• Title/Summary/Keyword: epidemiologic survey

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An Evaluation of Sampling Design for Estimating an Epidemiologic Volume of Diabetes and for Assessing Present Status of Its Control in Korea (우리나라 당뇨병의 역학적 규모와 당뇨병 관리현황 파악을 위한 표본설계의 평가)

  • Lee, Ji-Sung;Kim, Jai-Yong;Baik, Sei-Hyun;Park, Ie-Byung;Lee, June-Young
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.2
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    • pp.135-142
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    • 2009
  • Objectives : An appropriate sampling strategy for estimating an epidemiologic volume of diabetes has been evaluated through a simulation. Methods : We analyzed about 250 million medical insurance claims data submitted to the Health Insurance Review & Assessment Service with diabetes as principal or subsequent diagnoses, more than or equal to once per year, in 2003. The database was re-constructed to a 'patient-hospital profile' that had 3,676,164 cases, and then to a 'patient profile' that consisted of 2,412,082 observations. The patient profile data was then used to test the validity of a proposed sampling frame and methods of sampling to develop diabetic-related epidemiologic indices. Results : Simulation study showed that a use of a stratified two-stage cluster sampling design with a total sample size of 4,000 will provide an estimate of 57.04%(95% prediction range, 49.83 - 64.24%) for a treatment prescription rate of diabetes. The proposed sampling design consists, at first, stratifying the area of the nation into "metropolitan/city/county" and the types of hospital into "tertiary/secondary/primary/clinic" with a proportion of 5:10:10:75. Hospitals were then randomly selected within the strata as a primary sampling unit, followed by a random selection of patients within the hospitals as a secondly sampling unit. The difference between the estimate and the parameter value was projected to be less than 0.3%. Conclusions : The sampling scheme proposed will be applied to a subsequent nationwide field survey not only for estimating the epidemiologic volume of diabetes but also for assessing the present status of nationwide diabetes control.

Epidemiologic Study on Patients With Congenital Cleft Lip and Palate (선천성 구순, 구개열 환자에 대한 역학적 연구)

  • Jung Sung-Uk;Son Hyoung-Min;Jang Hyun-Seok;Kwon Jong-Jin;Rim Jae-Suk
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.1
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    • pp.21-25
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    • 2002
  • Cleft lip and palate are most common congenital deformity to affect the orofacial region. Cleft lip and palate are caused by abnormal development of primary and secondary palate. It's causative mechanism is not completely understood, but genetic and environmental factors play an important role. Many epidemiologic surveys have been done extensively about incidence, racial influence, sex ratio, parent age, associated syndrome, and genetic factors. These researches are useful to dissolve many problems in prevention and treatment of cleft lip and palate. We performed epidemiologic survey of cleft lip and palate who visited the department of Oral & Maxillofacial surgery, Guro Hospital of Korea University from 1995 to 2001.

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Epidemiologic Investigation to Identify the Cause of an Infant Methemoglobinemia (서울 S지역에서 발생한 영아 메트헤모글로빈혈증 1례의 원인구명을 위한 역학조사)

  • Kim, Young-Yeul;Choi, Bo-Youl;Park, Hang-Bae;Kim, Min-Young;Yeo, In-Hak
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.2 s.42
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    • pp.192-201
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    • 1993
  • Epidemiologic investigation was conducted on January, 1993 in Seoul to identify the cause of an infant methemoglobinemia. Field investigation of the area of outbreak, survey of household and family members, analysis of ground water, and blood tests of involved family members were performed. Following results were obtained On analyzing the quality of the ground water on patient's household high levels of nitrate was found indicating contamination of water as the cause of a methemoglobinemia outbreak. On analysing the quality of the ground waters on seven other places within the neighborhood five were contaminated by nitrate in concentration that exceeded the permissible limit implying presence nearby source of contamination. Sources of contamination were thought to be originating from human waste in conventional bathroom facilities, chicken manure used in nearby orchards and plant fields or fertilizers. But the results of water analysis with presence of bacteria or E.coli, concentration of potassium, phosphate and the past history of diarrhea among family members, chicken manure suggested the most possible source of contamination. To evaluate the health status of members in the neighborhood past history was reviewed revealing no prior existence of patient with cyanosis and 65 people in the neighborhood had normal levels of methemoglobin concentration in their blood. Conclusively, the ground water on patient's household was contaminated with nitrate and despite provision of adequate water supply, family members of the patient along with their distrust in the water supply system had used ground water as their source of drinking water resulting of methemoglobinemia. Many suburban area of Seoul and country side thought to be having similar problems concerning contaminated ground water supply and dormant outbreak of patients as a result of the drinking of the contaminated water. Epidemiologic investigation and water analysis of ground waters are advised.

