• Title/Summary/Keyword: Cause of illness

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Estimating Influenza-associated Mortality in Korea: The 2009-2016 Seasons

  • Hong, Kwan;Sohn, Sangho;Chun, Byung Chul
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.5
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    • pp.308-315
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    • 2019
  • Objectives: Estimating influenza-associated mortality is important since seasonal influenza affects persons of all ages, causing severe illness or death. This study aimed to estimate influenza-associated mortality, considering both periodic changes and age-specific mortality by influenza subtypes. Methods: Using the Microdata Integrated Service from Statistics Korea, we collected weekly mortality data including cause of death. Laboratory surveillance data of respiratory viruses from 2009 to 2016 were obtained from the Korea Centers for Disease Control and Prevention. After adjusting for the annual age-specific population size, we used a negative binomial regression model by age group and influenza subtype. Results: Overall, 1 859 890 deaths were observed and the average rate of influenza virus positivity was 14.7% (standard deviation [SD], 5.8), with the following subtype distribution: A(H1N1), 5.0% (SD, 5.8); A(H3N2), 4.4% (SD, 3.4); and B, 5.3% (SD, 3.7). As a result, among individuals under 65 years old, 6774 (0.51%) all-cause deaths, 2521 (3.05%) respiratory or circulatory deaths, and 1048 (18.23%) influenza or pneumonia deaths were estimated. Among those 65 years of age or older, 30 414 (2.27%) all-cause deaths, 16 411 (3.42%) respiratory or circulatory deaths, and 4906 (6.87%) influenza or pneumonia deaths were estimated. Influenza A(H3N2) virus was the major contributor to influenza-associated all-cause and respiratory or circulatory deaths in both age groups. However, influenza A(H1N1) virus-associated influenza or pneumonia deaths were more common in those under 65 years old. Conclusions: Influenza-associated mortality was substantial during this period, especially in the elderly. By subtype, influenza A(H3N2) virus made the largest contribution to influenza-associated mortality.

Study of Legal Issues on Complex Regional Pain Syndrome (CRPS) - Focusing on issues in damage compensation lawsuit - (복합부위통증증후군(CRPS)에 관한 법적 문제 고찰 - 손해배상소송의 쟁점을 중심으로 -)

  • Bae, Hyun-Mo
    • The Korean Society of Law and Medicine
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    • v.11 no.1
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    • pp.91-116
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    • 2010
  • As Complex Regional Pain Syndrome (CRPS) is a new and rare illness, medical cause for it has not yet been clearly found out. Nevertheless, the patients continue to file lawsuits for damage compensation against wrongdoers or their insurers, claiming that the cause of the illness is certain actions of the wrongdoers. Moreover, the claim amount reaches to hundreds of millions of won through billions of won unlike other illnesses. Therefore, CRPS has become an important legal issue in the damage compensation lawsuit. Even though the wound is slight, the development and result may be serious in the case of CRPS. As a result, a sharp conflict arises even regarding medical diagnosis of CRPS in the lawsuit. And, even if the medical diagnosis of CRPS is admitted, severe debates occurs with regard to many issues, which include the causation between accident and CRPS in connection with establishment of damage compensation liability and scope of liability like anamnesis, determination standard of aftereffect disability, and scope of admitted aftereffect medical expense in connection with scope of damage compensation. In this study, I will review fundamental medical research on CRPS up to now and discuss principal legal issues in the damage compensation lawsuit focusing on lower court rulings.

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The Preparedness Plan for Influenza Pandemic (신종 인플루엔자 대유행에 대한 우리나라의 대응방안)

  • Lee, Duk-Hyoung;Park, Ki-Dong
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.386-390
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    • 2005
  • Influenza A viruses periodicall y cause worldwide epidemics, or pandemics, with high rates of illness and death. A pandemic can occur at any time, with the potential to cause serious illness, death and social and economic disruption throughout the world. Historic evidence suggests that pandemics occurred three to four times per century. In the last century there were three influenza pandemics. The circumstances still exist for a new influenza virus with pandemic potential to emerge an d spread. The unpredictability of the timing of the next pandemic is underlined by the occurrence of several large outbreaks of highly pathogenic avian influenza since the early 1980s. In 1999, the World Health Organization published the Influenza pandemic plan. The role of WHO and guidelines for national and regional planning. And in 2005, WHO revised the global influenza preparedness plan for new national measures before and during pandemics. This document outlines briefly the Korean Centers for Disease Control's plan for responding to an influenza pandemic. According to the new pandemic phases of WHO, we set up the 4 national levels of preparedness and made guidelines for preventing and control the epidemics in each phase. And also we described the future plans to antiviral stockpiles and pandemic vaccine development.

