• 제목/요약/키워드: DISEASE EPIDEMIOLOGY

검색결과 726건 처리시간 0.024초

Diet and Cancer Risk in the Korean Population: A Meta-analysis

  • Woo, Hae Dong;Park, Sohee;Oh, Kyungwon;Kim, Hyun Ja;Shin, Hae Rim;Moon, Hyun Kyung;Kim, Jeongseon
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8509-8519
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    • 2014
  • Many studies have found links between diet and cancer. The summary estimates of the association between dietary factors and cancer risk were investigated using previously reported studies of the Korean population. Gastric cancer risk was inversely associated with the high intake of soy foods [OR (95% CI): 0.32 (0.25-0.40) for soybean, 0.56 (0.45-0.71) for soybean curd, and 0.67 (0.46-0.98) for soymilk], allium vegetables [OR (95% CI): 0.37 (0.26-0.53) for green onion, 0.54 (0.40-0.73) for garlic, and 0.54 (0.35-0.85) for onion], fruits [OR (95% CI): 0.61 (0.42-0.88)], and mushrooms [OR (95% CI): 0.43 (0.21-0.88)]. Salt and Kimchi were associated with an increased gastric cancer risk [OR (95% CI): 1.92 (1.52-2.43) and 2.21 (1.29-3.77), respectively]. Colorectal cancer risk was positively associated with meat intake [OR (95% CI): 1.25 (1.15-1.36)]. Total soy products, soybean curd, and soymilk showed an inverse association with breast cancer risk [OR (95% CI): 0.61 (0.38-0.99), 0.47 (0.34-0.66), and 0.75 (0.57-0.98), respectively]. Green/yellow and light colored vegetables were associated with a reduced risk of breast cancer [OR (95% CI): 0.34 (0.23-0.49) and 0.44 (0.21-0.90), respectively]. Mushroom intake was inversely associated in pre-menopausal women only [OR (95% CI): 0.47 (0.26-0.86)]. In conclusion, soy foods, fruits and vegetables might reduce cancer risk in the Korean population. High salt food might be risk factor for gastric cancer, and intake of high amount of meat might cause colorectal cancer.

Is Colorectal Cancer A Western Disease? Role of Knowledge and Influence of Misconception on Colorectal Cancer Screening among Chinese and Korean Americans: A Mixed Methods Study

  • Lu, Xiaoxiao;Holt, Cheryl L;Chen, Julia C;Le, Daisy;Chen, Jingjing;Kim, Gil-yong;Li, Jun;Lee, Sunmin
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권11호
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    • pp.4885-4892
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    • 2016
  • Background: Chinese and Korean Americans have lower colorectal cancer (CRC) screening rates than other racial/ ethnic groups, which may be explained by a low level of CRC knowledge and a high level of misconceptions. This study explores the role of knowledge in CRC screening among these groups. Methods: Chinese (N=59) and Korean (N=61) Americans older than 50 were recruited from the Washington D.C. Metropolitan area. They completed a detailed survey and participated in focus groups to discuss their knowledge on CRC and CRC screening. Seventeen physicians, community leaders, and patient navigators participated in key informant interviews. Using a mixed methods approach, data were analyzed quantitatively and qualitatively. Results: Participants lacked knowledge about CRC and CRC screening. More than half did not know that screening begins at age 50 and there are several types of tests available. More than 30% thought CRC screening was not necessary if there were no symptoms or there was nothing they could do to prevent CRC. Focus group findings suggested understanding about CRC was limited by an inadequate source of linguistically and culturally relevant health information. For example, many participants considered CRC a western condition mainly caused by unhealthy diet. This led to under-estimations about their susceptibility to CRC. Knowledge was positively associated with self-reported screening. Participants who had higher knowledge scores were more likely to report ever having had a colonoscopy and confidence in ability to have CRC screening. Conclusions: Mixed-methods analysis provides multi-faceted perspectives on CRC knowledge and its influence on screening. Study findings can help inform interventions to increase CRC screening among Chinese and Korean Americans.

