• The Journal of Internal Korean Medicine
• /
• v.32 no.4
• /
• pp.497-503
• /
• 2011

Objectives : To assess the effect of Bojungiki-tang for symptomatic management in stable asthmatic patients after initial treatment. Methods : Outcome measures of asthmatic patients were recorded using patient's charts and inquiry. Compared with the patient's state right after they got their treatment, "Excellent" was if it was almost the same state, "Good" was if the patient's state was maintained for almost 70%, "Fair" was for 50%, "Poor" was for under 50% or if the patient required another treatment. Results : Of 25 patients, 21 used Bojungiki-tang for more than one month and 20 maintained a stable state, that is, feeling more than 70% of symptom control compared with previous best status. Conclusions : Bojungiki-tang has a good effect for maintaining asthma after treatment.

• Journal of Preventive Medicine and Public Health
• /
• v.48 no.6
• /
• pp.301-309
• /
• 2015

Objectives: To investigate trends in the prevalence of allergic disease over a 9-year period. Methods: Using National Health Insurance Service (NHIS) data, the annual number of patients with allergic disease was obtained for each regional subdivisions (small cities, counties, and districts) from 2003 to 2011. Annual populations for each sub-region were obtained and used to calculate the standardized prevalence. To compare prevalence within the study period, data was standardized spatially and temporally. For standardization, demographic data was used to obtain the registered population and demographic structure for 2010, which was used to perform direct standardization of previous years. In addition, a geographic information system (GIS) was used to visualize prevalence for individual sub-regions, and allergic diseases were categorized into five groups according to prevalence. Results: The nationwide outpatient prevalence of allergic rhinitis increased approximately 2.3-fold, from 1.27% in 2003 to 2.97% in 2013, while inpatient prevalence also increased approximately 2.4-fold,. The outpatient prevalence of asthma increased 1.2-fold, and inpatient prevalence increased 1.3-fold. The outpatient prevalence of atopic dermatitis decreased approximately 12%, and inpatient prevalence decreased 5%. Conclusions: There was a large difference between prevalence estimated from actual treatment data and prevalence based on patients' self-reported data, particularly for allergic rhinitis. Prevalence must continually be calculated and trends should be analyzed for the efficient management of allergic diseases. To this end, prevalence studies using NHIS claims data may be useful.

• Tuberculosis and Respiratory Diseases
• /
• v.49 no.3
• /
• pp.372-375
• /
• 2000

Spinal epidural emphysema is rare, and only a few cases have ever been reported. A 18 year-old man was admitted for neck and chest pain for 3 days. Before admission he experienced rhinorrhea and severe cough. Physical examination revealed wheezing on whole lung field and subcutaneous emphysema over the upper portion of the chest and neck. Chest radiograph showed pneumomediastinum and subcutaneous emphysema in the neck and chest CT images demonstrate a free air in the prevertebral fascia. With conservative management, the patient's condition and the pneumomediastinum improved. The patient was discharged to home on the fourteenth day.

• The Journal of the Korea Contents Association
• /
• v.16 no.3
• /
• pp.596-606
• /
• 2016

The purpose of this study was to find out the factors influencing asthma, allergic rhinitis, and atopic dermatitis among Korean adolescents. Data of 72,060 adolescents aged 12 to 18 years were derived from the 10th Korean youth's risk web-based study, which was conducted in 2014. Multiple logistic regression analysis revealed that factors influencing asthma was sex, age, BMI, subjective socioeconomic status, smoking, and subjective perception of stress. Factors influencing allergic rhinitis was age, place of residence, subjective socioeconomic status, drinking, and subjective perception of stress. Factors influencing atopic dermatitis was sex, age, subjective socioeconomic status, drinking, and subjective perception of stress. In conclusion, regulatory policy of lifestyle, such as smoking and drinking adversely affect allergy related disease in adolescents strengthening comprehensive prevention education and stress management are probably the two need to be implemented at national side.

