• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.117-129
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• 2016

Objectives : This study investigated the prevalence of unmet health care needs among Korean adults and related factors. Methods : The study participants were adults over the age of 20 mental health experience from the Korea Health Panel in 2012(n=4,730). Statistical analysis methods used in this study were the ${\chi}^2$-test, Logistic Regression Analysis and other basic statistics such frequency-and percentage using SPSS version 22.0. Results : (1)Significant variables of stress: Factors were age, economic activity, subjective health status, and activity limitation. (2)Significant variables of depression: Factors were age, income class(low) and activity limitation. (3)Significant variables of suicidal impulse: Factors were age, chronic diseases, income class, and activity limitation. Conclusions : Stress, depression, and suicidal impulse can be unmet medical factors; therefore improvement measures and mental health counseling programs in response to suicide impulses, should be developed. Thus there is a need for a health sciences approach.

• Journal of the Korean Data and Information Science Society
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• v.23 no.2
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• pp.227-234
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• 2012

Hamming distances in medical science are used for the diagnosis of diseases. The differences of the distances, however, are often very small, and is not in the general statistical form such as normal or chi-square distribution. In this study, we explore the characteristics and significance of the differences of Hamming distances generated in medical diagnosis.

• The Journal of Korean Medical History
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• v.29 no.1
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• pp.33-45
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• 2016

Yeongnyeon-euisaeng (永年醫生) was a licensed Euisaeng (醫生) without time limit. Yeongnyeon-euisaeng was a member of bridging the gap between Joseon Dynasty and the Japanese colonial period in hanuigye (韓醫界). This study aims at better understanding the Yeongnyeon-euisang. In methods, several statistics have been served about Yeongnyeon-euisaeng on the basis of the Official gazette. The following facts have been found through the Official gazette. First, the time limitted licenses have been issued mixed with a permanent license. Secondly, Yeongnyeon-euisaeng lived longer than other people. Third, the residence of Yeongnyeon-euisaeng was a very high proportion in South Hamgyong Province. Fourth, Yeongnyeon-euisaeng played an important role in Korean medical doctor (韓醫師) system after the liberation. In addition, the correlation of multilateral for Yeongnyeon-euisaeng and Confucian doctor were examined. Area of the Confucian doctor decreased since the 17th century. Confucian doctor's region and position declimed during the Japanese occupation. But Confucian doctors were also culled as status of Korean medicine and Neo-Confucianism declimed.

• Journal of Korean Neurosurgical Society
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• v.55 no.4
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• pp.230-233
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• 2014

While there are reports regarding burns occurring to patients during the surgery, there are little reports concerning the incidents of the burns related to neurosurgical operations. Moreover, in Korea, even surveys and statistics on the incidents of burns in operating rooms are not known. This report explores burns occurring to a patient in an electrocautery scenario after disinfecting the surgical site with alcohol during the preparation of a neurosurgical operation in an operating room where there is much exposure to oxygen. The authors show a case of a 33-year-old male patient who undergoing evacuation of hematoma on occipital lesion, suffered second degree burns as a result of surgical fires.

• The Korean Journal of Emergency Medical Services
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• v.25 no.1
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• pp.37-48
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• 2021

Purpose: The purpose of this study was to identify the degree of resilience, traumatic events, secondary traumatic stress, and calling reported by firefighters and to identify the factors affecting the resilience of firefighters. Methods: Data were collected using structured questionnaires and 200 fire officials working in D city were enrolled as the subjects. Data were analyzed using SPSS 24.0, and the analyses included descriptive statistics, independent t-test, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple linear regression. Results: The difference in resilience according to general characteristics showed significant differences in health status (F=4.33, p=.014) and job satisfaction (F=6.13, p=.003). The factors affecting resilience were identified as calling (β=.25, p<.001), and the explanatory power for resilience was 19.2%. Conclusion: It is necessary to increase calling in order to increase resilience. Therefore, we suggest that professional education and programs that consider personal characteristics are needed to strengthen the calling.

