노인의 주관적 건강상태가 자살생각에 미치는 영향 : 사회적 고립과 우울의 연속다중매개효과

하범만,김지순,김선호 한국콘텐츠학회 2023 한국콘텐츠학회논문지 Vol.23 No.10

The purpose of this study was to examine the effect of subjective health status on suicidal ideation among older adults and the serial multiple mediating effects of social isolation and depression in these relationships. Data on 9,646 older adults ≥ 65 years from the 2020 National Elderly Survey of the Korea Ministry of Health & Welfare. Data were analyzed using SPSS 25.0 and PROCESS macro 4.1((Model 6). The followings are results of the study. First, the direct effect of subjective health status on the suicidal ideation was not significant among older adults(B=-0.02, p=.233). Second, social isolation completely mediated the effect of subjective health status on suicidal ideation(B=0.002, bootstrap 95% CI=.001-.003). Third, depression completely mediated the effect of subjective health status on suicidal ideation(B=0.004, bootstrap 95% CI=.003-.006). Forth, serial multiple mediating effects of social isolation and depression were significant in the relationship between subjective health status and suicidal ideation(B=0.001, bootstrap 95% CI=.001-.002). The results of the study provide valuable foundational data for intervening in the suicidal risk of the older adults and implementing preventative measures.

장애에 따른 상실생존년수를 활용한 대기중 총먼지와 아황산가스가 심혈관계질환에 미치는 영향 측정

하범만,강종원,권호장,윤석준,Ha, Beom-Man,Kang, Jong-Won,Kwon, Ho-Jang,Yoon, Seok-Jun 대한예방의학회 2002 Journal of Preventive Medicine and Public Health Vol.35 No.2

Objective : To estimate the burden of cardiovascular disease attributable to the total suspended particulates (TSP) and sulfur dioxide ($SO_2$) in Korea using the YLD (years lived with disability) measurement. Methods : Congestive heart failure(CHF) and myocardial infarction (MI) were chosen as the main cardiovascular diseases whose causes are attributable to the TSP and $SO_2$ levels. In order to calculate the YLD (years lived with a disability), the following parameters in the formula were estimated. : the incidence rate, the case fatality rate, The expected duration of a disability and the average age of onset were estimated. The expected duration of a disability and the average age of onset were calculated using the DISMOD method, as developed by the GBD researchers. The burden of cardiovascular disease due to TSP and $SO_2$ was estimated using the number of years that the patient lived with a disability. Results : The VLD of the CHF due to the TSP and $SO_2$ was attributed to the TSP (94.4 person-year) and $SO_2$ levels (35.0 person-year). The YLD of the ME due to the TSP and $SO_2$ was attributed to the TSP (148.4 person-year) and $SO_2$ levels(27.6 person-year). Conclusion : The YLD method employed in this study was appropriate for quantifying the burden of cardiovascular disease. Therefore, it would provide a rational basis for planning a national health policy regarding the disease burden of the risk factors in Korea.

우리 나라 흡연으로 인한 조기사망의 질병부담

하범만,강종원,장혜정,윤석준,Ha, Beom-Man,Kang, Jong-Won,Chang, Hye-Chung,Yoon, Seok-Jun 대한예방의학회 2001 예방의학회지 Vol.34 No.3

Objective : In this study, we focused on estimating the burden of premature death in Korea caused by smoking using the YLL(years of life lost due to premature death) measurement. Methods : First, we determined parameters: such as age-specific standard life expectancy, age on death, sex, and cause of death by analyzing the national death certificate data and life table collected during 1997. These were provided by the National Statistical Office. Secondly, we estimated the age group- specific years of life lost due to premature death by employing the standard expected years of life lost(SEYLL) measurement. Thirdly, the burden of premature death caused by smoking was estimated using the YLLs measurement which was developed by the global burden of disease study group. Fourthly, We calculated the risk related to smoking using the population attributable risk. Results : The following results were obtained in this study: 1) Premature death that is attributable to smoking in males could be prevented in 60.9%(513,582 person-year) by non-smoking. 2) The burden of premature death by smoking for female was prevented to 17.7%(513,582 person-year) by non-smoking. Conclusion : We found that the YLL method employed in this study was appropriate in quantifying the burden of premature death. This provides a rational basis for planning a national health policy regarding premature deaths caused by smoking and other related risk factors.