Community-acquired Legionnaires' Disease in a Newly Constructed Apartment Building

  • Ryu, Sukhyun;Yang, Kyungho;Chun, Byung Chul
    • Journal of Preventive Medicine and Public Health
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    • 제50권4호
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    • pp.274-277
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    • 2017
  • Objectives: Legionnaires' disease (LD) is a severe type of pneumonia caused by inhalation of aerosols contaminated with Legionella. On September 22, 2016, a single case of LD was reported from a newly built apartment building in Gyeonggi province. This article describes an epidemiologic investigation of LD and identification of the possible source of infection. Methods: To identify the source of LD, we interviewed the patient's husband using a questionnaire based on the Legionella management guidelines from the Korea Centers for Disease Control and Prevention. Water samples from the site were collected and analyzed. An epidemiological investigation of the residents and visitors in the apartment building was conducted for 14 days before the index patient's symptoms first appeared to 14 days after the implementation of environmental control measures. Results: Legionella pneumophila serogroup 1 was isolated from the heated-water samples from the patient's residence and the basement of the apartment complex. Thirty-two suspected cases were reported from the apartment building during the surveillance period, yet all were confirmed negative based on urinary antigen tests. Conclusions: The likely source of infection was the building's potable water, particularly heated water. Further study of effective monitoring systems in heated potable water should be considered.

Epidemiological Concepts and Strategies in Breeding Soybeans for Disease Resistance

  • Seung Man, Lim
    • 한국작물학회지
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    • 제35권1호
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    • pp.97-107
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    • 1990
  • The epidemiology of plant disease deals with the dynamic processes of host-pathogen interactions, which determine the prevalence and severity of the disease. Epidemic processes for most foliar diseases of plants follow a series of steps: arrival of pathogens on plant surfaces, initial infection, incubation period, latent period, sporulation, dissemination of secondary inoculum, and infectious period. These complex biological processes are influenced by the environment-Man also often interfers with these processes by altering the host and pathogen populations and the environment. Slowing or halting any of the epidemic processes can delay the development of the epidemic, so that serious losses in yield due to disease do not occur. It is generally recognized that the most effective and efficient method of minimizing disease damage is through the use of resistant cultivars, particularly when other methods such as fungicide applications are not economically feasible-Populations of plant pathogens are not genetically uniform nor are they necessarily stable. Cultivars bred for resistance to current populations of a pathogen may not be resistant in the future due to selection pressures placed on the pathogen populations. Understanding population development and genetic variability in the pathogen, and knowledge of the genetics of resistance in the plant should help in developing breeding strategies that wi1l provide effective and stable disease control through genetic resistance. In the United States, soybeans have ranked first in value of crops sold off the farm in recent years. Soybeans have been the leading U. S.

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양성후두점막질환과 대사증후군의 상관관계 (The Correlation between Benign Laryngeal Mucosal Disease and Metabolic Syndrome)

  • 김현범;한경도;주영훈
    • 대한후두음성언어의학회지
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    • 제30권1호
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    • pp.34-38
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    • 2019
  • Background and Objectives : The aim of this study is verify the correlation between benign laryngeal mucosal disease and metabolic syndrome. Materials and Method : Data for patients diagnosed with benign laryngeal mucosal disease and metabolic syndrome from 2006 to 2015 were selected for analysis from the National Health Insurance Service database. Results : The prevalence of Metabolic syndrome was 2,179,785 out of 6,437,051 patients (33.86%). The prevalence of benign laryngeal mucosal disease was 516,594 out of 6,437,051 patients (8.03%). Metabolic syndrome was a risk factor for benign laryngeal mucosal disease [hazard ratio: 0.99, 95% confidence interval: 0.984-0.997] after adjusting for age and other variables including age, gender, smoking status, alcohol intake, exercise, body mass index, and diabetes. The number of metabolic syndrome components was also risk factor. Conclusion : Metabolic syndrome was related to the incidence of benign laryngeal mucosal disease. However this correlation did not seem to be high.

A Multi-center Survey of HPV Knowledge and Attitudes Toward HPV Vaccination among Women, Government Officials, and Medical Personnel in China

