• Title/Summary/Keyword: 호흡기질환 관련요인

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Factors Affecting the Morbidity Related to Respiratory Dieseases in Urban Korea (한국 도시의 만성호흡기 질환 이환율에 영향을 주는 요인)

  • Han, Sung-Hyun;Park, Jae-Sung;Seo, Seung-Hee;Yoon, Jee-Eun;Jee, Sun-Ha
    • Korea journal of population studies
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    • v.28 no.2
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    • pp.205-217
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    • 2005
  • Purpose: To evaluate the factors affecting hospital utilization for respiratory diseases by ecological study design and GIS tool. To raise the social concern for respiratory disease by the result. Methods: Hospital admission data supported by national health insurance cooperation were transformed to spread sheet data format and combined with air monitoring dataset. Air pollution data were collected from the annual report of air monitoring published by Korea Ministry of Environment. Socioeconomic statistics including population density, age distribution, forest ratio etc.. were filed using Korea National Statistical Office database. Multiple linear regression analysis was performed to evaluate the factors affecting hospital utilization for respiratory diseases. Analytical unit was 52 cities. Results: The factors affecting hospital utilization for respiratory diseases were the proportion of population 60 years and over, seaside city, $O_3$ level, smoking rate. Conclusions: However, outdoor pollutants monitoring data and smoking rate have weakness in reflecting individual exposure. Further research is required to propose more illustrative means to evaluate causal relationship between air pollution and respiratory health effect factors.

공기청정기의 필요성과 원리

  • 서국섭
    • The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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    • v.33 no.4
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    • pp.8-11
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    • 2004
  • 최근 황사, 새집증후군(SHS), 조류독감 등과 같은 인간의 건강을 위협하는 요인들의 증가 및 대기오염에 의한 실내공기질의 악화는 비염, 천식과 같은 호흡기 질환과 아토피 같은 각종 알레르기 질환 관련 환자들의 증가로 실내의 공기를 건강한 공기로 전환시켜 이러한 질환들을 예방 또는 완화시키는 방법으로서 공기청정기에 대해 설명하고자 한다.(중략)

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Case Fatality Factors in Middle East Respiratory Syndrome-Coronavirus Outbreaks in 2015, the Republic of Korea (2015년 한국의 중동호흡기증후군 유행에서 치명률)

  • Lee, Tae-Jun;Chiara, Achangwa;Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.46 no.3
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    • pp.171-185
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    • 2021
  • 배경: 2015년 한국의 중동호흡기증후군 유행에서 지역간 치명률의 차이는 극명하였다. 이 연구는 대전 클러스터와 다른 지역 간의 치명률의 관련된 일반적 특성 및 역학적 요인을 밝히고저 하였다. 방법: 입원병원 소재지를 기준으로 대전과 타 지역으로 구분하여 관련변수에 따른 카이제곱검정 및 피셔정확검정 등으로 분석하였다. 대전과 다른 지역의 치명률(CFR)의 차이와 관련된 요인을 분석하기 위하여 단변량 및 다변량 로지스틱 회귀분석를 실시하였다. 결과: 모형 I에서는 65세 이상 연령군일수록 7.12배(95% CI 2.33-21.8)(p=0.001), 동반질환이 있는 경우 10.29배(95% CI 2.94-36.06)(p<0.001), 잠복기가 7일 이하인 경우가 8.55배(95% CI 2.54-26.7), 입원기간이 17일 이하인 경우 10.08배(95% CI 2.99-31.9)(p<0.001) 등이었으며, 모형 II에서는 65세 이상 연령군일수록 5.34배(95% CI 1.65-17.2)(p=0.005), 잠복기가 7일 이하인 경우가 6.70배(95% CI 1.96-22.89), 입원기간이 17일 이하인 경우 8.90배(95% CI 2.59-30.6)(p=0.001), 동반질환에서 암의 경우에서 7.15배(95% CI 1.64-31.14)(p=0.009) 등이었다. 결론: 2015년 한국 중동호흡기증후군 유행에서 대전 클러스터의 높은 치명율은 연령(≥65세), 동반질환(특히 암), 잠복기(≤7일), 입원기간(≤17일) 등이 유의한 변수로 도출되었다.

