• Title/Summary/Keyword: Disease conditions

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Chewing difficulty and multiple chronic conditions in Korean elders: KNHANES IV (임상가를 위한 특집 3 - 한국 노인에서 저작불편감과 복합만성질 환의 연관성: 제4기 국민건강영양조사)

  • Han, Dong-Hun
    • The Journal of the Korean dental association
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    • v.51 no.9
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    • pp.511-517
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    • 2013
  • To assess the association between oral health and general health, this study examined the relationship between chewing difficulty and twelve chronic health conditions such as hypertension, hyperlipidemia, diabetes, cerebro- and cardiovascular disease, musculoskeletal disease, respiratory disease, eye/nose/throat disease, stomach/intestinal ulcer, renal dysfunction, thyroid disease, depression, and cancer in Korea. The study population was 3,066 elders aged 65 years old and more from the fourth Korean National Health and Nutrition Examination Survey. Chewing difficulty was measured on a 5-point Likert scale. Chronic conditions were assessed by self-reported questionnaire. Confounders were age, gender, education, income, smoking, drinking, and obesity. Chi-square test, general linear model, and multiple logistic regression model were done with complex sampling design. Musculoskeletal disease (adjusted odds ratio=1.33), respiratory disease (adjusted odds ratio=1.52), and cancer (adjusted odds ratio=1.58) were independently associated with chewing difficulty. Multiple chronic conditions with more than 4 chronic disease showed significant association with chewing difficulty (adjusted odds ratio=1.37).

Individual Variations in the Code of the International Classification of Disease for Similar Outpatient Conditions among General Practitioners (동일 질환에 대한 상병분류기호의 의료기관별 변이에 관한 연구)

  • 문옥륜;김창엽;김명기
    • Health Policy and Management
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    • v.2 no.1
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    • pp.66-79
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    • 1992
  • The code of the International Classification of Disease(ICD) is seriously questioned on its effectiveness in identifing an independent disease entity from similar conditions at general practitioner's offices. This study has attempted to show individual coding variations in ICD for similar ambulatory care conditions. It has been assumed that a following outpatient visit is regarded as the sane kind of visit owing to the same disease if a visit to the different source of care would be mad within an interval of less than two days. The 'D' health insurance association was selected for this analysis. The 'D' association had 153,298 members and made claims of 642,605 outpatient care in 1990. Out of the total outpatient claims, 8.6%(55,102 claims) were counted as the same disease which could meet the above assumption. Percent of conditions classified as the 10 leading causes of frequent visits which were matched accurately to the subsequent ICD diagnostic code found to be 15.8% on the average. The URI was noted for the highest concurrence rate of 20.4%. This proportion was even decreased to 11.6% on the case of chronic disease. Despite the fact that the assumption underlying the definition of the above same disease is rather rough and inappropriate, this study reveals that the code of ICD currently in use has weaknesses in seperating a certain independent disease from similar conditions at the outpatient setting. Thus, efforts need to be elaborated to meet the need of a new system of classification for conditions and diseases encountering at ambulatory care.

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Incidence of Rice False Smut Caused by Ustilaginoidea virens in Different Geographic Regions and Cultivars, and Its Chemical Control (지역 및 품종에 따른 벼 이삭누룩병 발생과 약제방제 효과)

  • 심홍식;류재당;한성숙
    • Research in Plant Disease
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    • v.7 no.2
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    • pp.102-106
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    • 2001
  • Currently the rice false smut caused by Ustilaginoidea virens (Cooke) Takah. has occurred widely in Korea. A survey on the disease incidence at rice fields in 8 inland provinces was carried out in 2000, showing that the disease occurred at 104 (7.5%) out of 1,152 rice fields examined, ranging from 1.5% to 13.7% in provincial average. It was found that the disease incidence was greatly affected by local weather conditions and rice cultivars. In case of the most susceptible cultivar Namchunbyeo, the disease incidence was only about 1.3% in Icheon, while it was over 20% in Namwon which had weather conditions of the shorter sunshine period (about 64%) and the higher amount of precipitation (about 130%) during the rice cultivation than Icheon. In Icheon, artificial inoculation of the pathogen failed to induce the disease, probably because of the weather conditions unfavorable to the disease development, which also suggests that its incidence may be dependent on the weather conditions. Susceptibility of rice cultivars to the disease varied greatly; eight resistant cultivars including Heukjinjubyeo were not damaged by the disease, but 2 cultivars including Geumnambyeo and Namchunbyeo were severely damaged, having more than 20% of the disease incidence. Among chemicals tested fur the control of the rice false smut tebuconazole WP showed the highest control efficacy of 83∼88% on cvs. Geumnambyeo and Namchunbyeo. Other chemicals such as azoxystrobin WP and ferimzone WP also effectively suppressed the disease development in the field trials.

