• Title, Summary, Keyword: Health Effects

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Parents' and Health-Care Providers' Perspectives on Side-Effects of Childhood Cancer Treatment in Indonesia

  • Gunawan, Stefanus;Wolters, Emma;Dongen, Josephine Van;De Ven, Peter Van;Sitaresmi, Mei;Veerman, Anjo;Mantik, Max;Kaspers, Gertjan;Mostert, Saskia
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3593-3599
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    • 2014
  • Background: Efficacy of childhood cancer treatment in low-income countries may be impacted by parents' and health-care providers' perspectives on chemotherapy-related side-effects. This study explores prevalence and severity of side-effects in childhood cancer, and compares health beliefs about side-effects between parents and health-care providers, and between nurses and doctors in Indonesia. Materials and Methods: Semi-structured questionnaires were filled in by 40 parents and 207 health-care providers in an academic hospital. Results: Parents exporessed a desire to receive more information about side-effects (98%) and worried about this aspect of treatment (90%), although side-effects were less severe than expected (66%). The most frequent was behavior alteration (98%) and the most severe was hair loss. Only 26% of parents consulted doctors about side-effects. More parents, compared to health-care providers, believed that medicines work better when side-effects are more severe (p<0.001), and accepted severe side-effects (p=0.021). More health-care providers, compared to parents, believed that chemotherapy can be stopped or the dosage altered when there are side-effects (p=0.011). More nurses, compared to doctors, stated that side-effects were unbearable (p=0.004) and made them doubt efficacy of treatment (p<0.001). Conclusions: Behavior alteration is the most frequent and hair loss the most severe side-effect. Apparent discrepancies in health beliefs about side-effects exist between parents and health-care providers. A sustainable parental education program about side-effects is recommended. Health-care providers need to update and improve their knowledge and communication skills in order to give appropriate information. Suchmeasures may improve outcome of childhood cancer treatment in low-income countries, where adherence to therapy is a major issue.

The Effects of Parents and Community Safety on the Health of Middle School Students (중학생의 건강에 대한 부모 및 지역사회 안전도 효과)

  • Cha, Donghyuk;Ok, Sun Wha
    • Family and Environment Research
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    • v.52 no.5
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    • pp.473-482
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    • 2014
  • Focusing on the holistic concept of health, which embraces both physical and mental health, we investigated the effects of parenting and community factors on the health of 1,248 first- and second-year middle school students, on the basis of the data of the Korean Survey on the Activities and Culture of Youth and Children in 2009. The latent class analysis revealed three types of holistic health groups from the data, named as follows: (1) the healthy group, (2) moderate group, and, (3) fragile group. Then, we analyzed the effects of parenting factors and community safety on these health types according to the students' year in school and their mother' s status of employment. The results showed that the first-year students had consistent parenting effects on their own type of health, while the safety of the community only partly contributed to the probability of affiliation to healthier types. However, in the case of the second-year students, a neglectful parenting style and community safety consistently had significant effects on the students' type of health, while parental concern about an adolescent's health did not contribute to the probability of affiliation to healthier types when only the mother was unemployed. The discussion considers how these results provide basic resources for formulating policies and creating intervention programs for addressing the health problems of adolescents.

A Literature Review on Health Effects of Exposure to Oil Spill (해양 유류유출사고와 건강영향에 관한 해외 연구사례 분석)

  • Ha, Mi-Na;Lee, Won-Jin;Lee, Seung-Min;Cheong, Hae-Kwan
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.5
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    • pp.345-354
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    • 2008
  • Objectives : Our objective is to review and summarize the previous studies on the health effects of exposure to oil spills in order to make suggestions for mid- and long-term study plans regarding the health effects of the Hebei Spirit oil spill occured in Korea. Methods : We searched PubMed to systemically retrieve reports on the human health effects related to oil spill accidents. The papers' reference lists and reviews on the topic were searched as well. Results : We found 24 articles that examined seven oil spill accidents worldwide over the period from 1989 to August 2008, including the Exxon Valdes, Braer, Sea Empress, Erika, Nakhodka, Prestige and Tasman Spirit oil spills. Most of the studies applied cross-sectional and short-term follow-up study designs. The exposure level was measured by assessing the place of residence, using a questionnaire and environmental and personal monitoring. Studies on the acute or immediate health effects mainly focused on the subjective physical symptoms related to clean-up work or residential exposure. Late or mid-term follow-up studies were performed to investigate a range of health effects such as pulmonary function and endocrine, immunologic and genetic toxicity. The economic and social impact of the accidents resulted in the socio-psychological exposure and the psychosocial health effects. Conclusions : Studies of the health effects of exposure to oil spills should consider a range of health outcomes, including the physical and psychological effects, and the studies should be extended for a considerable period of time to study the long-term chronic health effects.

