• 대한예방의학회:학술대회논문집
• /
• 2002.10a
• /
• pp.313-314
• /
• 2002

• Journal of Preventive Medicine and Public Health
• /
• v.52 no.6
• /
• pp.377-383
• /
• 2019

Objectives: Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants' self-reported disease history. We also determined the level of agreement between specialists and non-specialists. Methods: Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as 'definite,' 'possible,' or 'not' stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors' review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists. Results: Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as 'possible' were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and nonspecialists for both stroke and MI. Conclusions: The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.

• Korean Journal of Health Education and Promotion
• /
• v.31 no.4
• /
• pp.93-106
• /
• 2014

Objectives: The aim of this study was to develop the efficient program protecting shift to cerebrovascular disease as complication for patients with diabetes and hypertension. Methods: Chronic disease self management program(CDSMP), implement manual, action plan, Q&A card and motivation methods were suggested based on Bandura's social learning theory through reviewing various literatures and cases. Results: This program can increase self-efficacy, individual health behavior change and quality of life and it makes to continuous care of chronic disease. Conclusion: In order to operate chronic disease self-management program, standardized education courses training of specialist leaders and expert patients leaders would be required. And the development enlargement of self-management program for various other chronic disease such as arthritis, back pain, atopy, asthma would be required in the future.

• Journal of Society of Preventive Korean Medicine
• /
• v.12 no.3
• /
• pp.213-222
• /
• 2008

Objective : The Purpose of this study was to investigate the Yangseng-method in Tumor, to know how to help the patients from the disease. Method : In order to know the relations between Yangseng and disease, various books and reports are investigated. And the results as follows. Conclusions : According to the traditonal medical theory, Oriental medicine focused on Yangseng(養生). And it is able to resist the disease and adapt to the environment and assist the healing of the body. And it is in harmony with Qi-circulation, so smoothing the circulation of meridians, strengthened Essentialmaterial, Qi, Sprit. Yangseng can be effective for cancer patients to control mind and improve self-confidence and is helpful of preventation of disease and mental health. Especially Mind-control of Yangseng is more important of all.

• 대한예방의학회:학술대회논문집
• /
• 1998.10b
• /
• pp.119-120
• /
• 1998

• Proceedings of the KSCN Conference
• /
• 2007.10a
• /
• pp.255-255
• /
• 2007

• Journal of Preventive Medicine and Public Health
• /
• v.29 no.2 s.53
• /
• pp.227-238
• /
• 1996

This study was conducted to evaluate the accuracy of the official death registry in rural area. The base data used for the study was 379 deaths registered during the period of 1993 and 1994 in 4 rural townships of Chonnam province. The interview survey for cause-of-death was performed on the next of kin and/or neighbor. Additional medical informations were collected from hospitals and medical insurance associations for the purpose of verification. The underlying cause-of-death of 278 cases presumed by the survey was compared to the cause on official death registry. There was a prominent disagreement of cause-of-death between the survey data and the registry data(agreement rate: $38.9\sim44.6%$, according to disease classification method). These results may be caused by extremely low rates of physicians' certification, which were mostly confined to the poisoning and injury. Symptoms, signs, and ill defined conditions on death registry could be classified into circulatory disease(32.3%), neoplasm(21.2%), digestive disease(7.1%), injury and poisoning(7.1%) and so on. These results suggest that careful attention and verification be required on utilization of death registry data in rural area.

• Journal of the Korean Society of School Health
• /
• v.18 no.1
• /
• pp.15-25
• /
• 2005

Purpose: Recently there are scientific evidences for the health effects of Asian dust-storms. Particularly in 2002, the daily average of $PM_10$ exceeded 600 and 700 $\mu{g}/m^3$ in March and April respectively. We examined the effects of Asian dust‐storms on perceived symptoms and preventive behaviors among children, adults, and elders. Method: The subjects of this study were 425 children, 444 adults and 60 elders. A questionnaire survey was carried out on the children and the adults by teachers and on the elders by interviewers to obtain information on demographic variables, perceived symptoms and preventive behaviors, previous respiratory disease, environmental tobacco smoke, and proximity between the house and the road during Asian dust-storms. We analyzed using descriptive statistics, $X^2$ test and multiple logistic regression models. After adjustment for potential confounders, we estimated the odds ratios and 95% confidence intervals of the children and the elders for perceived symptoms and preventive behaviors. Result: The elders had a significantly higher prevalence of respiratory symptoms than the other groups. The children had a significantly higher prevalence than the adults in getting URI (1.51), coughing (1.68), rhinorrhea (1.46), fever (2.39) and medication for allergy or asthma (1.90). The children had better behaviors than the elders in closing windows (3.57), taking less outdoor recreational activity (2.59) and staying home (2.60). Conclusion: This study suggested that children and elders are susceptible to the effects of Asian dust on health. Health educators should inform these populations about the influence of Asian dust and provide health education for preventive behaviors.

• Journal of Society of Preventive Korean Medicine
• /
• v.10 no.2
• /
• pp.11-17
• /
• 2006

TIn the study of Yangseng(養生) and Relaxation therapy, the results were as follows : According to the traditonal oriental medical theory, Oriental medicine focused on Yangseng(養生). Especially vital-energy is able to resist the disease and adapt to the environment and assist the healing of the body. Relaxation theraphy is a kind of Qigong. And it is not only breathe, but also accumulate the vital energy in the body, Which is also called "genuine qi(眞氣)" or "internal qi(內氣)." The therapy is based on controlling of Sprit(神), Breathing(呼吸), Mind(心). And it is in harmony with Qi-circulation(氣-循環), so smoothing the circulation of meridians, strengthened Essential-material(精), Qi(氣), Sprit(神). The Relaxation theraphy made the body and mind relaxed, and it is helpful of preventation of disease and mental health. And it treats neurosis, somatoform disease, it uses main or helpful therapy of various disease, elevates health mental concentration. And it is more effective by application of music, aroma, taping, psycho-therapy.

• Health Policy and Management
• /
• v.26 no.4
• /
• pp.352-358
• /
• 2016

Summary measures of population health (SMPHs) have been used to estimate the burden of diseases. Among various type of SMPHs, disability adjusted life year (DALY) and healthy life expectancy (HALE) have been calculated in the global and national burden of disease studies. In order to calculate DALY and HALE, disability weight is an essential element. Disability weights quantify the level of disability for health states or diseases and have values between 0 (full health) to 1 (being dead). In this study, we reviewed the main disability weights studies and determined their meaning and limitations. Furthermore, we provided the whole process of typical disability weight study and reviewed key issues as follows: health state or disease description development, panel composition, valuation method, validation of disability weight, cross-cultural variability in health state or disease, and so on. The results from this study will be helpful to conduct future disability weight studies for adapting disability weights and developing new methodologies.