materials and methods: Four different types of disc shaped porcelain, titanium, zirconia, and Type III gold alloy dental materials sized 15 mm diameter, 1.5 mm thickness were used for the experiment. Plastic hand curette (Group PS), cooper alloy new tip (Group IS), and stainless steel tip (Group SS) were used as testing appliances. A total of 64 specimens were used for this study; Four specimens for each material and appliance group. Surface roughness was formed with 15 degree angle in ultrasonic scaler tip and with 45 degree angle in hand curette of instrument tip and the specimen surface with 5 mm long, one horizontal-reciprocating motion per second for 30 seconds by 40 g force. To survey the surface roughness of each specimen, a field emission scanning electron microscope, an atomic force microscope, and a surface profiler were used. (Ra, ${\mu}m$). Results: According to SEM, most increased surface roughness was observed in SS group while IS groups had minimal roughness change. Measurement by atomic force microscope presented that the surface roughness of SS group was significantly greater than those of PS, IS and control groups in the type III gold alloy group (P<.05). IS group showed lesser surface roughness changes compared to SS group in porcelain and gold alloy group (P<.05). According to surface profiler, surface roughness of SS group showed greater than those of PS, IS and control groups and IS group showed lesser than those of SS group in all specimen groups. Type III gold alloy group had large changes on surface roughness than those of porcelain, titanium, zirconia (P<.05). Conclusion: The result of this study showed that newly developed copper alloy scaler tip can cause minimal roughness impacts on the surface of implant and dental materials; therefore this may be a useful alternative for prophylaxis of implant and restored teeth.