• Title/Summary/Keyword: 고위험

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Evaluation of the Malaria Rapid Diagnostic Kit in Ganghwa County (강화군에서 시행한 말라리아 신속진단킷트의 유용성 평가)

  • Kweon, Su-Jung;Kweon, Oh-Jun;Youn, Sung-Tae;Yim, Jun;Im, Jeong-Soo
    • Journal of agricultural medicine and community health
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    • v.31 no.2
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    • pp.157-164
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    • 2006
  • Objectives: Early diagnosis and treatment is the most important strategy to control malaria effectively. Microscopic examination of blood films is a traditional and standard method for diagnosing malaria, which takes a long time and needs expertise, Therefore, the alternative method, rapid diagnostic kit has been used for quick diagnosis in some counties, a highly infectious region by P. vivax. The purpose of this study was to evaluate the utility of malaria rapid diagnostic kit in Ganghwa county. Methods: The utility was evaluated by mean diagnosis time and sensitivity and specificity. For monitoring mean diagnosis time, 942 cases which were diagnosed for P. vivax were collected between 1998 and 2005, And for calculating sensitivity and specificity, 434 whole bloods in EDTA which were presented for P. vivax by microscopy and rapid diagnostic kit were collected between 2004 and 2005. Results: After malaria rapid diagnostic kit was used in 2003, mean diagnosis time has decreased to 3.36-3.14 day. The sensitivity and specificity of the rapid diagnostic kit was 98.2% and 98,5% and comparable to that of microscopic examination. Conclusions: The malaria rapid diagnostic kit is useful tool in a highly infectious region like Ganghwa county.

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Effects of Short-Term Music Therapy in Fire Fighters with Post-Traumatic Stress Risk (외상 후 스트레스 위기 소방관에 대한 단기간 음악치료의 효과)

  • Shim, Gyu-Sik;Kim, Nam-Song;Bang, Sung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.4040-4047
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    • 2015
  • The purpose of this study was to analyze a change in Post-traumatic Stress Disorder (PTSD) level and the continuity of the effects in music therapy by applying short-term music therapy program in fire fighters with Post-traumatic Stress (PTS). Forty two fire fighters in 3 districts were randomly assigned to experimental group (21 subjects) and control group (21 subjects). Music therapy was applied in totally 10 sessions by two sessions (120 minutes) a day for 5 days. PTS level was measured immediately after the end of program, after 4 weeks, and after 12 weeks. As a result, PTS level has significantly decreased into $8.90{\pm}4.55$ from $26.52{\pm}2.32$ right after the music therapy program(p<0.05). And the effect was shown to be continued significantly up to after 4 weeks($11.95{\pm}4.57$) and after 12 weeks($13.76{\pm}5.62$)(p<0.05). As a result of research, it is considered that the music therapy is effective approach for reduction in PTS as for fire fighters who belong to the group with high risk of PTSD. Accordingly, the application of regular program for managing fire fighters' mental health is understood to likely to contribute to enhancing the field service competence.

Comparison of the Health Behaviors according to Income and Education Level among Cardio-Cerebrovascular Patients; based on KNHANES data of 2010-2011 (심뇌혈관질환자의 소득과 교육수준에 따른 건강행태 비교 - 2010-2011년도 국민건강영양조사 자료를 이용하여 -)

  • Choi, Ji-Yeon;Choi, Seong-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6223-6233
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    • 2014
  • The aim of this study was to help disease management and prevention by analyzing the effects of income and education levels on the health of cardio-cerebrovascular patients. Using the raw data of 2010-2011 Korea Health & Nutrition Examination Survey, the correlations of health behaviors, general (socio-demographic) characteristics, body measurements, and blood test results of 3,687 cardio-cerebrovascular patients aged 30 or older were analyzed based on their income and education levels. The results suggested that lower income and education levels were correlated with a high prevalence of cardio-cerebrovascular diseases. In addition, the OR values (95% CI) of current smoking were 0.71 (0.52-0.96) for patients with a high-income and 0.41 (0.29-0.58) for those with a high level of education, showing a strong correlation between lower levels of income and education and current smoking, which is related to health deterioration. In terms of one-month drinking and high risk drinking, the OR values (95% CI) of the patients with a high income were 1.55(1.22-1.95) and 1.42(1.11-1.82), respectively. Drinking was more prevalent among high-income patients but had no correlation with the education level. The practice of walking had no significant correlation with both income and education levels. Therefore, it is imperative to emphasize the importance of temperance to high-income patients, and the importance of quitting smoking to low-income patients, as well as to provide institutional support.

