1.A Case of Preleukemia Presenting as Aplastic Anemia.
Dong Hee OH ; Sei Hee CHOI ; Baek Keun LIM ; Jong Soo KIM
Journal of the Korean Pediatric Society 1985;28(11):1141-1146
No abstract available.
Anemia, Aplastic*
;
Preleukemia*
2.Cord Plasma Alpha-Fetoprotein Values and Neonatal Jaundice.
Mee Kyung NAMGOONG ; Sei Hee CHOI ; Ae Sook KIM ; Baek Keun LIM ; Jong Soo KIM
Journal of the Korean Pediatric Society 1986;29(8):24-27
No abstract available.
alpha-Fetoproteins*
;
Infant, Newborn
;
Jaundice, Neonatal*
;
Plasma*
3.The Assessment of Worker's Health Status by SF-36.
Bong Suk CHA ; Sang Baek KOH ; Sei Jin CHANG ; Jong Ku PARK ; Myung Guen KANG
Korean Journal of Occupational and Environmental Medicine 1998;10(1):9-19
This study was conducted to understand health status by general characteristic, and to find out relationship between social support and worker's health status. Health status was measured using SF-36(Medical Outcome Study Short Form 36), a 36 item self administered Instrument. The finding of this study were as follow; Mean scores of health status by sex were higher in male. The younger worker reported good health on physical functioning and role limitation-physical than did the older worker, but the older worker reported good health on social functioning and mental health. Mean scores of health status were higher in high income and white worker. When the relationship between social support and health status, social functioning, role limitation-emotion, mental health, vitality, general health were significantly related. Therefore we reviewed the evidence that socio-economic condition are associated with health status in this study, and that the strength of the social support was a important to maintain health.
Humans
;
Male
;
Mental Health
;
Outcome Assessment (Health Care)
4.Regional Gaps in Health Status Estimated by Amenable Mortality Rate in Korea
Sei-Jong BAEK ; Heenyun KIM ; Da-Ho LEE ; Hyoung-Sun JEONG
Health Policy and Management 2021;31(1):100-113
Background:
This study aims to figure out the gaps in health status by estimating amenable mortality rate by region, reflecting the characteristics of Korea, and estimating the years of life lost (YLL) per capita by disease.
Methods:
People who died from amenable diseases between 2008 and 2018 were extracted from the cause of death statistics provided by Statistics Korea. The age-standardized amenable mortality rates were estimated to compare the health status of 229 regions. YLL per capita was calculated to compute the burden of diseases caused by treatable deaths by region. The YLL per capita by region was calculated to identify the burden of disease caused by amenable deaths.
Results:
First, while the annual amenable mortality rate in Korea is on a steady decline, but there is still a considerable gap between urban and rural areas when comparing the mortality rates of 229 areas. Second, YLL per capita due to the amenable deaths is approximately 14 person-years during the analysis period (2008–2018).
Conclusion
Although the health status of Koreans has continuously improved, there is still a gap in health status region by region in terms of amenable mortality rates. Amenable death accounts for a loss of life equivalent to 14 person-years per year. Since the amenable mortality rate is an indicator that can measure the performance of the health care system, efforts at each local area are required to lower it.
5.Regional Gaps in Health Status Estimated by Amenable Mortality Rate in Korea
Sei-Jong BAEK ; Heenyun KIM ; Da-Ho LEE ; Hyoung-Sun JEONG
Health Policy and Management 2021;31(1):100-113
Background:
This study aims to figure out the gaps in health status by estimating amenable mortality rate by region, reflecting the characteristics of Korea, and estimating the years of life lost (YLL) per capita by disease.
Methods:
People who died from amenable diseases between 2008 and 2018 were extracted from the cause of death statistics provided by Statistics Korea. The age-standardized amenable mortality rates were estimated to compare the health status of 229 regions. YLL per capita was calculated to compute the burden of diseases caused by treatable deaths by region. The YLL per capita by region was calculated to identify the burden of disease caused by amenable deaths.
Results:
First, while the annual amenable mortality rate in Korea is on a steady decline, but there is still a considerable gap between urban and rural areas when comparing the mortality rates of 229 areas. Second, YLL per capita due to the amenable deaths is approximately 14 person-years during the analysis period (2008–2018).