Estrogenic Activity of Persistent Organic Pollutants and Parabens Based on the Stably Transfected Human Estrogen Receptor-α Transcriptional Activation Assay (OECD TG 455)

  • Kim, Tae-Sung;Kim, Chang-Yeong;Lee, Hae-Kyung;Kang, Il-Hyun;Kim, Mi-Gyeong;Jung, Ki-Kyung;Kwon, Yong-Kwan;Nam, Hye-Seon;Hong, Soon-Keun;Kim, Hyung-Sik;Yoon, Hae-Jung;Rhee, Gyu-Seek
    • Toxicological Research
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    • v.27 no.3
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    • pp.181-184
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    • 2011
  • Screening of estrogenic activity on dichloro diphenyl trichloroethane (DDT), dichloro diphenyl dichloro ethylene (DDE), dieldrin, heptachlor, aldrin, chlordane, lindane, polybrominated diphenyl ethers (PBDE) and parabens was compared using Organization for Economic Cooperation and Development (OECD) test guideline 455 (TG455). The estrogenic activity of DDT was 58,000-fold ($PC_{50}$, $1.67{\times}10^{-6}$ M) less than $17{\beta}$-estradiol($E_2$) ($PC_{50}$, $2.88{\times}10^{-11}$ M) but DDE, dieldrin, heptachlor, aldrin, chlordane, lindane and PBDE did not show any estrogenic activity in this assay system. In the case of paraben compounds, the rank of relative transcriptional activation (logRTA) was butyl paraben -1.63752 ($PC_{50}$, $1.25{\times}10^{-7}$ M) > isobutyl paraben -2.34008 ($PC_{50}$, $6.3{\times}10^{-7}$ M) > ethyl paraben -2.64016 ($PC_{50}$, $1.26{\times}10^{-6}$ M) > isopropyl paraben -2.73993 ($PC_{50}$, $1.58{\times}10^{-6}$ M) > propyl paraben -2.84164 ($PC_{50}$, $2.0{\times}10^{-6}$ M). Our data suggest that OECD test guideline TG455 may be useful as a screening tool for potential endocrine disruptors.

School Indoor Air Quality and Health Effects (학교 실내공기질 및 건강 영향)

  • Yang, Won-Ho
    • Journal of Environmental Health Sciences
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    • v.35 no.3
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    • pp.143-152
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    • 2009
  • Indoor air quality at classrooms is of special concern since students are susceptible and indoor air problems can be so subtle that it does not always produce easily recognizable health effects. The main objectives of the study were to investigate the time-activity pattern of school students, to determine the sources of poor indoor air quality in schools, and to demonstrate how indoor air quality in schools causes adverse health effects such as headache, upper airway irritation, fatigue, and lethargy. Recent articles ranging from 1987-2009 related to school indoor air quality were systematically reviewed. Building-associated health effects can increase student absences from school and degrade the performance of children while in school. The reduced ventilation rate was associated with a decreased ability to concentrate along with increased adverse health symptoms. There was an association between residential proximity to busy roads and a variety of adverse respiratory health outcomes in children. Consequently, the current findings suggest the need for control strategy for school indoor air pollutants with multidisciplinary approach methods because Korea has no other natural resources except manpower especially.

Effects of Supplemental Insurance on Health Care Utilization and Expenditures among Cancer Patients in Korea (암 보험이 암 환자의 의료이용 및 의료비에 미친 영향)

  • Kang, Sung-Wook;Kwon, Young-Dae;You, Chang-Hoon
    • Health Policy and Management
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    • v.15 no.4
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    • pp.65-80
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    • 2005
  • This study examines the effects of supplemental insurance on health care utilization and expenditures among cancer patients, who were hospitalized in a general hospital in Korea 2003. We find that those who purchase the supplemental insurance in addition to the social health insurance use more health care services and pay more than those who do not, suggesting insurance effects. This paper, however, cannot distinguish the moral effects of the health insurance from the selection effects due to adverse selection.

