Objectives: On December 7, 2007, the Hebei Spirit oil tanker spilled out 12,547 kl of crude oil on the Yellow Sea 10 km away from the cost of Taean Province, Korea. As the coastline has been contaminated, local residents have been exposed to crude oil. Because the residents were showing many symptoms, we investigated the acute health effects of this oil spill on them. Methods: We conducted a cross-sectional study consisting of the heavy and moderately oil soaked area in Taean and the lightly oil soaked area in Seocheon. Ten seashore villages were selected from each area, and 10 male and female adults were selected from each village. We interviewed the subjects using a structured questionnaire on the characteristics of residents, the cleanup activities, the perception of oil hazard, depression and anxiety, and the physical symptoms. The odds ratios and 95% confidence intervals were analyzed using logistic regression analysis. The logistic regression model was adjusted for age, gender, education, smoking, the perception of oil hazard and anxiousness. Results: The more highly contaminated the area, the more likely it was for residents to be engaged in cleanup activities and have a greater chance of exposure to oil. The indexes of anxiety and depression were higher in the heavy and moderately oil soaked areas. The increased risks of headache, nausea, dizziness, fatigue, tingling of limb, hot flushing, sore throat, cough, runny nose, shortness of breath, itchy skin, rash, and sore eyes were significant. Conclusions: The results suggest that exposure to crude oil is associated with various acute physical symptoms. Long-term investigation is required to monitor the residents' health.
Purpose: The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). Methods: A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). Results: Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hours in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. Conclusion: These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable.
It is difficult to control children who exhibit negative behavior in dental clinics. Various methods are used for preventing pediatric dental patients from being afraid and for eliminating the factors that cause psychological anxiety. However, when it is difficult to apply this routine behavioral control technique, sedation therapy is used to provide quality treatment. When the sleep anesthesia treatment is performed at the dentist's clinic, it is challenging to identify emergencies using the current breath detection method. When a dentist treats a patient that is under the influence of an anesthetic, the patient is unconscious and cannot immediately respond, even if the airway is blocked, which can cause unstable breathing or even death in severe cases. During emergencies, respiratory instability is not easily detected with first aid using conventional methods owing to time lag or noise from medical devices. Therefore, abnormal breathing needs to be evaluated in real-time using an intuitive method. In this paper, we propose a method for identifying abnormal breathing in real-time using an intuitive method. Respiration signals were measured using a 3M Littman electronic stethoscope when the patient's posture was supine. The characteristics of the signals were analyzed by applying the signal processing theory to distinguish abnormal breathing from normal breathing. By applying a short-time Fourier transform to the respiratory signals, the frequency range for each patient was found to be different, and the frequency of abnormal breathing was distributed across a broader range than that of normal breathing. From the wavelet transform, time-frequency information could be identified simultaneously, and the change in the amplitude with the time could also be determined. When the difference between the amplitude of normal breathing and abnormal breathing in the time domain was very large, abnormal breathing could be identified.
Objectives: The objective of this study was to investigate the correlation between demographic factors and oral health factors and mental health factors in Korean adolescents. Methods: The study was based on the 11th Korea Youth Risk Behavior Web-Based Survey (2015). The final participation rate in the survey was 96.7%. of a total of 70.362 adolescents (age, 12~18 years) who had participated in the survey, 68,043 adolescents were selected for analysis. Results:As a result of examining the stress awareness of adolescents and the experience of oral disease symptoms, it was found that the number of brushing times per day was less than 1 time (p<0.001), tingling and throbbing (p<0.001), gum pain & blood (p<0.001) and bad breath (p<0.001) were more stressed than those who had experience. On the other hand, the lack of experience in oral health education was more stressful (p<0.001). As a result of examining the factors influencing subjective happiness, it was found that the female, the lower the grade, the higher the academic performance and economic level, the less experience of oral disease in the last one year, The level of awareness was high. Conclusions: These results indicate that the demographic factors, mental health factors, and oral health factors of adolescents are correlated to one another. Therefore, when developing a program for promoting adolescent health or establishing a national business plan, it should be considered in a multi-faceted way.
Ha, Jungeun;Kim, Subin;Kim, Sujin;Seo, Eunji;Lee, Jiyoung;Jeong, Yeojin;Kim, Minji
Journal of The Korean Society of Integrative Medicine
/
v.5
no.3
/
pp.83-90
/
2017
Purpose : The purpose of this study was to investigate whether or not the effects of the relationship among college students on the oral health were affected by the increased interest in the appearance. Methods : After explanation of this study, we conducted the questionnaire to those who accepted questionnaire from April 26 to May 28, 2017. In order to collect the data, Naver-form (mobile) questionnaire was distributed to the research subjects and the collected data. The analysis technique used the frequency and percentage to examine the general characteristics of the subjects and the status of the relationship. Chi-square test was used to examine the number of toothbrushes, toothbrushing time, oral health concern, regular oral examination and scaling, use of oral care products, smoking status, and bad breath. Result : Among the total of 190 research subjects, 79 (41.6 %) were male and 111 (58.4 %) were female. The presence of brushing just before going out and carrying a toothbrush were more frequent for those subjects who are in relationship (p<.001). The subjects who considered oral hygiene to be important were higher in those who were in relationship (p<.001). Conclusion : Some oral health care behaviors such as toothbrushing just before going out or carrying a toothbrush were well formed, and oral hygiene was important in those who were in relationship.
