• Title/Summary/Keyword: Health determinant

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Mortality analysis of subtypes in acute ischemic stroke (허혈성 뇌졸중의 유형별 사망률 분석)

  • Ahn, Hyeyun;Park, Kwang-il;Lee, Sinhyung
    • The Journal of the Korean life insurance medical association
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    • v.33 no.2
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    • pp.12-14
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    • 2014
  • Worldwide, stroke is the 2nd or 3rd leading cause of death and a major health problem. Recent advances in medical technology have significantly improved diagnosis and treatment strategies of ischemic stroke. The ischemic stroke subtype is an important determinant of mortality and long-term prognosis of patients. To estimate excess-risks of the ischemic stroke subtype, recently published article, Korean cohort study of stroke, was used as a source article. According to mortality analysis methodology from American academy of insurance medicine, the overall mortality ratio and excess death rate was the highest in patients with SOD, followed by those with CE. Calculated mortality ratio and excess death rate for subtype in this review are SOD, 920%/34‰; CE 267%/34‰; UI 209%/25‰; UM 190%/23‰; UN 188%/15‰; LAA 162%/15‰; LAC 117%/3‰.

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Extended Low Anterior Resection with a Circular Stapler in Patients with Rectal Cancer: a Single Center Experience

  • Talaeezadeh, Abdolhasan;Bahadoram, Mohammad;Abtahian, Amin;Rezaee, Alireza
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8141-8143
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    • 2016
  • Background: to evaluate the outcome of stapled colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma. Materials and Methods: A retrospective study of fifty patients who underwent coloanal anastomoses after extended low anterior resection was conducted at Imam Hospital from September 2007 up to July 2012. Results: The distance of the tumor from anal verge was 3 to 8 cm. Anastomotic leakage developed in 6% of patients and defecation problems in 16%. One-year local recurrence was 6% while three-year local recurrence was 4%. One-year systemic recurrence was seen in 22% while three-year systemic recurrence was seen in 20%. Conclusions: Colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma can be conducted safely.

Evaluation of Head and Neck Cancer Awareness and Screening Status in Jeddah, Saudi Arabia

  • Alhazzazi, Turki Y
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1135-1139
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    • 2016
  • Background: Head and neck cancer (HNC) is one of the deadliest cancers worldwide. Early detection is a key determinant of HNC prognosis. Hence, raising awareness of this disease may improve survival rates. The present study evaluated the level of awareness and screening status for HNC in the general population of Jeddah, Saudi Arabia. Materials and Methods: An e-questionnaire was distributed during our HNC awareness campaign at the Red Sea Mall in Jeddah. The questions assessed HNC knowledge and screening status among participants. Results: Of the 112 respondents, 68% indicated that they had no knowledge of HNC. Social media was the major source of information (39%) for respondents. The majority (40%) believed that it was the joint responsibility of dentists, dental hygienists, and general physicians to screen for HNC; 82% had never been screened. Conclusions: Knowledge and awareness of HNC must be increased in the general population and among dental health professionals.

The Measurement of the Indoor Air Quality in Subway (전동차의 실내 공기청정도 측정 평가)

  • So, Jin-Sub;Yoo, Seong-Yeon;Yun, Cha-Jung;Kim, Wan-Jong;Kang, Sung-Hae;Park, Duk-Sin;Cho, Young-Min;Kwon, Soon-Bark;Park, Eun-Young
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.1325-1329
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    • 2007
  • Indoor air quality is an important determinant of human health and comfort. However, the complexity of pollution sources and the multitude of parties responsible for creating indoor exposures makes the improvement of air quality difficult. The HVAC(Heating, Ventilating and Air-Conditioning) system is important facility to provide comfortable environment passenger service. The Ministry of Environment is established "Indoor Air Quality Management guidelines in Public Facilities"in December 2006. Hereupon, the train and the subway are included. In this research air quality in the Subway compartment has been measured. As a result, the concentrations of PM10 and $CO_2$ were reached to 93% and 61% of the regulation values, respectively. Thus, the indoor air qualities of subway have been proved that they satisfy the recommended guidelines by the Ministry of Environment.

