• Journal of agricultural medicine and community health
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• v.35 no.1
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• pp.67-76
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• 2010

Objectives: This study was attempted to identify the relationship between white blood cell counts and the metabolic syndrome. Methods: This study included 394 adults who visited the medical checkup center placed in Gwangju, January 1, 2008 to December 31, 2008. Index of blood test and physical checkup were performed on the study such as triglyceride, HDL-cholesterol, fasting sugar and white blood cell counts. Logistic regression analysis was used to evaluate the association between white blood cell counts, white blood cell differential count and metabolic syndrome with an adjustment age and smoking status. Results: The prevalence rate of metabolic syndrome was 25.3% among males and 13.3% among females, and was particularly high among males in their 40s. The increase in white blood cell counts lead to high prevalence of metabolic syndrome for both males and females. As white blood cell counts increased, the values of body mass index and cardiovascular risk factors were increased significantly. The odds ratio for elevated white blood cell counts increased significantly in the subjects with each components of the metabolic syndrome compared to the subjects without them. The lymphocyte counts in the white blood cell differential counts were higher in patients with metabolic syndrome than in those without. Conclusions: High level of white blood cell counts in normal range can be used as indicator in chronic inflammation. Increased white blood cell counts were significantly associated with metabolic syndrome.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.2
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• pp.746-752
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• 2011

To evaluate the degree of obesity based on differential combinations of BMI and body fat ratio, and thereby to obtain the comprehensive determination of coronary heart disease risk factors. The present study was conducted among 3,731 individuals(male; 2,312, female; 1,419) who underwent general health checkup in the general health promotion center in a university hospital during 2-year period from Jan. 2008 to Dec. 2009. Based on the obesity categories from combinations of BMI and body fat ratio, 30.2% were "normal", 8.9% were "seemingly obese", 31.2% were "occult obese", and 29.8% were "obese". By sexual comparison, the proportion of "normal" and "seeming obese" individuals were higher in men than women, while "occult obese" and "obesity" individuals were preponderant in women compared to men. By age, the proportion of "obesity" individuals were higher in the 40' and 50's than in 30's and 60's. Based on the association between obesity categories and each of CRF, SBP, DBP, TC, HDL-C, LDL-C and TG was significantly higher in "seeming obese" and "obesity" group than in "normal" group, but SBP, TC and LDL-C was significantly higher in "occult obese" and "obesity" group than in "normal" group. For odds ratios of each of CRF for obesity categories, it was higher in "obesity" group, "seeming obese" group, "occult obese" group than in "normal" group in that order.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.6
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• pp.2677-2684
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• 2011

This study was conducted to clarify relationships between BMI and the incidence of hypertension, hyperglycemia and hypercholesterolemia among health checkup examinees. The study sample consists of 3,402 adults aged 30s - 60s years, who underwent health check-up at a university hospital. during the Jan. 2007 to Dec. 2008.As a results, blood pressure level at the base line, ORs(95% CI) of hypertension compared with BMI category of 18.5-22.9(normal group) were 1.7(1.2-3.8) for obesity group I, and 2.9(1.7-6.2) for obesity group II. After adjusting for age and sex, ORs(95% CI) of hypertension compared with BMI category of normal group were 1.3(1.0-1.7) for obesity group I, 1.8(1.3-2.4) for obesity group II. Serum total cholesterol level at the base line, ORs(95% CI) of hypercholesterolemia compared with BMI category of normal group were 1.7(1.5-4.9) for obesity group I, and 2.8(1.8-5.3) for obesity group II. After adjusting for age and sex, ORs(95% CI) of hypercholesterolemia compared with BMI category of normal group were 1.5(1.1-1.9) for obesity group I, and 2.3(1.7-3.1) for obesity group II.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.12
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• pp.5816-5825
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• 2012

As the society has been ageing, senile dementia increase rapidly. Thus social costs of dementia treatment and management increase exceedingly. There is a desperate need of finding out improvements.. For example, foreign countries come with the solutions about this issue by establishing national strategy about Dementia, setting effective Dementia Management in national level and preparing legal systems. Older Welfare Act, Long Term Care Insurance Act for the Aged and Dementia Management Act exist as legal system of improvements. Improvement about this issue is needed due to more effective Dementia management and pushing ahead policies. First of all, the government needs to include dementia checkup into the list of national health insurance checkup toward senior citizen of older than 65-year-old. Secondly, as one of the characteristics of dementia, when more symptoms of dementia appear, there is less effect of treatment. Therefore, in order to reduce the social costs of Dementia, the government needs to promote Dementia prevention industry and early checkups. Thirdly, there is a need of setting a class judgement standard appeasement policy and expansion of using target. The reason of processing this statement is that there are difficulties of satisfying the needs of senior citizens due to current conformity of long-term pay recuperation according to laws of welfare.