징병신검과 입영신검과의 연관성 및 추이분석

하범만 ( Ha Beomman ),고성민 ( Ko Sungmin ),정신 ( Jeong Shin ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1

Objectives: The purpose of this study is to analyze the shift of men who are deferred to be recruited at physical examination held in the conscription agency and in the enlisted unit. Methods: The subjects of study are 542,828 men who have all received physical examination after being enlisted in army between January 2013 and June 2015. Data received from the ROK Army Personnel Command and Miliary Manpower Administration was utilized for the study. Results: The main results of this study was, firstly, men who were deferred from recruitment among total men enlisted were 2.1%. Secondly, the deferred rate based on time period between the point of physical examination held at the Military Manpower Administration and physical examination held at the enlisted unit showed increasing trend as time elapsed. Particularly, the rate increased drastically after 6 years. Thirdly, departments for treatment mostly visited by deferred men were psychiatry, orthopedics, neurological surgery and dentistry in order. Conclusions: he result of this study strongly suggests the need to transform the current physical examination policy which divided the examination into conscription physical examination and enlistment physical examination and such policy can arose confusion in those who are subject to be enlisted and negatively affect trust against military. Therefore, it is in dire need to abolish current policy of physical examination for enlisted soldiers or to replace it to provisional examination, and also require research and decisions of policies regarding plan to hold physical examination at the Military Manpower Administration before enlisting into army.

직업군인의 의료기관 이용 현황 및 요구도 분석

하범만 ( Ha Bum-man ),박정희 ( Park Jung-hee ),권명옥 ( Kwon Myung-ok ) 국군의무사령부 2004 대한군진의학학술지 Vol.35 No.1

직업군인의 민간의료기관 이용 행태

하범만 ( Beom-man Ha ) 국군의무사령부 2003 대한군진의학학술지 Vol.34 No.1

노인의 일상생활 수행능력 장애 발생과 영향요인 : 전기노인과 후기노인 비교

하범만(Beomman Ha),김지순(Jisoon Kim),김선호(Seonho Kim) 한국산학기술학회 2022 한국산학기술학회논문지 Vol.23 No.10

본 연구의 목적은 전기노인(65-74세)과 후기노인(75세 이상)의 도구적 일상생활수행능력(IADL) 장애 발생을 조사하고, 장애 발생에 영향을 미치는 요인을 확인하는 것으로 한국고령화연구패널 7차(2018년)와 8차(2020년) 기본조사 자료를 사용하였다. 연구대상은 2018년 당시 IADL 장애가 없고 연구에 사용된 변수 누락이 없는 65세 이상 노인 3,314명이었다. 자료분석은 SPSS 20.0을 활용하여, 다중로지스틱 분석을 이용하여 분석하였다. 연구결과, 2018년에 장애가 없는 노인 중 2020년에 장애가 발생한 노인은 전기노인에서 3.4%, 후기노인에서 14.1%였다. 전기노인과 후기 노인에서 IADL 장애 발생에 영향을 미치는 변수는 달랐는데, 전기노인의 경우 남성에 비해 여성에서 장애 발생이 높았다. 반면, 후기노인의 경우에는 주관적 건강상태가 나쁠수록, 인지기능 장애가 있을수록 IADL 장애 발생 위험이 높았다. 이러한 결과는 향후 노년기를 연령대별로 세분화하고, 각 연령대별로 장애 발생을 예방하고 관리할 수 있는 중재전략이 달라야 함을 시사한다. This study was undertaken to identify the incidence of instrumental activity of daily living (IADL) disability and its correlates in older Korean adults categorized by age group (young-old vs old-old). The sample included 3,314 subjects aged 65 and more who participated in the 7<SUP>th</SUP> and 8<SUP>th</SUP> waves of the Korean Longitudinal Study of Ageing, reported no limitation in IADL at baseline(2018), and had complete data on other covariates. Data were analyzed using multiple logistic regression. Results indicate that the 2-year incidence of IADL disability in young-old and old-old subjects with no disability at baseline was 3.4% and 14.1%, respectively. We further determined that the incidence of IADL disability in young-old people was higher in men, and increased in old-old subjects with poor subjective health status and cognitive impairment. These findings indicate that the incidence and correlates of IADL disability vary with age. These results suggest that the age of subjects needs to be considered when developing interventions to prevent the onset of IADL disability and to prolong the deterioration of IADL disability in older adults.

