• Asian Pacific Journal of Cancer Prevention
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• 제16권4호
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• pp.1591-1597
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• 2015

Background: Korea has experienced rapid economic development in a very short period of time. A mixture of traditional and modern risk factors coexists and the rapid change in non-genetic factors interacts with genetic constituents. With consideration of these unique aspects of Korean society, a large-scale genomic cohort study-the Health Examinees (HEXA) Study-has been conducted to investigate epidemiologic characteristics, genomic features, and gene-environment interactions of major chronic diseases including cancer in the Korean population. Materials and Methods: Following a standardized study protocol, the subjects were prospectively recruited from 38 health examination centers and training hospitals throughout the country. An interview-based questionnaire survey was conducted to collect information on socio-demographic characteristics, medical history, medication usage, family history, lifestyle factors, diet, physical activity, and reproductive factors for women. Various biological specimens (i.e., plasma, serum, buffy coat, blood cells, genomic DNA, and urine) were collected for biorepository according to the standardized protocol. Skilled medical staff also performed physical examinations. Results: Between 2004 and 2013, a total of 167,169 subjects aged 40-69 years were recruited for the HEXA study. Participants are being followed up utilizing active and passive methods. The first wave of active follow-up began in 2012 and it will be continued until 2015. The principal purpose of passive follow-up is based on data linkages with the National Death Certificate, the National Cancer Registry, and the National Health Insurance Claim data. Conclusions: The HEXA study will render an opportunity to investigate biomarkers of early health index and the chronological changes associated with chronic diseases.

• 농촌의학ㆍ지역보건
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• 제23권2호
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• pp.269-274
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• 1998

The purpose of this study is to establish the basic consultation data for diabetes in adults and to demonstate the necessity of preventive regular medical examinations. The study was carried out at Chungyang County, Chungchungnam-Do from the first of January, 1996 to the end of December. Below is the statistical data of this study which concerns the distinction of sex, ages, and occupations from the 600 examinees. 1. According to the distinction of sex, there are 12 males and 11 females among the 300 examinees in each group. That means, the diabetic percentage is 4.0% versus 3.6% and male/female diabetic ratio is 1.1:1 2. According to the distinction of ages, there is one people 0.25% aged 20years old and 5 peoples 1.3% aged 30 years old among the 400 examinees. There are 6 peoples 1.0% aged 40 years old and 6 peoples 1.0% aged 50 years old among the 600 examinees. There are 4 peoples 2.0% aged 60 years old among the 200 examinees. 3. According to the distinction of occupations, there are 13 white collar workers 6.5% among the 200 examinees, and there are 8 blue collar workers(4%) among the 200 examinees. There are 2 government employees 1% among the 200 examinees. This show that there is less diabets in government employees than other occupational groups of the same number. 4. Among the white and blue collar workers, 7 diabetis's blood glucose levels are 140mg%--200 mg% and 6 are 200mg%. 5. Among the community medical insurance holders, 7 diabetic's blood glucose levels are 140 mg%--200mg% and 1 is 200mg%. 6. Among the government employees, 2 diabetic's bleed glucose levels are 140mg--200mg% and there is no 200mg%.

• 보건행정학회지
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• 제16권1호
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• pp.54-72
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• 2006

This study was conducted as the primary work to develop a customer relationship management (CRM) system to improve the performance of health screening programs. The specific aims of the study was to identify and classify the characteristics of the people who did not receive their health screening using decision trees and to propose management strategies according to their characteristics identified. The data on a total of 5,102,761 subjects of health screening provided by the National Health Insurance Program in the year of 2002 were used. The target variable was whether they underwent their health screening. The input variables included a total of 27. The SAS 9.1 version was used for data preprocessing and statistical analyses. SAS Enterprise Miner was used to develop the decision trees model. The decision trees identified the factors greatly affecting the health screening. In the non-disease group, the highest rate of non-examinees was characterized by: no experience of receiving a health screen, household's age, non-insured episode for the last one year, and patients' age. In the disease group, the one showing the highest rate of non-examinees was characterized by: no experience of receiving a health screening, no experience of going to public health center or midwife clinic for the last one year, and examinees' age. Developing CRM systems for health screening management taking into account the individual characteristics would be considerably helpful to increase the rate of receiving health screening.