• Journal of Gastric Cancer
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• v.9 no.4
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• pp.167-171
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• 2009

Purpose: This study was done to determine the usefulness of serum pepsinogen (PG) levels as a screening method for gastric cancer, and to assess the relationships between serum PG and clinicopathologic factors of gastric adenocarcinoma. Materials and Methods: Serum PG concentrations were measured in 94 subjects who were classified into (a) a control group (50 subjects) without abnormal endoscopic finding on a health checkup, or (b) a gastric cancer group (44 subjects) who had surgery at Daegu Catholic University Hospital between Nov. 2008 and May 2009. Receiver operator characteristic curves were utilized to select the most suitable test. Using different cutoff points, sensitivity and specificity were calculated. We compared preoperative serum PG levels with several clinicopathologic findings for patients with gastric adenocarcinoma. Results: The Serum PG I：II ratio was the most useful as a screening test. The sensitivity and specificity of PG screening for gastric cancer were, respectively, 81.8% and 82%. The cut off point correlated with the type of intestinal cancer (Lauren classification; P=0.003), tumor stage (P=0.001), and gastric adenocarcinoma with peritumoral chronic atrophic gastritis (P=0.036). Conclusion: Serum PG levels were found to be a potentially useful screening test and to correlate with clinicopathologic factors in gastric cancer patients. But, in order to use serum PG found in a health checkup for gastric cancer as a clinical application a large scale study is recommended.

• Journal of Korean society of Dental Hygiene
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• v.12 no.3
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• pp.621-629
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• 2012

Objectives : The purpose of this study was to examine the influential factors for the oral-health practice of adult workers and the relationship of their health-promotion life style to the factors of oral-health practice in an attempt to determine the impact of health-promotion life style. Methods : The subjects in this study were 160 workers who worked in Seoul, North-Jeolla and South-Jeolla Province, and were at the age of 20 and up. The survey was conducted from February 1 to July 20, 2011. Results : As for the relationship of the general characteristics of the workers to the factors of their health-promotion practice, gender made statistically significant differences to toothbrushing female (3.24), and there were statistically significant differences in education/concern according to more than college(2.72) scored higher academic credential(p<0.05). The group of the workers whose health-promotion life style was better in terms of all the toothbrushing(3.35), use of oral hygiene supplies(2.19), regular dental-clinic visit(2.70), dietary control(2.84) and education/concern(3.20) scored higher, and there were statistically significant differences in the factors of education/concern(p<0.05). Their health-promotion life style had an impact on regular dental-clinic visit among the factors of oral-health practice(p<0.05), and there was a positive correlation between health-promotion life style and tooth brushing, dietary control(p<0.05), regular dental-clinic visit, education and concern(p<0.01) the factors of oral-health practice. Conclusions : Workers should be stimulated to get into sound life habits to change their behavior, and they should be urged to improve their preventive health care, to get a dental checkup and ultimately to promote their health as well. Companies should take measures to accelerate the oral health promotion of workers and provide more dental checkup programs for them to be more concerned about their oral health, to promote their oral health and to maintain the best oral health.

• Journal of the Korean Society of School Health
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• v.4 no.2
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• pp.90-99
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• 1991

At the central level, civil servants concerned with school health were interviewed in order to research the national administrative system of school health. At the level of county, the ledgers concerned at the education office and the schools was reviewed, and the person concerned at them was interviewed, in order to research the present state of local school health management. The policy proposition to improve the administrative system of school health in Korea is as follows. 1) The formal school health activities in districts should be actualized with the funds and the manpower made through realizing local autonomy system. 2) The funds of health center should be able to be used for school health. 3) The important activities of school health that can be actualized without a lot of funds should be chosen and be actualized above all. 4) The formal or informal system among school, health center, and hospital should properly be made. 5) The health engineer of education office or the board of education should be related to health center at school health activities. 6) For the long run, the teacher of health education should teach the subject of health at school. The proposition to improve the management of school health at the level of education office or the board of education is as follows. 1) The formal and informal relation among health center, hospital, and the board of education should be strenthened at the technical and administrative sides. 2) Health center should train the nurse-teachers of school and the health engineers of education office or the board of education. 3) The autonomous health budget of each school should properly be made. 4) The compulsory health budget should properly be made in school education budget. 5) The formal or informal training Course for the nurse-teachers should be practical. The proposition to improve the management of school health at the level of school is as follows. 1) The equipment of nursing room should be used properly, so that the function of nursing room should be revitalized. 2) Nursing room should not be used with other function except nursing function. 3) Oral cavity should be tested when pupils and students undergo physical checkup. 4) The interval of physical checkup at each school should be more than 2 days. And then the pupils and students with abnormal health should be referred to hospital etc.. 5) The misappropriation of the allowance of school doctor should be protected.