• Journal of Industrial Convergence
• /
• v.18 no.5
• /
• pp.70-76
• /
• 2020

The purpose of this study was to determine the dietary behavior of adolescents and to determine the association with allergic diseases according to dietary behavior. The data were obtained from the 15th Korea Youth Risk Behavior Survey 2019. Complex-sample descriptive statistics and the chi-square test were used for data analysis in SPSS. Adolescents diagnosed with asthma had a relationship with frequency of breakfast, fruit, soda, energy drink, sweet drink, fast food, vegetable and convenience store eating experience. Adolescents diagnosed with allergic rhinitis were associated with frequency of breakfast, fruit, soda, sweet drinks, vegetables, and milk. Adolescents diagnosed with atopic dermatitis were associated with soda, vegetables, milk, and convenience store eating experiences. Therefore, in the case of adolescents with allergic diseases, it is necessary to educate them on correct dietary behavior so that they can have correct habits.

• Allergy, Asthma & Respiratory Disease
• /
• v.6 no.6
• /
• pp.315-321
• /
• 2018

Purpose: Radiocontrast media are widely used in medical imaging to improve diagnostic accuracy. However, studies on the adverse reactions of radiocontrast media in children are limited. We aimed to describe the characteristics of adverse reactions to radiocontrast media among children who had a computed tomography scan or magnetic resonance imaging in a tertiary university hospital. Methods: We retrospectively collected data on adverse reactions to radiocontrast media by the reporting system of a tertiary university hospital. We selected data from children under the age of 19 from July 2011 to December 2017 and analyzed their characteristics. We focused mainly on the characteristics of the index case which is defined by the first adverse event of each subject. Results: During the period, a total of 88,050 radiocontrast media-enhanced imaging studies were performed and 184 cases of adverse reactions were reported. A total of 71 were identified as index cases. Forty-nine (69.0%) were male and the mean age was $12.7{\pm}3.2$ years. The incidence of radiocontrast media-related adverse reactions was 0.09% and severe reactions were 0.002%. The most common clinical feature was skin manifestations (54.9%), followed by gastrointestinal symptoms (40.8%) and neuropsychiatric symptoms (7.4%). Conclusion: Adverse reactions to radiocontrast media rarely occur in children and the incidence of severe reactions is low. Most reactions are mild and are related to the skin and gastrointestinal system. This report would provide good evidence for establishing a management strategy in children scheduled for imaging studies using radiocontrast media.

• The Journal of Korean Society for School & Community Health Education
• /
• v.11 no.1
• /
• pp.135-148
• /
• 2010

Objectives: In this study, knowledge of environmental disease, experience of environmental health education and necessity of environmental health education of elementary school pupils were compared and analyzed. Methods: The population of this study was from grade 1 to 6 elementary school pupils in Ulsan city, Korea. Five elementary schools were randomly selected from Ulsan City. Seven hundred and twenty-eight responses from the five schools were analyzed (seventy-two were excluded). A self-administered questionnaire measuring sociodemographic variables, Knowledge of environment related disease(atopic dermatitis, asthma etc), as well as educational experience and necessity of environmental health education was analyzed. The survey results were analyzed using SPSS-PC Program 12.0 and the following results by implementing Frequency Analysis, Cross-tabulation Analysis and ANOVA are as follows. Result: Pupils of lower grades more informed than those of higher grades about atopic dermatitis. Among asthma sufferers, many responded that symptoms occurred or improved during the lower grades of elementary school. In terms of the lifestyles of patients with atopic dermatitis or asthma, female pupils, especially those in the lower grades, tended to make changes in their daily habits based on their disease. Also, parents tended to intervene/mediate more in the dietary habits and personal hygiene habits of lower-grade pupils compared to their higher-grade counterparts. Personal hygiene education is currently not provided in schools, and upper-grade pupils have more experience with personal hygiene education compared to lower grade pupils. 430 (59.0%) of pupils replied that education about personal hygiene is necessary in their curriculum. 490 (67.3%) of elementary pupils are aware of the close connection between education in hygiene and human health. When asked if education in hygiene should also be undertaken by teachers and parents, 406 (55.7%) students said that it should be done. Conclusions: Developing a concrete health education program and raising instructors' awareness of the necessity for education in hygiene. Placement of professionals in the personal hygiene education field, is important to provide good health education for elementary school pupils.