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Epidemiologic Study in Patients with Congenital Cleft Lip and Palate (선천성 구순 구개열 환자에 대한 역학적 연구)

  • Baek Jin-woo;Jung Sung-uk;Choi Sun-hyu;Yun Hyung-jin;Lee Eui-seok;Yun Jung-ju;Jang Hyun-seok;Rim Jae-suk
    • Korean Journal of Cleft Lip And Palate
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    • v.7 no.1
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    • pp.17-24
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    • 2004
  • Cleft lip and palate are most common congenital defomity to affect the orofacial region. Cleft lip and palate are caused by abnormal development of primary and secondary palate. Its causative mechanism is not completely understood, but genetic and environmental factors play important roles. Lots of epidemiologic surveys have been done extensively about incidence, racial influence, sex ratio, parent age, associated syndrome and genetic factors. These researches are useful to dissolve many problems in prevention and treatment of cleft lip and palate. We performed epidemiologic survey of cleft lip and palate who visited the department of Oral and Maxillofacial Surgery, Guro hospital of Korea University from 1995 to 2004.

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Hazard Levels of Cooking Fumes in Republic of Korea Schools

  • Lee, Iu-Jin;Lee, Sang-Gil;Choi, Bo-Hwa;Seo, Hoe-Kyeong;Choi, Ji-Hyung
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.227-234
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    • 2022
  • Background and Purpose: In 2021, lung cancer in school food workers was first recognized as an occupational cancer. The classification of the carcinogenicity of cooking fumes by International Agency for Research on Cancer (IARC) was based on Chinese epidemiological data. This study aimed to determine the hazard levels of school cooking fumes in Korea. Materials and Methods: Based on public school cafeterias in one area, 25 locations were selected for the survey according to the number per school type, ventilation states, and environmental pre-assessments of cafeterias. Two inside cooking areas using a heat source and one outside cooking area were selected as control measurement points. Measurements of CO, CO2, polycyclic aromatic hydrocarbons (PAHs), and total volatile organic compounds (TVOCs), including benzene, formaldehyde, and particulate matter (PM10, PM2.5, PM1, respectively), were taken. The concentrations and patterns of each substance in the kitchens were compared with the outdoor air quality. Result: Known carcinogens, such as the concentrations of PAHs, formaldehyde, TVOC (benzene), and particulate matter in school cooking fumes, were all detected at similar or slightly higher levels than those found outside. Additionally, substances were detected at relatively low concentrations compared to the Chinese cooking fumes reported in the literature. However, the short-term exposure to high concentrations of CO (or composite exposure with CO2) and PM2.5 in this study were shown. Conclusion: The school cooking fumes in South Korea was a relatively less harmful than Chinese cooking fumes, however short-term, high exposure of toxic substances can cause a critical health effect.

Health Intended Food Use by Korean Adults: Data from the Korean National Health and Nutrition Examination Survey 2001 (2001년 국민건강영양조사 자료를 이용한 한국 성인의 건강증진용 식품 사용실태)