• Journal of Korean society of Dental Hygiene
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• v.15 no.1
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• pp.39-46
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• 2015

Objectives: The purpose of the study is to investigate the cognition of dental caries prevention by the level of socioeconomic status based on Gallup survey in Korea. Methods: This study was done by Korean Gallup survey in October, 2010. A trained researcher carried out the computer aided telephone interview(CATI) using a structured questionnaire. This study was based on the latest population statistics of resident registration and whole country's phone data base. This survey included 869 selected Korean adults over 19 years old, and they were asked to answer a CATI. The questionnaire consisted of general characteristics of the subjects and socioeconomic factors including age, gender, education level, monthly income, and residential area. Cognition of dental caries prevention was measured by Likert 4 scale including 'much', 'a little', 'rarely', and 'never'. The attitude toward dental caries prevention consisted of daily tooth brushing frequency, experience of oral health education, regular dental checkup, chewing gums(xylitol), regular scaling, and use of oral care devices. Data were analyzed using SPSS 20.0 for frequency analysis, t-test, chi-square test, and one way ANOVA. Cronbach's alpha was 0.462 in oral health concern and attitude. Results: Mean of the frequencies of daily tooth brushing in men was 2.54 times and 2.78 in women. By the comparison to age group, 35-44 years old group had 2.82 times, 19-37 years old group had 2.72 times, and 45-64 years old group had 2.51 times. The level of education and monthly income was proportional to the tooth brushing frequency. Highly educated and higher monthly income group received regular dental checkup within a year and used the auxiliary oral health care devices. Conclusions: This study suggested the relationship between dental caries prevention and socioeconomic status. It is important to provide the low socioeconomic group with the better oral health promotion services in the future.

• The Journal of Korean Academic Society of Nursing Education
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• v.8 no.1
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• pp.120-130
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• 2002

This study was attempted to identify and compare in developing a health promotion program for extending healthy life expectancy of the middle-aged women and protecting health of women in the vulnerable class by comparing and researching life-style and actual conditions of health for the middle-aged women in rural and urban areas. Subjects of this study were 160 middle-aged urban women in Seoul city and chongju city and 155 middle-aged rural women in rural community goisangun. For collecting data, questionnaire was performed with structured questionnaires was used to know their actual conditions of health and life-style. Findings of this study were as follows. 1. In comparing life-style of the urban middle- aged women with the rural community, the percentage of regularly checked-up were higer urban women (46.4%) than the rural women (35%); women who have not checked up were 21.3% and 11.4% in the rural community and cities respectively, but it had a statistically significant difference (p=0.009). For the types of checkup, the rate of uterine cancer checkup than that of breast cancer self-examination or cholesterol test was higher both in the rural community(75.6%) and cities(77.4%). 2. The results of comparing actual conditions of the middle-aged women in the rural urban area were as follows; the recognition of health of the urban women was 'Very healthy (7.2%),' 'Healthy (35.5%),' 'Moderate (46.5%),' and 'Not healthy (10.3%), while the recognition of the rural women was 'Very healthy (2.5%),' 'Healthy (30.0%),' 'Moderate (36.3%),' and 'Not healthy (30.6%)'. These results showed a statistically significant difference (p=.000). Women having any problems in health were 48.1% and 36.8% in the rural and the urban respectively and it had a statistically significant difference (p=.042). For the most of health problems, arthritis accounted for 29.4% in the rural community and arthritis and constipation accounted for 21.3% in the urban. According to findings of this study, it can be concluded that rural women had more health problems, felt they were not healthy themselves and were checked up regularly less than the urban women, and their health care was poor. Therefore, more effective nursing intervention plans should be designed to enhance the performance level of health promotion for rural women.

• The Journal of the Korea Contents Association
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• v.12 no.6
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• pp.371-379
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• 2012

The purpose of this study is to develop basic data in improving quality of life along with the enhancement in oral health, by arranging a plan for being able to reduce dental fear given the dental treatment in the future by grasping the subjective oral health recognition & status, and the dental fear level of the dental treatment field targeting patients of visiting dental clinics in Busan and Gyeongnam area. In the whole items of DFS, a sense of fear was higher in women than men. A factor of avoiding dental treatment stood at 1.72 points in men and 2.10 points(p<0.001) in women. A factor of response to stimulation stood at 2.75 points in men and 3.20 points(p=0.001) in women. A fear level according to dental kind was high in a factor of avoiding implant treatment(p=0.015), a factor of avoiding orthodontic treatment(p=0.002), physiological reaction(p=0.009), a factor of avoiding prosthesis treatment(p=0.014), a factor of avoiding pulpectomy treatment(p=0.005), a factor of physiological reaction(p=0.017), a factor of avoiding periodontal therapy(p=0.013), a factor of physiological reaction(p=0.004), and a factor of avoiding treatment given not receiving regular checkup(p=0.027). In the above results, to reduce dental fear, there will be a need of developing diverse programs and oral health eduction for regular checkup and preventive treatment.