• Title/Summary/Keyword: public medicine

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Therapeutic Compliance and Its Related Factors of Patients with Hypertension in Rural Area (농촌지역 주민의 고혈압 치료순응도와 관련요인)

  • Lee, Sang-Won;Chun, Byung-Yeol;Yeh, Min-Hae;Kang, Yun-Sik;Kim, Keon-Yeop;Lee, Young-Sook;Park, Ki-Soo;Son, Jae-Hee;Oh, Hee-Sook;Ahn, Moon-Young;Lim, Pu-Dol;Kam, Sin
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.2
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    • pp.215-225
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    • 2000
  • Objective : The purpose of this study was to examine the therapeutic compliance and its related factors in the rural hypertensives. Method : A questionnaire survey and blood pressure measurement were performed to 3,876 residents of a rural area, and 660 hypertensives were selected as subjects of study. The study employed a hypothetical model which was composed of constructs from the health belief model and KAP model. The analysis techniques employed included contingency table analysis and structural equation modeling. Result : The proportion of those who were compliant to the treatment of hypertension was 44.2% of subjects. As the result of structural equation modeling, when patients had more favorable attitude toward treatment, higher perceived benefit, or lower perceived barriers to treatment, the therapeutic compliance was significantly higher(T>2.0). When patients had more knowledge about hypertension, or higher perceived severity of hypertension, the attitude toward the treatment of hypertension was more favorable significantly(T>2.0). And when patients had the support for treatment from family or neighbor, the attitude toward treatment was more favorable(T>2.0). When patients had experience of health education, they had more knowledge, higher perceived susceptibility of complication, perceived severity for hypertension, and perceived benefit of treatment, compare to patients without health education(T>2.0). Conclusion : In consideration of above findings, in order to improve the therapeutic compliance in the rural hypertensives, it would be necessary to change attitude, perception, knowledge about hypertension and its treatment, by various methods such as effective health education and programs for maintaining the supportive environment for hypertension treatment.

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Pilot Study for the Assessment of Work Ability of Manufacturing Workers and Managerial Workers (일부 생산직 근로자와 사무직 근로자간의 노동능력 평가를 위한 기초연구)

  • Lee, Young-Ha;Kim, Sung-Hie;Kim, Sang-Woo;Shin, Hae-Ryeun;Jin, Byeong-Won;Woo, Kuck-Hyeun;Han, Gu-Wung
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.2 s.50
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    • pp.497-510
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    • 1995
  • This study was carried out to assess work ability of manufacturing workers and managerial workers. Subjects were 446 manufacturing workers and 278 managerial workers employed in Gumi industrial complex and the observation period was for 1 month(February to March), 1995. In this study, as a questionnaire for the assessment of work ability, we used the Work Ability Index(WAI) which was developed by Institute of Occupational Health in Finland. Major findings obtained from this study were as follows ; WAI was poor in lower economic condition, shift work, irregular diet group(p<0.05). There were no evident trends of WAS in sex, educational level, obesity index, exercise, smoking, and alcohol drinking. In the groups of sensitive to perception of stress, other industrial classification except textile and electronics, the more than 9 hours work, the evident trends of poor WAS were observed(p<0.01). In the groups of $30\sim39$ years old, $40\sim49$ years old, unmarried, high school, shift work, standard body weight, and regular .diet, WAI between manufacturing workers and managerial workers was significantly different(p<0.01) and WAI of managerial worker was worse than that of manufacturing worker.

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The Change of Children's Blood Pressure and Factors Affecting the Level of Blood Pressure In Children (아동혈압의 시계열 변화 양상 및 평균혈압에 관련된 요인 분석)

  • Suh, Il;Kim, Il-Soon;Nam, Chung-Mo;Lee, Soon-Young;Oh, Hee-Chul;Kim, Chun-Bae;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.3 s.27
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    • pp.303-312
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    • 1989
  • To show the distribution and change of blood pressure according to age and to find factors affecting the level of blood pressure in primary school children, a follow-up study was conducted from 1986 to 1989 on 401 first grade children attending primary school in Kangwha County in 1986 and their parents. The blood pressure of the children was significantly increased according to age. The average annual increase was 1.8mmHg in systolic blood pressure and 2.5mmHg in diastolic blood pressure. The level of blood pressure did not show any significant difference in both sexes. Among children who were at or above the 80th percentile of blood pressure in the first grade, 35 and 30% of them have remained at the same level of systolic and diastolic blood pressure respectively in the fourth grade. But we could not find any significance in the tracking of blood pressure of children who were at or above the 90th percentile of blood pressure in the first grade. Weight and pulse rate were shown to be significant factors affecting systolic blood pressure in children of both sexes and mother's blood pressure and skinfold thickness were also affected systolic blood pressure in girls. The variables significantly affecting diastolic blood pressure were arm circumference and pulse rate for boys and height and pulse rate for girls.

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Evaluation of the Public Health Emergency Response to the COVID-19 Pandemic in Daegu, Korea During the First Half of 2020

  • Lee, Hwajin;Kim, Keon-Yeop;Kim, Jong-Yeon;Kam, Sin;Lee, Kyeong Soo;Lee, Jung Jeung;Hong, Nam Soo;Hwang, Tae-Yoon
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.4
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    • pp.360-370
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    • 2022
  • Objectives: This study evaluated the response in Daegu, Korea to the first wave of the coronavirus disease 2019 (COVID-19) pandemic according to a public health emergency response model. Methods: After an examination of the official data reported by the city of Daegu and the Korea Centers for Disease Control and Prevention, as well as a literature review and advisory meetings, we chose a response model. Daegu's responses were organized into 4 phases and evaluated by applying the response model. Results: In phase 1, efforts were made to block further transmission of the virus through preemptive testing of a religious group. In phase 2, efforts were concentrated on responding to mass infections in high-risk facilities. Phase 3 involved a transition from a high-intensity social distancing campaign to a citizen participation-based quarantine system. The evaluation using the response model revealed insufficient systematic preparation for a medical surge. In addition, an incorporated health-related management system and protection measures for responders were absent. Nevertheless, the city encouraged the participation of private hospitals and developed a severity classification system. Citizens also played active roles in the pandemic response by practicing social distancing. Conclusions: This study employed the response model to evaluate the early response in Daegu to the COVID-19 pandemic and revealed areas in need of improvement or maintenance. Based on the study results, creation of a systematic model is necessary to prepare for and respond to future public health emergencies like the COVID-19 pandemic.