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Association Between Pancreatitis and Subsequent Risk of Pancreatic Cancer: a Systematic Review of Epidemiological Studies

  • Tong, Gui-Xian;Geng, Qing-Qing;Chai, Jing;Cheng, Jing;Chen, Peng-Lai;Liang, Han;Shen, Xing-Rong;Wang, De-Bin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.5029-5034
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    • 2014
  • This study aimed to summarize published epidemiological evidence for the relationship between pancreatitis and subsequent risk of pancreatic cancer (PC). We searched Medline and Embase for epidemiological studies published by February $5^{th}$, 2014 examining the risk of PC in pancreatitis patients using highly inclusive algorithms. Information about first author, year of publication, country of study, recruitment period, type of pancreatitis, study design, sample size, source of controls and attained age of subjects were extracted by two researchers and Stata 11.0 was used to perform the statistical analyses and examine publication bias. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated with the random effects model. A total of 17 articles documenting 3 cohort and 14 case-control studies containing 14,667 PC cases and 17,587 pancreatitis cases were included in this study. The pooled OR between pancreatitis and PC risk was 7.05 (95%CI: 6.42-7.75). Howeever, the pooled ORs of case-control and cohort studies were 4.62 (95%CI: 4.08-5.22) and 16.3 (95%CI: 14.3-18.6) respectively. The risk of PC was the highest in patients with chronic pancreatitis (pooled OR=10.35; 95%CI: 9.13-11.75), followed by unspecified type of pancreatitis (pooled OR=6.41; 95%CI: 4.93-8.34), both acute and chronic pancreatitis (pooled OR=6.13; 95%CI: 5.00-7.52), and acute pancreatitis (pooled OR=2.12; 95%CI: 1.59-2.83). The pooled OR of PC in pancreatitis cases diagnosed within 1 year was the highest (pooled OR=23.3; 95%CI: 14.0-38.9); and the risk in subjects diagnosed with pancreatitis for no less than 2, 5 and 10 years were 3.03 (95%CI: 2.41-3.81), 2.82 (95%CI: 2.12-3.76) and 2.25 (95%CI: 1.59-3.19) respectively. Pancreatitis, especially chronic pancreatitis, was associated with a significantly increased risk of PC; and the risk decreased with increasing duration since diagnosis of pancreatitis.

지역사회 건강 증진 사업 평가 연구 -1개 도시지역 보건소의 경험적 사례를 중심으로- (An Evaluative Study of Community based Health Promotion Project)

  • 박성애;박정호;윤순녕;이인숙
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.532-546
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    • 2001
  • This report is the result of interim evaluation of a health promotion project which was operated by a public health center of K Gu in the year of 2000. It evaluated the aspects of the aim of a project, a target group. and adequacy and appropriateness of a approaching strategy by considering data of public health center's self-evaluation, and guidelines of a group assigned to evaluate the project. The way of evaluation was dividing the project into a colligated evaluation and a evaluation by projects in the aspects of the structure, the procedure. and the result of a result. Through this. a device to improve the health improvement project was derived. The target data for evaluation was the second data and data of self-evaluation, reported data, membership register data of a health management. and interview materials with the people in charge by projects that are all collected as a project management documents. The result of evaluation is stated below. 1. Main purpose of a health promotion project is building a environment of healthy life practicing and providing information through various ways to increase the rate of practicing healthy life. Through overall project. the ultimate purpose and definite purpose were same, however, it was not quite satisfied to offer planning of a time, and a target amount in detailed strategy. As the purpose was to build environment of healthy life practicing. most of the projects had the whole community citizen as a target group. That made difficult to operate detailed projects. so the result was hard to estimate as much as the effort put into it. Also, there were too many kinds of projects and target groups to be equal to by the human source of a health promotion project team. so we were just bent on operating a project. and could not prepare for the evaluation. As the most of former evaluation of public health service was just counting number of the objects, the new way of evaluating a project wasn't familiar to us. so the evaluation of a detailed project cannot be done well. Techniques and advices needed for all of these things weren't offered appropriately. For the forward direction of unfolding project. it is desirable to operate project by selecting focused target and considering a strategy of evaluation as a strategy of reasonable spread. The evaluation of the project became difficult as participation of citizen for it was poor. So, approach strategy that can lead the motivation of community citizen should be derived. 2. For the continuation of a health promotion project, technical assistance system. description of a field in charge, and arrangement of the amount of task should be developed as a central level. Furthermore, as the health promotion project focus on behavioral modification program whose purpose is to lessen dangerous factors. the public health service model which is incorporated with former project should be developed and spread out in the field for the object-centered project plan.

