• Title/Summary/Keyword: predisposing factor

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A Study on Factors Affecting the Use of Ambulatory Physician Services (의사방문수 결정요인 분석)

  • 박현애;송건용
    • Health Policy and Management
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    • v.4 no.2
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    • pp.58-76
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    • 1994
  • In order to study factors affecting the use of the ambulatory physician services. Andersen's model for health utilization was modified by adding the health behavior component and examined with three different approaches. Three different approaches were the multiople regression model, logistic regression model, and LISREL model. For multiple regression, dependent variable was reported illness-related visits to a physician during past one year and independent variables are variaous variables measuring predisposing factor, enabling factor, need factor and health behavior. For the logistic regression, dependent variable was visit or no-visit to a physician during past one year and independent variables were same as the multiple regression analysis. For the LISREL, five endogenous variables of health utiliztion, predisposing factor, enabling factor, need factor, and health behavior and 20 exogeneous variables which measures five endogenous variables were used. According to the multiple regression analysis, chronic illness, health status, perceived health status of the need factor; residence, sex, age, marital status, education of the predisposing factor ; health insurance, usual source for medical care of enabling factor were the siginificant exploratory variables for the health utilization. Out of the logistic regression analysis, health status, chronic illness, residence, marital status, education, drinking, use of health aid were found to be significant exploratory variables. From LISREL, need factor affect utilization most following by predisposing factor, enabling factor and health behavior. For LISREL model, age, education, and residence for predisposing factor; health status, chronic illess, and perceived health status for need factor; medical insurance for enabling factor; and doing any kind of health behavior for the health behavior were found as the significant observed variables for each theoretical variables.

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Relations of Whole Grain Consumption with Predisposing, Reinforcing, and Enabling Factors among Korean Adults (일부 한국 성인의 전곡류 섭취빈도와 동기부여, 행동강화, 행동가능 요인간의 연관성)

  • Chae, Da-Hae;Yum, Jin-Hee;Lee, Seung Min
    • Journal of the Korean Dietetic Association
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    • v.20 no.2
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    • pp.133-148
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    • 2014
  • This study compared levels of whole grain consumption-related predisposing, reinforcing, and enabling factors according to socio-demographic variables, and examined how these factors are associated with whole grain consumption frequency among Korean adults. A survey questionnaire was administered to a convenience sample of adult males and females aged 20~59 years (n=300). The questionnaire included questions on predisposing, reinforcing, and enabling factors in relation to whole grain consumption as well as a brief whole grain food frequency questionnaire. Female subjects showed a significantly higher level of negative beliefs on health nutrition taste texture while showing a significantly lower level of social support compared to that of males. The age group of 40~59 years showed a significantly higher social support level than the age group of 20~39 years. Results from multivariate regression analyses showed that different combinations of predisposing, reinforcing, and enabling variables were significant in predicting whole grain consumption frequency according to sex and age. The study findings can be used for developing specific target-oriented nutrition intervention programs for promotion of whole grain intake among Korean adults.

Factors Affecting Dental Service Utilization of Adult: An Application of the Andersen Model (앤더슨 모형을 적용한 일부 성인의 치과 의료이용 행태에 영향을 미치는 요인)

  • Choi, Eunsil;Kim, Mi-Na;Noh, Sunmi;Park, Jieun
    • Journal of dental hygiene science
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    • v.15 no.1
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    • pp.67-76
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    • 2015
  • This study aims to determine the factors affecting the dental service utilization of adults. The subjects in this study were 455 adults, whom a survey was conducted form May 7 to June 7, 2013. Statistical verification conducted through PASW Statistics was 18.0. The difference in the distribution of independent variables related with the dental service utilization was verified with chi-square test. Relevant factors were determined using Hierarchical logistic regression analysis. Model I is predisposing factor, Model II is predisposing factor and enabling factor. Model III is predisposing, enabling, need factor. Andersen model factor which infuences dental service utilization of adults resulted that use dental floss (OR, 2.32; CI, 1.39~3.86), use electric toothbrush (OR, 2.98; CI, 1.0~8.89), use interdental brush (OR, 2.55; CI, 1.36~4.78), self-efficacy (OR, 0.68; CI, 0.48~0.96), barriers (OR, 1.45; CI, 1.04~2.04). Predisposing factor and need factor were found to be determinants for dental service utilization in adult.

