Ku, In-Young;Mun, Won-Suk;Kang, Ji-Hun;Ryu, Hae-Gyum
Journal of Korean Clinical Health Science
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v.1
no.2
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pp.11-20
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2013
Purpose. A huge proportion of adults in korea, workers chronic disease risk factors have been growing every year, these are closely related to oral health. thus, through the study of the relationship between workers oral health behavior and chronic disease risk factors. Methods. The subjects were 4,600 workers volunteering at the oral health education program part of the industrial health education of some area work places. Data were analyzed by descriptive statistics, chi-square test, Rogistic regression analysis. Results. The results of chronic disease risk factor according to oral health practice behaviors show that currently drinking and smoking, not visiting to the dentist for last year, fewer toothbrushing were associated with chronic disease risk factors. This result was statistically significant as well.(p<0.05). Risk factors influencing chronic disease were gender, age, job period, dental clinic visiting, the number of toothbrushing, perceived oral health state, smoking, and drinking, these were statistically significant as well(p<0.05). Conclusions. Chronic disease that could threaten workers health was related with the oral health practice behavior. Therefore through factors identification affecting general health and oral health, dental care providers aims to increase workers awareness of health care behavior and lifestyle and to suggest periodical health education promotion program for high risk workers who exposed to risk factors of disease within workplace.
Background: Colorectal cancer (CRC) is one of the most common causes of death worldwide and in Thailand. The X-ray repair cross-complementary protein 1 (XRCC1) is required for efficient DNA repair. The effects of this gene on survival in colorectal cancer remain controversial and have not been reported in Thailand. The aim of this study was to investigate the association of the XRCC1 gene with survival of colorectal cancer patients in a Thai population. Materials and Methods: Data and blood samples were collected from 255 newly diagnosed and pathologically confirmed CRC patients who were recruited during the period 2002 to 2006 and whose vital status was followed up until 31 October, 2014. Real-time PCR-HRM was used for genotype identification. The Kaplan-Meier method, the log-rank test, and Cox proportional hazard regression were used to estimate cumulative survival curves and compare various survival distributions and adjusted hazard ratios. Results: Most of the cases were males, and the median age was 55 years. The median survival time was 2.43 years. The cumulative 1-, 3-, 5-, 7-, and 10 year survival rates were 76.70%, 39.25%, 26.50%, 16.60% and 3.56%, respectively. After adjustment, female gender, ages 50-59 and ${\geq}60years$, tumour stage III+IV, a signet-ring cell carcinoma, and poor differentiation had significant associations with increased risk of CRC death. While the XRCC1 Arg/Arg homozygote appeared to be a risk factor for CRC death, the association was not significant. Conclusions: The genetic variant in the XRCC1 may not be associated with the survival of CRC patients in Thailand. Further studies are needed to verify our findings.
Objectives : To review the drug prescription pattern of antiulcerative agents for elderly inpatients, Methods : The study population comprised inpatients of community hospitals who were members of the Korean Elderly Pharmacoepidemiologic Cohort (KEPEC), aged 65 years or over, beneficiaries of the Korea Medical Insurance Corporation (KMIC) and residing in Busan city in 1993. The drug prescription information was collected from the claims data of hospitals where the cohort members received medical care between January 1993 and December 1594. The information included personal identification, age, gender, diagnosis, drug dosage, date of hospital admission and name of medical institutions where the study subjects received drug prescriptions. The data analysis produced outcomes in terms of distribution of antiulcerative agents by class and by medical institution and trend of relative prescription, Analysis was also performed in terms of combined prescriptions of antiulceratives and drugs that could induce risk from drug interaction with antiulceratives. Results : The number of patients prescribed antiulcerative agents was 1,059 (64,9%) male and 1,724 (65.5%) female among the total inpatients. An antacid and composite agent was the most frequently prescribed antiulcerative agent (70.8%), followed by $H_2$ antagonist (16.0%), Among the potential drugs that could induce risk from drug interaction with the antiulcerative agents, diazepam was the most frequently prescribed. The proportion of diazepam co-prescription was 22.5% of the total cimetidine prescriptions and 14.5% of the fetal omeprazole prescriptions. Conclusions : Antiulcerative drugs were frequently prescribed in the elderly inpatients. The adverse drug reaction could possibly be due to drug interaction. The study results could be used as fundamental data for further drug utilization review of antiulceratiye agents.
