• Title/Summary/Keyword: Epidemiologic studies

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A Study on Development of Questionaire for Use in Epidmiologic Survey on Respiratory Illness in Korea (호흡기계(系) 질환의 역학적(疫學的) 조사방법 게발에 관한 연구(II) -한국(韓國) 실정에 맞는 설문조사서 개발-)

  • Ahn, Yoon-Ok;Kim, Keun-Youl;Kwon, E-Hyock
    • Journal of Preventive Medicine and Public Health
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    • v.15 no.1
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    • pp.57-73
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    • 1982
  • Questionaires on symptoms of respiratory disease have been used in Korea to elicit the probable health effects of air pollution in epidemiologic studies: The objectives of such studies often include comparing prevalence of symptoms of respiratory system between different population groups or between the same population groups, at different times. Unfortunately, little attention has, been paid to standardization of those questionaires, whether those are Korean. versions or not. Furthermore, no attempt to develop Korean ,questionaire on respiratory symptoms and relevant information has been made. Followed by 'a comparative study on responses to Korean version questionaires(English origin) of CMI, MRC, and ATS-DLD-78' two types of questionaires on respiratory symptoms and relevant information for Korean adult, which are short form (SUN-81-AS) and long forms (optional questions are added to the short one, SUN-81-AL), have been designed suitable to Korean background by authors (see Annex). The self-administered and closed-question questionaire were tested their validity and reliability by administration to l80 normal adults (medical and nursing students) and 60 clinical patients of Seoul National University Hospital, with spirometric exam. The results obtained and conclusions drawn are as follow: 1. It took less than 10 minutes to complete the questionaire SNU-81-AS and SNU-81-AL. 2. The test-retest reliability of each questions in AS and AL ,were observed as 92.7% and 92.1%, respectively. And all of the level of agreement are statistically significant with kappa statistic. 3. In addition to higher prevalence rate of symptoms in patients group compared, with, normal. group, the correlations between FEV 1.0/FVC predictive value(%) and number of symptoms were statistically significant inpatients group (See Fig. 1 and, Table 7). 4. The answer rate to optional questions in AL form among those who are not to do was about 10%, while the no-answer rate among who are to do was about 15% in Normal (medical and nursing students) group. 5. From the viewpoints of validity and reliability, the new Korean questionaire (SNU-81-AS and AL) developed by authors are to be recommendable to use in epidemiologic studies on respiratory illness in Korea. The self-administration, however, of optional questions in AL form may not assure the quality of data gathered.

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A Study on the Convergent Factors Related to Depression among Some Administrative Staff in General Hospital (종합병원 일부 행정직원의 우울과 관련된 융복합적 요인)

  • Kim, Seung-Hee;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.251-258
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    • 2018
  • We study convergent factors to depression(CES-D: Center for Epidemiologic Studies Depression scale) among administrative staff in general hospital. The questionnaire was used using an unregistered self-administered questionnaire for 201 staff from 9 general hospitals located in J area from Jul. 3rd, 2017 to Jul. 29th, 2017. The hierarchical multiple regression analysis shows the following results. The depression of respondents turned out to be significantly higher in following groups: a group in which Rosenberg Self-Esteem Scale(RES) is lower, a group in which Multidimensional Fatigue Scale(MFS) is higher, a group in which Psychosocial Well-being Index Short Form(PWI-SF) are higher. The results show explanatory power of 32.5%. The results of the study indicate that the efforts, to increase RES, and to decrease MFS and PWI, are required to improve the depression among administrative staff in general hospital. These results could be used in organizing human resource management and industrial health education to lower the level of depression in general hospital administration staff. Following studies need to analyze the structural equation model that effects the depression levels of administrative staff in general hospital.