Conclusion
Although the health status of Koreans has continuously improved, there is still a gap in health status region by region in terms of amenable mortality rates. Amenable death accounts for a loss of life equivalent to 14 person-years per year. Since the amenable mortality rate is an indicator that can measure the performance of the health care system, efforts at each local area are required to lower it.
6.Association between Job Stress on Heart Rate Variability and Metabolic Syndrome in Shipyard Male Workers.
Myung Guen KANG ; Sang Baek KOH ; Bong Suk CHA ; Jong Ku PARK ; Jong Min WOO ; Sei Jin CHANG
Yonsei Medical Journal 2004;45(5):838-846
A growing body of literature has documented that job stress is associated with the development of cardiovascular disease. Nevertheless, the pathophysiological mechanism of this association remains unclear. The purpose of this study is to elucidate the relationship between job stress, heart rate variability, and metabolic syndrome. The study design was cross-sectional, and a total of 169 industrial workers were recruited. A structured-questionnaire was used to assess the general characteristics and job characteristics (work demand, decision latitude). Heart rate variability (HRV) was recorded using SA-2000 (medi-core), and was assessed by time-domain and by frequency-domain analyses. Time domain analysis was performed using SDNN (Standard Deviation of normal to normal interval), and spectral analysis using low-frequency (LF), high-frequency (HF), and total frequency power. Metabolic syndrome was defined on the basis of risk factors being clustered when three or more of the following cardiovascular risk factors were included in the fifth quintile: glucose, systolic blood pressure, high-density lipoprotein cholesterol (bottom quintile), triglyceride, and waist-hip ratio. The results showed that job characteristics were not associated with cardiovascular risk factors. Compared to the lower strain group (low strain+passive+active group), the high strain group had a less favorable cardiovascular risk profile with higher levels of blood pressure, glucose, homocysteine, and clotting factor, but the difference was not statistically significant. The SDNN of HRV was significantly lower in the high strain group than in the low strain group. The prevalence of metabolic syndrome in the lower strain group and high strain group was 13.2% and 23.8%, respectively. In the high strain group, the metabolic syndrome was significantly related to a decreased SDNN. However, we could not find a significant association in LF/HF ratio. This result suggests that decreased HRV found in the high-strain group are not a direct indicator of disease. However, it can induce cardiovascular abnormalities or dysfunctions related to the onset of heart disease among high risk groups.
Adult
;
Aged
;
*Heart Rate
;
Humans
;
Male
;
Metabolic Syndrome X/*physiopathology
;
Middle Aged
;
Occupational Diseases/*physiopathology
;
Research Support, Non-U.S. Gov't
;
Stress, Psychological/*physiopathology
7.The Impact of New Work Organizational System on Job Strain, and Psychosocial Distress.
Sang Baek KOH ; Sei Jin CHANG ; Byeong Hwan SUN ; Dong Muk KANG ; Mia SON ; Jong Ku PARK ; Bong Suk CHA
Korean Journal of Preventive Medicine 2003;36(1):71-76
OBJECTIVES: New organizational work systems, and their impact on the mental health of employees, are considered to beone of the most important topics in the area of industrial health. This study was conducted to compare job characteristics (job demand and decision latitude) levels, and psychosocial distress of workers in acompany introducing to new organizational work systems, to those of workers managed by traditional work systems. METHODS: A study sample of 627 shipbuilding workers (446the new work organizational system and 181the traditional system) were recruited for this study. A structured-questionnaire was used to assess general characteristics, job characteristics (work demand, decision latitude), and psychosocial distress. RESULTS: The decision latitude was not significantly higher in the new work system compared to the traditional system. However, the job demand was significantly higher in the new work system than in the traditional system. The psychosocial distress was higher within the new work system than the traditional system, but no significant relationships were found. The proportion of increased strain was significantly greater with the new system than the traditional system. CONCLUSION: These results suggest that increases in the decision latitude did not sufficiently compensate for higher job strain or increased work intensity. If the increase in the decision latitude was temporary, with the typical job demand remaining high, such work can be still be considered to have a job strain. Future research should consider psychosocial distress and fatigue as important problems caused by new work organizational systems, and should be performed to assess their impact through out industry.
Fatigue
;
Mental Health
;
Occupational Health
8.The Effect of Social Support on Chronic Stress and Immune System in Male Manufacturing Workers.