Oral health related quality of life of women college students (일부 여대생의 구강건강이 삶의 질에 미치는 영향)

  • Lee, Hyang-Nim;Kim, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.1
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    • pp.89-99
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    • 2005
  • The purpose of this study was conducted to evaluated the effects of oral health related quality of life and impacts of oral health related quality of life of early adult group through a questionnaire OHRQoL(Oral health related quality of life). The study subjects were 224 women college students. The results of this study were as follow; 1. Physical aspects score was $41.98{\pm}7.78$, social aspects score was $33.04{\pm}7.25$, psychological aspects score was $32.50{\pm}7.50$ in effects of oral health related quality of life. 2. Physical aspects score was $25.49{\pm}4.86$, social aspects score was $20.65{\pm}4.47$, psychological aspects score was $19.84{\pm}5.53$ in impacts of oral health related quality of life. 3. The better oral health was the higher effects of oral health related quality of life(pE0.05). No missing tooth(pE0.01), use of oral health device(pE0.05), no experience oral health education(pE0.05) group was higher impacts score of oral health related quality of life. 4. The significantly correlated among all items on effects of oral health related quality of life. Therefore it suggested that college students oral health program, need precision oral exam and oral health education.

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Mediating Effects of Hope and Therapeutic Relationship in the Relation between General Social Functions and Mental Health Recovery of Community People with Mental Illness (지역사회 정신장애인의 전반적 사회기능과 정신건강 회복 간의 관계에서 희망과 치료적 관계의 매개효과)

  • Shin, Sun Hwa;Hwang, Jung Hee
    • Journal of Korean Academy of Community Health Nursing
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    • v.30 no.1
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    • pp.69-78
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    • 2019
  • Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

The Relationship between Bathing and Health Status (목욕행위와 건강상태와의 관계 - 도시지역에 거주하는 여성을 대상으로 -)

  • 최희정;이은옥
    • Journal of Korean Academy of Nursing
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    • v.32 no.4
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    • pp.519-528
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    • 2002
  • The purpose of this study was to test the relationship between health status and bathing. Method: The population of this study consisted of females, above age 20 in urban areas in order to control the effects of extraneous variables, resident areas, gender, and age. Four hundred and twenty-eight (428) women were interviewed with a structured questionnaire. Medical Outcomes Study Short Form (SF)-36 Health Survey assessed individual health status. Bathingbehavior and attitudes toward bath have been measured with questionnaires designed by the authors. Result: The most popular bathing type was shower (46.8%). The preferred type of bath was related to health status. A common purpose of the tub-bath was relieving fatigue and hygiene, but the other purposes were different on the subjects health status. Persons with low health status took frequently tub-baths for health. Attitudes toward bath were related to health status. Women with low scores in physical health recognized more physical effects of bath than psychological effects or hygenic effects. Conclusion: Bathing included physical and psychological dimensions and was related to health status.

Separate and Joint Associations of Shift Work and Sleep Quality with Lipids

  • Charles, Luenda E.;Gu, Ja K.;Tinney-Zara, Cathy A.;Fekedulegn, Desta;Ma, Claudia C.;Baughman, Penelope;Hartley, Tara A.;Andrew, Michael E.;Violanti, John M.;Burchfiel, Cecil M.
    • Safety and Health at Work
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    • v.7 no.2
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    • pp.111-119
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    • 2016
  • Background: Shift work and/or sleep quality may affect health. We investigated whether shift work and sleep quality, separately and jointly, were associated with abnormal levels of triglycerides, total cholesterol (TC), and low-and high-density lipoprotein cholesterol in 360 police officers (27.5% women). Methods: Triglycerides, TC, and high-density lipoprotein were analyzed on the Abbott Architect; low-density lipoprotein was calculated. Shift work was assessed using City of Buffalo payroll work history records. Sleep quality (good, ${\leq}5$; intermediate, 6-8; poor, ${\geq}9$) was assessed using the Pittsburgh Sleep Quality Index questionnaire. A shift work + sleep quality variable was created: day plus good sleep; day plus poor sleep; afternoon/night plus good; and poor sleep quality. Mean values of lipid biomarkers were compared across categories of the exposures using analysis of variance/analysis of covariance. Results: Shift work was not significantly associated with lipids. However, as sleep quality worsened, mean levels of triglycerides and TC gradually increased but only among female officers (age- and race-adjusted p = 0.013 and 0.030, respectively). Age significantly modified the association between sleep quality and TC. Among officers ${\geq}40$ years old, those reporting poor sleep quality had a significantly higher mean level of TC ($202.9{\pm}3.7mg/dL$) compared with those reporting good sleep quality ($190.6{\pm}4.0mg/dL$) (gender- and race-adjusted p = 0.010). Female officers who worked the day shift and also reported good sleep quality had the lowest mean level of TC compared with women in the other three categories (p = 0.014). Conclusion: Sleep quality and its combined influence with shift work may play a role in the alteration of some lipid measures.