Association Between Green Tea and Colorectal Cancer Risk: A Meta-analysis of 13 Case-control Studies

  • Wang, Xue-Jun;Zeng, Xian-Tao;Duan, Xiao-Li;Zeng, Huan-Chao;Shen, Rui;Zhou, Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3123-3127
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    • 2012
  • Objective: Experimental studies have suggested green tea to be a chemopreventive agent for colorectal cancer, and many studies have examined possible associations. However, the conclusions were inconsistent or even contradictory, so we performed a meta-analysis based on published case-control studies to explore if green tea is indeed a protective factor. Methods: PubMed was searched up to May $10^{th}$, 2012 for relevant studies, and references of included studies were manually searched. Finally 13 eligible studies, involving 12,636 cases and 38,419 controls were identified. After data extraction, a meta-analysis was performed using CMA v2 software. Results: The results indicated there may be a weak but not statistically significant reduced risk of colorectal cancer with high dose of green tea intake (OR=0.95, 95% CI:0.81-1.11, p=0.490.69-0.98). This protective effect was also found in all subgroups, except in American and European populations. Sensitivity analysis indicated the result to be robust. Publication bias was not detected by either funnel plot or Egger tests. Conclusion: The results of this meta-analysis indicate a weak lower tendency for colorectal cancer development with green tea consumption, but available epidemiologic data are insufficient to conclude that green tea may protect against colorectal cancer in humans.

Study for Exposure Limits of Magnetic Fields in the Transformer Substation (변전소 건설로 인한 자기장 노출범위설정에 관한 연구)

  • Jeon, In-Soo
    • Journal of Environmental Impact Assessment
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    • v.14 no.4
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    • pp.195-202
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    • 2005
  • The health risks from the magnetic fields exposure have been brought out difficulties in the construction of transformer substation. According to several epidemiologic studies and the relevant international organizations, magnetic fields should not exceed the exposure limits of 3mG for the people living near electric power lines. The rigid regulation of the exposure levels for the elementary school and residental areas has been established already in Switzerland and Italy. Since 1998, the environmental impact assessment system in Korea has been reviewed for power-frequency magnetic field by precautionary policies. In this study, the possible application of Prior Environmental Performance Review System for the transformer substation was reviewed from the points of the properties of the powerfrequency magnetic fields. The ranges and survey methods of the assessment for the transformer substation were proposed. The ranges of magnetic fields was between 300m to 500m for the 345kV transformer substation. It is necessary to develop further specific assessment methods for various high-voltage transformer substations.

Depression Among Korean Women (한국여성의 우울증상 실태조사 연구)

  • 신경림
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.391-400
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    • 2001
  • Purpose: The purpose of this study was to examine depression in order to identify and improve health care policies promoting health among Korean women. Method: There were 329 participants, all older than 18 years old, and staying in Kyungki-Do, city. The data was collected from July to September 1999. The instrument used for this study was the CES-D (Center for Epidemiologic Studies Depression Scale) to evaluate depression. The collected data was analyzed with frequency, percentage, t-test, ANOVA, $\chi$2-test and Multiple logistic Analysis. Result: The result of this study are as follows: 1. Among the participants, 90.6% had normal to mild depression and 9.4% had severe depression. 2. For general characteristics, there were significant difference in the degree of depression according to age(P=0.0001), and marital status(P=0.0001). As for health related characteristics, the depression scores were affected by health perception(P= 0.0001), menopause(P=0.0005), stress (P= 0.0001) and sexual activity(P=0.0001). 3. There was a significant relationship between marital status and stress. Conclusion: This study suggests that a replicate study is needed. The results are also is useful in developing various nursing intervention programs.