• Journal of Korean Biological Nursing Science
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• 제13권2호
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• pp.164-173
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• 2011

Purpose: The colorectal polyps has been regarded as a precursor of colon cancer, and the prevalence and mortality of colon cancer in Korea has increased due to westernized lifestyle and environmental factors. The purpose of this study was to investigate the characteristics and the risk factors on colorectal polyps in adults. Methods: The participants were 956 adults enrolled from health screen examinees underwent colonoscopy at the health promotion center in Seoul. Results: 49.5 percent of examinees has colorectal polyps and the most common sites were ascending colon (27.6%) and sigmoid colon (23.2%). The colorectal polyps showed a significant difference according to gender, age, and health behavior related characteristics including alcohol intake, exercise, and BMI. In male, the relative odds of having an colorectal polyps decreased as exercise (OR=1.74; 95% CI=1.01-1.04), and increased as BMI (OR=1.57; 95% CI=1.07-2.50) and age (OR=1.02; 95% CI=1.02-1.04). In female, it decreased as exercise (OR=2.49; 95% CI=1.52-4.10), and increased as age (OR=1.05; 95% CI=1.02-1.08). Conclusion: Based on the findings of this study, age and exercise were the influencing factors of colorectal polyps in health screen examinees. Therefore, effective exercise and appropriate health education program about colorectal polyps need to be developed and applied in nursing interventions to prevent colorectal polyps in the community dwelling adults.

• Journal of Yeungnam Medical Science
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• 제13권1호
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• pp.59-77
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• 1996

본 연구는 종합건강진단 수진자들의 건강진단에 대한 인식 및 태도를 조사하여 예방진료 행위에 대한 이용형태를 분석하고자 1995년 3월부터 1995년 5월까지 영남대학교 의과대학 부속병원 종합건강진단센터를 방문한 총 468명을 대상으로 설문조사를 실시하였으며, 분석한 결과는 다음과 같다. 조사대상자 468명 중 40-49세가 48.3%로 가장 많았으며, 대졸이상이 68.6%이었다. 학력이 높고 사회경제적으로 안정된 연령층에서 건강진단에 대한 관심도가 높았다. 현재 종합건강진단을 이용하고 있는 대다수가 자발적 동기보다는 기업체의 직원복지 차원에서 이루어지고 있고, 자발적으로 건강진단을 받은 137명 중에서는 건강유지를 위해 검진을 받았다고 응답한 경우가 43%로 제일 높았다. 응답자의 대부분인 95.7%가 종합건강진단이 질병 조기발견에 효과가 있다고 응답했으며, 92.5%는 종합건강진단이 유익성이 있는 것으로 인식하고 있었다. 종합건강진단에 소요되는 시간과 절차가 적당하다고 생각하고 있었으며, 적정건강진단 간격을 묻는 물음에서는 1년이 가장 많았다. 또한 검진 추가항목으로는 뇌검사, 신경계통 검사, 위내시경검사, 각종 암검사에 대한 의견이 높게 나타났다. 건강유지를 위한 실천여부와 수진 횟수와의 관계 및 적정 건강진단 간격과 수진횟수와의 관계는 통계학적으로 유의한 관련성이 있었다(p<0.01). 종합건강진단 수가에 대한 의견과 적절 비용을 묻는 물음에서는 현재비용이 비싸다고 응답한 경우가 61.8%로 가장 높았으며, 적절한 비용으로는 15만원 정도가 적당하다고 보는 의견이 가장 많았다. 건강진단 결과에 대한 판정시 의사와 상담하고 싶은 내용으로는 각종 성인병에 대한 정보가 가장 많았으며, 다음으로 정기적 건강관리 내용에 대한 문의나 가족들의 건강문제에 대한 상담 등이 많은 수를 차지하였다. 요망사항으로는 예약기간의 단축, 검진비용의 인하 및 상세한 설명에 대한 요구의 순으로 나타났다. 이상의 결과로 보아 종합건강진단을 질병의 예방 및 조기발견의 측면에서 예방진료기능이 높은 것으로 인식되고 있으며, 수진자들의 의견을 반영하여 상담내용의 내실화를 기하고 수진자가 선택할 수 있는 건강진단 항목의 개발과 수진자 교육을 위한 보건교육 교재 등을 개발함으로써 단순한 검사 결과의 판정이나 일회성 건강진단의 수준을 극복하고 보다 지속적이고, 포괄적인 건강관리를 위한 기전과 방안이 필요하다고 생각된다.

