• 제목/요약/키워드: Disease Prevalence

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Celiac disease in children: increasing prevalence and changing clinical presentations

  • Isa, Hasan M.;Farid, Eman;Makhlooq, Jaafar J.;Mohamed, Afaf M.;Al-Arayedh, Jumana G.;Alahmed, Fawzeya A.;Medani, Shima
    • Clinical and Experimental Pediatrics
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    • 제64권6호
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    • pp.301-309
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    • 2021
  • Background: Celiac disease (CD) is a chronic autoimmune enteropathy. It results from genetic predisposition and exposure to gluten-containing food. The prevalence and presentation of CD vary among populations. Purpose: This study aimed to describe the prevalence and clinical characteristics of CD in children in Bahrain. Methods: We retrospectively reviewed the medical records of children diagnosed with CD in the pediatric department, Salmaniya Medical Complex, Bahrain, in 1988-2018. Their clinical, biochemical, serological, and histopathological findings were documented. Adherence to the recommended gluten-free diet (GFD) was assessed. Results: Of 86 patients with CD, 67 were included. The CD prevalence was 0.02%. A significant increase in prevalence in the last decade was observed (P<0.0001). Thirty-eight patients (56.7%) were males. The median (interquartile range) age at presentation was 4.45 (1.5-7.3) years. A family history of CD was positive in 13 out of 43 patients (30.2%). Pallor and failure to thrive were the most common presentations. The most frequent associated disease was iron-deficiency anemia in 23 patients (69.7%). Positive serology was found in 32 of 45 patients (71.1%). Marsh-Oberhuber type III was found in 16 of 35 patients (45.7%). Seropositive patients were significantly older (P=0.025) and had more severe duodenal histology (P=0.002). Adherence to GFD was poor in 27 patients (64.3%). Conclusion: This study revealed a significant increase in CD prevalence over the last decade. Atypical presentations were frequent. Most patients had poor adherence to GFD.

부산지역 일부 산업장근로자들의 유병률에 관한 연구 (A Study on Prevalence Rats of Diseass in Industrial Workers in Pusan)

  • 윤병재;김광혁
    • 대한의생명과학회지
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    • 제3권2호
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    • pp.177-185
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    • 1997
  • 1993년 1월 1일부터 1995년 12월 31일까지 부산시내 324개 사업장 16,453명의 근로자를 대상으로 성별, 연령별, 업종별 유병률을 조사하여 다음과 같은 결과를 얻었다. 조사대상자의 성별 비는 1.9:1.0이고 평균 연령은 남자가 43$\pm$17세, 여자는 38$\pm$15세로 나타났다. 전체 대상자 16,453명 중 1,932명 (11.7%)이 질병을 앓고있는 사람이며 남자가 1,521명 (14.0%), 여자가 411명 (7.3%)으로 나타났다. 성별에 따른 유병률은 폐결핵, 간장질환, 소음성 난청은 남자가 여자보다 유의하게 높았고 빈혈증, 유기용제 중독은 여자가 남자보다 유의하게 높았다 (p<0.001). 연령별 유병률은 29세 미만과 30~39세, 40~49세에서 간장질환이 높았고 50세 이상에서 순환계 질환이 높았다 (p<0.001). 업종별 유병률은 전기 건설업, 신발 고무제조업에서 순환계 질환이 가장 높았고 1차금속, 운수 정비업, 섬유 피혁, 화학 석유제조업, 기타 제조업에서 간장질환이 가장 높게 나타났다. 음료 및 식료품 제조업과 기계제조업에 종사하는 사람은 소음성 난청이 가장 높았다. 근무 기간별 유병률은 연중독을 제외한 모든 질환에서 근무기간이 길수록 높았다 (p<0.001).

