• Epidemiology and Health
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• 제39권
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• pp.36.1-36.8
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• 2017

OBJECTIVES: To investigate the screening rates for gastric, breast, and cervical cancer in people with diabetes compared with people without diabetes. METHODS: Data from the Korea National Health and Nutrition Examination Survey (2007-2009) were used. Cancer-free men who were 40 years old and over and cancer-free women who were 30 years old and over were included. The lifetime screening rate and regular screening rate were compared in people with and without diabetes. RESULTS: Fewer people with diabetes than people without diabetes had ever received cancer screening (53.5 vs. 59.5%, p<0.001 for gastric cancer; 60.5 vs. 71.5%, p<0.001 for breast cancer; and 49.1 vs. 59.6%, p<0.001 for cervical cancer). Fewer people with diabetes than people without diabetes received the recommended screenings for gastric cancer (38.9 vs. 42.9%, p<0.001), breast cancer (38.8 vs. 44.6%, p<0.001), and cervical cancer (35.1 vs. 51.2%, p<0.001). In subgroup analyses according to socioeconomic factors, the lifetime and recommended screening rates were lower in the diabetic population in most socioeconomic subgroups. In the multivariate analysis adjusted for socioeconomic factors, people with diabetes showed lower lifetime screening rates for gastric and cervical cancer (odds ratio [OR], 0.8; 95% confidence interval [CI], 0.7 to 0.9 and OR, 0.7; 95% CI, 0.6 to 0.9), and lower regular screening rates for breast and cervical cancer (OR, 0.7; 95% CI, 0.6 to 0.9 and OR, 0.7; 95% CI, 0.5 to 0.9). CONCLUSIONS: The cancer screening rate in people with diabetes was lower than in people without diabetes. Considering the higher cancer risk in people with diabetes, efforts to increase the screening rate in this high-risk population should be implemented.

• International Journal of Computer Science & Network Security
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• 제23권12호
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• pp.204-212
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• 2023

Diabetes is a condition that can be brought on by a variety of different factors, some of which include, but are not limited to, the following: age, a lack of physical activity, a sedentary lifestyle, a family history of diabetes, high blood pressure, depression and stress, inappropriate eating habits, and so on. Diabetes is a disorder that can be brought on by a number of different factors. A chronic disorder that may lead to a wide range of complications. Diabetes mellitus is synonymous with diabetes. There is a correlation between diabetes and an increased chance of having a variety of various ailments, some of which include, but are not limited to, cardiovascular disease, nerve damage, and eye difficulties. There are a number of illnesses that are connected to kidney dysfunction, including stroke. According to the figures provided by the International Diabetes Federation, there are more than 382 million people all over the world who are afflicted with diabetes. This number will have risen during the years in order to reach 592 million by the year 2035. There are a substantial number of people who become victims on a regular basis, and a significant percentage of those people are uninformed of whether or not they have it. The individuals who are most adversely impacted by it are those who are between the ages of 25 and 74 years old. This paper reviews about various machine learning techniques used to detect diabetes mellitus.

• 보건교육건강증진학회지
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• 제6권1호
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• pp.66-74
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• 1989

The purpose of this study was to determine appropriate training content and methods for a health educational program for rural people by analysing data collected through a structured interview survey with the rural people of Kangwha county in June, 1987, The variables analyzed for the educational content were the diseases of greatest concern and the most urgent health problems, and for the educational methods, the health educator, place of education and types of educational media were analyzed. The results are as follows: 1. The disease of greatest concerned was gastroenteritis(22.6%), followed by diabetes(13.7%), and hepatitis (10.2%). The respondents with old age and less education were more concerned with arthritis, and those with higher education were more concerned with diabetes. 2. The most urgent health problem was agricultural chemical poisoning(46%), followed by smoking(12.8%), and the lack of balance between meals and nutrition(8.8%). The people with less education and with higher income were less concerned with agricultural chemical poisoning and smoking. 3. Of the respondents, 77.4% wanted to be educated by physicians and the village auditorium was the most preferred place of education. Education in a lecture format was desired by 36.3% of respondents. Personal counselling was more preferred by old and less educated people, and people with higher education preferred printed matters.