Analysis for Oral Health Behavior of Some Residents in Gyeongsangnam-do Area (경남권 지역 일부 주민들의 구강건강행위 분석)

  • Kim, Jung-Sool;Lee, Byung-Ho
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.591-599
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    • 2012
  • The purpose of this study was to analyzed the major factor variables against oral health behaviors and oral health state and quality of life (QOL) for some residents in Gyeongsangnam-do area. This study was based on the PRECEDE model as a theoretical model for diagnosis in health education needs. Total data 697 were analyzed by PASW 18.0 program. Results for this study were as follows: Firstly, t-test results in sex had statistically significant in predisposing, reinforcing, oral health behavior, health${\cdot}$QOL factor, education had statistically significant in predisposing, reinforcing, health${\cdot}$QOL factors, also, number of teeth had statistically significant in health${\cdot}$QOL factor. Secondly, ANOVA results in age had statistically significant in predisposing, enabling, health${\cdot}$QOL factor, area had statistically significant in health${\cdot}$QOL factor, also, economic had statistically significant in reinforcing, oral health behavior. Thirdly, in CATREG analysis, oral health behavior as the response variable results in had statistically significant in sex, predisposing, reinforcing, enabling factor and its explanation was 28.3%. Lastly, in CATREG analysis health${\cdot}$QOL as the response variable results in had statistically significant in age, number of tooth, enabling, oral health behavior factor and its explanation was 17.9%. So, results from this data we could contribute to identify oral health behavior patterns in Gyeongsangnam-do area residents.

Awareness Of Predisposing Factor To Smoking Among Adult In Sokoto

  • John, Ikpeama Osita;Mariam, Onuzulike Nonye;Adimabua, Okafor Patrick;Anthonia, Ikpeama Chizoba;Joy, Ikpeama Chinwe;Osazuwa, Igbineweka Osa;Andrew, Ikpeama Emeka;Jacob, Ofuenyi;Paulastella, Nwosu Nchedochukwu;Nnanna, Ibeh Isaiah;Mokwe, Gerald Chukwudi;Uchechi, Ogwuegbu Juliet;Otugeme, Franklin;Muazu, Mary
    • The Korean Journal of Food & Health Convergence
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    • v.5 no.1
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    • pp.1-11
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    • 2019
  • Smoking has become one of the public health harzard affecting the world. In the UK, smoking is responsible for around one in five deaths. The illnesses caused by smoking extend beyond the well-reported links with cancer, heart disease and respiratory illnesses. Hence the research to determine the awareness of the predisposing factor to smoking among adults in sokoto metropolis. A cross-sectional form of descriptive survey research design was used for this study. This is because descriptive studies are used when the characteristics of a population are either unknown or partially known (Hennekens & Buring, 2007), and it was used by Ganley and Rosario (2013) in a related research this justified the use of similar design in a study of similar nature.Two hundred and seventy returned questionnaire was collected, analyzed using descriptive statistic of frequency count, normative percentage and grand mean; as well as inferential statistics of chi-square (${\chi}^2$). The level of significant was fixed at 0.05. Appropriate degrees of freedom were worked out. There was statistical significant influence or relationship with marital status on the predisposing factors of smoking chi-square of 19716.516 greater than the critical value 43.77297at df 30 p<0.05. There were statistical significance chi-square =27468.348 which is greater than the critical value 43.77297 at df= 30. These show that there is a relationship on gender awareness of predisposing factors to smoking rejecting the null hypotheses. The respondents across different lever/year higher institution shows that the awareness of predisposing factors of smoking there were a statistical significance difference chi-square =7168.429 (df=88) greater than critical value 102.342 rejecting the null hypotheses. There is consistent evidence that links exposure to depictions of smoking in movies and initiation of smoking in young people. Over the years television shows and films have effectively built up associations between smoking and glamour, sex and risk-taking. Social learning theory describes how we learn by example from others. We are strongly influenced by our parents, and other people we look up to, such as peers, actors and pop stars. This can lead us to emulate their behaviour and try smoking.

Clinical Analysis of Pituitary Apoplexy (뇌하수체졸중의 임상적 고찰)

  • Kim, Jung Tae;Park, Bong Jin;Sung, Jung Nam;Kim, Young Joon;Cho, Maeng Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.724-728
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    • 2001
  • Objectives : Pituitary apoplexy is a well-described clinical syndrome resulting from pituitary hemorrhage, hemorrhagic infarction, or infarction, almost invariably occurring in the presence of an adenoma. We analyzed pituitary apoplexy with an emphasis on clinical presentation, pathology and predisposing factors. Methods : We reviewed 35 histologically proven pituitary adenomas, operated from January 1995 to August 1999, to select 8 cases which showed clinical or operative findings compatible with pituitary apoplexy. These patients were analyzed in terms of symptom and sign, hormonal status, and predisposing factors, pathologic findings. Results : Among 35 surgically treated tumors of the pituitary gland, 8 cases(23%) were diagnosed as pituitary apoplexy. The pathologic findings revealed hemorrhage(7 cases) and infarction(1 case) of pituitary adenomas. One case had predisposing factor of appendectomy. The most common presenting symptom and sign were sudden severe headache and visual disturbance. Conclusion : We treated pituitary apoplexy surgically and obtained good outcomes. Pituitary apoplexy due to massive infarction of the pituitary gland is very rare condition but surgical treatment by trans-spheniodal surgery showed a good result.