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경상북도 일부 농촌지역 주민의 치과의료이용양상 및 관련요인 (Dental Care Utilization Patterns and Its Related Factors of the Rural Residents)

  • 장분자;김지영;송근배;감신;이성국
    • 농촌의학ㆍ지역보건
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    • 제28권2호
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    • pp.171-182
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    • 2003
  • 일부 농촌지역주민의 치과의료이용양상 및 관련요인을 알아보기 위하여 경상북도 성주군의 1개읍, 9개면에 거주하는 건강검진사업 참가자 중 설문조사에 응답한 남자 260명과 여자 264명인 총 524명을 대상으로 직접 대면방식으로 조사하였다. 그리고 농촌지역주민의 치과 의료이용에 영향을 미치는 요인에 대하여 분석한 결과를 요약하면 다음과 같다. 치과의료이용률은 대상자의 64%로 치과병의원(49.4%)의 이용률이 가장 높았고 보건기관의 치과(8.0%), 기타(6.6%) 순이었다. 일반적 특성에 따른 1년동안의 스스로 인지한 구강질환경험률은 연령이 낮을수록 유의하게 높았고, 치과의료이용률은 유의한 관련성이 없었다. 구강보건인식에 따른 구강질환경험률은 주관적 구강 건강상태가 불량할수록 유의하게 높았고, 치과의료이용률은 주관적 구강건강상태가 건강할수록 유의하게 높았다(p<0.01). 상용치과치료원 유무에 따른 구강질환경험률과 치과의료이용률은 상용치과치료원이 있는 경우(81.0%)가 더 높게 나타나 유의한 차이가 있었다(p<0.01). 통증의 정도별에 따른 치과의료이용률은 많이 아플수록 유의하게 높았다(P<0.01). 구강질환자의 미치료율은 36%이며 주된 이유는 심한 질환이 아니라고 생각해서(45.5%)였다. 다중 로지스틱 회귀분석의 결과 치과의료이용여부에 유의한 영향을 미치는 변수는 교육수준, 통증의정도, 주관적 구강건강상태, 상용 치과치료원 유무였다(P<0.05). 즉 교육수준이 높을수록, 주관적 구강건강상태가 건강할 수록, 통증의 정도가 심할수록, 상용치과 치료원이 있을수록 치과의료 이용을 더 많이 하는것으로 나타났다. 따라서 보건기관에서는 지역사회의 구강질환 예방을 위한 구강보건사업을 강화하고 구강보건인식도를 높일 수 있는 보건교육을 정기적으로 실시할 필요가 있다. 그렇게 하기 위해서는 먼저 시 도 및 보건소의 조직에 전문성을 갖춘 구강보건 전담부서가 마련되어 구강보건사업을 체계적으로 계획하고 평가할 수 있도록 해야 효율적인 구강보건사업의 추진이 가능할 것이다.

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일부 지역사회 노인의 구강보건교육 실태에 관한 연구 (A study on the actual conditions of oral health education for the elderly in some communities)

  • 김영;이은주;김민경;임영미;신연주;정정옥;윤혜정;이경희
    • 한국치위생학회지
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    • 제12권5호
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    • pp.921-932
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    • 2012
  • Objectives : The purpose of the this study was to obtain necessary source data for development of oral health improvement and promotion programs for the elderly by investigating the actual situations of oral health education related experience and needs that senior citizens had in Korea. Methods : In this study, convenience sampling was conducted in 430 senior citizens aged 65 years who lived in Seoul and Gyeonggi-do in Korea, for about six months from December 2011 to May 2012. For data collection, the structured questionnaire was used. Community-based senior citizens' welfare facilities and centres, as well as nearby churches were visited to inform them of the information on this study. Then, the senior citizens who agreed to participate in this study were given the questionnaire sheets. Excluding 33 copies of inadequately completed questionnaire sheets, 397 copies (92.3% of the entire collected data) were analyzed. Results : 1. In terms of the experience with oral health education, the number of elderly respondents who have not received oral health education was 202 (50.9%), whereas the number of those who have received oral health education was 195 (49.1%), which indicates that the latter shows a slightly higher proportion. 2. Examining the necessity for oral health education, the overall mean was 3.67 points based on 5 points as full marks, which suggests that senior citizens have high awareness of the necessity for oral health education. 3. Regarding the willingness to participate in oral health education, the number of those who answered that if any opportunity to receive oral health education is given, they would be willing to receive such the education was 211 (53.1%). Conclusions : Based upon the results mentioned above, we conclude that it is required to develop more systematic and sustained, life-long oral health education programs at the levels of senior citizen's welfare facilities and centres, in order to guide senior citizens to desirable oral health care practice.