• 보건행정학회지
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• 제29권3호
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• pp.277-287
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• 2019

Background: Diabetes is known as one of the most important ambulatory care sensitive conditions. This study purposed to assess the status of continuity of care (COC) and diabetes-related avoidable hospitalizations (DRAHs) of a group of middle- and old-aged patients and to observe the relationship of the two elements by the two age groups. Methods: This study utilized the National Health Insurance Service's National Sample Cohort data and the subjects are diabetes patients of 45 and over, classified into two groups of 'middle-aged'(45-64 years) and 'old-aged'(${\geq}65years$) patients. The dependent variable was DRAHs, which was defined in accordance with the definition of the Organization for Economic Cooperation and Development "Health Care Quality Indicators" project. COC, as an independent variable, is measured by the COC index in this study. Two-part model (multi-variate and multi-level analyses) was utilized. Results: Factors associated with the status and the number of DRAHs differed by each age group. Meanwhile, the two-part model showed that higher COC was associated with a lower risk of preventable hospitalizations in both middle- and old-aged groups. Conclusion: Study findings can provide health policy insights and implications in order to strengthen the primary care system for further improvement of diabetes management, especially for middle- and old-aged groups.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.244-250
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• 2014

최근 한국인의 주요 사망원인 중 당뇨병이 차지하는 비중이 높아졌다. 2011년 국민건강영양조사 결과에 따르면 우리나라 성인 1,176만 명중 10.5%가 당뇨를 앓고 있으며, 65세 이상 인구에서는 21.5%가 당뇨를 앓고 있었다. 본 연구는 당뇨 유병률이 높은 65세 이상 노인의 당뇨병 발생률을 확인하고, 당뇨병 발생과 관련 있는 요인을 찾아낸다. 연구 방법은 한국고용정보원에서 주관하는 고령화연구패널조사의 2006년도 공개용 연간데이터 버전 1.2를 자료원으로 하여 당뇨를 앓고 있는 4,165명을 모집단으로 선정하였다. 분석도구로 통계프로그램인 IBM SPSS(19.0 version)를 사용하였다. 연구 결과를 요약하면 65세 이상 79세 이하인 사람이 80세 이상 노인보다 당뇨병 진단을 받을 확률이 높았으며 대도시에 사는 사람이 읍면부에 사는 사람에 비해 당뇨병 진단확률이 높았다. 주관적 건강상태 항목에서는 주관적 건강상태가 좋은 사람인 경우와 보통인 경우가 주관적 건강상태가 나쁜 사람에 비해 당뇨병 진단확률이 낮았다. 폐질환을 진단받은 사람은 폐질환은 진단받지 않은 사람에 비해 당뇨병 진단확률이 낮았다. 본 연구결과를 바탕으로 당뇨를 예방 할 수 있는 주요 요인들은 분석하여, 당뇨 발병 저하에 기여할 수 있는 방안을 제안한다.

• 대한임상검사과학회지
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• 제44권3호
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• pp.97-102
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• 2012

This study was performed to investigate the average fasting blood sugar levels from various Homeless and the old at nursing homes. Subjects (297 Homeless and 190 aged people) were examined in April, 2011 to June, 2010 in Daegu city area and only fasting blood sugar was measured. Subjects consist of 274 (56.30%) men and 213 (43.70%) women but primarily comprise over 60s. Blood was collected by vein-puncture, centrifuged and analyzed by TBA-C8000. The number of each subject for blood sugar levels of men groups were shown 197 (40.50%) with under 110, 24 (4.90%) with 110~125, and 53 (10.90%) with over 126. On the other hand, 127 (26.10%) with under 110, 33 (6.80%) with 110~125 and 53 (10.90%) with over 126 from women groups. This means that the average prevalence rate of diabetes is approximately 10% at each sex. Depending on age, the fasting blood sugar level over 126 increased with advancing age but the significance of results was not shown. Two groups, Homeless and aged people at nursing homes, the fasting blood sugar level was alittle high (2.9%) from Homeless but not significant. Regular blood sugar test and HbA1c test for people could be play an important role to prevent diabetic disorders under the government's interest.