Physiological signals such as body temperature, heart rate, blood pressure and heart rate variability and biomechanical workload for stress analysis were investigated during the cherry tomato harvesting work in a greenhouse. The skin temperatures raised $0.05^{\circ}C$/min, $0.03^{\circ}C$/ min, and $0.08^{\circ}C$/min in standing, stooping and squatting postures, respectively. Breath rate significantly increased from 18 to 28 breaths/min during the cherry tomato harvesting work. As the heart rate during the work ranged from about 72 to 110 beats/min (bpm), the cherry tomato harvesting work appeared to be a light intensity task of less than 110 bpm. The worker's average energy consumption rate in three positions during 43 min working time was 65.74 kcal (91 kcal/h in 70 kg). This was a light intensity of work, compared to 75 kcal/h in 70 kg of basic metabolic energy consumption rate of a worker with 70 kg weight; The maximum shear force on the disk (L5/ S1) due to static workload in the cherry tomato harvesting work was 446 N in the stooping posture, 321 N in the squatting posture and 287 N in the standing posture. Acute stress index expressed with the heart rate variability, increased parasympathetic activation up to about 70 while workers were doing most agricultural work in this study. This study provided a system to measure quantitatively workers' physiological change, kinematics and kinetic factors without any restrictions of space in the greenhouse works.
The purpose of this study was to compare the anaerobic threshold (AT) between subjects with and without non-specific chronic low back pain (NCLBP). The patient group included 15 women with NCLBP. The normal group included 15 women without NCLBP who were age-, height-, weight-, and activity level-matched. The subjects performed a Balke treadmill protocol which was symptom-limited progressive loading test. Their heart rate (HR), ventilatory gas and metabolic equivalents (METs) were measured using the automatic breath gas analyzing system. After the test, each subjects' ratings of perceived exertion (RPE) were evaluated. The visual analog scale (VAS) was assessed pre- and post-test. The independent t-test and Wilcoxon's signed-rank test were used for analysis of the data. Time, HR, the volume of oxygen consumption ($VO_2$), relative $VO_2$, and METs at the AT level of the patient group were significantly lower than those of the healthy group (p<.05). However, there were no significant differences in RPE, VAS, and breathing frequency at the AT level (p>.05). The findings of this study indicate that patients with NCLBP had a lower aerobic fitness than healthy subjects. Thus, implementation of rehabilitation program to increase aerobic fitness may be considered in patietns with NCLBP, and further studies are required to determine the etiological factors of decreased aerobic fitness.
Objectives: This study examined the relationship between oral health symptoms and Internet usage of Korean adolescents for the purpose of identifying problems associated with Internet usage of adolescents and of preparing measures that can raise awareness on the importance of their oral health management. Methods: The data used in this study is from the 2015 Youth Health Behavior Online Survey (YHBOS). Data from all survey participants (n=68,043) were used in the final analysis, using SPSS Ver. 22.0. General linear models were constructed to analyze the relationship between oral health symptoms and Internet usage of adolescents. Results: In the relationship between Internet usage and oral disease symptoms, those who brush less than once a day during weekdays and weekend tended to use Internet at the highest levels: 72.5%, 78.3% (p<0.001). The following variables were found to be related with spending longer time at Internet: male students (p<0.001), students in lower grades (p<0.001), students with lower performance (p<0.001), and those from families of lower economic level (p<0.001). Moreover, those who brush their teeth less than once a day and those who experienced oral disease symptoms, such as pain during chewing, throbbing and shooting pain, and bad breath in the past year spent longer time at Internet. Conclusions: The above findings show that Internet usage and demographic characteristics of the adolescents are associated with their oral health management. Therefore, guidance and interventions are needed for adolescents with problematic Internet use, while continued education is also needed to raise awareness about the importance of oral health management during adolescence.
Dill (Anethum graveolens L.) is an annual herb with a long history and it is mainly used as a spice and as a medicine that is effective as a digestive aid, a sedative, and a narcotic, and that helps remove bad breath. Dill grows wild in the districts along the shores of the Mediterranean Sea, West Asia, China, and Korea. An estimate of the phylogenetic relationships within dill accessions in 20 countries was inferred using data from the rps16-trnK3-intergenic spacer. The aligned data sets for dill ranged from 747 to 779 nucleotides (bp) as a result of the differences in the insert/delete nucleotides. The sequence variation within the dill accessions was mostly due to nucleotide substitutions, although several small insertions and deletions can be found. Among 100 accessions from 20 countries, the Eastern Asia accessions were more closely related to the North American accessions than to the Central Asia and European accessions. Although some accessions were not congruent completely with geographical locations, the dill accessions with rps16-trnK analysis resulted in plants with better-resolved clades.
Allergy is an immune response that appears in certain people, and reactions such as coughing, shortness of breath, and hives occur. The immune system plays an important role in homeostasis and host defense, and allergies cause hypersensitivity reactions when an imbalance of immunity occurs. Mutations in the TLR genes are associated with autoimmune conditions such as allergies and asthma. It has been reported that a locus in the TLR1-TLR6-TLR10 region may be associated with atopic sensitization or allergy. Therefore, the purpose of this study was to select an allergy patient group and a healthy control group to determine how the genetic mutation of TLR1 affects the onset of disease. This study was conducted in 709 patients and 5,025 control groups out of 10,956 patients with data from KARE and HEXA cohorts. As a result of logistic regression analysis of 6 SNPs selected from the TLR1 gene, only rs117033348 showed a statistically significant correlation (P = 0.002356). The influence of rs117033348 was examined using PolyPhen-2, and a significant result was shown. Therefore, it can be predicted that the G base in rs117033348 will have an influence on the human body. In addition, Geography of Genetic Variants browser was used to confirm the geographical distribution of allele frequencies for the TLR1 gene. Although it was found that there was a large racial difference in the prevalence of TLR1 SNP, it could be confirmed that the polymorphism of rs117033348 conducted in this study was only specific in East Asia when compared with each race.
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