Sei Jin CHANG ; Sang Baek KOH ; Jong Ku PARK ; Bong Suk CHA
Korean Journal of Preventive Medicine 2002;35(4):287-294
OBJECTIVES: To examine whether cumulative chronic stress influences the immune status, and to verify the effect of social support on the relationship between these two dimensions in male manufacturing workers. METHODS: A total of 39 workers were recruited for this study. A structured-questionnaire was used to assess general characteristics, job characteristics (work demand and decision latitude), psychosocial distress, and social support. The serum levels of CD4 and CD8 were measured as immune markers, and were collected between 8:00 and 10:00am in order to standardize the markers. Nonparametric statistics were used to estimate the differences between job characteristics and the immune markers. RESUJLTS: General characteristics, and health-related behaviors, were not associated with CD4, CD8 or CD4/CD8. No relationships were found between job characteristics and the mean levels of immune reactivity. These results were consistent, even after controlling for social support. Social support failed to modify the relationship toward work demand, decision latitude or psychosocial distress to CD4, CD8, and CD4/CD8. CONCLUSION: Cumulative chronic life stress might not influence the immune status, and the effects of social support on the immune function under chronic stress, may not play a crucial role in modifying the relationships. This implication supports that the effect of stress on the immune function may be determined by the characteristics of that stress. Further research should effectively considers the type, magnitude and timing of a stress event, and modifiable factors, such as personality traits, coping style, and hormone excretion levels, on the alteration of immune status.
Biomarkers
;
Humans
;
Immune System*
;
Male*
;
Stress, Psychological
9.The Effect of Social Support on Chronic Stress and Immune System in Male Manufacturing Workers.
Sei Jin CHANG ; Sang Baek KOH ; Jong Ku PARK ; Bong Suk CHA
Korean Journal of Preventive Medicine 2002;35(4):287-294
OBJECTIVES: To examine whether cumulative chronic stress influences the immune status, and to verify the effect of social support on the relationship between these two dimensions in male manufacturing workers. METHODS: A total of 39 workers were recruited for this study. A structured-questionnaire was used to assess general characteristics, job characteristics (work demand and decision latitude), psychosocial distress, and social support. The serum levels of CD4 and CD8 were measured as immune markers, and were collected between 8:00 and 10:00am in order to standardize the markers. Nonparametric statistics were used to estimate the differences between job characteristics and the immune markers. RESUJLTS: General characteristics, and health-related behaviors, were not associated with CD4, CD8 or CD4/CD8. No relationships were found between job characteristics and the mean levels of immune reactivity. These results were consistent, even after controlling for social support. Social support failed to modify the relationship toward work demand, decision latitude or psychosocial distress to CD4, CD8, and CD4/CD8. CONCLUSION: Cumulative chronic life stress might not influence the immune status, and the effects of social support on the immune function under chronic stress, may not play a crucial role in modifying the relationships. This implication supports that the effect of stress on the immune function may be determined by the characteristics of that stress. Further research should effectively considers the type, magnitude and timing of a stress event, and modifiable factors, such as personality traits, coping style, and hormone excretion levels, on the alteration of immune status.
Biomarkers
;
Humans
;
Immune System*
;
Male*
;
Stress, Psychological
10.Reliability and Validity on Measurement Instrument for Health Status Assessment in Occupational Workers.
Sang Baek KOH ; Sei Jin CHANG ; Myung Guen KANG ; Bong Suk CHA ; Jong Ku PARK
Korean Journal of Preventive Medicine 1997;30(2):251-266
In order to test scaling assumption, and to assess the validity, reliability, and acceptability of the Short Form 36(SF-36) health survey questionnaire, we conducted a survey. Samples were 296 workers who had been employed in small sized companies. All scale passed for item internal consistency(100% sucess rate) and item discriminant validity(100% success rate). Reliability coefficients were ranged from a low of 0.51 to a high of 0.85. For 87.5% of the total workers, inconsistent responses were not observed. Only 3.0% of the total workers failed two or more checks. Factor analysis was performed using principal axis factor method and quartimax rotation. In this survey, the SF-36 retained available psychometric properties even when used in a generally healthy worker group. But further study with some consideration to develope health status measurement is expected ; first, the definition of health status should be rationalized. Second, the measurement of outcome is an important consideration in evaluations of quality of care. But ambiguities hinder understanding of this important topic. Third, internal consistency should be interpreted with caution as an indication reliability because it ignores potentially important sources of variation that can occur over time.
Axis, Cervical Vertebra
;
Health Surveys
;
Psychometrics
;
Surveys and Questionnaires
;
Reproducibility of Results*