Factors Affecting the Perception, Knowledge, and Preventive Behaviors of Chronic Pulmonary Disease Patients on Particulate Matter (만성호흡기질환자의 미세먼지에 대한 인식, 지식, 예방행위와 관련 요인)

  • Bang, So-Hee;Hwang, Tae-Yoon
    • Journal of agricultural medicine and community health
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    • v.46 no.1
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    • pp.1-11
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    • 2021
  • Objectives: This research aimed to identify the level of perception, knowledge, preventive behavior, and factors affecting preventive behavior of patients with asthma and chronic obstructive pulmonary disease against particulate matter. Methods: This research was a descriptive survey research, and the subjects were chronic pulmonary disease patients over the age of 19 and under 80 who visited a university hospital in Daegu City. Data was collected by convenience sampling through structured self-administered questionnaire survey from December 2019 to January 2020, and a total of 212 copies were used for analysis. Results: Out of 212 total subjects, 112 were asthma patients (52.8%) and 100 were chronic obstructive pulmonary disease patients (47.2%). The average score (out of 10) of perception, knowledge and preventive behavior of patients with asthma for particulate matter was 7.92, 6.99, and 7.10, respectively, while those with chronic obstructive pulmonary disease scored 7.72, 6.24, and 6.80, respectively. The knowledge score was significantly higher in patients with asthma than those with chronic obstructive pulmonary disease (p=0.007). Factors affecting particulate matter preventive behavior were perception score, knowledge score, and age for asthma patients, and perception score for chronic obstructive pulmonary disease patients. Conclusions: As a result of the above, the factors relate to the preventive behavior of patients with asthma and chronic obstructive pulmonary disease were perception score, knowledge score, and age for asthma, and perception score for chronic obstructive pulmonary disease. Raising the level of particulate matter preventive behavior can prevent the deterioration of chronic pulmonary diseases caused by particulate matter, so the development of arbitration programs considering the characteristics of the patients according to the disease and continuous and repetitive education are required.

Statistical Analysis of Subjective Symptoms of Respiratory Disease and Factors Related to Prevalent Status among Dental Technicians (치과기공사의 호흡기 질환 자각증상과 유병상태 관련 요인)

  • Oh, Seon-Mi;Kwon, Eun-Ja
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.355-369
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    • 2011
  • The purpose of this study was to determine the subjective symptoms of respiratory disease and factors related to prevalent status among dental technicians by analyzing the questionnaire data from 300 dental technicians in Seoul and GyeongGi-Do, using SPSS WIN 18.0 program. The results are followings; 1. There were significant differences among subjects in the normal complaints rate for cough by presence smoking, total career, and work days per week. 2. There was significant difference among subjects in the normal complaints rate for sputum only by work days per week.(P<0.05) 3. There were significant differences among subjects in the normal complaints rate for continuance of sputum or congestion by work days per week and required measures for improvement in pain. 4. There were significant differences among subjects in the normal complaints rates for blocked nose and coryza by sex, age, work days per week and average length of breaking time during working (P<0.05). 5. There were significant differences among subjects in the normal complaints rates for shortness of breath by sex, exercise frequency, average length of exercise, main job. 6. There was significant difference among subjects in the experience rate due to symptom of pulmonary disease only by main job.(P<0.05).

Exploratory Study on determinants of the Performance of Bayley Scales of Infant Development in Infants with High Risk (고위험집단의 Bayley영아발달 검사 수행에 영향을 미치는 요인 탐색)

  • Min, Dong Ok
    • Korean Journal of Childcare and Education
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    • v.1 no.1
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    • pp.83-101
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    • 2005
  • The present study applied Bayley Scales of Infant Development to Infants with High Risk to investigate the effects of determinants such as variables related to demographic variable, prenatal and perinatal and postpartal environments, and developmental indices in infancy. First, mental and motor development index were high in infants whose mothers had high in education, mothers had not had a disease during the pregnancy, mothers had not taken medicine during the pregnancy. Second, mental and motor development index were high in infants who had used an oxygen inhaler, incubator, and in infants who had been given a timely birth. Third, mental and motor development index were higher in infants whose mumbling and the initial speaking was normal than in infants whose development was late.

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Secondary Adrenal Insufficiency Associated with Megestrol Acetate in a Patient with Lung Cancer (Megestrol Acetate와 관련된 이차성 부신기능저하증의 폐암 1예)

  • Park, Ji Chan;Park, Suk Young
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.1
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    • pp.47-51
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    • 2009
  • Loss of appetite is an important factor in the quality of life for advanced cancer patients. Megestrol acetate is used to stimulate appetite, but it can cause suppression of the pituitary adrenal axis due to the affinity of the glucocorticoid receptor. Adrenal insufficiency is a life threatening disorder if left, untreated, but the initial clinical symptoms of the patients are vague. Awareness of the glucocorticoid-like activity of megestrol acetate and its side effects are important for the diagnosis of adrenal insufficiency. We present a case of secondary adrenal insufficiency associated with megestrol acetate in a patient with lung cancer.