• Journal of the Korean Data and Information Science Society
• /
• v.27 no.1
• /
• pp.155-168
• /
• 2016

The purpose of this study was to investigate the prevalence of allergic diseases and its related factorsin Korean adolescents. The subjects were 72,435 middle and high school students. The data were analyzed by ${\chi}^2$ test and multiple logistic regression analysis. The prevalence of asthma, allergic rhinitis, and atopic dermatitis was 9.3%, 30.6%, and 23.4%, respectively. According to multiple logistic regression analysis, asthma was associated with gender, age, economic state, obesity, stress, sleep satisfaction, secondhand smoking, drug use, other allergic diseases and physical activity. Allergic rhinitis was associated with age, economic state, residential area, type of residence, obesity, stress, sleep satisfaction, smoking experience, secondhand smoking, alcohol drinking, other allergic diseases and physical activity. Finally, atopic dermatitis was associated with gender, age, economic state, residential area, obesity, stress, other allergic diseases and physical activity. Conclusion: These results will provide database for prevention and management of allergic diseases.

• Journal of Industrial Convergence
• /
• v.19 no.1
• /
• pp.109-116
• /
• 2021

The purpose of this study was to determine the effects of asthma, allergic rhinitis, atopic dermatitis, and high intensity exercise on depressive symptoms and suicidal ideation in adolescents. This is a secondary data analysis study using 15th Korean Children and Youth Panel Survey. Data analysis was performed by chi-square and logistic regression analysis using SPSS 22.0. As a result, there were differences in allergic diseases, high-intensity exercise, smoking experience, and drinking experience in both depressive symptoms and suicidal ideation. After adjusting for smoking experience and alcohol experience, asthma, allergic rhinitis, and atopic dermatitis were influencing factor for depression symptoms(OR:1.16, 95% CI:1.07-1.26; OR:1.16, 95% CI:1.11-1.21; OR:1.17, 95% CI:1.11-1.23) and for suicidal ideation(OR:1.32, 95% CI:1.20-1.47; OR:1.22, 95% CI:1.15-1.29; OR:1.21, 95% CI:1.14-1.29). However, high intensity exercise had decreased depressive symptoms and suicidal ideation(OR:0.90, 95% CI:0.86-0.94; OR:0.85, 95% CI:0.80-0.90). As a result of this study, it was found that allergic diseases and high-intensity exercise had a great effect on mental health in adolescents, and we may use it as basic data for prevention and research related to the mental health of adolescent.

• Tuberculosis and Respiratory Diseases
• /
• v.79 no.4
• /
• pp.241-247
• /
• 2016

Bronchodilators are the cornerstone of symptomatic chronic obstructive pulmonary disease (COPD) treatment. They are routinely recommended for symptom reduction, with a preference of long-acting over short-acting drugs. Bronchodilators are classified into two classes based on distinct modes of action, i.e., long-acting antimuscarinics (LAMA, once-daily and twice-daily), and long-acting ${\beta}2$-agonists (LABA, once-daily and twice-daily). In contrast to asthma management, evidence supports the efficacy of both classes of long-acting bronchodilators as monotherapy in preventing COPD exacerbations, with greater efficacy of LAMA drugs versus LABAs. Several novel LAMA/LABA fixed dose combination inhalers are currently approved for COPD maintenance treatment. These agents show superior symptom control to monotherapies, and some of these combinations have also demonstrated superior efficacy in exacerbation prevention versus monotherapies, or combinations of inhaled corticosteroids plus LABA. This review summarizes the current data on clinical effectiveness of bronchodilators alone or in combination to prevent exacerbations of COPD.