A Study on Inundation Analysis Considering Inland and River Flood (내수 및 외수영향을 고려한 침수해석에 관한 연구)

  • Cho, Wan-Hee;Han, Kun-Yeun;Kim, Hyeon-Sik;Kim, Jin-Soo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.18 no.1
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    • pp.74-89
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    • 2015
  • The objective of this study is to present countermeasures for mitigation of flood damage with inundation analysis considering the effect of inland and river flood and prediction of flood inundation area, depth and time against emergencies caused by abnormal flood and local torrential rainfall. In this study, 2-D inundation analysis was fulfilled on the basis of river flood analysis applying to HEC-HMS and FLDWAV model and inundation analysis applying to SWMM model for the area of Shineum-dong, Gimcheon-si. Also expected inundation depth and area about probable rainfall of 100 and 200 years frequency were suggested. If expected inundation depth and flooding area is presented on the basis of this inundation analysis considering the effect of inland and river flood, it would be an important preliminary data to establish structural and nonstructural countermeasures for flood prevention. Also if flood risk map is prepared based on the result of inundation analysis, it would be useful to evacuate residents in high-risk area and regulate road and vehicle.

Influences of Dementia Knowledge and Dementia Attitude on Physical Activity of Old-Old Elderly (일지역 후기노인의 치매인식도와 치매태도가 신체활동에 미치는 영향)

  • Lee, Jeong-Hwa;Suh, Soon-Rim;Kim, Eun-Hwi
    • 한국노년학
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    • v.37 no.2
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    • pp.369-383
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    • 2017
  • The purpose of this study was to investigate levels of dementia knowledge, dementia attitude, and physical activities and whether dementia knowledge and dementia attitude affect physical activities in old-old elderly who had high risk of dementia. A descriptive study design was used. Participants were 218 old-old elderly above 75 years at 9 elderly welfare facilities in K county from June 1 to 30 in 2016. Collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, hierarchical regression using SPSS WIN 18.0 program. The mean scores of dementia knowledge, dementia attitude, and physical activity of participants were low, there were positive correlations between dementia knowledge and dementia attitude (r=.380, p<.001), and physical activities (r=.211, p=.002), and between dementia attitude and physical activities (r=.380, p<.001). The significant predictors of physical activities were dementia attitude (${\beta}=.271$, p<.001), gender (${\beta}=.207$, p=.003) and education level (${\beta}=.184$, p=.023). These variables explained 28.8% of physical activities. In conclusion, we need to develop a customized multifactorial physical activity program with considering dementia knowledge and dementia attitude especially for old-old elderly women with low education level.

A Prospective Observational Study on Symptoms of the High Risk Group and Normal Group Used Postpartum Care Center during Six Weeks after Childbirth in Korean Medicine Hospital (고위험산모와 일반산모의 산후 6주간 증상에 대한 전향적 관찰 연구 - 일개 한방병원 산후조리원을 이용한 산모를 중심으로)