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Obesity and chronic kidney disease: prevalence, mechanism, and management

  • Yim, Hyung Eun;Yoo, Kee Hwan
    • Clinical and Experimental Pediatrics
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    • 제64권10호
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    • pp.511-518
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    • 2021
  • The prevalence of childhood obesity is increasing worldwide at an alarming rate. While obesity is known to increase a variety of cardiovascular and metabolic diseases, it also acts as a risk factor for the development and progression of chronic kidney disease (CKD). During childhood and adolescence, severe obesity is associated with an increased prevalence and incidence of the early stages of kidney disease. Importantly, children born to obese mothers are also at increased risk of developing obesity and CKD later in life. The potential mechanisms underlying the association between obesity and CKD include hemodynamic factors, metabolic effects, and lipid nephrotoxicity. Weight reduction via increased physical activity, caloric restriction, treatment with angiotensin-converting enzyme inhibitors, and judicious bariatric surgery can be used to control obesity and obesity-related kidney disease. Preventive strategies to halt the obesity epidemic in the healthcare community are needed to reduce the widespread deleterious consequences of obesity including CKD development and progression.

서울시내 종합병원에 근무하는 간호원들의 질병 및 증상에 관한 조사 (A Survey on Diseases and Symptoms of the nurses who were Employed at the City and University hospitals in Seoul)

  • 김매자;이선자;박순자
    • 대한간호학회지
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    • 제5권1호
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    • pp.70-78
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    • 1975
  • The investigators conducted this survey to find out prevalence of diseases and symptoms of the 812 nurses who were working at the 12 Seoul city and University's hospital in Seoul by retrospective study The results of survey were summarized as follows: 1. Distribution of Prevalence Rate of Diseases and Symptoms. 1) An average prevalence rate of diseases and Symptoms of the nurses/100 persons was 64.3 cases at Present October I.1972 2) The total number of diseases and Symptoms was 522 cases at present Oct, I 1972 for the survey nurses. The prevalence rate of following diseases/100 persons were as, foot sore-11, 3. myopia-9.7, neuralgia-9.6, anemia-9.1, insomnia-8.6 cases and the corrected number percent of prevalence rate of diseases and symptoms of the above diseases into 100 denominator were as follows : foot sore-17.6% , myopia-15.4%, neuralgia-14.9%, anemia-14.2% insomnia-13.2%. 3) The prevalence rate of diseases and symptoms/100 person for the age group of 45 and over was 140.0 cases and the age of 35-39 years was 27.3 cases. 4) The prevalence rate of diseases and symptoms/100 persons by the rotation system of nurses'duty/day were as follows: two shift system rotation-86.7 cases, three shift system rotation-67.9 cases and day duty only was 56.2 cases, 5) The prevalence rate of diseases and symptoms/100 person by the basic nursing education background seemed to be lower occurrence against to the higher education and it was 94.4 cases at the Technical Nursing High School graduates. 6) The prevalence rate of diseases and symptoms/100 persons by the marital status of the nurses were as follows; single-64.8 cases, married-48, 7 cases, and widowed-28.6 cases. II. Relationship Between working Experience and prevalence of the Disease and symptoms. 1) There were no relationship by statistical test between prevalence of eye disease and experience at the eye ward(p〉0.05), skin disease and experience at the dermatology ward (p〉0.05), foot sore and experience at the operating room (p〉0.05), varicose vein and experience at the operating room (p〉0.05), sore finger and experience at the central supply room (p〉0.05), infectious disease and experience at the isolation ward(p〉0.05). 2) There was significant relationship by statistical test between pulmonary tuberculosis and experience at the tuberculosis ward (p〉0.05) prevalence of pulmonary tuberculosis was five times in experienced group than non experienced group.

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Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases

  • Deshmukh, Kartik;Khanna, Arjun
    • Tuberculosis and Respiratory Diseases
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    • 제84권1호
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    • pp.35-45
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    • 2021
  • Globally, cardiovascular diseases and chronic obstructive pulmonary disease (COPD) are the leading causes of the non-communicable disease burden. Overlapping symptoms such as breathing difficulty and fatigue, with a lack of awareness about COPD among physicians, are key reasons for under-diagnosis and resulting sub-optimal care relative to COPD. Much has been published in the past on the pathogenesis and implications of cardiovascular comorbidities in COPD. However, a comprehensive review of the prevalence and impact of COPD management in commonly encountered cardiac diseases is lacking. The purpose of this study was to summarize the current knowledge regarding the prevalence of COPD in heart failure, ischemic heart disease, and atrial fibrillation. We also discuss the real-life clinical presentation and practical implications of managing COPD in cardiac diseases. We searched PubMed, Scopus, EMBASE, and Google Scholar for studies published 1981-May 2020 reporting the prevalence of COPD in the three specified cardiac diseases. COPD has high prevalence in heart failure, atrial fibrillation, and ischemic heart disease. Despite this, COPD remains under-diagnosed and under-managed in the majority of patients with cardiac diseases. The clinical implications of the diagnosis of COPD in cardiac disease includes the recognition of hyperinflation (a treatable trait), implementation of acute exacerbations of COPD (AECOPD) prevention strategies, and reducing the risk of overuse of diuretics. The pharmacological agents for the management of COPD have shown a beneficial effect on cardiac functions and mortality. The appropriate management of COPD improves the cardiovascular outcomes by reducing hyperinflation and preventing AECOPD, thus reducing the risk of mortality, improving exercise tolerance, and quality of life.