• 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%.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2001년도 제4회 국제학술 심포지움
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• pp.1-9
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• 2001

Health Insurance System in Korea was introduced in 1977 and expanded health insurance benefits for all people in 1989. The development of medical service and technology takes a growing concerning for public health and medicine. And also, it helps to extend the average life span of Koreans. Therefore, the old people are steadily increased over seven percent of total population and will take more than 14% in 2023. Generally, the old people have the chronic disease such as diabetes and hypertension. Also, smoking, stress, environmental pollution and lack of exercise, leading cause of cancer, cardiovascular disease and respiratory infections have affected to state economy negatively. Therefore, health promotion law was established for a variety of health promotion process, including education, program implementation and community development. The goals and strategies for health promotion are as following: . Practice of healthy life: - Strengthen publicity activities on smoking and exercise. - Program development for nonsmoking and exercise. - Program extent for community health. Strengthen of mental health: - Planning of national survey for mental patient. - Prevention of alcoholism - Setting up special hospital for alcoholism . Constant cancer management under government - Developing medical treatment and prevention program. - Early diagnosis for the whole nation . Management of chronic disease - Strengthen of Prevention Program . Reinforcing of oral health - A national survey of oral health - Oral health education

• The Korean Journal of Physiology and Pharmacology
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• 제25권4호
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• pp.281-296
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• 2021

The beneficial effects of hypoxic preconditioning are abolished in the diabetes. The present study was designed to investigate the protective effects and mechanisms of repeated episodes of whole body hypoxic preconditioning (WBHP) in db/db mice. The protective effects of preconditioning were explored on diabetes-induced vascular dysfunction, cognitive impairment and ischemia-reperfusion (IR)-induced increase in myocardial injury. Sixteen-week old db/db (diabetic) and C57BL/6 (non-diabetic) mice were employed. There was a significant impairment in cognitive function (Morris Water Maze test), endothelial function (acetylcholine-induced relaxation in aortic rings) and a significant increase in IR-induced heart injury (Langendorff apparatus) in db/db mice. WBHP stimulus was given by exposing mice to four alternate cycles of low (8%) and normal air O₂ for 10 min each. A single episode of WBHP failed to produce protection; however, two and three episodes of WBHP significantly produced beneficial effects on the heart, brain and blood vessels. There was a significant increase in the levels of brain-derived neurotrophic factor (BDNF) and nitric oxide (NO) in response to 3 episodes of WBHP. Moreover, pretreatment with the BDNF receptor, TrkB antagonist (ANA-12) and NO synthase inhibitor (L-NAME) attenuated the protective effects imparted by three episodes of WBHP. These pharmacological agents abolished WBHP-induced restoration of p-GSK-3β/GSK-3β ratio and Nrf2 levels in IR-subjected hearts. It is concluded that repeated episodes of WHBP attenuate cognitive impairment, vascular dysfunction and enhancement in IR-induced myocardial injury in diabetic mice be due to increase in NO and BDNF levels that may eventually activate GSK-3β and Nrf2 signaling pathway to confer protection.

• 대한신경집중치료학회지
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• 제11권2호
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• pp.143-147
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• 2018

Background: Hypoglycemia is uncommon in people without diabetes. There have been only a few reports of cardiac arrest in conjunction with hypoglycemia in non-diabetic patients. Case Report: A 66-year-old man visited the emergency room with dizziness. He was a chronic alcoholic. Laboratory test showed no evidence of diabetes mellitus. Brain magnetic resonance imaging revealed a left cerebellar infarction. Abdomen computed tomography demonstrated liver cirrhosis with minimal ascites. During his hospital stay, he consumed only a small amount of food because of nausea and headache. On hospital day 4, he had a cardiac arrest after two seizure episodes. His blood glucose was 10 mg/dL. The combination of liver cirrhosis, renal failure and poor oral intake was presumed to be the causes of the severe hypoglycemia. Conclusion: We report a rare case of cardiac arrest occurring in conjunction with severe hypoglycemia in a non-diabetic patient with cerebral infarction.