• 한국생활과학회지
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• 제2권1호
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• pp.25-31
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• 1993

The purpose of this study was to find out the influence of Entrance Examinees' Eating Behavior on their health condition. The examinees for Chungbuk National university in 1992 were asked to fill out the questionnaire(The total number was 1054 ; 537 males, 517 females). The statistics used for data analysis were frequency, percentage, Crosstabs, Chi-square, t-test, one-way Anova, and Multiple Regression using SPSS/PC+ Program. The results are as follows. 1. Health condition due to an eating attitude: 1) As to health condition due to the food intake freguency, those who intaked fish or meat 3-5 days a week had the best heal th condition, but those who hardly intaked fish and meat or intaked them almost everyday had rather poor health condition. Those who intaked fried foods 1-2 days a week had the best health condition. The higher the freguency intaking such food or instant food was, the worse health condition was. 2) In view of health condition according to an eating attitude, it led to very good health condition to have breakfast & supper, to eat regularly, to select the nutritious foods, and to have a balanced diet. Overeating before sleeping and no meal or overeating before exam made their health very bad. Alcohol drinking & cigarrette smoking as favorite foods appeared significantly high in the boys. The more frequently they drinked alcohol and smoked cigarrette the worse their health condition was. Those who enjoyed milk, soya milk, and korean tea as favorite beverages had the better health condition than those who enjoyed coffee and soft drinks. 2. Influence of Eating Behavior on Health Condition. 1) The food intake freguency and the eating attitude influenced each other. The higher the score of food intake frequency was, the better the eating attitude appeared. 2) As a result of this study for eating behavior influencing on their health condition, the eating attitude influenced health condition, and the higher the eating attitude score was, the better heal th condition could be.

• 농촌의학ㆍ지역보건
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• 제20권1호
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• pp.25-30
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• 1995

농촌 지역 폐결핵 환자들의 가족검진율과 가족중 결핵이환율을 알아보기 위하여 1981년 1월부터 1990년 12월까지 경북 선산군 보건소에 등록된 환자 1,525명을 대상으로 환자 관리 기록부를 열람하였다. 가족검진율은 전반기가 20.0% 후반기가 78.7%로 시간이 지날수록 가족검진율은 증가하였다. 가족검진율과 관련이 강한 요인은 등록된 환자와 가족 검진 자의 관계였다. 즉 환자의 자녀일 때 검진율이 63.0%, 배우자가 28.9%, 기타 가족 28.8%, 그리고 부모가 19.9%였다. X선검사 결과는 점진자중 결핵이환율과 밀접한 관련이 있었다. 즉 X선검사 결과 더 심할수록 검진가족중 결핵이환율은 더 높았다. 검진자중 발견율은 부모가 6.2%, 배우자 4.3%, 자녀 1.1%, 기타 가족 1.55였다. 이상의 결과로 보아 환자와의 관계가 부모일수록 검진율이 낮고, 반면에 결핵이환율은 높아 이와 간은 고령층에 대한 가족 검진의 향상이 요구된다.