Prevalence of feline calicivirus in Korean cats determined by an improved real-time RT-PCR assay

  • Ji-Su Baek;Jong-Min Kim;Hye-Ryung Kim;Yeun-Kyung Shin;Oh-Kyu Kwon;Hae-Eun Kang;Choi-Kyu Park
    • 한국동물위생학회지
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    • 제46권2호
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    • pp.123-135
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    • 2023
  • Feline calicivirus (FCV) is considered the main viral pathogen of feline upper respiratory tract disease (URTD). The frequent mutations of field FCV strains result in the poor diagnostic sensitivity of previously developed molecular diagnostic assays. In this study, a more sensitive real-time reverse transcription-polymerase chain reaction (qRT-PCR) assay was developed for broad detection of currently circulating FCVs and comparatively evaluated the diagnostic performance with previously developed qRT-PCR assay using clinical samples collected from Korean cat populations. The developed qRT-PCR assay specifically amplified the FCV p30 gene with a detection limit of below 10 copies/reaction. The assay showed high repeatability and reproducibility, with coefficients of intra-assay and inter-assay variation of less than 2%. Based on the clinical evaluation using 94 clinical samples obtained from URTD-suspected cats, the detection rate of FCV by the developed qRT-PCR assay was 47.9%, which was higher than that of the previous qRT-PCR assay (43.6%). The prevalence of FCV determined by the new qRT-PCR assay in this study was much higher than those of previous Korean studies determined by conventional RT-PCR assays. Due to the high sensitivity, specificity, and accuracy, the new qRT-PCR assay developed in this study will serve as a promising tool for etiological and epidemiological studies of FCV circulating in Korea. Furthermore, the prevalence data obtained in this study will contribute to expanding knowledge about the epidemiology of FCV in Korea.

도시와 농촌에 거주하는 초등학생의 알레르기질환 유병률 비교 분석 (A Comparative Study of the Prevalence of Allergic Disease between Rural and Urban Elementary School Students)

  • 송미령;강명화;박준수;조혜경
    • Child Health Nursing Research
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    • 제18권1호
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    • pp.29-35
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    • 2012
  • Purpose: The purpose of this study was to analyze the prevalence of allergic disease among elementary school students in rural and urban areas. Methods: In this study, 1,513 elementary students (1,163 in urban areas, 350 in rural areas) were surveyed. Data were analyzed using frequency, percentage of allergic symptoms and $X^2$ test was used to identify differences in the prevalence of allergic symptoms between urban and rural area students. The SAS program was used in the data analysis. Results: There were significant differences in the prevalence of allergic disease according to whether there was a family member with a prior history of allergy symptoms. 48.7% of surveyed students (49.4% in urban, 46.3% in rural) had allergic symptoms. Allergic rhinitis was the most frequent allergic symptom in both urban and rural students. Conclusion: These results suggest that there is a need to prevent and manage allergies among elementary students. The family history should be considered an important factor when a program for allergy prevention and management is developed. Interventions are needed in both areas, especially for students with allergic rhinitis.

