The purposes of the present study were: (1) to investigate aeromedical dissorders prevalent among ROK air force pilots and (2) to evaluate their detrimental effects on flight performance. The study examined the eight flight-induced disorders primarily responsible for permanent grounding and flying restrictions. According to the survey of 600 randomly selected pilots, 80.2% of the respondents have experienced low back pain, which was 20% higher than the lifetime prevalence in Swedish male workers. Bradyacusia ranked second (56.0%) resulting from continuous exposure to high aircraft noise. The cardiovascular disorders, the most common cause for permanent grounding of Canadian forces pilots, were found in 16.0% of the Korean pilots. Due to the high prevalence of the disorders, in 1993 the Korean pilots received medical treatments 10 times as many as factory workdes. Compared to the flight performance of Israeli and British pilots in wars, the flight performance of the Korean pilots was found to be inferior. Such poor performance can be attributable to the high incidence rates of disorders. Statistical analyses revealed that the aeromedical disorders were related to personal variables such as age, flight career- related factors, and fatigue. Cigarette smoking and drinking habit contributed to worsening back pain, barotitis media, and pulmonary disorders. More comprehensive research was recommended to identify health hazards, combined with intervention to minimize disorders that could lead to early termination of flight careers or excessive loss of flight time. This study further suggests that aeromedical institutions in Korean air force should be fostered more professionally and financially.
The purpose of this study was to compare health status and diery health practice of middle-aged rural adults with or without hypertension. Eighty three subjects (mean age : 55.6$\pm$11.9), were composed of 22 males and 61 females. Data collection includes serum and urine collections for health status and the questionnaire including dietary habit of salt, sugar, dietary fiber and fat intake for dietary health practice The results were as follows : The subjects were composed 23 persons of under 55 year-old group and 19 persons of over 65 year-old group. Of the 83 subjects, 28.9% were recognized hypertension and 33.7% were measured hypertension by systolic blood pressure. In the aspects of dietary health practice, hypertension group showed that smoking and weight control practice and were significantly low score, alcohol and dietary fiber intake were high score. Hypertension group showed higher frequency in diabetes mellitus and lower in gastrointestinal complain and liver disease. than normal blood pressure group. Serum, TG, bilirubin, BUN and cholesterol, were significantly higher in hypertension than normal blood pressure group. The mean values of serum albumin and urinary creatinine excretion in hypertension group werw significantly lower. The consciousness of health status was lower in hypertension group and also attributed to worse personal feeling health by modified CMI test.
The prevalence of Barrett's esophagus is increasing in South Korea. Several strategies have been tried to prevent its progression to esophageal adenocarcinoma. It is questionable whether the strategies being tried in the West can be applied adequately in South Korea. However, despite the incidence of esophageal adenocarcinoma in the West, which is considerably higher than that in South Korea, the incidence of high-grade dysplasia/esophageal adenocarcinoma in population-based studies is as low as 0.23%/person-year. Therefore, in Korea, where the prevalence is lower than that, it is necessary to select high-risk groups more carefully for chemoprevention. The age of onset of gastroesophageal reflux disease-like symptoms at least once a week is related to the high-risk group rather than the presence or absence of chronic gastroesophageal reflux symptoms. The risk factors for esophageal adenocarcinoma include the patient's sex, age, smoking habit, and obesity. Proton pump inhibitors have a better preventive effect against esophageal adenocarcinoma compared to H2-receptor blockers, but their application to patients in Korea is limited due to the high number of individuals in need of treatment. Therefore, while considering the risk factors for the progression of esophageal adenocarcinoma, the administration of proton pump inhibitors should be considered for gastroesophageal reflux disease.
Background: The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city. Methods: The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an 'Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management' from four public health centers. Results: The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p= 0.044) and drinking (p< 0.001), and increased healthy dietary habit (p< 0.001) in health behaviors. It was showed that decreased triglyceride (p= 0.002) and increased high-density lipoprotein cholesterol (p< 0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p= 0.003). Conclusion: The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.
The objective of this study was to evaluate college students’dietary and health behaviors in relation to their Myers-Briggs Type Indicator (MBTI) personality preferences. Dietary and health behaviors were surveyed for 444 college students who performed the MBTI personality test. Only 6.1% of the subjects regularly had three meals a day, while 27.1% ate breakfast every day. Fifty-six point nine percent of the students took less than 15 minutes to eat a meal and had the habit of eating fast. The number of food groups they ate was, on average, 2.74 and was eaten mainly at dinner. This showed that college students did not eat a large variety of foods. Eighty-two percent of the subjects drank alcoholic beverages, 21.4% smoked, and 69.3% exercised. In addition, 73.9% of them were not satisfied with their body image, but they were not eager to try weight control. There were not many significant differences between Extraversion (E)-Introversion (I), Sensing (S)-iNtuition (N), and Thinking (T)-Feeling (F) in their dietary and heath behaviors, although some gender differences existed. Significantly better dietary and health behaviors were shown in subjects preferring Judging (J) rather than Perceiving (P). There behaviors included eating breakfast, regularly eating three meals a day, smoking less, exercising more and having a lower tendency to night-eating. The personality preference of J-P could be useful index for nutritional education and counseling or behavior modification programs for obese people.