A total of 1,780 isolates of Enterococcus spp. were isolated from 63,133 clinical specimens from Dec 1, 2005 to Nov 1, 2006 in "C" hospital. Isolation frequencies of Enterococcus spp. were 50.9% for E. faecalis, 41.7% for E. faecium, and 7.4% for other Enterococcus spp. containing E. avium, E. gallinarum, E. casseliflavus, E. durans, E. hirae, and E. raffinosus. There were no significant difference between gender, but according to the age group analysis, Enterococcus spp. were more frequently isolated in patients over 50 years old (20.0~24.6%) than those isolated from the patients under the age of 0~49 (1.3~9.4%). In monthly analysis, Enterococcus spp. were the most frequently isolated in April (11.9%), but presented at lowest frequency in February (5.2%). Seasonal analysis did not show a significant difference. Over half of enterococci were isolated from random urine (44.9%) and catherterized urine (15.7%). Frequencies of vancomycin resistant E. faecalis and E. faecium were 0.1% and 31.0%, respectively. Teicoplanin resistant Enterococcus was 13.3% in E. faecalis, 17.6 % in E. faecium. The Enterococcus species showing over 80% susceptibility against antimicrobial agents were E. faecalis, E. durans and E. hirae in vancomycin; E. faecalis, E. gallinarum, E. casseliflavus, E. durans and E. hirae in ampicillin. The antimicrobial agent showing susceptibility against whole group of Enterococcus species was only linezolid (95.9%), and a selection of antimicrobial agent is necessary to do essential performance identification and susceptibility tests.
Kim, Yuchang;Kim, Daesu;Park, Kyunghwan;Kim, Daesik
Journal of the Ergonomics Society of Korea
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v.33
no.6
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pp.477-486
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2014
Objective:This study aims to devise industrial injury prevention measures by analyzing industrial injury characteristics including the status of industrial injuries, source of industrial injury and accident type in order to prevent aging workers' industrial injuries that account for more than half in the workplaces in agriculture. Background: Continuous migration from farm to city takes place among young people in rural areas in Korea, a traditionally agricultural country due to rapid industrialization and economic development. The aging rate in rural areas in 2013 was 37.3%, about three times higher than the total aging rate of 12.2% in Korea. According to industrial injury statistics of the Ministry of Employment and Labor, the number of industrial injuries in agriculture shows an uptrend and the industrial injuries of aging workers account for more than 50% each year. Method: Of the 2,970 industrial injury cases occurred in the workplaces in agriculture for five years during 2008 and 2012 offered by a national agency related to health and safety, this study analyzed 1,767 industrial injury cases of aging workers. Results: As a result of an analysis on aging workers' industrial injuries by company size in agriculture, 89.8% of the total number of industrial injuries were analyzed to occur in small scale company. According to aging workers' industrial injuries by source of industrial injury and accident type, the outdoor floor and a fall were analyzed to be the highest at 16.5% and 26.1%, respectively. Conclusion: This study analyzed aging workers' industrial injuries by company size, age, job duration, accident severity, gender, nationality, the source of industrial injury and accident type in order to identify industrial injury characteristics in agriculture. Application: The identification of industrial injury characteristics of aging workers in agriculture is judged to be helpful to devising effective measures to prevent industrial injuries.
Objective : Korean employees tend to release their stress by alcohol drinking. This study aimed to investigate the association between job stress and problematic drinking in Korean employees. Methods : The study participants were 72,119 employees who attended health screenings and responded to the Alcohol Use Disorder Identification Test-Korea (AUDIT-K), Korean Occupational Stress Scale-Short Form (KOSS-SF), Center for Epidemiologic Study-Depression (CES-D), Beck Anxiety Inventory (BAI) and questionnaire on suicidal ideation and sociodemographic characteristics. We investigated the sociodemographic and clinical characteristics of the problematic drinking group ($AUIDT-K{\geq}12$) and used binary logistic regression to determine the impact of job stress on problematic drinking. Results : Age, gender, marital status, education year, sleep duration, obesity, smoking, suicidal ideation, and depression and anxiety showed significant differences between the problematic drinking group and normal group. Among the various kinds of job stresses, job insecurity and lack of reward were associated with problematic drinking. Conclusion : The result of this study suggested that certain kinds of job stress might be associated with problematic drinking in Korean employees.
Kim, Hyo-Sil;Lee, Young-Ah;Kim, Soo-Jin;Chae, Soo-Gyung;Lim, Jin-Hyung
The Korean Journal of Emergency Medical Services
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v.20
no.2
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pp.127-144
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2016
Purpose: The purpose of this study was to investigate the drinking behavior of university students in Jeju for the safe campus life. Methods: A self-reported questionnaire was completed by 549 students in 4 universities in Jeju. The data were analyzed by t-test, one way ANOVA, and multiple regression using SPSS Win 19.0 program. The questionnaire instruments consisted of Alcohol Use Disorders of Identification Test-Korea (AUDIT-K) and Life Stress Scale for College Students adapted by Chon. Results: The alcohol consumption rate of participants accounted for 96.2%. The binge drinking rate in female students were 33.9% and that in male students was 29.5%. The result by scoring AUDIT showed that 30.7% of participants were normal drinking group, 36.0% were hazardous drinking group, and 33.3% were estimated alcohol abuse group. The average score of stress was 1.45 by Likert 4 point scale. The female students tended to have more stresses than male. The most important influencing factors on drinking behavior were the first alcohol drinking(${\beta}=-.250$, p< .001), gender(${\beta}=.202$, p< .001), and relationship problem(${\beta}=.116$, p < .05). Conclusion: The drinking rate of university students revealed higher than that in other age groups. So the early systematic education is strongly recommended to prevent the physical and mental side effects.