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Influence of Cultivated Conditions and Fungicides on Development of Rhizoctonia Diseases of Zoysiagrass and Bentgrass (한국들잔디와 벤트그라스의 라이족토니아 마름병 발생에 미치는 재배조건 및 살균제의 영향)

  • 이재홍;이두형
    • Asian Journal of Turfgrass Science
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    • v.9 no.3
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    • pp.199-206
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    • 1995
  • This study is aimed to clarify on the influence of cultivated conditions and fungicides on development of Rhizoetonia diseases of zoysiagrass and creeping bentgrass and results are as follows. Infection rates of disease were observed more serious when inoculum amounts were higher than low. Effects of the watering intervals on the severity of disease with artificial inoculating conditions, infection rates were higher when two days watering interval for creeping bentgrass and one day interval for zoysiagrass. Disease severity of creeping bentgrass incited by Rhizoetonia solani AG 1 (1A) was grater under conditions of double amounts of nitrogen fertilization. A posi- tive correlation was founded between the pH and disease development. The pots with pH 5 and 8 were significantly more diseased grass than those in which the pH was in 6.5. Mepronil and myclobutanil were extremely effective against brown patch of creeping bentgrass and large patch of zoysiagrass and followed by capro, and tebeonazole. Fenari was inferior effect to both diseases.

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Optical Sensing for Evaluating the Severity of Disease Caused by Cladosporium sp. in Barley under Warmer Conditions

  • Oh, Dohyeok;Ryu, Jae-Hyun;Oh, Sehee;Jeong, Hoejeong;Park, Jisung;Jeong, Rae-Dong;Kim, Wonsik;Cho, Jaeil
    • The Plant Pathology Journal
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    • v.34 no.3
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    • pp.236-240
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    • 2018
  • Crop yield is critically related to the physiological responses and disease resistance of the crop, which could be strongly affected by high temperature conditions. We observed the changes in the growth of barley under higher than ambient air-temperature conditions using a temperature gradient field chamber (TGFC) during winter and spring. Before the stem extension stage of barley growth, Cladosporium sp. spontaneously appeared in the TGFC. The severity of disease became serious under warmer temperature conditions. Further, the stomata closed as the severity of the disease increased; however, stomatal conductance at the initial stage of disease was higher than that of the normal leaves. This was likely due to the Iwanov effect, which explains that stressed plants rapidly and transiently open their stomata before longer-term closure. In this study, we tested three optical methods: soil-plant analysis development (SPAD) chlorophyll index, photochemical reflectance index (PRI), and maximum quantum yield (Fv/Fm). These rapid evaluation methods have not been used in studies focusing on disease stress, although some studies have used these methods to monitor other stresses. These three indicative parameters revealed that diseased barley exhibited lower values of these parameters than normal, and with the increase in disease severity, these values declined further. Our results will be useful in efficient monitoring and evaluation of crop diseases under future warming conditions.

The Study on Volume Relationships in Several Diseases (일부 질환들에서 진료량-진료비, 재원일수와의 관계에 대한 연구)

  • Lee, Sun-Hee;Jwa, Yong-Gweon
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.4 s.48
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    • pp.793-805
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    • 1994
  • Investigating the existence of volume-outcome relationships for specific disease groups relates directly to the policy issue of whether, and how, specific inpatient services should be regionalized. This study examined whether medical costs and lengths of stay as outcomes were affected by changes in volume within hospitals. Based on the claims data obtained from National Federation of Medical Associations, each six disease categories from medical and surgical conditions were selected and 29,720 cases from 1,266 hospitals were analyzed. Main findings of the research can be summarized as follows: 1. Analyzing volume and cost per case relationship, tonsillectomy class 1, hernia procedure class 0, appendectomy and cesarean section class 0,1 in surgical conditions showed negative relationship significantly. In cases of medical conditions, costs per case in respiratory neoplasm class 2, COPD class 1, 2, digestive malignancy were also related to volume negtively. 2. Comparing volume with length of stay per case, lens procedure class 0, hernia procedure class 0, appendectomy class 0,1, cesarean section class 1 in surgical conditions showed negative relationships significantly. In medical conditions, volume of respiratory neoplasm class 2, COPD class 1,2, digestive malignancy class 0 were associated with negatively. 3. Within same disease categories, changes in cost and length of stay per case to volume were more remarkable in severe cases. These results suggested a significant inverse relationship between disease cases and cost, length of stay per case as outcome variables.