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The Measurement of the Indoor Air Quality in KTX Train (KTX 객실내 공기청정도 측정)

  • So, Jin-Sub;Lee, Sung-Uk;Park, Duck-Shin;Yoo, Seong-Yeon
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.1210-1213
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    • 2006
  • Indoor air quality is an important determinant of human health and comfort. However, the complexity of pollution sources and the multitude of parties responsible for creating indoor exposures makes the improvement of air quality difficult. The KTX HVAC(Heating, Ventilating and Air-Conditioning) system is important facility to provide comfortable environment passenger service. The Ministry of Environment is planning to enforce$\square\square$Indoor Air Quality Management law in Public Facilities$\square\square$in year 2008. Hereupon, the train and the subway are included. In this research air quality in the KTX Train compartment has measured. As a result, The average amounts of PM10(particulate matters), $CO_2$(carbon dioxide)measured $20{\mu}g/m^3$, 1,097ppm in KTX respectively. There are compare to regulation the value is 10% for PM10 and 43% for $CO_2$. Thus, the indoor air quality of KTX train have been proved satisfy the recommendation the Ministry of Environment guidelines.

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The Relationship between GDI(Gender Related Development Index) and the maternal and Child Mortality (여성관련개발지수와 모성 및 영아 사망률과의 관계)

  • 신미경;김한중;김모임;박은철;박종연
    • Health Policy and Management
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    • v.10 no.2
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    • pp.120-130
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    • 2000
  • Studies on the relation between socio-economic factors and metermal and child health have found that poverty, lack of edcation, inappropriate health serives are affecting to maternal and child health. The Gender Related Development Index (GDI) focuses on equality between men and women as well as on the average achiement of all people taken together, using same cariables as the Human Development Index (HDI) which are life expectancy, literacy rate, and per capita GDP. This research is to inverstigate whether HDI and GDI are useful determinants for maternal infant mortality. Using 146 UN member countries date, we condented multiple regression analysis for maternal and infant mortality with three models which are Model(individual variables-literacy rate, per capita GDP), Model(HDI) and Model(GDI). The results showed that HDI and GDI are powerful determinants of both maternal and infant mortality, respectively HDI($\beta$=-1.18, t=3.3; $\beta$=1.04, t=5.1) GDI($\beta$=-1.44, t=3.9; $\beta$=1.28, t=6.5) The higher power in model with GDI for both maternal and infant mortalities represented that GDI was more powerful determinant of maternal and infant mortality, than HDI respectively HDI($R^2$=0.824, $R^2$=0.842), GDI($R^2$=0.834, $R^2$=0.865). In conclusion, the maternal and infant mortalities are explained by GDI than HDI and may be lower in the societies where there are less discimination between men and women.

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Factors Influencing Quality of Life of Alcoholics Anonymous Members in Korea (익명의 알코올중독자(AA) 모임 참여자의 삶의 질에 영향을 미치는 요인)

  • Yoo, Jae-Soon;Lee, Jongeun;Park, Woo-Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.305-314
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    • 2016
  • Purpose: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. Methods: A cross sectional survey was conducted with participants (N=203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). Results: Of the educational diagnostic variables, self-esteem (${\beta}=.23$), family functioning (${\beta}=.12$), abstinence self-efficacy (${\beta}=.12$) and social capital (${\beta}=.11$) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (${\beta}=-.44$) and perceived health status (${\beta}=.35$) were the main factors in QOL. Also, physical health status and practice (${\beta}=.106$), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). Conclusion: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

Strategies to Improve Nutrition for the Elderly in Suwon : Analysis of Dietary Behavior and Food Preferences (수원지역 노인 영양개선 전략 연구 : 식습관 및 식품기호도 분석)