Kim, Kyo-Hyun;Kim, Chang-Hwi;Choi, Bo-Youl;Go, Un-Yeong;Lee, Dong-Han;Ki, Mo-Ran
Journal of Preventive Medicine and Public Health
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v.42
no.6
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pp.408-415
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2009
Objectives : This study was performed to investigate the mumps transmission control status and inapparent infection rate among middle and high school students in Daegu City during a mumps outbreak. Methods : Nine schools (two middle schools and seven high schools), which reported a number of mumps cases between 2007 and 2008 were selected for investigation. During March-May 2008, a standard questionnaire was distributed to gather information about case identification, instructed isolation measure, isolation status of mumps cases and related factors, and outdoor activities of nonisolated mumps case. Inapparent infection rate was estimated by serum mumps IgM and IgG antibodies status and self-reported mumps symptoms in three of the nine schools. Results : Among 2,560 respondents, more than half of students answered that they did not receive instructions in mumps transmission control measures during the outbreak. Among the 327 mumps cases identified by the questionnaire, 131 cases (40.1%) were considered as isolated and the isolation rates were significantly different among schools, grades, and gender. Of the non-isolated cases, 88.3% continued attending school. Inapparent mumps infection rates were between 56.3% and 70.2%. Conclusions : Mumps transmission control was inadequate to control the mumps outbreak. Although high inapparent infection rate would mitigate the transmission control effect of case isolation, this measure is fundamental for infection control. The reasons of this inadequate status need to be explored to develop an effective intervention strategy.
Kim, Tae Jung;Lee, Ji Sung;Kim, Ji-Woo;Oh, Mi Sun;Mo, Heejung;Lee, Chan-Hyuk;Jeong, Han-Young;Jung, Keun-Hwa;Lim, Jae-Sung;Ko, Sang-Bae;Yu, Kyung-Ho;Lee, Byung-Chul;Yoon, Byung-Woo
Journal of Korean Medical Science
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v.33
no.53
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pp.343.1-343.8
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2018
Background: Linkage of public healthcare data is useful in stroke research because patients may visit different sectors of the health system before, during, and after stroke. Therefore, we aimed to establish high-quality big data on stroke in Korea by linking acute stroke registry and national health claim databases. Methods: Acute stroke patients (n = 65,311) with claim data suitable for linkage were included in the Clinical Research Center for Stroke (CRCS) registry during 2006-2014. We linked the CRCS registry with national health claim databases in the Health Insurance Review and Assessment Service (HIRA). Linkage was performed using 6 common variables: birth date, gender, provider identification, receiving year and number, and statement serial number in the benefit claim statement. For matched records, linkage accuracy was evaluated using differences between hospital visiting date in the CRCS registry and the commencement date for health insurance care in HIRA. Results: Of 65,311 CRCS cases, 64,634 were matched to HIRA cases (match rate, 99.0%). The proportion of true matches was 94.4% (n = 61,017) in the matched data. Among true matches (mean age 66.4 years; men 58.4%), the median National Institutes of Health Stroke Scale score was 3 (interquartile range 1-7). When comparing baseline characteristics between true matches and false matches, no substantial difference was observed for any variable. Conclusion: We could establish big data on stroke by linking CRCS registry and HIRA records, using claims data without personal identifiers. We plan to conduct national stroke research and improve stroke care using the linked big database.
This essay interprets envy not as a form of conventional conflict between women but as a type of common response of self-preservation focused on envy represented in the American film, Single White Female, and the Korean film, Female Teacher. Although envy is traditionally classified as a feminine emotion, it is an innate human emotion regardless of gender identity. Especially in the competitive era of neo-liberalism, we recognize only its negative side while overlooking its positive side as envy originates from comparison with others. Hedy's mimicking of Allie in Single White Female is not the same as idealized identification because her envy is aggressive and a self-assertive response while transforming Allie's identity. Likewise, envy of a protagonist in Female Teacher triggers an action of self-preservation against irrational social and personal inequality. Accordingly, a type of resistant and critical power resides in envy between women in these films. Therefore, proper recognition of repressed envy is required in order to prevent its transition towards a violent outcome.
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