  • Jeong, Hae-Rang
    • Journal of the Korean Dietetic Association
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    • v.12 no.4
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    • pp.369-377
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    • 2006
  • Data from the 2001 Korea Health and Nutrition Examination Survey, a nationally representative, cross-sectional survey, were analyzed to assess prevalence of health intended food use overall and in relation to socio-demographic and lifestyle characteristics. Health intended food were classified into four broadly defined categories: vitamin and mineral supplements, health aid food, animal protein based restorative food and medicinal plants. Thirty three percent of adults aged 20 years or older reported taking health intended food in the past year : twenty four percent took vitamin or mineral supplements and medicinal plants were taken by 17 % of adults, health aid food by 15% and animal protein based restorative food by 6%. In multivariate logistic regression, female gender, older age, more education, regular exercise and non smoking were associated with greater use of vitamin or mineral supplements. Dietary quality was significantly associated with use of vitamin or mineral supplements or health aid food but not with use of medicinal plants or animal protein based restorative foods. Obese persons were less likely to take vitamin or mineral supplements. These findings suggest that epidemiologic studies of diet, demographic or lifestyle and health take health intended food use into account because of high prevalence of use of the food by the population and differential use of the food by socio-demographic and lifestyle characteristics.

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Convergent Factors Related to Job Burnout among Hospital Administrative Staff (병원행정직의 직무소진과 관련된 융복합적 요인)

  • Kim, Seung-Hee;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.349-356
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    • 2017
  • This study is executed to investigate convergent factors to job burnout(MBI-GS: Maslach Bunout Inventory-General Survey) among hospital administrative staff. The survey was administered to 201 staff from 9 general hospitals located in J area from Jul. 3rd, 2017 to Jul. 29th, 2017. The structured self-administered questionaries were used. The hierarchical multiple regression analysis shows the following results. The MBI-GS of respondents turned out to be significantly higher in following groups: a group in which Organizational Commitment Questionnaire(OCQ) is lower, a group in which Type A Behavior Pattern(TABP) is higher, a group in which depression(CES-D: Center for Epidemiologic Studies Depression scale) are higher. The results show explanatory power of 52.1%. The results of the study indicate that the efforts, to increase OCQ, and to decrease TABP and CES-D, are required to improve the MBI-GS among hospital administrative staff. The results are expected to be useful for the program and human resource management to related to the MBI-GS among HAS. In the following study, the analysis of structural equation modeling about additional factors of the MBI-GS among hospital administrative staff will be needed.

An Epidemiologic Study on an Outbreak of Dermatosis Associated with Moths at a Factory (독나방에 의한 피부질환의 집단 발생에 관한 역학 조사)

  • Lim, Hyun-Sul;Jung, Cheol;Kim, Doo-Hie;Sung, Yeol-Oh;Kim, Jung-Ran;Shin, Yoo-Hang
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.359-370
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    • 1996
  • An outbreak of dermatosis occurred at a machine manufacture factory in Kyongju on Aug 1995. Authors conducted a questionnaire ,survey among 92 workers in the factory and a dermatologist examined their skin lesions. Authors also collected moths and identified them. The results are as follows; 1. Forty-two cases of dermatosis were identified with attack rate of 45.7%. Attack rate was not different by company, age, sex, educational level and duration of employment. Attack rate was 47.8% among productive workers, 25.0% among clerical workers and 100.0 % among patrolmen. 2. Two cases among 42 dermatosis cases and three subjects among 50 non-cases had a history of same dermatosis last year. Four of dermatosis cases had a history of dermatosis among their family members. 3. Skin lesions of the cases were scattered or grouped rice-sized erythematous papules or vesicles. Duration of dermatosis from the onset to the time of survey was from one day to more than 30 days. The most frequent site of skin lesion was the arms(81.0 %), and it was also observed at the neck(47.6 %), abdomen(45.2 %), chest(42.9 %), legs(38.1 %) and back(35.7 %). Skin lesion was aggravated with sweating(31.0 %), after shower(16.7 %) and with scratching(11.9 %). 4. Moths were collected and identified as Euproctis subflava (Bremer). Many poisonous stings were observed on their wngs which is harmful to human. 5. Contact with moths' wing droppings to two authors on thier forearms for provocation resulted in severe immediate pain followed by prolonged pruritus. Erythematous macules quickly appeared and succeeded by firm wheal-like red papules. Authors thought that the outbreak of dermatosis was brought about by Euproctis subflava (Bremer). Further studies on the factors contributing to the prosperity of the moths in this area are needed.

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