Objectives: The purpose of this study was to investigate the oral health behaviors of multicultural family adolescents and native family adolescents to use as the basis for the oral health care. Methods: The data included a subset of the Korean Youth Health Behavior Online Survey, self-administered, targeting 72,435 middle school and high school students in 2013. The questionnaire was composed of respondents characteristics, oral eating behavior, drinking, smoking, oral health behavior, oral symptoms. Results: 1. 35.7% of the multicultural adolescents were bad economic level and 26.5% of the multicultural adolescents perceived their oral health status to be poorer than native adolescents. 2. 51.1% of multicultural adolescents was 5 times more likely to intake milk and 15.5% of multicultural adolescents cookie intake was higher than native adolescent. 3. 29.9% of multicultural adolescents always brushed their teeth more in a week than native adolescents. 4. Bleeding gums and oral odor symptoms in multicultural adolescents were 24.6%, 28.0% higher than native adolescents. Conclusions: This finding suggests that the multicultural adolescent need health education including oral health food habit, oral health care, early dental visit for prevention, early treatment.
The purpose of this study was to investigate whether nutrition counseling could lead to a beneficial outcomes in patients with cardiovascular disease(CVD). Fifty CVD patients(23 men and 27 women) participated in a dietary counseling program which was based on serum lipid management. Various markers of disease risk including lifestyles, anthropometric indices, eating behaviors, serum lipids, antioxidants, lipid peroxides were measured before and after the program. The program lasted 3-11 months depending on individuals. Waist/hip ratio decreased after nutrition counseling only in women. Smoking and alcohol drinking status did not change significantly after counseling. Food habit score increased significantly in both men and women(p<0.05), and patients consumed mixed cereal rice, fruits, seaweeds, legumes more frequently and snacks less frequently after nutrition counseling (p<0.05). Although intakes of energy, carbohydrate and vitamin B1 were reduced significantly after nutrition counseling, nutrient densities of calcium and iron of diets have increased significantly after nutrition counseling, and those of other micronutrients were not different Serum total cholesterol decreased significantly in men and LDL cholesterol decreased significantly in women. In women lipid peroxide level decreased and $\alpha$-tocopherol level increased significantly, while there was no significantly change in men. We conclude that well-planned nutrition counseling would reduce risks of cardiovascular disease through improving dietary behavior, lipid profile and antioxidant status.
Objectives: The purpose of this study was to investigate changes in HbA1c through an education and consultation intervention with diabetic workers. Methods: The participants were 65 workers with Type 2 diabetes. The data were collected from May to October 2014 using questionnaires. The intervention program included six monthly sessions on exercise, dietary habits, stress management, and diabetes knowledge. Changes in HbA1c were evaluated. The data were analyzed using descriptive statistics and paired t-tests with SPSS WIN23.0. Results: The mean of HbA1c was 7.67% before intervention and 7.28% after intervention, and this difference was statistically significant (P<0.01).The mean level of HbA1c was significantly different depending on job position, working hours, work duration, and smoking habit. Conclusion: In conclusion, these findings support the usefulness of intervention programs in reducing HbA1c. Therefore, appropriate intervention programs involving exercise, dietary habits, stress management and diabetes knowledge should be developed and provided to diabetic workers.
Objective: Recently, Korean adolescent has the problems of nutrition unbalance due to bad eating habits. Also, single-parent and step-parent families have consistently increased because of the increase of divorce rates. Adolescent who lives with a single or step family tends to have unhealthy behaviors and habits. The purpose of this study was to analyze relationship between family structure and irregular breakfast among Korean adolescent. Method: We analyzed 60,040 participants from Korean Youth Risk Behavior Web-based Survey 2018. Study variables included family structure and irregular breakfast. Control variables were sex, school, economic status, parent education levels, drinking, smoking and nutrition education. In terms of this study, descriptive, Chi-square and multivariate logistic regression analysis were performed. Results: After adjusting for socio-demographic variables among boys, family structure was associated with irregular breakfast (living with both parents reference group vs living with single-parent : OR 1.250, 95% CI: 1.142, 1.368). Among girls, after adjusting for control variables, family structure was also associated with irregular breakfast (living with both parents reference group vs living with no both parents : OR 1.409, 95% CI: 1.065, 1.865). Conclusion: According to this study, family structure would be a risk factor of adolescent breakfast habit. Nutrition programs for adolescent should consider these factors.
This study intended to investigate the volume of respiration according to the postoperative time and positions among the upper abdominal surgery patients. Tidal volume and vital capacity were measured in three positions-supine, left lateral and sitting position-at preoperatively, 12 hours postoperatively and 36 hours postoperatively. Thirteen male and seven female patients who were admitted for elective abdominal surgery under general anesthesia were the subjects of the study. Those patients with cardiopulmonary problems, obesity and smoking habit were excluded from the study. The study was conducted from March 15 to June 30, 1985 in Seoul National University Hospital. Tidal volume and vital capacity were measured by Wright spirometer in various positions at preoperatively, 12 hours postoperatively and 36 hours postoperatively. The results were as following: 1) Vital capacity was significantly decreased at 12 hours preperatively and 36 hours postoperatively than preoperatively. Vital capacity was not significantly different in Various positions, but sitting position revealed better than left lateral and supine position. Tidal volume was not significantly different in each position. 2) Male patients showed significantly higher than female patients in tidal volume and vital capacity. Vital Capacity was not significantly different by sex in each position, but vital capacity was higher in sitting position than in lateral and supire position. 3) There was not significantly different in tidal volume and vital capacity according to the type of incision and positions, vital capacity was higher in sitting positionthan in left lateral and supine position.
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