Jong Myon Bae | 5 Articles |
Background
: The evaluation of obesity in practice has been done indirectly by antiro-pometric values such as body mass index(BMI), waist and hip circumferences and hip circumferences and waist-hip ratio(WHR). Somatotype drawing developed by Srensen has been evaluated as a simple instrument of obesity without real somatic measuring in several studies. This study was at-tempted to evaluated correlation between somatotype drawing and anthropometric values. Methods : The subjects were measured anthroprmetric values such as height, weight, hip and waist circumferences. After calculating BMI and WHR, we evaluate correlation be-tween these values and somatotype drawing. And we tried to grouping of somatotype drawing with the means of anthropometric values. Results : The data were collected from 224 subjects, whose BMI(kg/m²) and WHR were 22.81±2.96 and 0.86±0.07(mean±SD). Spearmen's correlation coefficients of somatotype drawing were 0.77 with BMI, 0.62 with waist circumference, 0.61 with weight and hip cir-cumference, 0.40 with WHR that remained statistically significant after adjusting age, sex, education level, monthly income and job. And, the grades of somatotype drawing were grouped as 1, 2, 3-4, 5-6, ,7 by BMI and hip circumference, 1, 2-4, 5, 6, 7 by waisr circu-mference(ANOVA and Duncan's method). Conclusion : Somatotype drawing has a good correlations with BMI, wight, waist and hip circumference. But it is not applicable to assess WHR because of its relatively lower correlation.
Background
: As modern epidemiologic studies began to identify obesity as a risk factor for cardio-vascular disease diabetes, hypertension, and cancer, measuring the degree of excess body fat s important on primary health care. The evaluation of obesity level in outpatient clinic setting has been mostly done by measuring patient's height and weight. But, the anthropomentry could not be done to all visitors of clinics as well as to responders of epidemiologic survey. This study was attempted to develop a new instrument for evaluating the level individual obesity in outpatient clini setting in Korea. Method: For assessing validity of the instrument, questionnaire study and measurement of sta-tus/weight was done to new visitors of clinic. Two weeks later, questionnaire retest was done by using same instrument for assessing reliability. Results : The data were collected from 140 subjects of 20 years of age and older. When the validity was measured through correlation with Body Mass index(kg/M²), Spearman's correlation coefficient(r) was 0.79(P<0.001), that reliability of instrument using test-retest method was demonstra-ted(r=0.905). Conclusion : Quick instrument using somatotype drawing are applicable to screen degree of body fat in outpatient clinic setting in Korea.
Background
: It has been estimated that up to 80% of all illness in a physician's office is due to psychosocial stress. The BEPSI was developed as instrument of stress measurement in a busy practice and was well correlated with other stress scales. In Korea, Bae JM et al developed Korean-translated BEPSI, which was used broadiy in health examination. In this study, authors, attempted to measure reliabilty, validity and cut-off point of Modified-Korean BEPSI which was modified in two items Methd: Data were collected from 201 subject over 20 years old who first visited outpatient clinic of Department of Family Medicine, Seoul National University Hospital.The validity was measu-red with correlation with Lee's 98 items which have proven valdity. Resuls: The study subjects was 56% female and 44% male, 93% married, 53% with high school education or less, 62% employed. Test-retest reliability and Cronbachs alpha of the Modified BEPSI was 0.68, 0.80 respectively. The correlation coefficient of the Modified BEPSI was 0.23(P<0.01). The Modified BEPSI showed normal distribution and cut-off point according to quartile and 1 standard deviation was 2.2, 2.4 respectively. Conclustions: The Modified BEPSI correlates with Lee's 98 items and has no difference with previous study(Bae JM et al, 1992) and can be substituted for previous BEPSI version.
Background
: Validity and reliability of FACES Ⅲ have been proven by the scores from father-mother-child triad. To date, many studies using the FACES Ⅲ in Korea have been applied to the only one of the family members, and have been conducted without proving their validity and reliability. Therefore, it is required to test validity and reliability of FACES Ⅲ when applied to the one of the family member. Methods : This cross-sectional study was based on FACES Ⅲ self-report inventory reponse of the 227 subjects, who were selected by convenient sampling method in outpatient clinic setting. Results : The Cronbach's alpha coefficient for internal consistency reliability were 0.67 for cohesion, 0.66 for adaptability and 0.78 for total items. The Spearman rank correlation coefficient between cohesion and adaptability was 0.52(P<0.001), which did not support the construct validity. Correlation between total score and the sub-categorical items showed, however, content-related validity except item of 'role' concept. Conclusion : The validity of FACES Ⅲ applied to the one of the family members seemed not to be proven. Therefore, when applied to one of the family members FACES Ⅲ should be used for careful evaluation of family function type.
Background
: In 1979, when Family Practice Residency Training Program began, family practice was presented as a solution to a serious national health care problem of maldistribution among physicians, under-emphasis of primary care, and preference of specialists. In 1992, after fourteen years, the current number of graduates of family practice residency training programs is up to 402. At this point, an assessment of whether family practice has indeed had such an effect on the health care system is appropriate. This study was done to assess the satisfaction level of family practice residency program graduates about their present practice, to survey their geographic distribution, and to identify possible factors associated with their current status. Methods : From July to September of 1992, a questionnaire was sent to 352 graduates of family practice residency programs whose addresses were known among total of 402 graduates. Response rate was 39.8%. The questionnaire contained items concerning type and location of present practice. Possible factors associated with this status was also asked: place of birth, education history, residency training hospital, religion, medical occupation prior to residency training reasons for selecting current practice, and reasons for choosing family practice. Result: Greater proportion of the respondents are practicing in smaller communities compared to the geographical distribution of physicians in Korea. Rate of "satisfied" or "very satisfied" responses to the profession of medical doctor was 82.4%, to family life 71.6%, and to being a family practice specialist 68.4%. However, only 46.0% of the respondents responded "satisfied" or "very satisfied" with their social life, 45.6% with type of practice, and 35.6% with income. 71.4% of the respondents who trained in non-university hospital setting, 65.5% of respondents with history of medical occupation prior to residency training, and 73.9% of respondents who were married before residency training are in private clinic practice. 60.3% of respondents practice near their residency training program; 59.5% practice near their medical school. The majority of respondents are in practice settings which they desired at the beginning of their residency training. Reasons for selecting their current practice setting were varied. "Comprehensive care", "well suited to primary care", preference for humanistic principles of family medicine, and being useful for missionary or service work were frequently mentioned as reasons for selecting family practice. Other mentioned reasons included the short duration of training and the newness of family practice as a medical specialty. The great majority of graduates(95.0%) practice as family physicians. 48.6% of the respondents work in private clinic setting, 32.9% in hospitals, and 2.1% in other medical specialty fields. 39.3% of the respondents are located in Seoul, 13.6% in large cities, 23.6% in small cities, and 14.3% in rural areas. Conclusion : Respondents are generally satisfied with their professional and family life, and larger percentage of them are practicing in smaller cities compared with the distribution of physicians in Korea. Location of residency training program and medical school, history of medical occupation prior to residency training, type of practice desired at the beginning of residency training, and time of marriage are related to the type or location of current practice.
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