우리나라 유배우부인의 인공임신중절에 관한 연구 (A Study on the Induced Abortion Behavior of Currently Married Women in Korea)

  • 오영희
    • 한국인구학
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    • 제9권2호
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    • pp.42-52
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    • 1986
  • An attempt had been made to obtain current information on induced abortion among currently married women aged 15 to 44. The source of data was 1985 National Fertility and Family Planning Survey conducted by Korea Institute for Population and Health in may 1985. 1. At the time of the survey, 53 percent of currently married women aged 15 to 44 had experienced induced abortion: 25.5 percent of the respondents who had experienced induced abortion only one time and another 27.6 percent more than two times. 2. The proportion of women who had experienced induced abortion seemed to increase according to the advance in age. It seemed that there was no significant difference in the experience rate of induced abortion by academic career, and there was inverse relationship between the experience rate of induced abortion and the age at first marriage. The experience rate if induced abortion by the number of living children was highest among those who had three children as 65.6 percent. 3. To analyze the effect of induced abortion on fertility, this study employed multiple regression analysis as a statistical technique. Instead of index representing fertility level the number of living children served as dependent variable. Independent variables used in analysis included age, age at first marriage, education level, ideal number of children, religion, frequency of induced abortion, total number of pregnancies and participation in labor force. Standardized partial regression coefficient of induced abortion was no less than -0.61. So, it can be concluded that induced abortion offered the great contribution on the birth control. A consistant health education and efficient management of family planning program would be essential for effectiveness of contraceptive practice.

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보건소 노인 영양 개선 사업 : 영양밀도와 섭취 식품군의 다양성에 의한 노인 영양 평가 (Elderly Nutrition Improvement Program in the community health center : Nutritional evaluation of the elderly using the Index of Nutritional Quality and food group intake pattern)

  • 임경숙
    • 대한영양사협회학술지
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    • 제3권2호
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    • pp.182-196
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    • 1997
  • Physiological changes that affect nutrient absorption and utilization occur in older adults, and the collection of nutritional information is an important part of examining the nutrition and health issue. A nutritional survey using the 24-hour recall method was performed to identify nutritional quality and leading patterns of food group intake for protein, vitamin C, P and Fe were over 1, whereas those for vitamin A, $B_1$, $B_2$, niacin and Ca were below 1. The MAR(Mean Adequacy Ratio) was relatively low(0.75). The percentage of energy from carbohydrate, protein, and fat was 65.1, 15.6, and 19.5, respectively, thus the quantities of energy source were ideal. The Older subjects revealed poorer nutrition quality than the younger subjects did. The food group intake pattern of the elderly was not diverse, only 9% of them consumed all food groups in a day. These results suggest that nutritional guidelines for older Koreans should focus on the maintenance of adequate energy intake. In addition, selection of foods with high protein and calcium, such as dairy food, should be emphasized, particularly in the older elderly. Nutrition programs should target individuals at risk of not receiving enough nutrients, like the oldest elderly, and persons with lower education.

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암등록과 암관리사업의 최신 국제 경향 및 우리나라 암발생 통계 (Global Activity of Cancer Registries and Cancer Control and Cancer Incidence Statistics in Korea)

  • 신해림
    • Journal of Preventive Medicine and Public Health
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    • 제41권2호
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    • pp.84-91
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    • 2008
  • The World Health Organization (WHO) reported that cancer killed 7.6 million people in the world in 2005, and that 40% of all cancer deaths can be prevented. According to the WHO Global Action Plan Against Cancer (GAPAC), monitoring of cancer patients is the essential part of cancer control, and should be conducted through cancer registration. Originally, cancer registries were primarily concerned with the description of cancer patterns, trends of cancer occurrence, and etiology of cancer. In the last 20 years, cancer registries provided not only information on the incidence and characteristics of specific cancers, but also supplied the source of cancer control planning and evaluation and the care of individual cancer patients with survival. Cancer Incidence in Five Continents (CI5) presents incidence data from populations all over the world every five year. Volume IX in the series (data for 1998-2002) has recently (November 2007) been published online at International Agency for Research on Cancer (IARC). Nine data from Korea Central Cancer Registry (National data), Seoul, Busan, Daegu, Gwangju, Incheon, Daejeon, Usan, Jejudo regional cancer registries were included in that volume. In this paper, the editorial process, the characteristics of national data, and quality indices in CI5 IX are being described. In addition, cancer control activities related to cancer registration in some selected countries are also presented.

Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine

  • Chiasson, Mike;Kumar, Nanda
    • 한국IT서비스학회지
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    • 제15권1호
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    • pp.39-66
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    • 2016
  • There is growing evidence that professional work is changing as a result of the application of information technology (IT). However, the impact of information technology on professional work has produced mixed results. Our paper considers the source of these mixed results through a greater analytical attention paid to the nature of professional work. Defined as work involving expertise expressed through abstract and formalized knowledge as well as extensive working knowledge, the professional work logic assumes the greatest autonomy and discretion for workers in collectively controlling work characteristics-division of labor and its permanence, control over education, and control over new entrants and the monitoring and disciplining of existing members. The impact of IT on professional work will be difficult to control and predict without considering the assumptions and tensions within and across the three major types of work logics (Professional, Market and Bureaucratic). Using healthcare as an example, the paper provides various propositions for researching the initiation and effects of ICT design through these three work logics. These propositions illustrate the active role that IS researchers can take in researching an important economic and work-related topic, professional work, and in understanding how ICT affects work-related expertise.

자동차 조립 작업에서의 노동 조건 변화와 근골격계질환과의 관련성 (Association between Changed Working Conditions and Musculoskeletal Disorders among Automobile Assembly Workers)

  • 이윤근;임상혁
    • 한국산업보건학회지
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    • 제16권3호
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    • pp.276-283
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    • 2006
  • Work-related musculoskeletal disorders (WMSDs) were a major source of disability and lost work time after 'Foreign Currency Crisis(1998-2000)' in Korea. There is considerable evidence documenting the association between psychosocial risk factors and work disability due to WMSDs. But, there is not much in Korea. The present study aimed to explore the predictive association between the changed working conditions and WMSDs after 'Foreign Currency Crisis' in Korea. A study sample of 8,670 automobile assembly workers were recruited for this study. A structured-questionnaire was used to assess general characteristics, working conditions, and information concerning medical treatment of WMSDs. After adjustment for sociodemographic factors, increased overtime work(OR=1.22), daily work time(OR=1.20), work speed (OR=1.32), number of workers(OR=0.83), supervisory control(OR=1.39), physical load(OR=1.39), and mental load (OR=1.25) were all founded to be significantly associated with WMSDs. This study has shown the importance of changed working conditions in the occurrence of WMSDs. Therefore, it will be necessary to reduce WMSDs with controlling both physical and psychosocial factors.

전라북도 익산 지역 대학교 기숙사 학생의 식습관 및 기숙사 급식 만족도 조사 (Studies on Dietary Habits and Residence Students' Satisfaction with University Dormitory Foodservice in Jeollabuk-do Iksan Area)

  • 민경진;최일숙
    • 한국식생활문화학회지
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    • 제31권5호
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    • pp.442-456
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    • 2016
  • The purpose of this study was to investigate eating habits and dormitory foodservices' satisfaction in university students using dormitory foodservice in the Jeollabuk-do Iksan area. Self-administered questionnaires were completed by 195 students (86 male, 109 female). Many students (58.5%) ate less than two meals per day and spent around 30 min eating meals. The results show that snack and midnight meals were the main reasons (37.9%) for unhealthy eating habits. Main source of nutritional knowledge and information were TV and the Internet (58.5%), followed by friends and people (25.1%), nutrition books (10.3%), elective courses (4.6%), and newspapers and magazines (1.5%). Men had significantly higher satisfaction scores for nutrition, taste, diversity of menu, as well as hygiene of dormitory food court compared to women (p<0.05). Salty taste was the most important factor in evaluation of taste satisfaction, whereas sour taste was opposite. The reason for taste dissatisfaction in the dormitory food court was not salty enough, and it may be related with their eating habits. The results show that students need education for adequate knowledge and information about the relationship between health and nutrition.