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일개 농촌지역의 보건의료실태에 관한 조사 : 충청남도 금산군 군북면 Gun-Buk Myun, Gm-Sam Gun, Chung-Cheong-Nam Do
윤현의,장윤혜,조민선,차유미 이화여자대학교 의과대학 1989 梨花醫學誌 Vol.- No.21
A study on the status of environmental sanitation and community health was made for effective health service program in Gun-Buk Myun, a reral community. For the study, total 201 households of 5 Ries out 17 Ries were interviewed using family record and questionnair by 10 medical students from July, 25 to July, 28, 1986. And following results were obtained ; Ⅰ. Demographic characteristics ; 1. Population of the five Ries was 1,049 in total(male 557 and female 492)and sex ratio was 113.2. 2. Family size ; The average household consist of 4.4 persons. 3. Dependency rate : 67.6% Ⅱ. Environmentol sanitation ; 1. The source of drinking water. water distribution system : 47.2% well : 7.5% pump : 43.1% spring water : 2.0% 2. The kind of using privy. pti-privy : 97.0% openair privy : 3.0% 3. Distance between well and using privy. more than 10m : 49.2% 5∼9m : 27.4% less than 5m : 19.4% 4. Distance between well and kitchen. more than 10m : 49.2% 5∼9m : 25.4% less than 5m : 18.4% Ⅲ. Status of illness ; 1. Point prevalence rate : 115.1 per 1,000 population 2. Usual causes of illness. local pain : 38.2% indigestion : 18.6% general pain : 12.7% cough : 6.9% weakness and dizziness : 5.9% fever : 1.0% X. Status of medical utilization ; 1. untilization rate of medical institution : 89.5% 2. percentage distribution by medical institutions utilized. health subcenter : 68.6% clinic : 18.4% hospital : 2.5% 3. percentage distribution by sorts of medical security. medical insurance : 64.7% medicaid : 33.3% 4. Average insurance cost of insurants : 5,700±2,190 won. Ⅴ. Maternal and child Healthy ; 1. Prenatal care rate : 37.7% 2. Delivery rate in medical facilities : 22.6% 3. Vaccination rate. Poliomyelitis : 94.7% Hepatitis : 58.3% Measles : 85.3% 4. Weaning experience rate : 60.0% Ⅳ. Family planning ; 1. Family planning practice rate : 71.8% 2. Used methods Sterilization : 57.6%(Male 7.6%, Female 50.0%) I.U.D. : 3.8% Oral pill : 5.7% Others : 3.8% Ⅵ. Intoxication rate due to pesticide : 18.5%
부산지역 65세 이상 노인의 구강건강과 자가건강평가수준(SRH)
윤현서 ( Hyun Seo Yoon ),전진호 ( Jin Ho Chun ),이정화 ( Jung Hwa Lee ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.3
The purpose of this study was to examine the impact of the oral health status and health care of elderly people on their self-rated health(SRH). The subjects on this study were 479 senior citizens who were at the age of 65 and up and resided in the city of Busan. They got a dental checkup, and a survey was conducted by having an one-on-one interview. After the collected data were analyzed, the following findings were given: The senior citizens were diagnosed with a mean of 1.43 systemic diseases, and hypertension(51.8%) was the most prevalent disease among them, followed by diabetes(25.1%), arthritis(41.8%), oral diseases(75.6%), stroke(9.0%) and heart diseases(15.9%). Their self-rated health was better when they were male, when they were aged between 65 and 69, when there was someone with whom they lived, when they were better educated and when they owned their own houses. But their self-rated health was poorer when they felt more oral symptoms, when they had more missing teeth and when they needed both of maxillary and mandibular dentures. Their self-rated health was more positively affected when they were better educated(β=0.894), when they owned their own houses(β=4.220), when they got a dental checkup on a regular basis(β=2.997) and when the rate of their functional tooth was larger(β=0.081). And that was more negatively influenced when they had a denture(β=-1.110), when they had more oral symptoms(β=-1.590) and when they had more systemic diseases(β=3.363). There is a close relationship between the oral health and self-rated health of elderly people. Therefore how to promote their oral health should carefully be considered.
윤현,이준호,Yoon, Hyun,Lee, Jun Ho Korean Society for Clinical Laboratory Science 2019 대한임상검사과학회지(KJCLS) Vol.51 No.2
본 연구는 대한민국 성인에서 eGFR 및 uACR과 Ferritin의 관련성에 대한 연구이다. 2012년 국민건강영양조사자료에서 20세 이상의 4,948명을 대상으로 관련변수를 보정한 후, 만성신장질환(CKD, eGFR<$60mL/min/1.73m^2$) 및 알부민뇨($uACR{\geq}30mg/g$)에 따른 페리틴 수준을 분석하였다. 만성신장질환군의 ferritin 수준($M{\pm}SE$) [$103.04{\pm}6.59mL/min/1.73m^2$; 95% confidence interval (CI), 90.12~115.96]은 정상군($84.87{\pm}1.16mL/min/1.73m^2$; 95% CI, 82.59~87.14)에 비하여 유의하게 높았다(P=0.007). 그러나 정상군($82.72{\pm}4.09mg/g$; 95% CI, 74.71~90.73)과 알부빈뇨군($82.72{\pm}4.09mg/g$; 95% CI, 74.71~90.73)의 ferritin 수준은 유의한 차이가 없었다(P=0.487). 결과적으로, 대한민국 성인에서 만성신장질환과 ferritin수준은 양의 상관관계가 있었지만, 알부빈뇨에서는 유의한 차이가 없었다. This study examined the relationship between the estimated glomerular filtration rate (eGFR) and urine microalbumin/creatinine ratio (uACR) with ferritin in Korean adults. This study included 4,948 adults aged ${\geq}20years$ from the 2012 Korea National Health and Nutrition Examination Survey (KNHANES) data. A covariance test adjusted for covariates was performed for the ferritin levels in relation to the decreased eGFR (eGFR<$60ml/min/1.73m^2$) and elevated uACR ($uACR{\geq}30mg/g$). Several key findings were made in the present study. First, after adjusting for the related variables, the ferritin level was higher in the decreased eGFR group [$103.04{\pm}6.59mL/min/1.73m^2$; 95% confidence interval (CI), 90.12~115.96] than in the normal eGFR group ($84.87{\pm}1.16mL/min/1.73m^2$; 95% CI, 82.59~87.14; P=0.007). Second, after adjusting for the related variables, the ferritin level ($M{\pm}SE$) was similar in the normal uACR group ($85.70{\pm}1.20mg/g$; 95% CI, 83.35~88.05) and elevated uACR group ($82.72{\pm}4.09mg/g$; 95% CI, 74.71~90.73) (P=0.487). Chronic kidney disease was positively associated with the ferritin level in Korean adults but albuminuria was not.