우리나라 여성 1인가구와 다인가구 여성의 건강행태 및 질병이환율 비교 : 2013년 지역사회 건강조사를 중심으로 (Comparison of Health Behaviors, Disease Prevalence between One-person women and Multiple households women in Korea)

  • 김은경;박숙경
    • 한국보건간호학회지
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    • 제30권3호
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    • pp.483-494
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    • 2016
  • Purpose: This study compared health behaviors and disease prevalence between one-person women and multiple-household women in Korea. Methods: This study used the 2013 data from the Korean Community Health Survey (KCHS). A total of 89,807 women, aged 19-64 years were included in this study. The data was analyzed using descriptive statistics and Chi-square test. Moreover, statistical processing was performed using the SPSS 21.0. Results: Among adult women, one-person households women was 6.2%. One-person household women were older than multiple-households women, and multiple-households women were less likely to exercise regularly. And disease prevalence was higher in one-person household women than in multiple-household women. Conclusion: Residence characteristics should be considered in developing a public health program to reduce or increase modifiable health behaviors and disease prevalence. The findings from this study suggest that policies to improve the support for healthcare of one-person household women is necessary.

Parkinson's Disease as Risk Factor in Osteoporosis and Osteoporotic Vertebral Fracture : Prevalence Study Using National Inpatient Sample Database in Korea

  • Lee, Jin Yong;Lim, Nam Gu;Chung, Chun Kee;Lee, Jee-Young;Kim, Hyun Joo;Park, Sung Bae
    • Journal of Korean Neurosurgical Society
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    • 제62권1호
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    • pp.71-82
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    • 2019
  • Objective : To determine the prevalence of osteoporosis (OP) and osteoporotic vertebral fracture (OVF) in people with Parkinson's disease (PD) in Korea and its association with socioeconomic status. Methods : Using Health Insurance Review and Assessment Service-National Inpatient Sample (HIRA-NIS) data from 2009 to 2013, we estimated the annual prevalence of PD, OP, and OVF and investigated its association with socioeconomic status using data from National Health Insurance (NHI) beneficiaries and Medical Aid (MA) recipients. This study was supported by research funding from Korean Society for Bone and Mineral Research 2015. There were no study-specific biases related to conflicts of interest. Results : The number of PD patients in the HIRA-NIS increased each year from 2009 to 2013. Among patients with PD, the standardized prevalence rates of OP and OVF increased from 2009 to 2013; from 23.2 to 27.8 and from 2.8 to 4.2, respectively. Among patients with PD with OP, the prevalence of OVF were 12.2% and 15.1% in 2009 and 2013, respectively. The standardized prevalence rates of PD with OP and PD with OVF were significantly higher in MA recipients than in NHI beneficiaries. Conclusion : The prevalence of PD both with OP and with OVF increased and the prevalence was higher in MA recipients than in NHI beneficiaries. These findings may suggest that age over 65 years, female and low income may be a significant factor related to PD occurring with OP and OVF.

복합만성질환의 흔한 유형과 의료비에 미치는 영향 (The Common Patterns of Multimorbidity and Its Impact on Healthcare Cost in Korea)

  • 김창훈;황인경;유원섭
    • 보건행정학회지
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    • 제24권3호
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    • pp.219-227
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    • 2014
  • Background: Current trends in Korea population aging with advances in public health and clinical medicine foretell rises in the prevalence of not only chronic diseases but also patients with multimorbidity. One important aspect in analyzing multimorbidity is to define the list of chronic diseases included when calculating multimorbidity index. The objective of this study is to describing the effect of multimorbidity on healthcare cost in Korea using US Office of the Assistant Secretary of Health (OASH) list. Methods: We analyzed the Korea Health Panel Data representing non-institutionalized Korean adult populations aged 20 and more. We calculated multimorbidity index based on OASH list and estimated the prevalence and healthcare cost for each OASH chronic disease. Results: In 2011, 15.2 million (39.6%) Koreans aged 20 and more were living with chronic condition. The health care cost due to chronic diseases, accounted for 80.2% of the overall healthcare costs and the prevalence of chronic conditions, the prevalence of multimorbidity and healthcare cost increased with ages. In the analysis using OASH list, 40% of the adult population over the age of 20 and 66.7% of the population over the age of 65 was affected with multimorbidity. In most of diseases in OASH list, prevalence of mulitmorbidity was high and healthcare cost increased with multimorbidity. Conclusion: OASH chronic disease list that accounts for 72.4% of prevalence and 86.7% of healthcare cost of persons with chronic conditions in Korea. OASH chronic disease list would be a useful and representative indicator for studying multimorbidity.