  • Zhao, Fang-Hui;Tiggelaar, Sarah M.;Hu, Shang-Ying;Zhao, Na;Hong, Ying;Niyazi, Mayinuer;Gao, Xiao-Hong;Ju, Li-Rong;Zhang, Li-Qin;Feng, Xiang-Xian;Duan, Xian-Zhi;Song, Xiu-Ling;Wang, Jing;Yang, Yun;Li, Chang-Qin;Liu, Jia-Hua;Liu, Ji-Hong;Lu, Yu-Bo;Li, Li;Zhou, Qi;Liu, Jin-Feng;Xu, Li-Na;Qiao, You-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2369-2378
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    • 2012
  • Objectives: To assess knowledge of HPV and attitudes towards HPV vaccination among the general female population, government officials, and healthcare providers in China to assist the development of an effective national HPV vaccination program. Methods: A cross-sectional epidemiologic survey was conducted across 21 urban and rural sites in China using a short questionnaire. 763 government officials, 760 healthcare providers, and 11,681 women aged 15-59 years were included in the final analysis. Data were analyzed using standard descriptive statistics and logistic regression. Results: Knowledge of HPV among the general female population was low; only 24% had heard of HPV. Less than 20% of healthcare providers recognized sexually na$\ddot{i}$ve women as the most appropriate population for HPV vaccination. There was high acceptance of the HPV vaccine for all categories of respondents. Only 6% of women were willing to pay more than US $300 for the vaccine. Conclusions: Aggressive education is necessary to increase knowledge of HPV and its vaccine. Further proof of vaccine safety and efficacy and government subsidies combined with increased awareness could facilitate development and implementation of HPV vaccination in China.

울산지역 하수기반역학을 이용한 코로나19 감시 연구 (COVID-19 Surveillance using Wastewater-based Epidemiology in Ulsan)

  • 김경남;최재선;이연수;김대교;박준영;김영민;최영선
    • 한국식품위생안전성학회지
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    • 제39권3호
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    • pp.260-265
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    • 2024
  • 하수기반역학을 이용한 코로나19 감시 결과, 연구기간(2022년 8월-2023년 8월)동안 울산지역 4곳 하수처리장의 전체 174건 모든 시료에서 코로나바이러스-19가 검출되었다. 확진자 수와 하수 내 코로나바이러스 농도와의 상관분석 결과, 높은 상관성이 나타났으며 특히 하수감시가 임상감시보다 2-3주 앞서 농도가 증가함으로써 조기 인지의 가능성도 볼 수 있었다. 또한 코로나19 변이 분석 결과 역시 유행 시기별 우세종화된 변이와 비교적 유사하여 변이 예측도 가능하였다. 하수감시가 전국적, 전세계적으로 적용되고 있으며 많은 연구가 국가적 사업으로 진행되고 있다. 이에 따라, 하수 분석방법 및 분석기기 발전 등의 지속적 연구 업데이트가 필요하다. 또한 코로나19를 통해 감염병의 선제적 모니터링 및 유행 예측의 가능성을 확인하였으므로 다양한 병원체 및 식품·의약품 등에 확대 적용이 진행 중이다. 따라서 본 연구는 감염병 검출분야에서 더 나아가 하수 내 식품 성분, 활성물질 및 미생물 등의 분석을 통해 지역사회의 식품안전 및 전반적인 위생환경 감시를 위해 활용될 수 있을 것으로 기대된다.

Nested Case-control Study of Occupational Radiation Exposure and Breast and Esophagus Cancer Risk among Medical Diagnostic X Ray Workers in Jiangsu of China

  • Wang, Fu-Ru;Fang, Qiao-Qiao;Tang, Wei-Ming;Xu, Xiao-San;Mahapatra, Tanmay;Mahapatra, Sanchita;Liu, Yu-Fei;Yu, Ning-Le;Sun, Quan-Fu
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권11호
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    • pp.4699-4704
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    • 2015
  • Medical diagnostic X-ray workers are one occupational group that expose to the long-term low-dose external radiation over their working lifetime, and they may under risk of different cancers. This study aims to determine the relationship between the occupational X-ray radiation exposure and cancer risk among these workers in Jiangsu, China. We conducted Nested case-control study to investigate the occupational X-ray radiation exposure and cancer risk. Data were collected through self-administered questionnaire, which includes but not limits to demographic data, personal behaviors and family history of cancer. Retrospective dose reconstruction was conducted to estimate the cumulative doses of the x-ray workers. Inferential statistics, t-test and 2 tests were used to compare the differences between each group. We used the logistic regression model to calculate the odds ratio (OR) and 95% confidence interval (CI) of cancer by adjusting the age, gender. All 34 breast cancer cases and 45 esophageal cancer cases that detected in a cohort conducted among health workers between 1950~2011 were included in this presented study, and 158 cancer-free controls were selected by frequency-matched (1:2). Our study found that the occupational radiation exposure was associated with a significantly increased cancer risk compared with the control, especially in breast cancer and esophageal cancer (adjusted OR=2.90, 95% CI: 1.19-7.04 for breast cancer; OR=4.19, 95% CI: 1.87-9.38 for esophageal cancer, and OR=3.43, 95% CI: 1.92-6.12 for total cancer, respectively). The occupational X-ray radiation exposure was associated with increasing cancer risk, which indicates that proper intervention and prevention strategies may be needed in order to bring down the occupational cancer risk.