Factors Affecting Hospitalized Children's Falls - Using Data in the National Hospital Discharge In-depth Injury Survey (입원 아동의 낙상영향요인 -퇴원손상심층조사 자료를 이용하여-)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.510-516
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    • 2020
  • This study investigated the characteristics and factors affecting inpatient infants, children, and adolescents who experienced falling, using NHDIS data from 2008 through 2017, The study analyzed data of 116 patients who were under 18 and who experienced injuries (KSCD, S00-S99) by falling (KSCD, W00-W19). Frequency analysis, cross-tabulations, and multiple regression analysis were conducted, using SPSS 23. There were more boys than girls, and most of the falls occurred at the ages of over one to under six years old. Most of the children had respiratory diseases, and most had open wounds or bruises due to falling. Also, most of the falls were related to the bed. In the factor analysis, age (β=.318), the main diagnosis (β=.231), and injury (β=.169) except gender affected falling. This suggests that it is necessary to conduct fall prevention education for children, considering the developmental stage characteristics and age group. It is necessary to screen the risk group such as children with a disease with relatively less restriction of activities or with a hyperactive disorder, and to develop a related manual. Hopefully, the results will be used as the basic data for fall prevention education and creating a fall prevention manual according to the characteristics of children's developmental stage for patients who need hospitalization, their caregivers, and the relevant medical team.

A Study on the Status of Utilization and Criteria for Selection of Medical Care Facilities of Elementary School Children (초등학생들의 의료기관 이용양상 및 선택 기준에 관한 연구)

  • Han, Seung Pyo;Kim, Eun Young;Rho, Young Il;Yang, Eun Seok;Park, Sang Kee;Park, Yeong Bong;Moon, Kyung Rye
    • Clinical and Experimental Pediatrics
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    • v.45 no.2
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    • pp.166-173
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    • 2002
  • Purpose : The aim of this study is to find out the distribution of illness, patterns of medical care utilization and factors determining medical care utilization in elementary school children. Methods : We performed the questionnaires in Gwangju city on 2,036 children of two elementary schools from June 1 to June 30, 1998. Results : The prevalence rate of illness was 32.3%. The distribution of illness was respiratory disease(64.7%), gastrointestinal disease(12.8%), injury & poisoning. The rate of persons having received medical treatment when they were sick, was 89.8%. The selection distribution among various medical facilities was pediatric hospital(46.7%), otolaryngologic hospital(19.8%), pharmacy (13.2%) and internal medicine in the decreasing frequency sequence. The major factors influencing the selection of medical facility were geographic accessibility and good results. The most common reason for the first visit to the pediatric hospital was geographic accessibility. The most common reason for a visit and to otolaryngologic hospital was a good result. The most frequently utilized medical facility for respiratory symptoms and gastrointestinal symptoms was pediatric hospital. The persons influencing the selection of medical facility in the children were mother(73.3%), father( 10.8%), doctor and others in decreasing sequence. The persons answering the questionaire thought that the optimal age of pediatric care was from 0 to 12 years(47.8%), to 10 years(22.4%) and to 15 years(18.5%) in decreasing rate. Conclusion : Other departments instead of pediatrics have treated children. Children have particular growth and development process, which is different to those of adults. So, it is necessary to choose special medical care and adequate medical facilities for children.

Long-Term Survival Benefit of the Bronchial Arterial Embolization for Patients Presenting with Non-Traumatic Hemoptysis in a District Emergency Center (권역 응급의료센터에 내원한 비외상성 객혈 환자에서 기관지 동맥 색전술의 장기 생존 효과)

  • Chon, Song Bin;Jung, Sung Koo;Kwak, Young Ho;Suh, Gil Joon;You, Eun Young;Shin, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.148-159
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    • 2004
  • Background : This study was conducted to evaluate the survival benefit of the bronchial arterial embolization (BAE) for patients presenting with non-traumatic hemoptysis. Methods : The clinical data were retrospectively collected from the medical records and the Order Communicating Systems (OCS). The information dealing with death was collected from national death certificates. After enrolled patients were divided with two group such as BAE group (patients who were managed with BAE) and non-BAE group (patients who were managed with conservative modality), the survival benefit of BAE was estimated during the observational period of 24 months through using the Kaplan-Meier survival graph and the Cox-proportional hazard regression analysis. Results : The number of total cases was 272. Of these, BAE group involved 63 and non-BAE group involved 209. 69 cases had the malignant pulmonary lesions, 149 cases had non-malignant chronic lung lesion such as the mycobacteria infection, fungus ball, or bronchiectasis (BE), and 54 cases had the other pathologic conditions. For each sub-groups such as 'malignant lung lesion' group, 'non-malignant chronic lung lesion' group as well as about all cases, the adjusted hazard ratios (HRs) of BAE for death was not significantly different compared to the conservative management. But the adjusted HRs as to underlying causes such as 'malignant lung lesion' group and 'the other conditions' group increased significantly compared to 'non-malignant chronic lung lesion' group. Conclusion : There was no significant survival benefit by BAE procedure on survival in patients presenting with non-traumatic hemoptysis.