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Weather Conditions Drive the Damage Area Caused by Armillaria Root Disease in Coniferous Forests across Poland

  • Pawel Lech;Oksana Mychayliv;Robert Hildebrand;Olga Orman
    • The Plant Pathology Journal
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    • v.39 no.6
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    • pp.548-565
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    • 2023
  • Armillaria root disease affects forests around the world. It occurs in many habitats and causes losses in the infested stands. Weather conditions are important factors for growth and development of Armillaria species. Yet, the relation between occurrence of damage caused by Armillaria disease and weather variables are still poorly understood. Thus, we used generalized linear mixed models to determine the relationship between weather conditions of current and previous year (temperature, precipitation and their deviation from long-term averages, air humidity and soil temperature) and the incidence of Armillaria-induced damage in young (up to 20 years old) and older (over 20 years old) coniferous stands in selected forest districts across Poland. We used unique data, gathered over the course of 23 years (1987-2009) on tree damage incidence from Armillaria root disease and meteorological parameters from the 24-year period (1986-2009) to reflect the dynamics of damage occurrence and weather conditions. Weather parameters were better predictors of damage caused by Armillaria disease in younger stands than in older ones. The strongest predictor was soil temperature, especially that of the previous year growing season and the current year spring. We found that temperature and precipitation of different seasons in previous year had more pronounced effect on the young stand area affected by Armillaria. Each stand's age class was characterized by a different set of meteorological parameters that explained the area of disease occurrence. Moreover, forest district was included in all models and thus, was an important variable in explaining the stand area affected by Armillaria.

Disease Dispersal Gradients of Rice Blast from a Point Source (점접종원으로부터 벼 도열병 확산의 경사)

  • Kim Choong Hoe
    • Korean Journal Plant Pathology
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    • v.3 no.2
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    • pp.131-136
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    • 1987
  • Rates of lesion development over time and disease gradients over distance for blast disease on the two rice varieties, Brazos and M-20 1 were significantly affected by two different cultural conditions, upland and flooded conditions. Flooding rice field plots lowered the rates of lesion increase and flattened the disease gradients for both varieties. Despite absence of statistically significant differences in the rate of lesion increase between four sampled distances from infection focus, rate of lesion development tended to be slightly greater as distance from the infection focus increases. Rate of lesion increase was greater with more susceptible variety M-201 than with Brazos. Disease gradient was steeper for M-201 than for Brazos. As blast disease progressed, disease gradients became flattened regardless of variety due to the infections originated from secondary foci. Between two empirical disease gradient models examined, Kiyosawa & Shiyomi model was fitted better over Gregory model. Rates of blast isopath movement under upland conditions were calculated as approximately 0.2m/day and 0.4 m/day for Brazos and M-201, respectively. The results in this study suggest that differences in varietal resistance to blast could be detected by measuring disease gradient as efficiently as by measuring infection rate.

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Experience of reorganizing life in married immigrant women with chronic disease; With three Asian countries at the center (만성질환을 가진 결혼이주여성의 삶의 재편성 경험: 아시아 3개국을 중심으로)

  • Cheon, Soon-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.1
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    • pp.15-26
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    • 2022
  • Purpose: The purposes of this study was to describe the lived experience structures of married immigrant women with chronic diseases in reorganizing their lives in a variety of situations and contexts. Methods: This study applied grounded theory approach, and the participants were 15 married immigrant women with chronic disease. Data were collected through individual in-depth interviews and then analyzed by the method in Strauss and Corbin (1998). Results: The extracted data were organized 41 concepts, 21 subcategories, and 8 categories. The central phenomenon was determined to be "Life turned into a chronic disease." The causal conditions were "Undergoing physical and mental stress from marriage", "Lack of information on chronic diseases." The extracted contexts was "The demand for health resources." action and interaction strategies, "Finding problems and solutions." The intervention conditions influencing the strategies was "Establishing a support system." The result of such action was "To settle down in a way of life that suits your conditions." Conclusion: By providing a comprehensive and integrative understanding of how married immigrant women with chronic disease reorganize their lives, the study is expected to contribute to the development of social systems and national policies.

Surgery in Pediatric Crohn's Disease: Indications, Timing and Post-Operative Management

  • Kim, Seung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.1
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    • pp.14-21
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    • 2017
  • Pediatric onset Crohn's disease (CD) tends to have complicated behavior (stricture or penetration) than elderly onset CD at diagnosis. Considering the longer duration of the disease in pediatric patients, the accumulative chance of surgical treatment is higher than in adult onset CD patients. Possible operative indications include perianal CD, intestinal stricture or obstruction, abdominal abscess or fistula, intestinal hemorrhage, neoplastic changes and medically untreatable inflammation. Growth retardation is an operative indication only for pediatric patients. Surgery can affect a patient's clinical course, especially for pediatric CD patient who are growing physically and mentally, so the decision should be made by careful consideration of several factors. The complex and diverse clinical conditions hinder development of a systemized treatment algorithm. Therefore, timing of surgery in pediatric CD patients should be determined with individualized approach by an experienced and well organized multidisciplinary inflammatory bowel disease team. Best long-term outcomes will require proactive post-operative monitoring and therapeutic modifications according to the conditions.