Factors associated with Experience of Diagnosis and Utilization of Chronic Diseases among Korean Elderly : Focus on Comparing between Urban and Rural Elderly / 農村醫學 地域保健

OBJECTIVES@#The purpose of this study was to identify and compare the difference and related factors with general characteristic and health behaviors, a experience of diagnosis and treatment of chronic diseases between rural and urban among elderly in Korea.@*METHODS@#We used the data of Community Health Survey 2017 which were collected by the Korean Center for Disease Control and Prevention. The study population comprised 67,835 elderly peopled aged 65 years or older who participated in the survey. The chi-square test, univariate and multivariate logistic regression analysis were used to analyze data.@*RESULTS@#We identified many significant difference of health behaviors, an experience of diagnosis and treatment with chronic diseases between rural and urban. Compared to urban elderly, the odds ratios (ORs) (95% confidence interval) of rural elderly were 1.136 (1.092–1.183) for diagnosis of diabetes, 1.278 (1.278–1.386) for diagnosis of dyslipidemia, 0.940 (0.904–0.977) for diagnosis of arthritis, 0.785(0.736–0.837) for treatment of arthritis, 1.159 (1.116–1.203) for diagnosis of cataracts, and 1.285(1.200–1.375) for treatment of cataracts. In the experience of diagnosis and treatment of chronic diseases, various variables were derived as contributing factors for each disease. Especially, there were statistically significant difference in the experience of diabetes diagnosis, arthritis diagnosis, cataract diagnosis and dyslipidemia except for hypertension diagnosis (p<0.01) between urban and rural elderly. There were statistically significant differences in the experience of treatment for arthritis and cataract (p<0.01), but there was no significant difference in the experience of treatment for hypertension, diabetes, dyslipidemia between urban and rural elderly.@*CONCLUSION@#Therefore, it would be necessary to implement a strategic health management project for diseases that showed significant experience of chronic diseases with diagnosis and treatment, reflecting the related factors of the elderly chronic diseases among the urban and rural areas.

The Mode of Medical Inference in the History of Medicine / 의사학

In the primitive ages the system of thought about health and disease was a closed system of thought which had the premise of witchcraft. In the ancient and middle ages the problems of health and disease had been dealt with within logical thinking but the phenomena of human life had been explained metaphysically and the medical problems had been inferred from deductive logic. The abnormalities of health problems which were inferred from deductive logic had not been substantiated because anatomy, physiology and technology had not been advanced far enough. In the Renaissance and modern ages the knowledge of anatomy, physiology and pathology of living body have begun to increase. The human body could be explained in the terms of structure and function of the body as a machine. Approaching this way the disease has been understood as the abnormality of structure or function of the body and the problems of health and disease are inferred from inductive logic. Recently patterns of health disorders have changed. Such health disorders that can not be found to have evidences of structural or functional abnormalities have increased. Practitioners have tended to find evidences of structural or functional abnormality of the body by using medical equipments. This way of medical practice has led to high cost of medical fees, dehumanizing health care and have produced public dissatisfaction. The form of problem-oriented medical record is recommended as the best tool for training reasonable medical inferences.

The Mode of Medical Inference in the History of Medicine / 의사학

In the primitive ages the system of thought about health and disease was a closed system of thought which had the premise of witchcraft. In the ancient and middle ages the problems of health and disease had been dealt with within logical thinking but the phenomena of human life had been explained metaphysically and the medical problems had been inferred from deductive logic. The abnormalities of health problems which were inferred from deductive logic had not been substantiated because anatomy, physiology and technology had not been advanced far enough. In the Renaissance and modern ages the knowledge of anatomy, physiology and pathology of living body have begun to increase. The human body could be explained in the terms of structure and function of the body as a machine. Approaching this way the disease has been understood as the abnormality of structure or function of the body and the problems of health and disease are inferred from inductive logic. Recently patterns of health disorders have changed. Such health disorders that can not be found to have evidences of structural or functional abnormalities have increased. Practitioners have tended to find evidences of structural or functional abnormality of the body by using medical equipments. This way of medical practice has led to high cost of medical fees, dehumanizing health care and have produced public dissatisfaction. The form of problem-oriented medical record is recommended as the best tool for training reasonable medical inferences.