전문의무부사관 획득정책 개선을 위한 기초조사

하범만 ( Beommman Ha ),강동원 ( Dongwon Kang ),고성민 ( Seongmin Go ),최윤정 ( Yunjung Choi ) 국군의무사령부 2017 대한군진의학학술지 Vol.48 No.1

Objectives: This study was conducted to provide basic data for improving the manpower acquisition policy by investigating awareness, attitude and development method of medical specialists Non Commissioned Officers (NCOs) selection system. Methods: A total of 741 participants were recruited from students enrolled on medical technology in 10 undergraduate or associate degree level programs. Results: 20.1% of participants were aware of the medical specialist NCOs selection system. 23.4% of participants knew the system of military scholars. Among the male participants, 13.6% had plans to be medical specialists NCOs and 10.0% had plans for military scholars. The rates of female participants were hjgher than male respectively (15.7% and 16.0%). The male participants' main reasons for having no plans were ‘Having uncomfort life in military’, ‘Wishing to complete military service while in school’, and ‘Having longer mandatory military service period than enlistees’. The main reasons of female participants not applying for military positions were ‘Being in physically demanding situation’, ‘Having restricted lifestyle’, and ‘Having more job opening in civilian sectors’. The male participants willing to apply for short-term medical specialists NCOs were 20.2%; the female participants were 27.1%. The main reasons that male and female participants have no plans for the system were similar to those of the current selection system. In order to improve the application rates from license holders, Improvement of compensation levels’ and ‘Recognition of military experience in civilian sectors’ were highly ranked; ‘Mitigating physical strength management system’ was additionally identified in female participants. Conclusions: Economic and occupational stability, such as improvement of compensation levels, connecting military experiences to civil experiences, and extension of long-term service opening, needs to be secured to recruit medical specialists NCOs from license holders. Also, promoting military medical service will improve the effectiveness of the selection system.

알까기 인공지능 시스템 “알까고”

이건호 ( Keon-ho Lee ),윤원탁 ( Won-tak Yoon ),박진수 ( Jin-soo Park ),박두순 ( Doo-soon Park ) 한국정보처리학회 2017 한국정보처리학회 학술대회논문집 Vol.24 No.1

최근 인공지능은 딥러닝, 기계학습 등 인공지능 기술이 발전되면서 기술 상용화가 가시화되고 있다. 이에 따라 인공지능분야는 다른 산업의 핵심 기술로 급부상과 함께 여러 글로벌 기업들이 적극적 투자를 실시하고 있는 추세이다. 이렇게 인공지능 기술이 발전하면서 인공지능 기반 기술 개발에서 타산업의 핵심기술로 프레임이 변화 되고 있으며 차세대 ICT 핵심 기술로 인식이 확산되고 있다. 따라서 본 논문에서는 이러한 인공지능 방법중 지도 학습의 의사 결정 트리 알고리즘을 사용하여 AWS(Amazone Web Service) EMR 서버에서 이를 알까기에 적용하여 알까고 게임 시스템을 구현하였다.

병사의 현역병건강보험 이용행태와 이에 영향을 미치는 요인 분석

하범만 ( Beom-man Ha ),박지훈 ( Ji-hoon Park ) 국군의무사령부 2011 대한군진의학학술지 Vol.42 No.1

Objective: The purpose of this study was to investigate enlisted man's health utilization behavior of national health insurance system and it's factors influencing. Methods : Questionnaire was made through literature review, and pilot study. 1,077 enlisted men who utilized civilian medical facility responded to the survey. Data was collected by self-administered questionnaire between Aug. and Sep. 2010, and analysis by SPSS WIN 14.0. employing chi-square, multiple logistic analysis. Results: The rank which enlisted men's first visit to civilian medical facility was a private, and mean number of civilian medical facility visit was 1.73. Most common facilities they used are medical(78.8%), dental(17.5%), and oriental medicine(3.7%). 64.3% of facility they used was near his home. 40.9% of respondents said they selected facility for near the home. 37.3% of respondents said the reason utilizing civilian medical facility was civilian medical facility is superior to military medical facility. 51.4% of respondents didn't satisfy the explanation for this system. Their parents(55.3%) was most influenced on enlisted men's choice of facility. The factors influencing enlisted man's health utilization behavior of national health insurance system were non-combat branch of the service(OR=1.96), having private insurance(OR=1.90), not recognize the burden of medical cost(OR=1.21). Conclusion: In conclusion above results were helpful to develop the policy witch decreasing the costs of health insurance.