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The effect of family strengths and wives' self-esteem on depression among married women (도시가족의 건강성 및 주부의 자아존중감이 우울에 미치는 영향 -전업주부와 취업주부의 차이를 중심으로-)

  • 박정희;유영주
    • Journal of Families and Better Life
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    • v.18 no.2
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    • pp.155-174
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    • 2000
  • The purpose of this study was to examine the effects of family strengths and self-esteem on depression among married women who have adolescents in middle and high school of their first child in Korea. To measure of depression using the CESD(the center for epidemiologic studies depression scale), the degree of husewives' depression was relatively higher than that of employed married women. As for the related variables, educational degree, S.E.S(socio-economic status), self-esteem turned out significant in housewives' depression. But, in the case of employed married women, these were not significant. Therefore, we are confirmed that the etiologic model of this study was more proper to housewives than employed married women. Finally, in both cases of housewives and employed married women, the effects of family strengths were mediated or moderated by self-esteem in predicting depression. The results of this study called for the encouraging of married women's self-esteem, the parti ipation of various social programs for housewives, and the programs to strengthening of their family relationships.

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Current Status of Genomic Epidemiology Reseach (유전체 역학연구의 동향)

  • Lee, Kyoung-Mu;Kang, Dae-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.3
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    • pp.213-222
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    • 2003
  • Genomic epidemiology is defined as 'an evoking field of inquiring that uses the systematic application of epidemiologic methods are approaches in population-based studies of the impact of human genetic variation on health and disease (Khoury, 1998)'. Most human diseases are caused by the intricate interaction among environmental exposures and genetic susceptibility factors. Susceptibility genes involved in disease pathogenesis are categorized into two groups: high penetrance genes (i.e., BRAC1, RB, etc.) and lour penetranoe genes (i.e., GSTs, Cyps, XRCC1, ets.), and low penetrance susceptibility genes has the higher priority for epidemiological research due to high population attributable risk. In this paper, the summarized results of the association study between single nucleotide polymorphisms (SNPs) and breast cancer in Korea were introduced and the international trends of genomic epidemiology research were reviewed with an emphasis on internee-based case-control and cohort consortium.

Comparison Of Interval Estimation For Relative Risk Ratio With Rare Events

  • Kim, Yong Dai;Park, Jin-Kyung
    • Communications for Statistical Applications and Methods
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    • v.11 no.1
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    • pp.181-187
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    • 2004
  • One of objectives in epidemiologic studies is to detect the amount of change caused by a specific risk factor. Risk ratio is one of the most useful measurements in epidemiology. When we perform the inference for this measurement with rare events, the standard approach based on the normal approximation may fail, in particular when there are no disease cases observed. In this paper, we discuss and evaluate several existing methods for constructing a confidence interval of risk ratio through simulation when the disease of interest is a rare event. The results in this paper provide guidance with how to construct interval estimates for risk difference and risk ratio when there are no disease cases observed.

Evaluating Interval Estimates for Comparing Two Proportions with Rare Events

  • Park, Jin-Kyung;Kim, Yong-Dai;Lee, Hak-Bae
    • The Korean Journal of Applied Statistics
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    • v.25 no.3
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    • pp.435-446
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    • 2012
  • Epidemiologic studies frequently try to estimate the impact of a specific risk factor. The risk difference and the risk ratio are generally useful measurements for this purpose. When using such measurements for rare events, the standard approaches based on the normal approximation may fail, in particular when no events are observed. In this paper, we discuss and evaluate several existing methods to construct confidence intervals around risk differences and risk ratios using Monte-Carlo simulations when the disease of interest is rare. The results in this paper provide guidance how to construct interval estimates of the risk differences and the risk ratios when no events are detected.

Update of Sepsis: Recent Evidences about Early Goal Directed Therapy

  • Cho, Woo Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.156-160
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    • 2015
  • Severe sepsis and septic shock is a life-threatening disease. It is combined with multi-organ failure. In the past decade, early goal directed therapy has been proposed as an effective treatment strategy for better outcome. Recent epidemiologic studies showed that the outcome of sepsis has been improved with the introduction of early goal directed therapy. However, it is unclear which elements of early goal directed therapy contributed to the better outcome. Recent prospective and randomized trials suggested that some elements of early goal directed therapy did not have any effect on the outcome benefit. In this paper, recent articles about early goal directed therapy will be reviewed and the effectiveness of individual elements of early goal directed therapy will be discussed.