The Effects of Climate Elements on Heat-related Illness in South Korea (기후요소가 온열질환자수에 미치는 영향)

  • Jeong, Daeun;Lim, Sook Hyang;Kim, Do-Woo;Lee, Woo-Seop
    • Journal of Climate Change Research
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    • v.7 no.2
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    • pp.205-215
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    • 2016
  • The relationship between the climate and the number of heat-related patients in South Korea was analysed in this study. The number of the patients was 1,612 during the summer 2011 to 2015 according to the Heat-related Illness (HRI) surveillance system. The coefficient of determination between the number of the patients and the daily maximum temperature was higher than that between the number of them and the other elements: the daily mean/minimum temperature and relative humidity. The thresholds of daily maximum and minimum temperature in metropolitan cities (MC) were higher than those in regions except for MC (RMC). The higher the maximum and minimum temperature became, the more frequently the heat-related illness rate was observed. The regional difference of this rate was that the rate in RMC was higher than that in MC. Prolonged heat wave and tropical night tended to cause more patients, which continued for 20 days and 31 days of maximum values, respectively. On the other hand, the relative humidity was not proportional to the number of the patients which was rather decreasing at over 70% of relative humidity.

Etiological Agents Implicated in Foodborne Illness World Wide

  • Lee, Heeyoung;Yoon, Yohan
    • Food Science of Animal Resources
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    • v.41 no.1
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    • pp.1-7
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    • 2021
  • This mini review focuses on foodborne illnesses and outbreaks caused by food-producing animals because statistical information of the foodborne illnesses is important in human health and food industry. Contaminated food results in 600 million cases of foodborne diseases and 420,000 deaths worldwide every year. The world population is currently 7.8 billion, and 56 million people die every year; of these, every year, 7.69% of people experience foodborne diseases, and 7.5% of annual deaths (56 million deaths) was died by foodborne illness in the world. A majority of such patients are affected by norovirus and Campylobacter. Listeria monocytogenes is the most fatal. In the United States, except for those caused by Campylobacter, the number of foodborne diseases did not decrease between 1997 and 2017, and cases caused by Toxoplasma gondii are still being reported (9 cases in 2017). The percentage of foodborne illnesses caused by food-producing animals was 10.4%-14.1% between 1999 and 2017 in the United States. In Europe, foodborne illnesses affect 23 million people every year and cause approximately 5,000 deaths. Europe has more Campylobacter- and Salmonella-related cases than in other countries. In Australia, the highest number of cases are due to Campylobacter, followed by Salmonella. In Korea, Escherichia coli followed by norovirus. Campylobacter- and Clostridium perfringens-related cases have been reported in Japan as well. This review suggests that Campylobacter, Salmonella, L. monocytogenes, and E. coli, which are usually isolated from animal-source food products are associated with a high risk of foodborne illnesses.

Korean Women's Causal Perceptions of Hwabyung (화병 여성의 원인지각에 대한 주관성 연구)

  • Shin, Hye-Sook;Shin, Dong-Soo
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.283-290
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    • 2004
  • Purpose: This study elicited Korean women's perceptions of the life situations that contribute to Hwabyung, a culture.bound psychiatric illness in Korea, and delineated a typology of the perceived causative factors for this illness. Method: A purposive sample of 21 Korean women was recruited from a church, a senior center in Seoul and a clinic that provides traditional Korean and westernized medical services to patients in the Gyeonggi area. Inclusion criteria were: 1) the diagnosis of Hwabyung by a traditional doctor or "stress reaction and depression" by a westernized doctor; and 2) a score greater than 40 on the Hwabyung Self.Report Instrument. Surveys using the HSRI and individual interviews using Qmethodology were used. Result: The average age of the participants was 53.7 years(range 35-84). The mean score on the HSRI was 46.2(range = 42-52). Data analysis showed that participants perceived three life situations to cause Hwabyung: vulnerable situation, lowered self.esteem, and negative life events. Conclusions: Korean women, suffering from Hwabyung, perceived at least three different causal patterns for this illness. Nursing care plans should be tailored to meet these differences.