A Medico-historical Review on Biomedicine and Its Limitations and Problems / 의사학

Biomedicine is a conceptualized technical term for current medicine in a historical perspective. Physics, chemistry and biology are considered to be the sciences basic to biomedicine. This medical model depends essentially on a mechanistic approach based on understanding of the structure and function of the body. The biomedical model assumes that illness can be explained in terms of morphological, physiological and biochemical derangements or dysfunctions(a reductionist concept of disease). As medicine of primitive ages and ancient times can be conceptualized in terms of witch-philosophical medicine, medicine of the Middle Ages can be conceptualized in terms of religious medicine. The early steps by which modern medical sciences have been gradually built up appeared in the 10th and 17th century. In those ages direction and methodology forward scientific medicine were established. Medicine of Renaissance ages can be conceptualized in terms of religious medicine. The early steps by which modern medical sciences have been gradually built up appeared in the 10th century. In those ages direction and methodology forward scientific mechanical medicine. Remarkable progress has been made in biomedicine in the last three centuries. There has been a rapid change of society in this century, and sciences and technology play a leading role in the changes. The technical explosion in modern society has exerted a great influence on medical field. Hospital care has gained its strength from armament of technical facilities. This type of delivery of medical care leads to costly medical expenses and dehumanizing medical care. Pattern of mortality and morbidity neglect the demographic transformation of industrial societies. Demographic changes lead to fundamental changes in disease pattern. Medical problems that are a complex mixture of physical, psychological and social elements have noticeably increased recently. A biomedical approach appears to be inadequate for such a pattern of disease. A new biopsychosocial medical model is put forward. This model is assisted by the formulations of general system theory(Von Bertanffy). As of today when we are approaching the 21st century, traditional medical education, medical training, and medical services are needed to make up for its weak points in terms of biopsychosocial medical model.

Christian Ideals in the History of Medical Care / 의사학

Probably because the Renaissance period tended to be overglorified, people have even come to equate the "Middle Ages" with the "Dark Ages". But some writings have recently expressed positive views on the "Middle Ages" in history. The Christian teachings from the Middle Ages concerning the sick and the poor have undoubtedly contributed to forming the ideals of modern medical care. Today's medical facilities run especially by churches are expected to continue their services based on a biopsychosociomedical model rather than on a biomedical mode.

An Analysis of Patients whom Were Experienced by Family Resident of Dept. of FM at Eup, city, Capital

No abstract available.

Physicians, knowledge, attitude and practice for quit smokingcounseling

No abstract available.

Heart Axis Rotation Due to Exercise / 예방의학회지

Eleven nonathletes and eleven athletes wore exorcised on a otandardised Harvard step test, and the average rate of chance in QRS amplitude in lead III of the electocadiogram associated with heart rotation and the average change in rate of heart beat were observed. 1. After the Harvard step exercise, the average rate of change in QRS amplitude in lead III of both groups increased. This was due to the clockwise rotation of the heart and was associated with respiratory movement. The diaphragm was inferred to remain for a while in a relatively more insapiratory position. 2. After the Harved step exercise, a high correlation between the recovery of the average rate of change in QRS amplitude in lead III and the average change in rate of heart beat was observed in the athletic group. 3. In the nonathletic group there was no significant correlation between the average rate of QRS amplitude change and the average rate of change of heart beat. 4. Athletes were assumed to be trained to ventilate quickly at their maximum ability, using deep descending movements of the diaphragm and other respiratory musclature. Consequently, the average in rate of heat beat also recovered quickly. 5. Nonath1etes were inferred not to have been trained to adjust quickly to ventilate so efficiently with their diaphragm movement and other respiratory, musculature, and are characterised by their longer time to complete recovery.

Heart Axis Rotation Due to Exercise / 예방의학회지

Eleven nonathletes and eleven athletes wore exorcised on a otandardised Harvard step test, and the average rate of chance in QRS amplitude in lead III of the electocadiogram associated with heart rotation and the average change in rate of heart beat were observed. 1. After the Harvard step exercise, the average rate of change in QRS amplitude in lead III of both groups increased. This was due to the clockwise rotation of the heart and was associated with respiratory movement. The diaphragm was inferred to remain for a while in a relatively more insapiratory position. 2. After the Harved step exercise, a high correlation between the recovery of the average rate of change in QRS amplitude in lead III and the average change in rate of heart beat was observed in the athletic group. 3. In the nonathletic group there was no significant correlation between the average rate of QRS amplitude change and the average rate of change of heart beat. 4. Athletes were assumed to be trained to ventilate quickly at their maximum ability, using deep descending movements of the diaphragm and other respiratory musclature. Consequently, the average in rate of heat beat also recovered quickly. 5. Nonath1etes were inferred not to have been trained to adjust quickly to ventilate so efficiently with their diaphragm movement and other respiratory, musculature, and are characterised by their longer time to complete recovery.