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A Case of Esophageal Candidiasis in a Healthy Child (건강한 소아에서 발생한 식도 칸디다증 1예)

  • Jo, Joseph;Park, Sin Ae;Choi, Kyung Dan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.269-274
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    • 2005
  • Esophageal candidiasis is an opportunistic infection, often reported in patients who have acquired immune deficiency syndrome (AIDS), a neoplastic disease, or undergoing protracted antibiotic therapy. Impaired cell mediated immunity was often considered as the major predisposing factor in patients of esophageal mucosal colonization of Candida spp. However, it is increasingly reported that the occurrence of esophageal candidiasis with no underlying disease or immune suppression. We have experienced a case of esophageal candidiasis in a 15-year-old girl who was immunologically normal and have no underlying disease and whose main symptoms were epigastric and retrosternal pain with dysphagia. This case suggests the possibilities of candidal infections in children without predisposing factors such as immune compromised conditions, so it will be needed to differentiate the esophageal candidiasis among healthy children with symptoms of odynophagia and dysphagia.

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Acute Segmental Rupture of Achilles Tendon by Sport Injury: A Case Report (스포츠 손상에 의한 아킬레스건의 급성 분절 파열: 증례 보고)

  • Chun, Dong-Il;Won, Sung Hun;Lee, Sang Hyeon;Cho, Jaeho
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.2
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    • pp.75-78
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    • 2017
  • Tendoachilles rupture has recently seen an increase in frequency, accounting for up to 40% of all tendon ruptures. However, an acute segmental rupture of the Achilles tendon is very rare with only one case caused by predisposing factors, such as steroid injection. In this report, we highlight an unusual clinical presentation of a segmental rupture of the Achilles tendon without any underling predisposing factor and without direct trauma. Herein, we discuss its mechanism. Twelve months after surgical repair with open technique, this patient became fully functional again in daily activity.

Risk factors for functional disability among community dwelling elderly (지역사회 재가 노인의 기능장애 위험요인)

  • Song, Hyun-jong
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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    • pp.109-120
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    • 2015
  • Objectives: The purpose of this study was to investigate risk factors for chronic ADL, IADL disability. The study explored clinical and socio-demographic risk factors of functional status decline. Methods: Data from the Survey of Living Condition of Elderly 3-year panel study were analyzed. The study subjects were 5,928 community-dwelling people aged 65 years or older who were no disability in ADL and IADL at baseline. Predisposing factors, pathology, impairment, and functional limitations were regarded as risk factors. Logistic regression analysis was used. Results: During the 3-year study period, 3.9% participants developed chronic ADL disability, 9.4% participants were IADL disabled. After controlling for predisposing factor, the best predictors for ADL disability at 36 months were fall as a pathology factor, cognitive decline, disability judgement, lower limb functional limitation. Comorbidity, fall, cognitive decline, disability judgement, lower limb and upper limb functional limitation were risk factors for IADL disability. Conclusions: Health promotion program focusing elderly is essential to prevent ADL and IADL disability. Mobilizing physical activity should be included in health promotion program for elderly.

Predisposing Factors and Treatment for the Fifth Proximal Metatarsal Fracture (제5 중족골 기저부 골절의 유발인자 및 치료)

  • Shin, Hun-Kyu;Choi, Jae-Yeol;Lee, Ji-Won
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.67-71
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    • 2007
  • Purpose: To evaluate clinical results of the 5th proximal metatarsal intraarticular fracture (Zone I) with displacement treated operatively and to evaluate predisposing factors of the 5th proximal metatarsal fracture (Zone I). Materials and Methods: 11 patients treated for the 5th proximal metatarsal fracture (Zone I) operatively and 10 patients treated conservatively between Jan 2003 and Dec 2005, were followed for more than one year. Functions were graded by AOFAS foot scoring system and union time and postoperative complications were also evaluated. Calcaneal pitch angle was also evaluated. Results: Clinically there were no much difference in results. Clinical points were 94.5 in the operative group and 92.3 in the conservative group. At the last follow-up, the radiographic results showed union in all cases. During the follow-up period, there were no significant complications. But in the conservative group, displaced fracture with calcaneal pitch angle over 30 degree tends to show delayed union and time to loss of pain tends to be prolonged. Conclusion: Calcaneal pitch angle is thought to predisposing factor for 5th metatarsal base fracture. Operative treatment is viable option for the 5th proximal metatarsal intraarticular fracture with displacement and with calcaneal pitch angle over 30 degree. In cases of cavovarus foot deformity, we think operative treatment should be considered with deliberation and long term follow-up study for peroneal tendinopathy should be needed.

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