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Two Cases of Hand-Foot-Mouth Disease with Neurologic Manifestations (신경학적 증상을 동반한 수족구병 2례)

  • Park, Ki Kung;Choi, Sung Dong;Chung, Seung Yun;Suh, Byung Kyu;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.4 no.2
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    • pp.303-307
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    • 1997
  • Hand-Foot-Mouth disease, which has a various enanthem-exanthem complex at the tongue, buccal mucosa, hands and feets and buttock area with febrile illness, is usually caused by Coxscakie virus type A(16). Generally, this disease shows self limited course and good prognosis without neurologic manifestations. However, enterovirus 71, which was newly discovered and reported in 1974, can cause the striking features of Hand-Foot-Mouth disease outbreaks and has neuropathogenic potentials of polio-like paralytic illness including aseptic meningitis, meningoencephalitis and respiratory disease. We experienced a case of Hand-Foot-Mouth disease with polyradiculitis manifestations, and a case of Hand-Foot-Mouth disease with meningoencephalitis. Therfore, we report these cases with brief review of related literatures.

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The Sasang Constitutional Medicine and Allergy Disease (사상체질의학(四象體質醫學)과 Allergy 질환)

  • Song, Il-Byung
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.2
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    • pp.18-24
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    • 2002
  • This research is purposed to find methods of treatment on allergy diseases, through summarizing thought on human and etiology, classification and treatment on diseases proposed in Sasang constitutional medicine 2. Methods of Research It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}$Dongyi Soose Bowon(東醫壽世保元)${\lrcorner}$, ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷${\lrcorner}$ 3. Results and Conclusions 1. Dong mu thought that human is composed of Heart that inside preserve soul and Body that outside respond to Affairs-Objects. 3. The cause of disease is classified into interior cause and exterior cause. Interior cause could be used in cause of disease, exterior cause could be used in prevention of illness, treatment of disease and preservation of health. 4. The treatment of disease proposed in ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷${\lrcorner}$ is that it is to recover 'Essential Qi of Constitution(體質正氣)' by medicine and management of 'Mind-Body(心身)' and that chronic disease is treated chiefly by management but acute disease is treated chiefly by medicine. 5. Allergy disease should be prevented by management of 'Mind-Body(心身)'. but if we suffer from allergy disease, we should treat disease through recovering 'Essential Qi of Constitution(體質正氣)' both medicine and management of 'Mind-Body(心身)'.

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Steps Of Deciding ByunZheng(辨證) (변증이론 선택을 위한 진단적 과정)

  • Kim, Tae Hee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.2
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    • pp.109-113
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    • 2015
  • Byunzheng(辨證), 'Identification of Patterns' implies the process of identifying the original cause from symptoms and signs. Each symptom and sign has a meaning that manifests. But in Clinic, it is difficult to recognize the main cause through symptoms and signs by itself, because the patients complaint their symptoms differently. When considering Byunzheng, not only one symptom of one cause but relationship of manifested symptoms and causes are necessary. The object of Byunzheng is to diagnose Illness and disease through symptoms and signs and to coordinate Therapeutic Methods by Byunzheng. In Byunzheng, there are patterns according to the function of Internal Organs(臟腑), the Channels, the Eight Principles, the Five Elements and etc. Process to Diagnose Byunzheng is the most important. Until present, it is not clear to conclude the Byunzheng process or criteria. In certain case of Byunzheng is recognized by doctor's intuition, but most case is needed for conscious reasoning. Therefore, in this statement, process of conclude Byunzheng is reviewed rather than describing each character of Byunzheng.

Assessment and Management of Suffering (고통의 평가와 관리)

  • Martin, Barbara
    • Korean Journal of Hospice Care
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    • v.8 no.1
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    • pp.81-88
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    • 2008
  • Recognise that suffering to some extent is very common in people with terminal illness and that family and friends also suffer but often from different causes. Need to recognise the cause of the suffering, if possible to remove the cause , if not to manage as well as possible. May not be able to alleviate the cause, but sometimes acknowledgement of the problem will suffice. A Chinese proverb sums it up well "You cannot prevent the birds of sorrow flying overhead but you can prevent them from making nests in your hair".

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