2008년도 특발성 간질성 폐렴(IIP) 전국실태조사보고 (2008 National Survey of Idiopathic Interstitial Pneumonia in Korea)

  • 대한결핵 및 호흡기학회 학술위원회
    • Tuberculosis and Respiratory Diseases
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    • 제66권2호
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    • pp.141-151
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    • 2009
  • 연구배경: 과거 국내외 특발성 간질성 폐렴(IIP)의 역학 조사는 제한적이었다. 간질성 폐질환에 대한 관심이 증가하고 있고 국내 IIP 환자들의 분포 및 역학에 대해서 알려진 바 없어 이를 알아보고자 하였다. 방 법: 2003년 1월 1일부터 2007년 12월 31일 사이에 진단된 환자들을 대상으로 하였으며, 진단은 ATS/ERS 기준에 따랐다. 결 과: 입력된 환자는 3,156명이었으나, 중복, 진단기준 미달, 부정확한 자료로 970명이 제외되어 총 2,186명을 분석하였다. 남녀 비는 약 2 : 1이었고 이들의 평균 나이는 65세(11-94세)였다. 빈도는 특발성 폐 섬유화증(IPF) 1,685명(77.1%), 비특이적 간질성 폐렴(NSIP) 261명(11.9%), 특발성 기질화 폐렴(COP) 186명(8.5%), 급성 간질성 폐렴(AIP) 24명(1.1%), 박리성 간질성 폐렴(DIP) 19명(0.9%), 호흡성 세기관지염-간질성 폐질환(RB-ILD) 9명(0.4%), 림프구성 간질성 폐렴(LIP) 2명(0.1%)였다. 평균 나이는 IPF 67.8세, COP 57.7세, NSIP 57.1세로 IPF 환자의 나이가 가장 많았다. 전체 환자를 대상으로 하였을 때, 운동 시 호흡곤란은 68.9%, 기침 60.8%, 객담 32.5%, 흉통 6.8%, 객혈 2.2%, 무증상 4.5%로 운동 시 호흡곤란의 증상이 가장 많았다. IPF의 3년 생존율은 62%였고, NSIP와 COP의 5년 생존율은 모두 85%였다. 결 론: 이 조사는 국내의 IIP 치료 및 진료 지침을 제작에 유용한 도움을 줄 것으로 판단된다.

Spatial Analysis of Skin Cancer Incidence in Iran

  • Pakzad, Reza;Ghoncheh, Mahshid;Pournamdar, Zahra;Pakzad, Iraj;Momenimovahed, Zohre;Salehiniya, Hamid;Towhidi, Farhad;Makhsosi, Behnam Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.33-37
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    • 2016
  • Skin cancer is one of the most common cancers worldwide, including in Iran. Variations in its incidence rate among geographical areas are due to various contributing factors. Since there has been a lack of studies on this topic in our country, the present spatial analysis of skin cancer incidence in Iran in 2009 was conducted using data from the cancer registry system for the country. The reported incidences of the disease were standardized on the basis of the World Health Organization population and the direct method. Then the data were inserted into the GIS software, and finally, using the analysis of hot spots (Getis-Ord Gi), high-risk areas were drawn. Provinces that were 1.9 SD higher or lower than the national average were considered hot spots or cold spots, with significance at the level of 0.05. In 2009, a total of 9,964 cases of skin cancer occurred, 3,696 in women and 6,268 in men (standardized incidence rates of 15.8 and 22.6, respectively). The results of the study showed that in men and women, the disease demonstrated high incidence in the central provinces and desert regions. In women, Yazd Province and in men, Qom Province had significant hot spots (p <0.05). While Isfahan, Markazi, Tehran and Kurdistan provinces were expected to be hot spots, the differences from the national average were not significant at the 0.05 level. As well, the provinces of Sistan Va Baluchistan, Kerman, and Hormozgan were identified as cold or low-risk disease regions (p <0.05). The central provinces of the country due to hot weather conditions, more solar radiation, and closer vicinity to the central desert of Iran demonstrated higher incidence rates for skin cancer, so further epidemiological studies into the etiology and early detection are essential in these areas.