| Yoo Seock Jeong | 6 Articles |
In order to evaluate the factors of compliance with a lipid lowering therapy, a prospective observational study of patients with hypercholesterolemia using rosuvastatin was carried out. A total of 2,607 patients who were newly prescribed rosuvastatin were enrolled from 32 family physicians in Korea from March 2009 to December 2009. Of them, 301 patients were excluded due to incomplete data or follow-up compliance data. The patients were regularly observed to ascertain the compliance associated with rosuvastatin at intervals of 12 and 24 weeks. We collected risk factors for the compliance using a structured questionnaire. The criteria for evaluating compliance are to measure clinic attendance, to assess the continuity of therapy, and to calculate the percentage of doses taken. Among a total of 2,306 patients, the degree of compliance was 54.1%. According to logistic regression analysis, the factors for compliance with the lipid lowering drug included old age (odds ratio [OR], 2.68; 95% confidence interval [CI], 2.09 to 3.45), frequent exercise (OR, 1.76; 95% CI, 1.43 to 2.18), previous statin therapy (OR, 4.02; 95% CI, 3.22 to 5.01), hypertension (OR, 1.80; 95% CI, 1.48 to 2.19), diabetes mellitus (OR, 2.20; 95% CI, 1.69 to 2.87), concomitant medication (OR, 2.28; 95% CI, 1.88 to 2.77), and high coronary heart disease (CHD) risk category (OR, 1.82; 95% CI, 1.39 to 2.38). The compliance decreased with high low density lipoprotein cholesterol levels (OR, 0.20; 95% CI, 0.16 to 0.26). The compliance of patients using rosuvastatin was 54.1% in primary care. The factors related to higher compliance were old age, regular exercise, previous statin therapy, concomitant medication, presence of hypertension or diabetes, and higher CHD risk level. Citations Citations to this article as recorded by
Background
: The quality of specimen for Papaniolaou smear depends on the sampling methods of uterine cervix. This study was designed to test specimen adequacy and the de-tection of disease using tow cervical cytological sampling Methods : pastic spatula plus Cytobrish and Cervex-Brush. Methods : Research subjects were the examinee for screening for cevical cancer in Family Practice. Center and Health Promotion Center of University Hospital. Research sub-jects were classified to two groups randomly. 5 physicians used each device ar random. A group 80 test smples(plastic spatula plus Cytobrush) were compared with B group test samples(Cervex-Brush) for the presence rate of endocervial cells and specimen adequacy. The laboratory was blind to the sampling methods. Results : The plastic spatula plus Cytobrush and Cervex-Brush were comparable in cap-turing in endocervical cells. But the capturing rates of both methods were high(over 70%). Both the pastic spatula plus Cytobrush and Cervex-Brush produced adequate samples, and the adequacy scores between two methods were not different significantly. Conclusion : Use of the plastic spatula puls Cytobrush and Cervex-Brush produced ade-quate smear for interpretation.
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 people have been interested in health and as the microcomputers with multimedia steeing have been supplied more and more, there is increasing need of multimedia information about health. The CD-ROM, which is a representative multimedia tool, is capable of interacting between information-provider and users, offering audiovisual interface, and saving great deal of knowledge. Methods : We developed the health-information system to provide ordinary people with health information using multimedia tools. It was 7 parts ; self-diagnosis, exploring human body, drug information, hospital information, first-aid treatment, Q and A, and medical common sense. We got image data such as figures, photos, X-rays, electrocardiograms and pathologic specimens with scanner and film scanner, also moving image(video) with video-capturing program. Results & Conclusion : We hope the multimedia health-information system to become a useful methodology of patient education and to be used as an information source in medical information network in the near future.
Methods : Coping scores and APGAR scores were taken 137 of patients and their families who were admitted to hospital between March and May in 1994. Statistical reliability testing was performed with Cronbach's alpha in SPSS/PC+ 4.0 and a comparison was made between the total coping score and individual items scores to find any correlation. Two technique were incorporated to determine the validity of the scoring, first, interviews were performed on families with chronic illness and points given from 1 to 5 for families with increasing levels of coping to the illness, and these results were compared with the coping score for correlation, second, APGAR scores were compared with the coping score for correlation. SAS was need to determine correlation.
Background
: The causative effect of cigarette smoking on pulmonary diseases, coronary heart diseases and much variety of cancers is evident. But the rate of cigarette smoking in Korea is increasing and adequate smoking cessation intervention has not been done yet. this clinical trial evaluated the effect of antismoking intervention done by primary care physicians. Methods : The subjects were 145 smokers who visited SNUH Family Medicine Model Clinic from April to early July, 1991. We randomized subjects by their chart number. We educated all smokers about the adverse effect of cigarette smoking with self-help material and recommended to quit smoking. We reeducated the intervention group every 3rd, 5th and 7th week by face-to-face interview or telephone call. Twelve weeks after the intervention, we attempted to contact every smoker for the number of cigarettes per day currently smoked. Results : The rates of smoking cessation and reduction for control group and intervention group were 7.7% and 38.5% vs. 19.7% and 47.99%, respectively. They were statistically significant(P<0.05). Statistically significant differences between the case and control groups were in their change of smoking habit in the following subgroups ; greater than 40 years of age, greater than 12 years of education and having diseases associated to smoking. Conclusion : In conclusion, personal intervention carried out by primary care physicians resulted in significant smoking reduction and cessation. history.
|
|