• 디지털융복합연구
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• 제12권12호
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• pp.457-467
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• 2014

본 연구는 의료기관 내 검진센터의 선택요인, 만족도, 재이용의사를 파악하여 이용자의 선호도를 이해하고 검진센터 이용자의 지속적인 검진센터 유도방안을 모색하기 위하여 2013년 2월 22일부터 2013년 4월 5일 까지 부산시 의료기관 내 검진센터를 운영하고 있는 10개소를 선정하여 구조화된 설문지를 이용하여 검진센터를 방문한 수검자들을 대상으로 하여 892부의 설문지를 이용하여 빈도, 비율, 평균의 차이분석, 로지스틱 회귀분석을 실시한 결과, 연구대상자들의 인구사회학적 특성은 여성, 50대 연령, 대졸 이상의 학력, 사무 전문직, 월평균 소득 200만원 미만, 직장인 일반 신검자, 신검센터의 방문이 처음이 아닌 사람, 질병이 없고, 건강하다고 생각하는 사람에서 높은 분포를 보였다. 검진센터 선택요인은 접근성, 직장과의 제휴, 주변권유 순의 결과를 보였다. 검진센터에 대한 만족도는 접근성(3.59), 검진내용(3.59), 브랜드인지도(3.58)시설 환경(3.50), 비용경제성(3.40) 순의 결과를 보였다. 질병이 없는 40~50대 연령층에서 검진센터를 재방문 할 의향이 높게 나타났다. 그러므로 이들 집단에 대한 적극적인 관리방안의 모색이 필요하다. 그리고 검진센터의 검진 종류 및 검진 항목을 다양화하여 이용자의 특성에 적합한 건강 검진이 이루어져야 할 것이다.

• 대한의생명과학회지
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• 제27권3호
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• pp.187-194
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• 2021

Platelets are derived from fragments formed in the cytoplasm of bone marrow megakaryocytes. Platelet count (PLT) can be altered by factors such as platelet production, destruction, and inflammation. In a previous study, the significant single nucleotide polymorphisms (SNP) were reported by the genome-wide association study (GWAS) for PLT in Koreans. In this study, it was confirmed whether significant SNPs were replicated in the HEXA (The Health Examinees) cohort. As a result, the SNPs of the THPO (rs6141), BAK1 (rs210314, rs9296095), GGNBP1 (rs75080135), ACAD10 (rs6490294), and ABCC4 (rs4148441) were significantly correlated with PLT (P < 10^-8). At the same time, it was confirmed that the direction of influence was the same according to the genotype. In conclusion, it can be seen that common SNPs are associated with the platelet count regardless of the cohort for Koreans.

• Nutrition Research and Practice
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• 제18권2호
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• pp.282-293
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• 2024

BACKGROUND/OBJECTIVES: The prevalence of hypertension is increasing, and noodles have a high sodium content, so noodle consumption might be associated with a higher prevalence of hypertension. This study aimed to analyze the association between total and types of noodle intake and the risk of hypertension among Korean adults. Subjects aged 40-69 years were selected for this study. SUBJECTS/METHODS: This study included 56,580 participants (18,246 men and 38,334 women) aged 40-69 years old from the Health Examinees study. Noodle and nutrient intakes were assessed using the food frequency questionnaire. Hypertension was diagnosed as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg or antihypertensive medication use. Cox proportional hazard models were used to calculate the hazard ratio (HR) and 95% confidence interval (CI) for hypertension. RESULTS: Higher noodle consumption was associated with increased hypertension among men (HR, 1.273; 95% CI, 1.166-1.390) and women (HR, 1.116; 95% CI, 1.038-1.199). CONCLUSION: We recommended reducing noodle intake and consuming vegetables and fruits to increase potassium intake, which can prevent vascular diseases.