  • Jung, Jong-Kwan;Jeong, Seo-Yoon;Kim, An-Na;Jang, Hyun-Chul;Kim, Pyung-Wha;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.4
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    • pp.116-131
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    • 2019
  • Objectives: The aim of this study was to observe the changes of women's postpartum symptoms, the quality of life and depression scale over the first six weeks after childbirth. Methods: Twenty seven mothers who received Korean medical treatment in the outpatient department treatment (from September 27th, 2017 to January 5th, 2018) were evaluated for Verbal numerical rating scale (VNRS), edema index, EuroQol Visual Analogue Scale (EQ-VAS), and Edinburgh Postnatal Depression Scale (EPDS). Results: There were 17 high risk participants (63.0%) and 10 normal participants (37.0%). The VNRS of edema is the highest in the first week, and the VNRS of joint pain is the highest from the second week to the sixth week in all patients. The Extra Cellular Water/Total Body Water (ECW/TBW) of high risk group significantly decreased from $0.403{\pm}0.011$ to $0.387{\pm}0.006$(p<0.05) in the first 2 weeks. The ECW/TBW of normal group significantly decreased from $0.393{\pm}0.070$ to $0.383{\pm}0.011$ (p<0.05) in the first 2 weeks. The EQ-VAS of high risk group increased from $64.12{\pm}13.941$ to $69.35{\pm}18.155$ (p<0.05) in the first 2 weeks. But this difference was not significant statistically (p=0.234). The EQ-VAS of normal group significantly increased from $62.50{\pm}21.763$ to $74.00{\pm}9.661$ (p<0.05) in the first 2 weeks. The difference of EPDS was not statistically significant between the first week and the sixth week in every participants. Conclusions: VNRS was the highest in edema in the first week, joint pain was the highest from the second week to six week. The edema index of high risk groups was higher than that of the normal group in the first week (p<0.05). The EQ-VAS of normal group significantly increased (p<0.05) in the first 2 weeks but high risk group didn't. In the EPDS, the ratio of nine or more points of high risk group was more than twice than normal group in the first 2 weeks.

A Study on Inspection Status of Port State Control and Improvement Measures in Korea (우리나라 항만국통제 점검 실태와 문제점 개선에 관한 연구)

  • Kim, Sun-Tai;Gang, Sang-Geun;Jeong, Jae-Yong;Kim, Deug-Bong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.20 no.6
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    • pp.671-676
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    • 2014
  • Based on the data of PSC information management system of MOF(Ministry of oceans and fisheries) and APCIS(Asia-Pacific Computerized Information System) of Tokyo-MOU information system, the result of the evaluation on the reality of PSC was done, and base on 2009, it showed a trend of decrease in every DFR(Deficiency Rate) and DTR(Detention Rate). But for vessels built for more than 30 years, flags of convenience vessels, RO-RO ferry and general cargo vessel, small size vessels with gross tonnage less than 1,000 ton showed a high DFR and DTR. Each harbours is classified by the total harbours' average DFR which was 82.5 % and the average DTR was 5.1 %, excluding the Jeju harbour, showing a hugh deviation for classification of each harbour. Classification of each harbour has to be inspected by PSC and it showed a great unbalance of the number of vessels for each territory for inspection. the biggest problem with our country's PSC, where it was pointed out by the PSCO was lack of workers and independent inspection by just one worker. To strength the substantiality of the inspection of our country is to have concentrated inspection on the high risk cautious vessels, forming a human network each classified by four different sectors of the area, recalculating the amount of assignment of inspection classified by each harbour and securing workforce the PSCO improvements are necessary.

Retrospective Analysis on Body Weight Changes in the Early Postpartum Period of Women of High-risk Pregnancy Experience and General Health after Korean Medicine Treatments. (산후 한의진료를 받은 고위험산모와 일반산모의 한의진료 체중변화에 대한 후향적 분석)

  • Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.3
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    • pp.65-78
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    • 2021
  • Objectives: This study was aimed to investigate the weight change of the high-risk group and the general maternal group and weight-relating factors in the early postpartum period. Methods: We retrospectively reviewed the medical records of those who received postpartum care from January 1, 2020, to December 31, 2020, in the postpartum care center affiliated with one Korean Medicine hospital. A total of 257 postpartum women's medical charts were included and divided into the high-risk group and the general maternal group. We investigated the weight changes and Body mass index (BMI) of the postpartum women and compared the difference between the two groups after taking the postpartum care. Finally, we used a Pearson correlation analysis to identify the weight-relating factors in the early postpartum period. Results: All the postpartum women showed the following results; 33.81±4.03 years old as the mean age; 22.23±3.28 as pre-pregnancy BMI; 58.21±9.18 kg of pre-pregnancy weight increased into 70.75±9.70 kg in the last month of pregnancy. Of the total 257 patients, 149 (58.0%) of high-risk pregnancy experience and 108 (42.0%) of general pregnancy were included. The edema index right after childbirth was significantly higher in the high-risk group than in the general maternal group (p<0.001), but there was no significant difference in BMI. After treatment with Korean medicine treatments, body weight, BMI, and edema index decreased significantly in both groups (p<0.01). As a result of correlation analysis, weight gain during pregnancy had a significant negative correlation with pre-pregnancy weight and pre-pregnancy BMI and a significant positive correlation with weight and BMI of the last month of pregnancy. In particular, pre-pregnancy BMI and body weight showed a significant negative correlation only in the high-risk group. Postpartum weight loss was significantly positively correlated with pre-pregnancy weight, pre-pregnancy BMI, weight & BMI of the pregnancy last month, weight gain during pregnancy, and decrease in edema (p<0.01) Conclusions: The weight during pregnancy of the high-risk group increased in inverse proportion to the pre-pregnancy BMI. The level of edema right after childbirth was significantly higher than that of the general maternal group, but showed a significant decrease after 2 weeks of Korean medicine treatments. Although it implicates the need for active Korean medicine treatments in the early postpartum period, further studies with controlled groups are needed.

Effectiveness of Oral Health Education Program using Home-using Portable Device for Children (정량광형광기를 이용한 어린이의 구강건강관리교육 효과)

  • Lee, Jeongsang;Kim, Shin;Jeong, Taesung;Shin, Jonghyun;Lee, Eungyung;Kim, Jiyeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.301-309
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    • 2019
  • This study was performed to determine the effectiveness of oral health education program with a home-using portable device according to the individual oral health status in children. 58 children who were 6 - 12 years old were included in this study. All subjects were affiliated to moderate or high caries risk group based on caries risk test. They were divided into 2 groups: (I) home-using portable device group (II) control group. Both groups were evaluated with simple plaque score (SPS) using camera type quantitative light-induced fluorescence device and educated with identical oral health education methods. Subjects in group I were demanded to use a home-using portable device. After 1 month, both groups were re-evaluated. Cariview score that can reflect the acidogenic potential of plaque bacteria was statistically reduced in both groups (p < 0.001). There was a statistically significant difference between two groups in the change of Cariview score (p = 0.022). In group I, the decrease was larger than that in group II. There was no statistically significant difference in the change of SPS (p = 0.937). Oral health education improved oral hygiene status in children. However, this study confirmed that it was much more effective to improve oral health status in children with a home-using portable device in their daily oral hygiene care.

Seroprevalence and risk factors of Lyme disease among Korean deer farmers (대한민국 사슴농가 종사자의 라임병 혈청유병률 및 위험요인)

  • Acharya, Dilaram;Cho, Jae-Hak;Yoo, Seok-Ju;Park, Ji-Hyuk
    • Journal of agricultural medicine and community health
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    • v.44 no.2
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    • pp.82-89
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    • 2019
  • This study was undertaken to determine the seroprevalence and risk factors associated with contracting Lyme disease (LD) among Korean deer farmers. This cross-sectional study devised questionnaire that addressed farm activities, was devised and the blood samples of 516 Korean deer farmers were tested. LD seroprevalence was determined by Western blot test. Fisher's exact test, the chi-squared test, and the chi-squared test for trend analysis were performed to assess the risk associated with LD. Of total 516 study participants recruited, only 12 (2.3%) were seropositive for LD. The result of the study revealed that only deer farmers raising Elk (Cervus Canadensis) were found to be at significantly higher risk of contracting LD than other deer farmers (p=0.033). In addition, a male sex, an age of < 40 years, and those that had raised deer for < 19 years had higher rates of LD infection than their counterparts. Similarly, those that managed livestock sheds, fed deer, processed industry and prepared compost had higher rates of LD infection. In terms of protective factors, those who did not use protective measures such as wear glasses and masks, or protective gloves and aprons, and those that did not disinfect work instruments and did not shower after work had higher rates of LD than those that used protective measures. In conclusion, preventive health strategies should take into account the profiles of deer farmers at greater risk based on considerations of personal, type of work, and the use of personal protective measures.