  • 임경숙;민영희;이태영;김영주
    • Korean Journal of Community Nutrition
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    • v.3 no.3
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    • pp.410-422
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    • 1998
  • To promote health status, strategies and interventions to improve nutrition should be based on the proper diagnosis of the subject's eating patterns. The elderly usually have traditional food habits and preferences, and it is very difficult to change them. This study was designed to identify dietary behavior and food preference of the elderly, in order to provide baseline data for the Elderly Nutrition Intervention Program for the Public Health Center. A survey questionnaire was made for use by trained interviewers to query 151elderly people from 5 community elderly centers located in Suwon, Korea. The majority of them ate regularly and partook of all available side dishes. Their major dietary problems were frequent consumptions of salty foods, and eating too quickly. They consumed grains and vegetables regularly, but seldomly ate dairy products, fruits, meat and food prepared with oil. They also tended to eschew ready made processed food, high cholesterol food, and fast food. Also they did not dine out as much as younger people. Desirable eating habit score were not significantly influenced by socioeconomic variables and nutrition-related characteristics. These included nutrition knowledge, Nutritional Risk Index(NRI) and a score of health concerns. However, meal balance scores were significantly higher in the younger group(p<.05), the higher household income group(p<.05). According to stepwise multiple regression analysis, NRI was the most important determinant of a desirable eating habit score for the male elderly, whereas the score of health concerns was mo9st important for female elderly subjects. The greatest predictor of the meal f balance score was nutrition knowledge. The elderly liked sweet tasting food, grains, rice, stews and Korean style soups. They disliked sour food, dairy products, processed food, and bread. The results indicate that the Elderly Nutrition Education Program should focus on increasing consumption of dairy products, fruits and food with oil, prepared by traditional Korean cooking methods. It also suggests that the program planning should consider the socioeconomic status of the elderly, such as income and education level, as well as concern for health.

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Effects of Sodium Intakes on Blood Pressure and Blood Parameters in Korean Normal Adult Women (나트륨 섭취수준이 정상 성인 여성의 혈압과 혈액성상에 미치는 영향)

  • 이영근;승정자;최미경;이윤신
    • Journal of Nutrition and Health
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    • v.35 no.7
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    • pp.754-762
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    • 2002
  • This study was performed to investigate the effect of sodium intake on blood pressure and blood parameters. 20 young adult women were fed the diets containing 290.5 mEq (high-Na diet) and 51.3 mEq (low-Na diet) Na for 6 days, respectively. BMI, DBP, and MBP were significantly lower in low-Na diet than those in high-Na diet. 20 subjects were divided into 3 groups according to the salt-sensitivity. In salt-sensitive group, decreases in SBP, DBP, and MBP by low-Na diet were shown. And there were not significant difference in blood pressure of salt-resistant group between high- and low-Na diet. In count-reactive group, MBP in low-Na diet was significantly higher than that in high-Na diet. Hemoglobin, creatinine, uric acid, and haptoglobin levels in serum were significantly higher in low-Na diet than those in high-Na diet. Among groups with different salt-sensitivity, increments of haptoglobin by low-Na diet were shown in salt-sensitive and counter-reactive groups. Actually, low sodium diet affects not only the blood pressure, but other biochemical parameters which in turn affect an individual overall health. Also salt-sensitivity should be considered as an important determinant. Therefore, for the patients who need restricted Na diet, it would be suggested that various biochemical changes and individual salt-sensitivity should be carefully considered along with dietary Na manipulation.

Associations of Dietary Intake Levels with Ante-natal Depression in Pregnant Women (임부의 식이섭취 수준과 산전우울의 관련성)

  • Kim, Hae-Won
    • Women's Health Nursing
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    • v.17 no.3
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    • pp.256-264
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    • 2011
  • Purpose: This study was conducted to identify the association of dietary intake levels with ante-natal depression among pregnant women. Methods: Secondary data analysis was done using Can Pro software (version 3.0) to evaluate the diet intake levels with 24 hour recall diary method with 130 pregnant women visiting a general hospital. Statistical analysis included descriptive statistics, t-test, Mann-Whitney U test and adjusted logistic regression using the SPSS/WIN program. Results: Whole dietary intake levels of pregnant women were insufficient according to Recommended Nutrient Intake (RI) with the except of phosphorus intake. There were significant differences in RI by gestation period and high risk pregnancies. Non-depressed women showed more intake in niacin (z=1.33, p=.018) and zinc (t=3.99, p=.048) than depressed women did. Niacin was a significant determinant of ante-natal depression (Exp (B)=5.88, p=.47, 95% CI [1.02~23.83]). Conclusion: Dietary intake assessment would be necessary during pregnancies for the screening of ante-natal depression. For ante-natal depression care, a tailored dietary intervention should be applied for women with insufficient nutrient intake.