• Korean Journal of Acupuncture
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• v.29 no.4
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• pp.643-661
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• 2012

Objectives : The Purpose of this study is to investigate clinical characteristics with 120 patients who have sufferred from headache and were treated. Methods : We classified 120 patients into several groups by International Headache Society(IHS) classification and evaluated the effects of oriental medical therapy on headache. Results : 1. According to the statistics, women patients were more than men. And 50s has highest number of headache patients. 2. In classification by IHS, tension type headache were highest. 3. 24.2% of patients had entered Department of Internal Medicine, Colleage of Oriental Medicine Dongeui Univ for treatment within six month of onset. 4. According to the statistics, headache of whole part has highest number of headache patients. 5. The most number of associated symptoms were nausea, vomiting, dyspepsia etc. 6. The most number of headache patient's past history were hypertension. 7. In classification by oriental medical differentiation of symptom and signs, the rate of blood deficiency were highest. 8. 64.2% of patients said they were satisfied with treatment, reporting half the frequency of headache or better from before treatment. Conclusions : In conclusion, the present results suggest that oriental medical therapy has effects on headache.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.9
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• pp.4511-4515
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• 2012

Background: In the Middle East, including Iran, breast cancer is the most frequent malignancy among women. Without treatment, a malignant breast tumor advances in stage, diminishing a woman's chances of survival. In this study we aimed to gain insight into the causes of delay in seeking treatment in patients with breast cancer. Methods: The participants in this qualitative, content analysis study were 10 women in whom a diagnosis of breast cancer in the stages of II b, III or IIV had been made. They were selected from patients of a major oncology clinic in Kerman, Iran. Data were collected by means of semi-structured interviews that lasted between 20 to 30 minutes. Sampling was discontinued when data saturation was achieved. Content analysis was conducted by classifying the data into themes and sub-themes. Results: The results of our study revealed several factors that interfered with patients' professional consultation seeking and prompt treatment. These factors included; lack of knowledge, fear of being diagnosed with cancer, not seeing oneself at risk, mental preoccupation and wrong diagnosis by physicians. Conclusions: This study suggests that women and even physicians need further information about breast cancer symptoms. Women need encouragement to seek medical advice when they encounter suspicious symptoms. Additionally, women may benefit from awareness of the pros of early detection and reassurance about the improvements in the success of breast cancer treatment.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.9
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• pp.5367-5370
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• 2013

Background: Having knowledge or estimation of cancer incidence is necessary for planning and implementation of any cancer prevention and control programs. Population-based registries provide valuable information to achieve these objectives but require extra techniques to estimate the incidence rate. The present study aimed to estimate the esophageal cancer incidence using a log-linear method based on Tehran population-based cancer registry data. Materials and Methods: New cases of esophageal cancer reported by three sources of pathology reports, medical records, and death certificates to Tehran Metropolitan Area Cancer Registry Center during 2002-2006 were entered into the study and the incidence rate was estimated based on log-linear models. We used Akaike statistics to select the best-fit model. Results: During 2002-2006, 1,458 new cases of esophageal cancer were reported by the mentioned sources to the population-based cancer registry. Based on the reported cases, cancer incidence was 4.5 per 100,000 population and this was estimated to be 10.5 per 100,000 by the log-linear method. Conclusions: Based on the obtained results, it can be concluded that an estimated incidence for 2004 of 8.3 per 100,000 population could be a good benchmark for the incidence of esophageal cancer in the population of Tehran metropolis.

• The Korean Journal of Applied Statistics
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• v.33 no.5
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• pp.627-637
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• 2020

In this paper, the 1.24 million elderly patient medical data (HIRA-APS-2014-0053) provided by the Health Insurance Review and Assessment Service and weather data are analyzed with generalized estimating equation (GEE) model and long short term memory (LSTM) based recurrent neural network (RNN) model to predict the number of disease occurrence. To this end, we estimate the patient's residence as the area of the served medical institution, and the local weather data and medical data were merged. The status of disease occurrence is divided into three categories(occurrence of disease of interest, occurrence of other disease, no occurrence) during a week. The probabilities of categories are estimated by the GEE model and the RNN model. The number of cases of categories are predicted by adding the probabilities of categories. The comparison result shows that predictions of RNN model are more accurate than that of GEE model.

• Journal of Preventive Medicine and Public Health
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• v.52 no.6
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• pp.377-383
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• 2019

Objectives: Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants' self-reported disease history. We also determined the level of agreement between specialists and non-specialists. Methods: Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as 'definite,' 'possible,' or 'not' stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors' review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists. Results: Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as 'possible' were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and nonspecialists for both stroke and MI. Conclusions: The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.